Stephen De Souza

ORCID: 0000-0003-3704-2127
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Transcranial Magnetic Stimulation Studies
  • Schizophrenia research and treatment
  • Social Media in Health Education
  • Radio, Podcasts, and Digital Media
  • Dietary Effects on Health
  • Pain Management and Treatment
  • Atrial Fibrillation Management and Outcomes
  • Innovations in Educational Methods
  • Gut microbiota and health
  • Telemedicine and Telehealth Implementation
  • Takotsubo Cardiomyopathy and Associated Phenomena
  • European and International Law Studies
  • Bipolar Disorder and Treatment
  • Cardiac electrophysiology and arrhythmias
  • Ocular Diseases and Behçet’s Syndrome
  • Migraine and Headache Studies
  • COVID-19 and Mental Health
  • Vagus Nerve Stimulation Research
  • Stroke Rehabilitation and Recovery
  • Digital Mental Health Interventions
  • Patient-Provider Communication in Healthcare
  • Neurological disorders and treatments
  • Health Systems, Economic Evaluations, Quality of Life
  • Blood Pressure and Hypertension Studies
  • Mental Health Treatment and Access

Somerset NHS Foundation Trust
2021-2024

Taunton & Somerset NHS Foundation Trust
2021-2024

Somerset Partnership NHS Foundation Trust
2021-2024

University of Bristol
2023

California Retina Consultants
2023

University of Arizona
2023

Fine Treatment (United Kingdom)
2013

We report the cases of two patients who developed worsening behavioural and psychological symptoms dementia (BPSD), coinciding with starting factor Xa inhibitor direct oral anticoagulant medications apixaban rivaroxaban, respectively. Both required detaining under Mental Health Act. Their improved significantly, within 2 weeks, on switching to alternative therapies they were both discharged from acute psychiatric ward. Front-line staff should partake in postmarketing surveillance...

10.1136/bcr-2020-240059 article EN cc-by-nc BMJ Case Reports 2021-03-01

Purpose: To present 7 cases of West Nile virus (WNV)–related chorioretinitis in Arizona. Methods: Retina clinic charts with the terms “chorioretinitis” and “West Nile” were selected from April 1, 2012, to February 2023. Results: Seven patients initial visits between August 2019 2023 included. The majority WNV seen last 4 years dates. Only 1 patient presented before this time but was excluded for inadequate baseline testing. All had hospitalization neuroinvasive disease clinical presentation....

10.1177/24741264231211973 article EN Journal of VitreoRetinal Diseases 2023-11-23

Aims The National Institute for Health and Care Excellence (NICE) offers guidance prescribing monitoring of antipsychotic medications. In this audit we sought to investigate if our unit was compliant with guidance. Methods carried out on a 28 bedded older adult inpatient psychiatric unit. notes all patients admitted ward 27/11/2023 were reviewed. Any patient an included in the audit. Four standards reflecting antipsychotics identified. These were: 1.3.5.1 choice medication should be made by...

10.1192/bjo.2024.554 article EN cc-by-nc-nd BJPsych Open 2024-06-01

Abstract: Psychiatric presentations in older adults are complicated by chronic comorbidities, polypharmacy, and age-related psychosocial changes. This case report discusses an unusual treatment response to ECT a 75-year-old man with bipolar disorder. There was no seizure activity on EEG upon direct observation 3 out of 7 sessions. After in-depth medication review its impact ECT, we propose that bumetanide could likely have contributed the nonseizure response. Bumetanide proposed as potential...

10.1024/1662-9647/a000341 article EN GeroPsych 2024-09-17

An abstract is not available for this content so a preview has been provided. Please use the Get access link above information on how to content.

10.1017/ipm.2013.4 article EN Irish Journal of Psychological Medicine 2013-06-01

Purpose: This paper aims to explore medical student experiences of creating a peer-to-peer psychiatry educational podcast. Methods: During placement, ten year-4 University Bristol students created peer-educational multi-episode podcasts on psychiatric topics. Following completion, they submitted reflective essays their experiences. Qualitative thematic analysis these was completed by two independent authors. data familiarisation, authors independently generated codes that were collated into...

10.2147/amep.s411072 article EN cc-by-nc Advances in Medical Education and Practice 2023-10-01

To investigate the impact of festive cinematic diets on gut microbiota.Observational (watching films) and creative review. Sadly, we couldn't incorporate any snowball sampling.In front a television, by blazing log fire.Everyone: you don't need to be nice list!Microbiota INdex Comparative Evaluation for Pictorial Infographic Evidence (MINCE PIE) scores (difference between numbers microbiota-enhancing microbiota-detrimental food groups) foods depicted in twelve films.Most films featured meals...

10.5694/mja2.51782 article EN The Medical Journal of Australia 2022-12-07

Aims In March 2020, COVID-19 and its associated restrictions forced a halt to in-person teaching assessment. To try mitigate this disruption, the psychiatry undergraduate faculty developed knowledge based remote curriculum. However, it became clear that our students sorely missed clinical consultation experience. Prior pandemic we had delivered mock Objective Structured Clinical Examination (OSCE) those undertaking their block. Somerset Academy, wanted deliver distanced alternative: OSCE...

10.1192/bjo.2021.368 article EN cc-by-nc-nd BJPsych Open 2021-06-01

Introduction A healthy microbiota should be on all our Christmas lists this year. There is compelling evidence that good gut health associated with better mental health, especially important during these cold winters. To spark some joy time, many of us enjoy a festive film and we can probably admit also overindulge the season. Objectives We aim to investigate “what impact cinematic diets microbiota?”. Methods identified films broke down meals into their constituents. Using MINCE PIE...

10.1192/j.eurpsy.2023.2035 article EN cc-by-nc-nd European Psychiatry 2023-03-01

Abstract Background Agitation as a behavioural and psychological symptom of dementia is common distressing for patients their carers. There are several non‐pharmacological approaches to managing agitation in Alzheimer’s Dementia (AD). Many these require close interactions with the patient. However, social distancing during coronavirus pandemic has made many interventions impractical. As busy clinicians working on psychiatric unit AD agitation, we wished explore what could offer time...

10.1002/alz.076623 article EN Alzheimer s & Dementia 2023-12-01

Aims To ensure an appropriate treatment pathway is available to patients diagnosed with Depression a STEPPED care model where different types of intervention are offered depending on the patient's experienced severity Depression. However, great percentage continue experience disabling symptoms and fall into Treatment Resistant (TRD) category. There was need review options within local Mental Health Services (MHS) for depression TRD. Methods A new clinical designed provide access emerging...

10.1192/bjo.2022.325 article EN cc-by-nc-nd BJPsych Open 2022-06-01

Aims This project details the development of a Quality Improvement Project aiming to review and improve management behavioural psychological symptoms dementia (BPSD) on an old age psychiatry ward. BPSD refers constellation non-cognitive signs which arise in people with dementia, including disturbed perception, thought content, mood or behaviour. Examples include agitation, depression, apathy, repetitive questioning, psychosis, aggression, sleep problems, socially inappropriate behaviours....

10.1192/bjo.2022.278 article EN cc-by-nc-nd BJPsych Open 2022-06-01

Introduction The therapeutic interview is one of the cornerstones psychiatric practice. When practitioners are skilled in art interviewing, patients allowed to share their narratives and explore emotions, while clinician can diagnose treat more effectively. Discussions with colleagues be used knowledge experience. As part a student project undertaken Summer 2021, two students were tasked producing series educational podcasts for training. Both chose complete several interviews professionals...

10.1192/j.eurpsy.2022.2191 article EN cc-by-nc-nd European Psychiatry 2022-06-01

Objective To demonstrate the increasing evidence for an aetiological role of cerebral mitochondrial dysfunction in neuropsychiatric disorders. raise awareness importance frontline staff partaking post marketing surveillance medications. Case report We cases two patients who developed worsening BPSD, coinciding with starting factor Xa inhibitor DOAC medications Apixaban and Rivaroxaban respectively. Both required detaining under Mental Health Act (MHA). Their symptoms improved significantly,...

10.1192/bjo.2021.346 article EN cc-by-nc-nd BJPsych Open 2021-06-01
Coming Soon ...