Dr Shock MD PhD

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280 posts · 137,779 views

Dr Shock is a pseudonym for a psychiatrist working in a University Hospital. His main topics of interest are the treatment of depression and electro convulsive therapy. Other subjects for this personal blog are research, article reviews, book reviews and education. He loves computers and Internet.

Dr Shock
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  • March 16, 2010
  • 03:28 AM
  • 39 views

Chocolate Against Stress

by Dr Shock in Dr Shock MD PhD


40 grams of dark chocolate per day reduces the urinary excretion of the stress hormone cortisol and it almost normalizes the stress related differences in energy metabolism and gut microbial activities between participants with low and high anxiety traits.
You are what you eat, it has been described how dietary preferences is associated with metabolic processes [...]


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Martin, F., Rezzi, S., Peré-Trepat, E., Kamlage, B., Collino, S., Leibold, E., Kastler, J., Rein, D., Fay, L., & Kochhar, S. (2009) Metabolic Effects of Dark Chocolate Consumption on Energy, Gut Microbiota, and Stress-Related Metabolism in Free-Living Subjects. Journal of Proteome Research, 8(12), 5568-5579. DOI: 10.1021/pr900607v  

  • March 15, 2010
  • 03:33 AM
  • 45 views

The Neuroscience of Anorexia Nervosa

by Dr Shock in Dr Shock MD PhD


One of the most striking features of those suffering from anorexia nervosa is their perception of their bodies. You can put them in front of a mirror and they will still tell you they’re to fat when in fact they’re skinny. A recent publication in Nature Proceedings has an explanation.
This explanation is based on the [...]


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Riva, Guiseppe. (2010) Neuroscience and Eating Disorders: The role of the medial-temporal lobe. Nature Proceedings. info:/

  • March 9, 2010
  • 02:15 AM
  • 58 views

Personality and Retirement

by Dr Shock in Dr Shock MD PhD


Who retires gracefully, who adjusts to retirement easily and who doesn’t. Which personality traits play a part in successful retirement?
The five factor model of personality or the Big Five can be used to see how personality traits are linked to how people adjust to retirement. It has been done in the past for other life [...]


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  • March 8, 2010
  • 02:21 AM
  • 39 views

Formal, Informal, and Hidden Curricula of a Psychiatry Clerkship

by Dr Shock in Dr Shock MD PhD


Both the hidden and informal curriculum take place after or next to the theoretical teaching, the formal teaching and has an important part in the shaping of the medical students’ professionalism and professional values. Moreover, these forms of the curriculum have a major impact on the learning potential of med students. Yet little is known [...]


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Wear D, & Skillicorn J. (2009) Hidden in plain sight: the formal, informal, and hidden curricula of a psychiatry clerkship. Academic medicine : journal of the Association of American Medical Colleges, 84(4), 451-8. PMID: 19318777  

  • March 2, 2010
  • 02:49 AM
  • 46 views

Personalized Medical Education

by Dr Shock in Dr Shock MD PhD


Medical Schools or medical education is mainly done in universities. Medical education in universities especially undergraduate education in North America as well as in Europe are full with very basic science such as chemistry, physics, but also laboratory branches such as biochemical education. I can still remember long afternoons using a pipette in endless rows [...]


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Curry RH, & Montgomery K. (2010) Toward a liberal education in medicine. Academic medicine : journal of the Association of American Medical Colleges, 85(2), 283-7. PMID: 20107358  

Thornhill JT 4th, & Tong L. (2006) From Yoda to Sackett: the future of psychiatry medical student education. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 30(1), 23-8. PMID: 16473990  

  • February 25, 2010
  • 02:32 AM
  • 65 views

The Essence of Chocolate

by Dr Shock in Dr Shock MD PhD


Nutrition had a very nice and comprehensive editorial on the essence of chocolate. It mentions the recently discovered profitable effects of chocolate on the human physiology often mentioned on this blog.
In short:

Reduction of blood pressure by 6 grams of dark chocolate per day. Probably due to the flavonol epicatechin
Reduction of platelet and endothelial cell activation
Reduction [...]


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  • February 23, 2010
  • 02:47 AM
  • 97 views

Time Management and Memory

by Dr Shock in Dr Shock MD PhD


Time management is often necessary to complete tasks in a give period or sequence. For this you have to weigh the importance of your tasks, which is the most important or urgent. You’ll mostly use some way to organize and remind your tasks (to-do lists), in order to reduce the cognitive load by having to [...]


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  • February 22, 2010
  • 02:02 AM
  • 85 views

How Risky Are Social Networking Sites for Kids

by Dr Shock in Dr Shock MD PhD


This article discussed in this post, isn’t recent but the conclusion is very nuanced which isn’t always the case with publications especially in news media about social networking and kids or adolescents. Seems that politicians are advocating measures to restrict social networking for children in order to prevent assumed online sexual exploitation and Internet harassment.
Broad [...]


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  • February 17, 2010
  • 01:49 AM
  • 75 views

The Misuse of Quetiapine

by Dr Shock in Dr Shock MD PhD


A lot of medication gets misused, as is the right expression, meaning not used for the intention or indication it was developed for in the first place. This reminded me of one of my first publications on the abuse of anticholinergics.
From case reports it appears that quetiapine is sought after for recreational use and inappropriate [...]


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  • February 15, 2010
  • 02:44 AM
  • 78 views

Women Online Shopping: Shop Until You Drop?

by Dr Shock in Dr Shock MD PhD


Personally I like online shopping mainly because it’s easy, fast and convenient, you can shop when you want to anywhere you want to. There’s a gender gap in online shopping. More men than women engage in online shopping and make online purchases while in the offline world women love to shop.
Until recent very few [...]


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  • February 12, 2010
  • 02:17 AM
  • 113 views

The Neuroscience of Meditation

by Dr Shock in Dr Shock MD PhD


Meditation is different from rest or sleep. It’s a wakeful hypometabolic state with lowered sympathetic activity as opposed to the fight and flight reactions which requires an active sympathetic system. Parasympathetic activity is increased which is important for relaxation and rest. This increase of parasympathetic state is characterized by reduced heart rate, lower systolic blood [...]


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  • February 10, 2010
  • 02:29 AM
  • 102 views

Were do Mirror Neurons Come From?

by Dr Shock in Dr Shock MD PhD


This video is about mirror neurons. These mirror neurons are the key to many aspects of social interaction. It allows us to understand the actions, feelings of others. In a way to “read their minds”. Possibly mirror neurons play an important role in empathy , an important asset for physicians.
But were do they come from [...]


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  • February 9, 2010
  • 02:08 AM
  • 96 views

Optimal Target for Deep Brain Stimulation for Depression

by Dr Shock in Dr Shock MD PhD


The strongest evidence exists for Broadman Area 25 in the subcallosal cingulate gyrus (SCG) as target for deep brain stimulation in treatment resistant depression. This area in the brain is depicted in the figure above and is from the most important publication about DBS and depression in Neuron march 2005 by Helen Mayberg. Functional neuroimaging [...]


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  • February 8, 2010
  • 02:26 AM
  • 107 views

The Hidden and Informal Curriculum During Medical Education

by Dr Shock in Dr Shock MD PhD


Both the hidden and informal curriculum take place after or next to the theoretical teaching, the formal teaching and has an important part in the shaping of the medical students’ professionalism and professional values. Moreover, these forms of the curriculum have a major impact on the learning potential of med students. Yet little is known [...]


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Karnieli-Miller O, Vu TR, Holtman MC, Clyman SG, & Inui TS. (2010) Medical students' professionalism narratives: a window on the informal and hidden curriculum. Academic medicine : journal of the Association of American Medical Colleges, 85(1), 124-33. PMID: 20042838  

  • February 5, 2010
  • 02:37 AM
  • 137 views

10 Websites With The Best Information on Depression

by Dr Shock in Dr Shock MD PhD


After searching for websites about depression (‘‘depression,’’ ‘‘depression treatment,’’ and ‘‘depression help’’) with a popular search engine: Google, the authors of this work carefully examined the websites. The websites were evaluated on accountability, interactivity, esthetics, readability and content quality. They also used the brief DISCERN as a content quality indicator for general consumers. They found [...]


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Zermatten, A., Khazaal, Y., Coquard, O., Chatton, A., & Bondolfi, G. (2010) Quality of web-based information on depression. Depression and Anxiety. DOI: 10.1002/da.20665  

  • February 2, 2010
  • 02:20 AM
  • 104 views

Selection Of Medical Students

by Dr Shock in Dr Shock MD PhD


The government of The Netherlands has decided to abolish the numerous fixus (weighted lottery) for medical education. This meant that only 2850 students were able to go to med school a year. The numerous fixus was mainly based on high grades on high school. Universities are allowed to make there own selection criteria for admittance [...]


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Urlings-Strop, L., Stijnen, T., Themmen, A., & Splinter, T. (2009) Selection of medical students: a controlled experiment. Medical Education, 43(2), 175-183. DOI: 10.1111/j.1365-2923.2008.03267.x  

  • February 1, 2010
  • 02:33 AM
  • 159 views

What Humor Style Do You Have?

by Dr Shock in Dr Shock MD PhD


Did you know there is a sense of humor questionnaire? It’s called the Humor Styles Questionnaire and distinguishes between four styles of humor.

Affiliative, use of humor to amuse others and facilitate relationships
Self enhancing, use of humor to cope with stress and maintain a humorous outlook during times of difficulty
Aggressive, use of sarcastic, manipulative, put-down, or [...]


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  • January 27, 2010
  • 02:49 AM
  • 162 views

Attachment Theory and Poorly Performing Doctors

by Dr Shock in Dr Shock MD PhD


The attachment theory from the sixties of the previous century is still used e.g. in psychotherapy but also in research such as shown in a recent post on:How do social relationships function online. Is attachment theory also useful in medical education, does it explain the poor performance by some doctors? After all doctors are required [...]


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  • January 25, 2010
  • 02:45 AM
  • 154 views

The Neuroscience of Jazz

by Dr Shock in Dr Shock MD PhD


Improvisation is the main feature of Jazz that distinguishes it from other forms of music making. Improvisation is the spontaneous musical performance within a relevant musical context. It consists of novel melodic, harmonic and rhythmic musical elements. This unique feature of jazz offers the opportunity for neurobiological research or even creativity. What they did was [...]


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  • January 21, 2010
  • 02:34 AM
  • 128 views

Medical Dangers of Jazz

by Dr Shock in Dr Shock MD PhD


In this second post about jazz and health we focus on the literature regarding somatic illness instead of mental illness. In the previous post we already mentioned drug use as one of the major hazards for jazz musicians. Drug use by jazz musicians can have all sorts of reasons such as the enhancement of creativity, [...]


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