Gill Pinner

• Professor
• Head of Faculty at University of Nottingham

Objectives Sources of bias, such as the examiners, domains and stations, can influence the student marks in objective structured clinical examination (OSCE). This study describes the extent to which the facets modelled in an OSCE can contribute to scoring variance and how they fit into a Many-Facet Rasch Model (MFRM) of OSCE performance. A further...

Background: Delirium is a common clinical syndrome defined as alterations in attention with an additional disturbance in cognition or perception, which develop over a short period of time and tend to fluctuate during the course of the episode. Delirium is commonly treated in hospitals or community settings and is often associated with multiple adv...

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To evaluate the effectiveness and safety of cholinesterase inhibitors for treating established delirium in people in a non-ICU setting.

With an ageing population and more drivers on the road, the number of drivers with dementia is due to grow exponentially over the next 50 years. Although decisions regarding possession of a driving licence in the UK are made by the Driver and Vehicle Licensing Agency (DVLA), psychiatrists have a duty to advise patients who are unfit to drive to cea...

To determine the attitudes of patients with mild dementia and their carers towards the disclosure of diagnoses of cancer and dementia and whether there are differences between these groups. To determine whether any major adverse events occurred following disclosure of diagnosis of dementia. A prospective study followed by a retrospective case-note...

This article reviews what we should tell patients and carers about dementia. The attitudes and views of patients, carers and peer groups are examined, as is the practice of doctors and other professionals working in dementia care. Factors influencing the decision to disclose the diagnosis of dementia, including the degree of certainty of the diagno...

Research suggests there has been a cultural change in the disclosure of diagnosis with most evidence held in cancer literature. This article reviews how disclosure of diagnosis relates to the field of dementia. Practitioners' attitudes and practice are being discussed, as are the attitudes and views of carers, peer groups, and patients. Practitione...

The change of attitude towards disclosure of the diagnosis of medical conditions, most notably cancer, has been dramatic in the past 40 years. However, the progression of openness towards patients suffering from Alzheimer's disease or other dementias may be less apparent. Most of the research on

Research suggests there has been a cultural change in the disclosure of diagnosis; most evidence relates to cancer and there is little knowledge of attitudes towards disclosing the diagnosis of Alzheimer's disease. A questionnaire was used to survey the current practice and attitudes of old-age psychiatrists and geriatricians in Nottingham, UK. The...

Research suggests there has been a cultural change in the disclosure of diagnosis; most evidence relates to cancer and there is little knowledge of attitudes towards disclosing the diagnosis of Alzheimer's disease. A questionnaire was used to survey the current practice and attitudes of old-age psychiatrists and geriatricians in Nottingham, UK. The...

Antidepressant prescribing in elderly people is influenced by side effects and the patient’s physical state.1 The high rate of falls and fractures in this age group may relate to antidepressant induced postural hypotension.2 Tricyclic antidepressants and monoamine oxidase inhibitors may produce postural hypotension,3 so treatment with selective ser...

The study determines the incidence of SSRI-induced hyponatraemia due to SIADH in an elderly psychiatric inpatient population. A retrospective case-note study. An acute old age psychiatry ward. Patients admitted from January 1 to December 31, 1996. Demographics, medication, psychiatric diagnoses, plasma sodium level and physical comorbidity were col...

Normal-pressure hydrocephalus (NPH) is a common cause of potentially reversible dementia. It can present with psychiatric manifestations that may hinder its diagnosis. A 68-year-old man presented with a paranoid psychosis and mild cognitive impairment, but not neurological signs or classic "triad." Gait disturbance and urinary incontinence develope...

Temporal arteritis may present with atypical manifestations that can hamper its diagnosis. We report a case presenting with predominantly psychiatric symptoms including psychotic features and affective symptoms both on a background of cognitive impairment. Such clear-cut psychotic symptoms have not been described previously in the literature. Corti...

Editor-Sube Banerjee and colleagues suggest that intervention by a psychogeriatric team produces a better outcome than standard care by a general practitioner.1 Discussion of their paper in our journal club, however, raised several questions. Firstly, from the methodological description in the paper it is not clear whether the general practitioners...