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Biomedical subjects

P F Giannandrea

Publications and source records attributed to P F Giannandrea.

3 recordsLinked to original sources

Types of impairment among dentists.

The most common causes of impairment among dentists are cognitive impairment, physical disability, chemical dependency, other addictions, and mental illness. The most frequently cited cause of impairment for dentists is chemical dependence. From 70% to 90% of the individuals reported to state rehabilitation committees are reported for chemical dependence. This paper reviews the nature of these types of impairments, describes treatment issues in each case, and suggests preventive measures.

Cognition Disorders↗

The depressed hyperthyroid patient.

The case of a person who developed episodic psychotic depression both during hypothyroid and hyperthyroid states is presented. This case illustrates the clinical interaction between an endocrine disorder and predisposing and concurrent psychologic risk factors for an affective disorder. The patient's troubled clinical course demonstrates the critical importance of expert clinical attention to both the psychologic and neuroendocrinologic factors involved. Successful management requires a collaborative interdisciplinary treatment plan as well as cross specialty knowledge. Finally, this case offers information about that complex interaction between the limbic and endocrine systems and their respective contributions to the development of affective disorders.

Adult↗

Psychodynamic approach to occupational psychiatry: comparative case studies and review.

Current approaches to occupation-related psychiatric disturbances emphasize "stress coping" with a focus on person/work-environment fit. Although this approach is useful as a primary prevention strategy, we will continue to see those who even in an average expectable environment will develop disturbances of the capacity to work. Two patients are presented to demonstrate the utility of a psychodynamic approach to this type of case.

Combined Modality Therapy↗