Accurate diagnosis of the condition of the dental pulp has an important bearing on treatment planning. The aim of this review was to appraise the diagnostic accuracy of signs/symptoms and tests used to determine the condition of the pulp in teeth affected by deep caries, trauma or other types of injury. The authors searched PubMed, [read the full story…]
A multidisciplinary group of Dutch scientists have produced a guideline to help diagnose and treat medically unexplained physical symptoms (MUPS) and somatoform disorders (SD) in primary care, hospitals and occupational health settings. The guideline summarises the best available evidence and attempts to answer 4 key questions, for which the following findings are presented: 1. Preventive [read the full story…]
Depression often occurs in later life and people in poor physical condition tend to be more susceptible than others. Older people in hospital who get depressed have poorer outcomes, so it’s important that we know how to detect depression and manage it in the acute setting. This systematic review conducted by researchers in Swansea set [read the full story…]
Bipolar disorder is a complex health condition and the diagnosis of bipolar depression is a fairly contentious topic. This is because depression occurs in bipolar disorder alongside a wide range of symptoms of mood elevation. Some patients have depressive episodes as well as severely elevated mood during the course of their illness, whereas other patients [read the full story…]
We know that it can take many years for people with bipolar disorder to be accurately diagnosed, following an initial episode of mental illness. This cohort study carried out by researchers from Denmark, the US and Wales, set out to study to what extent psychiatric disorders with postpartum onset (following childbirth) are early manifestations of [read the full story…]
Depression can be difficult to detect and diagnose and this difficulty only increases when other mental health conditions are also present. This systematic review conducted by a team of researchers from Groningen in the Netherlands, set out to identify the best instrument for diagnosing depression in people with schizophrenia. Their concern was that some diagnostic [read the full story…]
The aim of this review was to summarize the research on accuracy of individual clinical diagnostic signs and tests for the presence of temporomandibular disorder (TMD), , and for the subclassifications affiliated with TMD. The authors conducted hand and computerised searches to identify articles on the diagnostic accuracy of clinical tests and signs. The sources [read the full story…]
One of the components of policy to improve the health of people with learning disabilities is the recommendation that people should receive annual health checks. Following the introduction of a Direct Enhanced Service in England in 2008 to deliver annual health checks, progress has been made in increasing access to checks across primary care trusts [read the full story…]
Unsurprisingly, research shows that people who have deviant sexual preferences are more likely to commit sexual offences, so it makes sense that if we can more accurately identify deviant sexual preferences, we will be able to reduce crimes of this nature. Phallometry (also known as penile plethysmography or phallometric assessment) involves placing a device around [read the full story…]
This new 70-page report from Alzheimer’s Disease International warns that in countries such as England, 50-80% of dementia cases are not being recognised in primary care. It highlights the fallacy that as people get older they naturally have problems with their memory, and goes on to recommend that primary care staff who see people with [read the full story…]
