Psychosomatics
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Patient-reported data can improve clinical care, including identifying patients who are at risk for suicide. ⋯ As expected, Patient Health Questionnaire-9 item 9 generated much higher rates of apparently false-positive findings than the C-SSRS did, when compared with clinical assessment. C-SSRS backed with timely clinical assessment may be a useful and efficient method of screening for suicidal risk, provided that adequate, immediate clinical follow-up is available.
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Delirium diagnosis in elderly is often complicated by underlying dementia. ⋯ There is a low concordance across diagnostic systems for identification of delirium. The DRS-R98 performs well despite differences across classification systems perhaps because it broadly assesses phenomenology, even in this population with a high prevalence of dementia.
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Review Case Reports
Ertapenem-Induced Delirium: A Case Report and Literature Review.
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Patients in other countries use fewer opioids than patients in the United States with satisfactory pain relief. ⋯ Prognostic, Level 1.