Managing borderline personality disorder

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VIDEO: Three veterans describe impact of mindfulness therapy

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Mindfulness-based stress reduction therapy teaches patients to be in the present moment in nonjudgmental, accepting ways. Researchers at the Minneapolis Veterans Affairs Medical Center decided to compare a mindfulness intervention with present-centered group therapy of 116 veterans with post-traumatic stress disorder.

Those in the mindfulness group had eight weekly 2.5-hour sessions and one day-long retreat. Veterans in the present-centered group attended nine weekly 1.5-hour group sessions focusing on current problems. The results found that the veterans who used the mindfulness techniques experienced a greater decrease in the severity of their PTSD symptoms than did those in the other group.

In this video, Melissa A. Polusny, Ph.D., and Dr. Kelvin O. Lim, both of the medical center, talk with three veterans with PTSD about how mindfulness changed their quality of life and helped them find peace of mind.

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Mindfulness-based stress reduction therapy teaches patients to be in the present moment in nonjudgmental, accepting ways. Researchers at the Minneapolis Veterans Affairs Medical Center decided to compare a mindfulness intervention with present-centered group therapy of 116 veterans with post-traumatic stress disorder.

Those in the mindfulness group had eight weekly 2.5-hour sessions and one day-long retreat. Veterans in the present-centered group attended nine weekly 1.5-hour group sessions focusing on current problems. The results found that the veterans who used the mindfulness techniques experienced a greater decrease in the severity of their PTSD symptoms than did those in the other group.

In this video, Melissa A. Polusny, Ph.D., and Dr. Kelvin O. Lim, both of the medical center, talk with three veterans with PTSD about how mindfulness changed their quality of life and helped them find peace of mind.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

[email protected]

Mindfulness-based stress reduction therapy teaches patients to be in the present moment in nonjudgmental, accepting ways. Researchers at the Minneapolis Veterans Affairs Medical Center decided to compare a mindfulness intervention with present-centered group therapy of 116 veterans with post-traumatic stress disorder.

Those in the mindfulness group had eight weekly 2.5-hour sessions and one day-long retreat. Veterans in the present-centered group attended nine weekly 1.5-hour group sessions focusing on current problems. The results found that the veterans who used the mindfulness techniques experienced a greater decrease in the severity of their PTSD symptoms than did those in the other group.

In this video, Melissa A. Polusny, Ph.D., and Dr. Kelvin O. Lim, both of the medical center, talk with three veterans with PTSD about how mindfulness changed their quality of life and helped them find peace of mind.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

[email protected]

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VIDEO: Primary care is pain care’s front line

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ORLANDO – Primary care physicians need to be on the front line of pain care, explained Dr. Paul J. Christo.

The most important reason is the sheer volume of individuals with chronic pain, according to Dr. Christo, associate professor of anesthesiology at Johns Hopkins University, Baltimore.

In an interview at a meeting held by the American Pain Society and Global Academy for Medical Education, Dr. Christo discussed the trends driving pain cases into primary care offices and how primary care physicians can manage those cases in a busy practice.

Dr. Christo reported financial relationships with Algiatry, Egalet, Golin Harris, Purdue, Rahm, and Trevena. Global Academy and this news organization are owned the same company.

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ORLANDO – Primary care physicians need to be on the front line of pain care, explained Dr. Paul J. Christo.

The most important reason is the sheer volume of individuals with chronic pain, according to Dr. Christo, associate professor of anesthesiology at Johns Hopkins University, Baltimore.

In an interview at a meeting held by the American Pain Society and Global Academy for Medical Education, Dr. Christo discussed the trends driving pain cases into primary care offices and how primary care physicians can manage those cases in a busy practice.

Dr. Christo reported financial relationships with Algiatry, Egalet, Golin Harris, Purdue, Rahm, and Trevena. Global Academy and this news organization are owned the same company.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

ORLANDO – Primary care physicians need to be on the front line of pain care, explained Dr. Paul J. Christo.

The most important reason is the sheer volume of individuals with chronic pain, according to Dr. Christo, associate professor of anesthesiology at Johns Hopkins University, Baltimore.

In an interview at a meeting held by the American Pain Society and Global Academy for Medical Education, Dr. Christo discussed the trends driving pain cases into primary care offices and how primary care physicians can manage those cases in a busy practice.

Dr. Christo reported financial relationships with Algiatry, Egalet, Golin Harris, Purdue, Rahm, and Trevena. Global Academy and this news organization are owned the same company.

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Manage Your Dermatology Practice: Answering Patient Questions About Diet

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Patients often inquire if their diet has caused a dermatologic condition or if their diet makes it worse. Dr. Gary Goldenberg addresses how diet may impact acne, psoriasis, and urticaria. Ultimately, patient education by the dermatologist is needed to ensure patients are not relying on misinformation on the Internet regarding diets they should consider for their particular condition.

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Patients often inquire if their diet has caused a dermatologic condition or if their diet makes it worse. Dr. Gary Goldenberg addresses how diet may impact acne, psoriasis, and urticaria. Ultimately, patient education by the dermatologist is needed to ensure patients are not relying on misinformation on the Internet regarding diets they should consider for their particular condition.

Patients often inquire if their diet has caused a dermatologic condition or if their diet makes it worse. Dr. Gary Goldenberg addresses how diet may impact acne, psoriasis, and urticaria. Ultimately, patient education by the dermatologist is needed to ensure patients are not relying on misinformation on the Internet regarding diets they should consider for their particular condition.

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Lawrence Friedhoff, MD, PhD, and Ilise Lombardo, MD

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Prostate Cancer in the Elderly

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Wayne B. Harris, MD, discusses prostate cancer screening in older patients, including therapeutic objectives, age-related considerations, and active surveillance.

Concern among the medical community exists regarding risks and benefits of prostate cancer screening in patients aged ≥ 65 years. The clear objective of early detection is usually to prolong life and independence and improve quality of life. This involves a comprehensive risk assessment to be conducted as well as educating the patient about prostate cancer before incorporating their feelings into treatment decisions.

“Even though, quite frequently, men 65 and older are being screened for prostate cancer,” noted Wayne B. Harris, MD, “it is quite infrequent that they are actually diagnosed or treated for prostate cancer.” Dr. Harris also noted that 2 of 3 veterans aged ≥ 65 years who undergo PSA screening will never have a prostate biopsy or receive treatment for prostate cancer.

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Wayne B. Harris, MD, discusses prostate cancer screening in older patients, including therapeutic objectives, age-related considerations, and active surveillance.
Wayne B. Harris, MD, discusses prostate cancer screening in older patients, including therapeutic objectives, age-related considerations, and active surveillance.

Concern among the medical community exists regarding risks and benefits of prostate cancer screening in patients aged ≥ 65 years. The clear objective of early detection is usually to prolong life and independence and improve quality of life. This involves a comprehensive risk assessment to be conducted as well as educating the patient about prostate cancer before incorporating their feelings into treatment decisions.

“Even though, quite frequently, men 65 and older are being screened for prostate cancer,” noted Wayne B. Harris, MD, “it is quite infrequent that they are actually diagnosed or treated for prostate cancer.” Dr. Harris also noted that 2 of 3 veterans aged ≥ 65 years who undergo PSA screening will never have a prostate biopsy or receive treatment for prostate cancer.

Concern among the medical community exists regarding risks and benefits of prostate cancer screening in patients aged ≥ 65 years. The clear objective of early detection is usually to prolong life and independence and improve quality of life. This involves a comprehensive risk assessment to be conducted as well as educating the patient about prostate cancer before incorporating their feelings into treatment decisions.

“Even though, quite frequently, men 65 and older are being screened for prostate cancer,” noted Wayne B. Harris, MD, “it is quite infrequent that they are actually diagnosed or treated for prostate cancer.” Dr. Harris also noted that 2 of 3 veterans aged ≥ 65 years who undergo PSA screening will never have a prostate biopsy or receive treatment for prostate cancer.

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Laparoscopic ureterolysis: Techniques and approaches for ureter identification and dissection

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This video was awarded the Eberhard Lotze Award at the 41st Annual Scientific Meeting of the Society of Gynecologic Surgeons.

 

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VIDEO: Tailor chronic pain interventions to patient’s clinical profile

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ORLANDO – Address chronic pain with multiple modalities individualized by patient clinical profile, said Dr. Charles E. Argoff, professor of neurology and director of the Comprehensive Pain Center at Albany (N.Y.) Medical Center, in a video interview.

The neuroplastic changes that take place in the nervous system following a lesion or injury may respond in an aberrant manner in some patients, triggering chronic pain, and the clinician’s job is to find the right mix of interventions – pharmacologic, behavioral, and/or surgical – that best matches the patient’s clinical profile, he said at the meeting held by the American Pain Society and Global Academy for Medical Education. Global Academy and this news organization are owned by the same company.

Dr. Argoff reported financial relationships with Allergan, AstraZeneca, Depomed, Eli Lilly, Endo Pharmaceuticals, Forest Laboratories, Millennium Laboratories, Nektar Therapeutics, Pfizer, Xenoport, and Zogenix.

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ORLANDO – Address chronic pain with multiple modalities individualized by patient clinical profile, said Dr. Charles E. Argoff, professor of neurology and director of the Comprehensive Pain Center at Albany (N.Y.) Medical Center, in a video interview.

The neuroplastic changes that take place in the nervous system following a lesion or injury may respond in an aberrant manner in some patients, triggering chronic pain, and the clinician’s job is to find the right mix of interventions – pharmacologic, behavioral, and/or surgical – that best matches the patient’s clinical profile, he said at the meeting held by the American Pain Society and Global Academy for Medical Education. Global Academy and this news organization are owned by the same company.

Dr. Argoff reported financial relationships with Allergan, AstraZeneca, Depomed, Eli Lilly, Endo Pharmaceuticals, Forest Laboratories, Millennium Laboratories, Nektar Therapeutics, Pfizer, Xenoport, and Zogenix.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

ORLANDO – Address chronic pain with multiple modalities individualized by patient clinical profile, said Dr. Charles E. Argoff, professor of neurology and director of the Comprehensive Pain Center at Albany (N.Y.) Medical Center, in a video interview.

The neuroplastic changes that take place in the nervous system following a lesion or injury may respond in an aberrant manner in some patients, triggering chronic pain, and the clinician’s job is to find the right mix of interventions – pharmacologic, behavioral, and/or surgical – that best matches the patient’s clinical profile, he said at the meeting held by the American Pain Society and Global Academy for Medical Education. Global Academy and this news organization are owned by the same company.

Dr. Argoff reported financial relationships with Allergan, AstraZeneca, Depomed, Eli Lilly, Endo Pharmaceuticals, Forest Laboratories, Millennium Laboratories, Nektar Therapeutics, Pfizer, Xenoport, and Zogenix.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel
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