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Biomedical subjects

M K Hasan

Publications and source records attributed to M K Hasan.

34 records · Page 2Linked to original sources

Neuroleptic malignant syndrome.

Neuroleptic malignant syndrome is a potentially life-threatening reaction to neuroleptic agents. Its symptoms develop rapidly and may occur at the initiation of the neuroleptics or after long-term use. The pathogenesis remains unclear. The authors reviewed 93 documented cases published in the literature over the past five years. Demographic and clinical features of the syndrome are identified. Diagnostic criteria are proposed along with recommendations for treatment and further research.

Aged↗

Once-a-day drug regimen for psychiatric patients.

Patient compliance can be improved by reducing the complexity of drug dosage and by better labeling, packaging and informational exchange. Single bedtime doses not only increase compliance but also decrease side effects. The once-a-day regimen can reduce drug automatism and thus decrease acute confusional states, especially in the elderly.

Adult↗

Psychogenic fever: entity or nonentity?

A review of the literature suggests that body temperature may rise when a person is under emotional stress. The term "psychogenic fever" has been applied to this phenomenon. A study of temperature and pulse rate of psychiatric patients diagnosed predominantly as neurotic in a university teaching hospital was undertaken. Changes in pulse rate indicated that the period before ward rounds was more stressful than other times of the day. However, psychogenic fever in these patients was not found. One case of factitious fever was uncovered during the study.

Body Temperature Regulation↗

Three cases of manic-depressive illness in mentally retarded adults.

The authors point out that manic-depressive illness is often not diagnosed in mentally retarded patients because they are already regarded as "different." They discuss the use of lithium carbonate as a prophylactic agent in the treatment of manic-depressive illness in mentally retarded patients and present three case histories illustrating some of the difficulties encountered in diagnosing mania or hypomania in such patients. They provide a number of suggestions to help physicians recognize and treat these disorders.

Adult↗

Reversible toxic psychosis.

Psychotropic medications may produce a toxic confusional state, especially in elderly patients. Tricylcic antidepressants particularly, and the phenothiazines to a lesser extent, may induce these behavioral changes by their anticholinergic activity. The situation may be compounded by the use of more than one psychotropic drug or the addition of an antihistamine or a belladonna alkaloid. Physostigmine can reverse the anticholinergic effects and clear the mental state.

Aged↗

Primary anorexia nervosa (weight phobia) in males.

Ten cases of primary anorexia nervosa (weight phobia) in males (as against 196 females) have been treated in the United Birmingham Hospitals over 19 years. A discrete syndromes appears to exist with much to support the view that it is the counterpart of primary anorexia nervosa in the female. Six illustrative case histories are described briefly. The heavy loading with consistent abnormalities of psychiatric interest makes it very probable that weight phobia is primarily a psychiatric disorder.

Adolescent↗

Mental health reform: a practical approach.

This paper outlines a practical and pragmatic approach to containing mental health costs, especially when caring for Medicaid recipients. The role of psychiatrists as primary care gatekeepers in the managed care system is also discussed. We conclude that a single-payor system seems to be the best alternative for timely and quality mental health care, and that early detection via education and screening for families predisposed to substance abuse/mental illness is also beneficial in controlling costs.

Adolescent↗