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Vascular cognitive impairment, a cardiovascular complication

世界精神病学杂志 2016年第2期6卷 199-207页

作者： adiukwu frances Ofori Sandra Ugbomah Lucy Department of Neuropsy- chiatry University of Port Harcourt Teaching Hospital Department of Internal Medicine University of Port Harcourt Teaching Hospital

Over the past two decades, the term vascular cognitive impairment(VCI) has been used to refer to a spectrum of cognitive decline characterized by executive dysfunction, associated with vascular pathology. With 30% of stroke survivors showing cognitive impairments, it is regarded as the most common cause of cognitive impairment. This is a narrative review of available literature citing sources from Pub Med, MEDLINE and Google Scholar. VCI has a high prevalence both before and after a stroke and is associated with great economic and caregiver burden. Despite this, there is no standardized diagnostic criteria for VCI. Hypertension has been identified as a risk factor for VCI and causes changes in cerebral vessel structure and function predisposing to lacuna infarcts and small vessel haemorrhages in the frontostriatal loop leading to executive dysfunction and other cognitive impairments. Current trials have shown promising results in the use of antihypertensive medications in the management of VCI and prevention of disease progression to vascular dementia. Prevention of VCI is necessary in light of the looming dementia pandemic. All patients with cardiovascular risk factors would therefore benefit from cognitive screening with screening instruments sensitive to executive dysfunction as well as prompt and adequate control of hypertension.

关键词： Vascular dementia Leukoaraiosis White matter hyperintensities Cognitive screening Neurodegeneration

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COVID-19 mental health care toolkit:an international collaborative effort by Early Career Psychiatrists section

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General Psychiatry 2020年第5期33卷 352-355页

作者： Frances Adiukwu Laura Orsolini Drita Gashi Bytyçi Samer El Hayek Jairo M Gonzalez-Diaz Amine Larnaout Paolo Grandinetti Marwa Nofal Victor Pereira-Sanchez Mariana Pinto da Costa Ramdas Ransing Andre Luiz Schuh Teixeira Mohammadreza Shalbafan Joan Soler-Vidal Zulvia Syarif Ganesh Kudva Kundadak Rodrigo Ramalho Department of Neuropsychiatry University of Port Harcourt Teaching HospitalChobaRiversNigeria Department of Clinical Neurosciences/DIMSC School of MedicinePolytechnic University of MarcheAnconaMarcheItaly Mental Health Center Prizren Hospital and University Clinical Service of KosovoPrizrenKosovo Department of Psychiatry American University of BeirutBeirutLebanon CERSAME School of Medicine and Health SciencesUniversidad del Rosario-Clinica Nuestra Senora de la PazBogotaColombia Psychiatry Department D Razi Hospitalfaculty of Medicine of TunisTunis El Manar UniversityTunisTunisia Addictions Service(SerD) Department of Territorial AssistanceASL TeramoTeramoItaly Helwan Mental Health Hospital CairoEgypt Department of Child and Adolescent Psychiatry NYU Grossman School of MedicineNew YorkNew YorkUSA Unit for Social and Community Psychiatry(WHO Collaborating Centre for Mental Health Services Development) Queen Mary University of LondonLondonUK Institute of Biomedical Sciences Abel Salazar University of PortoPortoPortugal Hospital de Magalhaes Lemos PortoPortugal Department of Psychiatry BKL Walawalkar Rural Medical CollegeSawardeRatnagiriIndia Department of Childhood and Adolescent Psychiatry Universidade Federal do Rio Grande do SulPorto AlegreRSBrazil Mental Health Research Center Department of PsychiatrySchool of MedicineIran University of Medical SciencesTehranIran(the Islamic Republic of) Fidmag Research Foundation Hermanas HospitalariasBarcelonaSpain Department of Psychiatry Tarakan General HospitalJakartaIndonesia Early Psychosis Intervention Programme Institute of Mental HealthSingapore Department of Social and Community Health School of Populatin HealthUniversity of AucklandAucklandNew Zealand

The collaborative effort of an international research team from the Early Career Psychiatrists section of the World Psychiatry Association has brought about an easy-to-use,quick and stepwise mental health care toolkit for the identification and appropriate referral of those in need of mental health care during the pandemic.This simple guide can be applied in the general outpatient setting and is catered for all healthcare professionals,regardless of their expertise within the mental health field with minimal training.It is our hope that by incorporating this toolkit into our daily clinical care during the pandemic for high-risk patients and patients with non-specific complaints,we will be able to bridge the mental health gap present in our society.

关键词： Psychiat section clinical

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Mental health in the post-COVID-19 era:challenges and the way forward

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General Psychiatry 2021年第1期34卷 44-48页

作者： Ramyadarshni Vadivel Sheikh Shoib Sarah El Halabi Samer El Hayek LamiaàEssam Drita Gashi Bytyçi Ruta Karaliuniene Andre Luiz Schuh Teixeira Sachin Nagendrappa Rodrigo Ramalho Ramdas Ransing Victor Pereira-Sanchez Chonnakarn Jatchavala frances Nkechi adiukwu Ganesh Kudva Kundadak Department of Mental Health and Addictions Waikato District Health BoardHamiltonNew Zealand Department of Psychiatry Jawahar Lal Nehru Memorial HospitalRainawariSrinagarJammu and KashmirIndia Department of Narrative Medicine Columbia UniversityNew YorkNew YorkUSA Department of Psychiatry American University of BeirutBeirutLebanon El Demerdash Teaching Hospital Ain Shams UniversityCairoEgypt Hospital and University Clinical Service of Kosovo Community-Based Mental Health Center and House for IntegrationPrizrenKosovo Medical Faculty Carl Gustav Carus Technical University DresdenDresdenGermany Clinic for Psychiatry and Psychotherapy Elblandklinikum RadebeulAcademic Hospital Technical UniversityDresdenGermany Department of Psychiatry and Legal Medicine Universidade Federal do Rio Grande do SulPorto AlegreRio Grande do SulBrazil National Institute of Mental Health and Neuro Sciences BangaloreKarnatakaIndia Department of Social and Community Health School of Population HealthUniversity of AucklandAucklandNew Zealand Department of Psychiatry BKL Walawalkar Rural Medical CollegeRatnagiriMaharashtraIndia Department of Child and Adolescent Psychiatry NYU Grossman School of MedicineNew York UniversityNew YorkNew YorkUSA Department of Psychiatry Faculty of MedicinePrince of Songkla UniversitySongkhlaThailand Department of Neuropsychiatry University of Port Harcourt Teaching HospitalPort HarcourtRivers StateNigeria Early Psychosis Intervention Programme Institute of Mental HealthSingapore

The COVID-19 pandemic has posed a serious threat to global mental health.Multiple lines of evidence suggest that there is a varying yet considerable increase in mental health issues among the general population and vulnerable groups.12 The aftermath is obscure and speculative from a social,economic,individual and public mental health perspective.Recently published studies support the existence of an emotional epidemic curve,describing a high probability of an increase in the burden of mental health issues in the post-pandemic era.34 Furthermore,previous major public health emergencies showed that more than half of the population devel-oped mental health problems and required mental health intervention.45 There is,therefore,an urgent need to reorganise existing mental health services to address the current unmet needs for mental health and to prepare for future challenges in the postpandemic era in terms of prevention and management.

关键词： describing prevention challenges

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