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Biomedical subjects

D P Greenfield

Publications and source records attributed to D P Greenfield.

16 recordsLinked to original sources

Treatment of chronic pain syndrome.

We address the psychological and pharmacological treatment of chronic pain syndrome. The commonly used pain management protocols in each area are described. Psychological management procedures that are covered include relaxation methods, patient education, cognitive therapy techniques, and patient compliance enhancement. Concerning pharmacological management, the World Health Organization ladder analgesic guidelines are described, as well as adjunct medications, such as antidepressants, anxiolytics, and hypnotics.

Analgesics↗

Violent teens. Can physicians help?

In April, 15 suburban high school students were killed and more than 20 wounded in Littleton, Colorado, the victims of two violent adolescent boys. During the same week, another adolescent boy, Thomas Koskovich, was found guilty of capital murder in New Jersey's rural Sussex County. A week before that, in Toms River, teenager Sam Manzie, was sentenced to a lifetime in prison for the earlier senseless slaying of an even younger boy. For several years, we have been reading in newspapers and been watching on television other examples of teenage violence. Why?

Adolescent↗

Violence: a public health issue in New Jersey.

Violence should be viewed from biological, psychological, ethnological, and anthropological perspectives. Consideration of theories on biopsychosocial vulnerabilities and cultural and environmental factors have implications for diagnostic, therapeutic, and rehabilitative approaches.

Genetic Diseases, Inborn↗

What about Xanax?

Explore the source record for details and available documents.

Alprazolam↗

Medicolegal aspects of treating drug and alcohol addiction.

The authors present an overview of different areas of interface between medicine and the law, applicable to the treatment of patients with drug and alcohol problems. The five case reports are a sample of the medicolegal issues that can arise in the treatment of drug addicts and alcoholics.

Adult↗

Evaluation and treatment of post-traumatic stress disorder.

Post-traumatic stress disorder (PTSD) is a common anxiety disorder seen by general practice physicians as well as by specialists. The authors review current assessment criteria, psychotherapy procedures, and psychopharmacological management of PTSD patients.

Antidepressive Agents↗

What to expect from a psychiatric consultation.

The authors present guidelines for psychiatric consultations. The authors emphasize the need for specifics in presenting reasons for psychiatric consultation and/or referral to consultants, and the need for responsive consultation and communication.

Humans↗

What about Prozac?

Explore the source record for details and available documents.

Combined Modality Therapy↗

The diagnosis and management of depression: an overview.

The authors present an overview of the diagnosis, treatment, and management of depressed patients. They discuss current psychotherapeutic techniques, the psychopharmacologic management of depression, and guidelines for referral of depressed patients to mental health professionals.

Antidepressive Agents, Tricyclic↗

What about Halcion?

Although Halcion has received a great deal of attention and scrutiny, Halcion and the other benzodiazepines have a place in the pharmacotherapy of anxiety, panic, and sleep disturbances. Obviously, any physician's prescribing practices are going to be influenced by a variety of factors, including the popular press, to some extent. However, by paying careful attention to prudent and appropriate prescribing practices, following indications and guidelines for safety, efficacy, and patient acceptance, and by prescribing Halcion with the same cautions one would prescribe any other short-acting benzodiazepine or other hypnotic, this medication can be safe, efficacious, and a useful adjunct to the treatment of insomnia. Side effects--even such rare ones as musical hallucinations--will occur, to a greater or lesser extent, as with any medication, but these can be managed by the prudent physician, taking into account the risk/benefit considerations of Halcion, or any benzodiazepine, as a physician would in prescribing any medication for any reason.

Humans↗

Prescription drug abuse.

Prescription drug abuse (PDA) accounts for much drug-related morbidity and mortality. The PDA issue contains several interrelated dimensions: regulatory, practical, and clinical. Historical and current governmental efforts to regulate prescribing practices are reviewed. The authors discuss the many ways that prescription drugs can be diverted for abuse purposes and how potential abuse situations can be identified in the clinical setting. Types of prescribers at risk for promoting PDA are discussed and remedies for PDA are offered in terms of physician and patient education.

Aged↗