Neurosyphilis results from brain, meninges or spinal cord infection and may develop in whom a manifest syphilis has passed untreated. The clinical symptoms are diverse and may present as a psychiatric disorder. This article from Lars Gustafson et al., reported two cases of neurosyphilis with neuropathological observations including retrospective evaluations, psychiatric characterizations, clinical features, laboratory and brain imaging findings. In both cases, patients displayed various psychiatric and neuropsychiatric symptoms.
Jacobs Journal of Psychiatry and Behavioral Science is committed to publishing leading articles related to the disciplines of psychiatry like branches of psychiatric, Psychotherapy, Addiction Psychiatry, Biological Psychiatry, Forensic Psychiatry, Social Psychiatry, Stress, Psycotrauma, Child and Adolescent Psychiatry.
Journal of Psychiatry and Behavioral Science of volume 2 issue 1 publishes articles regarding two cases of neurosyphilis , an overview on the neuropsychiatric, epidemiological and psychosocial issues of the suicidal behavior in young adults , and studies based on samples drawn from inpatients admitted on an involuntary basis .
Neurosyphilis results from brain, meninges or spinal cord infection and may develop in whom manifest syphilis has passed untreated. The clinical symptoms are diverse and may present as a psychiatric disorder. This article from Lars Gustafson et al. ., reported two cases of neurosyphilis with neuropathological observations including retrospective evaluations, psychiatric characterizations, clinical features, laboratory and brain imaging findings. In both cases, patients displayed various psychiatric and neuropsychiatric symptoms. The diagnosis was carried out on cerebrospinal fluid along with brain imaging. From results obtained a marked improvement in both patients after penicillin therapy, with autopsy mixed brain pathology with atrophy of the frontotemporal areas and advanced vascular pathology is observed. However, these cases emphasize the significance of screening for syphilis, especially in patients with unexplained psychiatric and neurological symptoms and signs.
Suicidal behavior is considered a very serious public health problem. The World Health Organization has estimated a yearly total of 800, 000 deaths by suicide worldwide. In this review, Stefania Schiavone et al. ., provide an overview of the main neuropsychiatric, epidemiological and psychosocial aspects of the suicidal behavior in young adults. Actual knowledge on prevention strategies together with psychosocial and pharmacological approaches will be also discussed. Suicidal behavior has to be considered a serious expression of psychological stress and deep despair. This appears to be particularly true in the population of young adults. Although a large quantity of information on this subject is now available, other crucial aspects, such as the clinical management of people who attempted suicide or the psychological and pharmacological approaches to these patients, remain still controversial and requires further clarifications.
Involuntary admissions to acute psychiatric units are one of the most ethically challenging practices in Psychiatry. However, published literature falls back in examining this area that touches a patient’s rights and freedom. Adel Gabriel. ., searched PubMed and Medline for articles published in the last 15 years (January 1999 to January 2014), studies based on samples drawn from inpatients admitted on an involuntary basis. Based on observations and evidence author concluded that the majority of patients who initially thought that they did not need hospitalization revised their belief after hospital discharge and reported the need for medical treatment. Yet, there is high levels of negative attitudes among patients towards involuntary hospitalization admitted to psychiatry, such as the perception of humiliation, and violation of freedom still a substantial majority of patients considered that their involuntary admission was justifiable over time.
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1.Lars Gustafson, Ulla Passant, Jarl Risberg, Elisabet Englund. Neurosyphilis – Still a Diagnostic and Therapeutic Challenge.
2. Stefania Schiavone, Luigia Trabace, Logos Curtis. Suicidal Behaviour in Young Adults: A Literature Overview on Neurobiological, Epidemiological and Psychosocial Aspects.
3. Adel Gabriel, FRCPC, MSc, DPIP, DPM, DTM&H. Perceptions and Attitudes towards Involuntary Hospital Admissions of Psychiatric Patient.