Principles And Practice Of Electroconvulsive Therapy

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Principles and Practice of Electroconvulsive Therapy

Author : Keith G. Rasmussen, M.D.
Publisher : American Psychiatric Pub
ISBN 13 : 1615372415
Total Pages : 330 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Principles and Practice of Electroconvulsive Therapy by : Keith G. Rasmussen, M.D.

Download or read book Principles and Practice of Electroconvulsive Therapy written by Keith G. Rasmussen, M.D. and published by American Psychiatric Pub. This book was released on 2019-03-06 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Even with the rise of newer neuropsychiatric brain stimulation methods, electroconvulsive therapy (ECT) remains a widely used treatment for severe mental illness--and perhaps the most effective for serious mental illness. Optimal treatment requires that psychiatrists be skilled in diagnosis and familiar with the techniques of treatment. That's where Principles and Practice of Electroconvulsive Therapy comes in. With its up-to-date, comprehensive coverage of all aspects of ECT, this is an unrivaled resource for psychiatrists, whether in practice or still in training, striving for maximum treatment efficacy. The book begins with an overview of what ECT is and how it is carried out, followed by a brief history of the therapy, from its earliest applications to its use in modern times. The guide follows the typical course of treatment, discussing the following: - Understanding the indications for ECT and selecting patients who might benefit from this therapy--whether they suffer from depression, mania, schizophrenia, or catatonia- Educating patients and their families on ECT and obtaining patient consent- Conducting a pretreatment medical evaluation and understanding the role of anesthesia- Managing an individual ECT treatment, including choosing the electrical stimulus dose and parameter combination, delivering the electrical stimulus, assisting with recovery problems, etc.- Overseeing the course of treatments, particularly for practitioners not personally conducting the treatments- Managing patients after a course of treatments and preventing relapse- Assessing and managing the memory side effects of ECT The final chapter examines other neuropsychiatric stimulation therapies in relation to ECT and explains how to choose among them. All chapters conclude with easily referenced key points that summarize the most salient ideas. Readers seeking to further educate themselves on ECT will also benefit from the exhaustive reference list. Though particularly useful for psychiatrists and psychiatric residents, Principles and Practice of Electroconvulsive Therapy, with its straightforward style, is a ready resource for any mental health or medical professionals interested in ECT.

The Practice of Electroconvulsive Therapy

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
ISBN 13 : 1585627879
Total Pages : 368 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The Practice of Electroconvulsive Therapy by : American Psychiatric Association

Download or read book The Practice of Electroconvulsive Therapy written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the development of pharmacoconvulsive therapy in 1934 and of electroconvulsive therapy (ECT) in 1938, ECT has proven far more valuable than just the intervention of last resort. In comparison with psychotropic medications, we now know that ECT can act more effectively and more rapidly, with substantial clinical improvement that is often seen after only a few treatments. This is especially true for severely ill patients -- those with severe major depression with psychotic features, acute mania with psychotic features, or catatonia. For patients who are physically debilitated, elderly, or pregnant, ECT is also safer than psychotropic medications. The findings of the American Psychiatric Association (APA) Task Force on ECT were published by the APA in 1990 as the first edition of The Practice of Electroconvulsive Therapy, inaugurating the development of ECT guidelines by groups both within the United States and internationally. Since then, advances in the use of this technically demanding treatment prompted the APA to mandate a second edition. The updated format of this second edition presents background information followed by a summary of applicable recommendations for each chapter. This close integration of the recommendations with their justifications makes the material easy to read, understand, and use. To further enhance usability, recommendations critical to the safe, effective delivery of treatment are marked with the designation "should" to distinguish them from recommendations that are advisable but nonessential (with the designations "encouraged," "suggested," "considered"). The updated content of this second edition, which spans indication for use of ECT, patient evaluation, side effects, concurrent medications, consent procedures (with sample consent forms and patient information booklet), staffing, treatment administration, monitoring of outcome, management of patients following ECT, and documentation, as well as education, and clinical privileging. This volume reflects not only the wide expertise of its contributors, but also involved solicitation of input from a variety of other sources, including applicable medical professional organizations, individual experts in relevant fields, regulatory bodies, and major lay mental health organizations. In addition, the bibliography of this second edition is based upon an exhaustive search of the clinical ECT literature over the past decade and contains more than four times the original number of citations. Complemented by extensive annotations and useful appendixes, this remarkably comprehensive yet practical overview will prove an invaluable resource for practitioners and trainees in psychiatry and related disciplines.

The Practice of Electroconvulsive Therapy

Author : American Psychiatric Association. Committee on Electroconvulsive Therapy
Publisher : American Psychiatric Pub
ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Practice of Electroconvulsive Therapy by : American Psychiatric Association. Committee on Electroconvulsive Therapy

Download or read book The Practice of Electroconvulsive Therapy written by American Psychiatric Association. Committee on Electroconvulsive Therapy and published by American Psychiatric Pub. This book was released on 2001 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the development of pharmacoconvulsive therapy in 1934 and of electroconvulsive therapy (ECT) in 1938, ECT has proven far more valuable than just the intervention of last resort. In comparison with psychotropic medications, we now know that ECT can act more effectively and more rapidly, with substantial clinical improvement that is often seen after only a few treatments. This is especially true for severely ill patients -- those with severe major depression with psychotic features, acute mania with psychotic features, or catatonia. For patients who are physically debilitated, elderly, or pregnant, ECT is also safer than psychotropic medications. The findings of the American Psychiatric Association (APA) Task Force on ECT were published by the APA in 1990 as the first edition of The Practice of Electroconvulsive Therapy, inaugurating the development of ECT guidelines by groups both within the United States and internationally. Since then, advances in the use of this technically demanding treatment prompted the APA to mandate a second edition. The updated format of this second edition presents background information followed by a summary of applicable recommendations for each chapter. This close integration of the recommendations with their justifications makes the material easy to read, understand, and use. To further enhance usability, recommendations critical to the safe, effective delivery of treatment are marked with the designation "should" to distinguish them from recommendations that are advisable but nonessential (with the designations "encouraged," "suggested," "considered"). The updated content of this second edition, which spans indication for use of ECT, patient evaluation, side effects, concurrent medications, consent procedures (with sample consent forms and patient information booklet), staffing, treatment administration, monitoring of outcome, management of patients following ECT, and documentation, as well as education, and clinical privileging. This volume reflects not only the wide expertise of its contributors, but also involved solicitation of input from a variety of other sources, including applicable medical professional organizations, individual experts in relevant fields, regulatory bodies, and major lay mental health organizations. In addition, the bibliography of this second edition is based upon an exhaustive search of the clinical ECT literature over the past decade and contains more than four times the original number of citations. Complemented by extensive annotations and useful appendixes, this remarkably comprehensive yet practical overview will prove an invaluable resource for practitioners and trainees in psychiatry and related disciplines.

Clinical Manual of Electroconvulsive Therapy

Author : Mehul V. Mankad
Publisher : American Psychiatric Pub
ISBN 13 : 1585628980
Total Pages : 242 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Clinical Manual of Electroconvulsive Therapy by : Mehul V. Mankad

Download or read book Clinical Manual of Electroconvulsive Therapy written by Mehul V. Mankad and published by American Psychiatric Pub. This book was released on 2010-04-13 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life-saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects. Adequate education and training of psychiatrists and their support staff are essential to ensuring patients' access to this vital treatment tool. The authors of Clinical Manual of Electroconvulsive Therapy offer this expansive yet reader-friendly volume to help psychiatrists successfully incorporate ECT into their clinical practices. It is also a valuable resource for medical students and psychiatric residents, as well as experienced clinicians and researchers. The book updates the 1985 original and 1998 second edition of Electroconvulsive Therapy: A Programmed Text, and provides readers with a scheduled approach to understanding the fundamental concepts of ECT while offering practical guidance for establishing and maintaining an ECT program. Topics include the history of ECT, indications for use, patient referral and evaluation, the basics of ECT, clinical applications, anesthetics and other medications, seizure monitoring and management, ictal motor and cardiovascular response, adverse effects, and maintenance ECT. Included are detailed descriptions of recent advances including ultra-brief pulse ECT, oxygenation, muscle relaxation, and other modifications that have made this very effective treatment much safer and more acceptable to patients. Currently, it is estimated that more than 100,000 people receive ECT treatments each year in the U.S. Indications for use of ECT are for mood disorders such as major depressive disorder and mania, and thought disorders including schizophrenia and schizoaffective disorder. Indications for use in other psychiatric disorders and general medical disorders such as Parkinson's disease, which appears to respond especially well to ECT, are reviewed as well. This highly-readable manual is a must-have for the library of any clinician interested in or currently practicing ECT: Provides background information on the origins of psychiatric treatments preceding ECT, including efforts using hydrotherapy and insulin comas Includes an algorithm for the management of ECT seizure adequacy Discusses contraindications as well as the potential adverse effects of ECT, including cognitive changes and cardiovascular complications Provides specific information about ECT device manufacturers, reprintable patient information sheets, and a written informed consent form This clinical manual comprehensively explores and explains the available knowledge regarding ECT -- based on extensive research over the past 70 years -- in order to help potential ECT clinicians make informed choices about the development and management of their ECT program.

The Clinical Science of Electroconvulsive Therapy

Author : C. Edward Coffey
Publisher : American Psychiatric Pub
ISBN 13 : 9780880484701
Total Pages : 300 pages
Book Rating : 4.4/5 (847 download)

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Book Synopsis The Clinical Science of Electroconvulsive Therapy by : C. Edward Coffey

Download or read book The Clinical Science of Electroconvulsive Therapy written by C. Edward Coffey and published by American Psychiatric Pub. This book was released on 1993 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents a timely account of the present state of ECT research and clinical practice and the irreplaceable niche ECT occupies in the treatment hierarchy of severe mental illness. Interdisciplinary contributors to The Clinical Science of Electroconvulsive Therapy use both longitudinal and cross-sectional perspectives to synthesize the latest information on ECT. This book reviews -- comprehensively and carefully -- today's knowledge of indications, techniques, clinical outcomes, and mechanisms of action of ECT.

Electroconvulsive Therapy

Author : Richard Abrams
Publisher : Oxford University Press
ISBN 13 : 0195148207
Total Pages : 339 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Electroconvulsive Therapy by : Richard Abrams

Download or read book Electroconvulsive Therapy written by Richard Abrams and published by Oxford University Press. This book was released on 2002-06-27 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enthusiastically defending the controversial use of electroconvulsive "therapy" (ECT), Abrams (psychiatry, Chicago Medical School), the director of a firm that manufactures ECT devices, reviews the practice and its literature. He briefly discusses the history of ECT and then outlines current practice and addresses the use of unilateral versus bitemporal ECT. He argues against the studies that find ECT to be a dangerous and unhelpful procedure. A final chapter considers ethical and legal issues, finding that doctors who refuse to subject patients to electroshock are behaving unethically and that malpractice suits are a relatively minor problem. Annotation copyrighted by Book News, Inc., Portland, OR.

Electroconvulsive Therapy in Children and Adolescents

Author : Neera Ghaziuddin
Publisher : Oxford University Press
ISBN 13 : 0199937893
Total Pages : 311 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Electroconvulsive Therapy in Children and Adolescents by : Neera Ghaziuddin

Download or read book Electroconvulsive Therapy in Children and Adolescents written by Neera Ghaziuddin and published by Oxford University Press. This book was released on 2013-12 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a pioneering book about the use of ECT in adolescents who are diagnosed with severe, disabling psychiatric disorders or fail conventional treatment. Included are a review of the literature, firsthand experience of the authors and case descriptions making it an invaluable guide to treatment.

Ethics in Electroconvulsive Therapy

Author : Jan-Otto Ottosson
Publisher : Routledge
ISBN 13 : 1135940045
Total Pages : 176 pages
Book Rating : 4.1/5 (359 download)

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Book Synopsis Ethics in Electroconvulsive Therapy by : Jan-Otto Ottosson

Download or read book Ethics in Electroconvulsive Therapy written by Jan-Otto Ottosson and published by Routledge. This book was released on 2012-09-10 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Few mental illness treatments are more reviled in the public mind than Electroconvulsive Shock Therapy. However, in reality, ECT is a safe and effective treatment for cases of clinical depression and catatonia that are unresponsive to drug therapy. Also, unlike drugs, ECT has relatively few side effects. The authors argue that it is time for this historically stigmatized procedure to be reevaluated. The authors make a strong case for greater professional and public attention to the procedure's benefits, offering historical coverage of ECT-related movements, legislation, public and practitioner sentiment and the introduction of competing treatments. This volume will not only garner the interest of mental health professionals, but will call on policy makers and ethicists to examine its arguments.

Electroconvulsive and Neuromodulation Therapies

Author : Conrad M. Swartz
Publisher : Cambridge University Press
ISBN 13 : 1139478869
Total Pages : 619 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Electroconvulsive and Neuromodulation Therapies by : Conrad M. Swartz

Download or read book Electroconvulsive and Neuromodulation Therapies written by Conrad M. Swartz and published by Cambridge University Press. This book was released on 2009-03-02 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the transmission of electricity in the brain. Because of exploitation movies and greatly heightened drug company promotional activities ECT was used less frequently in the 1980s and 1990s. Eventually these movies were understood as unrealistic. Now these drugs are increasingly recognized as dangers to body health. Because of recent refinements and a far better scientific understanding of the clinical procedures and mechanisms underpinning ECT, this treatment modality has seen a resurgence in use and widespread appreciation of its safety. This book is the new definitive reference on electroconvulsive and neuromodulation therapies. It comprehensively covers the scientific basis and clinical practice of ECT as well as comparisons between ECT and medication therapies including the new generation of antipsychotic drugs. It also provides readers with administrative perspectives and specific details for the management of this modality in clinical practice. The new forms of nonconvulsive electrical and magnetic brain stimulation therapy are also covered in detail, in a separate section. The chapter authors are leading scholars and clinicians.

Principles and Practice of Geriatric Psychiatry

Author : Mohammed T. Abou-Saleh
Publisher : John Wiley & Sons
ISBN 13 : 1119956668
Total Pages : 942 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Principles and Practice of Geriatric Psychiatry by : Mohammed T. Abou-Saleh

Download or read book Principles and Practice of Geriatric Psychiatry written by Mohammed T. Abou-Saleh and published by John Wiley & Sons. This book was released on 2011-07-28 with total page 942 pages. Available in PDF, EPUB and Kindle. Book excerpt: The renowned Principles and Practice of Geriatric Psychiatry, now in its third edition, addresses the social and biological concepts of geriatric mental health from an international perspective. Featuring contributions by distinguished authors from around the world, the book offers a distinctive angle on issues in this continually developing discipline. Principles and Practice of Geriatric Psychiatry provides a comprehensive review of: geriatric psychiatry spanning both psychiatric and non-psychiatric disorders scientific advances in service development specific clinical dilemmas New chapters on: genetics of aging somatoform disorders epidemiology of substance abuse somatoform disorders care of the dying patient Continuing the practice of earlier editions, the major sections of the book address aging, diagnosis and assessment and clinical conditions, incorporating an engaging discussion on substance abuse and schizophrenic disorders. Shorter sections include the presentation of mental illness in elderly people from different cultures—one of the most popular sections in previous editions. Learning and behavioural studies, as well as models of geriatric psychiatry practice, are covered extensively. This book provides a detailed overview of the entire range of mental illness in old age, presented within an accessible format. Principles and Practice of Geriatric Psychiatry is an essential read for psychiatrists, geriatricians, neurologists and psychologists. It is of particular use for instructors of general psychiatry programs and their residents.

Handbook of ECT

Author : Charles H. Kellner
Publisher : Cambridge University Press
ISBN 13 : 110840328X
Total Pages : 131 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Handbook of ECT by : Charles H. Kellner

Download or read book Handbook of ECT written by Charles H. Kellner and published by Cambridge University Press. This book was released on 2018-12-20 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the need-to-know guide to the practice of modern electroconvulsive therapy.

The Practice of Electroconvulsive Therapy

Author : American Psychiatric Association. Task Force on Electroconvulsive Therapy
Publisher :
ISBN 13 :
Total Pages : 186 pages
Book Rating : 4.:/5 (131 download)

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Book Synopsis The Practice of Electroconvulsive Therapy by : American Psychiatric Association. Task Force on Electroconvulsive Therapy

Download or read book The Practice of Electroconvulsive Therapy written by American Psychiatric Association. Task Force on Electroconvulsive Therapy and published by . This book was released on 1990 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Shock

Author : Kitty Dukakis
Publisher : Penguin
ISBN 13 : 1101118261
Total Pages : 248 pages
Book Rating : 4.1/5 (11 download)

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Book Synopsis Shock by : Kitty Dukakis

Download or read book Shock written by Kitty Dukakis and published by Penguin. This book was released on 2007-09-06 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Kitty Dukakis has battled debilitating depression for more than twenty years. Coupled with drug and alcohol addictions that both hid and fueled her suffering, Kitty's despair was overwhelming. She tried every medication and treatment available; none worked for long. It wasn't until she tried electroconvulsive therapy, or ECT, that she could reclaim her life. Kitty's dramatic first-person account of how ECT keeps her illness at bay is half the story of Shock. The other half, by award winning medical reporter Larry Tye, is an engrossing look at the science behind ECT and its dramatic yet subterranean comeback. This book presents a full picture of ECT, analyzing the treatment's risks along with its benefits. ECT, it turns out, is neither a panacea nor a scourge but a serious option for treating life threatening and disabling mental diseases, like depression, bipolar disorder, and others. Through Kitty Dukakis's moving narrative, and interviews with more than one hundred other ECT patients, Shock: The Healing Power of Electroconvulsive Therapy separates scare from promise, real complications from lurid headlines. In the process Shock offers practical guidance to prospective patients and their families, boldly addressing the controversy surrounding ECT and awakening millions to its capacity to heal.

Brain Stimulation Therapies for Clinicians

Author : Edmund S. Higgins
Publisher : American Psychiatric Pub
ISBN 13 : 1615372709
Total Pages : 220 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Brain Stimulation Therapies for Clinicians by : Edmund S. Higgins

Download or read book Brain Stimulation Therapies for Clinicians written by Edmund S. Higgins and published by American Psychiatric Pub. This book was released on 2019-08-13 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive survey of the state of current practice, this new edition of Brain Stimulation Therapies for Clinicians provides thoroughly updated information on the growing list of electrical stimulation therapies now in use or under study, including electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), cortical stimulation (CS), and transcranial direct current stimulation (TDCS), as well as new coverage of promising treatments such as low intensity focused ultrasound pulsation (LIFUP) and temporal interference stimulation (TI). After a brief course on the fundamentals of electricity and a refresher on neuroanatomy, the text explores how electricity works within biological systems before progressing to the chapters on individual therapies, which cover the history and evolution of the treatment, the techniques involved, clinical indications, side effects, and an up-to-date review of the evidence base supporting its use. The book is designed to help the reader cut through the initially daunting "alphabet soup" (e.g., ECT, TMS) by providing a clear and straightforward analysis of the prevailing techniques -- an indispensable resource for both clinicians and patients seeking in-depth knowledge of these acronyms and methods. The book's noteworthy features are many: Refinements in treatment protocols since the last edition are discussed in detail. For example, the sections on ECT cover advances such as focal electrically administered seizure therapy (FEAST) and magnetic seizure therapy (MST), while the TMS chapter covers theta burst and recent approval for obsessive-compulsive disorder. The underlying science is addressed in the initial review of electricity and physics, information that is foundational to these treatment modalities, but that clinicians do not encounter in the medical school curriculum. The section also addresses the parameters for brain stimulation and how to determine the right dose. A separate chapter is devoted to low intensity focused ultrasound pulsations (LIFUP) and temporally interfering (TI) electric fields, emerging treatments that have the potential to noninvasively stimulate focal locations deep in the brain without surgery or the implantation of hardware. The section on using DBS for treatment-resistant Parkinson's disease (PD) is thorough, authoritative, and a boon to clinicians assessing the viability and efficacy of treatment options for their PD patients. The new edition retains the amusing, but always informative sidebars highlighting the history of brain experimentation and applications of brain stimulation techniques Written in a down-to-earth, accessible style by authors at the forefront of progress in the field, Brain Stimulation Therapies for Clinicians is a rigorous, evidence based review of clinical data that focuses on what we know, what we don't know, and the strength of the evidence.

Brain and Human Body Modeling

Author : Sergey Makarov
Publisher : Springer Nature
ISBN 13 : 3030212939
Total Pages : 398 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Brain and Human Body Modeling by : Sergey Makarov

Download or read book Brain and Human Body Modeling written by Sergey Makarov and published by Springer Nature. This book was released on 2019-08-27 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes modern applications of computational human modeling with specific emphasis in the areas of neurology and neuroelectromagnetics, depression and cancer treatments, radio-frequency studies and wireless communications. Special consideration is also given to the use of human modeling to the computational assessment of relevant regulatory and safety requirements. Readers working on applications that may expose human subjects to electromagnetic radiation will benefit from this book’s coverage of the latest developments in computational modelling and human phantom development to assess a given technology’s safety and efficacy in a timely manner. Describes construction and application of computational human models including anatomically detailed and subject specific models; Explains new practices in computational human modeling for neuroelectromagnetics, electromagnetic safety, and exposure evaluations; Includes a survey of modern applications for which computational human models are critical; Describes cellular-level interactions between the human body and electromagnetic fields.

The ECT Handbook

Author : I. Nicol Ferrier
Publisher : RCPsych Publications
ISBN 13 : 9781911623168
Total Pages : 0 pages
Book Rating : 4.6/5 (231 download)

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Book Synopsis The ECT Handbook by : I. Nicol Ferrier

Download or read book The ECT Handbook written by I. Nicol Ferrier and published by RCPsych Publications. This book was released on 2019-07-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of this popular Handbook provides the latest guidance on prescribing and administering electroconvulsive therapy (ECT). Leading researchers and practitioners review new research on ECT and related treatments, including their efficacy in children and adolescents, and in those with bipolar disorder and neurological conditions. With a focus on safe provision and minimisation of side effects, it provides the reader with practical, evidence-based advice. The book has been substantially revised: references have been updated throughout; related treatment modalities such as rTMS, tCDS and ketamine are covered in greater depth; and current administrative and legal framework guidelines are clearly outlined. An essential reference manual for consultant and trainee clinical psychiatrists, as well as ECT practitioners. This guide will benefit clinical teams looking after complex cases of depression, as well as those involved in the care of other people for whom ECT may be recommended.

Biological Psychiatry

Author : Edward Bittar
Publisher : Elsevier
ISBN 13 : 9780080528007
Total Pages : 641 pages
Book Rating : 4.5/5 (28 download)

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Book Synopsis Biological Psychiatry by : Edward Bittar

Download or read book Biological Psychiatry written by Edward Bittar and published by Elsevier. This book was released on 1999-12-27 with total page 641 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is now widely recognised that biological psychiatry is rapidly coming into its own. For over the last three decades dramatic advances in this young discipline have been made, all of which attest to the staying power of the experimental method. Those who made this revolution in knowledge happen are a breed of investigators availing themselves of the tools of molecular biology, pharmacology, genetics, and perhaps, above all, the technology of neuroimaging. The introduction of the interdisciplinary method of approach to the study of psychopathology had made it very clear that neuroimaging, as a set of techniques, is unique in that it is gradually providing us with evidence supporting Kraepelin's original view that mental illness is closely associated with abnormal changes in the brain. Broadly speaking, there are presently two structural techniques in neuroimaging - computed tomography and magnetic resonance imaging (MRI) - and three functional techniques - single photon emission tomography (SPECT), positron emission tomography and magnetic resonance imaging (fMRI). Through PET technology, for example, we have learned that, in early brain development, the primitive areas, mostly the brain stem and thalamus, are the first to show high activity in an infant. This is followed by the development of cortical areas by year one. Between the ages of four to 10, the cortex is almost twice as active in the child as in the adult. This information alerts us to what might happen in the way of trauma in abused children, especially those under the age of three. Child abuse increases the risk of physical changes, not only in the stress systems, but also in brain development (Glaser and Weissman). In addition to the difficult problem of post-traumatic stress disorder (PTSD), we have to take into account the possibility of other types of mental illness as the consequences of child abuse. These include depression, eating disorders, and drug and alcohol problems. The combination of PET and fMRI represents a more remarkable example of the power of neuroimaging since the two have made it feasible to map accurately in vitro identifiable cortical fields, or networks. In a landmark NIH investigation of human cortical reorganization (plasticity), persuasive evidence was brought forward showing that the process of learning as a motor task involves a specific network of neurons. These neurons occur in the cortical field that is responsible for that particular task. Such findings are important partly because they provide evidence supporting the current notion that labor in the cortex is divided among ensembles of specialized neurons that cooperate in the performance of complex tasks. Cooperation, then, in this, sense implies crosstalk among ensembles and that signals are both processed and retransmitted to neighbouring ensembles. To understand the workings of these ensembles, much better spatial and temporal resolution in functional brain mapping is required. This can be achieved with an NMR instrument whose magnet is 4.1 Tesla or more.