311 posts · 70,055 views
Dr Shock is a pseudonym for a psychiatrist working in a University Hospital. His main topics of interest are the treatment of depression and electro convulsive therapy. Other subjects for this personal blog are research, article reviews, book reviews and education. He loves computers and Internet.
Dr Shock
311 posts
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- July 28, 2010
- 02:30 AM
- 2 views
How do doctors cope?
by Dr Shock in Dr Shock MD PhD
Often I will tell my residents that if you can’t take care of yourself how do you expect to take care of your patients. Or in another way: the only difference between God and a doctor is that God knows he’s not a doctor. These sound like cliches but there is some truth in them. [...]
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Doctors reactions to memorable patients deaths’
Have mercy on the NHS Doctors
... Read more »
Jane B Lemaire, & Jean E Wallace. (2010) Not all coping strategies are created equal: a mixed methods study exploring physicians' self reported coping strategies. BMC Health Services Research. info:/10.1186/1472-6963-10-208
- July 26, 2010
- 02:03 AM
- 4 views
Facebook and Professionalism
by Dr Shock in Dr Shock MD PhD
Does Facebook and other social networking services damage the profession of physicians or the public trust in this profession? So far no systematic research into this topic has been published. However several cases were presented in the media resulting in disciplinary measures. On social networking sites patients may learn information about their doctors that compromises [...]
Related posts:The Dangers of Facebook or Let’s Be Careful Out There
Facebook and Academic Performance
Facebook ........ Read more »
MacDonald, J., Sohn, S., & Ellis, P. (2010) Privacy, professionalism and Facebook: a dilemma for young doctors. Medical Education, 44(8), 805-813. DOI: 10.1111/j.1365-2923.2010.03720.x
Brown, A. (2010) Social media: a new frontier in reflective practice. Medical Education, 44(8), 744-745. DOI: 10.1111/j.1365-2923.2010.03729.x
- July 20, 2010
- 02:25 AM
- 5 views
Facebook and MySpace use among college students
by Dr Shock in Dr Shock MD PhD
This study was really about the question whether facebook and myspace replaced face to face interaction. Apparently conflicting results were reported. This study used a survey to examine the use of facebook and myspace among 183 college students an it confirmed that the use of these social media acted as an extension instead of a [...]
Related posts:Facebook and Academic Performance
The Social Capital Divide in MySpace
The Dangers of Facebook or Let’s Be Careful Out There
... Read more »
Carlyne L. Kujath, B.S. (2010) Facebook and MySpace: Complement or Substitute for Face-to-Face Interaction?. CYBERPSYCHOLOGY, BEHAVIOR, AND SOCIAL NETWORKING. info:/10.1089/cyber.2009.0311
- July 19, 2010
- 02:15 AM
- 3 views
Surgical Residents more health complaints than other employees
by Dr Shock in Dr Shock MD PhD
In a recent study in The Netherlands the researchers found that surgical residents experienced more health complaints than the average member of the Dutch working population (4.0 versus 2.5; p = 0.000). Residents in training (n= 400) were sent self report questionnaires of which 254 of 400 (64%) residents returned questionnaires that were eligible for [...]
Related posts:Psychiatric Residents in Psychotherapy
5 Motives for Residents to Stay Late at the Hospital and Why that is a Bad Idea
Cine........ Read more »
Boerjan, M., Bluyssen, S., Bleichrodt, R., Van Weel-Baumgarten, E., & Van Goor, H. (2010) Work-related health complaints in surgical residents and the influence of social support and job-related autonomy. Medical Education, 44(8), 835-844. DOI: 10.1111/j.1365-2923.2010.03724.x
- July 14, 2010
- 02:23 AM
- 2 views
The Effect of Chocolate on Cholesterol Level.
by Dr Shock in Dr Shock MD PhD
As you probably may well know, your lipid profile is of importance for cardiovascular disease. Especially a high cholesterol level is considered to be a risk factor for coronary artery disease. The efficacy of cocoa in reducing blood pressure and other positive effects on cardiovascular risk factors have been discussed on this blog for some [...]
Related posts:A Chocolate Bar A Day Keeps the Doctor Away
How Much Chocolate is good for your Health?
Have Your Dark Chocolate with Green Tea
... Read more »
Lei Jia,, Xuan Liu,, Yong Yi Bai,, Shao Hua Li,, Kai Sun, Chen He,, & Rutai Hui. (2010) Short-term effect of cocoa product consumption on lipid profile: a meta-analysis of randomized controlled trials. Am J Clin Nutr. info:/
- July 12, 2010
- 02:14 AM
- 2 views
Parkinson’s Disease and Depression
by Dr Shock in Dr Shock MD PhD
Depression is common in patients with Parkinson’s disease (mean prevalence 17% in patients with Parkinson’s). It can be the first sign of the disease. It can be treated with antidepressants. There is little evidence that patients with Parkinson’s disease might benefi t more from any
one particular class of antidepressants than any others. The problem with [...]
Related posts:Understanding Depression in Kidney Disease
Psychiatrists don’t Use Scales to Measure Outcome in Dep........ Read more »
Bxarone P, Poewe W, Albrecht S, Debieuvre C, Massey D, Rascol O, Tolosa E, & Weintraub D. (2010) Pramipexole for the treatment of depressive symptoms in patients with Parkinson's disease: a randomised, double-blind, placebo-controlled trial. Lancet neurology, 9(6), 573-80. PMID: 20452823
- July 7, 2010
- 02:28 AM
- 4 views
Gender Diffrence Panic Disoder Explained?
by Dr Shock in Dr Shock MD PhD
Women process threats and aggressive stimuli different than men, differences in the activation of brain regions participating in the fear circuitry. This might be an important factor contributing to the increased likelihood of women to develop panic disorder compared to men. If in women activation differs in parts of the fear circuitry, this could explain [...]
Related posts:Gender Differences in Empathy
Gender differences in frontal lobes
Gender and Medical Education
... Read more »
Patricia Ohrmann, M.D.,, Anya Pedersen, Ph.D., Miriam Braun, M.D.,, Jochen Bauer, M.Sc.,, Harald Kugel, Ph.D.,, Anette Kersting, M.D.,, Katharina Domschke, M.D.,, Jurgen Deckert, M.D.,, & Thomas Suslow, Ph.D. (2010) EFFECT OF GENDER ON PROCESSING THREAT-RELATED STIMULI IN PATIENTS WITH PANIC DISORDER: SEX DOES MATTER. Depression . info:/10.1002/da.20721
- July 6, 2010
- 02:35 AM
- 3 views
Under-representation of women in academic bioscience
by Dr Shock in Dr Shock MD PhD
Although 50% of women receive graduate degrees in biology in the US only 27% of faculty members is female. In Europe conditions are far worse on academic careers for women, especially in the medical academic workforce.
Only 1 in 10 medical clinical professors are women in the United Kingdom (UK). No female professor was employed in [...]
Related posts:Women in the medical academic workforce
Gender and Medical Education
The Effect of Gender on Clerkship during Medical Education
... Read more »
No authors listed. (2010) Crossing the gender divide. Nature Medicine, 16(5), 491-491. DOI: 10.1038/nm0510-491
- July 5, 2010
- 02:10 AM
- 2 views
GABA enriched chocolate against stress?
by Dr Shock in Dr Shock MD PhD
At first Dr Shock was baffled. Mixing precious chocolate with chemicals? What a waste. Apparently cocoa has about 52 mg of GABA per 100 gram cacao. GABA is the major inhibitory neurotransmitter in the brain and it has been shown to have an acute psychological stress-reducing effect in humans and a tranquilizing effect on sleeplessness, [...]
Related posts:Animal Model for Benefits of Chocolate for Cardiovascular System
Chocolate Against Stress
Dark Chocolate Improves Coronary Blood Flow
... Read more »
Nakamura, H., Takishima, T., Kometani, T., & Yokogoshi, H. (2009) Psychological stress-reducing effect of chocolate enriched with γ-aminobutyric acid (GABA) in humans: assessment of stress using heart rate variability and salivary chromogranin A. International Journal of Food Sciences and Nutrition, 60(s5), 106-113. DOI: 10.1080/09637480802558508
- July 1, 2010
- 02:42 AM
- 3 views
Disclosure of substance use on social media websites
by Dr Shock in Dr Shock MD PhD
Young adults tend to post videos and images of themselves while using alcohol or marijuana on social media websites such as MySpace, and YouTube. In a recent study a content analysis was done on these videos. This study revealed that alcohol use was mostly in videos with females in social gatherings, while marijuana use on [...]
Related posts:The Risks of Online Social Networking for Students
The Dangers of Facebook or Let’s Be Careful Out There
Music Preference and Substance Use
... Read more »
Morgan, E., Snelson, C., & Elison-Bowers, P. (2010) Image and video disclosure of substance use on social media websites. Computers in Human Behavior. DOI: 10.1016/j.chb.2010.04.017
- June 29, 2010
- 02:05 AM
- 3 views
Postpartum Depression and Mass Media
by Dr Shock in Dr Shock MD PhD
About 13 to 19% of new mothers experience depression in the first year after birth. Most of them are never identified nor diagnosed. New mothers often read about pregnancy, giving birth and raising their children in popular magazines. It’s eminent that adequate information in these magazines about postpartum depression is of importance. A recent study [...]
Related posts:A Portrait of Depression in the Mass Media, Gender Influences.
Mass Media and notions about women’s depressive ........ Read more »
Schanie, C., Pinto-Foltz, M., & Logsdon, M. (2008) Analysis of Popular Press Articles Concerning Postpartum Depression: 1998–2006. Issues in Mental Health Nursing, 29(11), 1200-1216. DOI: 10.1080/01612840802370509
- June 25, 2010
- 02:52 AM
- 3 views
Dark Chocolate to prevent Hypertension?
by Dr Shock in Dr Shock MD PhD
As you probably know is Dr Shock completely biased when writing about chocolate especially dark chocolate. He mostly writes about the research with positive results of chocolate on cardiovascular diseases. A recent review included 5 studies of adequate quality for inclusion in a recent meta analysis as well as 8 other peer reviewed studies for [...]
Related posts:Chocolate as Antihypertensive Drug?
Dark Chocolate Improves Coronary Blood Flow
How Much Chocolate is good for your Health?
... Read more »
Egan, B., Laken, M., Donovan, J., & Woolson, R. (2010) Does Dark Chocolate Have a Role in the Prevention and Management of Hypertension?: Commentary on the Evidence. Hypertension, 55(6), 1289-1295. DOI: 10.1161/HYPERTENSIONAHA.110.151522
- June 22, 2010
- 02:40 AM
- 3 views
Twitter for continuous student ratings
by Dr Shock in Dr Shock MD PhD
Most physicians of my age only witnessed summative evaluations during their medical education. You studied your stuff and did an exam for which you could fail or not, go or no go. Our exams were tests aiming to summarize learning up to that point. Today most med students are evaluated with formative evaluation. Continuous evaluations [...]
Related posts:Medical Education Evaluated With Twitter
Twitter, Doctors, Hospitals and Medical Education
Twitter during Lectures part 2
... Read more »
Stefan Stieger, D.Sc., & Christoph Burger. (2010) Let’s Go Formative: Continuous Student Ratings with Web 2.0 Application Twitter. CYBERPSYCHOLOGY, BEHAVIOR, AND SOCIAL NETWORKING, 163-167. info:/10.1089/cyber.2009.0128
- June 8, 2010
- 02:12 PM
- 2 views
What’s wrong with the disclosure of conflicts of interests?
by Dr Shock in Dr Shock MD PhD
A lot. Medical journals often don’t designate which specific types of interests they want to be disclosed. Far less than 50% of medical journals specify a monetary threshold for author disclosure. Only 16% of medical journals include a time period over which the authors should disclose their financial interest, is it the last year, three [...]
Related posts:Conflicts of Interest in Medical Journal Publishing
DSM V and Author Conflicts
Patient doctor relationship: Self Disclosure
... Read more »
Krimsky S, & Sweet E. (2009) An analysis of toxicology and medical journal conflict-of-interest polices. Accountability in research, 16(5), 235-53. PMID: 19757230
Weinfurt KP, Seils DM, Tzeng JP, Lin L, Schulman KA, & Califf RM. (2008) Consistency of financial interest disclosures in the biomedical literature: the case of coronary stents. PloS one, 3(5). PMID: 18461146
- May 26, 2010
- 02:06 AM
- 11 views
The Morning Report
by Dr Shock in Dr Shock MD PhD
The morning report held every morning before 9.00 AM in our department of psychiatry is usually a pleasant and informative gathering of residents, faculty and medical students. To my opinion the important purpose of the morning report is mostly education but since recent also evaluating residents, discussing calamities and social interaction. The morning report is [...]
Related posts:ECT Case Report in the NEJM
Electroconvulsive therapy and pregnancy, a case report
5 Motives for Residents to ........ Read more »
Reilly B, & Lemon M. (1997) Evidence-based morning report: a popular new format in a large teaching hospital. The American journal of medicine, 103(5), 419-26. PMID: 9375711
Amin Z, Guajardo J, Wisniewski W, Bordage G, Tekian A, & Niederman LG. (2000) Morning report: focus and methods over the past three decades. Academic medicine : journal of the Association of American Medical Colleges, 75(10 Suppl). PMID: 11031158
- May 24, 2010
- 12:52 PM
- 10 views
E-Publication Bias
by Dr Shock in Dr Shock MD PhD
As you might be aware some journals enable immediate free online access for a fee to the publisher. This fee can amount to a large sum of money. Other publishers use a hybrid model allowing authors to choose between subscription access and author paid open access. This is an opportunity for pharmaceutical or other biomedical [...]
Related posts:An example of publication bias in systematic reviews
Biased Medical Education
The New Hype: Case Reports
... Read more »
Jakobsen AK, Christensen R, Persson R, Bartels EM, & Kristensen LE. (2010) Open access publishing. And now, e-publication bias. BMJ (Clinical research ed.). PMID: 20427450
- May 10, 2010
- 02:07 AM
- 7 views
Everything you always wanted to know about body piercings
by Dr Shock in Dr Shock MD PhD
Do you have a body piercing somewhere? Do you like body piercings? I know of some colleagues who change their hair, the color or size when switching jobs. There’s even a Dutch psychiatrist who thinks that rigorous change of hair style predicts the onset of schizophrenia. More recent is the publication of a review on [...]
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Bui, E., Rodgers, R., Cailhol, L., Birmes, P., Chabrol, H., & Schmitt, L. (2010) Body Piercing and Psychopathology: A Review of the Literature. Psychotherapy and Psychosomatics, 79(2), 125-129. DOI: 10.1159/000276376
- May 5, 2010
- 02:13 AM
- 4 views
Empathy across different medical specialties
by Dr Shock in Dr Shock MD PhD
In this study psychiatrists have the highest mean empathy score on The Jefferson Scale of Physician Empathy. They were folowed by Internists, general pediatrics, emergency medicine and family medicine. The differences in empathy scores among psychiatrists and physicians in internal medicine, pediatrics, and emergency medicine were not statistically significant, but physicians in all other specialties [...]
Related posts:Empathy during Medical Education
Empathy for the Mentally Ill in Medical ........ Read more »
Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, & Magee M. (2002) Physician empathy: definition, components, measurement, and relationship to gender and specialty. The American journal of psychiatry, 159(9), 1563-9. PMID: 12202278
- May 4, 2010
- 02:27 AM
- 3 views
TMS for medication resistant depression
by Dr Shock in Dr Shock MD PhD
It’s been a while since my last post on this blog about transcranial magnetic stimulation (TMS).
Myself ‘m not impressed by it’s efficacy for treatment resistant depression. Especially in treatment resistant depression, whatever that may be, rTMS is probably best avoided for more evidence based form of treatments with proven efficacy.
The reason for this post about [...]
Related posts:rTMS Targeted with MRI Based Neuro-Navigation in Treatment-Resistant Depression
Again Open ........ Read more »
Yip AG, & Carpenter LL. (2010) Transcranial magnetic stimulation for medication-resistant depression. The Journal of clinical psychiatry, 71(4), 502-3. PMID: 20409447
- April 27, 2010
- 02:11 AM
- 9 views
Autobiographical Odor Memory
by Dr Shock in Dr Shock MD PhD
Everyone has experienced the recollection of memories by some smell or odor. Sometimes these memories have to be fetched from a long long time ago not without difficulty. Often smelling something nice makes me wonder of what it reminds me off. But is this also evidence based or just sentimental crap?
According to a recent review [...]
Related posts:How does short-term memory work in relation to long-term memory?
Sackeims letter to the editor about memory loss due to electroshock
Is Memory for........ Read more »
Larsson, M., & Willander, J. (2009) Autobiographical Odor Memory. Annals of the New York Academy of Sciences, 1170(1), 318-323. DOI: 10.1111/j.1749-6632.2009.03934.x
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