Practical Use of ChatGPT in Psychiatry for Treatment Plan and Psychoeducation

Artificial Intelligence (AI) has revolutionized various fields, including medicine and mental health support. One promising application is ChatGPT, an advanced conversational AI model that uses deep learning techniques to provide human-like responses. This review paper explores the potential impact of ChatGPT in psychiatry and its various applications, highlighting its role in therapy and counseling techniques, self-help and coping strategies, mindfulness and relaxation techniques, screening and monitoring, education and information dissemination, specialized support, group and family support, learning and training, expressive and artistic therapies, telepsychiatry and online support, and crisis management and prevention. While ChatGPT offers personalized, accessible, and scalable support, it is essential to emphasize that it should not replace the expertise and guidance of qualified mental health professionals. Ethical considerations, such as user privacy, data security, and human oversight, are also discussed. By examining the potential and challenges, this paper sheds light on the responsible integration of ChatGPT in psychiatric research and practice, fostering improved mental health outcomes

Designing Robust Water Distribution System Using Ecology as an Inspiration

Eco-Industrial Parks (EIPs), network of industries that collaborate by utilizing each other’s byproducts and wastes, are highly desirable for both the industries themselves, and governments due to their economic, environmental, and social advantages. Previous work has shown that EIPs are not as successful as they could be in terms of mimicking the behavior of biological ecosystems, highlighting that more work needs to be done for EIPs to truly mimic their biological-counterparts. The Kalundborg EIP, located in Kalundborg, Denmark, is a well documented example of an EIP with long-term success. Using the water network within the Kalundborg EIP as a case study, the bio-inspired networks are selected from an optimization based on ENA coupled with average food webs characteristics. The bio-inspired solutions are compared with a traditionally cost-minimized solution to understand what bio-inspired design can offer when a network is disturbed. Disturbances such as connection breakages and industry shutdowns are tested, showing that the bio-inspired designs require minimal recovery costs – in stark contrast to the traditional network solution. The results show that the bio-inspired designs reduce the network’s dependence on a scarce import (freshwater) and have higher overall network resilience in the event of disturbances. All the three network solutions are discussed from a ecological perspective, explaining differences from the standpoint of ecosystem characteristics. The analysis highlights the benefits such as of using ecology to understand the nature of and improve the design of industrial networks. The bio-inspired solutions shown to have advantages such as less dependence on imports, more distributed flow, and more robustness, etc

Designing Robust Water Distribution System Using Ecology as an Inspiration

Eco-Industrial Parks (EIPs), network of industries that collaborate by utilizing each other’s byproducts and wastes, are highly desirable for both the industries themselves, and governments due to their economic, environmental, and social advantages. Previous work has shown that EIPs are not as successful as they could be in terms of mimicking the behavior of biological ecosystems, highlighting that more work needs to be done for EIPs to truly mimic their biological-counterparts. The Kalundborg EIP, located in Kalundborg, Denmark, is a well documented example of an EIP with long-term success. Using the water network within the Kalundborg EIP as a case study, the bio-inspired networks are selected from an optimization based on ENA coupled with average food webs characteristics. The bio-inspired solutions are compared with a traditionally cost-minimized solution to understand what bio-inspired design can offer when a network is disturbed. Disturbances such as connection breakages and industry shutdowns are tested, showing that the bio-inspired designs require minimal recovery costs – in stark contrast to the traditional network solution. The results show that the bio-inspired designs reduce the network’s dependence on a scarce import (freshwater) and have higher overall network resilience in the event of disturbances. All the three network solutions are discussed from a ecological perspective, explaining differences from the standpoint of ecosystem characteristics. The analysis highlights the benefits such as of using ecology to understand the nature of and improve the design of industrial networks. The bio-inspired solutions shown to have advantages such as less dependence on imports, more distributed flow, and more robustness, etc

Designing Robust Water Distribution System Using Ecology as an Inspiration

Eco-Industrial Parks (EIPs), network of industries that collaborate by utilizing each other’s byproducts and wastes, are highly desirable for both the industries themselves, and governments due to their economic, environmental, and social advantages. Previous work has shown that EIPs are not as successful as they could be in terms of mimicking the behavior of biological ecosystems, highlighting that more work needs to be done for EIPs to truly mimic their biological-counterparts. The Kalundborg EIP, located in Kalundborg, Denmark, is a well documented example of an EIP with long-term success. Using the water network within the Kalundborg EIP as a case study, the bio-inspired networks are selected from an optimization based on ENA coupled with average food webs characteristics. The bio-inspired solutions are compared with a traditionally cost-minimized solution to understand what bio-inspired design can offer when a network is disturbed. Disturbances such as connection breakages and industry shutdowns are tested, showing that the bio-inspired designs require minimal recovery costs – in stark contrast to the traditional network solution. The results show that the bio-inspired designs reduce the network’s dependence on a scarce import (freshwater) and have higher overall network resilience in the event of disturbances. All the three network solutions are discussed from a ecological perspective, explaining differences from the standpoint of ecosystem characteristics. The analysis highlights the benefits such as of using ecology to understand the nature of and improve the design of industrial networks. The bio-inspired solutions shown to have advantages such as less dependence on imports, more distributed flow, and more robustness, etc

Stabilizing the unstable: Tuberculosis of the odontoid process with atlanto‐occipital instability—Case report and review of literature

Key Clinical Message Tuberculosis (TB) of the odontoid process is a rare but potentially, a debilitating condition. Surgical intervention, in the form of stabilizing the spine and decompressing the spinal cord, offers a tailored approach to managing this condition effectively and improving prognosis. Abstract Odontoid process tuberculosis (TB) is a rare condition that can cause spinal instability and neurological complications. Diagnosis of odontoid process TB is difficult and requires a combination of clinical, radiographic, and histopathological examinations. This report describes the treatment of a 46‐year‐old female with quadriparesis and intermittent fever. Radiological findings showed TB of the odontoid process with atlanto‐axial dislocation causing compressive myelopathy. She underwent C1–C3 decompressive laminectomy and stabilization from C1 to C5. GeneXpert for TB was positive and she was started on anti‐tuberculous medications. She regained power gradually and at 1 year follow‐up she was ambulant without any support. The C1–C5 lateral mass screw and C1–C3 decompressive laminectomy approach, as highlighted in this case, offers an effective solution, enhancing patient quality of life, and preventing disease progression

Pediatric primary intraventricular hemorrhage: A case report of isolated fourth ventricle hemorrhage in a 10‐year‐old boy

Key Clinical Message Primary intraventricular hemorrhage (PIVH) is a rare condition in pediatric patients, presenting with headache, vomiting, and altered mental status. Surgical interventions, such as external ventricular drain placement, followed by ventriculoperitoneal shunting, show promising outcomes. Further research is needed to enhance understanding and optimize management strategies for pediatric PIVH. Abstract This case report describes a 10‐year‐old boy with isolated primary intraventricular hemorrhage (PIVH) in the fourth ventricle, shedding light on its clinical presentation and management challenges. The patient presented with headache, vomiting, and altered sensorium, and was subsequently diagnosed with obstructive hydrocephalus due to intraventricular bleeding. Emergency external ventricular drain (EVD) insertion was performed, followed by ventriculoperitoneal shunt placement, resulting in a favorable outcome. The etiology of PIVH in children differs from that in adults, with arteriovenous malformations, Moyamoya disease, and aneurysms being commonly implicated causes. Management strategies for pediatric PIVH are challenging due to limited research, but EVD placement and surgical interventions have shown promise

National hepatitis registry in Pakistan: a dire need for hepatitis surveillance and control

Abstract Hepatitis is a major public health issue in Pakistan, with an estimated 11.55% prevalence of HCV infection in the adult population. The country ranks second globally in terms of hepatitis C virus (HCV) infections, with approximately one in every 20 Pakistanis already infected. The mortality rates due to HBV and HCV stand at 563,000 and 366,000 annually, respectively. However, the absence of a national registry or database system and the lack of coordination among provinces pose significant obstacles in combating this disease effectively. To address this issue, the establishment of a centralized national database registry is crucial, allowing comprehensive analysis, tracking of hepatitis prevalence, and identification of high-risk areas for targeted interventions. By fostering collaboration among provinces, the government, and non-governmental organizations, the registry would facilitate joint decision-making, minimize duplication of efforts, and address inconsistencies in diagnosis and treatment. Collaborating with student-run organizations and leveraging enhanced laboratory capacities post-COVID era can strengthen the hepatitis control program. The centralized approach and unified efforts are necessary to achieve the goal of a hepatitis-free Pakistan, where a healthier future can be realized

Non‐osseous intradural tuberculoma of the thoracic spine with compressive myelopathy

Key Clinical Message An uncommon form of CNS tuberculosis called non‐osseous IDEM tuberculoma frequently results from paradoxical drug interactions. It should be considered one of the differentials when patients receiving ATT experience acute neurological impairment. Abstract Tuberculoma affecting the spinal cord is a rare condition in modern times. The occurrence of non‐osseous intradural tuberculosis, specifically in the spine, is even more exceptional. In fact, it is uncommon to encounter an intradural extramedullary tuberculous granuloma that lacks radiological indications of vertebral involvement, especially within the thoracic region. We present a case of a patient with a neurological deficit caused by a non‐osseous intradural tuberculoma in the thoracic region, without any associated bone involvement. The patient experienced a gradual deterioration of neurological function. An MRI of the thoracic spine revealed the presence of a tuberculoma located intradurally, extramedullary, and juxtamedullary of the T5 vertebra. The compression of the spinal cord resulted in paraparesis which was worsening to paraplegia. A D4–D6 laminectomy and microsurgical excision were performed under intraoperative neurophysiological monitoring (IONM), and the patient showed clinical recovery. Excellent clinical outcomes were achieved. However, it is crucial to consider the possibility of a non‐osseous intradural tuberculoma as a rare condition when encountering a SOL, particularly in patients with a history of tuberculosis and spinal cord compression. In cases where a progressing neurological deficit is present, a combination of surgical intervention and anti‐tuberculous treatment should be considered as the optimal approach