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  1. Article ; Online: With Hope as Our Armor.

    Bernstein, Adam

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2023  Volume 47, Issue 6, Page(s) 644–645

    Language English
    Publishing date 2023-09-26
    Publishing country United States
    Document type Editorial
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1007/s40596-023-01868-5
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    Zs.B 2043: Show issues Location:
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  2. Article ; Online: Gamma-Hydroxybutyrate (GHB) Withdrawal in a Patient with Polysubstance Use.

    Bernstein, Adam

    Journal of psychoactive drugs

    2020  Volume 53, Issue 4, Page(s) 299–301

    Abstract: Gamma-hydroxybutyrate (GHB) and its various pro-drugs are GABA-B central nervous system depressants more commonly known as "G" and "liquid ecstasy" among those who consume. Due to the depressant quality of the substance and its convenience in online ... ...

    Abstract Gamma-hydroxybutyrate (GHB) and its various pro-drugs are GABA-B central nervous system depressants more commonly known as "G" and "liquid ecstasy" among those who consume. Due to the depressant quality of the substance and its convenience in online marketplaces, it has become a more commonly abused drug, characteristically among people involved in the "club scene" and among men who have sex with men. As the dose of GHB necessary to obtain feelings of euphoria is relatively low combined with the substance's rapid metabolism, GHB is nearly undetectable through traditional emergency department urinary drug testing. Consequentially, although the treatment of GHB intoxication and withdrawal is mainly supportive, it is difficult for providers to determine whether GHB is the cause of a patient's symptoms. Moreover, when GHB is combined with other substances, treatment becomes more complicated. The author presents a case of GHB intoxication and withdrawal in a patient with an extensive polysubstance use history demonstrating not only the difficulty of diagnosis but also a timeline outlining the interventions taken from arrival to discharge with a successful outcome faster than the conventional timeline of GHB withdrawal and recovery.
    MeSH term(s) Homosexuality, Male ; Humans ; Male ; Sexual and Gender Minorities ; Sodium Oxybate ; Substance Abuse Detection ; Substance Withdrawal Syndrome ; Substance-Related Disorders
    Chemical Substances Sodium Oxybate (7G33012534)
    Language English
    Publishing date 2020-12-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 392405-1
    ISSN 2159-9777 ; 0279-1072
    ISSN (online) 2159-9777
    ISSN 0279-1072
    DOI 10.1080/02791072.2020.1865591
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  3. Article ; Online: Schizophrenia and Emergency Medicine.

    Lawrence, Ryan E / Bernstein, Adam

    Emergency medicine clinics of North America

    2023  Volume 42, Issue 1, Page(s) 93–104

    Abstract: Schizophrenia is a chronic condition characterized by positive symptoms (auditory hallucinations, delusion), negative symptoms (avolition, social withdrawal), and disorganized thoughts/behaviors. Although the pathophysiology is incompletely understood, ... ...

    Abstract Schizophrenia is a chronic condition characterized by positive symptoms (auditory hallucinations, delusion), negative symptoms (avolition, social withdrawal), and disorganized thoughts/behaviors. Although the pathophysiology is incompletely understood, several neurobiological mechanisms have been proposed. Treatment usually involves antipsychotic medication as well as psychotherapy and supportive services. When evaluating patients in the emergency department, acute safety considerations are paramount. Patients should be assessed for suicide risk, violence risk, inability to care for self, and the risk of being the victim of a crime. Persons with schizophrenia are at an increased risk of substance use and a variety of medical problems.
    MeSH term(s) Humans ; Schizophrenia/therapy ; Schizophrenia/drug therapy ; Hallucinations/diagnosis ; Hallucinations/etiology ; Hallucinations/therapy ; Violence ; Antipsychotic Agents/therapeutic use ; Emergency Medicine
    Chemical Substances Antipsychotic Agents
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2023.06.012
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  4. Article: Coronavirus: a business survival guide

    Bernstein, Adam

    Nursing & Residential Care

    Abstract: During the COVID-19 crisis, homes are at risk of being unable to care for residents while also having obligations toward their staff In this special feature, Adam Bernstein examines two key issues for homes and finds advice on how to mitigate the impact ... ...

    Abstract During the COVID-19 crisis, homes are at risk of being unable to care for residents while also having obligations toward their staff In this special feature, Adam Bernstein examines two key issues for homes and finds advice on how to mitigate the impact of coronavirus
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #822738
    Database COVID19

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  5. Article ; Online: Lifestyle Medicine and Climate Change: The Role of Providers in Addressing a Public Health Challenge.

    Bernstein, Adam / Katz, David L

    American journal of lifestyle medicine

    2021  Volume 16, Issue 2, Page(s) 251–253

    Abstract: Climate change threatens to undermine efforts to improve human health through lifestyle modification. Lifestyle medicine providers, however, may be well positioned to help patients create new healthful and climate-friendly habits, such as adopting a ... ...

    Abstract Climate change threatens to undermine efforts to improve human health through lifestyle modification. Lifestyle medicine providers, however, may be well positioned to help patients create new healthful and climate-friendly habits, such as adopting a plant-based diet and limiting or eliminating car travel. Through each provider's own example and patient engagement efforts, as well as though new technology and the collective action of the American College of Lifestyle Medicine, the broader lifestyle medicine community can play an outsized role in addressing climate change.
    Language English
    Publishing date 2021-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2265653-4
    ISSN 1559-8284 ; 1559-8276
    ISSN (online) 1559-8284
    ISSN 1559-8276
    DOI 10.1177/15598276211017097
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  6. Article ; Online: Dietary Assessment by Pattern Recognition: a Comparative Analysis.

    Bernstein, Adam M / Rhee, Lauren Q / Njike, Valentine Y / Katz, David L

    Current developments in nutrition

    2023  Volume 7, Issue 10, Page(s) 101999

    Abstract: Background: Diet quality photo navigation (DQPN) is a novel dietary intake assessment tool that was developed to help address limitations of traditional tools and to easily integrate into health care delivery systems. Prevailing practice is to validate ... ...

    Abstract Background: Diet quality photo navigation (DQPN) is a novel dietary intake assessment tool that was developed to help address limitations of traditional tools and to easily integrate into health care delivery systems. Prevailing practice is to validate new tools against approaches that are in wide use.
    Objective: This study aimed to assess
    Methods: Using a participant-sourcing platform for online research, we recruited 90 participants, 58 of whom completed DQPN, a 3-d FR (via the Automated Self-Administered 24-hour Dietary Assessment Tool), and a food frequency questionnaire (FFQ, via the Dietary History Questionnaire III). We estimated mean nutrient and food group intake with all 3 instruments and generated Pearson correlations between them.
    Results: Mean age (SD) of participants was 38 (11) y, and more than half were male (64%). The strongest correlations for DQPN when compared with the other 2 instruments were for diet quality, as measured by the Healthy Eating Index 2015; between DQPN and the FFQ, the correlation was 0.58 (
    Conclusions: The current study offers evidence that DQPN is comparable to traditional dietary assessment tools for estimating overall diet quality. This performance, plus DQPN's ease-of-use and scalability, may recommend it in efforts to make dietary assessment a universal part of clinical care.
    Language English
    Publishing date 2023-09-11
    Publishing country United States
    Document type Journal Article
    ISSN 2475-2991
    ISSN (online) 2475-2991
    DOI 10.1016/j.cdnut.2023.101999
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  7. Article ; Online: In clinical trials, efficacy vs. effectiveness language is confusing.

    Lawrence, Ryan E / Bernstein, Adam / Jaffe, Chaya / Goldberg, Terry E

    Journal of clinical epidemiology

    2023  Volume 159, Page(s) 345–347

    MeSH term(s) Humans ; Language ; Clinical Trials as Topic
    Language English
    Publishing date 2023-05-30
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 639306-8
    ISSN 1878-5921 ; 0895-4356
    ISSN (online) 1878-5921
    ISSN 0895-4356
    DOI 10.1016/j.jclinepi.2023.05.022
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    Uh III Zs.206: Show issues Location:
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  8. Article: Retraction notice to ``Purified palmitoleic acid for the reduction of high-sensitivity C-reactive protein and serum lipids: A double-blinded, randomized, placebo controlled study'' [Journal of Clinical Lipidology Volume 8, Issue 6, NovemberDecember 2014, Pages 612-617].

    Bernstein, Adam M / Roizen, Michael F / Md, Luis Martinez

    Journal of clinical lipidology

    2021  Volume 15, Issue 3, Page(s) 522

    Language English
    Publishing date 2021-06-16
    Publishing country United States
    Document type Journal Article ; Retraction of Publication
    ZDB-ID 2365061-8
    ISSN 1876-4789 ; 1933-2874
    ISSN (online) 1876-4789
    ISSN 1933-2874
    DOI 10.1016/j.jacl.2021.03.003
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  9. Article ; Online: Eligibility of emergency psychiatry patients for clinical trials studying depression.

    Lawrence, Ryan E / Bernstein, Adam / Jaffe, Chaya / Zhao, Yinjun / Wang, Yuanjia / Goldberg, Terry E

    Journal of affective disorders

    2023  Volume 342, Page(s) 10–15

    Abstract: Background: Differences often exist between people with depression who are eligible for clinical trials and those seen in clinical practice. The impact of exclusion criteria on eligibility has been previously reported for inpatients and outpatients, but ...

    Abstract Background: Differences often exist between people with depression who are eligible for clinical trials and those seen in clinical practice. The impact of exclusion criteria on eligibility has been previously reported for inpatients and outpatients, but has not been assessed for emergency psychiatry patients; a group that overlaps with inpatients and outpatients but also has important distinctives. Understanding the frequencies of commonly used exclusion criteria in this population could inform interpretation of existing data (generalizability) and highlight opportunities/needs for future trials.
    Methods: We reviewed 67 clinical trials studying depression using Qualitative Content Analysis to identify common and recurring exclusion criteria. We examined the frequency of these exclusion criteria among a clinical sample of emergency psychiatry patients.
    Results: Most clinical trials had exclusions for basic research requirements, age, symptom severity, psychosis, and substance use. Applying 9 commonly used exclusion criteria to the clinical population resulted in a 3.3 % eligibility rate (95 % CI 1.2 %-7.0 %). Exclusions for psychosis (85.1 % of trials), substance use (83.6 % of trials), and suicide risk (65.7 % of trials) would likely exclude 93 % of emergency psychiatry patients. The prevalence of psychosis, substance use, and suicide risk was much higher among emergency psychiatry patients than among previously studied populations.
    Limitations: Some eligibility criteria could not be measured. The Qualitative Content Analysis consolidated similar exclusion criteria, losing potentially important nuances in wordings.
    Conclusions: Exclusion criteria commonly used in contemporary clinical trials of depression limit generalizability to emergency psychiatry patients, due in large part to exclusions for psychosis, substance use, and suicide risk.
    MeSH term(s) Humans ; Depression ; Outpatients ; Patient Selection ; Psychiatry ; Research Design ; Clinical Trials as Topic
    Language English
    Publishing date 2023-09-07
    Publishing country Netherlands
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2023.09.010
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  10. Article ; Online: Getting More Out of Clinical Documentation: Can Clinical Dashboards Yield Clinically Useful Information?

    Higa-McMillan, Charmaine K / Park, Alayna L / Daleiden, Eric L / Becker, Kimberly D / Bernstein, Adam / Chorpita, Bruce F

    Administration and policy in mental health

    2024  Volume 51, Issue 2, Page(s) 268–285

    Abstract: This study investigated coded data retrieved from clinical dashboards, which are decision-support tools that include a graphical display of clinical progress and clinical activities. Data were extracted from clinical dashboards representing 256 youth (M ... ...

    Abstract This study investigated coded data retrieved from clinical dashboards, which are decision-support tools that include a graphical display of clinical progress and clinical activities. Data were extracted from clinical dashboards representing 256 youth (M age = 11.9) from 128 practitioners who were trained in the Managing and Adapting Practice (MAP) system (Chorpita & Daleiden in BF Chorpita EL Daleiden 2014 Structuring the collaboration of science and service in pursuit of a shared vision. 43(2):323 338. 2014, Chorpita & Daleiden in BF Chorpita EL Daleiden 2018 Coordinated strategic action: Aspiring to wisdom in mental health service systems. 25(4):e12264. 2018) in 55 agencies across 5 regional mental health systems. Practitioners labeled up to 35 fields (i.e., descriptions of clinical activities), with the options of drawing from a controlled vocabulary or writing in a client-specific activity. Practitioners then noted when certain activities occurred during the episode of care. Fields from the extracted data were coded and reliability was assessed for Field Type, Practice Element Type, Target Area, and Audience (e.g., Caregiver Psychoeducation: Anxiety would be coded as Field Type = Practice Element; Practice Element Type = Psychoeducation; Target Area = Anxiety; Audience = Caregiver). Coders demonstrated moderate to almost perfect interrater reliability. On average, practitioners recorded two activities per session, and clients had 10 unique activities across all their sessions. Results from multilevel models showed that clinical activity characteristics and sessions accounted for the most variance in the occurrence, recurrence, and co-occurrence of clinical activities, with relatively less variance accounted for by practitioners, clients, and regional systems. Findings are consistent with patterns of practice reported in other studies and suggest that clinical dashboards may be a useful source of clinical information. More generally, the use of a controlled vocabulary for clinical activities appears to increase the retrievability and actionability of healthcare information and thus sets the stage for advancing the utility of clinical documentation.
    MeSH term(s) Adolescent ; Humans ; Child ; Dashboard Systems ; Reproducibility of Results ; Mental Health Services ; Anxiety Disorders ; Documentation
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025319-1
    ISSN 1573-3289 ; 0894-587X
    ISSN (online) 1573-3289
    ISSN 0894-587X
    DOI 10.1007/s10488-023-01329-z
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