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Winchester Hospital's Wound Healing and Hyperbaric Center offers: • Multidisciplinary, case management approach to managing acute, chronic or non-healing wounds caused by diabetes, circulatory problems and other conditions • Personalized, state-of-the-art wound treatment programs for each patient, including hyperbaric oxygen therapy • Expert wound care in your community for more than a decade www.winchesterhospital.org Wound Care Experts In Your Community To make an appointment with one of our wound care experts, call 781-396-8224 PRODUCT SPOTLIGHT By Joe Dodd TriGuard Developed by Keystone Heart, TriGuard is designed to provide protection to the aortic cerebral branches and reduce the risk of brain damage. By using a Nitinol frame and mesh, the device offers protection to the aortic arch and from any procedure-related tools and accessories. This technology is flexible yet provides sturdy protection to the aortic arch during procedures. TriGuard is inserted in the femoral artery access ports and will self-position via a 9F catheter. Keystone Heart, located in Israel, recently received CE marking for TriGuard, making it commercially available in the European Economic Area (EEA). The device is not yet available in the United States or outside the EEA. To learn more about TriGuard and other Keystone Heart products, visit www.keystoneheart.com. ■ Cardiology Technology Advancements IMAGE COURTESY OF KEYSTONE HEART Inpatient Mental Health in Different Eras + Number of people in state and county mental hospitals in 1955: 560,000 + Number of people in state and county mental hospitals in 1994: 71,519 + Jail and prison inmates with mental disorders in 1983: 6.4 percent + Jail and prison inmates with mental disorders in the mid-2000s: 16 percent + Proportion of the mentally ill who had been in jail or prison prior to 2010: 40 percent Pharmacotherapy Through the Years + 1949: Australian psychiatrist J.F.J. Cade uses lithium to treat patients with psychosis. + 1952–1975: Fifteen antipsychotic drugs are introduced in the United States. + 1990: Clozapine is introduced in America, signaling the arrival of "atypical" antipsychotic drugs. + 2011: One in fi ve American adults takes medication for a psychological disorder. + 2013: The U.S. Food and Drug Administration approves 62 medications for the treatment of psychiatric disorders. THE NATIONAL INSTITUTE OF MENTAL HEALTH ESTIMATES 57.7 MILLION PEOPLE IN THE UNITED STATES SUFFER FROM A DIAGNOSABLE MENTAL ILLNESS. HERE IS A LOOK AT HOW MENTAL HEALTH HAS CHANGED OVER THE YEARS. By Melissa Moore At a Glance: The History of Mental Health The Five Most Common Diagnoses: 1844 T h e 1 8 4 4 R e p o r t o f t h e Metropolitan Commissioners in Lunac y out lined f ive principa l categories of mental illness: 1. Mania — disordered and irrational thinking, conduct and behavior 2. Melancholia — depression-like symptoms 3. Monomania — a form of mania in regard only to a particular topic 4. Dementia — the loss of intellectual power due to grief, extreme poverty, destitution or old age 5. Moral insanity — characterized by a lack of self-control and moral fi ber Social phobia Major depressive disorder Attention defi cit/ hyperactivity disorder Post-traumatic stress disorder Generalized anxiety disorder THE FIVE MOST COMMON DIAGNOSES: 2010 6.8% 6.7% 4.1% 3.5% 3.1% CORE