Delirium, caused by suspending treatment of hypothyroidism

Alejandro Hernández-Sandí; David Quirós-Baltodano; Michelle Oconitrillo-Chaves

doi:10.4081/mi.2016.6787

Delirium, caused by suspending treatment of hypothyroidism

Mental Illness ◽

10.1108/mi.2016.6787 ◽

2016 ◽

Vol 8 (2) ◽

pp. 33-34

Author(s):

Alejandro Hernández-Sandí ◽

David Quirós-Baltodano ◽

Michelle Oconitrillo-Chaves

Keyword(s):

Sensory Processing ◽

Language Impairment ◽

High Rate ◽

Medical Specialties ◽

Root Cause ◽

Multiple Factors ◽

Short Period ◽

Abrupt Discontinuation ◽

And Behavior ◽

Levothyroxine Treatment

Delirium, or acute confusional syndrome, is a set of symptoms whose care involves not only psychiatry, but also many other medical specialties. Being as how the syndrome is caused by multiple factors, it is important to recognize each risk factor affecting the patient in order to anticipate and prevent it. In case of diagnosis, identifying and treating the root cause that triggered is important, given that it has a high rate of comorbidity and an elevated cost of medical care. We describe a case where a patient with hypothyroidism began suffering from delirium due to an abrupt discontinuation of levothyroxine treatment. Previously, the patient was seemingly healthy. After the medical treatment was interrupted, sensory processing and behavior were altered, and symptoms fluctuated, for a short period of time, showing disorientation and memory and language impairment.

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Language and Behavior Disorders in School-Age Children: Comorbidity and Communication in the Classroom

Perspectives on School-Based Issues ◽

10.1044/sbi13.4.111 ◽

2012 ◽

Vol 13 (4) ◽

pp. 111-119 ◽

Cited By ~ 3

Author(s):

Alexandra Hollo

Keyword(s):

Language Impairment ◽

Mental Health Problems ◽

Language Disorder ◽

School Age Children ◽

School Age ◽

Social Emotional ◽

Behavioral Support ◽

School Professionals ◽

Development Characteristic ◽

And Behavior

Language development is the foundation for competence in social, emotional, behavioral, and academic performance. Although language impairment (LI) is known to co-occur with behavioral and mental health problems, LI is likely to be overlooked in school-age children with emotional and behavioral disorders (EBD; Hollo, Wehby, & Oliver, in press). Because language deficits may contribute to the problem behavior and poor social development characteristic of children with EBD, the consequences of an undiagnosed language disorder can be devastating. Implications include the need to train school professionals to recognize communication deficits. Further, it is critically important that specialists collaborate to provide linguistic and behavioral support for students with EBD and LI.

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A view into clinical practice guidelines: who uses them, who doesn’t and possibly, why

Qualitative Research in Medicine & Healthcare ◽

10.4081/qrmh.2017.6544 ◽

2017 ◽

Vol 1 (2) ◽

Cited By ~ 1

Author(s):

Mihaela C. Munteanu ◽

Julie Choi Jordan

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Healthcare Providers ◽

Medical Professional ◽

Physician Attitudes ◽

Negative Consequences ◽

Access To Treatment ◽

Medical Specialties ◽

And Behavior

Medical professional societies each develop specific clinical practice guidelines (CPGs). Based on the best available evidence, CPGs are intended to control variability and optimize quality of care in clinical practice. Yet, healthcare providers often do not accept or adhere to guidelines, but their reasons are not fully understood. When providers opt to choose not to follow CPGs, unfavorable patient outcomes including unequal access to treatment become negative consequences. In this small qualitative study, we will explore what causes non-adherence to CPGs and what changes have been made to CPGs from when physicians completed their medical residencies to the present. We interviewed physicians from a variety of medical specialties to assess how these changes may influence guideline adherence as well as the consequences of not following them. We found that guidelines may not be followed in cases where patients have comorbidities that are not described in the guidelines or when physicians do not incorporate new evidence and technology advances into their practice. In some specialties, physicians can develop a poor reputation if they do not adhere to the CPGs, and managed care agencies may deny reimbursement for care they provided. To best serve the physician and the patient, we need to find ways to improve CPG adherence. Tactics such as improving the methodology of CPG formation, using information technology, and creating ways to change physician attitudes and behavior are all viable options.

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Pregnancy Changes the Response of the Vomeronasal and Olfactory Systems to Pups in Mice

Frontiers in Cellular Neuroscience ◽

10.3389/fncel.2020.593309 ◽

2020 ◽

Vol 14 ◽

Author(s):

Cinta Navarro-Moreno ◽

Maria Jose Sanchez-Catalan ◽

Manuela Barneo-Muñoz ◽

Rafael Goterris-Cerisuelo ◽

Maria Belles ◽

...

Keyword(s):

Sensory Processing ◽

Piriform Cortex ◽

Vomeronasal Organ ◽

Late Pregnancy ◽

Bed Nucleus ◽

Pregnant Females ◽

Pup Retrieval ◽

Olfactory Systems ◽

And Behavior ◽

Pregnancy Hormones

Motherhood entails changes in behavior with increased motivation for pups, induced in part by pregnancy hormones acting upon the brain. This work explores whether this alters sensory processing of pup-derived chemosignals. To do so, we analyse the expression of immediate early genes (IEGs) in the vomeronasal organ (VNO; Egr1) and centers of the olfactory and vomeronasal brain pathways (cFos) in virgin and late-pregnant females exposed to pups, as compared to buttons (socially neutral control). In pup-exposed females, we quantified diverse behaviors including pup retrieval, sniffing, pup-directed attack, nest building and time in nest or on nest, as well as time off nest. Pups induce Egr1 expression in the VNO of females, irrespective of their physiological condition, thus suggesting the existence of VNO-detected pup chemosignals. A similar situation is found in the accessory olfactory bulb (AOB) and posteromedial part of the medial bed nucleus of the stria terminalis (BSTMPM). By contrast, in the medial amygdala and posteromedial cortical amygdala (PMCo), responses to pups-vs-buttons are different in virgin and late-pregnant females, thus suggesting altered sensory processing during late pregnancy. The olfactory system also shows changes in sensory processing with pregnancy. In the main olfactory bulbs, as well as the anterior and posterior piriform cortex, buttons activate cFos expression in virgins more than in pregnant females. By contrast, in the anterior and especially posterior piriform cortex, pregnant females show more activation by pups than buttons. Correlation between IEGs expression and behavior suggests the existence of two vomeronasal subsystems: one associated to pup care (with PMCo as its main center) and another related to pup-directed aggression observed in some pregnant females (with the BSTMPM as the main nucleus). Our data also suggest a coactivation of the olfactory and vomeronasal systems during interaction with pups in pregnant females.

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Metacognition: A new cognitive paradigm

Psihologija ◽

10.2298/psi0402149k ◽

2004 ◽

Vol 37 (2) ◽

pp. 149-161 ◽

Cited By ~ 3

Author(s):

Milos Kankaras

Keyword(s):

Cognitive Functioning ◽

Cognitive Processes ◽

Cognitive Activity ◽

Human Mind ◽

Short Period ◽

Wide Range ◽

Thinking Processes ◽

And Behavior ◽

And Control ◽

Metacognitive Experiences

This article reviews concept of metacognition, defined as: (a) knowledge about ones own cognitive activity, (b) strategies to monitor and regulate cognitive activity and behavior, and (c) subjective or metacognitive experiences which comes from some changes or temporary difficulties in cognitive functioning. While describing different conceptualizations of metacognition, its development, fields of application, relation with intelligence, and its constrictions and ambiguity, we attempt to present new and emerging metacognitive paradigm, which is, for a relatively short period, succeeded to improve, expand, and redefine wide range of theoretical and practical fields in psychology, on new and original way. How do we become conscious of our own cognitive processes? What role and significance that consciousness has, what is the functional level above thinking processes and how that level, which monitor and control cognitive activity, works. Metacognition is concept that presents, as so far, the most important insight in those human mind areas, which, although very important, remained on the margin of psychological investigations until now.

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Konflik Penolakan Ritual Doa Leluhur Paguyuban Padma Buana di Pedukuhan Mangir Bantul, Yogyakarta

SMART ◽

10.18784/smart.v6i1.943 ◽

2020 ◽

Vol 6 (1) ◽

pp. 49-62

Author(s):

Setyo Boedi Oetomo

Keyword(s):

Factor Analysis ◽

Cultural Tourism ◽

Analysis Techniques ◽

Root Cause ◽

Multiple Factors ◽

Tourism Management ◽

The People ◽

Local Residents ◽

The Village

The people of Yogyakarta are known for their tolerance, where people of different religions can coexist peacefully especially with Javanese traditions. But in Mangir, a village in Bantul, Yogyakarta, in November 12, 2019, there was a case of local residents rejecting the procession of ancestral prayer rituals by the Paguyuban Padma Buana (PPB) who claims to be followers of Javanese Hinduism. This study aimed at disclosing the elements and roots of conflict from the Mangir community's rejection towards Paguyuban Padma Buana. As a case study, it used conflict analysis approach through timeline and factor analysis techniques. The results showed that the open conflict between the two groups has occurred since 2012 with the main issue of syncretic ritual practices of Hinduism, Buddhism, and Kejawen (Javanism) that involve people from various religions. In addition, the Maha Lingga Padma Buana Temple as a place of whorship and rituals has also the license problems. Reconciliation was carried out between residents with the Padma Buana followers in 2015. Unfortunately it was violated by the Paguyuban Padma Buana and became a trigger of conflict back in 2019. The cause of this conflict is multiple factors, all of which are interrelated. However, the root cause of the problem among Mangir people is mostly related to traditional revivalism and the distribution of cultural tourism management authorities. This conflict makes them polarized and vulnerable to interests that can create the village atmosphere worse

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