TagFurqan

Reading of the Week: Aromatherapy for Insomnia? Also, Ramadan and Mental Health and Responding to Vaccine History

From the Editor

“Sleep is one of the indispensable needs of human beings and is essential for maintaining physical and mental health.”

So writes Yueheng Tang (of the Huazhong University of Science and Technology) and co-authors in a new paper on insomnia. That topic is always relevant; with a third wave and the ongoing stresses of the pandemic, more people than ever seem to be struggling with insomnia. In the past few weeks, I’ve received a flurry of questions from patients and non-patients about remedies for insomnia.

What to make of aromatherapy? It’s trendy – but is it evidence based? In a new paper for the Journal of Affective Disorders, Tang et al. consider aromatherapy which “has a long history in China, and it has been used to strengthen the body and treat diseases since ancient times.” They conduct a meta-analysis, drawing on sixteen articles. They find: “Aromatherapy has a significant effect on improving sleep quality.” We consider the paper and ask: should we recommend this to our patients?

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In the second selection, we look at a new podcast that explores Ramadan and its clinical implications. In this Quick Takes episode, I’m joined by Drs. Juveria Zaheer and Zainab Furqan (both of the University of Toronto). They discuss fasting, mental disorders, and offer some suggestions. For example, with drug regiments: “if a medication is dosed twice daily, we can ask if it can be given safely during the interval when the interval between doses is shortened? So can we give it then in the evening or at dawn and then at sunset again? Or can we give it as one dose? And we need to think about the side effects of the medication.”

Finally, in our third selection, a reader writes us. Dr. Suze G. Berkhout (of the University of Toronto) responds to the paper by Drs. Angela Desmond and Paul A. Offit considering the history of vaccines. “The story the authors tell is history as it is written by the victors: emphasizing the hard work and successes of scientists, while failing to acknowledge the ways in which vaccine technologies have also been part of an exclusionary politics of biomedicine.”

Note that there will be no Reading next week.

DG

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Reading of the Week: Ramadan and Mental Health Care – What are the Clinical Considerations?

From the Editor

For some patients, it carries deeply religious meaning. For others, it will be a time for reflection. And for us clinicians, it must be thought of in terms of patients’ management.

As our Muslim patients begin Ramadan, there are implications for care. About 80% of Muslims in North America will fast. Should medication times change? Would sleep be disrupted? Are patients on lithium at greater risk of toxicity? In a new paper, Dr. Zainab Furqan – a resident in the University of Toronto’s Department of Psychiatry – joins co-authors from three countries in considering Ramadan and care. They note that several groups are exempt from fasting but “many people who are exempt from fasting due to illness choose to fast during this month due to the spiritual significance of Ramadan for Muslim communities.”

They write: “It is important for clinicians not to undermine the importance of this spiritual practice for their patients.”

newmoon11A small moon and big challenges for care?

In this week’s Reading, we consider their new paper.

And an invitation: the Reading of the Week series invites guest contributions. If this is of interest, please let me know.

DG

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Reading of the Week: The Best of 2018

From the Editor

It’s an annual Reading of the Week tradition. At the end of each year, we pause, take stock, and consider the best selections of the past 12 months.

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2018 was an eventful year.

Start here: the federal government legalized the recreational use of cannabis.

We have heard so much about legalization over these past few years, that the event itself seemed almost anti-climactic. But remember: Canada is only the second country in the world to do this.

And 2018 has seen further evidence that stigma continues to fade: governments across the country have committed themselves to increased funding for mental health; more people spoke of their experiences with mental illness; more people talked about previously taboo topics, such as suicide.

And so with an eye on the future, let’s look back at the last year. In this final Reading of 2018, we look at a few memorable selections. Enjoy.

Please note that there will be no Reading for the next two weeks.

DG

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Reading of the Week: Suicide Notes & Lessons Learned – the New CJP Paper; Also, Mukherjee on Case Reports

From the Editor

Many people didn’t write one. But some did. The notes were usually short, typically only 600 words or so, and were often handwritten. Some talked about their illness; others didn’t.

What lessons can we learn from these suicide notes?

In the first selection, University of Toronto psychiatry resident Dr. Zainab Furqan and her co-authors consider notes left by those who suicided in a paper just published in The Canadian Journal of Psychiatry. They argue that we can learn from them, and offer clinical suggestions.

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In the second selection, Columbia University’s Dr. Siddhartha Mukherjee argues that the obscure is relevant – he notes the decline and fall of the case report, and calls for its return.

DG

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