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Virani S, Bona A, Bodic M, Gomes CADB, Strayer R. Management of Severe Agitation in the Emergency Department of a Community Hospital in Brooklyn, New York. Prim Care Companion CNS Disord 2019; 21. [DOI: 10.4088/pcc.18l02348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Virani S, Brainch N, Albuquerque C, Mitra S, Bodic M, Bazzi L. Exploring the Role of Ketamine in Maintaining the Antidepressant Response. Psychiatr Ann 2018. [DOI: 10.3928/00485713-20180816-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Virani S, Aoun EG, Torres F, Genova N, Brainch N, Gomes CA, Ahmed S, Hurley B, Bazzi L. Decoding New York State's Prescription Monitoring Program. Psychiatr Serv 2018; 69:956-958. [PMID: 29921192 DOI: 10.1176/appi.ps.201800143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This column describes the Internet System for Tracking Over-Prescribing (I-STOP), New York State's prescription monitoring program, and its compatibility with HIPAA and Part 2 of Volume 42 of the Code of Federal Regulations (CFR). The authors review use of information that is permitted by I-STOP and CFR for health care operations, including disclosure, and present information from the state Bureau of Narcotics Enforcement about appropriate use of the program. Physicians are permitted, for example, to contact other prescribers in I-STOP, even without explicit permission from the patient, an area in which physicians need more training. Common clinical scenarios encountered while navigating I-STOP are described.
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Virani S, Daya GN, Brainch N, Kotapati VP, Zaveri D, Ahmed S. Persistent Psychosis due to Single Dose of Ecstasy. Cureus 2018; 10:e3058. [PMID: 30280055 PMCID: PMC6166901 DOI: 10.7759/cureus.3058] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Ecstasy, a popular drug among the younger generation, the primary psychoactive component of which is 3,4-Methylenedioxymethamphetamine (MDMA), is rarely known to have acute psychiatric effects and when it does, it is usually short term. We describe a patient who presented to the emergency room in a psychotic state after using ecstasy recreationally. Given his aggressive behavior in the community and risk for self-harm, he was emergently hospitalized to ensure safety. He developed persistent psychotic symptoms (delusions) after one dose of recreational MDMA and the team had the opportunity to observe, monitor, and treat his psychosis. This case along with few other documented cases highlights the gaps in research about the chronic, persistent effects and long-term consequences of MDMA. It also suggests that neuropsychiatric symptoms may not be readily reversible after cessation of use. There is an emphasis on the need for physicians to inquire about MDMA use and include it in toxicology screenings and as a potential differential diagnosis.
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Brainch N, Virani S, Bazzi L. D-Cycloserine: A Novel Antidepressant to Be Explored? Psychiatr Ann 2018. [DOI: 10.3928/00485713-20180308-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ahmed S, Virani S, Kotapati VP, Bachu R, Adnan M, Khan AM, Zubair A, Begum G, Kumar J, Qureshi M, Ahmed R. Efficacy and Safety of Varenicline for Smoking Cessation in Schizophrenia: A Meta-Analysis. Front Psychiatry 2018; 9:428. [PMID: 30283363 PMCID: PMC6156523 DOI: 10.3389/fpsyt.2018.00428] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 08/20/2018] [Indexed: 01/22/2023] Open
Abstract
Objective: Smoking represents a major public health problem among patients with schizophrenia. To this end, some studies have investigated the efficacy of varenicline for facilitating smoking cessation in schizophrenia patients. The present review seeks to synthesize the results of these studies as well as document the reported side effects of using this medication. Methods: An electronic search was performed using five major databases: PubMed, Scopus, EMBASE, Web of Science, and Cochrane Library. Included in the current analysis were randomized clinical trials (RCTs) that have investigated the effect of varenicline in promoting smoking cessation in patients with schizophrenia. Risk of bias among included RCTs was assessed using the Cochrane Collaboration's quality assessment tool. Results: Among the 828 screened articles, only four RCTs, which involved 239 participants, were eligible for meta-analysis. In patients with schizophrenia, varenicline treatment when compared to placebo significantly reduced the number of cigarettes consumed per day [SMD (95% CI) = 0.89(0.57-1.22)] and expired carbon monoxide levels [SMD (95% CI) = 0.50 (0.06-0.94)] respectively. Conclusion: Despite a limited number of studies included in the meta-analysis, our results suggest that varenicline is an effective and safe drug to assist smoking cessation in patients with schizophrenia. Future large-scale well-designed RCTs are required to validate these findings.
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Neumann JL, Mau LW, Virani S, Denzen EM, Boyle DA, Boyle NJ, Dabney J, De KeselLofthus A, Kalbacker M, Khan T, Majhail NS, Murphy EA, Paplham P, Parran L, Perales MA, Rockwood TH, Schmit-Pokorny K, Shanafelt TD, Stenstrup E, Wood WA, Burns LJ. Burnout, Moral Distress, Work-Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals. Biol Blood Marrow Transplant 2017; 24:849-860. [PMID: 29196079 DOI: 10.1016/j.bbmt.2017.11.015] [Citation(s) in RCA: 88] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 11/13/2017] [Indexed: 11/29/2022]
Abstract
A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program/Be The Match System Capacity Initiative. Work-related distress and work-life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. A cross-sectional, 90-item, web-based survey was administered to advanced practice providers, nurses, physicians, pharmacists, and social workers in 2015. Participants were recruited from membership lists of 6 professional groups. Burnout (measured with the Maslach Burnout Inventory subscales of emotional exhaustion and depersonalization) and moral distress (measured by Moral Distress Scale-Revised) were examined to identify work-related distress. Additional questions addressed demographics, work-life balance, and career satisfaction. Of 5759 HCT providers who received an individualized invitation to participate, 914 (16%) responded; 627 additional participants responded to an open link survey. Significant differences in demographic and practice characteristics existed across disciplines (P < .05). The prevalence of burnout differed across disciplines (P < .05) with an overall prevalence of 40%. Over one-half of pharmacists had burnout, whereas social workers had the lowest prevalence at less than one-third. Moral distress scores ranged from 0 to 336 and varied by discipline (P < .05); pharmacists had the highest mean score (62.9 ± 34.8) and social workers the lowest (42.7 ± 24.4). In multivariate and univariate analyses, variables contributing to burnout varied by discipline; however, moral distress was a significant contributing factor for all providers. Those with burnout were more likely to report inadequate work-life balance and a low level of career satisfaction; however, overall there was a high level of career satisfaction across disciplines. Burnout, moral distress, and inadequate work-life balance existed at a variable rate in all HCT disciplines, yet career satisfaction was high. These results suggest specific areas to address in the work environment for HCT health professionals, especially the need for relief of moral distress and a greater degree of personal time. As the creation of healthy work environments is increasingly emphasized to improve quality care and decrease costs, these findings should be used by HCT leadership to develop interventions that mitigate work-related distress and in turn foster recruitment and retention of HCT providers.
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Catlin B, Bains P, Baker S, Costigan J, Ding L, Harle S, Hennessy C, Hutchison F, McKeen K, Pearce S, Sidsworth M, Swiggum E, Toma M, Vandergriend R, Virani S, Hobson B, Norquist C. THE BRITISH COLUMBIA SACUBITRIL-VALSARTAN REGISTRY: RATIONALE AND BASELINE DEMOGRAPHICS. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Webb J, Catlin B, Chan A, Charania J, Cheung A, Cook R, Della Siega A, Ding L, Latham T, Lauck S, Robinson S, Virani S, Wood D, Ye J, Yu M, Wong D. TRANSCATHETER AORTIC VALVE REPLACEMENT IN BRITISH COLUMBIA. IMPLICATIONS OF VALVE SELECTION ON PACEMAKER RATES, HOSPITAL STAY, AND READMISSION. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Plourde V, Low T, Jadavji Z, Virani S, Barlow K, Yeates K, Brooks B. B-63Do Pre-existing Psychological or Neurodevelopmental Problems Predict Long-term Functioning in Children and Adolescents with Prior Concussions? Arch Clin Neuropsychol 2017. [DOI: 10.1093/arclin/acx076.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Virani S, Govender P. P109 An uncommon cause of persistent lip swelling for the allergist - orofacial granulomatosa. Ann Allergy Asthma Immunol 2016. [DOI: 10.1016/j.anai.2016.09.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Catlin B, Sidsworth M, Hutchison F, Nordquist C, Virani S. The Provincial Heart Failure Strategy at Work: Creating Standardized Resources to Guide Nurse Practitioners’ Practice When Prescribing a New Heart Failure Medication. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Ding L, Harle S, Catlin B, Ramsay P, Virani S. TEMPORAL TRENDS IN HEART FAILURE PREVALENCE AND OUTCOMES IN BRITISH COLUMBIA. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Kiamanesh O, Khosla A, Johansson E, Virani S, Davis M, Cheung A, Bashir J, Munt B, Ignaszewski A, Kaan A, Toma M. The Impact of Donor Origin on Survival after Orthotopic Heart Transplantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Neumann JL, Mau LW, Denzen EM, Boyle DA, Dabney J, De Kesel Lofthus A, Kalbacker M, Khan T, Majhail NS, Murphy EA, Paplham P, Parran L, Perales MA, Rockwell T, Schmit-Pokorny K, Shanafelt TD, Stenstrup E, Virani S, Wood WA, Burns LJ. Hematopoietic Cell Transplantation Multidisciplinary Care Teams: National Survey of Transplant Provider Burnout, Moral Distress and Career Satisfaction. Biol Blood Marrow Transplant 2016. [DOI: 10.1016/j.bbmt.2015.11.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Nazzari H, Bashir J, Tauh K, Virani S, Davis M, Munt B, Kaan A, Ignaszewski A, Cheung A, Toma M. SINGLE CENTER COMPARATIVE ANALYSIS OF HEARTMATE II AND HEARTWARE HVAD CONTINUOUS FLOW DEVICES. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Giannetti N, Frenette M, Toma M, Zieroth S, DeYoung P, Rajda M, Huynh T, Howlett J, Ezekowitz J, Rinne C, Nguyen V, Orenstein T, Virani S. PHYSICIAN ADHERENCE TO EVIDENCE-BASED PHARMACOTHERAPY IN SYSTOLIC HEART FAILURE: DATA FROM THE CANADIAN QUALIFY SURVEY. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Catlin B, Virani S, Prentice C, Luehr P, Kerr S, Starzyk M, Young Q, Ross D, Deakin B. THE PROVINCIAL HEART FAILURE STRATEGY AT WORK: CARING FOR THE PSYCHOLOGICAL NEEDS OF OUR HEART PATIENTS AND FAMILIES. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Cheung C, Virani S, Davis M, Hawkins N, Munt B, Ding L, Ignaszewski A, Toma M. TEMPORAL TRENDS IN HEART FAILURE Outcomes FOLLOWING INDEX HF HOSPITALIZATION IN BRITISH COLUMBIA. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Kiamanesh O, Khosla A, Johansson E, Virani S, Davis M, Cheung A, Bashir J, Munt B, Kaan A, Ignaszewski A, Toma M. LONG-TERM SURVIVAL AFTER CARDIAC TRANSPLANTATION: THE BRITISH COLUMBIA EXPERIENCE. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Shah R, Virani S, Shah S. P0192 Sentinel node biopsy in breast cancer using only methylene blue dye: A prospective study in a rural tertiary care centre. Eur J Cancer 2015. [DOI: 10.1016/j.ejca.2015.06.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kiamanesh O, Khosla A, Johansson E, Virani S, Davis M, Cheung A, Bashir J, Ignaszewski A, Munt B, Kaan A, Toma M. Comparing Induction Immunosuppression With Basiliximab or Rabbit Anti-Thymocyte Globulin After Cardiac Transplantation: A Contemporary Experience. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Virani S, De Kesel Lofthus A, Boyle DA, Stenstrup E, Denzen EM, Dabney J, Schmit-Pokorny K, Parran L, Mau LW, Burns LJ, Kalbacker M, Perales MA, Boyle N, Majhail NS, Paplham P, Shanafelt T, Khan T, Wood W, Murphy EA, Neumann J. Hematopoietic Cell Transplantation Multidisciplinary Care Teams: Burnout, Moral Distress and Career Satisfaction. Biol Blood Marrow Transplant 2015. [DOI: 10.1016/j.bbmt.2014.11.583] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pokharel Y, Hira R, Kalra A, Shore S, Kerkar P, Kumar G, Risch S, Vicera V, Oetgen W, Turakhia M, Glusenkamp N, Virani S. Guideline recommended medication use among systolic heart failure patients in India: Insights from the American college of cardiology practice innovation and clinical excellence (PINNACLE)® India Registry. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Rajala J, Tyldesley S, Pickles T, Virani S. The Prevalence of Cardiac Risk Factors in Men With Localized Prostate Cancer Undergoing Androgren Deprivation Therapy in British Columbia, Canada. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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