You are here : health.am > Mental Health Center > Schizophrenia Schizophrenia Clinical Considerations • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Risk Reduction Interventions and Strategies for HIV/HCV HIV prevention programs that primarily dispense AIDS information have not been shown to influence risk behavior levels because, as evidence from studies demonstrates, knowledge by itself is… HCV Treatment • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Diagnostic testing to determine the presence of HCV viremia and the extent of liver pathology should be completed as early as possible in the care of a patient infected with HCV. Liver biopsy is useful… HCV Transmission and Testing • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Given preliminary estimates that one in five patients with severe mental illness is infected with HCV, a strong argument can be made that all such persons should be screened for the virus. Certainly,… HIV/AIDS Treatment • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Clinical management is intended to decrease viral load, increase CD4 cell count, provide prophylaxis against OIs as appropriate, treat OIs when present, and decrease morbidity and mortality. New knowledge about the life cycle of HIV… Natural History of HIV Disease • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 HIV targets host CD4 T lymphocytes by identifying certain surface molecules and attaching to and entering the cells (Staprans and Feinberg 1997). This begins the process of using the viral reverse transcriptase… HIV Transmissibility • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Although HIV has been isolated from a variety of body fluids, including blood, semen, vaginal secretions, breast milk, urine, saliva, and tears, the risk of transmission is a consequence of the amount of virus present… Basic Overview of Course of Illness and Treatment of HIV/AIDS • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Approximately 940,000 persons in North America and about 40 million persons worldwide are infected with HIV. Infection with HIV is a chronic disease that normally runs its… HIV/HCV Knowledge Among People With Severe Mental Illness and Their Providers • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 AIDS is the ultimate result of HIV infection, and knowledge about AIDSrelated issues among United States and Canadian psychiatric patients appears to be relatively good compared… Substance Use Risk Behaviors Among People With Schizophrenia • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Substance Use Risk Behaviors Among People With Schizophrenia and Their Association With Psychiatric and Situational Factors In the United States, psychiatric patients with identified comorbid alcohol or other drug… Sexual Risk Behaviors Among People With Schizophrenia • Schizophrenia • • Medical Illness and Schizophrenia • • HIV and Hepatitis C in Patients With Schizophrenia • Jun 10 09 Sexual Risk Behaviors Among People With Schizophrenia and Their Association With Psychiatric and Situational Factors Most studies of sexual risk behavior among people with psychiatric disorders have not linked behaviors… Obesity and Mental Illness • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 Obesity is a complex multifactorial chronic disease that develops from the interaction between genotype and the environment. Obesity in individuals with mental disorders such as schizophrenia has been attributed to various factors, including… Obesity in Schizophrenia • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 In the pre-antipsychotic era, Kraepelin noted that some patients with schizophrenia exhibited bizarre eating habits, and not uncommonly were obese. “The taking of food fluctuates from complete refusal to the greatest voracity. The body… Pharmacological Treatment of Obesity in Schizophrenia • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 The literature thus far suggests that some of the novel antipsychotic medications cause less weight gain than others; thus it may be possible to switch patients on agents associated with the… Behavioral Treatment • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 Behavioral interventions such as calorie restriction, exercise, and behavioral modification are key elements to successful, sustained weight loss (NHLBI 2000; NHLBI also has posted on its Web site a practical guide for obesity evaluation and… Weight Monitoring for Schizophrenia • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 The effects of antipsychotic-related weight gain have both medical and psychiatric components. In particular, medication compliance is adversely affected by excessive weight gain, with weight gain being a wellknown cause of treatment nonadherence… Psychopharmacology of Weight Gain • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 Novel antipsychotic medications and conventional antipsychotic medications affect a number of central neurotransmitter systems that may have an impact on satiety and feeding behavior. Many of the receptor systems blocked by antipsychotic medications… The Epidemic of Obesity • Schizophrenia • • Medical Illness and Schizophrenia • • Obesity in schizophrenia • Jun 09 09 Obesity and its related sequelae represent a growing epidemic in the United States. Overweight is defined by the World Health Organization as a body mass index (BMI) of 25.029.9 kg/m2, and obesity as… Schizophrenia Complications • Schizophrenia • • Complications and Schizophrenia • Jun 03 09 The major complications are to quality of life: An acute psychotic illness can be a terrifying experience - the hallucinations and delusions seem utterly real while they are being experienced. … Drug abuse underlies schizophrenia tie to violence • Schizophrenia • • Schizophrenia News • May 25 09 People with schizophrenia may have a reputation for being involved in violent crime, but that seems to be valid only if they also have a problem with substance abuse, a… Schizophrenia does not increase risk of violent crime • Schizophrenia • • Schizophrenia News • May 20 09 A new study from the Swedish medical university Karolinska Institutet and the University of Oxford finds that the severe mental disorder schizophrenia only marginally increases the risk of committing… Schizophrenia-type illness linked to heart risk • Schizophrenia • • Schizophrenia News • May 19 09 The high rate of heart disease seen in people with “schizophrenia spectrum disorders” is not totally explained by the use of antipsychotic medications and by lifestyle factors, according to research reported… Substance abuse factor in higher risk of violent crime by persons with schizophrenia • Schizophrenia • • Schizophrenia News • May 19 09 The increased risk of persons with schizophrenia committing violent crime may be largely mediated by co-existing substance abuse problems, according to a study in… International Study of Schizophrenia • Schizophrenia • • Schizophrenia incidence • May 14 09 Further development of this finding has been taken on by the WHO International Study of Schizophrenia (ISoS). This is a collaborative project based on numerous cohorts including the original IPSS and Ten Country… The Ten Country Study - Schizophrenia • Schizophrenia • • Schizophrenia incidence • May 14 09 The IPSS was followed by another study coordinated by the WHO, the Ten Country Study described above (Sartorius et al., 1986; Jablensky et al., 1992). Data on outcome after 2 years… Schizophrenia Course and outcome • Schizophrenia • • Schizophrenia incidence • May 14 09 Scattered early reports that complete remission of schizophrenia was common in developing countries, in spite of the unavailability of treatment, suggested that course and outcome were more favourable in these settings (e.g. Lambo,… Page 2 of 7 pages < 1 2 3 4 > Last » << Back to main
