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Psychiatric Bulletin, Volume 14 - Issue 12 - December 1990

Contents

Page 2 of 3

Current Opinion in Psychiatry

The Psychiatry of Opera

  • Care of the elderly

  • Published online by Cambridge University Press:
    02 January 2018, p. 737
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  • Courses

  • Published online by Cambridge University Press:
    02 January 2018, p. 737
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Expert Opinion

  • L-tryptophan and the eosinophilia-myalgia syndrome: Drugs and Therapeutics Bulletin (1990), 28, 37–38

  • Philip J. Cowen
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    02 January 2018, pp. 738-739
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  • Eosinophilia-myalgia syndrome (EMS) is an alarming illness, occasionally fatal, which is characterised by severe myalgia, arthralgia, fatigue and, it now appears, ingestion of L-tryptophan (Hertzman et al, 1990). At first sight this appears rather surprising because tryptophan is, of course, present in the normal diet, albeit in smaller quantities (about 750 mg daily), than that usually prescribed for the treatment of depression (about 3 g daily). Furthermore, L-tryptophan has been available in the UK for the treatment of depression for over 20 years without previous cases of EMS coming to light, despite the dramatic nature of the symptomatology. All this suggests that a contaminant in the preparation of synthetic L-tryptophan could be responsible for the development of EMS, a view strengthened by the resemblance of EMS to the toxic oil syndrome which was caused by contaminated olive oil.

People and Places

  • Aubrey Lewis Unit, Royal Park Hospital

  • Bruce Singh, David Copolov
  • Published online by Cambridge University Press:
    02 January 2018, pp. 739-740
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Conference Briefing

  • Spring Quarterly Meeting, Galway, 11–12 April 1990

  • Geoffrey Wallis
  • Published online by Cambridge University Press:
    02 January 2018, pp. 741-742
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Correspondence

  • Position of pre-senior registrars

  • Duncan Double
  • Published online by Cambridge University Press:
    02 January 2018, p. 743
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  • Training in psychiatry

  • Eric Birchall, James Higgins
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    02 January 2018, p. 743
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  • The musical idiot savant

  • Paul Harrison
  • Published online by Cambridge University Press:
    02 January 2018, p. 744
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  • Childhood autism as a disturbance of neuronal migration

  • G. Neil Conacher
  • Published online by Cambridge University Press:
    02 January 2018, p. 744
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  • Patients' ability to give consent

  • L. M. Lovett
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    02 January 2018, pp. 744-745
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  • Adequate provision of study leave

  • Paul McLaren
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    02 January 2018, p. 745
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  • Promoting the personal

  • Nick Child
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    02 January 2018, p. 745
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  • Catch-22 and community treatment orders

  • S. G. Potts
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    02 January 2018, pp. 745-746
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  • [No Title]

  • Gareth H. Jones
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    02 January 2018, p. 746
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  • Local Government Finance Act 1988 – Mental impairment and poll tax

  • K. Nadesalingham
  • Published online by Cambridge University Press:
    02 January 2018, p. 747
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  • Examination of the demented patient

  • Carrick McDonald
  • Published online by Cambridge University Press:
    02 January 2018, pp. 747-748
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  • Clinical audit

  • A. K. Shah
  • Published online by Cambridge University Press:
    02 January 2018, p. 748
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  • Request for information

  • J. F. Erskine
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    02 January 2018, p. 748
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  • Mad dog disease?

  • Declan Murray
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    02 January 2018, p. 748
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The College

  • The Nineteenth Annual Meeting, 1990

  • Published online by Cambridge University Press:
    02 January 2018, pp. 749-754
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