psych

international work

2011-05-09T11:20:00.000-07:00

http://healthcarevolunteer.com

/psych films

2010-09-13T08:46:00.000-07:00

the washington psychoanalytic institute film series for 2010?

Anti-Christ 2009, discussant Khashayar Beigi
Waltz with Bashir 2008, discussant Richard M. Waugaman
Sybil 1976, discussant Richard P. Kluft
Turtles Can Fly 2004, Marc Nemiroff
The Pawnbroker 1964, Jeffery Jay
The Girl with the Dragon tattoo 2009, Joan Turkus
Taxi Driver 1976, Julio Szmuilowicz

reading disabilities

2009-11-28T20:52:00.000-08:00

[from AACAP news Jan/Feb 2008]

by Jarrett Barnhill

language, visual processing, working memory

reading disability assoc with neuroanatomical abN in
hemispheric lateralization (superior temporal cortex), cortical heteropias (aberrant cell migration), and white matter tracts connecting temporal, parieto-occipital, frontal regions

first episode psychosis

2009-11-28T20:29:00.000-08:00

[notes 2/5/09]

william eaton
anil malhotra

Cornblutt- JHU

prodromal in school
poor cognition
30-40% develop SZP
2-3 years follow-up
use risperidone or olanzapine

PRL elevation

2009-11-28T20:16:00.001-08:00

do NOT elevate prolactin:

olanzapine
quetiapine
aripiprazole
ziprasidone
clozaril

postural hypotension, with antipsychotics

2009-11-28T20:14:00.000-08:00

more postural hypotension: low potency dopamine antagonists=
chlorpromazine (Thorazine)
thioridazine (Mellaril)
clozapine

most severe during initial dosing, but
most developtolerance to it

resources

2009-11-28T20:06:00.000-08:00

while culling through mountains of paper

On Our Own of Maryland, Inc.
www.onourownmd.org
410.646.0262

"WRAP" = wellness recovery action plan

DHMH
psychiatric advanced directive
post-crisis. thank you roles
copy cat suicide
Olmstead Act- warehousing in state hospital

smoking cessation

2009-09-03T13:22:00.001-07:00

http://www.becomeanex.org/?utm_source=Publicaster&utm_medium=email&utm_campaign=ExManualEmail20090903

developmental disabilities

2009-08-22T21:41:00.001-07:00

SETT
jsessup
sykesville

Center of Excellence

Freedom Commission report

Brain Gym

emotional freedom therapy

ARC. personal space program

A Book About Myself

Emerge- Karen

first episode clinic

2009-08-22T21:09:00.000-07:00

remission
with or without symptoms; 30% have symptoms while on meds
with or without treatment

relapse, after 8-12 weeks

lisa dixon, 10mill for FEC

body-focused repetitive behaviors

2009-08-09T18:03:00.000-07:00

just going through the piles of schtuff on the desk. picked up a pamphlet while at the APA. and so glad I did.
makes me reconsider the really bad nail-biter at TU.

Body-focused repetitive behaviors
includes trichotillomania, severe nail biting, chronic skin picking, biting the inside of cheeks

/CSP
2% of all dermatology patients; 4% of college students pick to the point they cause noticeable tissue damage and have marked impairment
can start with a real injury, or after a stressful event. can start from any age.
can serve as emotional outlet. can increase activity level when bored; to control emotion when anxious, tense, upset; may cause a person to "numb" or "zone out."
is not the same as self-injurious behavior- do not wish to cause themselves pain in order to relieve a sense of numbness or to assert a level of control over their bodies. CSP usu feel distress and remorse after it.
treatment-
habit reversal training (HRT). learn the factors that contribute it. learn alternative coping strategies (squeezing a rubber ball).
stimulus control (SC). modifying environment to reduce sensory input that leads to picking (don't look at skin too closely; wear gloves/Band-Aids/rubber fingertips; avoid long periods reading, on the computer).
meds. SSRIs (fluoxetine, flovaxamine, setraline, paroxetine, citalopram, escitalopram)
decr alcohol abuse
resources-
www.trich.org

volunteer

2009-07-11T20:42:00.000-07:00

Pro Bono Counseling Project
requires licensed and insured therapists
take at least one carefully screened referral a year
410.323.5800, 301.805.8191, 877.323.5800
ellen@probonocounseling.org

ECT

2009-06-01T09:21:00.001-07:00

ECT "fellowships"
univ of pittsburgh 1050 (vs 2100 after)
one week Jan, Apr, Jul, Oct

columbia 3000

duke. ?money. after residency

emory. program based? 1000/psychiatrist; 500/nonpsychiatrist. 3-5 days
http://www.med.emory.edu/CME/course/mini/ect99B.html

APA- San Francisco 2009

2009-05-18T13:11:00.000-07:00

More of an abridged, unprioritized conference. As want to study for boards, spend time with C+H+S, and try to enjoy the city.
Flew in on Sat 5/16/09 on SFO in the afternoon. Spent time in Foster City. Fairly relaxing. A lot of movies. S wasn't feeling too well, but got to see her perk up towards the end of w/e.

Now in SF which is cold and breezy. I feel isolated, a bit dorky (self conscious and invisible at the same time). Fight with @ last night about him not coming out to CA, him wanting to prioritize his things. Confirmed by another brief phone conversation this morning. Just feels stupid. And I feel like containing it like I did writing during conversations my conversations with tm. Now I want to time-limit them.
So that has been making me feel kinda crappy. Maybe accented by being with C's family over the w/e. And still not feeling as if I'm on track yet. And just traveling around on my own. Fine, but not really what I want. So the return to monologues and "reflection".

I think there's a bird trapped in the building. But chirping. Oh, I see it. It doesn't look too unhappy though.

Okie, back to "work."

I've been to
Mon 5/18/09
9-10:30am. (came in near 10a) school mental health. still think it's something that I want to get involved in. Don't know how "good" i was at TU, but would like to continue work in that vein.

11-12:30p. Elyn Saks. lawyer and academician with chronic severe mental illness (szp; maybe some mood component). her book _the center will not hold_ came out in 2007 and some resident said they had to read it during or before their inpatient months. she had a strong social network though which I painfully do not have. and her work which she valued. she went through psychoanalysis, and had some training. and married a USC librarian (she's at USC now). some policy work in the use of mechanical restraints, force in general.

now on break until 2pm.
feel better enough to start studying again.

2009-03-23T21:14:00.000-07:00

Winnicott: children who consistently are unable to be valued by parent will find another way to make contact by finding and developing an aspect of self that the parent recognizes and appreciate
Being destructive to parent by becoming who she really was
false self- to accommodate parents' image of who they should become
true self- underdeveloped; progressively buried and sequestered; viewed as unacceptable to the parent

resources

2009-03-07T18:18:00.000-08:00

/maryland
On Our Own
peer run organization
WRAP forums, Wellness Recovery Action Planning; can get trained in it
Elaine Carroll
State Network Coordinator
410.646.0262, 800.704.0262
elaine@onourownmd.org

Maryland Community Services Locator
www.mdcsl.org
for more info: mdcsl@cesar.umd.edu

oral boards

2009-02-03T08:55:00.000-08:00

/oral board books
Boarding Time: , Morrison and Munoz. August 2003, 3rd ed. $50.90. RC440.9.M67 2003
Clinical Study guide for the Oral Boards in Psychiatry, Nathan Strahl. not in library
Tasman's Pocket Companion to Accompany Psychiatry. 1997. 49.95. not in library
Psychiatric Interviewing: the Art of Understanding, Shawn Shea. 1998. 55. RC480.7.S54 1998
The Psychiatric Interview: A Practical Guide, Carlat. 2004. 37.70. RC480.7.C315 2005 checked out
The Psychiatric Interview in Clinical Practice, MacKinnon et al. 2006. 70. RC480.7.M25 2006. checked out

/oral boards web
"Successful Preparation for the Psychiatry Oral Exam, How to Effectively Organize your Interview, Oral Presentation, and Video Exam" by Michael Rayel
"Passing Strategies: A Helpful Guide for the Psychiatry Oral Exam" by Michael Rayel

/oral books per notes
psych interv- 2nd ed Carlisle
Zimmerman

/oral review board courses
Beat the Boards- which I'm using courtesy of SVR
www.psychboards.com Dr. J. Clive Spiegel, advertised at Kaufman's board review course
can take in chicago in august 12-15 or sep right before boards...

harvard intensive diagnostic interviewing
9/15-9/17
3-Day Physician Fee $1,245.00
Location: Courtyard by Marriott Brookline, 40 Webster Street, Brookline, MA 02446
Director(s): Lawrence E. Lifson, MD
Offered by: Massachusetts Mental Health Center, Department of Psychiatry, Beth Israel Deaconess Medical Center, Department of Psychiatry
one live interview

clive spiegel
AUGUST 6, 7, 8, 2010: 5 SPOTS OPEN
one live interview, 2 live vignettes
$200 deposit, but don't know how much in total
14 dvd set is $500
shakespearean actor, does botox

osler institute
cme's for a lot of different disciplines
$990 for one public oral, one private oral, one public video, one private video
can have extra didactic day
need to stay at their hotel
various locations
no specific time

breeze the boards - dysfunctional link

online review:
maybe 1) Harvard-$1,000 for 2 days.
You get 1 interview for the money. No vignettes.
No decency to give you a repeat course if you fail.

maybe 2) Beat the Boards
1 interview and 1 set of vignettes. For $2,390!
Worse than Harvard-they don't even have any difficult patients. They bring some actor-type [not true, real patients] patients. It will be your luck if you have an easy patient like that during your exam.
The only good thing about them is that they give you a free course if you fail.

x 3) "Ultimate" by Dr. Spiegel. Two and a half days for $ 2,100, which includes 1 interview and 2 sets of vignettes.
Outrageous!
In Dr. Spiegel's group, out of 5 candidates only 1 passed!
What is going on there?
No decency to give you a repeat course if you fail.

x 4) Osler Institute.
Live patients are for additional fee. Othewise, you will get 4 vignettes for $1,000, and will observe your peers for the rest of the time.

/lucky! -
The Psychiatry Part II (oral) examination will be eliminated. The Psychiatry certification process will
consist of a single computerized examination (Psychiatry Certification Examination); first administration
in 2011.

board exam history

2009-02-03T08:48:00.000-08:00

The American Board of Psychiatry and Neurology, Inc. (ABPN) is a nonprofit corporation that was founded in 1934 following conferences of committees appointed by the American Psychiatric Association, the American Neurological Association, and the then Section on Nervous and Mental Diseases of the American Medical Association.
The ABPN is one of 24 member boards of the ABMS.

The ABPN Board of Directors consists of sixteen voting members.

The nominating organizations for psychiatry are the the American College of Psychiatrists, American Psychiatric Association, and the American Medical Association; for neurology, they are the American Neurological Association and the American Academy of Neurology.
Each of these organizations proposes nominees to serve on the Board, but the Board itself selects its members.

board studying

2009-02-03T07:45:00.001-08:00

The studying commences...
Or more studying I guess as PRITE sort of counts. As well as reading Kaufman bits.

-get familiar with testing format
-take 2-3 practice examinations with the same time constraints as the actual exam
200 questions in morning
lunch
200 questions in afternoon
[ ] how much break time?
[ ] blocks of questions (like PRITE)?
[ ] computer formatting
[ ] where is the test administered? when do we schedule the exact day?

-study w/i last 5 years textbooks and review articles

-study over at least 3 months with smaller material

-make a study plan
a day off: Sat
3 months would be from Mar 15 to the earliest possible exam date of Jun 15
Stern's Update and Board prep with 564 pages/72 days = 7.83 pages/day --> 10 pages/day
Kaufman an hour a day.
questions
tests: mar 15, apr 12, may 17, may 31

-devise your own multiple choice questions at varying levels of complexity

psychiatry board exam

2009-01-31T15:44:00.000-08:00

/written exam

/oral exam
pass rate 55%, less on repeats

/$ for boards
$1600 written
$1600 oral exam
Kaufman board review $850 neurology + $500 psychiatry = $1100 both; 15% discount (722.5 + 425 = 935)
$2100 recertification

/books
Massachusetts General Hospital Comprehensive Clinical Psychiatry: Expert Consult - Online and Print
$191.20

/board review courses
www.beattheboards.com
4/22-4/26 Chicago, 1097.00

/recertification
every 10 years
5-6 hour computerized

/look up?
MR Lipp
Experiences of psychiatry board exam casualties: a survey report
Am J Psychiatry 1976; 133:279-283

change

2009-01-01T07:04:00.000-08:00

/regarding new year's resolutions
1. “start with big changes, not small ones,” a strategy likely to yield immediate, noticeable benefits that inspire more positive change.

2. to act like the kind of person you are trying to become; even if you hit the jogging trail with 30 pounds of flab, think of yourself as the jock you want to be.

3. to “reframe” the situation. Recovering alcoholics, for example, have a higher chance of success if they reframe their sober life as a divorce from a tumultuous love affair with drinking, because they can then look back at their old life as a romantic adventure, rather than a sinkhole of regret.

4. “don’t do it alone” advice that is the bedrock of 12-step programs.

Many resolutions fail, she said, because people assume they have to be ready for a change before they make it. In reality, she said, “the only thing that convinces the brain that it is O.K. to change is to see it change.”

“Don’t listen to your feelings,” Dr. Jacobs said. “Feelings lie.”

http://www.nytimes.com/2009/01/01/fashion/01change.html?pagewanted=1&8dpc&_r=1

LGBT

2008-12-03T06:14:00.000-08:00

/issues in therapy with lesbian, gay, bisexual and transgender client
pink therapy3
edited by charles neal and dominic davies
open university press
2000

Chapter 12: Transgender issues in therapy
transvestites- 1st in Europe? dressing in drag; theatrical, role-play; entertainment
transsexual- in "the wrong body"; changing perspective from people who broke the law through their behavior to interest by psychiatry (Lipsitz-Bem); strict definition of being either man or woman
intersexuals= have a combination of male and female genitals and have been operated on, shortly after birth, towards a body regarded as either male or female
transgender- opting for partial or no treatment
queer- as a more inclusive grouping

history:
Radclyffe Hall, lesbian woman place. but if gender reassignment allowed in 1920s, perhaps would have been female to male transsexual
femme-butch patterns in feminist circles of 1950s; avoid asking who is the "man" and "woman" of gay couples
Stonewall riots of 1969, of which gays and transvestites took part. in their Equality 2000 manifesto, transgenders were not mentioned
Chopin and George Sand - gay or lesbian relationship?
Boy George
Julian Clary
K.D. Lang
Eddie Izzard
Quentin Crisp
Diana Torr
Peggy Shaw

goals of therapy:
help clients to learn to deal with and enjoy living with ambiguity
approach each as individual
self-presentation
fear (rejection by loved ones, losing them, social disapproval),
guilt (no other options, and go ahead with it despite consequences),
shame (the result of transformation, intrusion into the world of another sex)
feel an obligation to be a success, to make the transformation worth it
transgender people feel more comfortable when they stop focusing on passing
help the integrate their transgender as much as possible, and to find their identity at the same time
de-mystification, de-pathologizing, de-medicalization, de-colonizing

look up:
number of suicides in lesbian/gays/bisexual/transgenders?

forensics

2008-10-09T08:11:00.000-07:00

Shannon Harps, 31, stabbed and killed in Seattle 12/31/07 by
James A. Williams, paranoid schizophrenia and antisocial personality disorder. h/o of violence.

difference betw DSM-IV and DSM-IV TR

2008-08-15T08:50:00.001-07:00

DSM-IV-TR incorporated changes from DSM-IV in diagnostic criteria for the following:

Tourette's Disorder
Dementia of the Alzheimer's Type; Dementia Due to Other General Medical Conditions
Personality Change Due to a General Medical Condition
Exhibitionism; Frotteurism; Pedophilia; Sexual Sadism; Voyeurism

http://www.behavenet.com/capsules/disorders/dsm4changeTR.htm

sleep

2008-08-13T21:15:00.000-07:00

"knits up the raveled sleave of care"
"the balm of hurt minds, great nature's second course, chief nourisher in life's feast" Macbeth, Shakespeare
"the food that cures all hunger, the water that quenches all thirst, the fire that warms the cold, the cold that cools the heart... the balancing weigh tthat levels the shepherd with the king, and the simple with the wise." Sancho Panza, Cervantes
"If an animal or person survives the injury, it sleeps." (Kreuger 2003)

/on npr
this american life episode 8/8/08
http://www.thislife.org/Radio_Episode.aspx?episode=361
sleep paralysis, "devil sitting on your chest": Mexico; along with hallucinations
[narcolepsy]
[REM behavior disorder]
[night terror, sleep walking]

/blogs
Michael Rack, MD
The number of pure sleep medicine jobs has decreased over the last several years, but there are some 100% sleep medicine jobs out there that are open to all the underlying sleep medicine specialties.
AASM website,
the sleep journals,
recruiting firms like locumtenens.com and MDJobsite.com.
starting your own sleep lab. ads in Sleep Review for companies that you can hire/partner with to assist in this process.
taking a psychiatry job with a hospital that has a sleep lab and make it a condition of your employment that you can read (and get paid for) the patients you refer to the lab.
Sleep forum on the Student Doctor Network for more ideas.

psychiatrists --> sleep medicine

2008-08-12T05:02:00.001-07:00

http://pn.psychiatryonline.org/cgi/content/full/41/6/18?etoc
psychiatric news story of more psychiatrists doing sleep medicine

case formulation

2008-08-04T10:59:00.000-07:00

Handbook of Psychotherapy Case Formulation
Eells, Tracy D. Guilford Press. 2007.
~$40 on overstock, or amazon.
goes through all the major approaches to formulation. a lot of stuff i haven't heard of, but also psychoanalytical, cognitive therapies, +
i obviously couldn't summarize a 200 page book in an afternoon. may get it later. but these are the notes that i took. lots of ways to look at an encounter. wonder why i haven't heard of some of this stuff before...

/psychoanalytic approach
-what is formulated:
I. structural features of personality. structure refers to those functioning that are fairly stable and euduring. the form
A. autonomous ego functions. disruptions in basic biological, perceptual, motor, or cognitive functions, including language. adequacy of patient's reality testing
B. Affects, Drives, Defenses. way of experiencing impulses and feelings and containing them. is the person able to tolerate a range of feelings without overly suppressing some or feeling overwhelmed by others? is there one predominant affect that colors wide areas of the person's functioning? are closely related affects (anger, hate, irritation, jealousy) sufficiently differentiated or are they all subsumed under rage? how flexibly does the person respond on an emotional level to diverse circumstances? what are the characteristic defenses that they employ? are they successful in allowing them to have a sufficient emotional response without experiencing strong anxiety or depression? are the defenses restricting or interfering with the person's enjoyment of life?
C. Object-related functions. is the person able to be trusting, intimate, and at the same time autonomous? can s/he able to sustain disappointment, disillusionment, loss without becoming incapacitated? in relationships is the person overly controlling? too submissive? self-defeating? demanding?
D. Self-related functions. able to maintain the coherence, stability, and positive evaluation of self. Include issues of individual's identifications, identity, ideals, goals. are the person's values stable? do ambitions match desires an talents? is the person overly susceptible to shame and humiliation, inflation of self or deflation? how susceptible are they to precipitous drops in self esteem?

II. Dynamic Features of Personality. the content
what is the meaning of the symptom understood psychoanalytically?
what motivates the person to act in particular ways?
what are the major areas of conflict, intrapsychic or interpersonal?
conflict and ambivalence are considered to be ubiquitous in human affairs
what is the nature of the conflict among various motives such as wishes, fears, impulses, and needs? usu of a sexual, dependent, or aggressive nature. does the patient effect some compromise among them which actually obscures the nature of the conflict?

III. Developmental antecedents
traumatic events, like physical or abandoment, sexual or physical abuse, surgery, parental psychosis, drug abuse; birth of a sibling, parental discord, school failure
timing- psychosexual and psychosocial stage of development

IV. Adaptive features: assets and strengths
what are their accomplishments? do they have intellectual strengths? mechanical aptitudes? artistic talents? able to get along with others? assert themselves appropriately?
biological determinants of behavior- temperament, genetic endowment, medical illness, perinatal conditions, substance abuse, brain injury, childhood psych/neuro conditions

/time-limited dynamic psychotherapy
CMP= cyclical maladaptive pattern
vicious cycle patient gets into when s/he relates to others
inflexible, self-perpetuating behaviors, self-defeating expectations, negative self-appraisals
four categories
1. acts of self. thoughts, feelings, motives, perceptions, behaviors of patient on an interpersonal nature. sometimes concious, and sometimes outside awareness
2. expectations of others' reactions. how patient imagines others will react to him or her in response to some interpersonal behavior
3. acts of others toward self. actual behaviors of others as observed (or assumed) and intepreted by patient.
4. acts of the self toward the self. behaviors or attitudes towards oneself.
therapist's reaction to patient:

7. watch for dynamics within therapeutic relationship.
8. develop a CMP narrative describint patient's predominant dysfunctional interactive pattern.
9. outline goals of treatment
10. facilitate a new experience; new understanding
13. revise and refine cmp throughout therapy

psychoanalytic case formulation.
nancy mcwilliams. 1999.

research

2008-08-04T10:57:00.000-07:00

8/4/08.
a month officially into the rotation. but i feel like i have a fresh start. helps to actually meet with the PI. :P
things to improve on: conceptualization of the outline, learn how to write scientific papers (book), reference primary papers, organization of references.
another deadline in 1.5 weeks aug 14th.

/citing sources
http://www.library.cornell.edu/newhelp/res_strategy/citing/apa.html

rankings

2008-08-04T07:47:00.000-07:00

us news and world report 2008 best hospitals

psych:
1. mass general
2. johns hopkins
3. new york presbyterian, columbia and cornell
4. mclean
5. ucla's neuropsych
6. meninger clinic
7. seph
8. mayo clinic
9. univ of pittsburgh
10. stanford
11. emory
12. duke
13. yale
14. barnes-jewish/wash univ
15. austen riggs, stockbridge mass
16. nyu
17. methodist hospital, houston
18. ucsf
19. long island jewish
20. mt sinai
21. ucsd
22. cleveland clinic
23. hartford hospital institute of living
24. hospital of the university of penn

films

2008-06-28T18:50:00.000-07:00

http://www.thisdustofwords.com/index.html
documentary, 62 min
stanford english professor about one of his former students
brilliant, and with mental illness
homeless, adopted by a parish
traveling, and eventually her remains were found near a reservoir

/psychoanalytic takes on cinema 2008-2009, "border crossings"
the band's visit, 2007
persepolis, 2007 (nov 14)
maria full of grace, 2004
the last wave, 1977
dirty pretty things, 2002

seen:
the darjeeling limited, 2007 - blech
the lives of others, 2006 - terrific

silver ribbon

2008-05-21T19:35:00.000-07:00

given to me first by jc. and found again at the apa meeting.
along with artwork from http://www.narsadartworks.org where i'll likely get holiday cards this year. and keep the ones i already got at staples for another use.

salary

2008-05-21T07:33:00.000-07:00

October 26, 2006
RE: Resident and Fellow Salaries for FY08
Listed below are the planned residency salary rates for FY08. In general, they represent a 3% increase over FY07 year’s levels.

PGY1 $ 42,640
PGY2 $ 44,724
PGY3 $ 46,784
PGY4 $ 48,238
PGY5 $ 50,118
PGY6 $ 51,694
PGY7 $ 53,572
PGY8 $ 56,238

bupropion (Wellbutrin) helps with migraines

2008-05-16T07:13:00.000-07:00

http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6580&nbr=4140

Nontricyclic antidepressants, such as the selective serotonin reuptake inhibitors (SSRIs) and venlafaxine and bupropion, have no established efficacy in migraine prevention. However, they are included among the agents found to be effective through clinical experience, and they can be particularly helpful in the presence of comorbid anxiety or mood disorders. Common adverse events include sedation or insomnia, nausea, and sexual dysfunction.

platypus wake and sleep

2008-05-10T10:02:00.001-07:00

http://www.npr.org/templates/story/story.php?storyId=90228565&ps=bb3

jerry siegel, UCLA
1 minute clip on platypus swimming and almost eating a shrimp/crustacean thing.
and 30 seconds into it - slow wave sleep vs. REM sleep.
b/c they have REM sleep, and they're more ancient than other mammals - REM sleep likely preserved much more earlier in evolution than previously speculated.

day hospital

2008-05-02T14:18:00.000-07:00

bill o'toole. 8-6392, 8-6537

2 months before. reserve UMMS day hospital to facilitate inpatient flow.
other day hospitals:
Bon Secours. for West Baltimore residents. Jennifer Gardner. 410.362.3442
SEPH. admission 410.938.3800. transportation up to 10 miles fr site.
other options:
BCARS. 2 week intense intervention. through Villa Maria.
JHU Children's center. 4-12yo. therapeutic after school program. 410.550.1377

movement disorder consult

2008-04-25T07:26:00.000-07:00

Beth Steger, coordinator
Motor Disorders Clinic
MPRC
410.402.6833

monitoring

2008-04-22T13:46:00.000-07:00

/stimulants
before starting:
we do recommend screening by baseline blood pressure and review of risk factors for sudden death (unexplained fainting episodes, irregular heart beats, blood relative with sudden death or heart attack before age 40, OR any known heart disease in the child).
A positive history or blood pressure > 90% for age and gender should result in a referral to pediatrics for clearance prior to starting a stimulant

Wellbutrin helps with hot flashes?

2008-04-07T12:15:00.000-07:00

J Palliat Med. 2006 Jun;9(3):631-7.
Pilot evaluation of bupropion for the treatment of hot flashes.Pérez DG, Loprinzi CL, Sloan J, Novotny P, Barton D, Carpenter L, Smith D, Christensen B, Rummans T.
Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.

Bupropion is commonly used in the treatment of nicotine dependence and depression, and in most people, does not cause sexual dysfunction, weight gain, or sedation. Given its attractive side effect profile, the efficacy of other newer antidepressants against hot flashes and anecdotal observations of resolution of hot flashes in some patients taking bupropion for nicotine dependence, it was decided to explore its clinical activity as a hot flash remedy in a pilot study. Between January 1999 and October 2004, 21 patients (7 men and 14 women) were enrolled in the study. Self-completed daily hot flash diaries were used to document the frequency and severity of hot flashes at baseline (week 1) and during the treatment period (weeks 2 through 5). Participants received bupropion 150 mg every morning for the first 3 days and then 150 mg twice per day for a total of 4 weeks. One woman did not provide any hot flash information and was excluded from the analysis. Five women could not complete the study because of side effects. The study did not show a reduction in hot flash frequency and/or severity significantly higher than what would be expected with a placebo. Even though the sample size was small, these results are consistent with bupropion's mechanism of action (norepinephrine reuptake inhibition without serotonergic effects) and what it is now hypothesized about the pathophysiology of hot flashes (increased noradrenergic activity and decreased serotonergic activity). These data suggest that bupropion should not be further investigated as a remedy for hot flashes.

gleanings

2008-02-28T19:20:00.000-08:00

NIMH summaries
some studies on adults have found that venlafaxine is more effective than an SSRI in managing treatment-resistant depression

topics to look up

2008-02-22T07:31:00.000-08:00

dyslexia
Wellbutrin for migraines
Wellbutrin discontinuation syndrome
major depressive disorder, lithium and thyroid
anxiety workbook
motivational interviewing
reactive attachment disorder
case formulation
catie/cutlass/star-d
sexual history
paul mc cue
new freedom commission
central database for at risk youth
TENS. Yale, Lieberman. early onset SZP.
SPAQ- seasonal affective disorder screen.

wish list

2008-02-06T11:53:00.001-08:00

talking, feeling, doing game
$80
expansion set +&

battleship

medical informatics

2008-01-26T18:39:00.000-08:00

[originally in a different format. dunno where this came from. saved 11/22/2004]

A publicationtelemed:
~/wpdocs/WEBSITE/eve.wwwfac.medical_informatics/index.html

Last update March 10, 2004

URL* http://www.albany.edu/medical_informatics*

The MEDICAL INFORMATICS HOME PAGE

*Maintained by Donald F. Parsons MB.BS. , Ph. D. ,* New York State
Department of Health, Albany, NY and the Department of Biometry
and Statistics, School of Public Health, University at Albany,
SUNY, One University Place, Room 150, Rensselaer, NY 12144-3456

*ADVANCED NON-MEDICAL DECISION SUPPORT SYSTEMS (DSS)*
~/wpdocs/DSS/nonmedds version 2.1. May 26. 2004
*WHY DSSs ARE NEEDED IN SO MANY DIFFERENT FIELDS*
The necessity for making decisions "under uncertainty" (using data with
no exact values) occurs in a wide range of different fields. Standard
statistics, fuzzy logic, and unaided human judgement are unreliable.
DSSs have been developed in medicine but are much more extensively
developed in other fields. Human judgement may fail due to:
a. stress and overload of large amounts of data.
b. subtle human judgemental heuristics may be used to reduce the
data load and to postulate a simple model. However, built-in biases may
produce serious errors.
Decision Support Systems (DSSs)have become an essential tool in the
management of many types of complex systems (e.g., manufacturing
processes, control of power plants, administration of a large staff with
diverse training and responsibilities).The DSS is necessary to better
understand such complexity and to identify the biases often present in
human judgement (Druzdzel and Flynn, 2000).
See below for:
*DSS-GENERAL*
* DSS-BUSINESS*
* DSS-MANUFACTURING*
* DSS-GIS*
* DSS-JUDGEMENT***

*SOME HISTORY OF THE DEVELOPMENT OF DSS's IN DIFFERENT FIELDS*
*1955-1960 *(vide. http://mis.postech.ac.kr/topic/dss_e.html) G.W.
Keen and C.B. Stabell in their forward to the Addison Wesley series on
Decision Support, state that "The concept of Decision Support has
evolved from two main areas of research: the theoretical studies of
organizational decision making (Carnegie Institute of Technology during
the late 1950s and early '60s) and the technical work on interactive
computer systems, mainly carried out at the Massachusetts Institute of
Technology in the 1960s." They appear to be referring to work by Herbert
Simon and Allen Newell at Carnegie and research on interactive computing
at MIT by Tom Gerrity.
*1964 *the concept of a DSS was defined by M.S. Morton at Harvard
Business School
*1965* Business Management Information Systems (MIS) began to be
devised for Main-Frame computers about this time.
*1970* Papers about computer-assisted business decision making
began to be published (see the review by Power, 2003).
*1975 *S. Alter devised comprehensive DSS software in his MIT PhD
thesis, "Computer-aided Decision Making in Organizations"
*1978* A Management Information Decision Support System was put
into general use at Lockheed (Georgia.)
*1979*, John Rockart published a ground breaking article in the
Harvard Business Review that led to the development of executive
information systems (EISs) or executive support systems (ESS).
*1981* First international Conference on DSS in Atlanta, Georgia
*1981* Bonczek, Holsapple, and Whinston book "Foundations of
Decision Support Systems." helped institutions develop their own DSS,
*1982 *The book "Building Effective Decision Support Systems" by
Ralph Sprague and Eric Carlson provided a practical overview on the
origins of the DSS concept
* 1985* Executive Information Systems (EIS) and Group Decision
Support Systems (GDSS) began to develop.
*1990* Datawarehousing and On-line Analytical Processing (OLAP,
Datawarehousing and analytical tools) were included into the DSS.
*1993* EIS development more fully includes Datawarehousin.
NB. Even though Fuzzy logic (McNeill and Freiberger,1993) is said
by some to out perform Bayesian networks for some practical
applications, it has attracted little attention in North America.
It is not clear how this intense business and manufacturing DSS
activity spilled out into the clinical world.The theoretical
justification paper of Ledley and Lusted and the early clinical trials
of deDombal were important. Here are the main events:
*1959* Ledley R. and Lusted L Reasoning foundations of medical
diagnosis. Science 130:9-21
* 1968 *F.T. deDombal in Leeds, UK, developed a simple application
of Bayes' theorem to compare the pre-operative diagnosis of abdominal
pain with the post-operative diagnosis. The correct diagnosis improved
from 65-80% to 92% with the Bayes calculation.
*1982 *Internist-1 DSS (later evolved into QMR)
*1972 *HELP at LDS Hospital gave a broad range of DSS help to
hospitalized patients.
1986 QMR (a PC version of Internest-1)
*1987 *Barnett et al. Dxplain
It appears that after the good start made with clinical DSS, there has
been little joint development between the
Business/Management/Manufacturer/Engineer DSS developers and the
Clinical DSS developers. This report suggest some ways in which such
collaborations could startup and benefit all of the developers.

*DSS-GENERAL*
Three components: DBMS, Model-base Management System (MBMS), Dialog
Generation and Management system (DGMS or user interface). Different
kinds of DSS:
*Analytic DSS* gives insight into the decision process
*static-domain model *(disease is in a domain set)
*dynamic decision model* interacts with the decision maker
*learns a model from the statistical data*
*structural equation model:* single independent process in the
system for policy making
Organizations began to build their own DSS. Initially, there was some
unrealistic expectations, but the problem was more with the limits of
the technologies for building DSS than with the limits of the concepts
. Today, a number of disciplines provide the substantive
foundations for DSS development and research. Database researchers have
contributed tools and research on managing data. *Management Science*
has developed mathematical models for use in DSS and provided evidence
on the advantages of modeling in problem solving. Cognitive Science,
especially *Behavioral Decision Making* research has provided
descriptive information that has assisted in DSS design and has
generated hypotheses for DSS research. Some other important related
fields include: *Artificial Intelligence, Human-Computer Interaction,
Simulation Methods; Software Engineering;* and T*elecommunications*.
For more information on multi-disciiplinary applications of DSS see
: "Decision Support Systems: A Review" Druzdel MJ, Flynn RR.2000 In
Encyclopedia
of Library and Information Science. http://www.sis.pitt.edu/~dsl
Decision System Laboratory of University of Pittsburgh. Our Projects
(Structural Modeling, Inference, and Learning Engine) are our research
vehicles and implement most of our research contributions. GeNIe and
SMILE are available free of charge
¨ Environment for Strategic Planning (ESP) (funded by the
Air Force Office for Scientific Research AFOSR) The goal of the ESP
project is to build a computational environment that supports decision
makers in making strategic planning decisions. It covers:
New DSS Techniques
Combining Pre-sorted Data with DSS.
Using expert systems
Using dependable heuristics
Using a simplified model
Preference for particular data or other inputs
Preference for a particular knowledge base
Feeding DSS Results Into Other Types of Analysis
Outcomes analysis of planned system changes
Improvement of human judgement (including reduction of biases
and inconsistencies)
Iteration cycles
Group decision making
Input for non-linear analyzers like Artificial Neural Networks
Also see:
*Power, D.J.A brief history of Decission Support Systems*.
DSSResources.com. World Wide Web,
http://DSSResources.com/history/dsshistory.html. Version 2.8. May 31, 2003.
McNeill D. and Freiberger P.1993.*Fuzzy Logic:* The revolutionary
computer technology that is changing our world.Simon and Schuster, New
York.
************************

*DSS-BUSINESS*
*Business Intelligence Resource Center *
http://www.dimins.com/ResourceCenter/Decision_Support.html
DSSResources.COM (Decision Support Systems Resources) is a web-based
knowledge repository. The mission of this site is to help people who
are interested in learning about how to use information technologies and
software to improve decision making. The target audience is IS
professionals, IS students, managers interested in MIS and academics in
MIS/DSS. This site is needed because Decision Support technology is
evolving very rapidly. IT managers, IS students and academics face a
difficult challenge to stay up-to- date about these changes and to make
good, informed choices about building and maintaining systems to support
decision making in organizations. http://dssresources.com/
***********
This site is designed to help teachers and researchers who choose to
adopt a knowledge management perspective in approaching the field of
decision support systems. "*Decision Support Systems - A Knowledge-Based
Approac*h" is the first book to emphasize this perspective.
http://www.uky.edu/BusinessEconomics/dssakba/
This page provides links to a wide variety of web sites that
complement the coverage in Decision Support Systems: A Knowledge Based
Approach. Links for these related sites are organized into the following
categories: Decision Support Systems, Expert Systems & Artificial
Intelligence, Knowledge Management, Other Related Sites, Related
Organizations http://www.uky.edu/BusinessEconomics/dssakba/relateds....
The DM Review web site offers content from DM Review magazine as
well as online-only articles, resource lists, discussion forums, issue
archives, etc. DM Review focuses on *data warehousing* and related
topics such as *metadata management*. Frequent contributors include such
industry leaders as Bill Inmon, Clive Finkelstein, and Larry English.
http://www.dmreview.com/
*DSSTAR: : Data Mining, Automated Knowledge Discovery, and Decision
Support *- so that YOU can understand and use them successfully. Many
firms have paid thousands of dollars per day for the facts and insights
contained in DSstar. Your competition will read DSstar - shouldn't you?
http://www.tgc.com/dsstar/
*D.J. Power, 'What is a Decision Support System?'* Published in DS,
The On- Line Executive Journal for Data-Intensive Decision Support,
October 21, 1997: Vol.1, No.3 Copyright (C) D.J. Power, 1998.
http://dssresources.com/papers/whatisadss/
*Real World Decision Suppor*t newsletter archives. Real World
Decision support is a FREE newsletter designed to address decision
support issues. There are currently over 12900 subscribers to the
newsletter and the ranks are growing. If you want to see what all these
people are interested in then sign up for the FREE newsletter and begin
to receive in-depth industry articles from leading experts in their
fields. If you are not a subscriber to the newsletter you can subscribe
here. Or you can send an email to webmaster@ewsolutions.com and you will
be added to the list. http://www.ewsolutions.com/newsletter.asp
*Intelligent Enterprise *is the first information resource for
business and IT leaders that focuses on corporate information as a
strategic platform for business advantage. This process is enabled by a
network (increasingly Web- based) of business-critical software
solutions ? what we call the information supply chain ? that store,
manipulate, analyze, and deliver information to the right decision
makers at the right time, and then helps them implement their decisions
across the organization. We provide targeted, in-depth information and
advice, unavailable anywhere else, about the management strategies, IT
architectures, and products involved. Management and technology issues
pertaining to business intelligence (OLAP, data mining, and reporting),
data warehousing, customer relationship management, data and application
integration, knowledge management, and scalable e-business are the bread
and butter of our editorial coverage.
http://www.intelligententerprise.com/ports/search_deci...
Kurt Thearling, Ph.D. *Data Mining,* if you haven't heard of it
before, is the automated extraction of hidden predictive information
from databases. Over the past decade I have been
fortunate to be involved in the creation of a number of commercial data
mining software applications, including Darwin from Thinking Machines
(since acquired by Oracle), Xchange
Dialogue for Modeling, and Pilot Software's Discovery Server. I spent
much of that time focusing on the integration of data mining and other
analytic applications into customer relationship management (CRM)
systems. As Chief Scientist at Wheelhouse Corporation, I focused on
building software infrastructures that would allow CRM systems to work
together. I am currently consulting in areas related to data mining and
CRM. The purpose of this web site is to share information about CRM and
data mining. I hope you find it useful. http://www3.shore.net/~kht/
*Decision Support Systems by Vicki L. Sauter.* Preface: Information
is a crucial component of today's society. With a smaller world, faster
communications, and greater interest,
information relevant to a person's life, work and recreation has
exploded. However, many believe this is not all good. Wurman (in a book
entitled, "Information Anxiety") notes that the information explosion
has backfired, leaving us stranded between mere facts and real
understanding. Similarly, Peter Drucker notes, in a Wall Street Journal
editorial entitled Be Data Literate -- Know what to Know, that although
executives have become computer literate, few of them have mastered the
questions of what information they need, when they need information and
in what form do they need information. Further, Drucker notes,
executives will need better information in the future if their companies
are to be competitive; more information is not the answer unless it is
relevant
information. http://www.umsl.edu/~sauter/book.html
A decision support system (DSS) is a computer program application
that analyzes business data and presents it so that users can make
business decisions more easily. It is an
informational application (in distinction to an operational application
that collects the data in the course of normal business operation).
http://searchebusiness.techtarget.com/sDefinition/0,,s...
Directory of data warehouse, data mining, and decision support
resources. Links to websites are available.
http://www.infogoal.com/dmc/dmcdwh.htm
ITpapers is the Yellow Pages of White Papers, with links to over
25,000 White Papers. A free service, ITpapers enables visitors to find
links to precisely the White Papers they need, quickly and easily, with
summaries and visitor reviews guiding their selection. This page focuses
on Decision Support System white papers.
http://www.itpapers.com/cgi/SubcatIT.pl?scid=216
The *Decision Bot: DSS* Can Benefit from Developments in Robotics.
As the world of decision support gets closer to real time (and in some
areas such as financial trading, many functions do operate in real
time), it?s illuminating to look at a neighboring branch of computing
technology that focuses on the kind of real-time decision making that
ants and other insects depend on for survival: namely, robotics. In this
installment, I describe some of the challenges that robotics researchers
have been tackling, such as representation vs. action, integrated data
and knowledge, multi-perspective state definition, and end-user relevant
benchmark criteria, that relate to the similar challenges DSS developers
face. http://www.intelligententerprise.com/000120/decision.s...
* Decision Support for Management,* 1/e. ISBN 0-13-396268-7 Explores
the variety and richness of support systems ? the wide range of users,
problems, and technologies employed and illustrates how the concepts and
principles have been applied in specific systems. Designed to be a
primary text for understanding this continually developing field ? to
help students and practitioners understand the principles and concepts
that guide the development and use of these systems. The authors include
the full range of systems and users, but with some extra emphasis on
managers and their use of systems such as EIS, rather than an emphasis
on management analysts who develop expert systems.
http://vig.prenhall.com/catalog/academic/product/1,409...
*New TPC Benchmarks for Decision Support and Web Commerce.* For as
long as there have been DBMS's and applications that use them, there has
been interest in the performance characteristics that these systems
exhibit. This month's column describes some of the recent work that has
taken place in *TPC, the Transaction Processing Performance Council*.
http://www.acm.org/sigmod/record/issues/0012/standards...
*CompInfo - The Computer Information Center *-The top one-stop
reference resource for corporate IT, computers and communications.
Millions of IT users world-wide rely on our Web-based support resources.
Tell your colleagues and friends, and bookmark us at
http://www.compinfo-center.com...check out our technical knowledge bases
and on-line resource center. http://www.compinfo-center.com/tpeis-t.htm
*INFORMS Online Bookstore: Decision Support Systems.* The interest
in Decision Support Systems comes from many different perspectives.
Some, especially in this community, are most interested in the models
and model management features of DSS. Others are more interested in the
dynamics associated with Group Decision Support Systems. Still others
are most interested in the enabling concept of Data Warehousing. Hence,
the books are grouped according to what interest area they best meet.
http://www.informs.org/Bookstore/dss.html
Welcome to the ISWorld page for Decision Support Systems Research.
This page is intended to provide a useful starting point for accessing
WWW-based material related to the design,development, evaluation, and
implementation of Decision Support Systems (DSS).
http://www.uni.edu/dss/isworld/dss.html
A Medical Infromatics contribution. *Modeling for Decision Support
by Mark A. Musen, M.D., Ph.D.* Appeared in *Handbook of Medical
Informatics, J.H. van Bemmel and M.A. Musen, editors, Springer-Verlag,
1997.* Decision support programs come in many forms. Many, such as QMR
(see section 3.3), are standalone applications that users access via
personal workstations or via the Internet...
http://www-smi.stanford.edu/pubs/SMI_Reports/SMI-98-07
Current Issue of DMReview Magazine http://www.dmreview.com/issue/
Stay Informed: Industry Events. View all events by category: *Analytic
Applications; *ASP/BSPB2B Analytics; *Balanced Scorecard*; *Business
Intelligence*; CRM; DAMA; *Data Mining*; *Data Quality*; *Database
Marketing*; Databases; DW *Administration,* *Mgmt.*, *Performance*; DW
Basics; DW Design, *Methodology;* *DW Engines,* Exploration Warehouse;
DW Performance; E- Business; E-Commerce; E-Intelligence; Enterprise
Application Integration (EAI); Enterprise Information Portal (EIP);
Enterprise Intelligence; *Enterprise Performance Mgmt*.; ERP;
*Healthcare Industry;* *Meta Data;* *Middleware;* *Privacy; Security;
Storage; Supply Chain; Telecommunications *- Telco Industry;
Wireless/Mobile; XML. If a category of interest is not listed, it means
we are not aware of any events within that topic.
http://www.dmreview.com/events/
International Conference on Decision Making and Decision Support in
the Internet Age 4th of July, 2002 - U.C.C, Ireland
http://afis.ucc.ie/dsiage2002/
*************************************

*DSS-MANUFACTURING*
*Rensselaer Polytechnic Institute* *Department of Decision Sciences &
Engineering Systems (DSES)* (518) 276 8227 | Email: dses@rpi.edu
http://www.rpi.edu/dept/dses/www/research/tech_reports.htm
DSES has established strategic research thrusts in two key areas:
*Intelligent Manufacturing and Service Systems (IMASS) *and *Data Mining
and Decision Support Systems (DMADS*). IMASS refers to the development
of quantitative- and knowledge-based tools for the analysis and design
of systems which manufacture products, provide service and/or distribute
goods and services. In DMADS, computationally powerful tools (including
statistical computing, fuzzy logic, neural networks, genetic algorithms,
cluster analysis, chaos theory, data visualization and simulation) are
applied to data to ascertain the underlying structure or knowledge base.
In this way, valid decision models can be developed. Research projects
in which DSES participates include the Electronics and Agile
Manufacturing Research Institute, the Center for Services Research and
Education and the Rensselaer Statistical Consulting Center.
Example Project Reports for 2003
* *Natural Language Interaction* Using a Scalable Reference Dictionary
V. Boonjiing, C. Hsu
* Trends in En Route Effects Along *Selected Airways * T.R.
Willemain, N. YakovchMonte
* Monte-Carlo Comparison of Estimation Method for Additive Two-Way
Tables N. Yakovchuk, T.R. Willemain
* A Mathematical *Model for Warehouse Design and Product Allocation*
S.S. Heragu, J.C.S. Huang, R.J. Mantel, P.B. Schuur
* Analysis of a Multi-class Manufacturing System via Semi-open Queuing
Networks T. Coenen, S.S. Heragu, W.H.M. Zijm
* Two-level *Manufacturing System Performance Analyzer* G.
Meng, S.S. Heragu, H. Zijm
* Clustering based order picking sequence algorithm for an a*utomated
warehouse* B-I. Kim, S.S. Heragu, R.J.Graves
* Learning to Design and Analyze Materials Handling Systems: Developing
Multimedia Tools S.S Heragu, S. Jennings
* Restoration of *Services in Interdependent Infrastructure Systems:* A
Network flows Approach E.E.Lee,II, D.J.Mendonca, J.E.Mitchell,
W.A.Wallace
************************

*Web-based DSSs* Daniel.Power@dssresources.com) is Professor of
Information Systems at the University of Northern Iowa, and editor of
DSSResources.COM, URL
http://dssresources.com.This is version 4.2. It was last updated June
15, 2002. Version 1.0 was published on the Web July 3, 1996. This Web
page should be cited as: Power, D.J. Decision Support Systems Web Tour.
World Wide Web, http://dssresources.com, version 4.2, June 15, 2002.
http://dssresources.com/tour/dsstour.html
Decision Support Systems (DSS) are a specific class of computerized
information system that support decision-making activities. DSS are
interactive computer-based systems and subsystems intended to help
decision makers use data, documents, knowledge and/or models to identify
and solve problems and make decisions. DSSResources.COM uses an
organizing framework with five major DSS types or categories:
*Communications-Driven DSS,*
*Data-Driven DSS,*
* Document- Driven DSS,*
*Knowledge-Driven DSS* and
* Model-Driven DSS.*
A major focus at DSSResources.COM is resources on how to implement these
types of DSS as Web-Based DSS..
The Decision Support Systems Hyperbook and other resources in the
Subscriber Zone at DSSResources.COM provide the most up-to-date text and
reference materials on DSS.
University and Research Web sites related to DSS
*DSS case studies on the Web*
DSSResources.COM has many DSS case studies in its on-line Library. Also,
the Data Warehousing Institute (URL http:// www.dw-institute.com) has
case studies prepared by "users" of a specific DSS. Additionally, many
DSS software vendors provide case studies (customer success stories) of
successful decision support implementations at their web sites. Some of
the case study material on the web is very detailed, including
quotations from managers in companies that installed a specific DSS,
while other case examples are very brief.
**********************
*NEW FRONTIERS OF DECISION MAKING FOR THE INFORMATION TECHNOLOGY ERA*
http://www.wspc.com/books/business/4416.html edited by Yong Shi
(University of Nebraska, Omaha) & Milan Zeleny (Fordham University, New
York)
*Behavioral Issues in Decision Making*
*Multiple Criteria and Decision Support Systems*
*Objective Space Analysis*
*Risk and Efficiency Management*
*Tradeoff Analysis in Decision Making*
*Data Environment Analysis*
*Multiple Criteria System Engineering*
*Multiple Criteria Applications*
440pp Pub. date: May 2000 ISBN 981-02-4299-9 US$84 / £57
*********************************
*LINUX to the RESCUE!*
Silicon Graphics Inc Linux Servers and workstations
SGI.http://www.sgi.com/insider/03_jan/
Scaling Linux to New Altitudes The SGI Altix 3000 family of servers and
superclusters employs scalable 64-bit Linux clustering to create what is
simply the world's most powerful open-source computing environment with
an optimized Linux software environment that scales to hundreds of
Intel® Itanium® 2 processors, with up to 64 processors in a single Linux
node. Offered exclusively for its SGI® AltixTM 3000 family of servers
and superclusters, SGI's software environment also offers a unique
capability for Linux clusters--global shared memory across cluster
nodes--raising the bar for open source computing and creating the most
powerful Intel Itanium 2 processor based computing environment in the
marketplace.
A key component of SGI's software suite is SGI ProPackTM, a new set of
high- performance Linux optimizations that enhances overall system
scaling, data handling and resource management while maintaining binary
compatibility with existing 64-bit Linux applications running on the
Intel Itanium 2 processor.
Optimized for users in physical and life sciences, manufacturing,
oil and gas, and government and defense markets, this powerfully
enhanced environment includes features never before available on Linux.
The SGI enhancements to Linux support the third-generation SGI®
NUMAflexTM architecture and modular system interconnect, allowing users
to further scale these powerful systems to hundreds and even thousands
of processors by combining the computing power of multiple systems into
superclusters capable of tackling the most complex computing problems.
For example, life sciences researchers could accelerate their drug
discovery analytical runtimes by a factor of 10 by taking all of their
genomics databases off of disk and into hared
memory. Currently, many of these analyses take several weeks as
researchers assess potential compounds sequentially against dozens of
genomics databases in a traditional distributed memory Linux cluster. By
simultaneously putting all databases into memory, researchers can reduce
their runtimes to a matter of days, thus requiring far fewer processors
and overall compute cost. SGI® Decision Support Center: Finding the few
important bits of information out of mountains of data is the job of the
SGI Decision Support Center solution.
. Human visual perception is dominated by the sense of sight, so the
ability to visually represent data is the key to turning data into
information. which uses large-scale visualization, high-performance
computing, and the management of complex data to provide
mission-critical information to support rapid and confident decision-
making cycles. DSC acts as a data fusion engine that lays out massive
amounts of vital information in a real-time virtual visual panorama to
help decision makers see the big picture and focus on making the right
decisions. In order for something to be called a decision support
center, it must improve the decision-making process. Improvements can be
measured in time (making faster decisions), quality (making better, more
informed decisions), and confidence (making the right decisions). .In
the area of homeland security, SGI is working with its partners to
develop a solution for decision support and communications called the
Nuclear, Biological, and Chemical Threat Operation and Training Center
(NBCOTC).
SGI announced leadership in Linux for technical computing with an
optimized Linux software environment that scales to hundreds of Intel
Itanium 2 processors, with up to 64 processors in a single Linux node.
****************
*ISWorld Decision Support Systems Research Page * Section Editor:
Daniel Power Co-Editors: Hemant Bhargava and Freddie Quek
http://www.uni.edu/dss/isworld/dss.html
Welcome to the ISWorld page for Decision Support Systems Research. This
page is intended to provide a useful starting point for accessing
WWW-based material related to the *design, development, evaluation, and
implementation of Decision Support Systems (DSS).*
DSS Definitions, Resources and References
This section assists you in accessing information about DSS concepts,
DSS books, major DSS journal articles (especially literature reviews),
and a brief historical narrative on the foundation of DSS research and
practice. We are open to your ideas and suggestions. Please help us
build ISWorld Net!
Brief History of Decision Support Systems (maintained by D.
Power)
DSS Articles On-line (maintained by D. Power)
DSS Books with search capability (maintained by D. Power and
P. Gray)
DSS Book Reviews by P. Gray
DSS Glossary (maintained by D. Power)
DSS Research Topics
DSS Web Tour (by D. Power)
Mathematical Programming Glossary (maintained by H. Greenberg)
Spatial DSS page (maintained by P. Keenan)
*Software Resources*
This section assists you in accessing information about DSS software. It
contains links to software archives and reviews. We are open to your
ideas and suggestions. Please help us build ISWorld Net!
*DecisionNet* is a joint project developed by Hemant Bhargava
and Ramayya Krishnan"It offers access to a distributed network of
modeling and decision support systems. It allows providers of modeling
and decision support services to have their technologies (data, decision
models, algorithms, and decision support packages) publicised, browsed,
and executed over the WWW. DecisionNet enables consumers of decision
technologies to search an index of technologies, connect to selected
technologies, and use them by providing information specific to their
problem."
*Directory of Software for Belief Networks*. (maintained by
Russell Almond) It "describes software for processing graphical belief
function models, and related modes such as Bayesian networks, influence
diagrams, and probabilistic graphical models." ... "Each entry ...
contains information about features of the software and contact
information. Pricing information includes the date the price was last
updated as this information may vary from time to time. Hyperlinks take
you to demo versions (or actual software for free software) when it is
available on-line.
* DSS Spreadsheet Links* (maintained by D. Power)
* Major DSS Information Links* This section contains links to major
WWW sites that provide useful information relevant to DSS research.
DSSResources.COM (maintained by D. Power)
*General DSS Related WWW Links * University DSS Links What's
New at DSS Resources?
*Data Warehousing Information Center *(maintained by Larry
Greenfield) "The purposes of this site are to: help locate vendors of
tools to build, access, and manage data warehousing and decision
support systems, point to many other sources of information", and
provide general information about data warehousing and decision support
systems.
*Operations Research Page* (maintained by M. Trick) This is an
impressive collection of links and materials related to operations
research.
*Other DSS-related Resources and Services*
*DSS Announcements* (maintained by C. Holsapple)
*DSS Researchers Home Page Directory *(maintained by D. Power)
IFIP WG 8.3 Home page maintained by G. Widmeyer
IFIP-8.3 Membership Database maintained by F. Quek
ISWorld DSS Teaching Resources page, editors D. Power, H. Bhargava
and F. Quek
ISWorld DSS Research page
The URL for this page is http://www.uni.edu/dss/isworld/dss.html
Daniel Power who can be reached at the email address daniel.power@uni.edu.

************************************
* 3 DSS AS A TOOL FOR THE WATER RESOURCES PLANNING AND MANAGEMENT*
http://www.nic.gov.jo/inwrdam/dss.html
DSS have wide applications in water resources management and in the
water industry because problem resolution in these fields involves
significant judgment and experience. Although the development of complex
and deep expert systems with their requirements for knowledge
engineering can be very costly, their potential are obvious.
DSS are used in many water resources planning and management
applications like:
Operation and management of water supply systems;
Complex hydrologic /hydraulic models;
Urban drainage using storm water management model;
Operation and control of activated sludge plants;
Cost /tariff modeling;
Crisis and disaster management.
An important issue while describing the applications of DSS is the usage
patterns which means, who should use a DSS, for what problems, at what
intervals, through what mechanisms, and to what end. The types of
problems for which DSS are appropriate are those which are
semi-structured, that is not completely structured at one or more of the
problem solving phases, design or choice and are most a
*****************
*A decision support system for local administration in GIS
environment *- A study at Paramakudi
Taluk of Ramanathapuram district, Tamil Nadu
The amount of data generated by the government in this digital era is
phenomenal. Attempts to process the data and rendering it as readily
usable information by application of a powerful integrated approach such
as GIS are not widespread. Contemporary decision-making is complex and
involves a wide spectrum of knowledge sourced from diverse fields. The
impacts of a decision thus made over an even more complex social fabric
necessitate the use of sophisticated Decision Support Systems (DSS). The
unique capability of a Geographic Information System (GIS) is that not
only it can act as a database but also as a powerful tool, wherein
complicated operations can be performed with greater ease and better
quality information gleaned. When incorporated in this environment,
*************************
* DSS-JUDGES*
*JUDICIAL DECISION SUPPORT SYSTEMS *FROM A JUDGE'S PERSPECTIVE
A Presentation at the Seventh National Court Technology Conference
(CTC7), Baltimore, USA, August 14-16, 2001. By STEIN
SCHJOLBERG, Chief Judge, Moss Byrett, Norway
From a judge's perspective we have welcomed the information technology
into courthouses and courtrooms, as a part of the administrative tools
handling case files, court calendars, electronic filing, e-courts and
cybercourts. The First International Workshop on Judicial Decision
Support Systems (JDSS) was held in Melbourne, Australia in 1997, and the
Second Workshop in Oslo in 1999. The Third Symposium was held at the
Chicago-Kent College of Law in Chicago, in May 2001.
At the conference in Chicago judges and researchers from 7 countries
participated and presented many papers on a variety of subjects. the
Donald Berman Laboratory for Information Technology and Law, La Trobe
University, Melbourne, Australia, headed by John Zeleznikow. It has a
long history of building Legal Decision Support Systems in conjunction
with Victoria Legal Aid in Australia. In building such systems they
have developed tools for placing the systems on the Web. With these
tools they have 1. Split-Up -the distribution of property
following divorce in Australia. It uses knowledge
discovery from databases techniques to learn how
**********************************************
.*http://dssresources.com/ Very good resources !!*
*********************
**** Appendix ****
*DSS GLOSSARY*
*Enterprise-wide DSS* A DSS that supports a large group of
managers in a networked client-server environment with a specialized
data warehouse as part of the DSS architecture.
*Group Decision Support Systems (GDSS*) An interactive,
computer-based system that facilitates solution of unstructured problems
by a set of decision-makers working together as a group. It aids
groups, especially groups of managers, in analyzing problem situations
and in performing group decision making tasks.
*Executive Support Systems (ESS) * An executive information
system (EIS) that includes specific decision aiding and/or analysis
capabilities.
*Groupware * Is software designed to support more than one
person working on a shared task. Groupware is an evolving concept that
is more than multiuser software which allows access to the same data.
Groupware provides a mechanism that helps users coordinate and keep
track of on-going projects. It allows people to work together through
computer-supported communication, collaboration, and coordination. Lotus
Notes, Microsoft Exchange, Communicator, Novell GroupWise, Netscape
SuiteSpot, Eclipse, Team Talk, and Internet Explorer/NetMeeting are
examples of groupware products.
*Prototyping *A strategy in system development in which a
scaled down system or portion of a system is constructed in a short
time, tested, and improved in several iterations. A prototype is an
initial version of a system that is quickly developed to test the
effectiveness of the overall design being used to solve a particular
problem. Prototyping is similar to the *Evolutionary (Iterative)
Design Process.* It is sometimes termed rapid prototyping and is similar
to rapid
application development (RAD).
*Web-based DSS * A computerized system that delivers decision
support information or decision support tools to a manager or business
analyst using a "thin-client" Web browser like Netscape Navigator or
Internet Explorer. The computer server that is hosting the DSS
application is linked to the user's computer by a network with the
TCP/IP protocol.
***********************************
*Scope of Journal of Decision Support Systems and Electronic Commerce*
Contributions on the concepts and operational basis for DSSs, techniques
for implementing and evaluating DSSs, DSS experiences, and related
studies. May draw-on, such diverse areas as artificial intelligence,
cognitive science, computer supported cooperative work, data base
management, decision theory, economics, linguistics, management science,
mathematical modeling, operations management psychology, user interface
management systems, and others. The common thread of articles published
in the journal will be their relevance to theoretical, technical DSS
issues. There are six topic departments:
1. *DSS principles, concepts, and theories; frameworks, formal
languages, and methods for DSS research*; tutorials about the nature of
DSS; assessments of the DSS field.
2. *DSS Development-Functionality.* e.g. methods, tools, and
techniques for developing the underlying functional aspects of a DSS;
solver/model management; data management in DSSs; rule management and AI
in DSSs; coordinating a DSS's functionality within its user interface.
3. *DSS Development-Interfaces*. e.g. methods, tools, and
techniques for developing the overt user interface of a DSS; managing
linguistic, presentation, and user knowledge in a DSS; DSS help
facilities; coordinating a DSS's interface events with its functionality
events.
4. *DSS Impacts and Evaluation.* e.g. DSS economics; DSS
measurement; DSS impacts on individual users, multiparticipant users,
organizations, and societies; valuating/justifying DSSs.
5. *DSS Reference Studies.* e.g. reference discipline tutorials for
DSS researchers; emerging technologies relevant to DSS characteristics
or DSS development; related studies on such topics as communication
support systems, computer supported cooperative work, negotiation
support systems, research support systems, task support systems.
6. *DSS Experiences, Management, and Education.* e.g. experiences
in developing or operating DSSs; systems solutions to specific decision
support needs; approaches to managing DSSs; DSS instruction/ training
approaches. http://www.elsevier.com/homepage/sae/orms/dss/menu.htm
*
*Decision Support Systems Volume 33,* Issue 2 , June 2002, Pages 105-110
*DSS: directions for the next decade *C. Carlsson, E. Turban,
Finland, Hong Kong managerial decision-making processes. the term DSS
itself is seen less frequently . Instead, terms such as business
intelligence and OLAP
Modern corporations objective is to create business entities, which are
leaner, more flexible and more responsive to a rapidly changing business
environment.
The first target for new generation of DSS technology should be the
overwhelming flow of data, .Software agents (also called intelligent
agents) have been designed and implemented to take care of the
screening, sifting and filtering of data, information and knowledge.
These Java-built components can be designed and implemented to search
for data sources with user-defined search profiles, to identify and
access relevant data, to copy the data and to organize and store it in a
data warehouse.
Other agents of the same "family" can then be used to retrieve the data,
insert it in reports and to distribute it over e-mail according to
topic-specific distribution profiles.
Soft computing includes research on fuzzy logic, artificial neural nets,
genetic algorithms and probabilistic modeling. The added feature to the
intelligent systems is that in soft computing, the machine-learning
systems are developed using fuzzy logic and the fuzzy set theory as a
theoreticaland methodological basis.
collaborative learning in virtual DSS classes where students from
different universities and even different countries will collaborate in
solving complex managerial problems as part of their learning experiences.
The papers The first paper, the major change that occurred in DSS due
to the introduction of data warehousing and data mining as major
facilitators of DSS and due to today's Web-based DSS. The authors
conclude that Web- based systems can be built today with less cost and
increased functionalities.
The third paper, written by Nemati et al., looks at the integration of
decision support, knowledge management and artificial intelligence in a
data-warehousing framework. The paper describes some of the tools,
including commercial ones, which can facilitate the process. Of special
interest is the use of natural language-generated arguments concerning
the validity of the models, meta-models and new knowledge created in
this process.
References
3. M.J. Shaw , Electronic commerce: review of critical research issues.
Inf. Syst. Front. 1 1 (1999).
************************************************
*SUGGESTIONS FOR OBTAINING INTERACTION BETWEEN CLINICAL AND NON-CLINICAL
DSS DEVELOPERS*
* 1. A decision support system journal invites clinical DSS papers
for up to 25% of space in its issue.*
* 2. A private, secure web site that allows both mixed clinical and
non-clinical submissions and encourages private questions and assistance
for using the method in the opposite setting.*
* 3. A 2-day symposium at the NIH Washington. Supported by both NIH
and NSF funds.*
********************
PLEASE E-MAIL ME YOUR COMMENTS: dfp10@wadsworth.org Version 2.1 May
25, 2004. D.F. Parsons
######################################################

The Clinical Electronic Notebook (CEN) Project A collaborative
project with the US Department of Energy PacificNorthwest National
Laboratory [PNL]
h*ttp://collaboratory.emsl.pnl.gov/elnotebooks.html.*

This project is also a part of a new SUNYLearning Network
(Internet) Medical Informatics course now being devised: The Linux
Medical Informatics Practicum (Graduate, 3 credits, the Albany
School of Public Health). Students will be required to download and
install Linux onto a PC. There are now many free statistical, public
health, statistical and probability programs available in Linux.

* The first objective is to make available paperless,
clinical record books that meet international medico-legal standards
for security*, stability, and privacy. The notebooks must enable
easy exchange of clinical data with Hospital Information Systems,
other clinical networks and terminals, and also with Personal
Computers and palmtops. Current development uses the SPARC Solaris
and SuSE Linux Operating Systems. Subsequently, it will be ported to
other OSs. The system can work with secure local and remote Web
servers (Apache with TomCat as java servlet server). SAM1.1
(Scientific Annotation Middleware), as developed by the PNL
Principal Investigator for enotebook collaborations, James Meyers,
is being used to access files and databases with password
verification. Most of the configuration of the system uses XML
files. For example, the $tomcat/webapps/sam.xml file defines the
configuration of notebooks. The $tomcat/webapps/Domain.xml file
defines the registration, security and access of different classes
of clinical users.

Other SAM files contain examples of client Clinical
Electronic Notebooks (CEN) that can be adapted by new users. The
CEN follow the general configuration schemes of the PNL client,
physics Electronic Laboratory Notebooks (ELN). The PNL
Collaboratory site
(http://collaboratory.emsl.pnl.gov/elnotebooks.html) provides
instruction in the setup and use of example notebooks such as the
current ELN5.1 client enotebook.

The second objective is to add online clinical tools to
enotebooks when connected to Hospital Information Systems. A
Decision Support System is planned for diagnosis and therapy, and
the statistical analysis of clinical data will be repeatedly updated.

*Much can be learnt from the current uses of enotebooks (mostly in
physics and chemistry). The experiences of these users will help guide
the development of clinical enotebooks.*

*****************************************

The Fall 2005 (3 credit) Undergraduate SLN DISTANCE LEARNING COURSE
in MEDICAL INFORMATICS .

Offered by: The School of Public Health, Department of Biometry and
Statistics, the University at Albany, Albany, NY. Taught by: Don
Parsons Credits: 3

SLN Course Description (*click on
Fall2005-Course List, and then Start Dates*)

Medical Informatics: medical reasoning and decision making, medical
language and classifications, information databases, Hospital
Information Systems, healthcare networks, patient records,
physiological signal processing, medical imaging, Decision Support
Systems, Computer Assisted Instruction, patient monitoring, nursing
informatics and research, security for patient data, analysis and
control of medical activities, evidence-based medicine and
literature searching. Outcomes analaysis .

Registration and other information:
(Click on "About the
Suny Learning Network"). Information about how to use your computer
in the course is given in the FAQ (Frequently Asked Questions).

Other questions: call 800-875-6269 or email helpdesk@SLN.suny.edu.

OR:

Obtain the SLN Fall 2002 Brochure (which contains the same
information, the FAQ, and the registration forms) by calling
800-875-6269.

* * *OTHER TOPICS on this MEDICAL INFORMATICS HOME
PAGE:*

* *Local (central New York State) medical informatics resources and
activities*

* *The School of Public Health, Department of Biometry and
statistics. Medical Informatics course H STA571*

* *Review of "Handbook of Medical Informatics" edited by J.H. van
Bemmal and M.A. Nusen, Springer, 1997.*

* *Albany Medical College Medical Decision Making Interest Group,
telemedicine network*
* *Bassett Healthcare, Cooperstown, NY. Telemedicine network.*
* *Nursing Medical Informatics.*
* *Regional Nursing Informatics*

* *Western New York State*

* *University at Buffalo Health Sciences, Medical Informatics
courses. Telemedicine network.*
* *University at Rochester Medical Center, Division of Medical
Informatics*

* *Mid-Hudson/New York City*

* *Columbia University, Department of Medical Informatics*
* *Mid-Hudson Valley Health Care and Medical Informatics Cluster*
* *The University at Stony Brook Medical Center*

* *Selected public health Web sites*
* *Selected medical informatics Web sites*

* *Computer Assisted Instruction (CAI)*
* *Broad medical resource sites*

* *An Open Discussion on Improving the Status of Medical Informatics
Teaching, Research and Service in New York State (use the e-mail
form at the bottom of this page to mail your comments to Don Parsons.*
* *Useful Medical Informatics Resources grants click HERE

(URLs, Mailing Lists, UseNet NewsGreoups, MI Training Sites, etc)
click HERE
*

*LOCAL (CENTRAL NEW YORK STATE : ALBANY, SCHENECTADY, & TROY REGION)
MEDICAL INFORMATICS ACTIVITIES*

* *University at Albany SCHOOL OF PUBLIC HEALTH: H STA571 Topics in
Medical informatics*
* Spring, 1999. Three credits, Call Number 7135, Requires SKN,
approval of the instructor: Donald F. Parsons MD, PhD. (518)
474-7047, Fax: (518) 474-8590. dfp10@telemed.wadsworth.org. Meet
Tuesdays and Thursdays 9:45-11:05 am in Room C6, the University
at Albany School of Public Health, East, Rensselaer Campus. 26
lectures/demonstrations: *For a detailed syllabus click ** here.
* **
Medical Informatics is the information science of computer
optimization of the transfer and interpretation of health care
data. It has a special emphasis on analyzing and supporting the
medical decision process. It provides an unusual opportunity for
people with diverse backgrounds (medical residents and students,
students of public health, nursing, computer science, business
computing, health care administrators, physics and engineering in
relation to patient monitoring devices) to be involved in
improving the manipulation of clinical data.
* Topics covered (in brief): Computers and programming in medicine,
the probability and statistical principles involved, Decision
Support Systems (DSS), the types of medical data and the
Computer-based Patient Record, efficient searching and data
mining of large health care databases (including medical
literature, clinical trial databases, and knowledge databases).
Also, Hospital Information Systems (HIS), Clinical Laboratory
Information Systems (LIS), telemedicine, teleradiology, and
Picture Archiving and Communication Systems (PACS).
Telecommunication between county and state health departments
using Web site technology. Instruction in writing HTML pages and
in medical use of the Internet. Security of patient clinical
data. Medical Artificial Intelligence , patient monitoring
devices, expert systems and production rules. Use of Bayesian
probability, fuzzy logic and artificial neural networks for the
calculation of the probabilities of differential diagnoses and of
outcomes of different treatments. Statistical analysis of global
outcomes. Nursing informatics systems, information processing of
nosocomial hospital infections. Authoring interactive Computer
Aided Instruction (CAI) courses. Distance learning techniques
using static (conventional) HTML pages and using dynamic Domino
servers with Notes databases. Some lectures are
contributed by other faculty of the School of Public Health, the
Albany Medical College, the New York State Department of Health
and the Informatics Sciences Department of the University at
Plattsburgh. Students receive summaries for each of the 26
lectures. The textbook is: "Introduction to Clinical Informatics"
by P. Degoulet and M. Fieschi. Springer Verlag . 1997. ISBN
0-387-94641-1.
* Review of a new book for the above course: *HANDBOOK of MEDICAL
INFORMATICS
edited
by J.H. van Bemmel and M.A.Nusen, *Springer, 1997.
* *ALBANY MEDICAL COLLEGE:*
* *URL:http://www.amc.edu*

* *The Capital District Medical Decision Making Interest Group.
*Meets monthly at the Albany Medical College. For information and
to be placed on the mailing list, e-mail
jchessare@ccgateway.amc.edu or phone (518) 262-3589.
* *Telemedicine for the AMC rural consortium: *One of the largest
networks in the region.

* *BASSETT HEALTHCARE:*
* Grants from the Rural Electrification Administration, The Health
Resources and Services Administration, and NY State Department of
Health helped establish a telemedicine network to more than 20
regional medical sites including 3 rural hospitals. The links
provide improved access to specialty care ,and better access to
education and training. Uses the "Picasso" video-consulting system
with telephone line connections.
* Bassett Healthcare collaborates with the C. Everett Koop Institute
at the Dartmouth-Hitchcock Medical Center and the American Academy
for Cerebral Palsy and Developmental Medicine in teleconferences
for disablility patients. Also, the smaller hospitals of the
region have used telemedicine to link their Emergency Rooms and
visiting nurses of the region are also linked. For more info on
telemedicine call Martha Gorman at (607) 547-3917 or e-mail at
telemed@telenet.net or the Web site at
*http://www.bassetthealthcare.org*
* *REGIONAL NURSING INFORMATICS*:
* You can obtain nearly all the local and national informatics
information from the home pages of two local male nurses who have
a strong interest on nursing informatics:

* W. Scott Eardley MS, RN *http://www.acsu.buffalo.edu/~erdley
*
* David Curry RN-C, MSN *http://www.plattsburgh.edu/nur/curry.htm*

* Also, the on-line Journal of Nursing Informatics and other nursing
journals can be reached
at:*http://ublib.buffalo.edu/libraries/e-resources/*
*

------------------------------------------------------------------------

*WESTERN NEW YORK MEDICAL INFORMATICS ACTIVITIES*

* *University at Buffalo Health Sciences Medical informatics:*
* *BPH-572-0 MEDICAL INFORMATICS AND BIOMEDICAL APPLICATIONS *2
credits; spring semester. Dr. R.A. Spangler and staff. This course
introduces a range of applications of computers in medicine and
biomedical research with emphasis on the ways in which computer
technology can contribute to the solution of medical and
biomedical problems. "Hands-on" experience in the use of a variety
of software tools. Students become involved in a faculty project
in one of the following areas: (1) hypermedia knowledge base
development; (2) natural language processing; (3) medical imaging
processing; (4) microscopic image processing; (5) dynamic
simulations of biological systems; and (6) applications of
parallel distributed processing.
* *BPH-603-0 MEDICAL BIOPHYSICS* 2 credits; fall and spring
semesters-half the class takes course in fall, half takes it in
spring. *Required course for sophomore medical students.* This
course introduces the basic biophysical principles of diagnostic
and therapeutic techniques and demonstrates the technology
utilized in modem medical practice. The second-year medical class
is divided into groups of 20 students, and each group is
supervised by a preceptor. The groups are introduced to the topics
of: radiology; radiobiology and radiation therapy; ultrasound;
electrobiological techniques; computer techniques and applications
in medicine; prosthetic devices; and imaging techniques such as
nuclear medicine, magnetic resonance imaging, and
computer-assisted tomography. In each topic area, there is a
preliminary session in which the basic biophysical principles of a
technique are examined through discussion, demonstration, and
laboratory procedure, followed by a clinical demonstration in
which the application of these principles is illustrated in a
clinical setting and discussed by clinicians experienced in its
use. Upon completion of the course, the student should be able to
correlate the fundamental biophysical principles with the clinical
utility of the technique, and thus appreciate the advantages and
limitations of advanced technologies used in particular procedures*.*
* *BPH-607-0 PRINCIPLES OF CLINICAL BIOPHYSICS I *and *BPH-608-0
PRINCIPLES OF CLINICAL BIOPHYSICS II* 3 credits each; fall and
spring semesters (every second year). This course, offered to
medical students and graduate students in electrical engineering,
physics, and biophysics, is intended to familiarize them with the
advances in medical technology as well as with the underlying
principles of physics and engineering. The course emphasizes the
application of existing and forthcoming technology to medical
problems. BPH-608-0 is a continuation of BPH-607-0, which covers a
different set of topics, including the use of ultrasound, electric
pacing of the heart, diagnostic radiology, including computerized
tomography, magnetic resonance imaging, positron emission
tomography, radiation therapy, and intensive care instrumentation.
Students taking this elective course will understand the physics
and engineering methodologies that allowed the design and
development of the large variety of current medical technology.
This will not only enable them to attain better and more
meaningful use of the different instruments they will apply in
their clinical practice, but they will also be able to communicate
with physicists, engineers, or other technologists when trying to
adapt or improve the performance of existing instants or to design
and construct new diagnostic or therapeutic biophysical tools. The
best candidates for this course will be medical students who
majored in college in electrical, mechanical, or chemical
engineering, as well as in physics or the computer sciences. The
course includes hands-on experience with different instruments. It
also includes discussions of various clinical situations which
call for technological approaches, emphasizing the rationale of
selecting a certain technology-based strategy for a given clinical
problem. URL: *http://rpci.med.buffalo.edu/~graded/edbiophy.html
*
* *University of Rochester Medical Center, Division of Medical
Informatics:*
* The Division of Medical Informatics is a group of medical faculty
and computer experts whose functions are to provide the school
with an increased awareness of the breadth and depth of computer
applications in medical practice and medical education. Also, to
promote the incorporation of these new techniques into the life of
the institution; and to develop advanced applications of computers
in medicine and medical education. The Division provides
curriculum supplementation through computer-assisted learning
modules, elective opportunities and introductory class exercises.
The Division collaborates with, and supports, the medical school
faculty in the development of in-house, customized, computer-based
coursework. The Division has ongoing projects with a number of
academic units including medicine, microbiology and immunology,
neurobiology and anatomy, neurology, obstetrics and gynecology,
pathology and laboratory medicine, and physiology.
* The Division has state-of-the-art workstations with high
resolution graphics displays and sound and interactive video
capabilities. These workstations can be used by students and
faculty for courseware development, image processing, world wide
web, and/or artificial intelligence projects which are consistent
with the goals of the Division. The Division maintains a student
laboratory consisting of twenty networked Macintosh computers,
which are used for whole class or small group exercises and for
independent study. The Division provides e-mail services for
medical students and Medical Center graduate students as well as
network access to educational materials for the computer facility
URL: *http://www.urmc.rochester.edu/SMD/MedInfo/MedInformatics.html*

_______*_______________________________________________________________________________________________________________*

*MID-HUDSON / NEW YORK CITY MEDICAL INFORMATICS ACTIVITIES*

*Columbia University, Department of Medical Informatics. *Paul
Clayton, Ph.D. Chair, Department of Medical Informatics. Professor,
Medical Informatics, Medicine, and Radiology, and Director of Computer
Information Systems. "Our Mission is to perform innovative research
and development which will enhance the nation's ability to support
health care cost containment and improve the quality of health care
delivery. " Research topics include: medical vocabularies and medical
language processing, information resources for clinical research,
Arden syntax for Medical Logic Modules, cholesterol guidelines, OB/GYN
toolbox. Also, knowledge structures to support Medical Decision Making
(James Cimino); Computerized Pulmonary Monitoring Center (CPMC2);
Integrated Mammography Information Management System; Immunization
Registry. It is also a New York State supported Center for Advanced
Technology (CAT).URL: *http://www.cpmc.columbia..edu
*

*Mid-Hudson Valley Health Care and Medical Informatics Cluster:
*Situated midway between Albany and NYC. It will explore the market
opportunities in health care. Steering Committee includes Columbia
University and the Association of University Technology managers (AUTM)
and is a National Technology Transfer Center. (212) 305-2944
dl330@columbia.edu

------------------------------------------------------------------------

*NEW YORK CITY REGION, MEDICAL INFORMATICS ACTIVITIES*

*University at Stony Brook Medical Center: T*he Medical Informatics
Department is responsible for Academic Instruction and Information
Technology Training within the University Hospital & Medical
Center/Health Sciences Center. Our department works in conjunction with
the HSC Library staff to provide training for Medical Students and
technical support for the Learning Center's computer lab and classroom.
In addition, Medical Informatics is developing Computer Aided
Instruction (CAI) and the following projects: 1.Computer skills
training for Medical Students. 2.Medical Student Handbook 3. Implement
training for Nurses in conjunction with the Term to PC program.
4.Develop computer literacy classes for clinicians and residents. 5.
CrossCurrents Forum - an open forum for faculty, staff and students of
the Health Sciences Center and University Hospital providing informal
seminars on the intersection of technology with education and research.

* *An Open Discussion on Improving the Status of Medical Informatics
Teaching, Research and Service in New York State*
* *(use the e-mail form at the bottom of this page to mail your
comments to Don Parsons).*
* *Telemedicine (video-consulting) is proving very effective for
health care of closed institutions*
* *The forgotten Rural New York State. *The rural population of New
York State exceeds the total population of a number of smaller
states. A shortage of doctors (especially for family practice) in
rural areas is not improving. There is little help from managed
care since these organizations cannot be profitable in low-density
populations. Rural telemedicine networks are now active around
Albany (Albany Medical College), Cooperstown (Bassett Healthcare)
and Buffalo (University at Buffalo Health Sciences and Erie
County). Several penal and mental health institutions are using
video-consulting to reduce the costs of taking inmates to medical
centers.
* * In Nursing homes:* The Eddy nursing home group and 20 other
home groups and hospitals are involved in a $300, 000 computer
networking project funded by New York State. The network will
coordinate services, medicines, and other requirements of the
clients or residents (Times Union Feb 7, 1996).

**** To include your own activities send e-mail to Don Parsons using the
e-mail form at the end of this page.****
------------------------------------------------------------------------

*SELECTED PUBLIC HEALTH WEB SITES*

* *French Communicable Disease Network*(FCDN)
.* * France-wide volunteer
General Practitioners (the sentinel network) submit every Friday
an Electronic Data Interchange (EDI) form indicating the week's
notifiable conditions. The data is automatically gathered from
the forms and the weekly statstics calculated. Summaries are
returned electronically to all health units and also published in
a weekly bulletin (Bulletin Epidemiologique Hebdomadaire). The
notification of epidemics is the fastest achieved anywhere.
Results are in the form of charts and movies showing the changes
in incidences week by week or month by month. This site :
is in both French
and English and has links to most other notification summary URLs
of other countries. See: Parsons DF, Garnerin P, Flahault A. ,
Gotham IJ. 1996. Status of Electronic Reporting of Notifiable
Conditions in the United States and Europe. */TelemedicineJournal
/*2(4): 273-284.
* *The World Health Organization (WHO)* international public health
data is available at:
http://www.who.ch/programmes/WHOProgrammes.html
.
* *CDC Information Network for Public Health Officials (INPHO):*
The state health department provides a Web site that can be
accessed by all county and state public health practitioners.
Eventually, these Web sites will be interlinked nationwide.
Summaries for the 12 sites in Florida, Georgia, Illinois, Indiana,
Michigan, New York, North Carolina, Oregon, Rhode Island ,
Washington, and West Virginia are available at
http://www.cdc.gov/inpho/inpho.htm

* *CDC Morbidity and Mortality Weekly Reports (MMWR). *To obtain the
full, Acrobat (*.pdf) graphics version go to :
http://www.cdc.gov/Publications/SubscriptionServices/MMWR/ .
Select the date of the MMWR *.pdf file. You can obtain the free
Acrobat pdf software from this site.

*SELECTED MEDICAL INFORMATICS SITES*

*a). Computer Assisted Instruction (CAI)*

* *HTML Lecture Courses. *Detailed instructions for producing
hypertext lecture courses for teaching over the Web. From the
Computer Science Department of the University of British Columbia,
Canada. See: http://homebrew.cs.ubc.ca/webct/
.
* *Continuing Medical Education for Physicians (CME) on the Internet:*

* *The Interactive Patient: *(Marshall University School of
Medicine) http://medicus.marshall.edu/medicus.htm The physician
works up the presented patient interactively and requests some
tests, x-rays, etc. A diagnosis and a treatment plan are then
suggested by the user. After completing the first case the
physician can enroll for CME credits.
* *Interesting Cases*: seen at the Mass. General Hospital.
http://emergency.mgh.harvard.edu/webicc.htm
* The *Medical Education Network *of Loyola University:
http://www.meddean.luc.edu/lumen/MedEd/ .
* T*he Virtual Medical Center*: multimedia medic al courses:
http://www-sci.lib.uci.edu/~martindale/Medical.html
.
* I*ndex of Medical Image Resources*:
http://www.crs4.it/~france/MEDICAL/institutions.html
.

* *b). Broad Medical Informatics Resources*.

* *MedWeb: *A very large collection of medical informatics
applications and resources. Emory University medical centers were
pioneers in Unix based Hospital Information Systems and large
scale use of Computer-based Patient Records (CPR):
http://www.gen.emory.edu/medweb/medweb.informatics.html.
* *The Hardin Meta Directory *of Internet medical informatics:
http://www.arcade.uiowa.edu/hardin-www/md.html
.
* *Current Medical Informatics Research Training Institutional
Grantees: *Harvard/Tufts/NE Medical Center, Yale Center for
Medical Informatics, Columbia University, University of
Pittsburgh, Duke university, University of Minnesota Health
Sciences Center, University of Missouri, Rice University/Baylor
College of Medicine, Oregon Health Sciences University, Stanford
University School of Medicine, Regenstrief Institute, University
of Utah.
* *Free medical literature searches over the Internet:
*http://www.nnlm.nlm.nih.gov/ Free
MEDLINE available through Internet Grateful Med and PubMed.
1-800-338-7657. Internet Grateful Med V2.3.2 offers 11
databases. In addition to MEDLINE, HealthSTAR, PREMEDLINE, and
AIDSLINE, this version of Internet Grateful Med (IGM) offers free
access to AIDSDRUGS, AIDSTRIALS, DIRLINE, HISTLINE, HSRPROJ,
OLDMEDLINE, and SDILINE. When first invoked, Internet Grateful Med
is set to search in MEDLINE®. Select the "Search Other Files"
action on the Search Screen to change from MEDLINE to one of the
other databases accessible through IGM. Also gives access to
*Loansome Do*c and Clinical Alerts. IGM can map user terms through
NLM's Unified Medical Language System (UMLS) Metathesaurus to help
users create, submit and refine on-line searches. Internet
Grateful Med Development Team National Library of Medicine 8600
Rockville Pike Bethesda, MD 20894 USA or access@nlm.nih.gov.
* *Free medical literature searches via Physicians on Line: *If you
are an MD and hava a DEA number you can access all the databases
free using local phone numbers. The ads on the bottom one inch of
the screen explain why a DEA is needed. You can also purchase
low-cost, general Internet access from POL. 1-800 332-0009

* *c). Sources for Grants in Medical Informatics*
* *d). Computer Know-how for Telemedicine*
* * Organizing distributed networksiciml17
*
* *Handbook for Use of Free Unix (Linux and Solaris) on a PC
*iciml18
* * Tips on buying a computer iciml19
*
* *Solaris8 (Sparc and Intel) Command Summary click here
*

------------------------------------------------------------------------

* e-mail: dfp10@wadsworth.org. . Owner, Moderator, and Publisher of
hspnet-l@health.state.ny.us Discussion of Interhospital Networks
(Design and Use).
* Tel: (518) 474-7047. . Fax: 474-8590 To send e-mail to D. Parsons
clickHERE
* Department of Health, Empire State Plaza, Box 509, Albany,
NY12201-0509. Research-Physician III. [Also :Assistant Professor
Biometry and Statisics, Albany School of Public Health, State
University of New York at Albany, East Campus, One University
Place, Room 150, Rensselaer, NY 12144-3456].

End of MI Home Page. DFP

*To the TOP of the page <#top>*

/CBT/bipolar disorder

2008-01-26T18:38:00.001-08:00

/cbt_bipolar

resource: bipolar disorder: a cognitive therapy approach. Newman, Cory F. et al. 2002. American Psychological Association.

case:
univ of pennsylvania, early 1990s
bipolar I, currently depressed

intake eval
DSM-
Hamilton Rating Scales (Hamilton 1960), other self-report measures
Beck Depression Inventory (BDI; A.T. Beck et al 1961)
Beck Hopelessness Scale (BHS; same 1964)
speculate on Axis II
adjunctive bibliotherapy:
Moodswing. Fieve. 1989.
weekly assessment inventories:
daily mood log, Chronorecords. peter why brow and mark bauer at u penn
DTR, daily thought recorder. one of the most fundamental and important of the CBT techniques
use whenever he feels angry or hurt
good at spotting prodromes to depression and mania. buy himself time to use CBT stragegies, seek support fr social network, consult with psychiatrist in case medications were warranted
depression: getting up late in the morn, uncommunicative with SO, not caring to play music, having streams of pessimistic and cynical thoughts about himself and future
mania: becoming argumentative too easily, staying awake until early morn, urge to telephone people at odd hours on the spur of the moment, "don't care" attitude that should worry him (money), going out of his way to learn personal things about other women
CBT works best when pts accumulate knowledge about themselves in a thematic way fr session to session, leading to a broadening of their perspectives about themselves, world, future [cognitive triad?].
self help: scheduling productive activities, getting feedback fr others, delaying the urge to act impulsively (delay 48 hours)

"stages", Lam et al 1999 and Scott's 1996a
Stage 1: beginning treatment
session 1-2
socialization into cognitive model
setting goals
-cbt: focus on pt's mental and behavioral approach to life- constructive outlook on life, less stress, more confident w/o being too confident, more adept at solving his problems; improve quality of life, learn to live w/ his meds, be less apt to extreme mood cycles and relapses in fxning
-learning a series of psychological skills, controlling the bipolar disorder, reducing future vulnerability

Stage 2: applying the cognitive model routine
sessions 4-8: learing the strategies and techniques of CBT
COGNITIVE TRIAD a). reflection of his beliefs about relationships, formed fr his parent's relationships, maintained by his views of his affairs b). fxn of daily interactions betw him and wife, perceived and treated each other c). overall result of his general views of himself, world, future COGNITIVE TRIAD.
homework-
combat abandoment schema: catalogue as many memories of wife showing him attention and affection
take square aim at his entitlement schema: write about what he was willing to contribute to wife's life
: list examples of ways that he trusted or didn't trust himself
sessions 9-14: experiencing improved moods, behaviors, hopefulness

Stage 3: using CBT to manage serious new problems
sessions 15-17: crisis intervention
sessions 18-36: actively dealign with increased stressors and symptom elevation
sessions 37-39: couples sessions
sessions 40-41: medication problems and cognitive therapy

Stage 4: consolidating gains and guarding against risk of relapse

sessions 42-46: preparing for the future
sessions 47-48: saying farewell

capacity

2008-01-26T18:29:00.001-08:00

Competence is a legal state, not a medical one. Competence refers to the degree of mental soundness necessary to make decisions about a specific issue or to carry out a specific act. All adults are presumed to be competent unless adjudicated otherwise by a court.

Capacity is defined as an individual's ability to make an informed decision.

Establishing capacity
Does the patient UNDERSTAND the nature of his medical condition and the potential CONSEQUENCES of refusing treatment and/or transport?
Assessment of DECISION MAKING CAPACITY:
Absence of deficits in:
-Cognition
-Judgment
-Understanding
-Choice
-Expression of choice
-Stability

ACDC
Autonomous decision
Capable individual
Disclosure of adequate information by provider
Comprehension of the information by individual

COMPREHENSION
âSliding Scaleâ standard
The more serious the risk posed by the patientâs decision the more stringent the standard of comprehension (capacity) required.

ARTICLES
Hosp Community Psychiatry 41:1140-1141, October 1990
Â©1990 American Psychiatric Association
Psychiatric Evaluation of Competency in Physically Ill Patients Who Refuse Treatment
John C. Mahler, Samuel Perry, and Frank Miller

Psychosomatics 47:443-448, October 2006
doi: 10.1176/appi.psy.47.5.443
Â© 2006 Academy of Psychosomatic Medicine
CASE REPORTS
Involuntary Hospitalization of Medical Patients Who Lack Decisional Capacity: An Unresolved Issue

resources
http://lawprofessors.typepad.com/elder_law/2006/01/competence_vs_c.html

bipolar kids

2008-01-26T18:25:00.000-08:00

dunno why i made this info sheet, but...
created 8/12/2004

1. Elated
children may laugh hysterically and act infectiously happy without any reason at home, school or in church. If someone who did not know them saw their behaviors, they would think the child was on his/her way to Disneyland. Parents and teachers often see this as "Jim Carey-like" behaviors.
[ma's report]

2. Grandiose
behaviors are when children act as if the rules do not pertain to them. For example, they believe they are so smart that they can tell the teacher what to teach, tell other students what to learn and call the school principal to complain about teachers they do not like. Some children are convinced that they can do superhuman deeds (e.g., that they are Superman) without getting seriously hurt, e.g. "flying" out of windows.

3. Hypersexuality
can occur in children with mania without any evidence of physical or sexual abuse. These children act flirtatious beyond their years, may try to touch the private areas of adults (including teachers), and use explicit sexual language.
[his interest in girl with glasses]

4. Flight of ideas
is when children jump from topic to topic in rapid succession when they talk and not just when a special event has happened.

5. Sleep
Decreased need for sleep is mUntitled 2anifested by children who sleep only 4-6 hours and are not tired the next day. These children may stay up playing on the computer and ordering things or rearranging furniture.
[he sleeps well]

Five symptoms (i.e., elation, grandiosity, flight of ideas/racing thoughts, decreased need for sleep, and hypersexuality) provided the best discrimination of PEA-BP subjects from ADHD and CC controls. These five symptoms are also mania-specific in DSM-IV (i.e., they do not overlap with DSM-IV symptoms for ADHD).
Irritability, hyperactivity, accelerated speech, and distractibility were very frequent in both PEA-BP and ADHD groups and therefore were not useful for differential diagnosis. Concurrent elation and irritability occurred in 87.1% of subjects with PEA-BP.

rapid cyclers
it is most common for children with mania to have multiple cycles during the day from giddy, silly highs to morose, gloomy suicidal depressions. It is very important to recognize these depressed cycles because of the danger of suicide.

worse course
disease appears more severe and with a much longer road to recovery than is seen with adults. While some adults may have episodes of mania or depression with better functioning between episodes, children seem to have continuous illness over months and years.

psychotic features different
Prevalence of psychotic features in pediatric bipolar disorder ranged from 16 to 87.5% based on age and methodological differences. The most common psychotic features are mood congruent delusions, mainly grandiose delusions. Psychotic features appear in the context of affective symptoms in pediatric bipolar disorder as opposed to schizophrenia where psychotic symptoms are independent of them. Family history of affective psychosis aggregated in probands with bipolar disorder.
Limitations: There is discrepancy in clinical appraisal of what constitutes psychosis and pediatric bipolar disorder, apart from the differences in methodology and nature of the samples.

Presentation is atypical by adult standards and includes irritability, chronicity, and mixed state. Family-genetic and treatment data help to establish diagnostic validity. Pediatric bipolar disorder is not a rare condition. Treatment requires a combined pharmacotherapy approach to address issues of comorbidity. Atypical antipsychotic medications have provided promising treatment results, but additional controlled clinical trials are needed.

/Tx
These are largely three main types of drugs.
Lithium,
over a long time will need a thyroid supplement and in rare cases may develop serious kidney disease.

anticonvulsants (e.g., Depakote or other valproate products)
increased weight and
possibly with a disease called polycystic ovarian syndrome (POS)

weight gain include glucose problems that may include the onset of diabetes and increased blood lipids that may worsen heart and stroke problems later in life.
tardive dyskinesia, which is irreversible, unsightly, repeated movements of the tongue in and out of the mouth or cheek and some other movement abnormalities.

form letter after interview

2008-01-26T09:28:00.000-08:00

Name
Position
Department
Address

Dear Dr.

Thanks for the courtesy and consideration shown during interview. Mention the day you interviewed.

Reaffirm interest in program. Mention anything that enhances yourself as a candidate for the program and specialty.

Answers to questions deferred during interview. Offer to provide any additional information the program or interviewer might need.

I look forward to working with you in the future. simple positive closing sentence.

lithium tremor

2007-12-28T05:56:00.001-08:00

/LITHIUM TREMORS

Gelenberg AJ. Jefferson JW. Lithium tremor. [Review] [43 refs] [Journal Article. Review] Journal of Clinical Psychiatry. 56(7):283-7, 1995 Jul.
Journal title owned by HS/HSL.
UI: 7615481
in print

drink less caffeine

use of beta blockers
metopralol, propanolol, pindolol

Lithium-induced disabling tremor
Van Putten Psychosomatics.1978; 19: 27-31
in print

residency requirements

2007-12-07T13:15:00.001-08:00

http://www.acgme.org/acWebsite/downloads/RRC_progReq/400pr07012007.pdf
changed fr 9 months inpatient to 6 months inpatient as of 7/1/2007.

4 months WPCC + 2 months geriatric + 3 months IPHB = 9 months

legislation

2007-11-15T08:20:00.000-08:00

House of Representatives is expected to vote on a motion to override President Bush's veto of the FY 2008 Labor-HHS Appropriations bill (HR 3043). This bill includes the budgets for the National Institute of Mental Health (NIMH) and the Substance Abuse and Mental Health Services Administration (SAMHSA) - with increases totaling $40 million for FY 2008 for mental illness research and services.

800-965-4298 = Capitol. spoke with some woman who was going to pass the message along to a woman rep?
or 877-210-5351

fellowships

2007-11-12T13:42:00.001-08:00

/

We are delighted to announce a new program award jointly sponsored by
AADPRT and the American Academy of Psychoanalysis and Dynamic Psychiatry
(AAPDP) honoring the work and life of Victor Teichner, M.D., an
innovative psychoanalyst and educator. The purpose of this award is to
support a Visiting Scholar to a residency training program that wants to
supplement and enrich its training in psychodynamic psychotherapy. The
expenses and stipend for the Visiting Scholar are covered by the award
for a 1-3 day visit, supported by an endowment provided by a grateful
patient of Dr. Teichner. All residency training programs are eligible
to apply. Preference will be given to programs that are "underserved"
in an area of psychodynamic education and training. Programs and their
Visiting Scholar will be honored at the annual meetings of both AADPRT
and the Academy.

Additional information, including a list of eligible Visiting Scholars
and an application form, can be found on the AADPRT website at
http://www.aadprt.org/

As this is the first year of the award, we welcome any and all
suggestions for the future. Please address any questions or comments to
Sherry Katz-Bearnot, MD, current President of the AAPDP, Jackie Coleman,
Executive Director of AAPDP, or to me as President of AADPRT.

Mark Servis, MD
President, AADPRT

The link for more information on each award is:
http://www.aadprt.org/
http://www.aadprt.org/aadprt/fellowships.aspx

Residents selected for these awards will have their expenses paid to
attend, and will be honored at, the 2008 annual meeting in New Orleans,
March 13 - 16.

1. AADPRT Ginsberg Fellowship
- For residents interested in education and teaching
- Seven fellowships awarded annually
- Funding for AADPRT annual meeting
AADPRT/George Ginsberg Fellowship Awards
DEADLINE: November 26, 2007
This fellowship acknowledges the excellence and accomplishments of
outstanding residents/fellows interested in psychiatric education and
teaching. Seven fellows are selected annually. EACH INSTITUTION MAY
NOMINATE ONE GENERAL PSYCHIATRY RESIDENT AND ONE RESIDENT FROM EACH
ACCREDITED SUBSPECIALTY FELLOWSHIP PROGRAM (E.G. CHILD AND ADOLESCENT,
ADDICTIONS, FORENSICS, GERIATRICS, PSYCHOSOMATIC MEDICINE). Programs
whose nominees have received this award are ineligible to nominate
candidates for the next two competitions.

2. AADPRT IMG Mentorship Program
- Fosters early career development of IMGs
- Seven residents chosen annually

3. AADPRT Henderson Paper Award
- Award for best unpublished paper in the general area of Child Psychiatry
Peter Henderson M.D. Memorial Award
DEADLINE: December 17, 2007
This award honors the late Peter Henderson, M.D., a past president of
AADPRT particularly interested in nurturing the link between child and
adolescent psychiatry and general psychiatry. The award gives a $500
prize for the best unpublished scholarly paper contributing to the field
of child and adolescent psychiatry, written while the nominee was a
general psychiatry resident or child and adolescent psychiatry fellow.
MANUSCRIPTS RELATED TO PSYCHIATRIC EDUCATION ARE ESPECIALLY ENCOURAGED.

4. AADPRT Fromm-Reichmann Fellowship
- For those interested in psychotherapy
- $300, funding for annual meeting, and subscription to Academic Psychiatry
Frieda Fromm-Reichmann M.D. Memorial Award
DEADLINE: December 17, 2007
AADPRT and the Endowment for the Advancement of Psychotherapy sponsor
this award honoring the work and life of renowned psychoanalyst Frieda
Fromm-Reichmann M.D. The award provides a $300 prize for the best
unpublished work in the general area of psychotherapy, written during
general psychiatry or accredited fellowship training. THE CONTEST IS
OPEN TO CURRENT RESIDENTS IN A GENERAL PSYCHIATRY RESIDENCY OR
ACCREDITED SUBSPECIALTY FELLOWSHIP PROGRAM.

Program for Minority Research Training in Psychiatry
Funding available for research training
Amount of funding depends on level of training-up to almost $51,000 for fellows.
Deadline: 12/1/2007

APA/SAMSA and APA/Astra Zeneca Fellowships
Part of the APA's Minority fellowship program
SAMSA is one year, Astra Zeneca is two
Fellows assigned to work with an APA component
Go to Annual meeting and Fall Component meeting (Astra Zeneca also goes to IPS)
Deadline: 1/31/2008

APA/SAMSA and APA/Astra Zeneca Fellowships
Part of the APA's Minority fellowship program
Provides recipients with resources to support activities that enhance culturally relevant aspects of their training program
Designed to stimulate recipients interest in pursuing training in areas of psychiatry where minority groups are underrepresented, such as research, child psychiatry, and addiction psychiatry
Designed to develop leadership to improve the quality of mental health care for American Indians, Native Alaskans, Asian Americans, Native Hawaiians, Native Pacific Islanders, African Americans and Hispanics/Latinos.
SAMSA is one year, Astra Zeneca is two
Fellows assigned to work with an APA component
Go to Annual meeting and Fall Component meeting (Astra Zeneca also goes to IPS)
Deadline: 1/31/2008

3. APA/Lilly Resident Research Award
Â· Five awardees nationally
Â· Best unpublished original scientific paper
Â· $1500 to each awardee, plus $1000 each to their programs
Â· Award given at the APA annual meeting
Â· Deadline: 12/15/2007

APA/Shire Child and Adolescent Psychiatry Fellowships
Travel fellowship to attend APA annual meeting two years in a row
Aimed at general residents interested in Child
Awardees assigned a mentor, and present a workshop at their second meeting
PGY1-3 eligible to apply
3-5 residents chosen nationally
Deadline: 12/17/2007

APIRE/Janssen Resident Psychiatric Research Scholars
Funding for two years of APA Annual meetings
For folks interested in clinical and health services research
Mentoring and career enrichment programs at Annual meeting and during the year
$2500 award in second year of fellowship to assist research career development
Deadline: 1/15/2008

NCDEU New Investigator Award
For research in psychopharm (expanding to include translational research)
Awardees get a $1000 stipend to attend the meeting and participate in a day long career development workshop prior to the general meeting
Need to submit an abstract and present a poster
Applicants should be nominated by their mentors
Deadline: 1/25/2008

shreber

2007-10-30T14:35:00.000-07:00

Memoirs of My Nervous Illness
Daniel Paul Shreber

The Shreber case
Freud

Editorial Reviews
Amazon.com
Daniel Paul Schreber began Memoirs of my Nervous Illness in February 1900 while confined in an asylum, as part of an appeal for release. Schreber, second son (the first committed suicide) of an abusive father, was at the peak of a brilliant career in Leipzig when he was appointed Presiding Judge of the Saxon High Court of Appeals. Alas, the stress of his new job proved too much for him, and before long he was hearing voices and feeling suicidal. Within weeks he was committed, having rapidly descended into madness, and was placed under the care of Dr. Paul Emil Flechsig. From the start, Schreber struggled to make sense of what he was seeing and hearing, and in fact Memoirs is so lucid and self-aware, so internally consistent and insightful, that he was released on its strength. Still, reading this man's prose is a lesson in subjective reality, by turns funny and terrifying.

I existed frequently without a stomach.... In the case of any other human being this would have resulted in natural pus formation with an inevitably fatal outcome; but the food pulp could not damage my body because all impure matter in it was soaked up again by the rays.

As Christianity alone could not explain what seemed to be happening to him, Schreber pieced together a complex theology involving a divided God with dark and light incarnations, whose "rays" and "nerves" interacted in various ways with humans. God was also his personal tormentor, in league with Flechsig to commit "soul-murder" by manipulating his nerves. Further, Schreber believed that he was being literally "unmanned" so that God could sexually violate him and conceive a new human race: "But as soon as I am alone with God ... I must continually or at least at certain times strive to give divine rays the impression of a woman in the height of sexual delight..."

Schreber had a hard time believing in the "fleeting-improvised-men" who flitted in and out of his life, and grew convinced that he was the only human left in a world of shadows. But he did know that something was wrong. He would hear the birds in the asylum's garden ask him, over and over, "Are you not ashamed?" And he was aware that his bellowing, banging on the piano, and other bodily manifestations of God's manipulation of his nerves (or "miracles") were startling to others, to say the least. Many of Schreber's delusions had to do with escaping his body--the constant babble of thousands of voices in his head were infuriating, as was his inability to cease thinking:

The sound which reaches my own ear--hundreds of times every day--is so definite that it cannot be a hallucination. The genuine "cries of help" are always instantly followed by the phrase which has been learnt by rote: "If only the cursed cries of help would stop."

Memoirs of My Nervous Illness succeeds on many levels: as a memoir, as imaginative literature, and as a serious work of mythology. Flechsig makes a menacing and inscrutable villain, representing materialistic thinking and conventional reality--no help at all. Schreber, meanwhile, is the classic hero, struggling to stay sane in a cruel and capricious universe. --Therese Littleton

Book Description
In 1884, the distinguished German jurist Daniel Paul Schreber suffered the first of a series of mental collapses that would afflict him for the rest of his life. In his madness, the world was revealed to him as an enormous architecture of nerves, dominated by a predatory God. It became clear to Schreber that his personal crisis was implicated in what he called a "crisis in God's realm," one that had transformed the rest of humanity into a race of fantasms. There was only one remedy; as his doctor noted: Schreber "considered himself chosen to redeem the world, and to restore to it the lost state of Blessedness. This, however, he could only do by first being transformed from a man into a woman...."

look up

2007-09-08T09:29:00.000-07:00

methadone --> sleep disturbance. waking q1hr

sleep

2007-08-30T18:56:00.000-07:00

National Sleep Foundation
www.sleepfoundation.org

American Academy of Sleep Medicine
www.aasmnet.org

National Center on Sleep Disorders Research
www.nhlbi.nih.gov/about/ncsdr

/online books
freud, interpretation of dreams
http://psychclassics.yorku.ca/Freud/Dreams/index.htm

/books
Handbook of Sleep Medicine
by Alon Avidan, Phyllis C. Zee
$54.95 Online b&n
Publisher: Lippincott Williams & Wilkins
Pub. Date: May 2006
ISBN-13: 9780781762380
Sales Rank: 139,202
256pp
Edition Number: 1

Dr. Seuss' Sleep Book, 10.17 on amazon.com (7/29/08)

Man and His Symbols
by C. Jung, Carl Jung (Editor), Joseph L. Henderson (Editor), Jolande Jacobi (Editor), Aniela Jaffe (Editor)
$7.99 Online price $
(Mass Market Paperback)
Publisher: Dell Publishing
Pub. Date: January 1968
ISBN-13: 9780440351832
Sales Rank: 14,657
415pp

The Undiscovered Self: With Symbols and the Interpretation of Dreams, Vol. 20
by Carl Jung, R. F. Hull (Translator)
$14.95 Online price
(Paperback - REV)
Publisher: Princeton University Press
Pub. Date: October 1990
ISBN-13: 9780691018942
Sales Rank: 55,026
158pp
Series: Bollingen Series
Edition Description: REV

Lucid Dreaming: A Concise Guide to Awakening in Your Dreams and in Your Life
by Stephen LaBerge
$19.95 b&n
Publisher: Sounds True, Incorporated
Pub. Date: February 2004
ISBN-13: 9781591791508
Sales Rank: 105,540
83pp

On Dreams
by Sigmund Freud, M. D. Eder (Translator), M. D. Eder (Translator)
$3.50 Online price
Publisher: Dover Publications
Pub. Date: March 2001
ISBN-13: 9780486415956
Sales Rank: 131,820
80pp
Series: Thrift Edition Ser.
Edition Description: Dover Thrift Editions
Other Formats:
Paperback

Children's Dreams: Notes from the Seminar Given in 1936-1940 by C.G. Jung
by C. G. Jung, Lorenz Jung (Editor), Maria Meyer-Grass (Editor)
$39.50 Online price
Publisher: Princeton University Press
Pub. Date: March 2008
ISBN-13: 9780691133232
Sales Rank: 76,920
514pp
Series: Jung Seminars Ser.

Dreams and Professional Personhood: The Contexts of Dream Telling and Dream Interpretation among American Psychotherapists
by Mary-Therese B. Dombeck, Mary T. Dombeck
$22.95 Online price
Publisher: State University of New York Press
Pub. Date: July 1991
ISBN-13: 9780791405895
271pp
Series: Suny Series in Dream Studies

/book list
http://www.stanford.edu/~dement/bookwell.html

/pediatric sleep
popular blogs-
http://thelittlehipster.blogspot.com/2008/05/sleep-book-recommendations.html
5/30/08 posting
Healthy Sleep Habits, Happy Child by Marc Weissbluth, MD.
many experts recommend that you put baby to sleep every 2 hours for the first few months of their life. This prevents them from getting overtired and thus in the "no sleep zone
Happiest Baby on the Block by Harvey Karp, MD.
5 S's: Swaddle, Side/ stomach (football hold) of baby, Shushing, Swinging, Sucking
most babies do not sleep through the night until they are 5-8 months old

/basic heart and lung sounds
http://www.stethographics.com/main/physiology_overview.html

ADHD

2007-08-01T04:58:00.000-07:00

_the defiant child_
order on Amazon or www.half.com
3rd-4th ed now

takes 9-10 weeks

important points:
noticing good behavior
incentives before consequences
consequences that are immediate, consistent, and specific

step 1: childproof home
step 2: learn to enjoy kids again; pay attention to child

Barkley vs. Carolyn Webster-Stratton - video and discussion before behavior plan

Other parent training books:
Parenting the Strong-Willed Child by Rex Forehand and Nicholas Long,
The Incredible Years by Carolyn Webster-Stratton,
The Kazdin Method for Parenting the Defiant Child by Alan Kazdin.
http://health.usnews.com/articles/health/living-well-usn/2008/06/12/good-parents-bad-results.html

Mary Alvord, a clinical psychologist in Rockville, Md., offers weekly group sessions using cognitive behavioral therapy to help children with ADHD improve their social skills. "We also mix in kids with social anxiety," Alvord says. "They provide excellent modeling opportunities and support for one another."

20% don't respond to drugs

only behavioral therapy proven. not talk or play therapy

Multimodal Treatment Study of Children with ADHD (MTA)
followed 579 grade-schoolers for 14 months.
1990s
Parents and teachers rated the medication-only group as having many fewer symptoms of inattention and hyperactivity/impulsivity.
But they rated the children who got behavioral treatment as doing better on aggressive behavior, peer relations, parent-child relations, and academic achievement.
ndeed, when the study ended and the extra monitoring stopped, the benefits faded for all groups, medicated or not.

case formulation

2007-07-31T06:32:00.000-07:00

structural
genetic
dynamic/interpersonal
cognitive/behavioral

structural-
enduring psychological structures such as relation to reality, object relations, affects, thinking, impulse control, defenses

genetic-
early life including parental relationships, losses, traumas, developmental milestones

dynamic/interpersonal-
individual's current conflicts, particularly interpersonal conflicts with important people in patient's life

cognitive/behavioral-
problem list, including automatic thoughts, core beliefs, conditional believes, origins, precipitants or activating situations, predicted obstacles to treatment, treatment plan

fr brief integrated psychotherapy paper
given out by Borja

erik h. erikson

2007-07-12T15:08:00.000-07:00

b 6/15/1902 Karlsruhe, Germany
father Protestant, mother Jewish; both Danish and separated before birt
mother later married child's pediatrician, a well-to-do Jewish doctor
primary interest was art
wandered in his youth
changed his name fr Homburger to Erikson when 37yo

childhood and society.
young man luther.
gandhi's truth.

integrity vs. despair

2007-07-12T15:00:00.000-07:00

approx 60yrs - death
integrity = "acceptance of one's one and only life cycle and of the people who have become significqnt to it as something that had to be and that, by necessity, permitted of no substitutions"
relinquishes the wish that important people in his life had been different and is able to love in a more meaningful way
acceptance of responsiblity of one's own life
wisdom
room to tolerate the proxiity of death and to achieve a "detached yet active concern with life"

despair-
deeply disgusted with the external world and contemptuous of persons as well as institutions
disgust masks a fear of death and a sense of despair that time is now short, too short in attempt to start a new life

Physicians for Social Responsibility

2007-07-02T16:49:00.001-07:00

PSR
http://psr.convio.net/site/PageServer?pagename=home

MARYLAND
PSR/Baltimore
Larry Egbert, MD - President
325 East 25th St.
Baltimore, MD 21218
410-235-7760 (o)
410-235-7711 (f)
email: egbertL4pj@yahoo.com

psych movies

2007-06-02T18:48:00.000-07:00

DID
Sybil
The Three Faces of Eve
Identity
Fight Club

Equus, 1977
Richard Burton, Peter Firth
dir Lumet
psychiatrist tries to understand a stable boy who blinded 6 horses in his care

Zelig, 1983
Woody Allen, Mia Farrow
psychiatrist insists that Zelig's "human chamelon" condition can only exist in his mind

Don Juan De Marco, 1995
Faye Dunaway, Marlon Brando, Johnny Depp
man who's convinced he's Don Juan, and exploring his issues revitalizes doctor's relationship with his wife

The Machinist, 2004
Christian Bale, JJLeigh
insomniac

watched:
Capote, 2005
Persona, 1967
Afterlife, 1998
Eternal Sunshine of the Spotless Mind, 2004
Stranger than Fiction, 2006
Adaptation, 2004
Fargo, 1996
Being John Malkovich, 1999
Volver, 2006

Carefree, about 3/4 of it at least 8/16 on TCM
plot: man (steve) takes woman (amanda, played by Ginger Rogers) to a psychoanalyst (Tony, played by Fred Astaire) to help her commit to a likely upcoming wedding. amanda and her aunt Cora, as well as steve all seem wealthy. frequent the medfield country club. tony orders her a dream-invoking diet and ordered a sedative to promote dreams that he could psychoanalyze, gave her anesthesia (sodium amytal? but that can be given orally as far as i can tell), and hypnotized her with a flashing light. she lies to remain his patient as she falls in love with him, he hypnotizes her to love steve and hate him, he realizes he loves her, tries to reverse the hypnotism, and eventually succeeds, and he steals him from steve just about at the altar.
movie: just nice to watch the dance scenes, her outfits, the songs. amazing the choreography. sorta like bollywood movies- people breaking out in song at opportune times. but the movie's less than 2 hours long though...
about psych: full of misconceptions of psych. a lot of psychobabble about neuroses, treating her as if she was just an "interesting case" and not a real person, tony being a "scientist" by trying all these "new" things on her. but she kept on escaping inadvertently with the "therapies" still in effect. his orderly gave her aunt the sedative by accident. they had to gas her with the anesthesia while she was on a medical examining table. hypnotism doesn't involve controlling people's thoughts, forcing people to think certain ways or not (she was acting on the inserted thought that tony is a monster and should be shot down like a dog...).
the worst part was the lack of any boundaries. they go dancing together, dine together, he holds her hand while she reluctantly gets the anesthesia, and then he marries her. ugh. carefree indeed...

historic mental hospital postcards

2007-06-02T18:22:00.000-07:00

Dr. Robert Gardner
Lynchburg, VA
1st state public mental hospital in US = Williamsburg Lunatic Asylum, now known as Eastern State Hospital

history

2007-05-01T14:53:00.000-07:00

boronow, 5/1/2007 1p lecture

1954 thorazine developed
1955-1965. no outpatient services available, de institutionalizing
1966- JFK and LBJ started social services like
Medicare 1964
Medicaid 1965
Community Mental Health Act 1965 (which Sharfstein helped implement in the 1970s)
SSDI linked with Medicare; qualify for SSDI after 1.75 yrs of working, after 2 yrs of working qualify for Medicare
SSI linked with Medicaid

NYC- psychiatric ghettos. one of which was in South Beach of Brooklyn. slums of poor conditioned housing, substance abuse, prostitution. near Kings County Hospital.

1985 Project House in Maryland; has a waitlist of years
Board and Care "cottage" industry in the city
group homes

Fountain House in NYC, a clubhouse of sorts, started by and for people with psychiatric problems; dependent on charity

1990s, psychiatric rehab programs. New Adventures

1990s, managed care. GreenSpring --> Magellan of today
1st TN- destroyed the med care system
2nd MA- some resistance, coming fr Boston
3rd NY- more entrenched in social programs. ASO
4th MD
mental health clinics with salaried workers, block grants
being phased out by
small business model, where the bottom line is the end point

curriculum

2007-04-15T17:19:00.000-07:00

good advisors:
Dr. Jeffrey Soulen, U Penn
Towson University

ROS

2007-04-15T17:14:00.000-07:00

/ROS

per Kaplan-
psychosis
mood DO (depression, mania)
anxiety (GAD, panic DO)
OCD (counting, checking, contamination)
PTSD
ADHD
ODD/CD (quality of relationships; steal, legal history)
Learning disorder
Tics
Adjustment DO (stressors)

Rx

2007-03-06T04:38:00.000-08:00

benztropine:
t1/2 6-48h
if given IM, effective in 15 min; PO 1 hour

fluphenazine
t1/2 hydrochlorid 33h
oral absorption erratic and variable
IM hydrochloride ~1hr; decanoate 24-72hr

/anxiety DO/OCD

2007-02-14T18:55:00.000-08:00

/behavioral (exposure) therapy
-psychoeducation
-development of a hierachy
-imaginal exposure
-exposure in vivo
-self exposure

-psychoeducation
-development of a hierachy.
of triggers
walk thru their day to identify
rank situations fr most to least distressing
each item assigned a SUDS, subjective units of distress, 1-100
-imaginal exposure
imagine an exposure
loop tape
-exposure in vivo
using moderately (SUDS 40-50) to severely distressing over time
exposure sessions: don't distract, therapist should not provide reassurance as a way to reduce anxiety, rather direction/encouragement/praise
-self exposure

RESOURCES
for patients-
Baer L. Getting Control: Overcoming Your Obsessions and Compulsions. 2000
Foa E, Wilson R. Stop Obsessing! 1991
Gravitz HL. Obsessive-Compulsive Disorder: New Help for the Family. 1998

other-
OC foundation
www.ocfoundation.org

therapists-
Steketee GS. Treatment of Obsessive Compulsive Disorder: Treatment Manuals for Practitioners. 1993
Kozak MJ, Foa EB. Mastery of Obsessive-Compulsive Disorder: A Cognitive Behavioral Approach. 1998
March JS, Mulle K. OCD in Children and Adolescents: A CBT Manual, 1998

#fr 15th psych and mental health congress, 2002

gleanings

2006-12-08T21:50:00.000-08:00

the lives they left behind
willard psychiatric hospital
www.suitcaseexhibit.org

cognitive enhancement therapy.
gerard hobartt
univ of pittsburgh

calendar

2006-11-29T18:35:00.000-08:00

/3rd year
54th AACAP meeting
10/23-28/2007
boston, ma

applying for APA minority fellowship
due 1/31/2008

/4th year
55th AACAP meeting
10/28-11/2/2008
chicago, IL

http://www.aasmnet.org/BSMMiniFellow.aspx
deadline 1/15
for 4 weeks at a sleep center

AACAP Congressional Fellowship
be a PGY-4 or beyond
2 rec letters
deadline 2/1
for mid aug 2008 to late jul 2009

/5th year
56th AACAP meeting
10/27-11/1/2009
honolulu, HI

cost

2006-11-05T06:04:00.000-08:00

/licensing
$800
$500 renewal
refund $440

/membership
maryland psychiatric society, since 1/2006
2005-2006 $27.50 + $3 late fee
2006-2007 $68
-UMMS reimburses

MPS is assoc with APA

APA, since 1/2006
calendar year jan to dec
2007 $80

AACAP
2007 resident dues $60
maryland council $20

child and adolescent

2006-11-05T04:24:00.000-08:00

/books by apa

The clinical interview of the child 3rd ed
Greenspan, Stanley

Community child and adolescent psychiatry
Theodore Petti et al

concise guide to child and adol psych, 3rd ed
dulcan, mina et al

austism spectrum disorder
sally ozonoff et all

infant and toddler mental health
martin maldonado-duran

apa textbook of child and adolescent psychiatry, 3rd edition
jerry m. wiener

study guide to child and adolescent psychiatry
stephen j. cozza

clinical manual of pediatric psychosomatic medicine
richard j. shaw

helping parents, youth, teachers understand medications for behavioral and emotional problems
mina dulcan

essentials of child and adolescent psychiatry
mina dulcan and jerry wiener

/conf
managing the difficult to treat child and adolescent: multimodal approach
seph, 3/11/06

moving the youngster through a rational continuum
meena vimalananda, seph
gloria reeves

meditation, focusing, journaling and movement as adjuncts to therapy
stephen warres, community psychiatrist
robert levine, movement and meditation specialist

field trip

2006-10-14T07:39:00.000-07:00

Stephen Suomi. Rhesus monkeys.
National Institutes of Health Animal Center
Poolesville, Maryland

Tchaikovsky: Music and Melancholy

2006-10-07T16:04:00.000-07:00

10/7/2006
Goucher College
with @

Tchaikovsky 1840-1893
started playing piano at 5yo
10yo sent to school at St. Petersburg
14yo- mother died
1863, entered Conservatory
1866, to Moscow for professorship of harmony at a new conservatory
1869, 1st opera The Voyevoda was unsuccessful
1875, Third Symphony and Swan Lake
wealthy widow Nadezhda von Meck, corresponded for 14 years but never met; his financial support
thought marriage might help him, married quickly, but disastrous
nervous collapse, attempted suicide, went abroad
some of his greatest works, Fourth Symphony and Eugene Onegin
1878-84, creative trough
homosexual
1888, Fifth Symphony; note of hysteria in finale
Sleeping Beauth, Nutcraker, The Queen of Spades
1893, Sixth Symphony, performed 10/28 and he died nine days later
death- officially of cholera vs "trial" by old school that he commit suicide for his sexual behavior

Dr. Richard Kogan
Human Sexuality Program
NY Presbyterian Hospital-Cornell
Julliard 6-18yo
Harvard undergrad and med school

license

2006-10-07T14:20:00.000-07:00

/CME
10/5/06
Dr. Melvin McInnis
Advances in Bipolar Disorder: Optimizing patient care
Louisiana restaurant
6:30-8:30p (7-8:30p)

jobsearch

2006-08-09T18:57:00.000-07:00

recruiters at hospitals.
Eblast fee schedule: $99.99 flat charge to email your CV and cover letter
to as many states as you want. Just one or all 50.
www.residentscareercenter.com
866-522-9959
All you need to do is send us your CV, cover letter and tell us where you want to
go. We do the rest.

library_books

2006-06-08T06:54:00.000-07:00

i love library books.
and paying library overdue fees.
but i rarely read the ones that i check out.
so, a brief skim before they're plopped into the returns slot.

/chinese medicine
1. chinese herbal medicine. 1974. by chen pien li
supported by john p. fogarty international center
oh. a lot of cancer drugs.
some cardiac drug. Mao-tung-ching. vasodilates coronary arteries.
ginseng. Panax ginseng, C.A. Meyer. cute picture. was raising and maintaining blood pressure in someone s/p MI.
ginger. Zingiber officinale Rosc. with 0.25-3% volatile oil, maingly zingiberol, zingiberene, camphorene. also small amounts of zingirol, riesin and starch. zingirol is a yellow oily liquid that tastes spicy, and when mixed with zingerone and shogaol, all with 5% KOH, the spice is lost.
magnolia tree bark. used for respiratory congestion and typhoid fever?

/psych urgent care
1. essentials of crisis counseling and intervention. 2003. donald e. wiger and kathy j. harowski.
written more for counselors?

(-)some misspellings, all typewritten, written stiffly.
(+)some drawings of herbage in the back

ethnopharmacology

2006-06-01T18:52:00.000-07:00

/ethnopharmacology and gender differences, dr. tang
rec'd may 2006

pharmacokinetic issues
diet
Sudanese study regarding antipyrene
dosing
most recommendations based on majority population
metabolism
poor: practically no metabolism; nonworking or missing alleles/genes
slow: phenotypically mimics poor metabolizers
extensive = normal
ultra extensive: very efficient metabolism; may have multiple copies of gene

Cytochrome P450
2D6: metabolizes TCA
poor metabolizers: 5-7% Caucasians
2% African Americans
2% Hispanic
1% East Asian
slow metabolizers: up to 33% African Americans and Asians
ultra extensive: e.g. Spain natives have mutation that makes them fatst
2C19
poor metabolizers: Western population: 3%
3% African American
25% Asian American

psychotherapy

2006-05-02T19:41:00.000-07:00

3/23/06
90806 for 300.4
$175

research talks

2006-05-02T18:48:00.000-07:00

psychiatric neuroscience. mass general. june 2006.
-modern applications of neuroimaging in psychiatry. scott rauch
-psychiatric genetics: psychotic disorders. pamelar skalar
-neurochem of substance abuse. bertha madras
-neuroscience of psychotherapy. carl marci, josh roffman
-of cbt. mike otto
-sex differences in limbic system. jill goldstein
-stress, maternal care, behavioral dev in rodents. michael meaney
-pharmacogenomics in psychiatry. roy perilis
-future of psychopharm. jack gorman

books

2006-04-25T05:06:00.000-07:00

/CBT for sleep
Cognitive Behavioral Treatment of Insomnia, A Session-By-Session Guide.
Michael L. Perlis, PhD; Rochester
Carla Jungquist, MSN, FNP-C; Rochester
Michael T. Smith, PhD; JHU
Donn Posner, PhD; Brown
Springer 2005

/oral boards
Boarding Time: , Morrison and Munoz. August 2003, 3rd ed. $50.90. RC440.9.M67 2003
Clinical Study guide for the Oral Boards in Psychiatry, Nathan Strahl. not in library
Tasman's Pocket Companion to Accompany Psychiatry. 1997. 49.95. not in library
Psychiatric Interviewing: the Art of Understanding, Shawn Shea. 1998. 55. RC480.7.S54 1998
The Psychiatric Interview: A Practical Guide, Carlat. 2004. 37.70. RC480.7.C315 2005 checked out
The Psychiatric Interview in Clinical Practice, MacKinnon et al. 2006. 70. RC480.7.M25 2006. checked out

/misc
The Clinical Process in Psychiatry: Diagnosis and Management Planning
by Barry Nurcombe, Rollin M. Gallagher
Cambridge University Press (June 27, 1986)
List Price: $49.95

Clinical Study Guide For The Oral Boards In Psychiatry
by Nathan R. Strahl
American Psychiatric Publishing, Inc.; (May 2005)
List Price: $55.00

Kaplan and Sadock's Study Guide and Self-Examination Review in Psychiatry
by Benjamin J Sadock, Virginia A Sadock (Author), Ze'ev Levin (Author)
8 edition (May 1, 2007)
List Price: $69.95

Psychiatry Test Preparation and Review Manual: Text with CD-ROM (Paperback)
by John C. Spiegel (Author), John M. Kenny (Author)
List Price: $59.95
Mosby; Pap/Cdr edition (October 16, 2006)

Focus Psychiatry Review: 400 Self-Assessment Questions (Paperback)
by Deborah J. Hales (Editor), Mark Hyman Rapaport (Editor)
(October 18, 2006)
List Price: $44.95
(-)no neuro

Psychiatry for the Boards (Paperback)
by William W Wang (Author), Wen-Hui Cai (Author)
List Price: $54.95
(-) wait for next edition? (June 1, 2007)
(-) outline format
(+) good coverage of neuro
(-) more of an outline, 100 Q's at end

/Dr. S's recs
Barry Newcombe, goal-oriented treatment
likely- The Clinical Process in Psychiatry: Diagnosis and Management Planning (Paperback)
by Barry Nurcombe, Rollin M. Gallagher
Paperback: 768 pages
Publisher: Cambridge University Press (June 27, 1986)

Paul Mc Cue, how to think about a patient

/Dr. P's recs for anxiety DO
Edmund Bourne, PhD: Anxiety and Phobia workbook, 2005 4th ed. 19.95
Mastering your Anxiety and Phobia
David Burns: When Panic Attacks

/resident website
Resident Book List- Required, Recommended and Desirable Reading ...
File Format: PDF/Adobe Acrobat - View as HTML
Recommended References. PGYI. Synopsis of Psychiatry, Kaplan & Sadock, latest ed., ... Year Book Of Psychiatry, Talbott $76.00 (resident price) qtrly series ...
www.healthsystem.virginia.edu/internet/psych-training/resadmin/book-list.pdf - Similar pages - Note this

/mood
The American Psychiatric Publishing Textbook of Mood Disorders
Dan J. Stein
APA

/psychoTx
Learning Cognitive-Behavior Therapy. An Illustrated Guide
Jesse H. Wright
APA

Primer for beginning psychotherapy
Goldstein
ed 1998, 2001

Longterm psychodynamic psychotherapy
Gabbard

Core competency books

Judith Beck: Basics and Beyond. published 1995.
amazon 39 new/used. half.com 42. powell 50.

/emerg psych
The American Psychiatric Publishing Textbook of Suicide Assessment and Management
Robert I. Simon
APA

/on call
on call psychiatry. 3rd ed, 2006

/general
APA Practice Guidelines for the Treatment of Psychiatric Disorders.
Compendium 2006

/pharm
Essentials of Clinical Psychopharmacology, 2nd ed
Alan F. Schatzberg
APA

/psychoses
The American Psychiatric Publishing Textbook of Schizophrenia
Jeffrey A. Lieberman
APA

/child
Essentials of Child and Adolescent Psychiatry
Mina K. Dulcan
APA

Infant and Early Childhood Mental Health
A comprehensive Developmental Approach to assessment and Intervention
Stanley I. Greenspan

/neuro
the lobotomist
jack el-hai

/sleep
sleep disorders and psychiatry. review of psychiatry, vol 24. 2005
Buysse

/fiction, memoir
mount misery
quiet room
divided mind?
wasted

psychodynamic psychiatry in clinical practice, 4th ed
Glen O. Gabbard, MD
classic psychodynamic text
APA
$94

learning CGT, an illustrated guide, with dvd
Jesse H. Wright et all
APA
$49

psychiatry, psychoanalysis, and the new biology of mind.
eric r. kandel!
APA
$62

https://store.psychiatryonline.com/
per year: $399/$299 thru apa/$199 in training

/not so good
Psychiatry: 1,200 Questions to Help You Pass the Boards (Paperback)
by Maju Mathews (Author), Kumar Budur (Author), Biju Basil (Author), Manu Mathews (Author)
List Price: $54.95
(-) lots of typos

Pearls of Wisdom, Psychiatry - not good
(-) C by one grader
Also, I found many questions that were very esoteric and unhelpful. Having passed the boards

the first time around, I can attest that some of these questions just plain are not there.

Overall, I would give this a "C" rating, and can't recommend it highly -- but it's

moderately useful, if you read carefully.

addiction_medicine

2006-03-29T10:59:00.000-08:00

/VA, Dr. Bell
For dependence – need a story about tolerance and withdrawal symptoms.
EtOH detox, choosing between chlordiazepoxide/lorazepam/diazepam
Chlordiazepoxide usually
Long half life of 16-20 hours
Liver function problems, then use lorazepam –
As lorazepam is glucoridinated, and requires less processing by the liver
(-) short half life of 12-14 hours
Diazepam
Really long half life of 50hours; so can get withdrawal 10 days out from last use
Opiate detox
Can still get autonomic instability (incr BP, incr HR), but not as dramatic as alcohol withdrawal

links

2006-03-27T07:20:00.000-08:00

/fr

per ehrenreich
Neuroleptic Malignant syndrome
http://www.nmsis.org/

Treating and Preventing Adolescent Mental Health Disorders
www.oup.com/amhi-treatingpreventing

NAMI
www.nami.org
helpline: 1800.950.nami

adult cardiac life support cards
http://www.cirseiu.org/

drug rep dinner
www.bipolarnews.org
has life chart

/fr VA
VA in general can have a lot of resources. esp for Substance Abuse and PTSD

VISN 5 Mental Illness Research, Education, and Clinical Centers Internet Website

Links
VA Links

National Center for PTSD
Outcomes Measurement in VHA Mental Health Services
VA Mental Health & Strategic Health Care Group
VA Research & Development
Mental Health Links
Best Practices in Family Intervention for Serious Mental Illness*

National Alliance on Mental Illness (NAMI)*

National Alliance for Research on Schizophrenia and Depression*

National Institute of Mental Health

National Institute on Alcohol Abuse and Alcoholism

National Institute on Drug Abuse

National Mental Health Association*

National Mental Health Consumers' Self-Help Clearinghouse*

National Mental Health Information Center*

Schizophrenia Research Forum*

Schizophrenia Resources*

Substance Abuse & Mental Health Services Administration

Suicide and Mental Health Association International (SMHAI)*

articles

2006-03-22T09:39:00.000-08:00

Li as suicide prevention
Schou M: The effect of prophylactic lithium treatment on mortality and suicidal behavior: A review for clinicians. J Affect Disord 50:253-259, 1998.

www.psychiatryonline.com
priority code AH601

biblioTx

2006-03-20T07:52:00.000-08:00

/biblitherapy in great britain
wsj article fr dr. cohen 8/9/2005
_Mind Over Mood_. Dennis Greenberger and Christine Padesky. The Guildford Press
_How to Stop Worrying_. Frank Tallis. Sheldon Press.
_Overcoming Anger and Irritability. William Davies. Constable & Robinson Ltd and New York University Press.
_Emotional Confidence_. Gael Lindenfield. Thorsons Publishers.
_The Relaxation and Stress Reduction Workbook. Davis, Robbins, Eshelman & McKay. New Harbinger Publications.
_Overcoming Depression_.
_The Feeling Good Handbook_.

people

2006-03-17T10:49:00.000-08:00

/current
psychologists-
david barlow
brown

steven hayes

marsha linehan
UofWash

robert kohlenberg
UofWash

zindel segal
univ of toronto

/supervisors
12E: tom krajewski

/good speakers
glenn treisman, MD PhD assoc prof at JHU
10/26/06: unintended consequences of DNR orders and advanced directives

st. louis

2006-03-03T11:45:00.000-08:00

Eli Robins and Sam Guze, our clinicians have championed the medical model of psychiatry.

ER thoughts

2005-08-03T19:35:00.000-07:00

ER

rotation july 1-31, 2005.
PEOPLE
/faculty
Muttau – residency director. friendly accessible fellow, seems bright. he works as an attending on the floor. (south asian, glasses, grayish black hair, med build and height)
Martinez – clinical director. i saw him on the floor a lot, but didn't know who he was. he never introduced himself, but he seemed nice enough. (latin-looking guy, dark hair of med length, sorta tall)
Witting – research director. just saw him once during didactics
/residents
/interns
probably leaving the same time i am? some new ones with the change in rotations
/students
i think they're transitioning out the first week of august
TIME
/shifts
make sure to check your shifts when their rotations end; they changed my schedule during the last week of july and i didn't know about. nothing drastic, and actually to a better schedule, but you should check
7a-7p, main ed
red or blue intern. pick whichever team depending on the other intern coming on, whomever gets there first
10-10p, main ed
green (swing) intern. i liked this the most b/c you didn't have to sign out and pick up patients you didn't really know.
10a-10p, urgent care

/didactics
on wednesday, 7:30a to around 1p. so if you're scheduled for a wed shift, you can go directly to the didactics at 7:30a in the Shock Trauma Center auditorium (the one near where we got the id cards; and the same place where we had that super long boring day of orientation paperwork).
i only had one wed shift during the entire month, and only b/c i had switched shifts with another intern. i didn't know that we could go directly to didactics, and showed up for sign-out at 7a. it turned out fine b/c i knew some of the patients a little bit better when we got back fr conference. they had a residents' meeting at around 11:30a/12p and kicked me out. but was the first lunch period ever while in the ER – a nice break.
they have pretty good didactics. lectures, combo lecture with the internal medicine group, residents' comment, journal club type discussions, etc.

scrubs

john hopkins program

2005-06-07T07:38:00.000-07:00

/history
After reading Clifford Beers’s description of his own mental illness, A Mind that Found Itself, William Henry Welch (dean of the Johns Hopkins medical faculty) ordered the creation of a Hopkins affiliated psychiatric institute in 1908

Through the endowment of the philanthropist Henry Phipps, the Henry Phipps Psychiatric Clinic of The Johns Hopkins Hospital was founded in 1908, the first academic psychiatry department in America

Hopkins psychiatry residents are known as the “Phipps Residents,” honoring the department’s original benefactor

Adolf Meyer was the first professor of psychiatry at the Johns Hopkins Hospital and is considered the father of American psychiatry

The subspecialty of Child Psychiatry was founded at Johns Hopkins by Leo Kanner, M.D., the author of the first textbook in the field and the first to describe autism

Friday evening “tea” (happy hour) with the Psychiatry faculty and residents in Fell’s Point has been a weekly tradition for over fifteen years

/fellowships
Fellowship opportunities in the department include
Child and Adolescent Psychiatry,
Public/Community Psychiatry along with
Neuropsychiatry,
Substance Abuse,
Affective Disorders,
Geriatric Psychiatry,
Neuropsychiatry,
Neuroimaging,
numerous research fellowships. Our department has a strong relationship with the Maryland Forensic Psychiatry Program. Additional fellowship options exist through the Bloomberg School of Public Health (particularly the Department of Mental Health).

PGY-2

2005-05-18T08:28:00.000-07:00

5/18,
emailed
Ms. Grove at OHSU - no PGY-2 spots
Madeline Stiness at UCSF - emailed a month later; spots thru match
Essie Silva at San Mateo - such a small class, not likely

5/18,
printed out application for
Stanford
Univ of Wash

6/7,
emailed
Victoria Krouse at JHU
E-Mail: vkrouse1@jhmi.edu
she mailed stuff later

RTPADM"
To:
Date: Wednesday - June 8, 2005 6:14 PM
Subject: RE: PGY-2 psych residency positions
Mime.822 (3866 bytes) [Save As]

Dear :

Thank you for your interest in the UCSF Department of Psychiatry Residency Training Program in General Adult Psychiatry. You may apply for a PGY-2 position for Match 2006 via ERAS. To access the ERAS Match 2006 schedule, you may want to visit their website: http://www.aamc.org/students/eras/start.htm In addition to the ERAS application, there are supplemental application forms that you will need to complete. Please visit or program website closer to the 2006 Match season to access these forms.

Thank you again for your interest in our program,

RTP Administration
Residency Training Program in General Adult Psychiatry
University of California, San Francisco

Essie Silva"
To:
Date: Wednesday - May 18, 2005 5:54 PM
Subject: Re: psych residency PGY-2 positions?
Mime.822 (2863 bytes) [Save As]

Dear ,
Unfortunately, we do not nor anticipate any PGY2 positions at this time or next academic year. We are very small program and it is very rare that happens.
I will however, keep your email on file, should a position arise we will contact you.
thank you for your interest in our program.

take care.

Essie Silva
Program Coordinator

I was wondering if OHSU had any PGY-2 positions open for their psychiatry residency, and if they were part of or outside of match. I looked on the website, but it just had info about applying for PGY-1 positions. Any info would be greatly appreciated.

I was wondering if UCSF had any dedicated PGY-2 positions in the psychiatry residency. And if positions were open, whether they were part of or outside of match. I'm looking for the year 2006-2007.
I looked on the website, but it just had info about applying for PGY-1 positions. Any info would be greatly appreciated.

Thanks

Hello -

I was wondering if applications were available for PGY-2 positions in
your psychiatry residency program. Or is ERAS preferred? If there is
a separate application, would you be able to mail it to the following
address?
43 East Cross Street
Baltimore, MD 21230

Is it possible to meet with the residency director or associate
director? I'll be starting my psychiatry residency at University of
Maryland in July and want to make sure that I want to continue with
the PGY-2 application process.

Thank you very much.

-

fellowships

2005-05-18T08:20:00.000-07:00

/fellowships at OHSU
Child & Adolescent Psychiatry
Addiction
PVAMC Mood Disorders
Forensics
Geriatric Psychiatry

/CAP fellowships in CA, OR, WA, NJ, NY, PA, MD, DC, VA
43 programs
eyeballing them, the most interesting in terms of preference-
1-Pacific NW, ideal
OHSU: dunno how many (6?). in match program. apps in by 7/1, done with interviews by 11/15. 2 letters of rec, as well as dept letters. 3 of 6 were fr OHSU. still get excited looking at the program... can submit to get application sent to you.
U of Wash: 5 spots. 4 interviews for them- ? interviews 7/1 to 12/1. 2 rec letters, in addition to dept letter.

2- wherever, SO
2a- NJ has two in Newark and Piscataway
UMDNJ-med school: okay website. Candidates for the July, 2006 openings will be interviewed from September through early December, 2005. has autism center and maplewood psych assoc
UMDNJ-RWJ: looks stronger on freida. takes 4 per year, 18 interviews last year. apps in 7/1-12/01, with interviews 8/1 to 12/15. in the match system. 3 rec letters.
http://www2.umdnj.edu/psyrpweb/
they also offer geri and addiction fellowships
2b- locally Hopkins, UMMS

3-CA, home
University of California (San Francisco) Program:
not easily navigated fr website on freida. http://psych.ucsf.edu/ for general dept
3 rec letters, one saying that you can work well with children- ! can look at videos on the website: http://psych.ucsf.edu/residency-programs.aspx?id=836 (relook faculty one)
also offers other fellowships, like geri and forensics

Stanford University Program
should post their website on freida: http://childpsychiatry.stanford.edu/training/fellowships.html
apps due by 10/15. interview Mon/Wed 9-11/2005. they want FIVE rec letters.
seems a bit demanding

University of California (San Diego) Program
website: http://psychiatry.ucsd.edu/index.html
application: http://psychiatry.ucsd.edu/childresidency/ApplicationforChild.dot
need 3 letters. seems a little outdated?

UCLA Medical Center Program
Los Angeles County-Harbor-UCLA Medical Center Program
University of California (Irvine) Program
University of California (Davis) Health System Program
University of Southern California/LAC+USC Medical Center Program
Cedars-Sinai Medical Center Program

and just a paste fr Freida
Child and Adolescent Psychiatry (P)

California
Cedars-Sinai Medical Center Program
Los Angeles, California 405-05-11-008
UCLA Medical Center Program
Los Angeles, California 405-05-12-012
University of Southern California/LAC+USC Medical Center Program
Los Angeles, California 405-05-11-010
University of California (Irvine) Program
Orange, California 405-05-11-007
University of California (Davis) Health System Program
Sacramento, California 405-05-11-005
University of California (San Diego) Program
San Diego, California 405-05-21-014
University of California (San Francisco) Program
San Francisco, California 405-05-21-018
Stanford University Program
Stanford, California 405-05-21-019
Los Angeles County-Harbor-UCLA Medical Center Program
Torrance, California 405-05-21-020
District of Columbia

Children's National Medical Center/George Washington University Program
Washington, District of Columbia 405-10-21-024
National Capital Consortium Program
Washington, District of Columbia 405-10-12-002
Maryland

Johns Hopkins University Program
Baltimore, Maryland 405-23-11-047
University of Maryland Program
Baltimore, Maryland 405-23-21-048
New Jersey

UMDNJ-New Jersey Medical School Program
Newark, New Jersey 405-33-21-150
UMDNJ-Robert Wood Johnson Medical School Program
Piscataway, New Jersey 405-33-21-074
New York

Albert Einstein College of Medicine Program
Bronx, New York 405-35-21-077
Albert Einstein College of Medicine at Bronx-Lebanon Hospital Center Program
Bronx, New York 405-35-21-177
Brookdale University Hospital and Medical Center Program
Brooklyn, New York 405-35-31-078
SUNY Health Science Center at Brooklyn Program
Brooklyn, New York 405-35-21-094
University at Buffalo Program
Buffalo, New York 405-35-21-161
Mount Sinai School of Medicine (Elmhurst) Program
Elmhurst, New York 405-35-11-079
NSLIJHS-North Shore University Hospital/NYU School of Medicine Program
Manhasset, New York 405-35-11-076
NSLIJHS-Albert Einstein College of Medicine at Long Island Jewish Medical Center Program
New Hyde Park, New York 405-35-11-082
Harlem Hospital Center Program
New York, New York 405-35-21-081
Mount Sinai School of Medicine Program
New York, New York 405-35-11-085
New York Medical College at St Vincent's Hospital and Medical Center of New York Program
New York, New York 405-35-22-092
New York Presbyterian Hospital Program
New York, New York 405-35-21-182
New York University School of Medicine Program
New York, New York 405-35-21-088
St Luke's-Roosevelt Hospital Center Program
New York, New York 405-35-31-166
University of Rochester Program
Rochester, New York 405-35-11-095
SUNY at Stony Brook Program
Stony Brook, New York 405-35-21-158
SUNY Upstate Medical University Program
Syracuse, New York 405-35-13-178
New York Medical College at Westchester Medical Center Program
Valhalla, New York 405-35-21-097
Oregon

Oregon Health & Science University Program
Portland, Oregon 405-40-21-107
Pennsylvania

Penn State University/Milton S Hershey Medical Center Program
Hershey, Pennsylvania 405-41-21-147
Children's Hospital of Philadelphia Program
Philadelphia, Pennsylvania 405-41-11-111
Drexel University College of Medicine/Hahnemann University Hospital Program
Philadelphia, Pennsylvania 405-41-21-110
Thomas Jefferson University Program
Philadelphia, Pennsylvania 405-41-11-113
Allegheny General Hospital Program
Pittsburgh, Pennsylvania 405-41-21-174
University of Pittsburgh Medical Center Medical Education Program
Pittsburgh, Pennsylvania 405-41-31-114
Virginia

University of Virginia Program
Charlottesville, Virginia 405-51-11-130
Virginia Commonwealth University Health System Program
Richmond, Virginia 405-51-11-131
Washington

University of Washington Program
Seattle, Washington 405-54-21-132

social anxiety, baltimore

2005-05-04T11:38:00.000-07:00

/baltimore
http://www.ubalt.edu/disability/accommodation/psych_sad.html
The etiology of SAD can be determined when assessing the relationship between biological and psychological factors. These factors create chronic physiological and psychological symptoms. Feldman and Rivas-Vazquez (1999) found that SAD appears to have moderate heritability, and first-degree relatives of adults with SAD are three times more likely to acquired SAD. Tempermental traits associated with SAD include a tendency to be fearful, avoidant, quiet, and show restraint whenever confrontation arises. These tempermental traits create a physiological predisposition for anxiety. Individuals with SAD commonly experience physiological symptoms such as sweating, tremors, blushing, slowed cognition, and full panic attacks when placed in social situations. Psychological symptoms that accompany physiological reactions include fear, anxiety, maladaptive thoughts and feelings of one's self. Environmental influences such as parental Influences, cognitive influences, and conditioning events have a direct correlation with the severity of symptoms associated with SAD.
Psychosocial treatments and pharmacological treatments have produced the most effective results when reducing the symptoms of SAD. Research has shown that cognitive-behavior therapy has the highest rate of success when treating SAD. Important components of cognitive-behavioral therapy include exposure therapy, social skill training, relaxation training, and group behavioral therapy. Pharmacological treatments are recommended in association with therapy. Selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs) are commonly used for treatment. Despite the availability of health care, most adults who experience SAD do not receive treatment (Feldman & Rivas-Vazquez, 1999).
* For further information contact Jacquelyn Truelove-Desimone, Director of Disability Support Services at 410-837-4775 or jtruelove@ubalt.edu.
* The links provided will supply additional information:
http://www.socialphobia.org/
http://www.socialfear.com/
http://www.anxietynetwork.com/sphome.html
References
Feldman, F. B. & Rivas-Vazquez, R. A. (1999). Assessment and treatment of social anxiety disorder. Professional Psychology: Research and Practice, 34(4), 396-405. Retrieved January 20, 2005 from PsycINFO database.

Phillips, D. M., Siniscalchi, J. M., & Mcelroy, L. S. (1999). Depression, anxiety, anger, and somatic symptoms in patients with body dysmorphic disorder. Psychiatric Quarterly, 75(4), 309-320. Retrieved January 23, 2005 from PsycINFO database.

socialfear.com
A Recent Abstract on Social Anxiety Disorder:
Journal of Clinical Psychiatry 2001;62 Suppl 12:24-9
Comorbidity, Neurobiology, and Pharmacotherapy of Social Anxiety Disorder.
Pollack MH, Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston 02114

interests

2005-04-07T10:08:00.000-07:00

psychotherapy, DBT
child psych
community mental health, homeless, healthcare access
addiction medicine
dream analysis
hypnosis
spirituality and medicine
multicultural mental health
death and dying

/things to research
-insomnia
-seasonal affective behavior, comorbidity with bipolar do
-testing memory, in all modalities (SPEW)
-combining therapy with exercise, schedule (a la dog whisperer)
-what happens biochemically/hormonally/NTwise with celibate individuals
-increased sexual drive in those with Parkinson's disease, 2ndary to medications

/medicine in general
medical informatics
MPH

2005-01-15T15:36:00.000-08:00

those with multiple personalities, can have different allergies to food and medication between personalities.

rankings

2005-01-05T15:44:00.000-08:00

http://www.residentphysician.com/Psychiatry_rankings.htm

impressions of programs

2005-01-05T15:39:00.000-08:00

2004
http://forums.studentdoctor.net/showthread.php?t=159765

2003, link to 2002
http://forums.studentdoctor.net/showthread.php?t=91380&highlight=interview+impressions

info

2005-01-05T15:29:00.000-08:00

methods:
Watts BV, Windham SA, Grady TA. Choosing the Right Psychiatry Residency

How to Get It to Choose You. Jrnl. Prac. Psych. and Behav. Hlth. 1996;283-294

psych rotation away:
http://www.cedars-sinai.edu/3461.html

residencies:
In Boston, Cambridge is known for its strong tradition in psychotherapy.

In New York, check out Cornell and Mount Sinai. Cornell has reputable training for psychotherapy and supervision, and Mount Sinai has a close relationship with The New York Psychoanalytic Institute (the oldest and most prestigious analytic institute in the country), so many of the faculty for didactics and supervisors for psychotherapy at Mount Sinai come from the institute.

iserson

2004-12-02T09:27:00.000-08:00

i don't remember where this came from. but those general log of questions that from time to time may be useful in re evaluating one's life.

iserson

3-
e. Of which accomplishments are you most proud?
m. What was the most difficult thing you have ever done?
l. What shaped you and got you to where you are today?
h. What might give me a better picture of you than I can get from your resume?
k. What was the most important event in your life?
s. What one thing do you want conveyed to the residency committee?
a. What 3 adjectives best describe you?
b. Tell me a story about yourself that best describes you.
f. Do you have any hidden achievements or qualities of which you are secretly proud? What are they?
g. What are your team-player/leadership qualities?
q. Why did you write _____ in your personal statement?
c. If you were going to die in 5 minutes, what would you tell someone about yourself?
d. If you died right now, what would you want on your tombstone?
i. Tell me about your adolescence.
j. How have you changed since high school?
n. If you could be on the cover of any magazine next month, which one would it be? What would the caption say?
p. What would your best friend/roommate/relatives describe you? What negative things would they say?
r. What do you recall about your day before you go to sleep at night?
o. What do you like to cook?

4-
f. What are your 3 strongest qualities?
g. What are your 2 worst qualities?
h. Have you demonstrated leadership in any extracurricular activities?
c. How well do you take criticism?
d. What is your pet peeve?
e. If you could change one thing about your personality, what would it be?
a. Tell me about your "secret identity," the part of your personality that you don't share with strangers.
b. Are there any skeletons in your closet that you want to tell me about?

9-
l. What have you contributed to groups and activities in which you participated?
i. Besides your future medical accomplishments, what do you wish to be known for by your peers/friends/family?
b. Have you done any volunteer work?
m. What have you learned from your volunteer work?
a. What are your favorite games and sports? Why?
c. Why did you choose these outside activities?
j. Where have you traveled? Why?
k. What non-medical magazines do you regularly read?
d. If you had a completely free day, what would you do?
e. What is the most bizarre thing you have ever done (or did in high school or college)?
f. What was the most unusual occurrence in your life in the past month?
h. Would you work if you didn't have to? Why?
g. Do you think you can remain intensely focused on learning this specialty for the length of the program? For the rest of your professional career?

[printed]

17.
d. What was the biggest obstacle in your life? How did you overcome it?
e. What was the most difficult stand or position you ever defended? Why was it difficult?
f. What was the most difficult decision you have had to make in your life? How did you make it?
a. Are you a risk-taker or safety-minded?
b. What made you choose your undergraduate major?
c. How did you select your undergraduate, medical school?

med student psych elective at Brown

2004-09-20T09:36:00.000-07:00

Pediatric Child Psychiatry
522
hasbro hospital/rhode island hospital
physical and psych problems
day program, variety of pathology
diabetes, eating disorders;
run by tom roesler, rickerby
triple board applicants; interact with current triple board trainees; every fri - psychosocial clinic with triple board
4 of current: 1, 2 in 2nd year, 1 in 4th
on campus
grand rounds, seminars
talking to marsha = training coordinator; dr. leonard. 401.444.3762

Course Leader: Dr. Henrietta Leonard
Other Faculty: Drs. L. Brown, A. Kazura, T. Roesler, A. Spirito, M .Rickerby, G. Fritz
Course Location: Rhode Island Hospital
When Offered: All year
Maximum Students per Rotation: 2
Duration of Rotation: 4-8 weeks
Type of Rotation: Ambulatory, Consultation Service, Pediatric Partial Hospitalization
Cognitive Content: Pediatric psychiatry and psychology.
Prerequisites: Clerkship in Psychiatry
Criteria for Passing: Depends on level.
Criteria for Honors: Depends on level.
Competencies: Ability I: advanced level, Ability IV: advanced level, Provisionally approved
Number of Hrs/Wk of Classroom/Discussion: 5-10
Number of Nights Oncall per Week: None
Planned Independent Projects for Students: None required; available upon request
Description: Student's primary activity will be evaluating and treating children and adolescents with psychological problems associated with pediatric illness in the context of a day hospital program.
dr. leonard. 401.444.3762

personal statement

2004-09-14T09:08:00.000-07:00

response to application to residencies. i just like the format of the comments. supportive, good points.
saved 9/14/2004

i liked both PSs very much. here are some comments to think about.

triple board:
1st para - kinDergarten
3rd para, second to last sent - i';d take out "such" in similar SUCH opportunities, since you have such in the next sentence

next para = malnut has a prtic neg eff on pulm funct in cf pts and in THIS pts case, compromisED or " WAS
COMPROMISING" her elig,

last: i intend to home those ?__ skills?

overall: i like it a lot BUT: i am a believer in psychotherapy, and i think it's a good thing when people get it.
in 5 th para: i might not start with sentence re: psychother. if you're in a triple board prog., i don't see how much psychother training you can get, and i doubt it will be their claim to fame. they may even say to themselves "she won't like it here," or "then this isn't the training for her." i'm not sayiing elim, but maybe put it in the middle? just a thought. you might play up the research a tad too - everyone wants people to do clinc res in psych
but it is very well written and i think indicates that you would be a compassionate and thoughtful psychiatrist, which they ought to care about.

regular: i really like the brown, honesty tulip one as well. very creative. i had a tiny bit of trouble understanding the colonia one --- are they makeshift city type things? was this in med school?
honesty: very good. might add " deciding on a leave of absence FROM MED SCH" i know you say it later on "..fraying at the edge in medical school " - maybe amend to include when in med school (i don't know when - first yr? second yr? ). i guess they will already know. just a thought,
last sent: i eag. await THE opportu...."
again, you talk about psychother before psychopharm. for me, that is good. but there will be some programs that not only don't TEACH that but don't believe it. and you want to go someplace where they DO teach it. so i'm just suggesting think about it a little for how you want to phrase in PS.

if you need me to write a letter for you, i would be glad to.