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39 results on '"Parker, Stephen D"'

2. Sexual and Reproductive Health in Adolescents and Young Adults With Psychotic Disorders: A Scoping Review.

Author

Vickers, Mark L, Choi, Yoon Kwon, Eriksson, Lars, Polyakova-Nelson, Yekaterina, Jokovic, Zorica, Parker, Stephen D, Moudgil, Vikas, Dean, Judith A, Debattista, Joseph, and Scott, James G

Subjects
SEXUALLY transmitted disease risk factors, ONLINE information services, PSYCHOLOGY information storage & retrieval systems, CINAHL database, RISK-taking behavior, MEDICAL information storage & retrieval systems, FEMALE reproductive organ diseases, SEXUAL dysfunction, PSYCHOSES, SYSTEMATIC reviews, HUMAN sexuality, SCHIZOPHRENIA, RISK assessment, LITERATURE reviews, MEDLINE, MALE reproductive organ diseases, SEXUAL health, REPRODUCTIVE health, ANTIPSYCHOTIC agents, BIPOLAR disorder, DISEASE risk factors, DISEASE complications
Abstract

Background and Hypothesis The sexual and reproductive health (SRH) of young people with psychosis has been largely overlooked. We hypothesised that there are key deficiencies in the existing literature on the SRH of adolescents and young adults with psychotic disorders. Study Design We conducted a systematic scoping review using Pubmed, Web of Science, Embase, PsycINFO, and CINAHL. We included empirical studies and case reports focused on SRH issues in young people (aged 14–24 years) with psychotic disorders. A qualitative synthesis was completed. Joanna Briggs Institute Critical Appraisal Tools were utilized to assess study quality. Study Results Seventeen empirical studies and 52 case reports met inclusion criteria. Most focused on sexual dysfunction which was identified as common among this cohort and associated with both psychotic disorders and antipsychotics. The study population was more likely to engage in sexual risk-taking behavior and was at higher risk of sexually transmissible infections than those without psychosis. SRH topics of clinical relevance in older patients with psychosis such as pregnancy, abortion, sexual violence, coercion, sexual identity, and gender were poorly addressed in this younger group. We found empirical studies generally lacked identification and controlling of confounders whilst case reports provided limited description of mental health and SRH outcomes following clinical intervention. Conclusion Research and clinical practice addressing sexual and reproductive health is needed for young people living with psychosis. To address research gaps future studies should focus on women's health, sexual violence, gender, and sexuality in young people with psychosis. [ABSTRACT FROM AUTHOR]

Published
2023
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5. Quality prescribing in early psychosis: key pharmacotherapy principles.

Author

Scott, James G, McKeon, Gemma, Malacova, Eva, Curtis, Jackie, Burgher, Bjorn, Macmillan, Iain, Thompson, Andrew, and Parker, Stephen D

Subjects
PSYCHOSES, DRUG therapy, AFFECTIVE disorders, PSYCHOEDUCATION, CLOZAPINE
Abstract

Objective: To present a practical, easy-to-implement clinical framework designed to support evidence-based quality prescribing for people with early psychosis. Method: Identification and explanation of key principles relating to evidence-based pharmacotherapy for people with early psychosis. These were derived from the literature, practice guidelines and clinical experience. Results: Key principles include (1) medication choice informed by adverse effects; (2) metabolic monitoring at baseline and at regular intervals; (3) comprehensive and regular medication risk–benefit assessment and psychoeducation; (4) early consideration of long-acting injectable formulations (preferably driven by informed patient choice); (5) identification and treatment of comorbid mood disorders and (6) early consideration of clozapine when treatment refractory criteria are met. Conclusions: Current prescribing practices do not align with the well-established evidence for quality pharmacotherapy in early psychosis. Adopting evidence-based prescribing practices for people with early psychosis will improve outcomes. [ABSTRACT FROM AUTHOR]

Published
2022
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8. Angiographic localization of spinal cord blood supply and its relationship to postoperative paraplegia

Author

Williams, G. Melville, Perler, Bruce A., Burdick, James F., Osterman, Floyd A., Jr., Mitchell, Sally, Merine, Dimitri, Drenger, Benjamin, Parker, Stephen D., Beattie, Charles, and Reitz, Bruce A.

Subjects
Angiography -- Usage, Aneurysms -- Complications, Spinal cord -- Blood-vessels, Paraplegia -- Risk factors, Surgery -- Complications, Aortic aneurysms, Health
Abstract

Surgical repair of long segments of the aorta (main systemic artery) carries the risk of paraplegia, paralysis in the lower part of the body. This paraplegia may be a consequence of lack of adequate blood supply to the spinal cord during surgery. The great radicular artery (GRA) is a major component of spinal cord circulation. There is considerable anatomic variation in the point cord may be altered by the development of vascular disease such as atherosclerosis (the presence of cholesterol plaque formation on the inner layer of the artery wall) and mural thrombus (clots along the wall of the artery). Various techniques have been developed to protect spinal cord circulation during aortic surgery, but these do not identify the origin of the blood supply to the spinal cord. A report is presented of 47 patients who underwent catheterization of the thoracic intercostal and lumbar arteries to attempt to identify the origin of spinal cord blood supply. The origin was identified in 26 patients (55 percent); 21 of these patients underwent aortic aneurysm repair. In 12 patients this artery could be included in the anastomosis (surgical connection of blood vessels); all 12 patients survived, one ended up paralyzed. In nine patients this was not able to be done and seven of the nine patients died or were paralyzed. Sixteen of the 19 patients in whom the blood supply was not able to be identified had successful surgery; 12 of these survived. It is concluded that selective intercostal angiography is safe and may add to our understanding of spinal cord complications of aortic aneurysm surgery. (Consumer Summary produced by Reliance Medical Information, Inc.)

Published
1991

9. Prothrombin Time and Activated Partial Thromboplastin Time Testing: A Comparative Effectiveness Study in a Million-Patient Sample

Author

Capoor, Manu N., primary, Stonemetz, Jerry L., additional, Baird, John C., additional, Ahmed, Fahad S., additional, Awan, Ahsan, additional, Birkenmaier, Christof, additional, Inchiosa, Mario A., additional, Magid, Steven K., additional, McGoldrick, Kathryn, additional, Molmenti, Ernesto, additional, Naqvi, Sajjad, additional, Parker, Stephen D., additional, Pothula, S. M., additional, Shander, Aryeh, additional, Steen, R. Grant, additional, Urban, Michael K., additional, Wall, Judith, additional, and Fischetti, Vincent A., additional

Published
2015
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21. Catecholamine and cortisol responses to lower extremity revascularization

Author

Parker, Stephen D., primary, Breslow, Michael J., additional, Frank, Steven M., additional, Rosenfeld, Brian A., additional, Norris, Edward J., additional, Christopherson, Rose, additional, Rock, Peter, additional, Gottlieb, Sidney O., additional, Raff, Hershel, additional, Perler, Bruce A., additional, Williams, G. Melville, additional, and Beattie, Charles, additional

Published
1995
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38. Books of note.

Author

Parker, Stephen D.

Subjects
HIDDEN Sea, The (Book)
Abstract

Reviews the book `The Hidden Sea: Groundwater, Springs, and Wells,' by Francis H. Chapelle.

Published
1998
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39. Mitigation Emerges as Major Strategy for Reducing Losses Caused by Natural Disasters.

Author

Iwan, Wilfred D., Cluff, Lloyd S., Kimpel, James K., Kunreuther, Howard, Masaki-Schatz, Stephanie H., Nigg, Joanne M., Roth, Sr., Richard S., Ryland, Harvey, Stanley Sr., Ellis, Thomas, Frank H., Hamilton, Robert M., Jones, Patricia A., and Parker, Stephen D.

Subjects
*NATURAL disasters, *DISASTERS & economics, *SOCIAL policy
Abstract

Discusses the International Decade for Natural Disaster Reduction, sponsored by the United Nations in the 1990s. Observation of the declaration in the United States; Role of the Federal Emergency Management Agency (FEMA); Emphases for the future; Natural disaster losses; Emergence of mitigation; International progress.

Published
1999

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