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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Psychiatry
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Psychiatry. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Controlling the Swing of the Opioid Pendulum
01/01/70 - Mr. P. is a 34-year-old man who sees his primary care physician regularly for chronic spine pain. Several years ago, he had a motorcycle accident that left him with a ruptured spleen, a shattered pelvis, and multiple thoracic vertebral fractures. After a prolonged hospital and rehab course, he was…

Our Other Prescription Drug Problem
01/01/70 - The epidemic of opioid addiction and overdose has appropriately garnered national attention and led to concerted efforts to reduce overprescribing of opioids, a major cause of today?s drug crisis. By contrast, there has been little effort to address inappropriate prescribing of benzodiazepines ?…

Caring for Ms. L. ? Overcoming My Fear of Treating Opioid Use Disorder
01/01/70 - Ms. L. always showed up 10 minutes early for her appointments, even though I always ran late. Her granddaughter would rest her cheek against Ms. L.?s chest, squishing one eye shut, and scroll through Ms. L.?s phone while they waited. After reviewing her blood sugars, which Ms. L. recorded…

Trial of Prazosin for Post-Traumatic Stress Disorder in Military Veterans
01/01/70 - Trauma-related nightmares and sleep disturbance are common symptoms of post-traumatic stress disorder (PTSD). Enhanced central nervous system adrenergic activity and its persistence during sleep provide a rationale for the use of antiadrenergic medications to ameliorate these symptoms. Of the…

Alpha-Adrenergic Receptors in PTSD ? Failure or Time for Precision Medicine?
01/01/70 - Post-traumatic stress disorder (PTSD) is a debilitating, common, and sometimes deadly psychiatric condition that occurs in the aftermath of extremely distressing and life-threatening exposure to trauma. PTSD is found in 5 to 10% of the U.S. population, and the percentage is even higher in special…

The Public and the Opioid-Abuse Epidemic
01/01/70 - Over the past year, the U.S. opioid-abuse epidemic has gained enormous visibility. President Donald Trump has identified it as a "public health emergency," and a national commission and a commission of state governors have issued recommendations for action. This concern stems from the fact that in…

President Trump?s Mental Health ? Is It Morally Permissible for Psychiatrists to Comment?
01/01/70 - Ralph Northam, a pediatric neurologist who was recently elected governor of Virginia, distinguished himself during the gubernatorial race by calling President Donald Trump a "narcissistic maniac." Northam drew criticism for using medical diagnostic terminology to denounce a political figure, though…

Psychiatrists Diagnosing the President ? Moral Imperative or Ethical Violation?
01/01/70 - To the Editor: The premise of the Perspective article by Pouncey is that moral and civic responsibilities justify the mental health professionals who, along with editor Bandy Lee, authored The Dangerous Case of Donald Trump and any others who might be impelled, in violation of psychiatry?s…

Ventriculoperitoneal-Shunt Placement for Normal-Pressure Hydrocephalus
01/01/70 - Figure 1.

Emergency Legal Authority and the Opioid Crisis
01/01/70 - Opioid-overdose deaths in the United States have steadily increased for the past 15 years, with more than 33,000 such deaths reported in 2015. The epidemic is unfolding on two fronts: use of prescription opioid pain relievers (OPRs) accounts for approximately half of opioid-overdose deaths, and…

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