Sample records for psychiatric assessment papa

  1. Preparation, translation and evaluation of face and content validity of the Preschool Age Psychiatric Assessment (PAPA) in Farsi


    Sanaz Norouzi; Shahrokh Amiri; Ayyoub Malek; Homayoun Sadeghi-bazargani; Mohammadbagher Hassanzadeh


    Introduction: Childhood is the time of onset for many psychiatric disorders. Preschool Age Psychiatric Assessment (PAPA) is developed in response to the need for a standard and reliable tool for assessment of psychiatric disorders in preschool age. The aim of this study was to translate this tool to Farsi and evaluate the face and content validity of this precious and comprehensive tool. Methods: The process was forward translation to Farsi, evaluation for face and content validity, finalizat...

  2. Preparation, translation and evaluation of face and content validity of the Preschool Age Psychiatric Assessment (PAPA in Farsi

    Directory of Open Access Journals (Sweden)

    Sanaz Norouzi


    Full Text Available Introduction: Childhood is the time of onset for many psychiatric disorders. Preschool Age Psychiatric Assessment (PAPA is developed in response to the need for a standard and reliable tool for assessment of psychiatric disorders in preschool age. The aim of this study was to translate this tool to Farsi and evaluate the face and content validity of this precious and comprehensive tool. Methods: The process was forward translation to Farsi, evaluation for face and content validity, finalization of items within expert panel, backward translation to English, matching the original PAPA with randomly selected items from the backward translation version and revision as needed and finally evaluation for validity of the changes for localization and cultural considerations. Results: The research team translated original PAPA to Farsi. In the next step, evaluation for face and content validity was performed by expert panel, a mean of 30-35 items from 100 pages were revised and 7 items which were not compatible with social and cultural conditions in our country got localized. Two percent of pages from this forward translation (14 pages were randomly selected as a sample from the whole questionnaire in order to be back translated to Farsi and expert panel were asked to evaluate. This version was revised based on their comments. The localized items were evaluated based on certainty, necessity and appropriateness and revised if needed. Conclusion: Farsi version of PAPA diagnostic interview for preschool age is available and has face and content validity.

  3. Test-Retest Reliability of the Preschool Age Psychiatric Assessment (PAPA) (United States)

    Egger, Helen Link; Erkanli, Alaattin; Keeler, Gordon; Potts, Edward; Walter, Barbara Keith; Angold, Adrian


    Objective: To examine the test-retest reliability of a new interviewer-based psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers 2 to 5 years old. Method: A total of 1,073 parents of children attending a large pediatric clinic completed the Child Behavior Checklist 1 1/2-5. For 18 months,…

  4. Initial development of the Psychopathic Processing and Personality Assessment (PAPA) across populations. (United States)

    Lewis, Michael; Ireland, Jane L; Abbott, Janice; Ireland, Carol A

    Three studies describe development of the Psychopathic Processing and Personality Assessment (PAPA). Study one outlines a literature review and Expert Delphi (n=32) to develop the initial PAPA. Study two validates the PAPA with 431 participants (121 male prisoners and 310 university students: 154 men, 156 women), also using the Levenson Self Report Psychopathy scale and a measure of cognitive schema and affect. Study three refined the PAPA, employing it with 50 male students and 40 male forensic psychiatric patients using clinical (interview) assessments of psychopathy: the Psychopathy Checklist - Screening Version and the Affect, Cognitive and Lifestyle assessment. The PAPA comprised four factors; dissocial tendencies; emotional detachment; disregard for others; and lack of sensitivity to emotion. It positively correlated with existing psychopathy measures. Variations across PAPA subscales were noted across samples when associated with clinical measures of psychopathy. Support for the validity of the PAPA was indicated across samples. Directions for research and application are outlined. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Assessing the construct validity and reliability of the Parental Perception on Antibiotics (PAPA) scales. (United States)

    Alumran, Arwa; Hou, Xiang-Yu; Sun, Jiandong; Yousef, Abdullah A; Hurst, Cameron


    The overuse of antibiotics is becoming an increasing concern. Antibiotic resistance, which increases both the burden of disease, and the cost of health services, is perhaps the most profound impact of antibiotics overuse. Attempts have been made to develop instruments to measure the psychosocial constructs underlying antibiotics use, however, none of these instruments have undergone thorough psychometric validation. This study evaluates the psychometric properties of the Parental Perceptions on Antibiotics (PAPA) scales. The PAPA scales attempt to measure the factors influencing parental use of antibiotics in children. 1111 parents of children younger than 12 years old were recruited from primary schools' parental meetings in the Eastern Province of Saudi Arabia from September 2012 to January 2013. The structure of the PAPA instrument was validated using Confirmatory Factor Analysis (CFA) with measurement model fit evaluated using the raw and scaled χ2, Goodness of Fit Index, and Root Mean Square Error of Approximation. A five-factor model was confirmed with the model showing good fit. Constructs in the model include: Knowledge and Beliefs, Behaviors, Sources of information, Adherence, and Awareness about antibiotics resistance. The instrument was shown to have good internal consistency, and good discriminant and convergent validity. The availability of an instrument able to measure the psychosocial factors underlying antibiotics usage allows the risk factors underlying antibiotic use and overuse to now be investigated.

  6. Music Activities for "Mama", "Mama" and "Papa", "Papa" (United States)

    Cardany, Audrey Berger


    Jean Marzollo creates two beautiful texts using a child's first words, "Mama, Mama" and "Papa, Papa" as a recurring theme. Wildlife artist, Laura Regan, illustrates Marzollo's poetry with loving images of parents and children in the animal kingdom. Poetry and illustrations highlight the tenderness and care of Mama and Papa as they bond with their…

  7. Psychiatric Assessment and Rehabilitation of Burn Patients

    Directory of Open Access Journals (Sweden)

    Süleyman Akarsu


    Full Text Available Objective: Psychiatric rehabilitation has gained significance owing to improved healthcare facilities for burn injuries and decreased mortality/ morbidity rates. Burn traumas may result in psychiatric signs such as denial, anger, guilt, confusion, disgrace, anxiety, distress, and nervousness. Psychiatric disorders such as delirium, depression, anxiety, post-traumatic stress disorder, and sexual problems can also be encountered. Therefore, it is necessary to look for these signs and disorders through regular sessions with burn patients and appropriate psychometric tests. This study aims at examining the process of psychological rehabilitation for burn patients in light of the current literature. Material and Methods: This study has been carried out in the light of the main and current literature review. The study intends to put forth the data observed in the course of the psychological diagnosis, treatment and rehabilitation of burn patients. The study has been conducted in accordance with the Helsinki Declaration Guidelines. Results: Treatment and rehabilitation process requires a multidisciplinary teamwork that consists of physicians, dieticians, psychologists, social service specialists, and other healthcare workers who can meet the needs of burn patients and their families. It is necessary for the team to contribute both to the hospitalization process and the social environment of the patients and their families. Conclusion: It is observed that the quality of life of these patients can be considerably improved with the effective assessment of psychiatric signs that occur during or after the injury and with appropriate treatment methods.

  8. A Closer Evaluation of Current Methods in Psychiatric Assessments (United States)


    The biopsychosocial model, the current method in psychiatric assessments, is reviewed and critiqued. The history and original intents leading to the conception of the biopsychosocial model are briefly discussed. Five inherent problems with the use of the biopsychosocial model in psychiatric assessments and training programs are presented. Two alternative approaches are discussed and promoted for clinical, educational, and research practices in medicine. PMID:19724745

  9. Ayahuasca in adolescence: a preliminary psychiatric assessment. (United States)

    Da Silveira, Dartiu Xavier; Grob, Charles S; de Rios, Marlene Dobkin; Lopez, Enrique; Alonso, Luisa K; Tacla, Cristiane; Doering-Silveira, Evelyn


    Ayahuasca is believed to be harmless for those (including adolescents) drinking it within a religious setting. Nevertheless controlled studies on the mental/ psychiatric status of ritual hallucinogenic ayahuasca concoction consumers are still lacking. In this study, 40 adolescents from a Brazilian ayahuasca sect were compared with 40 controls matched on sex, age, and educational background for psychiatric symptomatology. Screening scales for depression, anxiety, alcohol consumption patterns (abuse), attentional problems, and body dysmorphic disorders were used. It was found that, compared to controls, considerable lower frequencies of positive scoring for anxiety, body dismorphism, and attentional problems were detected among ayahuasca-using adolescents despite overall similar psychopathological profiles displayed by both study groups. Low frequencies of psychiatric symptoms detected among adolescents consuming ayahuasca within a religious context may reflect a protective effect due to their religious affiliation. However further studies on the possible interference of other variables in the outcome are necessary.

  10. Is psychiatric assessment essential for better epilepsy surgery outcomes? (United States)

    Sawant, Neena; Ravat, Sangeeta; Muzumdar, Dattatraya; Shah, Urvashi


    Epilepsy surgery is one of the most accepted and beneficial treatment for resistant epilepsies. However there is some variability in the comprehensive epilepsy care programs offered globally. Many centers do not do a psychiatric assessment unless required. It is now evident from a large body of research that epilepsy is associated with psychiatric morbidity which is also seen in patients considered for epilepsy surgery. There is also evidence to state that the risk for worsening or de novo psychiatric disorders is often seen post surgery. This calls for a comprehensive psychiatric assessment of all patients enrolled for the epilepsy surgery program to be evaluated pre and post surgically to minimize the risk of post surgical psychological disturbances and/or poor quality of life. Efficacious treatment of psychiatric disorders in those having psychiatric morbidity contributes to improved patient wellbeing, seizure freedom and better quality of life. Hence there is a need for most centers globally to include regular psychiatric assessment of epilepsy surgery patients as a protocol. Copyright © 2015 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  11. [Assessment of gestures and their psychiatric relevance]. (United States)

    Bulucz, Judit; Simon, Lajos


    Analyzing and investigating non-verbal behavior and gestures has been receiving much attention since the last century. Thanks to the pioneer work of Ekman and Friesen we have a number of descriptive-analytic, categorizing and semantic content related scales and scoring systems. Generation of gestures, the integrative system with speech and the inter-cultural differences are in the focus of interest. Furthermore, analysis of the gestural changes caused by lesions of distinct neurological areas point toward to formation of new diagnostic approaches. The more widespread application of computerized methods resulted in an increasing number of experiments which study gesture generation, reproduction in mechanical and virtual reality. Increasing efforts are directed towards the understanding of human and computerized recognition of human gestures. In this review we describe the results emphasizing the relations of those results with psychiatric and neuropsychiatric disorders, specifically schizophrenia and affective spectrum.

  12. An assessment of psychiatric disturbances in graves disease in a ...

    African Journals Online (AJOL)


    Jun 1, 2012 ... Impaired quality of life leads to a vicious cycle of greater psychological distress and poor productivity.[1] Therefore in this study we have tried to explore the symptomatology and types of psychiatric illness in Graves' disease and to evaluate therapeutic outcomes in such dysfunction. An assessment of ...

  13. Psychiatric impairment and disability assessment — proposals to ...

    African Journals Online (AJOL)

    Impairment and disability assessment on psychiatric grounds has always been subjective, controversial and at best, a difficult task. The South African Society of Psychiatrists (SASOP) needs to be congratulated, firstly on being instrumental in the publication of the first 'Guidelines to the Management of Disability Claims on ...

  14. de papa en Costa Rica

    Directory of Open Access Journals (Sweden)

    Zeidy Montero


    Full Text Available Especies del género Meloidogyne causan importantes daños al cultivo de la papa (Solanum tuberosum L alrededor del mundo. Su efecto puede ser directo al disminuir el rendimiento o indirecto al infectar los tubérculos y causar agallas o protuberancias, que les confiere una apariencia verrugosa, que afecta su calidad y reduce su valor comercial. En Capellades y Llano Grande de Cartago, Costa Rica, fueron encontrados tubérculos de papa, de la variedad Floresta y del clon Bananito, con numerosas protuberancias en su superficie. De las protuberancias se extrajo hembras ovígeras de Meloidogyne spp. Estudios morfológicos (diseño perineal de las hembras y moleculares (PCR y PCRRFLP mostraron que las hembras extraídas de las protuberancias pertenecen a la especie M. incognita. Se recomienda estudiar las causas que promueven la infección de los tubérculos en ambas localidades, ya que cerca del 90% del área cultivada de papa en el país corresponde a la variedad Floresta. En adición, se debe prestar especial atención a las zonas semilleristas, ya que los tubérculos-semilla podrían servir como fuente de inóculo y contribuir a la diseminación del patógeno a otras áreas.

  15. [Alcohol consumption in patients with psychiatric disorders: assessment and treatment]. (United States)

    Lang, J-P; Bonnewitz, M-L; Kusterer, M; Lalanne-Tongio, L


    Alcohol consumption in France exceeds the European average (12.7L of pure alcohol/habitant/year in 2009 for an average of 12.5 L). This consumption has a major professional, social and health impact on the individuals and their families. The cost of such, estimated in Europe to be of 155.8 billion Euros in 2010, is the highest among the central nervous system diseases in Europe, far higher than that of depression or dementia. Patients suffering from psychiatric disorders are more frequently affected by problems related to alcohol use than the general population. They are also more vulnerable to the immediate and subsequent consequences of their consumption. The alcohol related disorders that are often accompanied by risk taking and other addictive behaviour require a global assessment of the addiction, with and without substance, and of the complications. These have a strong impact on risk taking, compliance with care, and the morbidity of somatic and psychiatric disorders, as well as access to optimal care and the life span of patients suffering from psychiatric disorders. The development of addictology care, with integrative treatment programs, is recommended in response to these public health issues. Nevertheless, specific addictology practices and partners with addictology care structures are still scarcely developed in psychiatry. Firstly, it would be necessary to set up such integrated treatments through the systematisation of an "addictology" checkup on admission, a global assessment of addictive behaviour and cognitive disorders, using pragmatic tools that are user-friendly for the care teams, maintain the reduction in risk taking, and apply prescriptions for addiction to psychotropic treatments, in liaison with the referring general practitioner. As early as possible, accompanied by specific training in addictology for the psychiatrists and the mental health nursing teams, such care could be enhanced by the development of liaison and advanced psychiatric

  16. Neurodevelopmental and psychiatric issues in Down's syndrome: assessment and intervention. (United States)

    Vicari, Stefano; Pontillo, Maria; Armando, Marco


    Down's syndrome (DS) is the most frequent genetic cause of intellectual disability and patients with DS show significant psychopathology (18-23%). Moreover, individuals with DS often show a cognitive decline associated with ageing characterized by a deterioration in memory, language and cognitive functioning. According to these relevant findings, an overview is presented of state-of-the-art knowledge of the neurocognitive, neurobiological and psychopathological profile, assessment and treatment of patients with DS. The linguistic characteristics of DS develop differently along distinct developmental trajectories. Thus, for example, morphosyntax deficit, especially in production, is more evident in adolescence than in early childhood and lexicon is usually better preserved in all ages (at least in comprehension). So far, rehabilitation is the only effective approach for improving cognitive and linguistic abilities. However, ongoing preliminary reports on other approaches such as transmagnetic stimulation or drugs suggest alternative or integrative treatment for the future. Individuals with DS show typical organization of brain structures related to some cognitive abilities, such as reduced volume in frontal and prefrontal areas, which is related to poor executive and linguistic abilities. They also frequently show psychiatric disorders such as externalizing disorders as well as depression, anxiety and obsessive-compulsive disorder. Nevertheless, as for other genetic syndrome with intellectual disability, there is a significant lack of research specifically focused on treatments of psychiatric and behavioural problems in DS. This is true both for psychosocial and for pharmacological interventions.

  17. Translational Assessment of Reward and Motivational Deficits in Psychiatric Disorders (United States)

    Der-Avakian, Andre; Barnes, Samuel A.


    Deficits in reward and motivation are common symptoms characterizing several psychiatric and neurological disorders. Such deficits may include anhedonia, defined as loss of pleasure, as well as impairments in anticipatory pleasure, reward valuation, motivation/effort, and reward learning. This chapter describes recent advances in the development of behavioral tasks used to assess different aspects of reward processing in both humans and non-human animals. While earlier tasks were generally developed independently with limited cross-species correspondence, a newer generation of translational tasks has emerged that are theoretically and procedurally analogous across species and allow parallel testing, data analyses, and interpretation between human and rodent behaviors. Such enhanced conformity between cross-species tasks will facilitate investigation of the neurobiological mechanisms underlying discrete reward and motivated behaviors and is expected to improve our understanding and treatment of neuropsychiatric disorders characterized by reward and motivation deficits. PMID:26873017

  18. A Closer Evaluation of Current Methods in Psychiatric Assessments: A Challenge for the Biopsychosocial Model


    Tavakoli, Hamid R.


    The biopsychosocial model, the current method in psychiatric assessments, is reviewed and critiqued. The history and original intents leading to the conception of the biopsychosocial model are briefly discussed. Five inherent problems with the use of the biopsychosocial model in psychiatric assessments and training programs are presented. Two alternative approaches are discussed and promoted for clinical, educational, and research practices in medicine.

  19. A closer evaluation of current methods in psychiatric assessments: a challenge for the biopsychosocial model. (United States)

    Tavakoli, Hamid R


    The biopsychosocial model, the current method in psychiatric assessments, is reviewed and critiqued. The history and original intents leading to the conception of the biopsychosocial model are briefly discussed. Five inherent problems with the use of the biopsychosocial model in psychiatric assessments and training programs are presented. Two alternative approaches are discussed and promoted for clinical, educational, and research practices in medicine.

  20. Assessment of pre and postoperative psychiatric comorbidity among ...

    African Journals Online (AJOL)

    Objective: Comorbid psychiatric disorders have been reported to be associated with pre and postoperative periods. Studies on pre and postoperative comorbid psychiatric disorders among ophthalmological patients are scanty in Nigeria and other sub-Saharan countries. This study was aimed at determining pre and ...

  1. Attitudes of Chinese community members and psychiatrists towards forensic psychiatric assessments. (United States)

    Shaoling, Zhong; Jun, Wang; Graham, Mellsop; Chen, Chen; Simei, Zhang; Qiguang, Li; Qun, Wang; Jiansong, Zhou; Xiaoping, Wang


    The aim of this study was to investigate the attitudes of Chinese community members and psychiatrists towards forensic psychiatric assessments. A questionnaire designed to record attitudes toward the current forensic psychiatric assessment procedures and the disposal of mentally ill offenders was developed and distributed via a mobile App. A total of 134 community members and 132 psychiatrists voluntarily completed the questionnaire. Most of responders agreed that the department of public-security has the right to apply for a forensic psychiatric assessment but should not be held solely by that department. Community members were less significantly confident in the validation of forensic psychiatric opinions than were the psychiatrists. A significantly higher proportion of community members than psychiatrists considered that offenders judged Not Criminally Responsible on Account of Mental Disorder (NCRMD) should be punished as would be sane people. In addition, only a minority of responders supported that NCRMD should not be held criminally responsible. Our results indicate that both groups have comments on the current distribution of right of startup of forensic psychiatric assessments. Compared to psychiatrists, community members have lower confidence in the validation of forensic psychiatric assessment and have stricter attitudes toward the disposal of offenders with psychiatric disorders. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Expansion and Validation of the PAPA Framework (United States)

    Woodward, Belle; Martin, Nancy; Imboden, Thomas


    In recent years, ethics has drawn increased interest from information technology and computer science practitioners as well as from academicians. This article investigates the issues outlined in the PAPA framework in today's environment and explores the possibility that new issues have emerged. Findings indicate that the ethicality of property…

  3. Psychiatric assessment of severe presentations in autism spectrum disorders and intellectual disability. (United States)

    King, Bryan H; de Lacy, Nina; Siegel, Matthew


    Children with autism spectrum and related disorders and intellectual disability are not protected from the experience of psychiatric illnesses. Many factors can contribute to exacerbation of existing behavioral symptoms or to the emergence of new psychiatric problems. The psychiatric assessment must thus take into account a range of possible etiologic or contributory factors. The approach outlined in this article highlights the value of assessing 4 broad domains, including diagnostic (genetic) factors, medical considerations, developmental influences, and environmental factors. Examples of how the consideration of each of these domains may inform the diagnostic formulation are highlighted. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. An assessment of psychiatric disturbances in graves disease in a ...

    African Journals Online (AJOL)

    ... of psychiatric disturbances in graves disease in a medical college in eastern ... the standard error of difference, the chi-square test, and paired Student's T-test. ... Fifteen patients (41.67%) were diagnosed with generalized anxiety disorders ...

  5. The role of personal social networks in risk assessment and management of forensic psychiatric patients


    Pomp, L.; Spreen, M.; Bogaerts, S.; Völkel, B.


    Social network factors are usually not accounted for in the clinical practice of risk assessment/management.This article introduces a social network analysis as an instrument to systematically chart the relationships and personal networks of forensic psychiatric patients. During the period 2005 to 2007, the so-called Forensic Social Network Analysis (FSNA) was developed in a Dutch forensic psychiatric hospital. A case study describes the FSNA concepts and shows the benefits of using FSNA as a...

  6. Gender Differences in Compulsive Buying Disorder: Assessment of Demographic and Psychiatric Co-Morbidities. (United States)

    Nicoli de Mattos, Cristiana; Kim, Hyoun S; Requião, Marinalva G; Marasaldi, Renata F; Filomensky, Tatiana Z; Hodgins, David C; Tavares, Hermano


    Compulsive buying is a common disorder found worldwide. Although recent research has shed light into the prevalence, etiology and clinical correlates of compulsive buying disorder, less is known about gender differences. To address this empirical gap, we assessed potential gender differences in demographic and psychiatric co-morbidities in a sample of 171 compulsive buyers (20 men and 151 women) voluntarily seeking treatment in São Paulo, Brazil. A structured clinical interview confirmed the diagnosis of compulsive buying. Of the 171 participants, 95.9% (n = 164) met criteria for at least one co-morbid psychiatric disorder. The results found that male and female compulsive buyers did not differ in problem severity as assessed by the Compulsive Buying Scale. However, several significant demographic and psychiatric differences were found in a multivariate binary logistic regression. Specifically, male compulsive buyers were more likely to report being non-heterosexual, and reported fewer years of formal education. In regards to psychiatric co-morbidities, male compulsive buyers were more likely to be diagnosed with sexual addiction, and intermittent explosive disorder. Conversely, men had lower scores on the shopping subscale of the Shorter PROMIS Questionnaire. The results suggest that male compulsive buyers are more likely to present with co-morbid psychiatric disorders. Treatment planning for compulsive buying disorder would do well to take gender into account to address for potential psychiatric co-morbidities.

  7. [Assessment of inappropriate prescriptions in psychiatric in-patients]. (United States)

    Bord, Benjamin; Courtet, Philippe; Hansel, Sylvie; Barbotte, Eric; Marhuenda, Yolande; Peyrière, Hélène


    To evaluate occurrence of the inappropriate prescriptions in a psychiatric department. In this prospective survey over a two-month period, the medical orders were analysed. Inappropriate prescription was defined as any discrepancy with summary of product characteristics (SPC) or our hospital treatment guidelines. One hundred inpatients (72 women, mean age 37.5+/-15 years) were included. We reviewed 495 medication orders, which represent 1875 prescribed drugs. We found 2636 discrepancies with SPC or our hospital treatment guidelines. The proportion of discrepancies related to legal informations was 21.28% and them related to pharmacotherapy was 55.04%. The proportion of discrepancy per patient was estimated to 4.93%. Our study shows a high proportion of inappropriate prescriptions, none of them having induced adverse-drug effects.

  8. Acceptance of Computerized Compared to Paper-and-Pencil Assessment in Psychiatric Inpatients. (United States)

    Weber, Bernhard; Schneider, Barbara; Fritze, Jurgen; Gille, Boris; Hornung, Stefan; Kuhner, Thorsten; Maurer, Konrad


    Investigated the acceptance of computerized assessment, particularly compared to conventional paper-and-pencil techniques, in seriously impaired psychiatric inpatients. Describes the development of a self-rating questionnaire (OPQ, Operation and Preference Questionnaire) and reports results that showed computerized assessment was convincingly…

  9. Burden Assessment, Psychiatric Morbidity, and Their Correlates in Caregivers of Patients with Intellectual Disability. (United States)

    Bhatia, M S; Srivastava, S; Gautam, P; Saha, R; Kaur, J


    Intellectual disability in a child places great stress on a family and caregiver and this leads to significant socio-occupational dysfunction and impaired quality of life for caregivers. This study aimed to assess socio-demographic characteristics, burden, and psychiatric morbidity of the caregivers of persons with intellectual disability, as well as to determine the variables that correlated with burden and psychiatric morbidity. An observational study was carried out in an outpatient psychiatric unit of a tertiary care teaching hospital in India from October 2014 to April 2015. A total of 100 caregivers of intellectually impaired individuals were assessed for burden and psychiatric morbidity. In all, 39% of the caregivers had a high burden score, 46% perceived mild-to-moderate burden severity, and 15% perceived no to mild burden. Mild-to-moderate depressive symptoms were present in 23% and 16% had severe-to-extremely severe depressive symptoms. Mild-to-moderate anxiety symptoms were evident in 19% of caregivers and a further 19% had severe-to-extremely severe anxiety symptoms. Routine assessment of burden and psychiatric morbidity in the caregiver will help to reduce their burden and thus help them care for their children more appropriately and efficiently.

  10. Development of a Social Skills Assessment Screening Scale for Psychiatric Rehabilitation Settings: A Pilot Study. (United States)

    Bhola, Poornima; Basavarajappa, Chethan; Guruprasad, Deepti; Hegde, Gayatri; Khanam, Fatema; Thirthalli, Jagadisha; Chaturvedi, Santosh K


    Deficits in social skills may present in a range of psychiatric disorders, particularly in the more serious and persistent conditions, and have an influence on functioning across various domains. This pilot study aimed at developing a brief measure, for structured evaluation and screening for social skills deficits, which can be easily integrated into routine clinical practice. The sample consisted of 380 inpatients and their accompanying caregivers, referred to Psychiatric Rehabilitation Services at a tertiary care government psychiatric hospital. The evaluation included an Inpatient intake Proforma and the 20-item Social Skills Assessment Screening Scale (SSASS). Disability was assessed using the Indian Disability Evaluation and Assessment Scale (IDEAS) for a subset of 94 inpatients. The analysis included means and standard deviations, frequency and percentages, Cronbach's alpha to assess internal consistency, t -tests to assess differences in social skills deficits between select subgroups, and correlation between SSASS and IDEAS scores. The results indicated the profile of social skills deficits assessed among the inpatients with varied psychiatric diagnoses. The "psychosis" group exhibited significantly higher deficits than the "mood disorder" group. Results indicated high internal consistency of the SSASS and adequate criterion validity demonstrated by correlations with select IDEAS domains. Modifications were made to the SSASS following the pilot study. The SSASS has potential value as a measure for screening and individualised intervention plans for social skills training in mental health and rehabilitation settings. The implications for future work on the psychometric properties and clinical applications are discussed.

  11. Psychiatric Assessment and Follow-up of Young People after ...

    African Journals Online (AJOL)


    Annals of Medical and Health Sciences Research | Jan-Feb 2014 | Vol 4 | Issue 1 | ... and social assessment of young people following a serious physical assault as assessed by a ... Following media interest in violence amongst young people,.

  12. CAPs-IDD: Characteristics of Assessment Instruments for Psychiatric Disorders in Persons with Intellectual Developmental Disorders (United States)

    Zeilinger, E. L.; Nader, I. W.; Brehmer-Rinderer, B.; Koller, I.; Weber, G.


    Background: Assessment of psychiatric disorders in persons with an intellectual developmental disorder (IDD) can be performed with a variety of greatly differing instruments. This makes the choice of an instrument best suited for the intended purpose challenging. In this study, we developed a comprehensive set of characteristics for the evaluation…

  13. The role of personal social networks in risk assessment and management of forensic psychiatric patients

    NARCIS (Netherlands)

    Pomp, L.; Spreen, M.; Boegarts, S.; Völker, B.G.M.


    Social network factors are usually not accounted for in the clinical practice of risk assessment/management.This article introduces a social network analysis as an instrument to systematically chart the relationships and personal networks of forensic psychiatric patients. During the period 2005 to

  14. Experimentos en Antioquia con Fertilizantes para Papa.

    Directory of Open Access Journals (Sweden)

    Yepes Y. Emilio


    Full Text Available Con el fin de determinar la adecuada aplicación de cal. y la economía de la adición de Nitrógeno, Fósforo y Potasio, se realizaron varios experimentos de fertilizantes para papa en dos regiones productoras de Antioquia. Los experimentos se realizaron por el sistema de "Parcelas divididas y del análisis estadístico de los resultados pueden sacarse las siguientes conclusiones: 1. Es notable la deficiencia de Fósforo en ambos suelos, y hubo respuesta significativa a una aplicación de 120 kilos por hectárea. 2. Los suelos responden a una aplicación moderada de Nitrógeno y Potasio, pero puede lograrse una economía importante en las cantidades de estos elementos. 3. Parece que la aplicación de dos toneladas de cal por cuadra es suficiente, y no hay razón para aconsejar cantidades mayores. 4. Los resultados obtenidos demuestran que sí es posible la experimentación con fertilizante para papa, y sería de desear que se ampliara la experimentación en las demás regiones productoras.

  15. Principales Aspectos Agroeconómicos de la Papa.


    Ministerio de Agricultura y Riego


    La papa pertenece a la familia Solanaceae, pariente del tomate, ají, pimentón, berenjena, tabaco, petunia, mandrágora, belladona, por nombrar alguna de las más de 2,000 especies presentes en esta familia. La papa se encuentra entre los cuatro cultivos alimenticios más importantes del mundo, junto al trigo, arroz y el maíz. Una papa de tamaño mediano contiene alrededor de la mitad de los requerimientos diarios de vitamina C de una persona adulta. Otros cultivos de primera necesidad como el ...

  16. Text mining and IRT for psychiatric and psychological assessment

    NARCIS (Netherlands)

    He, Qiwei


    The information age has made it easy to store and process large amounts of data, including both structured data (e.g., responses to questionnaires) and unstructured data (e.g., natural language or prose). As an additional source of information in assessments, textual data has been increasingly used

  17. Psychiatric Assessment and Follow-up of Young People after ...

    African Journals Online (AJOL)


    Violence among young people is a world-wide problem[1] and. London is no exception. However it's ... College Hospital and their help seeking behavior following the psychological assessment. ... College Hospital, London in one calendar year and also the help seeking behavior of the young people following the assault.

  18. Association between pretransplant psychological assessments and posttransplant psychiatric disorders in living-related transplantation. (United States)

    Fukunishi, Isao; Sugawara, Yasutoshi; Takayama, Tadatoshi; Makuuchi, Masatoshi; Kawarasaki, Hideo; Surman, Owen S


    The authors examined pretransplant assessment in order to predict posttransplant occurrence of psychiatric disorders in living-related transplantation (LRT). Before LRT, the authors administered the Integrated House-Tree-Person Drawing Test (I-HTP) and 20-item Toronto Alexithymia Scale (TAS-20) to 31 donor-recipient pairs undergoing living-related liver transplantation (LRLT) and 65 pairs undergoing living-related kidney transplantation (LRKT). After LRT, the authors examined the occurrence of psychiatric disorders for the recipients and donors. Pretransplant, two psychological indicators,-alexithymia, a lack of verbalized emotion and abnormal projective drawings such as truncated tree representation-were significantly related to the manifestation of paradoxical psychiatric syndrome (PPS) in LRLT and LRKT. The occurrence of PPS was significantly related to recipients' guilt feelings toward living donors, but these were strongly superseded by recipients' desires to escape from approaching death just before LRT. These results suggest that pretransplant psychological assessment is useful for predicting posttransplant occurrence of psychiatric disorders.

  19. Assessment and determinants of aggression in a forensic psychiatric institution in Hong Kong, China. (United States)

    Chan, Oliver; Chow, Kavin Kit-wan


    Institutional aggression in forensic psychiatric setting is an under-researched subject, despite the magnitude of the problem. No studies have been conducted on the assessment of risk and the examination of predictors of aggression among the Chinese forensic psychiatric population. Our study aimed to examine the determinants of aggression in the only forensic psychiatric institution in Hong Kong, and to test the psychometric properties of a risk-assessment instrument, the Dynamic Appraisal of Situational Aggression (DASA). We recruited a representative sample of 530 consecutively admitted detainees. Qualified nurses completed two risk-assessment instruments, the DASA and the Brøset Violence Checklist (BVC), once daily during the participants׳ first 14 days of admission. Aggressive incidents were recorded using the revised Staff Observation Aggression Scale (SOAS-R), and participants׳ data were collected for multivariate analyses. We showed that female gender, diagnoses of personality disorder and substance-related disorder, and admission at other correctional institutions were associated with institutional aggression. Aggression was perpetrated by 17.7% of the participants, and the DASA was demonstrated to have good psychometric properties in assessing and predicting aggressive incidents. Our findings preliminarily support the use of daily in-patient risk-assessment and affirm the role of dynamic factors in institutional aggression. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. papA gene of avian pathogenic Escherichia coli. (United States)

    Kariyawasam, Subhashinie; Nolan, Lisa K


    P fimbrial adhesins may be associated with the virulence of avian pathogenic Escherichia coli (APEC). However, most APECs are unable to express P fimbriae even when they are grown under conditions that favor P fimbrial expression. This failure can be explained by the complete absence of the pap operon or the presence of an incomplete pap operon in Pap-negative APEC strains. In the present study, we analyzed the pap operon, specifically the papA gene that encodes the major fimbrial shaft, to better understand the pap gene cluster at the genetic level. First, by PCR, we examined a collection of 500 APEC strains for the presence of 11 genes comprising the pap operon. Except for papA, all the other genes of the operon were present in 38% to 41.2% of APEC, whereas the papA was present only in 10.4% of the APEC tested. Using multiplex PCR to probe for allelic variants of papA, we sought to determine if the low prevalence of papA among APEC was related to genetic heterogeneity of the gene itself. It was determined that the papA of APEC always belongs to the F11 allelic variant. Finally, we sequenced the 'papA region' from two papA-negative strains, both of which contain all the other genes of the pap operon. Interestingly, both strains had an 11,104-bp contig interruptingpapA at the 281-bp position. This contig harbored a streptomycin resistance gene and a classic Tn10 transposon containing the genes that confer tetracycline resistance. However, we noted that the papA gene of every papA-negative APEC strain was not interrupted by an 11,104-bp contig. It is likely that transposons bearing antibiotic resistance genes have inserted within pap gene cluster of some APEC strains, and such genetic events may have been selected for by antibiotic use.

  1. Care zoning in a psychiatric intensive care unit: strengthening ongoing clinical risk assessment. (United States)

    Mullen, Antony; Drinkwater, Vincent; Lewin, Terry J


    To implement and evaluate the care zoning model in an eight-bed psychiatric intensive care unit and, specifically, to examine the model's ability to improve the documentation and communication of clinical risk assessment and management. Care zoning guides nurses in assessing clinical risk and planning care within a mental health context. Concerns about the varying quality of clinical risk assessment prompted a trial of the care zoning model in a psychiatric intensive care unit within a regional mental health facility. The care zoning model assigns patients to one of 3 'zones' according to their clinical risk, encouraging nurses to document and implement targeted interventions required to manage those risks. An implementation trial framework was used for this research to refine, implement and evaluate the impact of the model on nurses' clinical practice within the psychiatric intensive care unit, predominantly as a quality improvement initiative. The model was trialled for three months using a pre- and postimplementation staff survey, a pretrial file audit and a weekly file audit. Informal staff feedback was also sought via surveys and regular staff meetings. This trial demonstrated improvement in the quality of mental state documentation, and clinical risk information was identified more accurately. There was limited improvement in the quality of care planning and the documentation of clinical interventions. Nurses' initial concerns over the introduction of the model shifted into overall acceptance and recognition of the benefits. The results of this trial demonstrate that the care zoning model was able to improve the consistency and quality of risk assessment information documented. Care planning and evaluation of associated outcomes showed less improvement. Care zoning remains a highly applicable model for the psychiatric intensive care unit environment and is a useful tool in guiding nurses to carry out routine patient risk assessments. © 2013 John Wiley & Sons

  2. Gender Differences in Compulsive Buying Disorder: Assessment of Demographic and Psychiatric Co-Morbidities


    Nicoli de Mattos, Cristiana; Kim, Hyoun S.; Requi?o, Marinalva G.; Marasaldi, Renata F.; Filomensky, Tatiana Z.; Hodgins, David C.; Tavares, Hermano


    Compulsive buying is a common disorder found worldwide. Although recent research has shed light into the prevalence, etiology and clinical correlates of compulsive buying disorder, less is known about gender differences. To address this empirical gap, we assessed potential gender differences in demographic and psychiatric co-morbidities in a sample of 171 compulsive buyers (20 men and 151 women) voluntarily seeking treatment in S?o Paulo, Brazil. A structured clinical interview confirmed the ...

  3. Handover of patient information from the crisis assessment and treatment team to the inpatient psychiatric unit. (United States)

    Waters, Amanda; Sands, Natisha; Keppich-Arnold, Sandra; Henderson, Kathryn


    Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning. The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning. An observational, exploratory study design was used. A 20-item handover observation tool was used to observe 19 occasions of handover. A prospective audit was undertaken on clinical documentation arising from the admission. Clinical information, including psychiatric history and mental state, were handed over consistently; however, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm. © 2014 Australian College of Mental Health Nurses Inc.

  4. Psychopathology of the General Population Referred by Primary Care Physicians for Urgent Assessment in Psychiatric Hospitals

    Directory of Open Access Journals (Sweden)

    Judith McLenan


    Full Text Available Objective: The aim of this study was to evaluate the type, severity and progression of psychiatric pathologies in a sample of 372 outpatients (age range 18–65 years referred by their primary general practitioners (GPs to an Urgent Referral Team (URT based in a psychiatric hospital in Aberdeen, Scotland. This team offers immediate appointments (1- to 7-day delays for rapid assessments and early interventions to the outpatients referred by their primary family doctors.Method: One-sample t-test and z statistic were used for data analysis. From the total population, a convenience sample of 40 people was selected and assessed to evaluate whether follow-up appointments after the first visit could reduce the severity of suicidal ideation, depression and anxiety in the outpatients seen by the URT. A two-sample t-test and a Wilcoxon signed-rank test were used to assess the variations in the scores during the follow-up visits.Results: We found a statistically significant prevalence of depressive disorders, comorbid with anxiety at first presentation in people who were females, white, never married, living with a partner, not studying and not in paid employment. The common presentation of borderline personality disorder and dysthymia in this population underscores its vulnerability to major socioeconomic challenges.Conclusion: The data confirmed the impact that primary care cooperation with psychiatric hospitals can have on the psychiatric system, and as a reflection, on the population’s mental health and well-being. In fact, active cooperation and early diagnosis and intervention will help detect cases at risk in the general population and reduce admissions into hospitals.

  5. Assessment of knowledge about childhood autism among paediatric and psychiatric nurses in Ebonyi state, Nigeria

    Directory of Open Access Journals (Sweden)

    Achor Justin U


    Full Text Available Abstract Background There is increasing public and professional awareness of autism spectrum disorders with early recognition, diagnosis and interventions that are known to improve prognosis. Poor knowledge about childhood autism among paediatric and psychiatric nurses who are members of multidisciplinary teams that care for such children may be a major barrier to early interventions that could improve quality of life and prognosis in childhood autism. Factors that influence knowledge about childhood autism among these nurses are not known. This study assessed knowledge about childhood autism among paediatric and psychiatric nurses in Ebonyi state, Nigeria and determined the factors that could be influencing such knowledge. Methods Forty specialist paediatric and forty psychiatric nurses, making a total sample of eighty, were randomly selected from all the health care facilities in Ebonyi state, Nigeria. A socio-demographic questionnaire and knowledge about childhood autism among health workers (KCAHW questionnaire were administered to them and the study was a point survey. Results The total mean score on the KCAHW questionnaire among the nurses that participated in the study was 12.56 ± 3.23 out of a total of 19 possible. The mean score for the paediatric nurses was 11.78 ± 3.64 while psychiatric nurses had mean score of 13.35 ± 2.58. The mean scores in Domain 1 were 6.17 ± 1.75 for the paediatric nurses and 6.52 ± 1.43 for the psychiatric nurses. The mean scores in Domain 2 were 0.65 ± 0.48 for the paediatric nurses and 0.80 ± 0.41 for the psychiatric nurses. Domain 3 showed mean scores of 1.97 ± 1.25 for the paediatric nurses while psychiatric nurses scored 2.62 ± 1.23. Domain 4 yielded the mean scores of 2.97 ± 1.54 and 3.42 ± 0.98 for the paediatric and psychiatric nurses respectively. There was significant relationship between the total mean score on the KCAHW questionnaire for the two groups and the area of specialisation of

  6. [The characteristics of sexual offenders abusing alcohol in view of forensic-psychiatric assessments]. (United States)

    Juszczak, Dariusz; Korzeniewski, Krzysztof; Czupryńska, Katarzyna; Furs, Maciej


    The relationship between alcohol consumption and sexual crime appears to be unquestionable. However, the mechanisms that lead to violence and aggression under the influence of alcohol are not entirely understood in this group of offenders. The aim of this paper was to attempt answering the question: what are the features characterizing sexual offenders declaring alcohol abuse. The research material consisted of 180 forensic psychiatric- sexology assessments issued by experts from Outpatient Psychiatric Clinic in 10 Military Hospital Clinic in Bydgoszcz between 2004 to 2012. A specially designed questionnaire titled "Charter of Diagnosis of Factors Determining Criminal Sexual Activity" has been used. Relevant statistical dependences were observed. The obtained results show that, a alcohol abuse has a sexual criminogenic effect especially in the coincidence that there are sustainable personality abnormalities and organic CNS damage. The conducted study prove that the sexual perpetrators who abuse alcohol have a poor level of social functioning and brought up in dysfunction families having alcoholic problems. © 2015 MEDPRESS.

  7. Psychiatric residents' self-assessment of teaching knowledge and skills following a brief "psychiatric residents-as-teachers" course: a pilot study. (United States)

    Grady-Weliky, Tana A; Chaudron, Linda H; Digiovanni, Sue K


    Resident physicians have an important role in medical student teaching. There has been limited curriculum development in this area for general psychiatric residents. A 4-hour workshop for PGY-2 psychiatric residents was designed and implemented to improve residents' self-assessment of their knowledge of the medical student curriculum and core teaching skills. Residents completed pre- and postcourse self-assessments of their knowledge, skills, attitudes, and values about teaching. Descriptive statistics were obtained on pre- and postcourse data and were analyzed using t tests assuming unequal variance. Following course participation, there was statistically significant improvement in residents' self-assessment of their knowledge of the medical student curriculum (p ≤ 0.001), their self-assessment regarding perception of peers' view of their teaching ability (p ≤ 0.02), and their perceived knowledge of various teaching methods (p ≤ 0.02). Our findings suggest that a brief workshop may enhance psychiatric residents' self-assessment of teaching knowledge and skills.

  8. A dimensional approach to assessing psychiatric risk in adults born very preterm. (United States)

    Kroll, Jasmin; Froudist-Walsh, Sean; Brittain, Philip J; Tseng, Chieh-En J; Karolis, Vyacheslav; Murray, Robin M; Nosarti, Chiara


    Individuals who were born very preterm have higher rates of psychiatric diagnoses compared with term-born controls; however, it remains unclear whether they also display increased sub-clinical psychiatric symptomatology. Hence, our objective was to utilize a dimensional approach to assess psychiatric symptomatology in adult life following very preterm birth. We studied 152 adults who were born very preterm (before 33 weeks' gestation; gestational range 24-32 weeks) and 96 term-born controls. Participants' clinical profile was examined using the Comprehensive Assessment of At-Risk Mental States (CAARMS), a measure of sub-clinical symptomatology that yields seven subscales including general psychopathology, positive, negative, cognitive, behavioural, motor and emotional symptoms, in addition to a total psychopathology score. Intellectual abilities were examined using the Wechsler Abbreviated Scale of Intelligence. Between-group differences on the CAARMS showed elevated symptomatology in very preterm participants compared with controls in positive, negative, cognitive and behavioural symptoms. Total psychopathology scores were significantly correlated with IQ in the very preterm group only. In order to examine the characteristics of participants' clinical profile, a principal component analysis was conducted. This revealed two components, one reflecting a non-specific psychopathology dimension, and the other indicating a variance in symptomatology along a positive-to-negative symptom axis. K-means (k = 4) were used to further separate the study sample into clusters. Very preterm adults were more likely to belong to a high non-specific psychopathology cluster compared with controls. Conclusion and Relevance Very preterm individuals demonstrated elevated psychopathology compared with full-term controls. Their psychiatric risk was characterized by a non-specific clinical profile and was associated with lower IQ.

  9. Violence risk assessment in psychiatric patients in China: A systematic review. (United States)

    Zhou, Jiansong; Witt, Katrina; Xiang, Yutao; Zhu, Xiaomin; Wang, Xiaoping; Fazel, Seena


    The aim of this study was to undertake a systematic review on violence risk assessment instruments used for psychiatric patients in China. A systematic search was conducted from 1980 until 2014 to identify studies that used psychometric tools or structured instruments to assess aggression and violence risk. Information from primary studies was extracted, including demographic characteristics of the samples used, study design characteristics, and reliability and validity estimates. A total of 30 primary studies were identified that investigated aggression or violence; 6 reported on tools assessing aggression while an additional 24 studies reported on structured instruments designed to predict violence. Although measures of reliability were typically good, estimates of predictive validity were mostly in the range of poor to moderate, with only 1 study finding good validity. These estimates were typically lower than that found in previous work for Western samples. There is currently little evidence to support the use of current violence risk assessment instruments in psychiatric patients in China. Developing more accurate and scalable approaches are research priorities. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  10. Recent advances in electromagnetic theory Festschrift Papas (Charles Herach)

    CERN Document Server

    Kritikos, Haralambos N


    The contributions of this book represent only a small sample of the work of the many researcher electromagneticians who have had the pleasure of being associated with Professor Papas, either as students or as colleagues. Many of us continue to work in the many and diverse areas that modem electro­ magnetism encompasses. There is, however, a common thread that was derived from our association with Professor Papas that has greatly influenced our thinking and technical style of expression. Professor Papas, from his studies at Harvard, brought with him to Pasadena a very fundamental and classical point of view that was instilled in all those who were associated with him. He saw research problems as a combination offundamental physical and mathematical principles and the electromagnetic "reality. " He searched and demanded clarity and often, in the rather involved and engaging discussions which took place in his office, he demanded that the "baby picture" be clearly drawn on the blackboard. This requirement, cert...

  11. Clinical, Molecular, and Genetic Characteristics of PAPA Syndrome: A Review. (United States)

    Smith, Elisabeth J; Allantaz, Florence; Bennett, Lynda; Zhang, Dongping; Gao, Xiaochong; Wood, Geryl; Kastner, Daniel L; Punaro, Marilynn; Aksentijevich, Ivona; Pascual, Virginia; Wise, Carol A


    PAPA syndrome (Pyogenic Arthritis, Pyoderma gangrenosum, and Acne) is an autosomal dominant, hereditary auto-inflammatory disease arising from mutations in the PSTPIP1/CD2BP1 gene on chromosome 15q. These mutations produce a hyper-phosphorylated PSTPIP1 protein and alter its participation in activation of the "inflammasome" involved in interleukin-1 (IL-1β) production. Overproduction of IL-1β is a clear molecular feature of PAPA syndrome. Ongoing research is implicating other biochemical pathways that may be relevant to the distinct pyogenic inflammation of the skin and joints characteristic of this disease. This review summarizes the recent and rapidly accumulating knowledge on these molecular aspects of PAPA syndrome and related disorders.

  12. Pre- and post-surgical psychiatric assessments and intervention by major epilepsy centers in Japan - Nationwide survey. (United States)

    Goji, Hiroko; Fukuchi, Toshihiko; Kanemoto, Kousuke


    Although psychiatric issues following epilepsy surgery are now widely recognized as a major problem, actual awareness of these issues by epilepsy centers remains to be elucidated. This is the first known report regarding the use of psychiatric assessments and interventions by epilepsy centers throughout Japan. At the beginning of 2016, we sent a questionnaire regarding psychiatric assessments performed before and after epilepsy surgery, psychiatric intervention after surgery, and future plans for dealing with psychiatric issues in relation to epilepsy surgery, which consisted of a total of 24 items, to all members of the Japan Epilepsy Center Association (JEPICA). Nearly all major epilepsy centers in Japan are included in JEPICA, which had 31 members in 2016. Twenty-four (77%) of the 31 centers responded to the questionnaire. Seventeen (70.8%) centers answered that a psychiatrist was incorporated as part of their epilepsy surgery unit. In addition, 17 (70.8%) noted that psychiatric assessments were obtained prior to surgery, which were performed by psychiatrists in 8 (33.3%) centers and psychologists in 11 (45.8%). In 23 (95.8%) of the centers, the risk of occurrence of psychiatric illness following surgery was routinely explained prior to surgery, at least to surgical candidates with high susceptibility. In total, cases of psychiatric illness following surgery had been experienced in 16 (66.7%) centers, with depression as the most commonly encountered (41.7%), followed by anxiety (33.3%), psychosis (25.0%), and psychogenic non-epileptic seizures (8.3%). Strong points of epilepsy centers in Japan include serious concern regarding post-surgical psychiatric illness by nearly all members of JEPICA and explanation of the risk of psychiatric adverse events provided beforehand to their patients. On the other hand, the small size of some epilepsy centers, along with lack of a standardized method for evaluation of psychiatric symptoms as well as dependence on the

  13. The psychiatric inpatient physical health assessment sheet (PIPHAS): a useful tool to improve the speed, efficiency, and documentation of physical examination in new psychiatric inpatients. (United States)

    Pettipher, Alexander; Ovens, Richard


    There is increased morbidity and mortality among patients suffering from mental illness. This is believed to be multi-factorial. Poor access to healthcare, the stigma of mental illness, reduced clinic attendance, lifestyle factors, and side effects of medications are cited as possible contributing factors. It is therefore vital to perform a physical examination to identify previously undiagnosed conditions during the admission of a psychiatric inpatient. The Royal College of Psychiatrists recommends that all patients admitted to a psychiatric hospital should receive a full physical examination on admission, or within twenty-four hours of admission. A snapshot audit was carried out at Prospect Park Hospital in Reading, which highlighted that The Royal College of Psychiatrist's recommendation, along with Trust guidelines regarding physical examination were not being met, with only 78 out of 111 patients (70.3%) undergoing an examination during their admission. In addition to this, examinations were often poorly documented and not covering all examination domains. A psychiatric inpatient physical health assessment sheet (PIPHAS) was designed and introduced, providing a quick and standardised approach to the documentation of a physical examination. After the intervention was put into practice, its impact was assessed by performing a retrospective review of the admission clerking notes of the next 100 admissions to Prospect Park Hospital. Following the introduction of the PIPHAS form there was an increase in the number of patients undergoing physical examination on admission to hospital (75 out of 100 patients, 75%). There was also an increase in the thorough documentation of all examination domains (e.g. respiratory examination) for patients that had a completed PIPHAS form scanned within their medical records. This quality improvement project demonstrates that the PIPHAS form is a useful tool to improve the speed, efficiency, and documentation of a thorough physical

  14. A System of Assessment for Adaptive Behavior, Social Skills, Behavioral Function, Medication Side-Effects, and Psychiatric Disorders. (United States)

    Matson, Johnny L.; Mayville, Stephen B.; Laud, Rinita B.


    This article describes a method of assessing individuals with mental retardation that operates within financial and human constraints using informant-based measures that assess adaptive and maladaptive behaviors, psychiatric disorders, behavior function, and medication side-effects. Integrating the assessment results for treatment planning is…

  15. [Are visual and auditory perception modified in psychopathological assessment of expressive markers of psychiatric patients?]. (United States)

    Polzer, U; Gaebel, W


    The assessment of nonverbal expression (e.g. facial action, speech, body movements, etc.) are an important aspect of the diagnostic and prognostic process in psychiatric patients. By means of observer rating scales' expression is usually assessed on different observation levels. It appears that visual and auditory perception of expression interfere with one other. In the present study it was demonstrated, that ratings of certain attributes of expression was significantly more inconsistent in schizophrenic than in depressed patients, provided information was simultaneously displayed to both visual and auditory channels of perception. A "disintegration" of the components of expression in schizophrenics may explain why raters get differings impressions of the patient's overall expression. Moreover, the description of expressive behaviors seems to be influenced by diagnostic stereotypes. The development of a more objective method of assessment would therefore be promising.

  16. Detection of malingering of psychiatric disorder with the personality assessment inventory: an investigation of criminal defendants. (United States)

    Kucharski, L Thomas; Toomey, Joseph P; Fila, Katarzna; Duncan, Scott


    To assess the diagnostic accuracy of the Personality Assessment Inventory (PAI; Morey, 1991) Validity scales for the detection of malingered psychiatric disorders, we divided a sample of criminal defendants referred for forensic evaluation by the federal courts into malingering and not malingering groups based on their performance on the Structured Interview of Reported Symptoms (Rogers, Gillis, & Bagby, 1990). Logistic regression analyses (LGAs) revealed that there were no differences between the malingering and not malingering groups with respect to age, race, years of education, history of drug abuse, or number of previous felony convictions. LGA with malingering versus not malingering as the criterion revealed that the PAI Negative Impression Management (NIM) scale but not the Rogers Discriminant Function (RDF; Rogers, Sewell, Morey & Ustad, 1996) nor the Malingering index (MAL; Morey, 1996) significantly differentiated the malingering from the not malingering group. Receiver operating characteristics analyses demonstrated acceptable sensitivity and specificity for the NIM scale but not the RDF scale or the MAL index. We discuss the results in terms of the suggested cutoff scores for the PAI Validity scales in detecting criminal defendants who are attempting to feign psychiatric disorder.

  17. Assessing Parenting Capacity in Psychiatric Mother and Baby Units: A case report and review of literature. (United States)

    Hammond, Julie; Lipsedge, Maurice


    This review aimed to improve infant risk assessments in the context of maternal mental illness by identifying key predictors of poor parenting outcomes. Inadequate parenting as a result of severe and persistent mental illness is a common reason for courts terminating parental rights. However, the current practice of parenting capacity assessments in the setting of perinatal psychiatry is fraught with risks and uncertainty. A well-recognised flaw in the assessment process is the lack of valid and reliable tools that have been specifically validated for assessing parenting capacity in mothers with a history of mental illness and the potential risk of harm to their infant. To date, there is only one instrument available. A systematic search of Medline, PsycInfo and Embase via the Ovid interface was conducted between September and December 2014. Citation snowball sampling was also used to identify further relevant studies. An additional search was performed in Google to access grey literature. A total of 38 citations were identified, of which 8 publications focusing on the populations of England, France and Belgium met the eligibility criteria of this review. Evidence from existing research suggests that poor parenting outcomes in maternal psychiatric illness are strongly associated with correlates of socio-economic inequalities. However, evidence regarding the long-term implications of such factors is weak as only one follow up study and no longitudinal studies were identified in this review. Our review suggests that the use of standardised empirically validated risk assessment tools would benefit the current practice of parenting assessments by improving the process by which collected information is analysed. This would enhance the accuracy of decision-making, and improve the safeguarding of the infant. Further research is needed on medium to long-term parenting outcomes, particularly regarding its relations to: the type of maternal psychiatric disorder; the quality

  18. OceanSITES PAPA daily in-situ data (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This file contains daily real-time and delayed-mode in-situ data from station Papa at 50N,145W in the North Pacific. This taut-line mooring has been instrumented...

  19. Family Assessment/Treatment/Evaluation Methods Integrated for Helping Teen Suicide Attempters/Families in Short Term Psychiatric Hospitalization Programs. (United States)

    Shepard, Suzanne

    The assessment process can be integrated with treatment and evaluation for helping teenage suicide attempters and families in short term psychiatric hospitalization programs. The method is an extremely efficient way for the therapist to work within a given time constraint. During family assessment sufficient information can be gathered to…

  20. Social mobility and psychiatric disabilities: an assessment of the social causation and social selection hypotheses. (United States)

    Shin, Hyun-Uk; Han, Chang-Wan; Kohzuki, Masahiro


    Social mobility is the movement of individuals, families and groups from one social position to another. Researchers indicate that people with psychiatric disabilities tend to come from lower socioeconomic status groups, and that the causal relationship between lower socioeconomic status and mental illness occurs through social mobility process. The purpose of this study was to examine the occupational social mobility process of a sample of self-identified psychiatrically disabled individuals who have been active members of the labor force for most of their adult lives. A total of 200 participants were recruited from the customers of a One-Stop Career Center in Gloucester County, New Jersey. The social mobility pattern of persons with psychiatric disabilities was compared to that of persons without psychiatric disabilities (n = 100 for each group). That is, the social selection and the social causation hypotheses were applied to the social mobility patterns of people with psychiatric disabilities. It was revealed that the social class distribution for fathers of people with psychiatric disabilities was not different from that of people without psychiatric disabilities and also there was no significant social mobility difference between the two groups. These findings do not support the social causation and the social selection hypotheses. Specifically, the findings demonstrate that occupational capabilities and skills of people with psychiatric disabilities have been stabilized and are similar to those of people without psychiatric disabilities. Furthermore, these results may dispute several biases and prejudices with regard to social mobility process of persons with psychiatric disabilities.

  1. Assessing aggressive behavior in forensic psychiatric patients: validity and clinical utility of combining two instruments. (United States)

    Kobes, Marjolein H B M; Nijman, Henk H L I; Bulten, Erik B H


    Accurate observation of aggressive behavior among forensic psychiatric patients requires valid instruments. This study examines the validity and clinical utility of combining the social dysfunction and aggression scale (SDAS) and staff observation aggression scale revised (SOAS-R). Nurses weekly obtained SDAS scores of 127 patients, resulting in 6.124 assessments. Aggressive incidents were documented by the SOAS-R. Internal consistency, subscale structure, interobserver reliability of the SDAS, and convergent validity with SOAS-R were analyzed. A three-factor solution was found. Interobserver reliability was moderate, and good convergent validity was found. The SDAS, in conjunction with the SOAS-R, monitors changes in aggressiveness and may contribute to the prevention of aggressive behavior. Copyright © 2012 Elsevier Inc. All rights reserved.

  2. Coping strategies and psychiatric morbidity in women attending breast assessment clinics. (United States)

    Chen, C C; David, A; Thompson, K; Smith, C; Lea, S; Fahy, T


    This study examined the role of coping strategies and personality characteristics in mediating psychiatric morbidity in subjects facing possibly serious breast disease. Participating were 121 women aged 20 to 65 undergoing breast fine needle biopsy for a suspicious lesion on mammography. All subjects received psychosocial assessments including the 12-item General Health Questionnaire (GHQ-12), the Eysenck Personality Inventory (EPI) and the Coping Strategies Inventory. The results show that neuroticism was the only EPI subscore significantly correlated with GHQ-12 score. A habitual method of coping with adversity known as 'engagement' has a negative correlation with GHQ-12 score; that is, patients who actively confront their illness and the uncertainty that surrounds it show better psychological health. Stepwise multiple regression reveals that neuroticism and an engagement coping strategy are the most significant predictors towards GHQ-12 score prior to the diagnosis of breast cancer.

  3. Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample

    DEFF Research Database (Denmark)

    Nordgaard, Julie; Revsbech, Rasmus; Sæbye, Ditte


    The use of structured psychiatric interviews performed by non-clinicians is frequent for research purposes and is becoming increasingly common in clini-cal practice. The validity of such interviews has rarely been evaluated empirically. In this study of a sample of 100 diagnostically heterogeneous......, first-admitted inpatients, the results of an assessment with the Structured Clinical Interview for DSM-IV (SCID), yielding a DSM-IV diagnosis and performed by a trained non-clinician, were compared with a consensus lifetime best diagnostic estimate (DSM-IV) by two experienced research clinicians, based...... performed by non-clinicians are not recommendable for clinical work and should only be used in research with certain precautions. It is suggested that a revival of systematic theoretical and practical training in psychopathology is an obvious way forward in order to improve the validity and therapeutic...

  4. Factors predicting adherence with psychiatric follow-up appointments for patients assessed by the liaison psychiatric team in the emergency department.

    LENUS (Irish Health Repository)

    Agyapong, Vincent I O


    Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.

  5. Ecological momentary assessment and smartphone application intervention in adolescents with substance use and comorbid severe psychiatric disorders: study protocol

    Directory of Open Access Journals (Sweden)

    Xavier Benarous


    Full Text Available Context: Substance Use Disorders (SUDs are highly prevalent among inpatient adolescents with psychiatric disorders. In this population, substance use and other psychiatric outcomes can reinforce one another. Despite the need for integrated interventions in youths with dual diagnoses, few specific instruments are available. App-based technologies have shown promising results to help reduce substance use in adolescents, but their applicability in youths with associated severe psychiatric disorders is poorly documented. We aim to evaluate the feasibility of an ecological momentary assessment (EMA intervention for all substance users, and of a smart-phone application for cannabis users (Stop-Cannabis, for outpatient treatment after hospital discharge. Methods and analysis: All inpatient adolescents with psychiatric disorders hospitalized between 2016 and 2018 in a university hospital will be systematically screened for SUD and, if positive, will be assessed by an independent specialist addiction team. Participants with confirmed SUDs will be invited and helped to download an EMA app and, if required, the Stop-Cannabis app the week preceding hospital discharge. Information about the acceptability and use of both apps and the validity of EMA data in comparison to clinical assessments will be assessed after 6 months and one year.Discussion: This research has been designed to raise specific issues for consideration regarding the sequence between substance use, contextual factors, and other psychiatric symptoms among adolescents with comorbid severe psychiatric disorders. A better understanding of the mechanisms involved will inform the development of integrated treatment for dual disorders at that age.Ethics and dissemination: The study has already been approved and granted. Dissemination will include presentations at international congresses as well as publications in peer-reviewed journals.Trial registration: European Clinical Trials Database: Number

  6. Ecological Momentary Assessment and Smartphone Application Intervention in Adolescents with Substance Use and Comorbid Severe Psychiatric Disorders: Study Protocol. (United States)

    Benarous, Xavier; Edel, Yves; Consoli, Angèle; Brunelle, Julie; Etter, Jean-François; Cohen, David; Khazaal, Yasser


    Substance use disorders (SUDs) are highly prevalent among inpatient adolescents with psychiatric disorders. In this population, substance use and other psychiatric outcomes can reinforce one another. Despite the need for integrated interventions in youths with dual diagnoses, few specific instruments are available. App-based technologies have shown promising results to help reduce substance use in adolescents, but their applicability in youths with associated severe psychiatric disorders is poorly documented. We aim to evaluate the feasibility of an ecological momentary assessment (EMA) intervention for all substance users, and of a smartphone application for cannabis users (Stop-Cannabis), for outpatient treatment after hospital discharge. All inpatient adolescents with psychiatric disorders hospitalized between 2016 and 2018 in a university hospital will be systematically screened for SUD and, if positive, will be assessed by an independent specialist addiction team. Participants with confirmed SUDs will be invited and helped to download an EMA app and, if required, the Stop-Cannabis app, the week preceding hospital discharge. Information about the acceptability and use of both apps and the validity of EMA data in comparison to clinical assessments will be assessed after 6 months and 1 year. This research has been designed to raise specific issues for consideration regarding the sequence between substance use, contextual factors, and other psychiatric symptoms among adolescents with comorbid severe psychiatric disorders. A better understanding of the mechanisms involved will inform the development of integrated treatment for dual disorders at that age. The study has already been approved and granted. Dissemination will include presentations at international congresses as well as publications in peer-reviewed journals. European Clinical Trials Database: Number 2016-001999-30.

  7. The Psychiatric Assessment Schedule for Adult with Developmental Disability (PAS-ADD) Checklist: Reliability and Validity of French Version (United States)

    Gerber, F.; Carminati, G. Galli


    Background: The lack of psychometric measures of psychopathology especially in intellectual disabilities (ID) population was addressed by creation of the Psychiatric Assessment Schedule for Adult with Developmental Disability (PAS-ADD-10) in Moss et?al. This schedule is a structured interview designed for professionals in psychopathology. The…

  8. Assessment of Global Psychiatric Categories: The PSI/PSI-2 and the MMPI-2-RF (United States)

    Lanyon, Richard I.; Thomas, Michael L.


    The 3 Higher Order (HO) scales of the Minnesota Multiphasic Personality Inventory-2 Restructured Form and the 3 core clinical scales of the Psychological Screening Inventory/Psychological Screening Inventory-2 were developed to broadly represent the 3 traditional psychiatric categories of mental disorder: major psychiatric disorder…

  9. Speckle imaging with the PAPA detector. [Precision Analog Photon Address (United States)

    Papaliolios, C.; Nisenson, P.; Ebstein, S.


    A new 2-D photon-counting camera, the PAPA (precision analog photon address) detector has been built, tested, and used successfully for the acquisition of speckle imaging data. The camera has 512 x 512 pixels and operates at count rates of at least 200,000/sec. In this paper, technical details on the camera are presented and some of the laboratory and astronomical results are included which demonstrate the detector's capabilities.

  10. Las papas Suramericanas y su valor Genético

    Directory of Open Access Journals (Sweden)

    Anónimo A.


    Full Text Available Las papas silvestres son ubicuas en todas estas regiones y es imposible trazar una línea precisa de diferenciación entre las formas cultivadas y las silvestres, consistiendo con frecuencia el cultivo, sólo en conservar un número suficiente de tubérculos para asegurar una cosecha al año siguiente. Con alguna frecuencia, aún esto se descuida y los esfuerzos de la población se limitan a colectar los tubérculos silvestres comestibles que cubren las colinas. Por consiguiente, se sostiene ahora la tesis de que el origen de la papa cultivada consistió simplemente en la gradual adopción de algunas de estas formas silvestres para uso doméstico y en la aplicación de medidas culturales especiales a ellas, en •oposición a la mera colección de tubérculos de plantas de crecimiento netamente natural. Así pues, el proceso de domesticación está aún en progreso y la papa cultivada puede verse ante nuestros ojos in statu nascendi.

  11. [Stalking: diagnostics, risk assessment, principles of treatment and forensic psychiatric assessment]. (United States)

    Dressing, H


    Stalking is a widespread phenomenon describing a pattern of intrusive and threatening behavior that leads to the victim's perception of being harassed, threatened and frightened. Physical assault and even homicide may sometimes occur in the context of stalking. For psychiatry the following tasks result: (1) diagnosis and classification of stalking cases, (2) risk assessment of stalking cases, (3) counselling and treatment of victims of stalking and, (4) treatment and assessment of stalkers. Empirical findings and instructions are presented for these four areas.

  12. Next-Generation Psychiatric Assessment: Using Smartphone Sensors to Monitor Behavior and Mental Health (United States)

    Ben-Zeev, Dror; Scherer, Emily A.; Wang, Rui; Xie, Haiyi; Campbell, Andrew T.


    Objective Optimal mental health care is dependent upon sensitive and early detection of mental health problems. The current study introduces a state-of-the-art method for remote behavioral monitoring that transports assessment out of the clinic and into the environments in which individuals negotiate their daily lives. The objective of this study was examine whether the information captured with multi-modal smartphone sensors can serve as behavioral markers for one’s mental health. We hypothesized that: a) unobtrusively collected smartphone sensor data would be associated with individuals’ daily levels of stress, and b) sensor data would be associated with changes in depression, stress, and subjective loneliness over time. Methods A total of 47 young adults (age range: 19–30 y.o.) were recruited for the study. Individuals were enrolled as a single cohort and participated in the study over a 10-week period. Participants were provided with smartphones embedded with a range of sensors and software that enabled continuous tracking of their geospatial activity (using GPS and WiFi), kinesthetic activity (using multi-axial accelerometers), sleep duration (modeled using device use data, accelerometer inferences, ambient sound features, and ambient light levels), and time spent proximal to human speech (i.e., speech duration using microphone and speech detection algorithms). Participants completed daily ratings of stress, as well as pre/post measures of depression (Patient Health Questionnaire-9), stress (Perceived Stress Scale), and loneliness (Revised UCLA Loneliness Scale). Results Mixed-effects linear modeling showed that sensor-derived geospatial activity (pdepression and sensor-derived speech duration (pSmartphones can be harnessed as instruments for unobtrusive monitoring of several behavioral indicators of mental health. Creative leveraging of smartphone sensing will create novel opportunities for close-to-invisible psychiatric assessment at a scale and

  13. Next-generation psychiatric assessment: Using smartphone sensors to monitor behavior and mental health. (United States)

    Ben-Zeev, Dror; Scherer, Emily A; Wang, Rui; Xie, Haiyi; Campbell, Andrew T


    Optimal mental health care is dependent upon sensitive and early detection of mental health problems. We have introduced a state-of-the-art method for the current study for remote behavioral monitoring that transports assessment out of the clinic and into the environments in which individuals negotiate their daily lives. The objective of this study was to examine whether the information captured with multimodal smartphone sensors can serve as behavioral markers for one's mental health. We hypothesized that (a) unobtrusively collected smartphone sensor data would be associated with individuals' daily levels of stress, and (b) sensor data would be associated with changes in depression, stress, and subjective loneliness over time. A total of 47 young adults (age range: 19-30 years) were recruited for the study. Individuals were enrolled as a single cohort and participated in the study over a 10-week period. Participants were provided with smartphones embedded with a range of sensors and software that enabled continuous tracking of their geospatial activity (using the Global Positioning System and wireless fidelity), kinesthetic activity (using multiaxial accelerometers), sleep duration (modeled using device-usage data, accelerometer inferences, ambient sound features, and ambient light levels), and time spent proximal to human speech (i.e., speech duration using microphone and speech detection algorithms). Participants completed daily ratings of stress, as well as pre- and postmeasures of depression (Patient Health Questionnaire-9; Spitzer, Kroenke, & Williams, 1999), stress (Perceived Stress Scale; Cohen et al., 1983), and loneliness (Revised UCLA Loneliness Scale; Russell, Peplau, & Cutrona, 1980). Mixed-effects linear modeling showed that sensor-derived geospatial activity (p sensor-derived speech duration (p sensor-derived kinesthetic activity (p health. Creative leveraging of smartphone sensing could provide novel opportunities for close-to-invisible psychiatric

  14. Harnessing clinical psychiatric data with an electronic assessment tool (OPCRIT+: the utility of symptom dimensions.

    Directory of Open Access Journals (Sweden)

    Philip James Brittain

    Full Text Available Progress in personalised psychiatry is dependent on researchers having access to systematic and accurately acquired symptom data across clinical diagnoses. We have developed a structured psychiatric assessment tool, OPCRIT+, that is being introduced into the electronic medical records system of the South London and Maudsley NHS Foundation Trust which can help to achieve this. In this report we examine the utility of the symptom data being collected with the tool. Cross-sectional mental state data from a mixed-diagnostic cohort of 876 inpatients was subjected to a principal components analysis (PCA. Six components, explaining 46% of the variance in recorded symptoms, were extracted. The components represented dimensions of mania, depression, positive symptoms, anxiety, negative symptoms and disorganization. As indicated by component scores, different clinical diagnoses demonstrated distinct symptom profiles characterized by wide-ranging levels of severity. When comparing the predictive value of symptoms against diagnosis for a variety of clinical outcome measures (e.g. 'Overactive, aggressive behaviour', symptoms proved superior in five instances (R(2 range: 0.06-0.28 whereas diagnosis was best just once (R(2:0.25. This report demonstrates that symptom data being routinely gathered in an NHS trust, when documented on the appropriate tool, have considerable potential for onward use in a variety of clinical and research applications via representation as dimensions of psychopathology.

  15. [Validity of the Child Psychiatric Hospital Teacher Questionnaire for the assessment of ADHD. Teacher's version]. (United States)

    Ulloa, R E; Narváez, M R; Arroyo, E; del Bosque, J; de la Peña, F


    Teacher's rating scales for the evaluation of attention deficit and superactivity disorder (TDAH) and conduct disorders have been shown to be useful and valid tools. The Child Psychiatric Hospital Teacher Questionnaire (CPHTQ) of the Hospital Psiquiátrico Infantil Dr. Juan N. Navarro was designed for the assessment of ADHD symptoms, externalizing symptoms and school functioning difficulties of children and adolescents. Internal consistency, criterion validity, construct validity and sensitivity of the scale to changes in symptom severity were evaluated in this study. The scale was administered to 282 teachers of children and adolescents aged 5 to 17 years who came to a unit specialized in child psychiatry. The validity analysis of the instrument showed that the internal consistency measured by Cronbach's alpha was 0.94. The factorial analysis yielded 5 factors accounting for 59.1% of the variance: hyperactivity and conduct symptoms, predatory, conduct disorder, inattentive, poor functioning and motor disturbances. The CPHTQ scores on the scale showed positive correlation with the Clinical Global impression (CGI) scale in the patients' response to drug treatment. The CPHTQ shows adequate validity characteristics that demonstrate its utility in the evaluation of patients with ADHD and its comorbidity with other behavior disorders.

  16. [The importance of a developmental approach in psychiatric assessment and treatment of adults with intellectual disability]. (United States)

    Sappok, T; Schade, C; Kaiser, H; Dosen, A; Diefenbacher, A


    Mental disorders are 3-4 times more frequent in individuals with intellectual disabilities than in those without. From a developmental perspective the reason for this high prevalence could be, besides biological aberrations, a personality development with a difference between cognitive and emotional developmental levels. This discrepancy renders the person being highly vulnerable for the onset of problem behaviour and psychiatric disorders. For a proper insight into processes which have led to the disorder, it is necessary to evaluate the level of emotional development. This can be determined by the "schema of emotional development (SEO)" developed by A. Dosen. By means of a case description the authors demonstrate the application of SEO in the assessment and utilization of the concept of the level of emotional development in clinical practice. The knowledge of the level of emotional development contributes to the explaining and understanding of the disorder, and also facilitates the establishment of an integrated diagnosis and the creation of appropriate integrated treatment strategies. Hence, temper tantrums, sleep patterns and mood improved in the case described. Besides biopsychosocial aspects, the developmental aspect, and in particular the level of emotional development should be taken into consideration in the diagnostic work-up and treatment of individuals with intellectual disabilities and mental health problems. The data generated by the SEO may help in understanding the disorder and developing a treatment approach for these individuals. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Forty-Year Psychiatric Outcomes Following Assessment for Internalizing Disorder in Adolescence

    National Research Council Canada - National Science Library

    Wadsworth, Michael E.J; Colman, Ian; Jones, Peter B; Croudace, Tim J


    Objective: The aim of this study was to define the long-term psychiatric outcomes of adolescent internalizing disorder in the general population, using data collected over 40 years from a national birth cohort. Method...

  18. Assessing Aggressive Behavior in Forensic Psychiatric Patients: Validity and Clinical Utility of Combining Two Instruments

    NARCIS (Netherlands)

    Kobes, M.H.B.M.; Nijman, H.L.I.; Bulten, B.H.


    Objectives Accurate observation of aggressive behavior among forensic psychiatric patients requires valid instruments. This study examines the validity and clinical utility of combining the social dysfunction and aggression scale (SDAS) and staff observation aggression scale revised

  19. Natural animal models of human psychiatric conditions: assessment of mechanism and validity. (United States)

    Overall, K L


    1. The classic animal models for human psychiatric conditions involves rodents. As prey species, their normal behaviors of avoidance would be considered pathological in humans and dogs. Hence, such models may not be homologous for similar behaviors found in psychiatric pathology in humans. 2. Dogs exhibit pathological behavioral conditions that may be equivalent to certain human psychiatric conditions. These canine conditions appear spontaneously or endogenously in the absence of genetic or neurochemcial manipulation, and as such, may be homologous to the human condition. 3. If canine conditions approach homology with human conditions they should have excellent face, predictive, and construct validity. 4. The canine conditions of separation anxiety, obsessive-compulsive disorder, cognitive dysfunction, dominance aggression, and panic disorder have good to excellent validity at all explored levels for human generalized anxiety disorder, obsessive-compulsive disorder, Alzheimer's disease, impulse control disorders, and panic disorder. 5. Natural canine models can aid our understanding of human psychiatric conditions.

  20. Clinical Insight Into Latent Variables of Psychiatric Questionnaires for Mood Symptom Self-Assessment. (United States)

    Tsanas, Athanasios; Saunders, Kate; Bilderbeck, Amy; Palmius, Niclas; Goodwin, Guy; De Vos, Maarten


    We recently described a new questionnaire to monitor mood called mood zoom (MZ). MZ comprises 6 items assessing mood symptoms on a 7-point Likert scale; we had previously used standard principal component analysis (PCA) to tentatively understand its properties, but the presence of multiple nonzero loadings obstructed the interpretation of its latent variables. The aim of this study was to rigorously investigate the internal properties and latent variables of MZ using an algorithmic approach which may lead to more interpretable results than PCA. Additionally, we explored three other widely used psychiatric questionnaires to investigate latent variable structure similarities with MZ: (1) Altman self-rating mania scale (ASRM), assessing mania; (2) quick inventory of depressive symptomatology (QIDS) self-report, assessing depression; and (3) generalized anxiety disorder (7-item) (GAD-7), assessing anxiety. We elicited responses from 131 participants: 48 bipolar disorder (BD), 32 borderline personality disorder (BPD), and 51 healthy controls (HC), collected longitudinally (median [interquartile range, IQR]: 363 [276] days). Participants were requested to complete ASRM, QIDS, and GAD-7 weekly (all 3 questionnaires were completed on the Web) and MZ daily (using a custom-based smartphone app). We applied sparse PCA (SPCA) to determine the latent variables for the four questionnaires, where a small subset of the original items contributes toward each latent variable. We found that MZ had great consistency across the three cohorts studied. Three main principal components were derived using SPCA, which can be tentatively interpreted as (1) anxiety and sadness, (2) positive affect, and (3) irritability. The MZ principal component comprising anxiety and sadness explains most of the variance in BD and BPD, whereas the positive affect of MZ explains most of the variance in HC. The latent variables in ASRM were identical for the patient groups but different for HC; nevertheless

  1. A pregnancy-associated nonfamilial case of PAPA (pyogenic sterile arthritis, pyoderma gangrenosum, acne) syndrome. (United States)

    Horiuchi, Isao; Fukatsu, Yuko; Ushijima, Junko; Nakamura, Eishin; Samajima, Koki; Kadowaki, Kanako; Takagi, Kenjiro


    Little is known about the influence of pregnancy on pyogenic sterile arthritis, pyoderma gangrenosum, acne (PAPA) syndrome. We experienced a rare case of pregnancy complicated with PAPA syndrome. The patient had various histories of skin and joint disorders and experienced subarachnoid hemorrhage during pregnancy; however, her skin lesion was unaffected.

  2. [Cloning and sequencing of the papA gene from uropathogenic Escherichia coli 4030 strain]. (United States)

    Wu, Qinggang; Zhang, Jingping; Zhao, Chuncheng; Zhu, Jianguo


    Cloning and sequencing of the papA gene from uropathogenic Escherichia coli 4030 strain to investigate the differences of the sequences of the papA of UPEC4030 strain and the ones of related genes, in order to make whether or not it was a new genotype. Cloning and sequencing methods were used to analyze the sequence of the papA of UPEC4030 strain in comparison with related sequences. The sequence analysis of papA revealed a 722 bp gene and encode 192 amino acid polypeptide. The overall homology of the papA genes between UPEC4030 and the standard strains of ten F types were 36.11%-77.95% and 22.20%-78.34% at nucleotide and deduced amino acid levels. The homology between the sequence of the reverse primers and the corresponding sequence of UPEC4030 papA was 10%-66.67%. The results confirmed that UPEC4030 strain contained a novel papA variant. UPEC4030 strain could contain an unknown papA variant or the novel genotype. The pathogenic mechanism and epidemiology related need to be further studied.

  3. Criodesecación atmosférica de papa (Solanum tuberosum

    Directory of Open Access Journals (Sweden)

    Juan Sebastián Ramírez Navas


    etapas del proceso, empleando el índice de amarillez, y se evaluaron las propiedades microbiológicas de las papas crio-desecadas tmosféricamente. Se concluye que el secado de rodajas de papa por CDA permite eliminar el crecimiento microbiológico y las reacciones químicas, pero es necesario realizar pretratamientos para evitar el pardamiento.

  4. GAP-REACH: A Checklist to Assess Comprehensive Reporting of Race, Ethnicity, and Culture in Psychiatric Publications


    Lewis-Fernández, Roberto; Raggio, Greer A.; Gorritz, Magdaliz; Duan, Naihua; Marcus, Sue; Cabassa, Leopoldo J; Humensky, Jennifer; Becker, Anne E; Alarcón,Renato D; OQUENDO, MARÍA A.; Hansen, Helena; Like, Robert C.; Weiss, Mitchell; Desai, Prakash N.; Jacobsen, Frederick M.


    Growing awareness of health and health care disparities highlights the importance of including information about race, ethnicity, and culture (REC) in health research. Reporting of REC factors in research publications, however, is notoriously imprecise and unsystematic. This article describes the development of a checklist to assess the comprehensiveness and the applicability of REC factor reporting in psychiatric research publications. The 16-itemGAP-REACH© checklist was developed through a ...

  5. The potential consequences of informal interpreting practices for assessment of patients in a South African psychiatric hospital. (United States)

    Kilian, Sanja; Swartz, Leslie; Dowling, Tessa; Dlali, Mawande; Chiliza, Bonginkosi


    In South Africa health care practitioners are commonly professionals who speak only one, or at most two, of the languages spoken by their patients. This provides for language provision challenges, since many patients are not proficient in English or Afrikaans and ad hoc and haphazard arrangements are made for interpreting by untrained personnel. As part of a larger study (conducted in 2010) in a public psychiatric hospital, we report here on the potential consequences for diagnostic assessments of 13 psychiatric evaluations mediated by ad hoc interpreters who were employed as health care workers and household aides. The psychiatric evaluations were recorded and transcribed verbatim. The first author checked for accuracy of transcription and translations, and the two members of the author team who are both senior African language academics rechecked transcription and translation. We used the typology developed by Vasquez and Javier (1991) to study interpreter errors (i.e. omissions, additions and substitutions). All errors were independently rated by a senior psychiatrist and a senior clinical psychologist to determine whether the errors were likely to have a bearing on clinical decisions concerning the patient and to rate whether errors deemed clinically significant contributed to making the patient appear more ill psychiatrically, or less ill. Of the 57 errors recorded, 46% were rated as likely to have an impact on the goal of the clinical session. Raters concurred that the clinically significant errors contributed towards potentially making the patient look more psychiatrically ill. Detailed analyses of evaluations demonstrate the complexity of informal interpreter positioning regarding issues of diagnosis and cultural factors in illness. Evaluations conducted where clinicians and interpreters are not trained in language and interpreting issues may create a distorted picture of the patients' mental health conditions. Copyright © 2014. Published by Elsevier Ltd.

  6. Assessing the Need for Hospitalization in Order to Conduct a Psychiatric Evaluation as part of Criminal Law Procedure. (United States)

    Olmer, Ahikam; Greenberg, Binyamin; Strous, Rael D


    In criminal law, psychiatrists are consulted regarding the "insanity defense" and the defendant's competency to stand trial. Court-ordered hospital admissions for such evaluations are on the increase, creating a major burden on the health system. To assess, in a hospital setting, whether hospitalization of the defendant is necessary for conducting a psychiatric evaluation. A 6 month prospective observational study exploring the phenomenon was conducted at the Beer Yaakov Mental Health Center. The psychiatrist was asked both at the initiation and at the end of the assessment process whether the subject was competent to stand trial and responsible for his/her actions and if hospitalization was necessary in order to conduct the evaluation. During the study period there were 112 admissions with a court request for a psychiatric evaluation. In 73 of the cases (65.2%) the evaluating psychiatrist believed there was no need for hospitalization. This assessment did not change by the end of the hospitalization in all cases. Employment and alcohol use were the only factors associated with a lower need for hospitalization (OR 0.24, 95% CI 0.07-0.77, and OR 0.34, 95% CI 0.13-0.90, respectively). In the majority of cases, based on the evaluating psychiatrist's responses, the evaluation could have been conducted without need for hospitalization. The findings indicate that an outpatient unit designated to write court-requested psychiatric evaluations could significantly reduce the rates of hospital admissions for this purpose.

  7. Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. (United States)

    Hargrave, T M; Arthur, M E


    This article describes the workshop "Teaching Child Psychiatric Assessment Skills: Using Mental Health Screening Instruments," presented at the 35th Forum for Behavioral Sciences in Family Medicine on 20 September 2014. The goals of the presentation were (1) to teach family medicine behavioral health educators to use both general and problem-specific mental health screening tools (MHSTs) in their work with trainees to help satisfy the Accreditation Council for Graduate Medical Education (ACGME) mandate for behavioral and mental health experience during family medicine residency, (2) to reflect on how MHSTs might be integrated into the flow of family medicine teaching practices, and (3) to exemplify how evidence-based methods of adult education might be used in teaching such content. One general MHST, the Pediatric Symptom Checklist-17 and one problem-specific MHST for each of the four commonest pediatric mental health issues: for attention-deficit hyperactivity disorder, the Vanderbilt; for Anxiety, the Screen for Childhood Anxiety-Related Emotional Disorders; for Depression, the Patient Health Questionnaire-9 for teens; and for Aggression, the Retrospective-Modified Overt Aggression Scale, were practiced at least twice in the context of a clinical vignette. All of the selected MHSTs are free in the public domain and available for download from the website: Participants were asked to reflect on their own office practice characteristics and consider how MHSTs might be integrated into their systems of care. This workshop could be replicated by others wishing to teach the use of MHSTs in primary care settings or teaching programs. © The Author(s) 2015.

  8. Assessing racial/ethnic differences in the social consequences of early-onset psychiatric disorder. (United States)

    Lê Cook, Benjamin; Carson, Nicholas; Alegria, Margarita


    Individuals with early onset of psychiatric disorder have worse social outcomes than individuals with adult onset. It is unknown whether this association varies by racial/ ethnic group. Identifying groups at risk for poor social outcomes is important for improving clinical and policy interventions. We compared unemployment, high school dropout, arrest, and welfare participation by race/ethnicity and time of onset using a nationally representative sample of Whites, Blacks, Asians, and Latinos with lifetime psychiatric disorder. Early onset was associated with worse social outcomes than adult onset. Significant Black-White and Latino-White differences in social outcomes were identified. The association between early onset and negative social outcomes was similar across Whites, Latinos, and Blacks. For Asians, the association between unemployment and early onset was opposite that of Whites. Increasing early detection and treatment of psychiatric illness should be prioritized. Further study will clarify the association between onset and social outcomes among sub-ethnic populations.

  9. Decreto de libros prohibidos del Papa Alejandro VII



    "Alexander Papa Septimus ad perpetuam furor an Rei memoriam [...]" Manuscrito. -- 2 hs. [P.V. 3 - ff. 241-242v.] [f. 243-243v. en bl.] : Papel; 200x295mm. -- Conservación regular, manchas de oxidación Texto en Latín. -- Copia de obra impresa en la Imprenta Apostólica de Roma. Vivas Moreno, Agustín. "Fondos documentales del Archivo Histórico de la Universidad de Salamanca. La colección de Papeles Varios: análisis descriptivo, tesauro y gestión documental automatizada". Tesis doctoral,...

  10. Psychogenic nonepileptic seizures and suicidal behavior on a video/EEG telemetry unit: the need for psychiatric assessment and screening for suicide risk. (United States)

    Kaufman, Kenneth R; Struck, Peter J


    Patients with epilepsy and psychogenic nonepileptic seizures (PNES) have an increased prevalence of psychiatric illness and risk for suicidal ideation/suicidal behavior/suicide compared with the general population. Recent literature suggests that antiepileptic drugs (AEDs) used to treat epilepsy, pain, and psychiatric disorders increase the risk of suicide and that this increased risk may be AED selective. This case analyzes a suicide attempt on a video/EEG telemetry unit. Specific risk factors associated with increased risk of suicidal behaviors pertinent to this case are reviewed: epilepsy, multiple psychiatric diagnoses including affective disorder, AEDs, PNES, prior medically serious suicide attempt, and suicide attempt within the past month. Specific psychometric rating scales to screen for both psychiatric illness and suicide risk and psychiatric assessment should be integral components of the evaluation and treatment of patients on video/EEG telemetry units. Copyright © 2010 Elsevier Inc. All rights reserved.

  11. Assessment of prevalence of tobacco consumption among psychiatric inmates residing in Central Jail, Bhopal, Madhya Pradesh, India: A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Nilesh Arjun Torwane


    Full Text Available Aim: The aim of the current cross-sectional study was to assess the prevalence of tobacco consumption among psychiatric jail patients residing in Central Jail, Bhopal, Madhya Pradesh, India. Materials and Methods: The study subjects consisted of prediagnosed psychiatric patients residing in Central Jail, Bhopal, Madhya Pradesh, India. A matched control consisting of cross-section of the population, that is, jail inmates residing in the same Central Jail locality was also assessed to compare the psychiatric subjects. An 18 item questionnaire was used to assess the prevalence of tobacco consumption among study subjects. Results: The total number of subjects examined was 244, which comprised of 122 psychiatric inmates and 122 nonpsychiatric inmates. Among all psychiatric inmates, about 57.4% of inmates had a diagnosis of depression, 14.8% had psychotic disorders (such as schizophrenia, and 12.3% had anxiety disorder. A total of 77% study inmates, which comprised of 87.7% psychiatrics and 66.4% nonpsychiatrics had a habit of tobacco consumption (smokeless or smoking. Conclusion: The information presented in this study adds to our understanding of the common tobacco related practices among psychiatric inmate population. Efforts to increase patient awareness of the hazards of tobacco consumption and to eliminate the habit are needed to improve oral and general health of the prison population.

  12. Public Health and Air Pollution in Asia (PAPA): A multicity study of short-term effects of air pollution on mortality


    Wong, Chit-Ming; Vichit-Vadakan, Nuntavarn; Kan, Haidong; Qian, Zhengmin


    Background and Objectives: Although the deleterious effects of air pollution from fossil fuel combustion have been demonstrated in many Western nations, fewer studies have been conducted in Asia. The Public Health and Air Pollution in Asia (PAPA) project assessed the effects of short-term exposure to air pollution on daily mortality in Bangkok, Thailand, and in three cities in China: Hong Kong, Shanghai, and Wuhan. Methods: Poisson regression models incorporating natural spline smoothing func...

  13. Psychiatric and medical disorders in the after math of the uttarakhand disaster: assessment, approach, and future challenges. (United States)

    Channaveerachari, Naveen Kumar; Raj, Aneel; Joshi, Suvarna; Paramita, Prajna; Somanathan, Revathi; Chandran, Dhanya; Kasi, Sekar; Bangalore, N Roopesh; Math, Suresh Bada


    To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India. Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria. Data were collected by direct observation, interview of the survivors, group sessions, individual key-informant interview, individual session, and group interventions. Patients with physical health problems formed the majority of treatment seekers (39.6%) in this report. Only about 2% had disaster induced psychiatric diagnoses. As was expected, minor mental disorders in the form of depressive disorders and anxiety disorders formed majority of the psychiatric morbidity. Substance use disorders appear to be very highly prevalent in the community; however, we were not able to assess the morbidity systematically. The mental health infrastructure and manpower is abysmally inadequate. There is an urgent need to implement the National Mental Health Program to increase the mental health infrastructure and services in the four major disaster-affected districts.

  14. GAP-REACH: a checklist to assess comprehensive reporting of race, ethnicity, and culture in psychiatric publications. (United States)

    Lewis-Fernández, Roberto; Raggio, Greer A; Gorritz, Magdaliz; Duan, Naihua; Marcus, Sue; Cabassa, Leopoldo J; Humensky, Jennifer; Becker, Anne E; Alarcón, Renato D; Oquendo, María A; Hansen, Helena; Like, Robert C; Weiss, Mitchell; Desai, Prakash N; Jacobsen, Frederick M; Foulks, Edward F; Primm, Annelle; Lu, Francis; Kopelowicz, Alex; Hinton, Ladson; Hinton, Devon E


    Growing awareness of health and health care disparities highlights the importance of including information about race, ethnicity, and culture (REC) in health research. Reporting of REC factors in research publications, however, is notoriously imprecise and unsystematic. This article describes the development of a checklist to assess the comprehensiveness and the applicability of REC factor reporting in psychiatric research publications. The 16-item GAP-REACH checklist was developed through a rigorous process of expert consensus, empirical content analysis in a sample of publications (N = 1205), and interrater reliability (IRR) assessment (N = 30). The items assess each section in the conventional structure of a health research article. Data from the assessment may be considered on an item-by-item basis or as a total score ranging from 0% to 100%. The final checklist has excellent IRR (κ = 0.91). The GAP-REACH may be used by multiple research stakeholders to assess the scope of REC reporting in a research article.

  15. Research on a 'drug-centred' approach to psychiatric drug treatment: assessing the impact of mental and behavioural alterations produced by psychiatric drugs. (United States)

    Moncrieff, J


    This article explores an alternative understanding of how psychiatric drugs work that is referred to as the drug-centred model of drug action. Unlike the current disease-centred model, which suggests that psychiatric drugs work by correcting an underlying brain abnormality, the drug-centred model emphasises how psychiatric drugs affect mental states and behaviour by modifying normal brain processes. The alterations produced may impact on the emotional and behavioural problems that constitute the symptoms of mental disorders. Arguments are put forward that justify the consideration of the drug-centred model. The research necessary to support the prescription of drugs according to such a model is explored. Evidence from neurochemistry and comparative drug trials do not confirm the disease-centred model of drug action. Since psychiatric drugs are recognised to have mind- and behaviour-altering properties, the drug-centred model constitutes a plausible alternative. The drug-centred model suggests that research is needed to identify all the alterations produced by various sorts of drugs, both acute and long term, and how these might interact with the symptoms and problems associated with different mental disorders. This requires detailed animal and volunteer studies and data from patients prescribed drug treatment long term, along with placebo-controlled and comparative trials that look at the overall impact of drug-induced alterations on well-being and functioning as well as symptoms. Research is also needed on alternative ways of fulfilling the function of drug treatment. The moral aspect of using drugs to modify behaviour rather than treat disease needs honest and transparent consideration. It is hoped this discussion will encourage the psychiatric and pharmaceutical research community to provide more of the information that is required to use psychiatric drugs safely and effectively.

  16. A neurolaw perspective on psychiatric assessments of criminal responsibility: decision-making, mental disorder, and the brain. (United States)

    Meynen, Gerben


    In some criminal law cases, the defendant is assessed by a forensic psychiatrist or psychologist within the context of an insanity defense. In this article I argue that specific neuroscientific research can be helpful in improving the quality of such a forensic psychiatric evaluation. This will be clarified in two ways. Firstly, we shall adopt the approach of understanding these forensic assessments as evaluations of the influence of a mental disorder on a defendant's decision-making process. Secondly, I shall point to the fact that researchers in neuroscience have performed various studies over recent years on the influence of specific mental disorders on a patient's decision-making. I argue that such research, especially if modified to decision-making in criminal scenarios, could be very helpful to forensic psychiatric assessments. This kind of research aims to provide insights not merely into the presence of a mental disorder, but also into the actual impact of mental disorders on the decisions defendants have made in regard to their actions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. How neuroscience and behavioral genetics improve psychiatric assessment: Report on a violent murder case

    Directory of Open Access Journals (Sweden)

    Davide Rigoni


    Full Text Available Despite the advances in the understanding of neural and genetic foundations of violence, the investigation of the biological bases of a mental disorder is rarely included in psychiatric evaluation of mental insanity. Here we report on a case in which cognitive neuroscience and behavioral genetics methods were applied to a psychiatric forensic evaluation conducted on a young woman, J.F., tried for a violent and impulsive murder. The defendant had a history of multidrug and alcohol abuse and non-forensic clinical evaluation concluded for a diagnosis of borderline personality disorder. We analyzed the defendant’s brain structure in order to underlie possible brain structural abnormalities associated with pathological impulsivity. Voxel-Based Morphometry indexed a reduced gray matter volume in the left prefrontal cortex, in a region specifically associated with response inhibition. Furthermore, J.F.’s DNA was genotyped in order to identify genetic polymorphisms associated with various forms of violence and impulsive behaviour. Five polymorphisms that are known to be associated with impulsivity, violence, and other severe psychiatric illnesses were identified in J.F.’s DNA. Taken together, these data provided evidence for the biological correlates of a mental disorder characterized by high impulsivity and aggressive tendencies. Our claim is that the use of neuroscience and behavioral genetics do not change the rationale underlying the determination of criminal liability, which must be based on a causal link between the mental disorder and the crime. Rather, their use is crucial in providing objective data on the biological bases of a defendant’s mental disorder.

  18. Unreported manifestations in two Dutch families with Bartsocas-Papas syndrome

    NARCIS (Netherlands)

    Veenstra-Knol, HE; Kleibeuker, A; Timmer, A; ten Kate, LP; van Essen, AJ


    Bartsocas-Papas syndrome (BPS) is a severe autosomal recessive syndrome characterized by neonatal or intrauterine death in most cases, severe popliteal webbing, oligosyndactyly, genital abnormalities, and typical face with short palpebral fissures, ankylo-blepharon, hypoplastic nose, orofacial

  19. PAPA: a flexible tool for identifying pleiotropic pathways using genome-wide association study summaries. (United States)

    Wen, Yan; Wang, Wenyu; Guo, Xiong; Zhang, Feng


    : Pleiotropy is common in the genetic architectures of complex diseases. To the best of our knowledge, no analysis tool has been developed for identifying pleiotropic pathways using multiple genome-wide association study (GWAS) summaries by now. Here, we present PAPA, a flexible tool for pleiotropic pathway analysis utilizing GWAS summary results. The performance of PAPA was validated using publicly available GWAS summaries of body mass index and waist-hip ratio of the GIANT datasets. PAPA identified a set of pleiotropic pathways, which have been demonstrated to be involved in the development of obesity. PAPA program, document and illustrative example are available at : Supplementary data are available at Bioinformatics online. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail:

  20. Producción de Semilla Certificada de Papa

    Directory of Open Access Journals (Sweden)

    Fernow K. H.


    Full Text Available El cultivo de la papa ha alcanzado gran importancia en el país en los últimos años, creemos que sea conveniente presentar una relación sobre las más comunes enfermedades y accidentes del cultivo y sobre los métodos que aquí o en otros países se están empleando para combatirlas. Esto parece aún más importante ahora, cuando estamos entrando en la fase de la producción de semilla certificada, para cuya organización y buen éxito es indispensable conocer a fondo y distinguir claramente los diversos tipos de enfermedades que atacan al cultivo.

  1. Interventions following a high violence risk assessment score: a naturalistic study on a Finnish psychiatric admission ward. (United States)

    Kaunomäki, Jenni; Jokela, Markus; Kontio, Raija; Laiho, Tero; Sailas, Eila; Lindberg, Nina


    Patient aggression and violence against staff members and other patients are common concerns in psychiatric units. Many structured clinical risk assessment tools have recently been developed. Despite their superiority to unaided clinical judgments, staff has shown ambivalent views towards them. A constant worry of staff is that the results of risk assessments would not be used. The aims of the present study were to investigate what were the interventions applied by the staff of a psychiatric admission ward after a high risk patient had been identified, how frequently these interventions were used and how effective they were. The data were collected in a naturalistic setting during a 6-month period in a Finnish psychiatric admission ward with a total of 331 patients with a mean age of 42.9 years (SD 17.39) suffering mostly from mood, schizophrenia-related and substance use disorders. The total number of treatment days was 2399. The staff assessed the patients daily with the Dynamic Appraisal of Situational Aggression (DASA), which is a structured violence risk assessment considering the upcoming 24 h. The interventions in order to reduce the risk of violence following a high DASA total score (≥4) were collected from the patients' medical files. Inductive content analysis was used. There were a total of 64 patients with 217 observations of high DASA total score. In 91.2% of cases, at least one intervention aiming to reduce the violence risk was used. Pro re nata (PRN)-medication, seclusion and focused discussions with a nurse were the most frequently used interventions. Non-coercive and non-pharmacological interventions like daily activities associated significantly with the decrease of perceived risk of violence. In most cases, a high score in violence risk assessment led to interventions aiming to reduce the risk. Unfortunately, the most frequently used methods were psychopharmacological or coercive. It is hoped that the findings will encourage the staff to use

  2. Eficacia de medios de cultivo con infusiones de variedades de papa en la identificación del Trichophyton rubrum


    Urcia A, Flor; División de Micología, Instituto Nacional de Salud; Guevara R, Miriam; División de Micología, Instituto Nacional de Salud


    El objetivo del presente estudio fue demostrar la eficacia de los extractos de diferentes variedades de papa como ingredientes del medio de cultivo para la identificación del Trichophyton rubrum y proponer su empleo en el diagnóstico de dermatomicosis. Se utilizaron las infusiones naturales de las variedades Solanum tuberosum (papa blanca), Solanum chaucha (papa huayro) y Solanum goniocalyx (papa amarilla), para preparar los medios de cultivo análogos al estándar de formulación comercial Agar...

  3. Importance of a 5′ Stem-Loop for Longevity of papA mRNA in Escherichia coli


    Bricker, Angela L.; Belasco, Joel G.


    High-level expression of the major pilus subunit (PapA) of uropathogenic strains of Escherichia coli results in part from the unusually long lifetime of the mRNA that encodes this protein. Here we report that the longevity of papA mRNA derives in large measure from the protection afforded by its 5′ untranslated region. This papA RNA segment can prolong the lifetime of an otherwise short-lived mRNA to which it is fused. In vivo alkylation studies indicate that, in its natural milieu, the papA ...

  4. Molecular dynamics studies of the P pilus rod subunit PapA. (United States)

    Vitagliano, Luigi; Ruggiero, Alessia; Pedone, Carlo; Berisio, Rita


    Adhesion of uropathogenic Escherichia coli to host tissues is mediated by pili, which extend from the outer cell membrane of the bacterium. Here we report molecular dynamics (MD) characterizations of the major constituent of P pili from the uropathogenic E. coli, PapA, in unliganded state and in complex with the G1 strand of the chaperone PapD. To mimic the PapA response to the gradual dissociation of the PapD G1 strand and to evaluate the role of PapA chaperone recognition sites, we also carried out MD simulations of complexes of PapA with fragments of PapD G1 strand, that leave either the P4 or both P3 and P4 sites unoccupied. Data on the unbound form of PapA indicate that, upon release of the chaperone, PapA evolves toward compact states that are likely not prone to subunit-subunit association. In line with recent experimental reports, this finding implies that chaperone release and subunit-subunit association must be concerted. Our data also indicated that the gradual unbinding of the chaperone from the PapA groove has increasingly strong structural consequences. Indeed, the release of the chaperone from the site P4, which is closest to the initiation site (P5), does not have dramatic effects on the domain structure, whereas its release from both the P4 and the adjacent P3 sites induces a quick structural transition toward a collapsed state, where the subunit groove is obstructed.

  5. Psychiatric Assessment and Screening for the Elderly in Primary Care: Design, Implementation, and Preliminary Results

    Directory of Open Access Journals (Sweden)

    Robert C. Abrams


    Full Text Available Introduction. We describe the design and implementation of a psychiatric collaborative care model in a university-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported. Methods and Materials. Screens for anxiety and depression were administered to practice patients. A mental health team, consisting of a psychiatrist, mental health nurse practitioner, and social worker, identified patients who on review of screening and chart data warranted evaluation or treatment. Referrals for mental health interventions were directed to members of the mental health team, primary care physicians at the practice, or community providers. Results. Subjects (N=1505 comprised 38.2% of the 3940 unique patients seen at the practice during the 4-year study period. 37.1% (N=555 screened positive for depression, 26.9% (N=405 for anxiety, and 322 (21.4% screened positive for both. Any positive score was associated with age (P<0.033, female gender (P<0.006, and a nonsignificant trend toward living alone (P<0.095. 8.87% had suicidal thoughts. Conclusions. Screening captured the most affectively symptomatic patients, including those with suicidal ideation, for intervention. The partnering of mental health professionals and primary care physicians offers a workable model for addressing the scarcity of expertise in geriatric psychiatry.

  6. Net community production and calcification from 7 years of NOAA Station Papa Mooring measurements (United States)

    Fassbender, Andrea J.; Sabine, Christopher L.; Cronin, Meghan F.


    Seven years of near-continuous observations from the Ocean Station Papa (OSP) surface mooring were used to evaluate drivers of marine carbon cycling in the eastern subarctic Pacific. Processes contributing to mixed layer carbon inventory changes throughout each deployment year were quantitatively assessed using a time-dependent mass balance approach in which total alkalinity and dissolved inorganic carbon were used as tracers. By using two mixed layer carbon tracers, it was possible to isolate the influences of net community production (NCP) and calcification. Our results indicate that the annual NCP at OSP is 2 ± 1 mol C m-2 yr-1 and the annual calcification is 0.3 ± 0.3 mol C m-2 yr-1. Piecing together evidence for potentially significant dissolved organic carbon cycling in this region, we estimate a particulate inorganic carbon to particulate organic carbon ratio between 0.15 and 0.25. This is at least double the global average, adding to the growing evidence that calcifying organisms play an important role in carbon export at this location. These results, coupled with significant seasonality in the NCP, suggest that carbon cycling near OSP may be more complex than previously thought and highlight the importance of continuous observations for robust assessments of biogeochemical cycling.

  7. Psychiatric Effects of Military Deployment on Children and Families: The Use of Play Therapy for Assessment and Treatment


    James, Trenton; Countryman, Jacqueline


    Deployments in the United States military have increased greatly in the past 10 years. Families and children are psychiatrically affected by these deployments, and recent studies are clarifying these effects. This article focuses on the psychiatric effects of deployment on children and uses a composite case example to review the use of play therapy to treat children who are having psychiatric issues related to the deployment of one or both parents.

  8. Ecological Momentary Assessment and Smartphone Application Intervention in Adolescents with Substance Use and Comorbid Severe Psychiatric Disorders: Study Protocol

    National Research Council Canada - National Science Library

    Benarous, Xavier; Edel, Yves; Consoli, Angèle; Brunelle, Julie; Etter, Jean-François; Cohen, David; Khazaal, Yasser


    .... App-based technologies have shown promising results to help reduce substance use in adolescents, but their applicability in youths with associated severe psychiatric disorders is poorly documented...

  9. Crystal structure of the P pilus rod subunit PapA.

    Directory of Open Access Journals (Sweden)

    Denis Verger


    Full Text Available P pili are important adhesive fibres involved in kidney infection by uropathogenic Escherichia coli strains. P pili are assembled by the conserved chaperone-usher pathway, which involves the PapD chaperone and the PapC usher. During pilus assembly, subunits are incorporated into the growing fiber via the donor-strand exchange (DSE mechanism, whereby the chaperone's G1 beta-strand that complements the incomplete immunoglobulin-fold of each subunit is displaced by the N-terminal extension (Nte of an incoming subunit. P pili comprise a helical rod, a tip fibrillum, and an adhesin at the distal end. PapA is the rod subunit and is assembled into a superhelical right-handed structure. Here, we have solved the structure of a ternary complex of PapD bound to PapA through donor-strand complementation, itself bound to another PapA subunit through DSE. This structure provides insight into the structural basis of the DSE reaction involving this important pilus subunit. Using gel filtration chromatography and electron microscopy on a number of PapA Nte mutants, we establish that PapA differs in its mode of assembly compared with other Pap subunits, involving a much larger Nte that encompasses not only the DSE region of the Nte but also the region N-terminal to it.

  10. Casa y Servidores del Papa durante la Primera Edad Moderna

    Directory of Open Access Journals (Sweden)

    Maria Antonietta VISCEGLIA


    Full Text Available RESUMEN: El objetivo es proporcionar un cuadro esquemático de la Casa del Papa que muestre los rasgos comunes de la corte pontificia con los oficios palaciegos de los restantes soberanos europeos, junto a las características específicas que fueron desarrollándose a lo largo de la Edad Moderna. La italianización de la Casa y de la curia tiene lugar en el tránsito del siglo XV al XVI. Dimana del cambio de características del nepotismo medieval, que pierde sus trazos originarios de instrumento de control militar del territorio, pero también es consecuencia del pacto entre las aristocracias y el papado, además de resultado del predominio de mercaderes y banqueros italianos en los aparatos financieros de la curia.ABSTRACT: The objective of this work is to provide a schematic picture of the House of the Pope that shows the common characteristics of the pontifical cut with the Palace Offices of the European sovereign rest, next to the specific characteristics that were being developed throughout the Early Modern Age.

  11. Eficacia de Medios de Cultivo con Infusiones de Variedades de Papa en la Identificación del Trichophyton rubrum

    Directory of Open Access Journals (Sweden)

    Flor Urcia A

    Full Text Available El objetivo del presente estudio fue demostrar la eficacia de los extractos de diferentes variedades de papa como ingredientes del medio de cultivo para la identificación del Trichophyton rubrum y proponer su empleo en el diagnóstico de dermatomicosis. Se utilizaron las infusiones naturales de las variedades Solanum tuberosum (papa blanca, Solanum chaucha (papa huayro y Solanum goniocalyx (papa amarilla, para preparar los medios de cultivo análogos al estándar de formulación comercial Agar Papa Dextrosa (APDc. Las cepas de T. rubrum fueron inoculadas en los diferentes medios de cultivo, incubados a 2°C durante 10 días. Para la evaluación consideramos características culturales y microscópicas. Los resultados muestran que el medio de cultivo Agar Papa Huayro Dextrosa (APHD fue más eficiente en la producción del pigmento rojo vino, pero se obtuvo mayor esporulación en los medios de cultivo Agar Papa Blanca Dextrosa (APBD y Agar Papa Amarilla Dextrosa (APAD.

  12. Novel PSTPIP1 gene mutation in a patient with pyogenic arthritis, pyoderma gangrenosum and acne (PAPA) syndrome. (United States)

    Lindwall, Elvira; Singla, Shikha; Davis, William E; Quinet, Robert J


    Pyogenic arthritis, pyoderma gangrenosum, and acne (PAPA) syndrome is a rare autosomal dominant disease that usually presents in childhood with recurrent sterile arthritis. As the child ages into puberty, cutaneous features develop and arthritis subsides. We report the case of a now 25-year-old male patient with PAPA syndrome with the E250K mutation in PSTPIP1. We also present a systematic literature review of other PAPA cases. We conducted a literature search of PubMed using the following search terms: E250K mutation, PSTPIP1, and PAPA. PAPA syndrome is caused by mutations on chromosome 15q affecting the proline-serine-threonine phosphatase-interacting protein 1 (PSTPIP1) gene, also known as CD2-binding protein 1 (CD2BP1). The reported cases of PAPA syndrome currently in the literature involve mutations in A230T and E250Q. One case of a novel E250K mutation has been reported, which presented with a different phenotype to previously described cases of PAPA syndrome. With variation present between disease presentations from case to case, it is possible that the spectrum of PAPA syndrome is wider than currently thought. Further research is needed which may uncover an as-yet undiscovered genetic abnormality linking these interrelated diseases together. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Free will and psychiatric assessment of criminal responsibility. A parallel with informed consent

    NARCIS (Netherlands)

    Meynen, G.


    In some criminal cases a forensic psychiatrist is asked to make an assessment of the state of mind of the defendant at the time of the legally relevant act. A considerable number of people seem to hold that the basis for this assessment is that free will is required for legal responsibility, and

  14. Assessment

    National Research Council Canada - National Science Library

    Gehan Elassal; Mona Elsheikh; Abdel Gawad Abu Zeid


    .... Subjects and methods: 80 COPD patients were assessed using SCID for establishing psychiatric diagnosis, Beck depression inventory for assessment of the severity of depressive symptoms, Hamilton anxiety scale...

  15. Confirmation that RIPK4 mutations cause not only Bartsocas-Papas syndrome but also CHAND syndrome. (United States)

    Busa, Tiffany; Jeraiby, Mohammed; Clémenson, Alix; Manouvrier, Sylvie; Granados, Viviana; Philip, Nicole; Touraine, Renaud


    CHAND syndrome is an autosomal recessive disorder characterized by curly hair, ankyloblepharon, and nail dysplasia. Only few patients were reported to date. A homozygous RIPK4 mutation was recently identified by homozygosity mapping and whole exome sequencing in three patients from an expanded consanguineous kindred with a clinical diagnosis of CHAND syndrome. RIPK4 was previously known to be implicated in Bartsocas-Papas syndrome, the autosomal recessive form of popliteal pterygium syndrome. We report here two cases of RIPK4 homozygous mutations in a fetus with severe Bartsocas-Papas syndrome and a patient with CHAND syndrome. The patient with CHAND syndrome harbored the same mutation as the one identified in the family previously reported. We thus confirm the implication of RIPK4 gene in CHAND syndrome in addition to Bartsocas-Papas syndrome and discuss genotype/phenotype correlations. © 2017 Wiley Periodicals, Inc.

  16. Interpreting Medieval Inter-tidal Features at Weelie's Taing on Papa Westray, Orkney, NE Scotland (United States)

    Pollard, Edward; Gibson, Julie; Littlewood, Mark


    Investigation of the inter-tidal heritage of the Orkney Islands is used to interpret a previously perplexing complex at Weelie's Taing on Papa Westray. The study revealed a previously unknown type of harbour since identified in several locations around Orkney. Situated in exposed environmental situations, shelter is formed by an `ayre', a type of spit that encloses a loch, and which has been used historically as a landing place or crossing of the inter-tidal zone. A complex landing area, pier, tower and ship-blockage suggest Weelie's Taing was used as a harbour. Important fishing grounds exploited since the Neolithic are nearby, and Papa Westray was the site of water-focussed religious communities. It is suggested that Weelie's Taing was in use in the medieval period when Papa Westray was less isolated than today with the presence of ecclesiastical communities and situation on the Orkney-Shetland route.

  17. Psychiatric impairment and

    African Journals Online (AJOL)


    Dec 3, 2002 ... Impairment and disability assessment on psychiatric grounds has always been subjective, controversial ... informed medical advisors doing their disability assessments. Many of these advisors have expressed ..... that will empower the affected employee and that is non- stigma- tising. In order to do so it is ...

  18. [Arterial Hyper- and Hypotension associated with psychiatric medications: a risk assessment based on the summaries of product characteristics (SmPCs)]. (United States)

    Freudenmann, Roland W; Freudenmann, Ninja; Zurowski, Bartosz; Schönfeldt-Lecuona, Carlos; Maier, Ludwig; Schmieder, Roland E; Lange-Asschenfeldt, Christian; Gahr, Maximilian


    Introduction  Psychiatric medications are well-known triggers of clinically relevant blood pressure changes. Therefore, we aimed at creating ranking lists for their risk of causing arterial hyper- or hypotension. Methods  We analyzed 784 Summaries of Product characteristics (SmPCs, available online from "Rote Liste" or "Gelbe Liste" websites) from 105 psychiatric medications registered in adult psychiatry in Germany and extracted the standardized reported risks of increasing or decreasing arterial blood pressure. Results  According to the SmPCs, atomoxetine had the highest risk of arterial hypertension ("very frequent", > 10 %), and another 15 substances followed in the category "frequent" (> 1 %): duloxetine, milnacipran, venlafaxine, bupropion, citalopram, tranylcypromine (particularly with certain diets), reboxetine, methylphenidate, clozapine, paliperidone, risperidone, buprenorphine+naloxone, memantine, galantamine, and rivastigmine. Conversely, 7 substances, namely amitriptyline, tranylcypromine, chlorprothixen, flupentixol, levomepromazine, olanzapine and trimipramine had the highest reported risk of low blood pressure ("very frequent"), and another 25 substances had the risk "frequent". No risk of hypertension or hypotension was documented for many other substances. Incidentally, we observed that the reported effects on blood pressure for single substances (e. g. citalopram) markedly differed between the SmPCs from different manufacturers, rendering a clear risk assessment impossible for many medications. Discussion  According to the German SmPc, many psychiatric medications are associated with the risk of arterial hypertension and, even more so, hypotension. We hardly observed substance group effects, such as high blood pressure with noradrenergic antidepressants. Commonly used tables summarising secondary causes of arterial hypertension should be revised in terms of psychiatric medications. Our rank orders of risk may aid choosing the

  19. Assessment of Sexual Fantasies in Psychiatric Inpatients With Mood and Psychotic Disorders and Comorbid Personality Disorder Traits. (United States)

    Colón Vilar, Giancarlo; Concepción, Erika; Galynker, Igor; Tanis, Thachell; Ardalan, Firouz; Yaseen, Zimri; Cohen, Lisa J


    Sexuality is an important aspect of quality of life and sexual fantasies comprise a normal part of human sexuality. However, the nature of sexuality and sexual fantasies of patients with mental illness remains an understudied area. To investigate the nature and frequency of sexual fantasies in psychiatric patients, the present study compared the frequency of four types of sexual fantasies across four different mood and psychotic diagnoses and three personality disorder clusters. Study participants included 133 psychiatric inpatients recruited from an urban hospital. Sexual fantasies were compared across patients with schizophrenia, bipolar disorder, schizoaffective disorder, major depressive disorder and three nonclinical samples from the literature and then correlated with personality cluster scores. Subjects were administered the Structured Clinical Interview for DSM-IV for Axis I and for Axis II Disorders. Sexual fantasies were assessed by the Wilson Sexual Fantasies Questionnaire, which measures four types of sexual fantasies (exploratory, intimate, impersonal, and sadomasochistic). Within the entire sample, there were significant differences across sexual fantasy types, with subjects scoring highest on intimate sexual fantasies and then exploratory, impersonal, and sadomasochistic. There were no significant differences across mood and psychotic diagnostic groups for any of the sexual fantasy scales and the scores were within the normative range of nonclinical samples. Patients with high cluster B scores scored significantly higher on all four fantasy scales than those without. Patients with high cluster A scores scored lower on intimate fantasies, but there was no association between cluster C scores and sexual fantasies. The association between cluster B and sexual fantasies remained consistent across Structured Clinical Interview for DSM-IV for Axis I diagnoses (no interaction effect). Patients with severe mental illness report sexual fantasies that are

  20. Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample

    DEFF Research Database (Denmark)

    Frederiksen, Julie Elisabeth Nordgaard; Revsbech, Rasmus; Sæbye, Ditte


    , first-admitted inpatients, the results of an assessment with the Structured Clinical Interview for DSM-IV (SCID), yielding a DSM-IV diagnosis and performed by a trained non-clinician, were compared with a consensus lifetime best diagnostic estimate (DSM-IV) by two experienced research clinicians, based...

  1. A Framework for Assessment and Treatment of Language-Learning Disabled Children with Psychiatric Disorders. (United States)

    Audet, Lisa R.; Hummel, Lauren J.


    The paper defines the population of primary school age language/learning-disabled children with communication disorders and emotional/behavioral disorders. It then discusses the language demands of traditional treatment methods, assessment and diagnostic procedures, approaches to communication intervention, and treatment modalities; and offers a…

  2. Mediation analysis of critical time intervention for persons living with serious mental illnesses: assessing the role of family relations in reducing psychiatric rehospitalization. (United States)

    Tomita, Andrew; Lukens, Ellen P; Herman, Daniel B


    Critical Time Intervention (CTI) is a time-limited care coordination intervention designed to reduce homelessness and other adverse outcomes for persons living with serious mental illness during the transition period between institutions and community living. This study assesses whether CTI improves the quality of family relationships between family members and individuals living with serious mental illness, and examines whether changes in quality of family relationship mediated the association between the intervention and psychiatric rehospitalization outcomes. This study utilizes data from a randomized controlled trial that assessed the effect of CTI in preventing homelessness. Following discharge from inpatient psychiatric treatment in New York City, 150 previously homeless persons living with serious mental illness were randomly assigned to receive usual services only or 9 months of CTI in addition to usual services. Findings from mixed-effects regression models indicated that those assigned to the CTI group reported greater frequency of family contact and greater improvement in satisfaction with family relations than the comparison group during the 18-month follow-up period. Mediation analysis revealed that greater improvement in satisfaction with family relations mediated the effect of CTI on psychiatric rehospitalization outcome, but only at a modest level. These findings suggest that a relatively brief but targeted intervention delivered at the point of hospital discharge may contribute to strengthening family relations and that improvement in perceived family relationship quality can contribute to a reduction in psychiatric rehospitalization.

  3. Psychiatric Genomics

    DEFF Research Database (Denmark)

    Sullivan, Patrick F; Agrawal, Arpana; Bulik, Cynthia M


    into biologically, clinically, and therapeutically meaningful insights. The emerging findings suggest that we are entering a phase of accelerated genetic discovery for multiple psychiatric disorders. These findings are likely to elucidate the genetic portions of these truly complex traits, and this knowledge can...... then be mined for its relevance for improved therapeutics and its impact on psychiatric practice within a precision medicine framework. [AJP at 175: Remembering Our Past As We Envision Our Future November 1946: The Genetic Theory of Schizophrenia Franz Kallmann's influential twin study of schizophrenia in 691...

  4. [Comprehensive Assessment of Psychiatric Residents: An Addition to the Program Admission Process]. (United States)

    Luis, E Jaramillo G; Elena, Martín C


    The training of medical specialists is a long and complex process. Its purpose is to guarantee the society that they are the right professionals to meet the health needs of the population. The first step to ensure this objective is the admission process. In psychiatry this process, monitoring resident students and the criteria for each one are different in each country. Admission in Colombia is a heterogeneous process, not standardized, which varies greatly from one university to another, even between private and public universities. At the National University of Colombia, the admissions process is handled by the Admissions Office and includes: a written test for which you must obtain a minimum score, a resume rating and an interview. The Teaching Committee and the Department of Psychiatry considered the admission procedure in general to be good, but in need of refinement. Due to the experience of some teachers and given the current rules, a "comprehensive assessment" for master and doctoral students was required and in 1996 it was decided that this method of assessment for admission to a specialization in Psychiatry would serve to complement the admission process. The article describes the experience of the process and its outcomes, strengths and weaknesses. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  5. Demographic and Clinical Characteristics of Sexually Abused Children and Adolescents Referred to Child and Adolescent Psychiatry for Psychiatric Assessment

    Directory of Open Access Journals (Sweden)

    Sevcan Karakoç Demirkaya


    Full Text Available Objectives: Child abuse has been a continuous, hidden health and social problem in all over the world. Identifying risk factors are crucial to implement protective services. In Turkey, data of the legal cases are still lacking. This study aims to assess the sociodemographic and psychiatric features of the sexually abused children who have been referred for forensic evaluation together with their identity issues. Materials and Methods: The forensic files of the sexually abused cases (tı 11: 9 boys, 32 girls who had been referred to the child psychiatry outpatient clinic were evaluated. Psychiatric diagnoses in the files were based on the Schedule for Affective Disorders and Schizophrenia for School-age children- Turkish Version. Data on age, gender, socioeconomic status and diagnoses of the victims and characteristics of the abusers were gathered and analysed by descriptive statistical methods. Results: Mean age of the victims was 11.54±3.31 years. Socioeconomic levels of their families were mostly lower class with rate of 51.2%. All perpetrators were male with a mean age of 23 years (min 14; max 67. When the consanguinity of the abusers and victims were taken into consideration, it was found that they were intrafamilial (fathers and brothers rate:12.2%, close relatives (19.5%, distant relatives (22.0%, other familiar (such as neighbours, friends: 14.6% and unfamiliar (24.4% people for the victims. 19.5% of the victims had mental retardation. The most common diagnoses of the victims were posttraumatic stress disorder (46.3%, other anxiety disorders (17.1%, and major depression (24.4%. Conclusion: Identified risk factors for sexual abuse, determined as the result of this study, are being a female child, late childhood period, mental retardation, and low economic status. The abusers were males who were familiar to the child victims. Preventive measures should be implemented for the entire population, particularly involving the high- risk groups

  6. [Forensic Psychiatric Assessment with the Claim of Incitement, Solicitation, Assistance to Suicide, and Reinforcement of Suicide Decision: A Case Report]. (United States)

    Eşsizoğlu, Altan; Sercan, Mustafa


    Although the act of suicide is not considered a crime in Turkish Criminal Law, any contribution (incitement, solicitation, assistance and reinforcement of suicide decision) to the commitment of suicide is a crime according to the 84th item. However, the number of cases opened with respect to this item as well as request for forensic psychiatric expertise is very rare. In these cases, forensic psychiatric expertise depends on the psychiatric evaluation of the individual that committed suicide and the analysis of his/her relationship with the person that incited the suicide. If the suicide is completed, then the psychiatric process gains the qualification of a "psychological autopsy". In this paper, we examined a reporting process prepared for an individual that died as a result of suicide and the person accused of inciting him to suicide.Evidence and forensic aspects are discussed.

  7. Patient emergency assessment following deliberate self-poisoning with benzodiazepines: Can cognitive markers predict recall of the psychiatric interview? A pilot study. (United States)

    Salles, J; Pariente, J; Dimeglio, C; Gandia, P; Lemesle, B; Giron, A; Franchitto, N; Schmitt, L; Very, E


    In cases of deliberate self-poisoning (DSP), patients often ingest benzodiazepines (BZDs), known to alter memory. Experts recommend recovery of the patient's cognitive capacity before psychiatric assessment. Unfortunately, there is no validated tool in common practice to assess whether sufficient cognitive recovery has occurred after DSP with BZDs to ensure patient memory of the assessment. The aim of the study was to identify cognitive functions and markers which predict preserved memory of the mental health care plan proposed at the emergency department after DSP. We recruited patients admitted for DSP with BZDs and control patients. At the time of the psychiatric assessment, we performed cognitive tests and we studied the relationship between these tests and the scores of a memory test performed 24 h after. In comparison with the control group, we found memory impairment in the BZD group. We found significant impairment on the Trail Making Test A (TMT A) in the BZD group in comparison with the control group, while TMT A and Wechsler Adult Intelligence Scale (WAIS) Coding test scores were significantly correlated with memory scores. Attentional functions tested by WAIS Coding test and TMT A were correlated with memory score. It could be profitable to assess it in clinical practice prior to a psychiatric interview.

  8. Assessment of Risk of Violent Behavior in Female Psychiatric Patients with a Criminal History

    Directory of Open Access Journals (Sweden)

    Makurina A.P.,


    Full Text Available We present the results of study of illegal actions predictors in individuals with mental disorders and discuss the specific features of female criminality. On a sample of 69 patients with a diagnosis of organic mental disorder and schizophrenia, with criminal histories, we applied clinical and psychological hermeneutic analysis, used questionnaires to determine the self-assessments of patients, self-control diagnosis, self-regulation style features, diagnosis of aggression and hostility, coping strategies, destructive attitudes in interpersonal relationships. It made possible to identify clinical, social and pathopsychological factors of aggressive behavior in forensic patients. These individual psychological characteristics of mentally ill women will improve the prognosis of their aggressive behavior, implement differentiated preventive measures in the hospital and to establish appropriate intervention programs

  9. Being visible: PhotoVoice as assessment for children in a school-based psychiatric setting. (United States)

    Greco, Vanessa; Lambert, Heather Christine; Park, Melissa


    Recovery-oriented mental health services empower all clients, including youth and their families, to be actively involved in directing their own care. In order to develop person-driven interventions, clinicians must understand what matters from their perspective. Thus, recovery-oriented assessments need self-report measures that adequately capture the domains and content that matter to a range of particular persons. This study examined if and how PhotoVoice, a participatory research method used to empower and highlight the unique experiences of vulnerable groups, could be used as a recovery-oriented self-report measure for children with a mental health disorder. We used PhotoVoice to engage four children with mental health related disorders at a day hospital program for severe behavioural disorders. The children, as co-researchers in this participatory approach, created life books from photographs and images of what mattered to them across nine sessions. To examine the PhotoVoice process, we used ethnographic methods, including child interviews and participant observations in their classes and at recess before, during and after the weekly sessions. Our overarching narrative-phenomenological theoretical framework focused data collection and analysis on what mattered most to the children. The PhotoVoice method engaged and empowered the children in articulating what mattered in their everyday lives from their perspective that resulted in a novel, child-generated domain of 'mattering to others' for future self-report measures, and facilitated changes that generalized outside of the group. We illustrate these results by drawing a particularly illustrative case example from the study. The PhotoVoice method foregrounded children's perspectives on what matters more explicitly than clinical or parent perspective on function. The participatory philosophy and methods of PhotoVoice provides a viable approach to recovery-oriented self-report measures as well as an occupation

  10. The current state of research on ayahuasca: A systematic review of human studies assessing psychiatric symptoms, neuropsychological functioning, and neuroimaging. (United States)

    Dos Santos, Rafael G; Balthazar, Fermanda M; Bouso, José C; Hallak, Jaime Ec


    In recent decades, the use of ayahuasca (AYA) - a β-carboline- and dimethyltryptamine-rich hallucinogenic botanical preparation traditionally used by Northwestern Amazonian tribes for ritual and therapeutic purposes - has spread from South America to Europe and the USA, raising concerns about its possible toxicity and hopes of its therapeutic potential. Thus, it is important to analyze the acute, subacute, and long-term effects of AYA to assess its safety and toxicity. The purpose of this study was to conduct a systematic review of human studies assessing AYA effects on psychiatric symptoms, neuropsychological functioning, and neuroimaging. Papers published until 16 December 2015 were included from PubMed, LILACS and SciELO databases following a comprehensive search strategy and pre-determined set of criteria for article selection. The review included 28 full-text articles. Acute AYA administration was well tolerated, increased introspection and positive mood, altered visual perceptions, activated frontal and paralimbic regions and decreased default mode network activity. It also improved planning and inhibitory control and impaired working memory, and showed antidepressive and antiaddictive potentials. Long-term AYA use was associated with increased cortical thickness of the anterior cingulate cortex and cortical thinning of the posterior cingulate cortex, which was inversely correlated to age of onset, intensity of prior AYA use, and spirituality. Subacute and long-term AYA use was not associated with increased psychopathology or cognitive deficits, being associated with enhanced mood and cognition, increased spirituality, and reduced impulsivity. Acute, subacute, and long-term AYA use seems to have low toxicity. Preliminary studies about potential therapeutic effects of AYA need replication due to their methodological limitations. © The Author(s) 2016.

  11. Clinical case PAPA-syndrome (pyogenic arthritis, pyoderma gangrenosum, acne conglobata

    Directory of Open Access Journals (Sweden)

    Epifanova A.Y.


    Full Text Available

    The study presents a relatively rare case of dermatosis. It is PAPA syndrome in a 23 years-old female patient which is inherited as an autosomal dominant mode. The data about the etiology, pathogenesis, clinical picture were summarized, differential diagnosis was led. Problems with the treatment of the disease have been showed.

  12. Nuevas variedades de papa combaten la pobreza y la desnutrición ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    canadiense con el objetivo de reforzar las defensas naturales de este tubérculo ancestral. Mediante la aplicación de estas tecnologías, los investigadores pudieron identificar cinco genes naturales de variedades nati- vas de la papa que producen en la planta los compuestos que generan paredes celulares más gruesas.

  13. Te schepe waert. Overwegingen bij de reconstructie van een zot polyfoon lied van Clemens non Papa

    NARCIS (Netherlands)

    Grijp, L.P.; van Maas e.a., S.


    Clemens non Papa's vierstemmige 'Te schepe waert' is het eerste lied van de bundel Niewe Duytsche Liedekens, uitgegeven in Maastricht 1554 door Jacob Baethen. Van deze bundel ontbreekt de sopraanpartij. Louis Grijp heeft samen met Nico van der Meel de sopraan gereconstrueerd en hoopt de aldus

  14. Aggression in Psychiatric Wards

    DEFF Research Database (Denmark)

    Hvidhjelm, Jacob; Sestoft, Dorte; Skovgaard, Lene Theil


    Health care workers are often exposed to violence and aggression in psychiatric settings. Short-term risk assessments, such as the Brøset Violence Checklist (BVC), are strong predictors of such aggression and may enable staff to take preventive measures against aggression. This study evaluated wh...

  15. Assessment of Perceived Stress Related to Migration and Acculturation in Patients with Psychiatric Disorders (MIGSTR10)-Development, Reliability, and Dimensionality of a Brief Instrument. (United States)

    Müller, Matthias J; Zink, Sabrina; Koch, Eckhardt


    Assessment of stressors related to migration and acculturation in patients with psychiatric disorder and migration background could help improve culturally sensitive concepts of psychiatry and psychotherapy for diagnosis and treatment. The present overview delineates development and psychometric properties of an instrument (MIGSTR10) for assessment of stressors related to migration and acculturation, particularly for application in patients with psychiatric disorders. Ten migration-related stressors were derived from a qualitative content analysis of case histories of patients with psychiatric disorder and migration background and put into a suitable interview and questionnaire format (MIGSTR10; 10 questions, answer format: categorical yes/no, and dimensional 0-10) for self-assessment and observer ratings in several languages. Reliability (interrater agreement, internal consistency) and dimensionality (multi-dimensional scaling, MDS) were investigated in n = 235 patients with migration background and n = 612 indigenous German patients. Interrater agreement (ICC) for MIGSTR10 single items and sum scores (categorical and dimensional) was sufficiently high (≥.58); internal consistency (Cronbach's α) reached medium to high values (.56-.73). MDS revealed a two-dimensional solution with two item clusters (A: communication, migration history, forced marriage, homesickness, discrimination, other stressors; B: family conflicts, loss of status, feelings of shame, guilt feelings). The MIGSTR10 is a rationally developed, straightforward 10-item screening instrument with satisfactory psychometric properties for the assessment of individual and specific stressors related to migration and acculturation.

  16. Frequency and organization of papA homologous DNA sequences among uropathogenic digalactoside-binding Escherichia coli strains.


    Denich, K; Craiu, A; Rugo, H.; Muralidhar, G; O'Hanley, P.


    The frequency of selected papA DNA sequences among 89 digalactoside-binding, uropathogenic Escherichia coli strains was evaluated with 12 different synthetic 15-base probes corresponding to papA genes from four digalactoside-binding piliated recombinant strains (HU849, 201B, and 200A). The papA probes encode amino acids which are common at the carboxy terminus of all strains, adjacent to the proximal portion of the intramolecular disulfide loop of strain 210B, or predicted to constitute the t...

  17. [Personnel resources for psychiatric institutions. Needs assessment exemplified by the nursing profession in Germany]. (United States)

    Löhr, M; Sauter, D; Nienaber, A; Heuft, G; Ahrens, R; Oppermann, G; Heinz, A; Schulz, M


    The Psychiatry Personnel Act (Psych-PV) as the basis for personnel assessment in psychiatry becomes invalid on 1 January 2019. Because the Psych-PV previously coupled the personnel quota with the intensity of services provided, current efforts are required to develop an instrument to adapt the extent of financed personnel resources to the manifold new legal requirements and advances in treatment in terms of guideline-based care. Based on a literature search and the additional use of a databank of routine data, an example of a calculation was made to estimate the additional personnel resources which would be necessary for psychoeducation and fulfill the legal requirements from 2019 onwards. An investigation was also carried out to identify which psychiatry guidelines contain time values which can be used for calculation of personnel requirements. A three-step approach was used: (1) screening of the current guidelines and determination of the average intervention times with respect to nursing staff, (2) exemplary comparison between the times for guideline-based psychoeducation for patients in the diagnosis groups F32-F33 with the times allocated by the Psych-PV and (3) determination of times between education measures prescribed by law and necessary training for which no (sufficient) time contingents are provided in the Psych-PV. Times for individual activities (e.g. psychoeducation), which are also appropriate for nursing personnel can be found in the primary literature on guidelines; however, these include only a small proportion of tasks undertaken by nursing personnel. For psychoeducation it could be shown that additional time contingents would be necessary in the Psych-PV. Furthermore, there are new mandatory but disregarded schooling measures and instructions for nursing staff, the duration of which can be conservatively calculated as 21 min per case per hospital stay. The empirical approach presented in this study shows the possibility to identify time

  18. Origen y evolución de la papa cultivada. Una revisión

    Directory of Open Access Journals (Sweden)

    Rodríguez Molano Luis Ernesto


    Full Text Available

    Las primeras papas cultivadas probablemente fueron seleccionadas entre 6.000 y 10.000 años atrás, al norte del lago Titicaca, en los Andes del sur de Perú. Allí, a partir de las especies silvestres Solanum bukasovii, S. canasense y S. multissectum, pertenecientes al complejo S. brevicaule, se cree que se originó S. stenotomum, que es considerada la primera papa domesticada. Esta, a su vez, habría dado origen a S. andigena a través de repetidos procesos de poliploidización sexual en diferentes zonas de cultivo, con la consiguiente hibridación interespecífica e intervarietal que permitió ampliar la diversidad y adaptabilidad genética de la papa de los Andes. Los cultivares chilenos se derivaron posteriormente por hibridación de poblaciones andinas cultivadas con la especie silvestre S. tarijense. En el siglo xvi la papa migró a Europa y se dispersó por todo el orbe. Actualmente las papas cultivadas que se siembran en el mundo son conocidas colectivamente bajo el nombre de S. tuberosum.

  19. Modelo experimental de enfisema pulmonar em ratos induzido por papaína

    Directory of Open Access Journals (Sweden)



    Full Text Available Objetivo: Com a finalidade de estabelecer uma linha de pesquisa em cirurgia redutora de volume pulmonar, foi proposta a reprodução de um modelo experimental de enfisema em ratos através da instilação intratraqueal de papaína. Métodos: Foi feita a instilação orotraqueal de papaína (20mg/kg dissolvida em 3,5ml/kg de solução fisiológica a 0,9%. Após 40 dias da instilação, os animais foram submetidos a mecânica ventilatória, com medidas de elastância e resistência do sistema respiratório, e sacrificados com retirada dos pulmões. O tecido pulmonar dos animais foi analisado qualitativamente com coloração de hematoxilina-eosina e submetido à análise morfométrica com medida do diâmetro alveolar médio. O tecido pulmonar foi também submetido à coloração de resorcina-fucsina, para identificação de fibras elásticas, que foram quantificadas em septos alveolares através de análise digital de imagem. Resultados: A análise histológica dos pulmões dos animais submetidos à instilação de papaína mostrou um enfisema pan-acinar, com rotura de septos alveolares e hiperdistensão alveolar. A análise morfométrica revelou médias superiores de diâmetro alveolar médio nos pulmões dos animais submetidos à papaína (149,08mim e 100,56mim, em comparação com o grupo de solução fisiológica (64,08mim e 75,90mim. A quantificação de fibras elásticas de septos alveolares de animais tratados com papaína foi 70% menor do que a de animais submetidos à solução fisiológica. A mecânica ventilatória não mostrou diferença na resistência do sistema respiratório de animais submetidos à papaína ou à solução fisiológica. Já no caso da elastância do sistema respiratório, esta foi menor nos animais do grupo com papaína, em comparação com o grupo com solução fisiológica, demonstrando comportamento funcional do grupo com papaína compatível com enfisema pulmonar, apresentando diminuição da capacidade de

  20. Assessment and treatment of violent forensic psychiatric patients with a conduct or an antisocial personality disorder in the Netherlands

    NARCIS (Netherlands)

    Hornsveld, R.H.J.


    Because a Dutch treatment program for so-called terbeschikkinggestelden or violent forensic psychiatric inpatients was lacking, we took to developing an Aggression Control Therapy (ACT) in 2000, which was based on Goldstein, Glick, and Gibbs' Aggression Replacement Training (ART). The ACT program

  1. Brief Report: Understanding Crisis Behaviors in Hospitalized Psychiatric Patients with Autism Spectrum Disorder--Iceberg Assessment Interview (United States)

    Stark, Kate H.; Barnes, Julia C.; Young, Nicholas D.; Gabriels, Robin L.


    Children and adolescents with autism spectrum disorder (ASD) are at risk for emotional dysregulation and behavior problems that can escalate to levels requiring psychiatric hospitalization. Evaluating the etiology of such behaviors can be challenging for health care providers, as individuals with ASD can have difficulty self-reporting concerns.…

  2. Development and preliminary validation of the Level of Care Index (LOCI) from the Personality Assessment Inventory (PAI) in a psychiatric sample. (United States)

    Sinclair, Samuel Justin; Slavin-Mulford, Jenelle; Antonius, Daniel; Stein, Michelle B; Siefert, Caleb J; Haggerty, Greg; Malone, Johanna C; O'Keefe, Sheila; Blais, Mark A


    Research over the last decade has been promising in terms of the incremental utility of psychometric tools in predicting important clinical outcomes, such as mental health service utilization and inpatient psychiatric hospitalization. The purpose of this study was to develop and validate a new Level of Care Index (LOCI) from the Personality Assessment Inventory (PAI). Logistic regression was initially used in a development sample (n = 253) of psychiatric patients to identify unique PAI indicators associated with inpatient (n = 75) as opposed to outpatient (n = 178) status. Five PAI variables were ultimately retained (Suicidal Ideation, Antisocial Personality-Stimulus Seeking, Paranoia-Persecution, Negative Impression Management, and Depression-Affective) and were then aggregated into a single LOCI and independently evaluated in a second validation sample (n = 252). Results indicated the LOCI effectively differentiated inpatients from outpatients after controlling for demographic variables and was significantly associated with both internalizing and externalizing risk factors for psychiatric admission (range of ds = 0.46 for history of arrests to 0.88 for history of suicidal ideation). The LOCI was additionally found to be meaningfully associated with measures of normal personality, performance-based tests of psychological functioning, and measures of neurocognitive (executive) functioning. The clinical implications of these findings and potential utility of the LOCI are discussed. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  3. El recurso hídrico en el cultivo de papa: implicaciones socioculturales y ambientales

    Directory of Open Access Journals (Sweden)

    Leidy Nathaly Martínez Gil


    Full Text Available En este artículo se analizan las formas como se percibe, se usa y se maneja el recurso hídrico en los cultivos de papa, en la vereda Bosavita del municipio de Villapinzón (Cundinamarca. Dicho análisis es el resultado de un proyecto de investigación que buscaba evidenciar las relaciones económicas, sociales y culturales, que los cultivadores y las cultivadoras de papa establecen con dicho recurso. El estudio se fundamentó en precisiones conceptuales sobre la cultura campesina, así como en planteamientos generales acerca del sector rural colombiano y los problemas sociales en el campo.

  4. O não-poder do papa em Guilherme de Ockham

    Directory of Open Access Journals (Sweden)

    De Boni, Luis Alberto


    Full Text Available Os escritos políticos de Ockham giram ao redor da pergunta a respeito do poder do papa. Como esse poder foi concedido por Cristo, deve-se consultar a Sagrada Escritura para saber o que ela diz a respeito. Mas a exegese bíblica cabe aos teólogos e não aos juristas. Na qualidade de teólogo Ockham afirma que os poderes do papa situam-se na ordem espiritual e mesmo nessa ordem ele não é ilimitado, pois se atém ao que foi concedido expressamente por Cristo e deve respeitar a liberdade dos fiéis

  5. Criodesecación atmosférica de papa (Solanum tuberosum)


    Juan Sebastián Ramírez Navas; Jorge E. Cañizares S.; Diofanor Acevedo C


    Mediante la aplicación del proceso conocido como crio-desecación atmosférica (CDA) usando temperaturas bajas y cloruro de calcio o silicagel como agentes higroscópicos, se deshidrataron dos variedades de papa, Gabriela y Chaucha. A las papas se les realizó tres diferentes pretratamientos. Con los datos obtenidos se calcularon: (i) los valores de los coeficientes de transferencia superficial de masa (de 61.77 a 148.55 kg·m-2·s-1), (ii) de calor (de 5.75 a 11.22 W·m-2·°C-1), (iii) el número ...

  6. King Vultures ( Sarcoramphus papa ) follow jaguar in the Serranía ...

    African Journals Online (AJOL)

    A mean of 6.4 King Vultures (Sarcoramphus papa) ± 4.9 SD (range = 2-15) searched in flight for jaguar (Panthera onca) or remains of kills and were present at or seen going directly to kills. Jaguarrelated activities took place on 27 of the 162 days on which the vultures were not feeding on livestock carcasses. On 16 days ...

  7. Mejora de la producción de papa para una mayor seguridad ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    la principal fuente de ingreso familiar de los pequeños estableci - mientos agropecuarios de la región — muchos de los cuales están a cargo de mujeres. Una de las principales amenazas a la producción de papa es la enfermedad del tizón tardío, que implica que los productores tengan que realizar varias aplicaciones de ...

  8. Pyoderma gangrenosum, acne, and suppurative hidradenitis (PASH)--a new autoinflammatory syndrome distinct from PAPA syndrome. (United States)

    Braun-Falco, Markus; Kovnerystyy, Oleksandr; Lohse, Peter; Ruzicka, Thomas


    PAPA syndrome is a recently identified hereditary autoinflammatory syndrome clinically characterized by pyogenic arthritis, severe acne, and pyoderma gangrenosum. It is caused by mutations in the PSTPIP1 gene and may be closely linked to the aseptic abscesses syndrome, which has been shown to be associated with CCTG repeat amplification in the promoter region of PSTPIP1. We describe two unrelated patients with a clinical presentation quite similar to, yet distinct from, PAPA syndrome. Both patients had pyoderma gangrenosum and acute or remittent acne conglobata, but, in contrast to PAPA syndrome, lacked any episodes of pyogenic arthritis. Instead, they had suppurative hidradenitis. Mutations in PSTPIP1 exons 1 to 15 were excluded. In the promoter region, an increased repetition of the CCTG microsatellite motif was present on one allele in both patients. Alterations of the most commonly affected exons of the MEFV, NLRP3, and TNFRSF1A genes also were not detectable. One patient was treated with the interleukin (IL)-1 receptor antagonist anakinra and responded well, although without complete remission. This implies that IL-1ß may be of pathogenetic importance. Small number of patients, no gene mutation identified, and unclear efficacy of therapy are limitations. The clinical triad of pyoderma gangrenosum, acne, and suppurative hidradenitis represents a new disease entity within the spectrum of autoinflammatory syndromes, similar to PAPA and aseptic abscesses syndrome. For this disease, we propose the acronym "PASH" syndrome. PASH syndrome may respond to IL-1ß blockade. Copyright © 2011 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  9. Training in Psychiatric Genomics during Residency: A New Challenge (United States)

    Winner, Joel G.; Goebert, Deborah; Matsu, Courtenay; Mrazek, David A.


    Objective: The authors ascertained the amount of training in psychiatric genomics that is provided in North American psychiatric residency programs. Methods: A sample of 217 chief residents in psychiatric residency programs in the United States and Canada were identified by e-mail and surveyed to assess their training in psychiatric genetics and…

  10. Caracterización funcional de almidones nativos obtenidos de papas (Solanum phureja nativas peruanas

    Directory of Open Access Journals (Sweden)

    P. Martínez


    Full Text Available Existen muchas variedades de papas nativas cultivadas en diferentes localidades del Perú, generalmente para el auto consumo del agricultor. Sin embargo, la posibilidad de su uso comercial ha originado este trabajo con el fin de darles un valor agregado. Para evaluar la posibilidad de uso del almidón nativo proveniente de estas papas, como ingrediente en la industria alimentaria, se planteó como objetivo determinar las propiedades funcionales de almidones obtenidos de papas nativas procedentes de Pampacorral (Cusco, Perú: Puka Ambrosio (PA, Combe (CO, Perwanita (PER, Kalis qero (KQ, Qello virondos (QEV, Yana churos (YACH, Pitikiña (PI, Yana kusi (YAKU y Solischa (SOL. Con este fin se prepararon geles con el almidón nativo, por dispersión y calentamiento. El poder de hinchamiento, el índice de absorción y la solubilidad mostraron estar correlacionados con el incremento de la temperatura. A 90 °C, el almidón de la variedad PI mostró los mayores valores de poder de hinchamiento (28,47%, capacidad de absorción de agua (22,70 y solubilidad (20,24%. La menor sinéresis, a 4 °C, la presentaron los almidones de las variedades CO y YACH, 3,8 y 4,6; respectivamente. Los geles de almidón de todas las variedades mostraron un comportamiento pseudoplástico (n G”.

  11. Validation of the Portuguese version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-Sp 12) among Brazilian psychiatric inpatients. (United States)

    Lucchetti, Giancarlo; Lucchetti, Alessandra Lamas Granero; de Bernardin Gonçalves, Juliane Piasseschi; Vallada, Homero P


    Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-Sp 12) is one of the most used and most validated instruments for assessing spiritual well-being in the world. Some Brazilian studies have used this instrument without, however, assessing its psychometric properties. The present study aims to validate the Portuguese version of the FACIT-Sp 12 among Brazilian psychiatric inpatients. A self-administered questionnaire, covering spiritual well-being (FACIT-Sp 12), depression, anxiety, religiosity, quality of life, and optimism, was administered. Of those who met the inclusion criteria, 579 patients were invited to participate and 493 (85.1 %) were able to fill out the FACIT-Sp 12 twice (test and retest). Subsequently, the validation analysis was carried out. Estimation of test-retest reliability, discriminant, and convergent validity was determined by the Spearman's correlation test, and the internal consistency was examined by the Cronbach's alpha. The sample was predominantly male (63.9 %) with a mean age of 35.9 years, and the most common psychiatric condition was bipolar disorder (25.7 %) followed by schizophrenia (20.4 %), drug use (20.0 %), and depression (17.6 %) according to ICD-10. The total FACIT-Sp 12 scale as well as the subscales demonstrated high internal consistency (coefficient alphas ranging from 0.893 for the total scale to 0.655 for the Meaning subscale), good convergent and divergent validity, and satisfactory test-retest reliability (rho = 0.699). The Portuguese version of FACIT-Sp 12 is a valid and reliable measure to use in Brazilian psychiatric inpatients. The availability of a brief and broad measure of spiritual well-being can help the study of spirituality and its influence on health by researchers from countries that speak the Portuguese language.

  12. Gender, status, and psychiatric labels. (United States)

    Kroska, Amy; Harkness, Sarah K; Brown, Ryan P; Thomas, Lauren S


    We examine a key modified labeling theory proposition-that a psychiatric label increases vulnerability to competence-based criticism and rejection-within task- and collectively oriented dyads comprised of same-sex individuals with equivalent education. Drawing on empirical work that approximates these conditions, we expect the proposition to hold only among men. We also expect education, operationalized with college class standing, to moderate the effects of gender by reducing men's and increasing women's criticism and rejection. But, we also expect the effect of education to weaken when men work with a psychiatric patient. As predicted, men reject suggestions from teammates with a psychiatric history more frequently than they reject suggestions from other teammates, while women's resistance to influence is unaffected by their teammate's psychiatric status. Men also rate psychiatric patient teammates as less powerful but no lower in status than other teammates, while women's teammate assessments are unaffected by their teammate's psychiatric status. Also as predicted, education reduces men's resistance to influence when their teammate has no psychiatric history. Education also increases men's ratings of their teammate's power, as predicted, but has no effect on women's resistance to influence or teammate ratings. We discuss the implications of these findings for the modified labeling theory of mental illness and status characteristics theory. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Partial pressure (or fugacity) of carbon dioxide, salinity and other variables collected from time series observations using Bubble type equilibrator for autonomous carbon dioxide (CO2) measurement, Carbon dioxide (CO2) gas analyzer and other instruments from MOORING PAPA_145W_50N and MOORINGS_PAPA_145W_50N in the North Pacific Ocean from 2010-06-15 to 2014-06-19 (NODC Accession 0100074) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0100074 includes chemical, meteorological, physical and time series data collected from MOORING PAPA_145W_50N and MOORINGS_PAPA_145W_50N in the North...

  14. Brief report: genotype, phenotype, and clinical course in five patients with PAPA syndrome (pyogenic sterile arthritis, pyoderma gangrenosum, and acne). (United States)

    Demidowich, Andrew P; Freeman, Alexandra F; Kuhns, Douglas B; Aksentijevich, Ivona; Gallin, John I; Turner, Maria L; Kastner, Daniel L; Holland, Steven M


    To describe the genotypes, phenotypes, immunophenotypes, and treatments of PAPA syndrome (pyogenic sterile arthritis, pyoderma gangrenosum, and acne), a rare autoinflammatory disease, in 5 patients. Clinical information was gathered from medical records and through interviews with 5 patients from 4 kindreds. PSTPIP1 (CD2BP1) exon 10 and exon 11 sequencing was performed in each patient. Neutrophil granule content and cytokine levels were determined in plasma and stimulated peripheral blood mononuclear cells (PBMCs) from patients and controls. We identified 2 previously described PAPA syndrome-associated PSTPIP1 mutations, A230T and E250Q, and a novel change, E250K. Disease penetrance was incomplete, with variable expressivity. The cutaneous manifestations included pathergy, cystic acne, and pyoderma gangrenosum. Interleukin-1β (IL-1β) and circulating neutrophil granule enzyme levels were markedly elevated in patients compared to those in controls. PBMC stimulation studies demonstrated impaired production of IL-10 and enhanced production of granulocyte-macrophage colony-stimulating factor. Good resolution of pyoderma gangrenosum was achieved in 3 patients with tumor necrosis factor α (TNFα) blockade treatment. This analysis of 5 patients demonstrates that mutations in PSTPIP1 are incompletely penetrant and variably expressed in the PAPA syndrome. Neutrophil granule proteins are markedly elevated ex vivo and in the plasma, and elevated levels might be compatible with a diagnosis of PAPA syndrome. TNFα blockade appears to be effective in treating the cutaneous manifestations of PAPA syndrome. Copyright © 2012 by the American College of Rheumatology.

  15. Stress levels of psychiatric nursing staff

    NARCIS (Netherlands)

    Looff, P.C. de; Kuijpers, E.; Nijman, H.L.I.


    During a total of 30 shifts, the arousal levels of 10 psychiatric nurses were assessed while working on a (forensic) psychiatric admissions ward. Arousal was assessed by means of a small device (wristband) by which the Skin Conductance Level (SCL) of the participating nurses was monitored. Each

  16. A novel de novo PSTPIP1 mutation in a boy with pyogenic arthritis, pyoderma gangrenosum, acne (PAPA) syndrome. (United States)

    Fathalla, Basil M; Al-Wahadneh, Adel M; Al-Mutawa, Mariam; Kambouris, Marios; El-Shanti, Hatem


    Autoinflammatory disorders are a group of Mendelian disorders characterized by seemingly unprovoked inflammatory bouts without high-titer autoantibodies or antigen-specific T-cells and are probably due to defects in the innate immunity. We here report on a 4-year-old Arabic boy with the clinical presentation of an autoinflammatory disorder, namely Pyogenic Arthritis, Pyoderma Gangrenosum and Acne (PAPA) syndrome. The presentation includes abscess formation after immunization and recurrent mono-articular acute arthritis in various joints that responded favourably to systemic glucocorticosteroids, albeit without acne or pyoderma gangrenosum. The mutation analysis of the boy identified a novel de novo mutation in PSTPIP1, the gene responsible for PAPA syndrome. We recommend that the diagnosis of PAPA syndrome should be entertained in the differential diagnosis of patients with recurrent sterile pyogenic arthritis prior to the development of pyoderma gangrenosum or acne in order to initiate a timely management of the disorder.

  17. [The clinical and forensic psychiatric assessment of attack-like progressive schizophrenia with the Kandinsky-Clérambault syndrome]. (United States)

    Vasil'ev, V D


    Overall 200 patients suffering from attack-like progressive schizophrenia associated with Kandinsky-Clérambault syndrome were examined. All the patients underwent compulsory treatment at the psychiatric hospitals. Two varieties of schizophrenia associated with Kandinsky-Clérambault syndrome were distinguished: psychotic (127 persons) and psychopath-like (73 persons). The psychotic variety is characterized by the growth of personality disintegration because of changes to a greater degree in the thinking sphere, whereas the psychopath-like variety is marked by alterations in the affective volitional sphere. The psychopathological mechanisms of socially dangerous action of the patients at the preproductive and productive stages of endogenous process are described depending on the varieties distinguished.

  18. "Next-generation psychiatric assessment: Using smartphone sensors to monitor behavior and mental health": Correction to Ben-Zeev et al. (2015). (United States)


    Reports an error in "Next-generation psychiatric assessment: Using smartphone sensors to monitor behavior and mental health" by Dror Ben-Zeev, Emily A. Scherer, Rui Wang, Haiyi Xie and Andrew T. Campbell (Psychiatric Rehabilitation Journal, 2015[Sep], Vol 38[3], 218-226). Model fit statistics in Table 1 are reported as a row for Model 2, but not for Model 1, due to a production error. Model 1 fit statistics should appear as a row with the following information: 2LL 1490.0, AIC 1498.0 & BIC 1505.3. (The following abstract of the original article appeared in record 2015-14736-001.) Optimal mental health care is dependent upon sensitive and early detection of mental health problems. We have introduced a state-of-the-art method for the current study for remote behavioral monitoring that transports assessment out of the clinic and into the environments in which individuals negotiate their daily lives. The objective of this study was to examine whether the information captured with multimodal smartphone sensors can serve as behavioral markers for one's mental health. We hypothesized that (a) unobtrusively collected smartphone sensor data would be associated with individuals' daily levels of stress, and (b) sensor data would be associated with changes in depression, stress, and subjective loneliness over time. A total of 47 young adults (age range: 19-30 years) were recruited for the study. Individuals were enrolled as a single cohort and participated in the study over a 10-week period. Participants were provided with smartphones embedded with a range of sensors and software that enabled continuous tracking of their geospatial activity (using the Global Positioning System and wireless fidelity), kinesthetic activity (using multiaxial accelerometers), sleep duration (modeled using device-usage data, accelerometer inferences, ambient sound features, and ambient light levels), and time spent proximal to human speech (i.e., speech duration using microphone and speech

  19. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. (United States)

    Su, Tung-Ping; Lien, Te-Cheng; Yang, Chih-Yi; Su, Yiet Ling; Wang, Jia-Horng; Tsai, Sing-Ling; Yin, Jeo-Chen


    To assess the rapidly changing psychological status of nurses during the acute phase of the 2003 SARS outbreak, we conducted a prospective and periodic evaluation of psychiatric morbidity and psychological adaptation among nurses in SARS units and non-SARS units. Nurse participants were from two SARS units (regular SARS [N=44] and SARS ICU [N=26]) and two non-SARS units (Neurology [N=15] and CCU [N=17]). Participants periodically self-evaluated their depression, anxiety, post-traumatic stress symptoms, sleep disturbance, attitude towards SARS and family support. Results showed that depression (38.5% vs. 3.1%) and insomnia (37% vs. 9.7%) were, respectively, greater in the SARS unit nurses than the non-SARS unit nurses. No difference between these two groups was found in the prevalence of post-traumatic stress symptoms (33% vs. 18.7%), yet, three unit subjects (SARS ICU, SARS regular and Neurology) had significantly higher rate than those in CCU (29.7% vs. 11.8%, respectively) (pregular SARS unit. Occurrence of psychiatric symptoms was linked to direct exposure to SARS patient care, previous mood disorder history, younger age and perceived negative feelings. Positive coping attitude and strong social and family support may have protected against acute stress. In conclusion, the psychological impact on the caring staffs facing future bio-disaster will be minimized with lowered risk factors and a safer and more structured work environment.


    Directory of Open Access Journals (Sweden)

    Fernando Ram\\u00EDrez-Mu\\u00F1oz


    Full Text Available Uso de agroquímicos en el cultivo de papa en Pacayas, Cartago, Costa Rica. El objetivo del presente trabajo fue realizar un diagnóstico de uso de plaguicidas y otros agroquímicos, a los productores de papa en Cartago, Costa Rica. Se emplearon cuestionarios de campo entre los años 2006 y 2009 en la microcuenca de las quebradas Plantón y Pacayas. Cada productor como promedio utilizó 32,8 kilogramos de ingrediente activo (i.a. de plaguicida por hectárea por ciclo, en un rango de 10,9 a 88,3. Como uso ponderado por hectárea se calculó un valor de 42,6 kg i.a./ha/ciclo para plaguicidas y de 1879 kg de fertilizante formulado/ciclo. El grupo de mayor uso lo constituyeron los fungicidas-bactericidas con 30 i.a. y 85,7% del total de plaguicidas, le siguen los insecticidas (25 i.a. y 11,0% y los herbicidas (4 i.a. y 3,3%. El agroquímico de mayor uso fue el mancozeb, seguido de propineb y clorotalonil; otros productos de alto empleo fueron fosetil aluminio, cartap, metamidofos, paraquat y endosulfan. Se utilizaron agroquímicos no registrados para papa y con reconocida toxicidad aguda y crónica. Los productores con mayor área cultivada adicionaron la mayor cantidad de plaguicida, mientras que en áreas menores el consumo fue menor pero se utilizó un mayor número de productos. Se utilizó más cantidad de plaguicidas y fertilizantes durante la época lluviosa de mayo a diciembre.

  1. Segmentación de los consumidores de papa fresca en base a sus percepciones de calidad nutritiva


    Lupín, Beatriz


    Por su riqueza nutritiva, la papa es un alimento saludable que responde a las recomendaciones dadas por los especialistas en nutrición. Es un alimento versátil y plenamente incorporado a la dieta de los argentinos. En este Trabajo, el interés se centra en las percepciones de los consumidores acerca de los atributos de calidad de la papa, en especial los vinculados a los nutrientes de la misma. Durante el mes de junio del año 2009, se realizó una encuesta a 500 hogares marplatenses tendiente a...

  2. Abejas visitantes de papa (solanum tuberosum l.), en tres agroecosistemas de los departamentos de Cundinamarca y Boyacá, Colombia


    Barrientos Restrepo, Estela María


    Resumen: El cultivo de la papa se propaga principalmente por vía vegetativa, dándosele poca importancia a la producción de semilla sexual y por consiguiente a la polinización y a la diversidad de polinizadores asociados. En Colombia los departamentos de Cundinamarca y Boyacá son los principales productores de papa variedad Diacol Capiro. Esta investigación se enfocó en conocer la diversidad de abejas visitantes de este cultivo y la manera en que los distintos agroecosistemas y prácticas agron...

  3. Determinacion de las características fisicas y propiedades mecanicas de papa cultivada en Colombia


    Buitrago,Germán V.; López, Alonso P.; Alfonso P. Coronado; Fernando L. Osorno


    El objetivo del proyecto es determinar las propiedades físico-mecánicas de tres variedades de papa (criolla, pastusa y capiro), necesarias para el diseño y operación de maquinaria para siembra, cosecha, postcosecha y para el adecuado almacenamiento del producto. Se midieron propiedades físicas como: dimensiones axiales, esfericidad, redondez, ángulo de reposo, densidad real, densidad aparente y porosidad. Igualmente se determinaron propiedades mecánicas tales como: resistencia a la compresión...

  4. Producción en invernadero de semilla de papa a partir de vitroplantas.


    Flores, Dora; Brenes-Madriz, Jaime


    Proyecto de Investigación Esta publicación ofrece una descripción detallada del producción en invernadero de semilla de papa a vitroplantas. Incluye una presentación y una introducción en donde se explican claramente las ventajas que tiene utilizar materiales producidos por medio de herramientas :biotecnológicas en nuestros sistemas de producción. Se describen las principales características y las diferentes áreas que debe tener un invernadero para la producción de semilla T...

  5. Research Review: Test-retest reliability of standardized diagnostic interviews to assess child and adolescent psychiatric disorders: a systematic review and meta-analysis. (United States)

    Duncan, Laura; Comeau, Jinette; Wang, Li; Vitoroulis, Irene; Boyle, Michael H; Bennett, Kathryn


    A better understanding of factors contributing to the observed variability in estimates of test-retest reliability in published studies on standardized diagnostic interviews (SDI) is needed. The objectives of this systematic review and meta-analysis were to estimate the pooled test-retest reliability for parent and youth assessments of seven common disorders, and to examine sources of between-study heterogeneity in reliability. Following a systematic review of the literature, multilevel random effects meta-analyses were used to analyse 202 reliability estimates (Cohen's kappa = ҡ) from 31 eligible studies and 5,369 assessments of 3,344 children and youth. Pooled reliability was moderate at ҡ = .58 (CI 95% 0.53-0.63) and between-study heterogeneity was substantial (Q = 2,063 (df = 201), p reliability varied across informants for specific types of psychiatric disorder (ҡ = .53-.69 for parent vs. ҡ = .39-.68 for youth) with estimates significantly higher for parents on attention deficit hyperactivity disorder, oppositional defiant disorder and the broad groupings of externalizing and any disorder. Reliability was also significantly higher in studies with indicators of poor or fair study methodology quality (sample size reliability of SDIs and the usefulness of these tools in both clinical and research contexts. Potential remedies include the introduction of standardized study and reporting requirements for reliability studies, and exploration of other approaches to assessing and classifying child and adolescent psychiatric disorder. © 2018 Association for Child and Adolescent Mental Health.


    African Journals Online (AJOL)



    Jun 6, 2003 ... Objectives: To estimate the prevalence and pattern of psychiatric disorders among children and young persons appearing in .... by a computer using the Statistical Package for Social. Sciences (SPSS) Version 8.0 and a ..... for further psychiatric assessment and treatment as necessary. The Juvenile court ...

  7. O Papa, o Islã e o politicamente correto The Pope, Islam and political correctedness

    Directory of Open Access Journals (Sweden)

    José Augusto Lindgren Alves


    Full Text Available Ao fazer citação considerada ofensiva ao Islã em conferência que proferiu na Alemanha em 2006, o Papa Bento XVI não visava somente aos muçulmanos, mas, também, aos ocidentais cristãos e ateus. Seu objetivo não era ofender o Islã gratuitamente, mas forçar os islamitas e ocidentais que abandonaram o racionalismo a assimilarem, num caso, e a reassimilarem, no outro, a razão universalista como elemento essencial ao próprio diálogo entre as religiões. A fala do Papa tem tido repercussões que transcendem o âmbito religioso, atingindo noções e práticas multiculturalistas que pareciam intocáveis.When making a quotation that was considered offensive to Islam, in 2006, in a conference in Germany, Pope Benedict XVI targeted not only the Muslims, but also Christian and Atheist Westerners. His aim was not to offend Islam without a motive, but to force both the Muslims and Westerners that had forsaken rationalism to reach back to Reason as an essential element for the very dialogue between the two religions. The Pope’s speech has had repercussion far beyond the religious sphere, attaining notions and practices of multiculturalism that seemed untouchable.

  8. Medición de atributos y preferencias de consumo de una papa fresca producida con bajo impacto ambiental


    Lupín, Beatriz; Rodríguez, Elsa Mirta M.; Rodríguez, Julieta A.


    El objetivo de este trabajo es medir los atributos valorados y las preferencias de los consumidores de una papa fresca producida con bajo impacto ambiental según el nivel de educación y socioeconómico del consumidor.

  9. Identification of a homozygous PSTPIP1 mutation in a patient with a PAPA-like syndrome responding to canakinumab treatment. (United States)

    Geusau, Alexandra; Mothes-Luksch, Nadine; Nahavandi, Hesam; Pickl, Winfried F; Wise, Carol A; Pourpak, Zahra; Ponweiser, Elisabeth; Eckhart, Leopold; Sunder-Plassmann, Raute


    Pyogenic sterile arthritis, pyoderma gangrenosum, and acne (PAPA) syndrome (OMIM 604416) is a rare autosomal dominant inherited autoinflammatory syndrome characterized by pyogenic sterile arthritis and less frequently accompanied by pyoderma gangrenosum and acne. It is associated with dominant missense mutations in the proline-serine-threonine phosphatase-interacting protein 1 gene (PSTPIP1) located on chromosome 15. The patient was diagnosed as having features of a PAPA-like syndrome in which cutaneous manifestations, such as pyoderma gangrenosum and acne fulminans, predominated. Sequencing of the PSTPIP1 gene was performed in the patient and his extended family. The patient's DNA analysis revealed a homozygous nucleotide exchange c.773G>C in the PSTPIP1 gene, leading to the substitution of glycine 258 by alanine (p.Gly258Ala), a previously reported heterozygous polymorphism. Heterozygous changes were identified in both of the patient's parents and in 7 other family members, all of whom were asymptomatic. The patient was treated with canakinumab, a human anti-interleukin 1β monoclonal antibody, which led to rapid remission of the symptoms. To our knowledge, this is the first reported case of the resolution of dermatological symptoms associated with a PAPA-like syndrome using canakinumab treatment. Further study of the p.Gly258Ala variant is warranted to determine whether this mutation has a role in causing an apparently recessive cutaneous syndrome resembling PAPA syndrome.

  10. "Sundiata, Lion King of Mali." Adapted by Kim Hines, Featuring Griot Alhaji Papa Susso, Cue Sheet for Students. (United States)

    Freeman, Aakhu TuahNera

    This performance guide is designed for teachers to use with students before and after a performance of "Sundiata: Lion King of Mali," adapted by Kim Hines and featuring Griot Alhaji Papa Susso. The guide, called a "Cuesheet," contains seven activity sheets for use in class, addressing: (1) Sundiata: Man & Myth (discusses…

  11. Evaluación de la dinámica de conservación del producto final de un alimento obtenido por fermentación en estado sólido de la papa (Fes-papa

    Directory of Open Access Journals (Sweden)

    Luis Miguel Borras-Sandoval


    Full Text Available Se expone el efecto de la fermentación en estado sólido sobre un alimento preparado a base del tubérculo de la papa (Solanum tuberosum, y su posible utilización en la alimentación animal. La papa fresca y picada se mezcló con un material fibroso secante (harina de alfalfa, melaza, urea, un preparado microbiano, premezcla mineral, carbonato de calcio y sulfato de sodio, y se dejó fermentar, acorde con el tiempo y la temperatura previamente establecidos (48 h y 20°C, en bolsas plásticas de 50 kg. El producto Fes-papa se muestreó el día uno de elaboración y a los treinta y noventa días. El producto Fes-papa presentó modificaciones significativas en los indicadores fermentativos evaluados. El pH descendió constantemente desde el inicio (6.3 hasta terminar la evaluación (pH 4.86; algo similar ocurrió con la materia seca (MSI y el componente fibroso (FDN-FDA, los cuales descendieron con el tiempo de fermentación, mejorando sensiblemente la digestibilidad del producto. La Fes-papa es un proceso biotecnológico sencillo para aprovechar los tubérculos de los residuos de cosecha y generar un alimento energético-proteico que, acorde con los indicadores fermentativos y contenido en MS, pudiera ser empleado en la alimentación animal; además, contrarrestaría la contaminación ambiental.

  12. Therapeutic abortion on psychiatric grounds

    African Journals Online (AJOL)


    Apr 23, 1983 ... those with psychiatric disorder; severe reactive depression was found in 27,5% and 50% were considered to have personality disorders sufficient to be identified as pathological. Such assessments were based on a record of longstanding neurotic or habitually maladaptive behaviour characterized by ...



    Yactayo G., Wendy L.; Ingeniero Agrícola. Asistente de Investigación Junior, Centro Internacional de la Papa. Lima, Perú.; Sánchez D., Miguel A.; Universidad Nacional Agraria La Molina (Perú).


    Se llevó a cabo un experimento en un invernadero de la sede central del Centro Internacional de la Papa (CIP) en Lima, cuyo objetivo fue evaluar el efecto del riego parcial (RP) sobre el crecimiento y el uso de agua de la planta de papa (Solanum tuberosum). Treintaiseis plantas de papa de la variedad UNICA fueron cultivadas individualmente en macetas. La zona radicular de las plantas sometidas al tratamiento de (RP) fue dividida en dos secciones iguales por una membrana impermeable de plástic...

  14. Propiedades físico-químicas y parámetros de calidad para uso industrial de cuatro variedades de papa


    Jorge Hasbún; Patricia Esquivel; Arturo Brenes; Ileana Alfaro


    Se comparó el contenido de sólidos totales, almidón, azúcares reductores y la gravedad específica de 3 variedades promisorias de papa de reciente introducción en Costa Rica (MNF-41, MNF-72 y MNF-80) y de la tradicional Floresta mediante análisis gravimétricos y espectrofotométricos. El color y la textura en bastones de papa prefrita congelada, como producto terminado, y papa tostada, fueron evaluados instrumentalmente. Para el contenido de grasa se utilizó el método de Soxhlet. La MNF-80 most...


    Directory of Open Access Journals (Sweden)

    Jorge Hasbún


    Full Text Available Se comparó el contenido de sólidos totales, almidón, azúcares reductores y la gravedad específica de 3 variedades promisorias de papa de reciente introducción en Costa Rica (MNF-41, MNF-72 y MNF-80 y de la tradicional Floresta mediante análisis gravimétricos y espectrofotométricos. El color y la textura en bastones de papa prefrita congelada, como producto terminado, y papa tostada, fueron evaluados instrumentalmente. Para el contenido de grasa se utilizó el método de Soxhlet. La MNF-80 mostró el contenido mayor de sólidos totales y almidón, con 23,1 y 20,8%, respectivamente; y Floresta los contenidos más bajos con 15,9% y 13,4%, respectivamente. Existe una correlación (R2=0,97 del contenido de sólidos totales con la gravedad específica de los materiales. La MNF-80 presentó el porcentaje menor de azúcares reductores con 0,076%; mientras que MNF-41 y MNF-72 presentaron 1,142 y 1,384%, respectivamente. En los bastones de papa prefrita congelada, el porcentaje mayor de grasa se encontró en la MNF-80 y el menor en las MNF-72 y Floresta. No se observó diferencias en el scurecimiento y textura entre variedades. En las papas tostadas la MNF-80 presentó un contenido menor de grasa y de grado de oscurecimiento. Las hojuelas elaboradas a partir de la MNF-72 y la MNF-80 mostraron valores de firmeza mayores. En la absorción de grasa, hubo un comportamiento distinto según el producto elaborado; en los bastones de papa prefrita congelados de la MNF- 72 y Floresta, la absorción de grasa en el producto terminado fue menor, mientras que en las papas tostadas los contenidos de grasa menores se obtuvieron con la MNF-80.

  16. Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men -- a systematic review. (United States)

    Riegel, Björn; Bruenahl, Christian A; Ahyai, Sascha; Bingel, Ulrike; Fisch, Margit; Löwe, Bernd


    Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a chronic pain disease with high prevalence rates and substantial health care costs. An interdisciplinary classification system is commonly used (UPOINT) which includes psychosocial factors. Nevertheless, psychosocial influences on CP/CPPS only recently became a research focus. Therefore, we aimed to synthesize the existing data and to identify further research topics. Then, based on our results, diagnosis and treatment can be improved. In a systematic review conducted according to the PRISMA reporting guidelines we searched different databases (MEDLINE, EMBASE, PsychINFO) using the broad search terms "chronic pelvic pain syndrome AND men". Two raters independently screened the literature and assessed the risk of bias. We included 69 original research articles which considered psychosocial variables. We found studies investigating different psychosocial factors (pain catastrophizing, stress, personality factors, social aspects), co-morbid psychiatric disorders (depression, anxiety and trauma-related disorders, somatization disorder, substance abuse) and Quality of Life (QoL). In addition, there is a high risk of bias in most studies e.g. concerning the study design or the measures. There is evidence suggesting that psychological factors are important in understanding CP/CPPS. However, research concentrated on a few aspects while the others were not covered adequately. We found evidence of a higher number of psychosocial factors and psychiatric co-morbidities than is currently included in the UPOINT system. More high quality research is needed to understand the interplay of psychosocial factors in CP/CPPS. Furthermore, these factors should be incorporated into treatment approaches. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Likelihood of obtaining Structured Interview of Reported Symptoms (SIRS) and SIRS-2 elevations among forensic psychiatric inpatients with screening elevations on the Miller Forensic Assessment of Symptoms Test. (United States)

    Glassmire, David M; Tarescavage, Anthony M; Gottfried, Emily D


    The Miller Forensic Assessment of Symptoms Test (M-FAST) was designed as a screening measure for feigned psychiatric symptoms. When M-FAST Total Scores are elevated (raw score ≥6), the test manual recommends follow-up with a more comprehensive measure of feigning, such as the widely used and researched Structured Interview of Reported Symptoms (SIRS) or the revised version of the test (SIRS-2). The purpose of the current study was to evaluate how often M-FAST screening elevations are associated with subsequent elevations on the SIRS or SIRS-2. The sample included archival data from 100 forensic psychiatric inpatients who obtained M-FAST Total Score elevations ≥6 during screening and were subsequently administered the SIRS (that was also rescored using SIRS-2 criteria). Among examinees who elevated the M-FAST over the recommended cutoff, 66.0% met standard SIRS feigning criteria, 42% met SIRS-2 criteria for feigning, and 81.0% obtained at least 1 SIRS/SIRS-2 elevation in the Probable Feigning range or higher. These results are consistent with the M-FAST manual guidelines, which support the use of the ≥6 M-FAST cutoff score to screen for potential feigning (but not as an independent marker of feigning). A higher M-FAST cutoff score of ≥16 was associated with subsequently meeting full SIRS criteria for feigning in 100.0% of protocols. Because the SIRS criteria were designed to have very low false positive rates, these findings indicate that more confident assertions about feigning can be made when elevations reach this level on the MFAST. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  18. Study protocol for a cluster randomised controlled trial to assess the effectiveness of user-driven intervention to prevent aggressive events in psychiatric services. (United States)

    Välimäki, Maritta; Yang, Min; Normand, Sharon-Lise; Lorig, Kate R; Anttila, Minna; Lantta, Tella; Pekurinen, Virve; Adams, Clive E


    People admitted to psychiatric hospitals with a diagnosis of schizophrenia may display behavioural problems. These may require management approaches such as use of coercive practices, which impact the well-being of staff members, visiting families and friends, peers, as well as patients themselves. Studies have proposed that not only patients' conditions, but also treatment environment and ward culture may affect patients' behaviour. Seclusion and restraint could possibly be prevented with staff education about user-centred, more humane approaches. Staff education could also increase collaboration between patients, family members and staff, which may further positively affect treatment culture and lower the need for using coercive treatment methods. This is a single-blind, two-arm cluster randomised controlled trial involving 28 psychiatric hospital wards across Finland. Units will be randomised to receive either a staff educational programme delivered by the team of researchers, or standard care. The primary outcome is the incidence of use of patient seclusion rooms, assessed from the local/national health registers. Secondary outcomes include use of other coercive methods (limb restraint, forced injection, and physical restraint), service use, treatment satisfaction, general functioning among patients, and team climate and employee turn-over (nursing staff). The study, designed in close collaboration with staff members, patients and their relatives, will provide evidence for a co-operative and user-centred educational intervention aiming to decrease the prevalence of coercive methods and service use in the units, increase the functional status of patients and improve team climate in the units. We have identified no similar trials. NCT02724748 . Registered on 25th of April 2016.

  19. Psychiatric conditions associated with bullying. (United States)

    Kumpulainen, Kirsti


    Bullying is a complex phenomenon moderated not only by the personal characteristics and behavioral traits of the individual but also by family rearing practices, as well as by situational factors such as the frequency and type of bullying. The phenomenon is also affected by group processes among the individuals present during the event. Bullying is a distressing experience that is often continuous over years and predicts both concurrent and future psychiatric symptoms and disorders, even in adulthood. At young ages, attention-deficit hyperactivity disorder and depression, as well as anxiety, are prevalent concurrently with bullying among the children involved. Later in young adulthood, male victims are at risk for anxiety, male bullies for personality disorders, and male bully-victims for both personality disorders and anxiety, and the risk is especially increased if the child is disturbed when involved in bullying at school age. Rarely does any single behavior predict future problems as clearly as bullying does, and additional assessment of psychiatric problems is always warranted, if the child is involved in bullying as a bully, victim or bully-victim. Based on our current knowledge, school-based interventions regulating the behavior of the child, increasing pro-social skills and promoting peer relationships are recommended for those without concurrent psychiatric disturbance, but those displaying psychiatric symptoms and disorders should be referred for psychiatric consultation and intervention.

  20. Psychometric Evaluation of a Dutch Version of the Mini PAS-ADD for Assessing Psychiatric Disorders in Adults with Different Levels of Intellectual Disability (United States)

    Janssen, R.; Maes, B.


    Background: People with intellectual disabilities (ID) have an increased vulnerability to develop psychiatric problems. Moreover, the early recognition and the accurate diagnosis of psychiatric disorders in the population of persons with ID are challenging. Method: A Dutch version of the Mini PAS-ADD, which is a screening instrument for…

  1. The Effect of Clinical Psychiatric Training on Medical Students' Belief ...

    African Journals Online (AJOL)

    Background to the study: Medical student's attitude towards people with mental illness (PWMI) is very important for the future care of psychiatric patients. It has been postulated that psychiatric education could lead to a reduction in negative attitude towards PWMI. Objective: To assess the effect of clinical psychiatric training ...


    Krystal, Andrew D.


    SYNOPSIS Psychiatric disorders and sleep are related in important ways. In contrast to the longstanding view of this relationship which viewed sleep problems as symptoms of psychiatric disorders, there is growing experimental evidence that the relationship between psychiatric disorders and sleep is complex and includes bi-directional causation. In this article we provide the evidence that supports this point of view, reviewing the data on the sleep disturbances seen in patients with psychiatric disorders but also reviewing the data on the impact of sleep disturbances on psychiatric conditions. Although much has been learned about the psychiatric disorders-sleep relationship, additional research is needed to better understand these relationships. This work promises to improve our ability to understand both of these phenomena and to allow us to better treat the many patients with sleep disorders and with psychiatric disorders. PMID:23099143


    Directory of Open Access Journals (Sweden)

    Ferm\\u00EDn Orona-Castro


    Full Text Available El objetivo de este trabajo fue identificar marcadores DNA Polimórfico Amplificado al Azar (RAPDs y Secuencias Simples Repetidas (SSR s también conocidos como Mi crosatélites asocia dos con la resistencia al daño causado por fitoplasmas en papa. Se evaluó la severidad de la punta morada de la papa (PMP y la apa rición de color pardo en el tubérculo, así como también se realizaron análisis moleculares en varie dades y líneas avanzadas de papa . El estudio se realizó en el laboratorio de biotecnología de la Facultad de Cie ncia s Biológicas de la Universidad Autónoma de Nuevo León - Instituto Na cional de Investigaciones Forestales Agrícolas y Pecuarias (INI FAP, México en el 2003 y 2004. Las técnicas utilizadas fueron RAPDs y SSRs también conocido microsatélites. Tres genotip os mostraron resistencia a la apa rición del color pardo deltubérculo, mie ntras que del análisis molecular seis materia les formaron un grupo que incluyó los genotip os con valores de daño mínimos (entre uno y tres de la escala. Los genotip os restantes formaron dos grupos con presencia de color pardo en el tubérculo mayor (entre cinco y siete. Se identificaron marcadores moleculares posiblemente asocia dos con tolerancia a la coloración parda del tubérculo. En el análisis de componentes principa les y el dendograma generado los materia les que presentaron menor severidad de daño, quedaron incluidos en un mismo grupo, mie ntras que materia les con mayor severidad de daño quedaron en un grupo diferente

  4. Concordance of the Mini-Psychiatric Assessment Schedule for Adults Who Have Developmental Disabilities (PASADD) and the Brief Symptom Inventory (United States)

    Beail, N.; Mitchell, K.; Vlissides, N.; Jackson, T.


    Background: When assessing the mental health needs of people who have intellectual disabilities (ID) it is important to use measures that have good validity and reliability to ensure accurate case recognition and reliable and valid outcome data. Measures developed for this purpose tend to be self-report or by informant report. Multi-trait…

  5. A semi-structured, phenomenologically oriented psychiatric interview: Descriptive congruens in assessing anomalous subjective experience and mental status

    DEFF Research Database (Denmark)

    Frederiksen, Julie Elisabeth Nordgaard; Parnas, Josef Stefan Stanislaw


    Objective: The contemporary methodology in obtaining psychopathological information relies almost exclusively on the use of structured questionnaires and interview schedules. These interviews yield high interrater reliability and reduce cost. The assessments of anomalous self-experience and of me......-introduced rater, since it is that kind of researchers that are typically enrolled for the empirical data collections....

  6. Papas Alexandre, Mystiques et vagabonds en islam. Portraits de trois soufis qalandar, Cerf, 2010, 338 p.

    Directory of Open Access Journals (Sweden)

    Catherine Mayeur-Jaouen


    Full Text Available On se souvient de la thèse d’Alexandre Papas, désormais un classique, consacrée aux rapports entre soufisme et politique dans la Naqshbandiyya des Khwājas qui fondèrent, aux xviie et xviiie siècles, une dynastie et un Empire en Asie centrale (Soufisme et politique entre Chine, Tibet et Turkestan, Paris, Jean Maisonneuve, 2005 – dont nous avions rendu compte dans la REMMM, n° 125. Ici, des disciples naqshbandīs, fidèles à Āfāq Khwāja et à ses descendants dont ils visitent d’ailleurs les tombe...

  7. Análisis de crecimiento en siete variedades de papa (solanum tuberosum l.

    Directory of Open Access Journals (Sweden)

    Fernando Borrego


    Full Text Available Análisis de crecimiento en siete variedades de papa (Solanum tuberosum L.. Se evaluaron siete variedades de papa (Solanum tuberosum L. Norteña, Gigant, Mondial, Snowden, Alpha, Atlantic y Russett Burbank, bajo criterios de eficiencia y productividad del análisis de crecimiento (seis muestreos, cada 18 días en promedio, como la tasa de crecimiento del cultivo (TCC, tasa de crecimiento relativo (TCR, tasa de crecimiento relativo foliar (TCRF, relación de área foliar (RAF, índice de area foliar (IAF y tasa de asimilación neta (TAN. Se encontraron diferencias (p≤0,01 para las variables en estudio (a excepción de la TAN, para las fuentes de variación de muestreos (seis a lo largo del ciclo siendo mayor la TCC en el cuarto muestreo con las variedades Norteña y Russett Burbank. La TCR fue mayor en Norteña, Russett Burbank y Alpha, habiendo un incremento considerable del quinto al sexto muestreo. En la RAF, los mejores genotipos fueron Atlantic y Snowden, mostrando Russett Burbank un pronunciado declive del quinto al sexto muestreo, por la senescencia del follaje. Por lo que respecta al IAF, los mejores genotipos fueron Norteña y Gigant, estableciéndose el máximo del cuarto al sexto muestreo, sin senescencia hasta ese muestreo. En la TAN, no se encontraron diferencias entre genotipos, mostrando superioridad la Norteña, siguiendo las otras cinco un patrón de comportamiento muy semejante

  8. Uso de agroquímicos en el cultivo de papa en Pacayas, Cartago, Costa Rica.

    Directory of Open Access Journals (Sweden)

    Fernando Ramírez-Muñoz


    Full Text Available El objetivo del presente trabajo fue realizar un diagnóstico de uso de plaguicidas y otros agroquímicos, a los productores de papa en Cartago, Costa Rica. Se emplearon cuestionarios de campo entre los años 2006 y 2009 en la microcuenca de las quebradas Plantón y Pacayas. Cada productor como promedio utilizó 32,8 kilogramos de ingrediente activo (i.a. de plaguicida por hectárea por ciclo, en un rango de 10,9 a 88,3. Como uso ponderado por hectárea se calculó un valor de 42,6 kg i.a./ha/ciclo para plaguicidas y de 1879 kg de fertilizante formulado/ciclo. El grupo de mayor uso lo constituyeron los fungicidas-bactericidas con 30 i.a. y 85,7% del total de plaguicidas, le siguen los insecticidas (25 i.a. y 11,0% y los herbicidas (4 i.a. y 3,3%. El agroquímico de mayor uso fue el mancozeb, seguido de propineb y clorotalonil; otros productos de alto empleo fueron fosetil aluminio, cartap, metamidofos, paraquat y endosulfan. Se utilizaron agroquímicos no registrados para papa y con reconocida toxicidad aguda y crónica. Los productores con mayor área cultivada adicionaron la mayor cantidad de plaguicida, mientras que en áreas menores el consumo fue menor pero se utilizó un mayor número de productos. Se utilizó más cantidad de plaguicidas y fertilizantes durante la época lluviosa de mayo a diciembre.

  9. Heredabilidad del contenido de proteína total en papa diploide Solanum tuberosum grupo Phureja

    Directory of Open Access Journals (Sweden)

    Daniel Rodríguez Caicedo


    Full Text Available En los últimos años se ha puesto de manifiesto la importancia de realizar estudios genéticos que permitan llevar a cabo el mejoramiento de la papa a nivel de su valor nutricional. Solanum tuberosum Grupo Phureja es una especie que además de tener un alto potencial para la exportación posee características nutricionales superiores a las de especies provenientes de los otros grupos. En el presente trabajo se realizó la estimación de heredabilidad del contenido de proteína en papa criolla mediante cuatro métodos: componentes de varianza mediante ANOVA de una vía, regresión padre-progenie, máxima verosimilitud restricta y estimación bayesiana. El contenido de proteína total fue evaluado en 103 familias de hermanos medios maternos. Para ello se determinó el nitrógeno total por el método de Kjeldahl y se empleó el factor de conversión a proteína. Para los cuatro métodos de estimación de heredabilidad se obtuvieron estimativos de 0.35, 0.28, 0.40 y 0.41 respectivamente. De acuerdo a las estimaciones de heredabilidad obtenidas, con una presión de selección moderada (20% sería posible obtener incrementos en porcentaje de proteína entre 0.55% y 0.78% por ciclo de selección.

  10. Diacyltransferase Activity and Chain Length Specificity of Mycobacterium tuberculosis PapA5 in the Synthesis of Alkyl β-Diol Lipids

    Energy Technology Data Exchange (ETDEWEB)

    Touchette, Megan H.; Bommineni, Gopal R.; Delle Bovi, Richard J.; Gadbery, John; Nicora, Carrie D.; Shukla, Anil K.; Kyle, Jennifer E.; Metz, Thomas O.; Martin, Dwight W.; Sampson, Nicole S.; Miller, W. T.; Tonge, Peter J.; Seeliger, Jessica C.


    Although classified as Gram-positive bacteria, Corynebacterineae possess an asymmetric outer membrane that imparts structural and thereby physiological similarity to more distantly related Gram-negative bacteria. Like lipopolysaccharide in Gram-negative bacteria, lipids in the outer membrane of Corynebacterineae have been associated with the virulence of pathogenic species such as Mycobacterium tuberculosis (Mtb). For example, Mtb strains that lack long, branched-chain alkyl esters known as dimycocerosates (DIMs) are significantly attenuated in model infections. The resultant interest in the biosynthetic pathway of these unusual virulence factors has led to the elucidation of many of the steps leading to the final esterification of the alkyl beta-diol, phthiocerol, with branched-chain fatty acids know as mycocerosates. PapA5 is an acyltransferase implicated in these final reactions. We here show that PapA5 is indeed the terminal enzyme in DIM biosynthesis by demonstrating its dual esterification activity and chain-length preference using synthetic alkyl beta-diol substrate analogues. Applying these analogues to a series of PapA5 mutants, we also revise a model for the substrate binding within PapA5. Finally, we demonstrate that the Mtb Ser/Thr kinase PknB modifies PapA5 on three Thr residues, including two (T196, T198) located on an unresolved loop. These results clarify the DIM biosynthetic pathway and suggest possible mechanisms by which DIM biosynthesis may be regulated by the post-translational modification of PapA5.

  11. Habemus papa


    Glenza, Fernando


    Fuente de nuestra alimentación nativa, hervidas, asadas o fritas, utilizadas en guisos, sopas, pasteles y pastas, estos poderosos tubérculos son también fuente de inspiración para artistas y científicos, objeto de apasionantes relatos históricos, mitos, leyendas y, también, de controversias. Se disputan su cuna Perú y Chile, donde Neruda le escribió una oda. Son del Sur, y que nadie joda. Facultad de Periodismo y Comunicación Social

  12. Assessing the contribution of borderline personality disorder and features to suicide risk in psychiatric inpatients with bipolar disorder, major depression and schizoaffective disorder. (United States)

    Zeng, Ruifan; Cohen, Lisa J; Tanis, Thachell; Qizilbash, Azra; Lopatyuk, Yana; Yaseen, Zimri S; Galynker, Igor


    Suicidal behavior often accompanies both borderline personality disorder (BPD) and severe mood disorders, and comorbidity between the two appears to further increase suicide risk. The current study aims to quantify the risk of suicidality conferred by comorbid BPD diagnosis or features in three affective disorders: major depressive disorder (MDD), bipolar disorder (BP) and schizoaffective disorder. One hundred forty-nine (149) psychiatric inpatients were assessed by SCID I and II, and the Columbia Suicide Severity Rating Scale. Logistic regression analyses investigated the associations between previous suicide attempt and BPD diagnosis or features in patients with MDD, BP, and schizoaffective disorder, as well as a history of manic or major depressive episodes, and psychotic symptoms. Comorbid BPD diagnosis significantly increased suicide risk in the whole sample, and in those with MDD, BP, and history of depressive episode or psychotic symptoms. Each additional borderline feature also increased risk of past suicide attempt in these same groups (excepting BP) and in those with a previous manic episode. Of the BPD criteria, only unstable relationships and impulsivity independently predicted past suicide attempt. Overall, among patients with severe mood disorders, the presence of comorbid BPD features or disorder appears to substantially increase the risk of suicide attempts. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. Validity of screening for psychiatric disorders in unaccompanied minor asylum seekers: Use of computer-based assessment. (United States)

    Jakobsen, Marianne; Meyer DeMott, Melinda A; Heir, Trond


    Self-report screening is an important element of transcultural research. Problems concerning illiteracy, cultural sensitivity, and possible misunderstandings have been handled differently in different settings. The aim of this study was to evaluate the validity of two well-known instruments: the Hopkins Symptoms Check List (HSCL-25), and the Harvard Trauma Questionnaire (HTQ, Part IV), with a sample of 160 unaccompanied asylum-seeking adolescents from Afghanistan and Somalia. Assessments were performed 4 months after arrival in Norway, and the screening instruments were presented to the informants on computers with touch-screen function, using the program MultiCASI. Sound-files in the native languages of the informants appeared simultaneously with the written items and could be repeated by touch. We found that the screening procedures were well received and understood by the informants regardless of reading and writing abilities. Agreement between diagnoses (CIDI) and screening results were similar to other studies. Computer-based assessment in this setting was practical, cost effective, and can be recommended.

  14. Psychiatric evaluation of youths with Disruptive Behavior Disorders and psychopathic traits: A critical review of assessment measures. (United States)

    Masi, Gabriele; Milone, Annarita; Brovedani, Paola; Pisano, Simone; Muratori, Pietro


    Disruptive Behavior Disorders (DBDs) are stable and impairing disorders, heterogeneous in presentation, developmental pathways, and treatment needs. Disentangling subtypes according to psychopathological dimensions is helpful for timely diagnoses, precise prognoses and tailored interventions. Psychopathic traits are relevant in subtyping DBDs with severe antisocial and aggressive behaviors. Three psychopathy dimensions have been found: 1) an affective dimension, the callous-unemotional (CU) trait, with lack of empathy and remorse, and with short-lived emotions; 2) an interpersonal dimension, the narcissistic domain, with manipulative abilities, superficial charm, egocentricity and grandiosity; 3) a behavioral dimension, the impulsivity or impulsive-irresponsibility, with irresponsibility, proneness to boredom, and novelty seeking. Recently, research suggests that youth with CU traits, similarly to adults with psychopathy, can present a low-anxious "primary" and high-anxious "secondary" variants. Our aim is to critically review the main measures of psychopathic traits, including the three main dimensions (with specific emphasis on CU traits), and the "primary/secondary" distinction, focusing on the assessment in clinical settings. An assessment procedure is proposed, based on previous literature and personal clinical experience. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Paraphilias in adult psychiatric inpatients. (United States)

    Marsh, Patrick J; Odlaug, Brian L; Thomarios, Nick; Davis, Andrew A; Buchanan, Stephanie N; Meyer, Craig S; Grant, Jon E


    The goal of the present study was to examine the prevalence of paraphilias in an adult inpatient psychiatric population. One hundred twelve consecutive, voluntarily admitted, adult male psychiatric inpatients were administered the Structured Clinical Interview for DSM-IV, Sexual Disorders Module, Male Version, to assess the rates of DSM-IV paraphilias. Fifteen patients (13.4%) reported symptoms consistent with at least one lifetime DSM-IV paraphilia. The most common paraphilias were voyeurism (n = 9 [8.0%]), exhibitionism (n = 6 [5.4%]), and sexual masochism (n = 3 [2.7%]). Patients who screened positive for a paraphilia had significantly more psychiatric hospitalizations (P = .006) and, on a trend level, were more likely to have attempted suicide. In addition, patients with paraphilias were significantly more likely to report having been sexually abused than patients without a paraphilia (P = paraphilia. Paraphilias appear to be more common in adult male psychiatric inpatients than previously estimated. The study also demonstrated that these disorders were not screened for by the treating physician and thus may go untreated. Further, larger-scale studies are necessary in order to further examine the rates of these disorders in the general population.

  16. Actividades enzimáticas en consorcios bacterianos de suelos bajo cultivo de papa con manejo convencional y bajo pastizal


    Avellaneda Torres, Lizeth Manuela; Melgarejo Muñoz, Luz Marina; Narváez Cuenca, Carlos Eduardo; Sánchez Nieves, Jimena


    Resumen. Se evaluaron las actividades enzimáticas (ureasa, proteasa, fosfatasa ácida y alcalina, fosfodiesterasa, β-glucosidasa y arilsulfatasa) en consorcios bacterianos (Bacillus subtilis, Brevundimonas diminuta, Flavimonas oryzihabitants) de suelos bajo cultivo de papa variedad Parda Pastusa, con manejo convencional de aplicación de agroinsumos (PCA) y en suelos bajo pastizal sin aplicación de agroinsumos (PSA), en fincas de tres localidades del departamento de Cundinamarca (Tausa, Villapi...

  17. Criolla Latina, Criolla Paisa y Criolla Colombia, nuevos cultivares de papa criolla para el departamento de Antioquia (Colombia

    Directory of Open Access Journals (Sweden)

    Rodríguez Luis Ernesto


    Full Text Available

    Se evaluaron nueve clones de papa criolla durante dos semestres consecutivos en cuatro localidades del departamento de Antioquia (Colombia, a través de las siguientes variables agronómicas: potencial de rendimiento del tubérculo, rendimiento en el proceso de enlatado, gravedad específica, respuesta a Phytophthora infestans y estabilidad fenotípica. La estabilidad fenotípica fue medida por el procedimiento de rendimiento-estabilidad. La contribución de cada clon en la interacción genotipo-ambiente fue calculada mediante la varianza de Shukla. El estudio permitió seleccionar tres clones superiores de papa criolla, que fueron registrados como nuevos cultivares en el año 2005. Estos fueron: 'Criolla Latina' (98-68.5, con rendimiento entre 18 y 20 t ha -1, resistencia moderada a P. infestans, y buena aptitud para enlatado o encurtido; 'Criolla Paisa' (98-70-12, rendimiento de 22 a 25 t ha -1, resistencia moderada a P. infestans, y buena aptitud para consumo en fresco; y 'Criolla Colombia' (Clon 1, rendimiento entre 13 y 15 t ha -1, sensible a P. infestans, y adecuada para consumo en fresco y elaboración de papa precocida congelada.

  18. Psychiatric services in Algeria. (United States)

    Benmebarek, Zoubir


    The paper describes the current provision of psychiatric services in Algeria - in particular, in-patient and out-patient facilities, child psychiatry and human resources. Education, training, associations and research in the field of mental health are also briefly presented. The challenges that must dealt with to improve psychiatric care and to comply with international standards are listed, by way of conclusion.

  19. Psychiatric disorders and pregnancy

    Directory of Open Access Journals (Sweden)

    "SH. Akhondzadeh


    Full Text Available Psychiatric disorders are common in women during their childbearing years. Special considerations are needed when psychotic disorders present during pregnancy. Early identification and treatment of psychiatric disorders in pregnancy can prevent morbidity in pregnancy and in postpartum with the concomitant risks to mother and baby. Nevertheless, diagnosis of psychiatric illnesses during pregnancy is made more difficult by the overlap between symptoms of the disorders and symptoms of pregnancy. In majority of cases both psychotherapy and pharmacotherapy should be considered. However, psychiatric disorders in pregnancy are often under treated because of concerns about potential harmful effects of medication. This paper reviews findings about the presentation and course of major psychiatric disorders during pregnancy.

  20. Primary Psychiatric Diseases

    Directory of Open Access Journals (Sweden)

    Sibel Mercan


    Full Text Available The etiology of these dermatological diseases is entirely psychiatric origin. These patients show overconcern to their skin or self inflicted dermatoses unconsciously instead of facing with their real problems. In this group, delusions, dermatitis artefacta, trichotillomania, body dysmorphic disorder can be seen. They use denial as defence mechanism to their real psychiatric problems and prefer to apply dermatology instead of psychiatry. Dermatologist should be very careful before asking psychiatric consultation. Denial mechanism help patients to overcome agressive impulses like suicide or prevent further psychiatric damage like psychosis. Dermatologist should see these patients with short and frequent intervals with a good empathic approach. This will help to progress a powerful patient doctor relationship which will lead to a psychiatric evaluation.

  1. Perinatal psychiatric episodes

    DEFF Research Database (Denmark)

    Munk-Olsen, Trine; Maegbaek, M L; Johannsen, B M


    and childbirth, which suggests differences in the underlying etiology. We further speculate varying treatment incidence and prevalence in pregnancy vs postpartum may indicate that the current Diagnostic and Statistical Manual of Mental Disorders-5 peripartum specifier not adequately describes at-risk periods......Perinatal psychiatric episodes comprise various disorders and symptom severity, which are diagnosed and treated in multiple treatment settings. To date, no studies have quantified the incidence and prevalence of perinatal psychiatric episodes treated in primary and secondary care, which we aimed...... psychiatric facilities, 2.5 births were followed by an episode treated at outpatient psychiatric facility and 12 births by GP-provided pharmacological treatment. We interpret our results the following way: treated severe and moderate psychiatric disorders have different risk patterns in relation to pregnancy...

  2. Assessing the outcome of compulsory treatment orders on management of psychiatric patients at 2 McGill University-associated hospitals. (United States)

    Nakhost, Arash; Perry, John Christopher; Frank, Daniel


    Some literature suggests that compulsory community treatment orders (CTOs) are effective in reducing hospitalizations in a subgroup of psychiatric patients with histories of repeated hospitalization, allowing them to be treated in the community under less restrictive measures. However, studies have yielded contradictory findings, in part because of methodological differences. Our study examines the effectiveness of CTOs in reducing hospitalizations and increasing community tenure of such patients. The sample included all psychiatric patients who had been given a CTO during a 9-year period at 2 of McGill University's hospitals. This is a naturalistic, observational, retrospective, before-and-after study where patients acted as their own control subjects. We examined variables, including the number, duration, and time to psychiatric admissions, comparing 4 time periods: early, pre-index, index (when the first CTO was in force), and post-index periods. The total study duration per subject encompasses the longest period of observation within existing studies in Canada. Psychiatric patients with histories of frequent readmissions demonstrated a significant reduction in their number of hospitalizations as well as an increase in the median time to re-hospitalization, during the period when they were treated under a CTO. This effect of CTO was sustained even after the CTO had expired. Our study suggests that CTOs are effective in assisting psychiatric patients with histories of repeated hospitalizations to live and be treated in the community, diminishing the occurrence of frequent hospitalization.


    Directory of Open Access Journals (Sweden)

    Rafael Luciani


    Full Text Available Resumen: La Evangelii Gaudium y los discursos ofrecidos durante los viajes apostólicos a Latinoamérica han dejado clara la opción teológico-pastoral del Papa Francisco, cuyo eje se encuentra en torno a la opción preferencial por «una Iglesia pobre que asuma al pueblo-pobre» y, desde ahí, se deje evangelizar reconociendo el lugar teológico que tiene la cultura popular como mediación socioanalítica y de encuentro con el Dios de Jesús. Para comprender esto hay que adentrarse en el debate sociohistórico de la teología latinoamericana de la liberación y en el modo como esta fue recibida en Argentina por medio de la teología del pueblo. Así también, es necesario seguir los debates sobre la relación que ha de existir entre el anuncio del Evangelio, la vida de la Iglesia y la realidad de los pobres, según han sido expuestos desde Medellín hasta Aparecida. En el presente artículo iremos desarrollando estos ejes fundamentales en los que se inspira la opción teológico-pastoral del Papa Francisco y las consecuencias para la credibilidad de la comunidad cristiana en la era globalizada. Abstract: The Evangelii Gaudium and the speeches offered during the Papal Apostolic Journeys to Latin America made more clear the theological and pastoral option of Pope Francis, whose axis is around a preferential option for «a poor Church that assumes the poor-people». A Church that recognizes the theological locus of the popular culture, as a socio-analytic mediation to encounter the God of Jesus. To understand this, it is mandatory to examine the social and historical debates occasioned by Latin American Liberation Theology and the way it was received in Argentina through the so called «Theology of the People». It will also be necessary to follow the discussions on the relationship between the proclamation of the Gospel, the life of the Church and the reality of the poor, as they have been stated from Medellin and San Miguel to Aparecida. In

  4. Psychiatric aspects of bariatric surgery (United States)

    Yen, Yung-Chieh; Huang, Chih-Kuan; Tai, Chi-Ming


    Purpose of review Bariatric surgery has been consistently shown to be effective in long-term marked weight loss and in bringing significant improvement to medical comorbidities such as metabolic syndrome. Empirical data suggest a high prevalence of psychiatric disorders among bariatric surgery candidates. In this review, we focus on the studies published recently with a high impact on our understanding of the role of psychiatry in bariatric surgery. Recent findings This article reviews the specific psychopathologies before surgery, changes in psychopathologies after surgery, suicide risk related to bariatric surgery, factors associated with weight loss, and recommendations for presurgical and postsurgical assessment and management. Research indicates a decrease in certain psychiatric symptoms after weight loss with bariatric surgery. However, the risk of suicide and unsuccessful weight loss in some bariatric surgery patients make monitoring following surgery as important as careful assessment and management before surgery. Specific considerations for youth and older populations and future potential research foci are discussed. Summary Recent publications suggest new directions for psychiatric evaluation and interventions for bariatric surgery patients. Future research on outcomes of specific populations, effectiveness of psychopharmacotherapy, and underlying pathophysiology are warranted for the advancement of treating bariatric surgery patients. PMID:25036421

  5. Agreement for depression diagnosis between DSM-IV-TR criteria, three validated scales, oncologist assessment, and psychiatric clinical interview in elderly patients with advanced ovarian cancer

    Directory of Open Access Journals (Sweden)

    Rhondali W


    Full Text Available Wadih Rhondali,1 Gilles Freyer,2 Virginie Adam,3 Marilène Filbet,4 Martine Derzelle,5 Gaelle Abgrall-Barbry,6 Sophie Bourcelot,7 Jean-Louis Machavoine,8 Muriel Chomat-Neyraud,9 Olivier Gisserot,10 Rémi Largillier,11 Annick Le Rol,12 Frank Priou,13 Pierre Saltel,14 Claire Falandry15 1Clinique Mon Repos, Clinea, Marseille, France; 2Medical Oncology Unit, Centre Hospitalier Lyon Sud, Université Lyon 1, Pierre-Benite, France; 3Institut de Cancérologie de Lorraine Alexis Vautrin, Vandoeuvre-lès-Nancy, France; 4Palliative Unit, Centre Hospitalier Lyon Sud, Université Lyon 1, Pierre-Benite, France; 5Institut Jean Godinot, Reims, France; 6Tenon Hospital, Assistance Publique Hôpitaux de Paris, Paris, France; 7Centre Léon Bérard, Lyon, France; 8Centre François Baclesse, Caen, France; 9Centre Hospitalier de la région d’Annecy, Pringy, France; 10Hôpital d’Instruction des Armées Sainte-Anne, Toulon, France; 11Centre Azuréen de Cancérologie, Mougins, France; 12Medical Oncology, Hôpital Perpétuel Secours, Levallois-Perret, France; 13Medical Oncology, Centre Hospitalier Départemental Les Oudairies, La Roche-sur-Yon, France; 14Supportive Care Department, Centre Léon Bérard, Lyon, France; 15Geriatrics and Oncology Unit, Centre Hospitalier Lyon Sud, Université Lyon 1, Pierre-Bénite, France Background: Depression, a major outcome in cancer patients, is often evaluated by physicians relying on their clinical impressions rather than patient self-report. Our aim was to assess agreement between patient self-reported depression, oncologist assessment (OA, and psychiatric clinical interview (PCI in elderly patients with advanced ovarian cancer (AOC.Methods: This analysis was a secondary endpoint of the Elderly Women AOC Trial 3 (EWOT3, designed to assess the impact of geriatric covariates, notably depression, on survival in patients older than 70 years of age. Depression was assessed using the Geriatric Depression Scale-30 (GDS, the Hospital

  6. Oxytocin and Psychiatric Disorders

    Directory of Open Access Journals (Sweden)

    Gokce Nur Say


    Full Text Available Oxytocin is a neuropeptide that plays critical role in mother-infant bonding, pair bonding and prosocial behaviors. Several neuropsychiatric disorders such as autism, schizophrenia, affective disorders, anxiety disorders, attention deficit/hyperactivity disorder, alcohol/substance addiction, aggression, suicide, eating disorders and personality disorders show abnormalities of oxytocin system. These findings have given rise to the studies searching therapeutic use of oxytocin for psychi-atric disorders. The studies of oxytocin interventions in psychiatric disorders yielded potentially promising findings. This paper reviews the role of oxytocin in emotions, behavior and its effects in psychiatric disorders. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(2: 102-113

  7. Chips de papa, la fritura en vacío y beneficios para la salud

    Directory of Open Access Journals (Sweden)

    María José Crosa


    Full Text Available Existe una tendencia del mercado al consumo de alimentos más saludables que ha motivado a la industria alimentaria a innovar en tecnologías. La fritura en vacío es una tecnología alternativa a la fritura tradicional que preserva las propiedades sensoriales del snack frito y mejora la calidad nutricional.El objetivo del trabajo fue estudiar los beneficios nutricionales y para la salud y las características organolépticas de chips de papa elaborados por fritura en vacío en relación a los elaborados por fritura tradicional y diferenciarlos de los actualmente presentes en el mercado uruguayo.Los chips elaborados por fritura en vacío presentaron un 61% menos de materia grasa y 90% menos de acrilamida que los chips elaborados por fritura tradicional. Sensorialmente fueron muy bien evaluados en todos los atributos menos en la percepción de intensidad de sabor salado. 

  8. El acuerdo cubano-americano y la diplomacia del papa Francisco

    Directory of Open Access Journals (Sweden)

    Constanza Mazzina


    Full Text Available El acuerdo celebrado entre Cuba y Estados Unidos en el último diciembre de 2014 por el que se acordó la reanudación de las relaciones entre ambos países, después de más de cincuenta años de interrupción, demuestra un cambio histórico y una oportunidad recíproca. El presente artículo hace un recorrido por las relaciones bilaterales en clave histórico-política para luego revisar los hechos que desembocaron en el acuerdo, teniendo en cuenta que este implicó una negociación compleja y el esfuerzo de una serie de actores heterogéneos. Entre los distintos actores, el artículo destaca la actuación del papa Francisco como posibilitador del acuerdo y constructor del puente del diálogo entre Obama y Raúl Castro. Finalmente se introduce y reflexiona acerca de los puntos aún controversiales para el avance de las relaciones bilaterales.

  9. Assessment of quality of life with the WHOQOL-BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. (United States)

    Akvardar, Yildiz; Akdede, Berna Binnur; Ozerdem, Ayşegül; Eser, Erhan; Topkaya, Sule; Alptekin, Köksal


    Decreased quality of life is often an important cause or consequence of psychiatric illness, and needs to be included in a comprehensive treatment plan. The authors aimed to identify how psychiatric patients characterize the quality of their lives compared to others who are suffering from a chronic physical illness (diabetes) and healthy individuals. A total of 100 psychiatric patients were recruited from Dokuz Eylül University Psychiatry Department outpatient clinic. Of these, 34 had 4(th) edition Diagnostic and Statistical Manual diagnosis of alcohol dependence, 38 had schizophrenia, and 28 had bipolar disorder. A total of 35 patients with diabetes and 49 healthy individuals were also included in the study. The World Health Organization's Quality of Life Questionnaire was used to measure the quality of life. Patients with alcohol dependence, bipolar disorder, and schizophrenia scored lower than healthy subjects on the physical aspects of quality of life. Patients with schizophrenia had lower scores in the psychological domain compared to patients with bipolar disorder, patients with diabetes, and healthy subjects. In the social relationship domain, patients with schizophrenia and alcohol dependence scored lower compared to healthy subjects. Patients with schizophrenia were worse with respect to social relationships than bipolar patients and diabetics. World Health Organization's Quality of Life Questionnaire is useful for evaluating the needs and targets for interventions in psychiatric patients.

  10. Comprehensive Psychiatric Evaluation (United States)

    ... Guide - Table of Contents Facts For Families Guide - View by Topic Chinese Facts for Families Guide ... Psychiatric Evaluation No. 52; Updated October 2017 Evaluation by a child and adolescent psychiatrist is appropriate for any child or adolescent ...

  11. Psychiatric Symptoms in Children with Gross Motor Problems (United States)

    Emck, Claudia; Bosscher, Ruud J.; van Wieringen, Piet C. W.; Doreleijers, Theo; Beek, Peter J.


    Children with psychiatric disorders often demonstrate gross motor problems. This study investigates if the reverse also holds true by assessing psychiatric symptoms present in children with gross motor problems. Emotional, behavioral, and autism spectrum disorders (ASD), as well as psychosocial problems, were assessed in a sample of 40 children…

  12. Ongoing Horizontal and Vertical Transmission of Virulence Genes and papA Alleles among Escherichia coli Blood Isolates from Patients with Diverse-Source Bacteremia (United States)

    Johnson, James R.; O'Bryan, Timothy T.; Kuskowski, Michael; Maslow, Joel N.


    The phylogenetic distributions of multiple putative virulence factors (VFs) and papA (P fimbrial structural subunit) alleles among 182 Escherichia coli blood isolates from patients with diverse-source bacteremia were defined. Phylogenetic correspondence among these strains, the E. coli Reference (ECOR) collection, and other collections of extraintestinal pathogenic E. coli (ExPEC) was assessed. Although among the 182 bacteremia isolates phylogenetic group B2 predominated, exhibited the greatest concentration of individual VFs, and contained the largest number of familiar virulent clones, other phylogenetic groups exhibited greater concentrations of certain VFs than did group B2 and included several additional virulent clones. Certain of the newly detected VF genes, e.g., fyuA (yersiniabactin; 76%) and focG (F1C fimbriae; 25%), were as prevalent or more prevalent than their more familiar traditional counterparts, e.g., iut (aerobactin; 57%) and sfaS (S fimbriae; 14%), thus possibly offering additional useful targets for preventive interventions. Considerable diversity of VF profiles was observed at every level within the phylogenetic tree, including even within individual lineages. This suggested that many different pathways can lead to extraintestinal virulence in E. coli and that the evolution of ExPEC, which involves extensive horizontal transmission of VFs and continuous remodeling of pathogenicity-associated islands, is a highly active, ongoing process. PMID:11500406

  13. Toward the integration of comprehensive mental health services in HIV care: an assessment of psychiatric morbidity among HIV-positive individuals in sub-Saharan Africa. (United States)

    Olagunju, Andrew T; Ogundipe, Olasimbo A; Erinfolami, Adebayo R; Akinbode, Abiola A; Adeyemi, Joseph D


    Existing evidence from research supports the desirability of integration of mental health services into HIV care in order to mitigate the grave consequences of unattended mental health morbidity among People Living with HIV/AIDS (PLWHA). This study aims to find out the burden and pattern of psychiatric disorders that is prevalent among HIV-positive individuals attending a Nigerian-based HIV clinic. The study participants, consisting of 295 HIV-positive adults were recruited using systematic random sampling method. The participants were subjected to questionnaire to elicit demographic profile and General Health Questionnaire (GHQ-28) to screen for probable psychiatric disorders. This was followed by Structured Clinical Interview for DSM-IV Non patient (SCID-NP) to diagnose the presence of psychiatric morbidity in any of the participant with a GHQ-28 score ≥5 and 10% of those with GHQ-28 score mental disorder detected as 44 (14.9%) met the DSM-IV Axis 1 diagnosis of major depressive disorders. Anxiety disorders, concurrent Nicotine with Alcohol dependence and cannabis abuse were elicited in 24 (8.1%), 4 (1.3%), and 2 (0.7%) participants, respectively. This study finds a higher burden of psychiatric disorders in PLWHA in comparison to what is obtainable in the general population based on previous research works in similar context. Thus further underscores the need for integration of comprehensive psychiatric services into HIV care. We advocate the support and commitment of key stakeholders in HIV care to the translation of this research-based evidence into practice among PLWHA.

  14. Culture and Psychiatric Diagnosis


    Lewis-Fernández, Roberto; Aggarwal, Neil Krishan


    Since the publication of DSM-IV in 1994, a number of components related to psychiatric diagnosis have come under criticism for their inaccuracies and inadequacies. Neurobiologists and anthropologists have particularly criticized the rigidity of DSM-IV diagnostic criteria that appear to exclude whole classes of alternate illness presentations as well as the lack of attention in contemporary psychiatric nosology to the role of contextual factors in the emergence and characteristics of psychopat...

  15. Hyperthyroidism and psychiatric morbidity

    DEFF Research Database (Denmark)

    Brandt, Frans; Thvilum, Marianne; Pedersen, Dorthe Almind


    Thyroid hormones are essential for the normal development of the fetal brain, while hyperthyroidism in adults is associated with mood symptoms and reduced quality of life. We aimed to investigate the association and temporal relation between hyperthyroidism and psychiatric morbidity.......Thyroid hormones are essential for the normal development of the fetal brain, while hyperthyroidism in adults is associated with mood symptoms and reduced quality of life. We aimed to investigate the association and temporal relation between hyperthyroidism and psychiatric morbidity....

  16. Psychiatric disorders and sleep issues. (United States)

    Sutton, Eliza L


    Sleep issues are common in people with psychiatric disorders, and the interaction is complex. Sleep disorders, particularly insomnia, can precede and predispose to psychiatric disorders, can be comorbid with and exacerbate psychiatric disorders, and can occur as part of psychiatric disorders. Sleep disorders can mimic psychiatric disorders or result from medication given for psychiatric disorders. Impairment of sleep and of mental health may be different manifestations of the same underlying neurobiological processes. For the primary care physician, key tools include recognition of potential sleep effects of psychiatric medications and familiarity with treatment approaches for insomnia in depression and anxiety. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Psychiatric (Axis I) and personality (Axis II) disorders and subjective psychiatric symptoms in chronic tinnitus. (United States)

    Sahlsten, Hanna; Taiminen, Tero; Karukivi, Max; Sjösten, Noora; Nikkilä, Johanna; Virtanen, Juuso; Paavola, Janika; Joutsa, Juho; Niinivirta-Joutsa, Katri; Takala, Mari; Holm, Anu; Rauhala, Esa; Löyttyniemi, Eliisa; Johansson, Reijo; Jääskeläinen, Satu K


    Chronic tinnitus has been associated with several psychiatric disorders. Only few studies have investigated these disorders using validated diagnostic interviews. The aims were to diagnose psychiatric and personality disorders with structured interviews, to assess self-rated psychiatric symptoms and elucidate temporal relations between psychiatric disorders and tinnitus. Current and lifetime DSM-IV diagnoses of axis-I (psychiatric disorders) and axis-II (personality disorders) were assessed using structured clinical interviews (SCID-I and -II). Current subjective psychiatric symptoms were evaluated via self-rating instruments: the Symptom Check List-90 (SCL-90), the Beck Depression Inventory, and the Dissociative Experiences Scale (DES). 83 patients (mean age 51.7, 59% men) with chronic, disturbing tinnitus and a median Tinnitus Handicap Inventory score of 32. The rates of lifetime and current major depression were 26.5% and 2.4%. The lifetime rate of obsessive-compulsive personality disorder (type C) was 8.4%. None of the patients had cluster B personality disorder or psychotic symptoms. The SCL-90 subscales did not differ from the general population, and median DES score was low, 2.4. Tinnitus patients are prone to episodes of major depression and often also have obsessive-compulsive personality features. Psychiatric disorders seem to be comorbid or predisposing conditions rather than consequences of tinnitus. Clinical trial reference: (ID NCT 01929837).

  18. Papas Chips VIII : tablas de conversión y los parámetros de calidad de tubérculos de papa (Solanum tuberosum L.) materia prima para la industria


    Ordoñez, Ceferina Rosario; Limongelli, Juan Carlos Héctor; Chiesa,Angel; Abarza, Cecilia Inés; Martinuzzi, Félix; Aguilar, Gonzalo Héctor; Pagano, Eduardo Antonio; Szentiványi, Nicolás Cristian


    p.123-131 Los valores de peso específico (pe), materia seca (MS) y almidón de los tubérculos de papa son elementos importantes para seleccionar los cultivares (cvs) que se industrializan. Estos tres parámetros se han relacionado por las tablas de conversión, las que a través del dato experimental del pe permiten obtener los de MS y de almidón. Estas tablas son extranjeras, por ello se comparan nuestros valores experimentales de almidón y MS, con lo que se obtendrían de dichas tablas y-o ec...

  19. Uso e efetividade da papaína no processo de cicatrização de feridas: uma revisão sistemática


    Andréa Pinto Leite; Beatriz Guitton Renaud Baptista de Oliveira; Marja Ferreira Soares; Desirée Lessa Rodrigues Barrocas


    Trata-se de uma revisão sistemática, cujo objetivo é analisar as evidências sobre o uso da papaína na cicatrização de feridas. Foi realizado levantamento bibliográfico manual e eletrônico nas bases de dados: LILACS; COCHRANE; IBECS; MEDLINE via Pubmed e CINAHL, utilizando os seguintes termos como descritores e como palavras: Carica; Papaína; e Cicatrização, período de 1987 a 2010. Os resultados apontaram predomínio de estudos descritivos, exploratórios, estudos de caso e relatos de caso, apen...

  20. Generación de un modelo celular de síndrome PAPA utilizando la técnica CRISPR/Cas9.


    García Cortés, Celia


    Con los datos proporcionados previamente, podemos definir como objetivo del trabajo la obtención de un modelo celular del síndrome PAPA, analizando los efectos a pequeña escala de las mutaciones que provocan la enfermedad, usando una línea celular de estirpe monocítica. Para ello se seleccionan las dos mutaciones más recurrentes encontradas en pacientes con el síndrome PAPA (A230T y E250Q), y se introducen en una línea celular humana a través del sistema de endonucleasas CRISPR/Cas9. Pa...

  1. Análisis de la cadena de valor de la papa nativa en los distritos de Huayana y Pomacocha - Provincia de Andahuaylas - Apurímac.


    Quispe Ecos, Nelida


    La papa nativa, oriunda de la andes peruanos, ha llegado a nuestros días con sus diversas formas y múltiples colores gracias al cuidado y dedicación del agricultor altoandino que ha preservado por muchos años una extraordinaria diversidad de formas, colores, sabores y texturas de este importante tubérculo desde épocas incaicas y predecesores. La papa nativa, con sus cientos de variedades, así como los conocimientos y técnicas ancestrales asociados al cultivo y el manejo del pai...

  2. Evaluación de las bacterias endófitas sobre la degradación del metalaxil en plántulas de papa cv alpha


    Contreras Cortés, Ana Gabriela


    El metalaxil es un fungicida empleado en el cultivo de papa para controlar enfermedades como el tizón tardío (Phytophthira infestans). En Estados Unidos, Argentina y España se cuenta con información referente a la presencia del metalaxil en diversos productos agrícolas. en México no se cuentan con registros de la presencia del metalaxil en frutas y verduras, sin embargo es uno de los países en donde se realizan de 33 a 35 aplicaciones por ciclo de producción de la papa, debido a sus propiedad...

  3. Bases para el estudio de la competitividad de la produccion de papa de las agroempresas campesinas de la region central de Boyaca


    Rodriguez Luis Felipe; Bermudez Lilia Teresa


    Para el Departamento de Boyacá, la problemática más relevante en los aspectos tecnologico y socioeconómico en el contexto del Sector Agropecuario, se centra en el gremio de los productores de papa, especialmente en los pequeños agroempresarios. En esta región, existe un marcado predominio de los pequeños cultivos de papa, atendidos...

  4. Producción en invernadero de semilla básica de papa libre de virus


    Flores, Dora Mª; Barboza, Sonia; Brenes, Jaime


    El cultivo de la papa es afectado por enfermedades fungosas, bacterianas y virales, siendo estas últimas las que más fácil se diseminan por semilla. Las técnicas biotecnológicas como el cultivo de tejidos permiten la producción de material libre de virus, mantienen la pureza varietal, lo que asegura la calidad del producto y el incremento en el rendimiento, (CIP 1999, CIAT 1991).En Costa Rica es indispensable que los productores incorporen tecnologías apropiadas a sus sistemas productivos, ya...

  5. Psychiatric Aspects of Infertility

    Directory of Open Access Journals (Sweden)

    Hacer Sezgin


    Full Text Available Infertility can be defined as a crisis with cultural, religious, and class related aspects, which coexists with medical, psychiatric, psychological, and social problems. Relation between psychiatric and psychological factors stem from a mutual interaction of both. Family is an important institution in maintaining human existence and raising individuals in line with society's expectations. Fertility and reproduction are seen as universal functions unique to women with raising children as the expected result of the family institution. Incidence of infertility has increased recently and can become a life crisis for a couple. Even though not being able to have a child affects both sexes emotionally, women feel greater amounts of stress, pressure, anxiety, and depression.Consequences of infertility arise from short and long-term devastating effects on both individual's physical and mental health, and marital system. Many studies focus on infertility related psychological and psychiatric disorders (depression, anxiety, grief, marital conflict, gender differences, relation between the causes of infertility and psychopathology, the effects of psychiatric evaluation and intervention -when necessaryon the course of infertility treatment, pregnancy rates, and childbirth. The most important underlying causes of high levels of stress and anxiety that infertile women experience are the loss of maternity, reproduction, sense of self, and genetic continuity. In this review article is to investigate the relationship between medically unexplained symptoms and psychiatric symptoms. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 165-185

  6. Rendimiento de cosecha de diecisiete cultivares de papa (Solanum tuberosum L. del grupo Phureja

    Directory of Open Access Journals (Sweden)

    Juan F. Seminario Cunya


    Full Text Available El objetivo de la investigación fue evaluar el rendimiento de tubérculos y las variables relacionadas de 17 cultivares de papa del grupo Phureja, de la región Cajamarca-Perú. El experimento se realizó en el valle de Cajamarca (2650 msnm en diseño de bloques completamente randomizados, con 17 tratamientos (cultivares y tres repeticiones, sembrados a 0,90 m entre surcos y 0,40 m entre plantas. Se evaluó altura de planta, número de tallos, número y peso total de tubérculos, número y peso de tubérculos comerciales, materia seca de tubérculos y follaje (%, índice de cosecha, gravedad específica y rendimiento de tubérculos por hectárea. Los datos fueron tratados mediante análisis de varianza y prueba de rango múltiple de Tukey (p ≤ 0,05. El rendimiento de tubérculos varió de 8,2 t∙ha-1 a 27,4 t∙ha-1 y el promedio fue de 15,5 t∙ha-1 . El índice de cosecha promedio fue de 65%. Los tubérculos comerciales representaron entre 49% y 97%. Los cultivares presentaron diferencias estadísticas altamente significativas en rendimiento por hectárea, altura de planta, número de tallos, número total de tubérculos, número de tubérculos comerciales y peso de tubérculos comerciales. Nueve cultivares fueron estadísticamente similares y superiores al resto, en rendimiento de tubérculos por hectárea. Un cultivar fue superior a todos los demás, en rendimiento de tubérculos comerciales.

  7. Psychiatric patient and anaesthesia

    Directory of Open Access Journals (Sweden)

    Joginder Pal Attri


    Full Text Available Many patients with psychiatric illnesses are prescribed long-term drug treatment, and the anaesthesiologist must be aware of potential interactions with anaesthetic agents. Psychotropic drugs often given in combination with each other or with other non-psychiatric drugs generally exert profound effects on the central and peripheral neurotransmitter and ionic mechanisms. Hence, prior intake of these drugs is an important consideration in the management of the patient about to undergo anaesthesia and surgery. This article highlights the effects of anaesthetics on patients taking antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors and lithium carbonate. The risk that should be considered in the perioperative period are the extent of surgery, the patient′s physical state, anaesthesia, the direct and indirect effects of psychotropics, risk of withdrawal symptoms and risk of psychiatric recurrence and relapse.

  8. Recurrent abdominal pain in children: psychiatric diagnoses and parental psychopathology. (United States)

    Garber, J; Zeman, J; Walker, L S


    Approximately 12% of children report recurrent episodes of abdominal pain. In only about 10% of these cases, however, can an organic etiology be identified, and therefore it often is assumed that these children have emotional problems. To test this hypothesis, children with recurrent abdominal pain (RAP) with no identifiable organic cause were compared to children with an organic diagnosis for their abdominal pain, children with psychiatric disorders, and healthy controls. Both groups of children with abdominal pain had significantly more psychiatric disorders (predominantly anxiety and depression) than did the healthy group. Both RAP and psychiatric children had significantly higher Child Behavior Checklist internalizing scores; psychiatric children were rated as significantly more maladjusted on the Children's Global Assessment Scale. Mothers of RAP children were significantly more anxious than mothers of organic pain and healthy children. Psychiatric children were significantly more likely than the other three groups to underreport their psychiatric symptoms relative to their mothers.

  9. A comprehensive psychiatric service

    DEFF Research Database (Denmark)

    Wang, A G


    A comprehensive psychiatric service was established in 1969 in the Faroe Islands. This service was created as a department of a general hospital. The spheres covered by this department, operating in the midst of the community were: acute and chronic patients, a liaison-psychiatric service......, and an outpatient service. The number of chronic patients has not decreased, due to an influx of unruly senile patients. The close proximity of the service to the community has increased the pressure with regard to the care of such patients. Other services, such as outpatient treatment of alcoholics and neurotics...

  10. A comprehensive psychiatric service

    DEFF Research Database (Denmark)

    Wang, A G


    , and an outpatient service. The number of chronic patients has not decreased, due to an influx of unruly senile patients. The close proximity of the service to the community has increased the pressure with regard to the care of such patients. Other services, such as outpatient treatment of alcoholics and neurotics......A comprehensive psychiatric service was established in 1969 in the Faroe Islands. This service was created as a department of a general hospital. The spheres covered by this department, operating in the midst of the community were: acute and chronic patients, a liaison-psychiatric service...

  11. 42 CFR 412.27 - Excluded psychiatric units: Additional requirements. (United States)


    ... personnel, psychological services, social work services, psychiatric nursing, and therapeutic activities. (c... of assessment/diagnostic data. Medical records must stress the psychiatric components of the record... health nursing, or its equivalent, from a school of nursing accredited by the National League for Nursing...

  12. Ethological approaches to psychiatric disorders : focus on depression and schizophrenia

    NARCIS (Netherlands)

    Geerts, Erwin; Bruene, Martin


    Behavioural observation of psychiatric patient groups using ethological methodology has never been a mainstream approach in psychiatry. In the present review article it is argued that the assessment of non-verbal behaviour in psychiatric disorders has much to offer to clinicians. Based on a Medline

  13. Psychiatric Disorders and Behavior Problems in People with Intellectual Disability (United States)

    Myrbakk, Even; von Tetzchner, Stephen


    The relationship between behavior problems and psychiatric disorders in individuals with intellectual disability is still unresolved. The present study compares the prevalence and pattern of psychiatric disorders in individuals with intellectual disability who were assessed on the ABC to have moderate and severe behavior problems and a matched…

  14. High tuberculosis prevalence in a psychiatric hospital in Vietnam

    NARCIS (Netherlands)

    van Duc, L.; Vree, M.; Cobelens, F. G.; Phuc, L. T.; Sy, D. N.


    Little is known about tuberculosis (TB) prevalence in psychiatric hospitals in Vietnam, but prevalence may be higher than in the general population. We assessed the TB prevalence among in-patients of a psychiatric hospital in 2005 in Danang City, Vietnam. Of 300 in-patients, 70 had an abnormal X-ray

  15. co-morbid psychiatric disorders in nigerian patients suffering ...

    African Journals Online (AJOL)

    28-item General Health Questionnaires and the Hospital Anxiety and Depression Scales were used for first stage screening while the second stage interview utilised the Psychiatric Assessment Schedule. Results: The prevalence of psychiatric morbidity was 37.5% and 12.5% in the study and control groups respectively.

  16. Psychiatric genetics:AJP

    African Journals Online (AJOL)


    their caregivers in South Africa. The heritability of the majority of the psychiatric disorders is ... linkage analyses in a cohort of Bantu-speaking black South. Africans.17-22 Areas of implied linkage to schizophrenia ... one of the studies of a Bantu-speaking schizophrenia cohort. Table I. Glossary of genetic terminology. Allele.

  17. Cerebellum and psychiatric disorders


    Baldaçara,Leonardo; Borgio,João Guilherme Fiorani; Lacerda,Acioly Luiz Tavares de; Jackowski,Andrea Parolin


    OBJECTIVE: The objective of this update article is to report structural and functional neuroimaging studies exploring the potential role of cerebellum in the pathophysiology of psychiatric disorders. METHOD: A non-systematic literature review was conducted by means of Medline using the following terms as a parameter: "cerebellum", "cerebellar vermis", "schizophrenia", "bipolar disorder", "depression", "anxiety disorders", "dementia" and "attention deficit hyperactivity disorder". The electron...

  18. Determinación cuantitativa de vitamina C y pigmentos y procesamiento de la papa criolla, variedad yema de huevo (Solanum phureja Juz et Buck)

    National Research Council Canada - National Science Library

    Isabel Alvarez G; Gabriela Mahecha; Rosa Guzman


    ... los siguientes valores: criolla 21 mg/100 g, pardo-pastusa 18 mg/100 g (para muestra fresca). Las pérdidas de Vitamina C de papa criolla con piel fueron durante la cocción {92°C durante 25') de 1 9 % y en el freído (175°C por 3') de 30...


    African Journals Online (AJOL)



    Jan 1, 2000 ... Background: In Nigeria, with a rising incidence of diabetes mellitus (DM), there are ... Objective: To assess the prevalence of specific psychiatric disorders and ..... Suleiman T.G., Ohaeri J.U., Lawal R.A., Haruna A.T. and Orija.

  20. Suicidal ideation and sex differences in relation to 18 major psychiatric disorders in college and university students: anonymous web-based assessment. (United States)

    Tupler, Larry A; Hong, Jennifer Y; Gibori, Ron; Blitchington, Timothy F; Krishnan, K Ranga R


    College/university students are at high risk for psychiatric disorder and suicide secondary to age, campus stressors, and social pressures. We therefore report frequencies of 18 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision disorders and suicidal ideation (SI) acquired anonymously from a Web site receiving 113,181 visits from more than 1,500 predominantly US colleges/universities. Depression was foremost, followed by social phobia and eating disorders. Substance-related disorders were less frequent than expected. SI occurred in 47.1% of students, with women evidencing somewhat stronger findings than men. SI was more associated with substance, bipolar, and panic disorders than depression. Self-reported emotional volatility exceeded thoughts of self-harm for all disorders. The results support two subtypes of suicide risk: dysphoric premeditators and those primarily angry and/or impulsive. Clinicians and researchers should therefore consider suicide as an independent psychopathological phenomenon that includes emotional volatility as a risk factor and thoroughly evaluate psychiatric disorders potentially conferring greater suicidal propensity than depression.

  1. Psychiatric comorbidities in women with celiac disease. (United States)

    Arigo, Danielle; Anskis, Alicia M; Smyth, Joshua M


    Although the physical consequences of Celiac Disease are well studied, less is known about co-occurring psychiatric symptoms. This study examines psychiatric risk and comorbidities of women with Celiac Disease, who may be at increased risk for psychiatric symptoms (e.g. depression, and disordered eating behaviours). Women (N = 177) with Celiac Disease responded to an extensive web-mediated survey assessing dietary compliance, illness symptoms, psychiatric functioning, and disordered eating. Despite high reported dietary compliance, patients reported marked illness symptoms and impaired quality of life. A substantial minority endorsed symptoms that met criteria for the diagnosis of psychiatric disorders: 37% (n = 65) met the threshold suggesting depression, and 22% (n = 39) for disordered eating. Participants whose symptoms exceeded these clinical thresholds reported greater perceived stress and reduced overall mental health, relative to women below the clinical cutoffs. Despite largely adhering to a gluten-free diet, a substantial subset of women with Celiac Disease report clinically relevant symptoms of depression and disordered eating; such symptoms are associated with increased psychosocial distress in other domains. These results suggest potential to improve the patient well-being through attention to psychosocial care, in addition to existing dietary recommendations for individuals with Celiac Disease.

  2. Impulse control disorders in adult psychiatric inpatients. (United States)

    Grant, Jon E; Levine, Laura; Kim, Daniel; Potenza, Marc N


    The authors' goal was to examine the prevalence of impulse control disorders in psychiatric inpatients. They used the Minnesota Impulsive Disorders Interview, a semistructured clinical interview assessing pathological gambling, trichotillomania, kleptomania, pyromania, intermittent explosive disorder, compulsive buying, and compulsive sexual behavior, to screen 204 consecutively admitted psychiatric inpatients. One hundred twelve of the inpatients were women (54.9%), and the mean age of the 204 inpatients was 40.5 years (SD=13.2, range=18-83). Patients whose screen was positive for an impulse control disorder were evaluated with structured clinical interviews. Sixty-three patients (30.9%) were diagnosed with at least one current impulse control disorder. The most common impulse control disorders were compulsive buying (N=19 [9.3%]), kleptomania (N=16 [7.8%]), and pathological gambling (N=14 [6.9%]). Patients with and without co-occurring impulse control disorders did not differ significantly from each other on demographic measures or number or type of psychiatric diagnoses other than impulse control disorders. Impulse control disorders appear common among psychiatric inpatients. Additional, larger studies are needed to examine the prevalence of impulse control disorders in the general population and specific psychiatric groups.


    Directory of Open Access Journals (Sweden)

    Gilberto Cabalceta


    Full Text Available Se determinaron las curvas de crecimien- to y absorción de nutrimentos de la variedad de papa MNF-80 en 2 zonas en las laderas del volcán Irazú, una situada a 3000 msnm (Irazú y otra a 1500 msnm (Juan Viñas, en Andisoles de fertilidad moderada. Cada 15 días después de la siembra (DDS se tomaron muestras, las cuale se dividieron en parte aérea, tubérculo y raíz, para medir su peso fresco y seco y la concentración de nutrimentos. La tasa de crecimiento fue mayor en Juan Viñas (80-90 días a madurez que en Irazú (135 días, debido a que a mayor altitud, la temperatura, la luminosidad y la velocidad de desarrollo disminuyen. Los nutrimentos absorbidos en mayor cantidad en ambas fincas fueron K y N (>100 kg ha-1, seguidos por P, Ca, Mg y S (8-20 kg ha-1. En la finca Irazú, para un rendimiento de 36 t ha-1, se absorbió 110, 15, 166, 12, 10, y 11 kg ha-1 de N, P, K, Ca, Mg y S, respectivamente. También, 904, 68, 162, 317, y 42 g ha-1 de Fe, Cu, Zn, Mn y B, respectivamente. En la finca Juan Viñas, para un rendimiento de 28 t ha-1, se absorbió 133, 8, 173, 22, 10, y 10 kg ha-1 de N, P, K, Ca, Mg y S, respectivamente. N, P, K, Ca, Mg y S ocurrió hasta los 60 DDS, y a excepción del Ca, los demás nutrimentos presentan otro momento de absorción al final del ciclo.En la finca Juan Viñas la mayor absorción total de N, P, K, Ca, Mg y S ocurrió hasta los 45 DDS. También, 1097,68, 181, 651, y 84 g ha-1 de Fe, Cu, Zn, Mn, y B, respectivamente. En Irazú la mayor absorción de

  4. An interprofessional psychiatric advanced pharmacy practice experience. (United States)

    Goldstone, Lisa W; Cooley, Janet


    To create an interprofessional psychiatry advanced pharmacy practice experience (APPE) and assess the initial outcomes. An elective psychiatry APPE was developed in a setting of interdisciplinary practice. Preceptor responsibilities were shared between a psychiatric pharmacist and an attending psychiatrist or psychiatric nurse practitioner. Students were also given the opportunity to shadow and work with other health care professionals such as nurses, social workers, therapists, family nurse practitioners, and utilization review staff members. Midpoint and final evaluations demonstrated student advancement throughout the experience as well as the development of communication skills with patients and an increased ability to work collaboratively with other health care providers. Students rated this practice experience highly and their comments reflected achievement of the established learning objectives. An interdisciplinary elective practice experience in psychiatry at a local teaching hospital was effective in teaching psychiatric care and interprofessional interaction. This teaching model can be adapted for use in other practice settings or specialty areas.

  5. Psychiatric disorders, acne and systemic retinoids: comparison of risks. (United States)

    Le Moigne, M; Bulteau, S; Grall-Bronnec, Marie; Gerardin, M; Fournier, Jean-Pascal; Jonville-Bera, A P; Jolliet, Pascale; Dreno, Brigitte; Victorri-Vigneau, C


    The link between isotretinoin, treatment of a severe form of acne, and psychiatric disorders remains controversial, as acne itself could explain the occurrence of psychiatric disorders. This study aims at assessing the disproportionality of psychiatric adverse events reported with isotretinoin in the French National PharmacoVigilance Database, compared with other systemic acne treatments and systemic retinoids. Data were extracted from the French National PharmacoVigilance Database for systemic acne treatments, systemic retinoids and drugs used as comparators. Each report was subjected to double-blind analysis by two psychiatric experts. A disproportionality analysis was performed, calculating the number of psychiatric ADRs divided by the total number of notifications for each drug of interest. Concerning acne systemic treatments: all 71 reports of severe psychiatric disorders involved isotretinoin, the highest proportion of mild/moderate psychiatric adverse events was reported with isotretinoin (14.1%). Among systemic retinoids, the highest proportion of severe and mild/moderate psychiatric events occurred with isotretinoin and alitretinoin. Our study raises the hypothesis that psychiatric disorders associated with isotretinoin are related to a class effect of retinoids, as a signal emerges for alitretinoin. Complementary studies are necessary to estimate the risk and further determine at-risk populations.

  6. Data mining in psychiatric research. (United States)

    Tovar, Diego; Cornejo, Eduardo; Xanthopoulos, Petros; Guarracino, Mario R; Pardalos, Panos M


    Mathematical sciences and computational methods have found new applications in fields like medicine over the last few decades. Modern data acquisition and data analysis protocols have been of great assistance to medical researchers and clinical scientists. Especially in psychiatry, technology and science have made new computational methods available to assist the development of predictive modeling and to identify diseases more accurately. Data mining (or knowledge discovery) aims to extract information from large datasets and solve challenging tasks, like patient assessment, early mental disease diagnosis, and drug efficacy assessment. Accurate and fast data analysis methods are very important, especially when dealing with severe psychiatric diseases like schizophrenia. In this paper, we focus on computational methods related to data analysis and more specifically to data mining. Then, we discuss some related research in the field of psychiatry.

  7. Patient Aggression and the Wellbeing of Nurses: A Cross-Sectional Survey Study in Psychiatric and Non-Psychiatric Settings

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    Virve Pekurinen


    Full Text Available Wellbeing of nurses is associated with patient aggression. Little is known about the differences in these associations between nurses working in different specialties. We aimed to estimate and compare the prevalence of patient aggression and the associations between patient aggression and the wellbeing of nurses in psychiatric and non-psychiatric specialties (medical and surgical, and emergency medicine. A sample of 5288 nurses (923 psychiatric nurses, 4070 medical and surgical nurses, 295 emergency nurses participated in the study. Subjective measures were used to assess both the occurrence of patient aggression and the wellbeing of nurses (self-rated health, sleep disturbances, psychological distress and perceived work ability. Binary logistic regression with interaction terms was used to compare the associations between patient aggression and the wellbeing of nurses. Psychiatric nurses reported all types of patient aggression more frequently than medical and surgical nurses, whereas nurses working in emergency settings reported physical violence and verbal aggression more frequently than psychiatric nurses. Psychiatric nurses reported poor self-rated health and reduced work ability more frequently than both of the non-psychiatric nursing groups, whereas medical and surgical nurses reported psychological distress and sleep disturbances more often. Psychiatric nurses who had experienced at least one type of patient aggression or mental abuse in the previous year, were less likely to suffer from psychological distress and sleep disturbances compared to medical and surgical nurses. Psychiatric nurses who had experienced physical assaults and armed threats were less likely to suffer from sleep disturbances compared to nurses working in emergency settings. Compared to medical and surgical nurses, psychiatric nurses face patient aggression more often, but certain types of aggression are more common in emergency settings. Psychiatric nurses have

  8. Determinación cuantitativa de vitamina C y pigmentos y procesamiento de la papa criolla, variedad yema de huevo (Solanum phureja Juz et Buck

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    Isabel Alvarez G.


    Full Text Available Empleando papa pardo'pastusa (Solanum tuberosum como control, se determinó el contenido de Vitamina C total en la papa criolla, variedad Yema de Huevo (Solanum phureja, Juz et Buck y se evaluaron las pérdidas durante la cocción y el freído. Se utilizaron los métodos colorimétrico y densitométrico: el primero dio resultados altos debido a sustancias interferentes; el segundo reportó los siguientes valores: criolla 21 mg/100 g, pardo-pastusa 18 mg/100 g (para muestra fresca. Las pérdidas de Vitamina C de papa criolla con piel fueron durante la cocción {92°C durante 25' de 1 9 % y en el freído (175°C por 3' de 30%. También se analizaron los carotenos y xantofilas dando: carotenos en papa criolla, 1.5 mg/100 g, en pardo-pastusa 0.5 mg/100 g (muestra fresca y xantofilas en papa criolla 0.6 mg/100 g, en pardo-pastusa 0.13 mg/100 g. Se procesó en las siguientes formas no tradicionales: en harinas compuestas aceptadas por ios consumidores, en una sustitución del 2 0% con puré; frita en tajadas con piel y pasabocas de puré. El tiempo de vida fue para frita tres semanas a 16°C V más de una semana a 25°C; para pasabocas cinco semanas y media a 16 C y un mes a 30°C.

  9. Foliar disease assessment of groundnut ( Arachis hypogea L ...

    African Journals Online (AJOL)

    Groundnut (Arachis hypogea L.) is an important food and oil legume but its commercial production is often limited to some regions in Nigeria due to attack by pests and diseases. Seven varieties of groundnut released by the Institute for Agricultural Research Samaru and a local variety papa were assessed for their response ...

  10. [Compulsive buying and psychiatric comorbidity]. (United States)

    Mueller, Astrid; Mühlhans, Barbara; Silbermann, Andrea; Müller, Ulrike; Mertens, Christian; Horbach, Thomas; Mitchell, James E; de Zwaan, Martina


    Compulsive buying is an excessive behavior that has begun to receive attention from researchers in recent years. The current study provides an overview of research on compulsive buying and examines the psychiatric co-morbidity in a German female treatment seeking compulsive buying sample in comparison with age and gender-matched normal buying control groups. Thirty women suffering from compulsive buying disorder, 30 community controls, and 30 bariatric surgery candidates were assessed with the German versions of the Structured Clinical Interview for DSM-IV diagnoses (SCID). Women with compulsive buying disorder showed significantly higher prevalence rates of affective, anxiety, and eating disorders compared to community controls, and suffered significantly more often from affective and anxiety disorders compared to bariatric surgery candidates. The compulsive buying group presented with the highest rates of personality disorders, most commonly avoidant, depressive, obsessive-compulsive, and borderline personality disorder, and reported the highest prevalence rates of other impulse control disorders, especially for intermittent explosive disorder. The findings suggest an elevated psychiatric co-morbidity in patients with compulsive buying disorder.

  11. Syphilis sero-positivity in recently admitted and long-term psychiatric ...

    African Journals Online (AJOL)

    Background. Syphilis research has neglected the prevalence of the disease among psychiatric patients, and traditional syphilis screening has been reported as inadequate. Objectives. (i) To assess the syphilis prevalence among psychiatric patients; (ii) to compare psychiatric diagnoses of syphilis-infected and -uninfected ...

  12. [Rheumatic fibromyalgia: psychiatric features]. (United States)

    Sarró Alvarez, S


    Rheumatic fibromyalgia, also known as fibrositis or myofascial pain, is a common syndrome whose diagnoses, founded mainly on physical examination, usually delays due to symptom unspecificity, amount of complementary tests requested and intercourse with psychiatric disorders. Psychyatrists and psychologists get often involved in fibromyalgia treatment. Its proper knowledge prevents not only physicians and patients' psychological discourage but also development of depression and mental health expenses, as well as allows designing a treatment plan according to the main symptoms which may offer improvement chances to fibromyalgia patients. This article intends to offer an up-to-date and complete information about this entity, focused on psychiatric aspects, to better identify and manage such a puzzling disease.

  13. Bibliometric assessment of publication output of child and adolescent psychiatric/psychological affiliations between 2005 and 2010 based on the databases PubMed and Scopus. (United States)

    Albayrak, Ozgür; Föcker, Manuel; Wibker, Katrin; Hebebrand, Johannes


    We aimed to determine the quantitative scientific publication output of child and adolescent psychiatric/psychological affiliations during 2005-2010 by country based on both, "PubMed" and "Scopus" and performed a bibliometric qualitative evaluation for 2009 using "PubMed". We performed our search by affiliation related to child and adolescent psychiatric/psychological institutions using "PubMed". For the quantitative analysis for 2005-2010, we counted the number of abstracts. For the qualitative analysis for 2009 we derived the impact factor of each abstract's journal from "Journal Citation Reports". We related total impact factor scores to the gross domestic product (GDP) and population size of each country. Additionally, we used "Scopus" to determine the number of abstracts for each country that was identified via "PubMed" for 2009 and compared the ranking of countries between the two databases. 61 % of the publications between 2005 and 2010 originated from European countries and 26 % from the USA. After adjustment for GDP and population size, the ranking positions changed in favor of smaller European countries with a population size of less than 20 million inhabitants. The ranking of countries for the count of articles in 2009 as derived from "Scopus" was similar to that identified via the "PubMed" search. The performed search revealed only minor differences between "Scopus" and "PubMed" related to the ranking of countries. Our data indicate a sharp difference between countries with a high versus low GDP with regard to scientific publication output in child and adolescent psychiatry/psychology.

  14. Costos de producción y competitividad del cultivo de la papa en el Estado de México

    Directory of Open Access Journals (Sweden)

    Jos\\u00E9 Luis Morales-Hern\\u00E1ndez


    Full Text Available El objetivo de esta investigación fue determinar los costos de producción y rentabilidad del cultivo de papa. Esta investigación se realizó de marzo a septiembre de 2009, en el Estado de México y se basó en información obtenida en una encuesta por muestreo estratificado de productores grandes (más de 10 ha, medianos (5-10 ha y pequeños (1-5 ha de diez municipios. La metodología utilizada fue la Matriz de Análisis de Política (MAP la cual tiene como fi nalidad medir los efectos de la apertura comercial, y la efi ciencia de los sistemas de producción. Los resultados mostraron que productores grandes tuvieron mayor rentabilidad (6.421,0 a 8.765,0 US$ que los productores medianos (5.170,0 a 8.291,0 US$ y pequeños (3.107,0 a 6.658,0 US$. El cultivo de papa pagó el valor de mercado de los factores internos, incluyendo un retorno al capital. La relación de costo privado en promedio fue menor en productores grandes (0,24 en relación a productores medianos (0,25 y pequeños (0,30 lo cual indicó mayor rentabilidad y competitividad en productores grandes. El consumo intermedio en el ingreso total en productores grandes fue 25%, en tanto, que en medianos y pequeños fue 27,0 y 33%, respectivamente, lo cual integra el porcentaje en la compra de insumo. De manera complementaria el valor agregado en el ingreso total para productores grandes, fue 75%, mientras que para medianos y pequeños fue 73,0 y 67%, representando el aporte del cultivo en la generación de empleo. La actividad productiva del cultivo de papa en 2009, por tanto fue redituable en función de los precios recibidos y pagados.

  15. Culture and psychiatric diagnosis. (United States)

    Lewis-Fernández, Roberto; Aggarwal, Neil Krishan


    Since the publication of DSM-IV in 1994, neurobiologists and anthropologists have criticized the rigidity of its diagnostic criteria that appear to exclude whole classes of alternate illness presentations, as well as the lack of attention in contemporary psychiatric nosology to the role of contextual factors in the emergence and characteristics of psychopathology. Experts in culture and mental health have responded to these criticisms by revising the very process of diagnosis for DSM-5. Specifically, the DSM-5 Cultural Issues Subgroup has recommended that concepts of culture be included more prominently in several areas: an introductory chapter on Cultural Aspects of Psychiatric Diagnosis - composed of a conceptual introduction, a revised Outline for Cultural Formulation, a Cultural Formulation Interview that operationalizes this Outline, and a glossary on cultural concepts of distress - as well as material directly related to culture that is incorporated into the description of each disorder. This chapter surveys these recommendations to demonstrate how culture and context interact with psychiatric diagnosis at multiple levels. A greater appreciation of the interplay between culture, context, and biology can help clinicians improve diagnostic and treatment planning. Copyright © 2013 APA*

  16. Psychiatric specialty training in Greece. (United States)

    Margariti, M; Kontaxakis, V; Ploumpidis, D


    specialty, the European Board of Psychiatry. In the US, the supervising bodies are the Accreditation Council on Graduate Medical Education (ACGME) and the American Board of Psychiatry and Neurology, in the United Kingdom the Royal College of Psychiatrists, in Canada the Royal College of Physicians and Surgeons, etc. In our country, the debate on the need to reform the institutional framework for Psychiatric training has been underway since the mid-90s, with initiatives especially by the Hellenic Psychiatric Association, aiming to raise awareness and concern among psychiatrists while responding to requests from competent central bodies of the state, as well as establishing Panhellenic training programs for psychiatric trainees and continuing education programs. But what is the situation of the educational map in the country today, what would be the objectives, and how might we proceed? These questions we will try to answer in an effort initiated by Hellenic Psychiatric Association (HPA) and the journal "Psychiatriki" with the publication of thematic articles starting by presenting in the next issue of "Psychiatriki"a comparative study of the training in the specialty of psychiatry at two distinct periods of time (2000 and 2014). These time-frames are of great importance, since the first is a period that in retrospect can be considered as wealthier yet missing robust priorities, while the second, at the peak of the economic crisis, constitutes a difficult environment with limited resources. Already in the year 2000, psychiatric residency training in our country had major difficulties due to its outdated framework and its fragmentation. All areas in which training is assessed (clinical experience, theoretical training and training in psychotherapy exhibited inadequacies and limited convergence with European golden standards, in the absence of a plan and the implementation of a national education curriculum. Certain university clinics constituted an important exception, though

  17. Main clinical features in patients at their first psychiatric admission to Italian acute hospital psychiatric wards. The PERSEO study

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    Russo Federico


    Full Text Available Abstract Background Few data are available on subjects presenting to acute wards for the first time with psychotic symptoms. The aims of this paper are (i to describe the epidemiological and clinical characteristics of patients at their first psychiatric admission (FPA, including socio-demographic features, risk factors, life habits, modalities of onset, psychiatric diagnoses and treatments before admission; (ii to assess the aggressive behavior and the clinical management of FPA patients in Italian acute hospital psychiatric wards, called SPDCs (Servizio Psichiatrico Diagnosi e Cura = psychiatric service for diagnosis and management. Method Cross-sectional observational multi-center study involving 62 Italian SPDCs (PERSEO – Psychiatric EmeRgency Study and EpidemiOlogy. Results 253 FPA aged Conclusion Subjects presenting at their first psychiatric ward admission have often not undergone previous adequate psychiatric assessment and diagnostic procedures. The first hospital admission allows diagnosis and psychopharmacological treatment to be established. In our population, aggressive behaviors were rather frequent, although most commonly verbal. Psychiatric symptoms, as evaluated by psychiatrists and patients, improved significantly from admission to discharge both for FPA and non-FPA patients.

  18. Potentially inappropriate prescribing in older patients admitted to psychiatric hospital

    NARCIS (Netherlands)

    Rongen, S.; Kramers, C.; O'Mahony, D.; Feuth, T.; Olde Rikkert, M.G.M.; Ahmed, A.I.A.


    OBJECTIVES: The objectives of this study are to determine the prevalence of potentially inappropriate prescribing including potentially inappropriate medications (PIMs) and potential prescription omissions (PPOs) and to assess related risk factors in older people with major psychiatric illness.

  19. Part 5. Public health and air pollution in Asia (PAPA): a combined analysis of four studies of air pollution and mortality. (United States)

    Wong, C M; Vichit-Vadakan, N; Vajanapoom, N; Ostro, B; Thach, T Q; Chau, P Y K; Chan, E K P; Chung, R Y N; Ou, C Q; Yang, L; Peiris, J S M; Thomas, G N; Lam, T H; Wong, T W; Hedley, A J; Kan, H; Chen, B; Zhao, N; London, S J; Song, G; Chen, G; Zhang, Y; Jiang, L; Qian, Z; He, Q; Lin, H M; Kong, L; Zhou, D; Liang, S; Zhu, Z; Liao, D; Liu, W; Bentley, C M; Dan, J; Wang, B; Yang, N; Xu, S; Gong, J; Wei, H; Sun, H; Qin, Z


    In recent years, Asia has experienced rapid economic growth and a deteriorating environment caused by the increasing use of fossil fuels. Although the deleterious effects of air pollution from fossil-fuel combustion have been demonstrated in many Western nations, few comparable studies have been conducted in Asia. Time-series studies of daily mortality in Asian cities can contribute important new information to the existing body of knowledge about air pollution and health. Not only can these studies verify important health effects of air pollution in local regions in Asia, they can also help determine the relevance of existing air pollution studies to mortality and morbidity for policymaking and environmental controls. In addition, the studies can help identify factors that might modify associations between air pollution and health effects in various populations and environmental conditions. Collaborative multicity studies in Asia-especially when designed, conducted, and analyzed using a common protocol-will provide more robust air pollution effect estimates for the region as well as relevant, supportable estimates of local adverse health effects needed by environmental and public-health policymakers. The Public Health and Air Pollution in Asia (PAPA*) project, sponsored by the Health Effects Institute, consisted of four studies designed to assess the effects of air pollution on mortality in four large Asian cities, namely Bangkok, in Thailand, and Hong Kong, Shanghai, and Wuhan, in China. In the PAPA project, a Common Protocol was developed based on methods developed and tested in NMMAPS, APHEA, and time-series studies in the literature to help ensure that the four studies could be compared with each other and with previous studies by following an established protocol. The Common Protocol (found at the end of this volume) is a set of prescriptive instructions developed for the studies and used by the investigators in each city. It is flexible enough to allow for

  20. Dinámica del cadmio en suelos cultivados con papa en Nariño, Colombia.

    Directory of Open Access Journals (Sweden)

    Liliana Insuasty B


    Full Text Available Se evaluó la fijación y movilidad de cadmio en suelos dedicados al cultivo de papa en Túquerres, Pasto y Guachucal. Se tomaron muestras de suelos no disturbadas en cilindros de PVC, las cuales, luego de aplicaciones fraccionadas de cadmio con dosis de 0, 50,100 y 150 ppm, se incubaron a capacidad de campo durante cuatro meses. En estos suelos los contenidos de cadmio total e intercambiable no sobrepasaron los límites permisibles establecidos por Organización Mundial de la Salud-Organización de las Naciones Unidas para la Agricultura y la Alimentación (OMS-FAO; no obstante, la mayor cantidad del elemento se localizó en la parte superior de los núcleos, lo cual indica baja movilidad del elemento en el perfil.

  1. La visita del Papa Benedicto XVI a Turquía: la Santa Sede ante la Sublime Puerta

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    Gracia Abad


    Full Text Available Entre el 28 de noviembre y el 1 de diciembre de 2006 el Papa Benedicto XVI realizó una visita a Turquía en el que sería el quinto viaje de su Pontificado. La visita, dadas las circunstancias políticas y religiosas del momento, parecía desde un principio cargada de significado y simbolismo. Con ese trasfondo, tres serían los objetivos principales del viaje: la visita pastoral, el diálogo ecuménico y el diálogo interreligioso y una la cuestión candente que impregnaría todo el viaje: la libertad religiosa.

  2. Estudios orientados a la transformación de papa criolla (Solanum Phureja mediada por Agrobacterium tumefaciens

    Directory of Open Access Journals (Sweden)

    Chaparro Giraldo Alejandro


    Full Text Available La papa criolla (Solanum phureja Juz. et Buk es un importante recurso genético colombiano. Fue excluida del Tratado Internacional sobre los Recursos Fitogenéticos de la FAO, y siendo Colombia el principal país que la explota comercialmente y que ha desarrollado un cultivar mejorado tradicionalmente conocido como “Yema de Huevo”, las posibilidades de explotación de este recurso son importantes. Este cultivar presenta problemas de enfermedades y plagas, en particular es atacado por Tecia solanivora y Premnotrypes vorax llegando a afectar hasta el 50% del
    cultivo; no se han registrado genes de resistencia al insecto en el pool genético de la especie, por lo que la aplicación de estrategias de ingeniería genética podría mejorar la resistencia a plagas. El propósito de este trabajo fue investigar las condiciones para el establecimiento in vitro,
    micropropagación y regeneración de papa criolla, y establecer una serie de parámetros críticos para la transformación genética de Solanum phureja mediada por Agrobacterium tumefaciens. Con este propósito, se utilizó un vector de transformación con el plásmido pNOV022 conteniendo una construcción quimérica con los genes mirl2 (codifica para un inhibidor de proteasas y pmi (codifica para fosfomanosa isomerasa. La introducción in vitro de material de papa criolla cultivado en invernadero fue efectiva mediante el uso de alcohol al 70% por un minuto e hipoclorito de sodio al 1,4% por diez minutos. Utilizando el medio de regeneración desarrollado por el Centro Internacional de la Papa se estandarizó un medio de regeneración para explantes de entrenudos (MS + 2 mg/l ZR + 0,02 mg/l AG3 + 0,02 mg/l ANA, obteniéndose 46% de regeneración en explantes cultivados en frascos con tapones de gasa-algodón; la diferenciación
    de brotes se inició hacia la quinta semana, pero su mayor producción fue entre la décima y doceava semana. Las condiciones de cocultivo con A

  3. [Forensic psychiatric patients in Denmark]. (United States)

    Larsen, Tina Gram; Valbak, Lone; Perto, Gurli; Reinert, Kjeld


    In Denmark the number of forensic psychiatric patients is increasing. The objective of this study was to explore whether the increased number of forensic psychiatric patients has been reflected in the use of psychiatric inpatient facilities. Furthermore, we wanted to investigate differences in the treatment of various diagnostic groups of forensic patients and of forensic and non-forensic patients with schizophrenia. Information about admissions and outpatient contact was extracted from the Danish Psychiatric Central Research Register for all Danish patients sentenced to psychiatric treatment in the period 1994-2003. Furthermore, a group of first-admission forensic patients suffering from schizophrenia was compared to a control group of first-admission non-forensic patients with schizophrenia, matched for sex, age and time of admission. The number of forensic psychiatric patients increased markedly in the period 1994-2003; at the same time, the use of inpatient facilities for this group of patients did not increase to a similar degree but actually decreased. Forensic patients in the group F20-F29 spent more time in hospital than did forensic patients with affective disorders and personality disorders. Forensic psychiatric patients with schizophrenia had significantly longer periods of hospitalization than did non-forensic patients with schizophrenia. Forensic psychiatric patients' use of psychiatric inpatient facilities during the last 10 years did not increase to the extent expected relative to the increasing number of forensic psychiatric patients. This raises the question of whether these patients are receiving necessary and sufficient treatment.

  4. Psychiatric Diagnoses among an HIV-Infected Outpatient Clinic Population. (United States)

    Shacham, Enbal; Önen, Nur F; Donovan, Michael F; Rosenburg, Neal; Overton, E Turner


    As individuals with HIV infection are living longer, the management of psychiatric disorders has increasingly been incorporated into comprehensive care. Individuals were recruited from an outpatient HIV clinic to assess the prevalence and related associations of current psychiatric disorders and biomarkers. Of the 201 participants who completed the interviews, the median age was 43.5 years, and the majority was male and African American. Most were receiving HIV therapy and 78% of those had achieved virologic suppression. Prevalent psychiatric diagnoses included major depressive disorder, generalized anxiety, and agoraphobia. Alcohol and cocaine/crack abuse and dependence were common substance use disorders. Current receipt of HIV therapy was less common among those diagnosed with generalized anxiety disorder. Agoraphobia was the only disorder associated with unsuppressed viral load. Psychiatric and substance use disorders are highly prevalent among an urban HIV clinic population, although we identified few associations between psychiatric diagnoses and HIV diseases status. © The Author(s) 2014.

  5. Efectos del Almacenamiento y de la Cocción sobre el Contenido de Glicoialcaloides en Papa (Solanum Iuberosum

    Directory of Open Access Journals (Sweden)

    Villa Marín Héctor


    Full Text Available Los glicoalcaloides son O-glicósidos derivados de alcaloides 3 hidroxi-esteroides. Son bases débiles, ligeramente solubles en agua, solubles en ácidos débiles y alcoholes acidificados. Los que se encuentran en la papa (Solanum tuberosum son α-solanina y α-chaconina. A partir de ciertas concentraciones pueden manifestarse como mutagénicos, teratogénicos y carcinogénicos. Valores superiores a 1O mg/1OOg de tubérculo fresco imparten un sabor amargo. Contenidos de 20 mg/1OOg o más, dan sensación de quemadura. Se han reportado muertes a niveles de 30 mg/1OOg. Se estudiaron los efectos del almacenamiento y de la cocción sobre el contenido de glicoalcaloides totales (cuantitativo y el sabor amargo (cualitativo, en las dos variedades de papa de mayor consumo en Antioquia: ICA puracé y DIACOL capiro, bajo las condiciones de temperatura 16 y 21.5 °C. Los contenidos de glicoalcaloides totales fueron: 1.5 mg/1OOg en el tubérculo fresco variedad DIACOL capiro y 2.6 mg/1OOg para la variedad ICA puracé. Al pasar de 15 a 30 días el almacenamiento de las dos variedades a ambas temperaturas, se incrementaron los glicoalcaloides totales. No obstante, estos valores están por debajo de los niveles que inciden en el sabor amargo y más distantes aún de los considerados tóxicos. Con respecto a la cocción, hubo una clara reducción en el contenido de los glicoalcaloides. Para la variedad ICA puracé, hubo menores niveles de glicoalcaloides a la temperatura 21.5 °C, pero la variedad DIACOL capiro no mostró esa diferencia.

  6. Elaboración de galletas a base de harina de papa de la variedad Parda Pastusa (Solanum tuberosum L.

    Directory of Open Access Journals (Sweden)

    Andrés Felipe Cerón Cardenas


    Full Text Available La papa (Solanum tuberosum se considera el cuarto cultivo más importante en el mundo y su consumo ha pasado de producto fresco a producto laborado en forma industrial. En el estudio se determinó el nivel máximo de sustitución de la harina de trigo por harina de papa de la variedad Parda Pastusa en la elaboración de galletas fermentadas dulces. Se utilizó un diseño completamente al azar, donde el factor de estudio fueron el nivel de sustitución, 0%, 30%, 40% y 50%, y las variables de respuesta: sensoriales (color, sabor, textura y aceptabilidad y químicas proximales (materia seca, proteína, ceniza y grasa. No se encontraron diferencias (P < 0.05 en color, textura y aceptación; mientras para la variable sabor fue diferente en los niveles 0% y 30% de sustitución. Para los niveles de sustitución se encontraron, respectivamente, reducciones en contenido de proteína en 7.42%, 17.40% y 23.62%, y de grasa en 25.65%, 42.59% y 55.87%; mientras que la materia seca aumentó 3.83%, 4.95% y 5.62% y el contenido de ceniza en 13.14%, 17.71% y 23.43%, respectivamente. Con la sustitución de 30% se produjeron galletas de buena aceptación mientras que niveles mayores no son recomendables.

  7. Evaluación de tres tipos de labranza en el cultivo de la papa (Solannum tuberosum

    Directory of Open Access Journals (Sweden)

    Marvin Villalobos Araya


    Full Text Available El presente artículo revela los resultados obtenidos en un proyecto de investigación desarrollado para someter a evaluación la producción de papa utilizando diferentes tipos de labranza de suelo. Las localidades elegidas para la ejecución de la investigación son dos fincas ubicadas en la zona norte de Cartago, Costa Rica. Una de ellas se localiza en Llano Grande y la otra en Guarumos de Alvarado, cada una perteneciente a productores diferentes, quienes estuvieron a cargo del manejo del cultivo durante todo el ciclo. Para analizar la producción, se utilizó un diseño experimental en bloques completos al azar, con tres tratamientos correspondientes al método de labranza y tres repeticiones para cada uno de ellos. La unidad experimental estuvo constituida por una subparcela de 5 m x 5 m, ubicada en el centro de cada parcela de tratamiento. Se midió rendimiento en la producción de papa, y se obtuvo mayores valores en las parcelas preparadas con el implemento llamado “palín” o azada mecánica, presentándose en algunos casos diferencias significativas entre tratamientos al 5%. Se determinó también la velocidad de infiltración para cada método de preparación del suelo, y se obtuvo mayores valores en las zonas preparadas con el “palín” o azada mecánica.

  8. Caracterización de zonas sensibles a heladas en el cultivo de papa (Solanum Tuberosum en Boyacá

    Directory of Open Access Journals (Sweden)

    Álvaro Enrique Alvarado-Gaona


    Full Text Available La papa (Solanum tuberosum, como todas las plantas cultivadas, depende de factores atmosféricos; por tanto, las heladas se convierten en un factor limitante para su producción, lo que ha ocasionado que los agricultores opten por cultivar en zonas con alturas superiores a 3.000 msnm, para ampliar la frontera agrícola. En estos sitios, las heladas son más severas, además del daño irreversible a los ecosistemas estratégicos como los páramos ya que la aplicación excesiva de agroquímicos y el sistema de monocultivo hacen que los suelos pierdan sus propiedades y por tanto, la producción disminuye. Por esta razón, el Centro Virtual de la Cadena Agroalimentaria de la papa CEVIPAPA, en convenio con la Universidad Pedagógica y tecnológica de Colombia, UPTC desarrolló un trabajo de investigación con el propósito de reconocer áreas sensibles a heladas en el departamento de Boyacá. El trabajo se desarrolló en los municipios de Toca, Motavita, Cómbita, Úmbita,Ventaquemada, Chíquiza, Tunja, Siachoque, Soracá y Saboyá,donde se evaluó la problemática causada por las heladas en este cultivo; así mismo, se detectaron las zonas de mayor producción, identificando las veredas con mayor incidencia en cada uno de los municipios, con el fin de controlar y mitigar los efectos negativos en el cultivote dicho tubérculo.

  9. Assessing the prevalence of autoimmune, endocrine, gynecologic, and psychiatric comorbidities in an ethnically diverse cohort of female fibromyalgia patients: does the time from hysterectomy provide a clue?

    Directory of Open Access Journals (Sweden)

    Brooks L


    Full Text Available Larry Brooks,1 Joseph Hadi,2 Kyle T Amber,1 Michelle Weiner,3 Christopher L La Riche,4 Tamar Ference1 1Department of Rehabilitation Medicine, University of Miami Miller School of Medicine, Miami, 2Anesco Interventional Pain Institute, Margate, 3Miami Pain and Diagnostics, Miami, 4Department of Psychiatry and Behavioral Health, Florida International University Wertheim College of Medicine, University Park, FL, USABackground: This retrospective chart review investigated differences in the prevalence of medical comorbidity between women with fibromyalgia (FM (n=219 and a control group women with chronic pain (CP without FM (n=116. The specific aims were to compare the prevalence of autoimmune, psychiatric, endocrine, gynecologic pathology, the relationship between timing of gynecologic surgery, and pain onset. We additionally sought to compare the number of comorbidities in an ethnically diverse cohort.Methods: This was a retrospective chart review of patients seen in FM or CP clinics at an academic medical center in 2009–2010.Results: Logistic regression modeling found that gynecologic, endocrine, and autoimmune diagnoses were independently associated with a diagnosis of FM. Detailed analyses showed that thyroid disease (P<0.01 and gynecologic surgery (P<0.05 were significantly more common in FM. Women with FM were more likely to have multiple autoimmune, endocrine, gynecologic, or psychiatric pathologies. A relationship was observed between the timing of gynecologic surgery and pain onset in FM, with more surgeries observed in the years just prior to pain onset or in the year after pain onset. A similar pattern was not found in the control group.Conclusion: This study demonstrates that autoimmune, endocrine, and gynecologic pathologies occur more commonly in women with FM than in those with CP, which is consistent with findings in less ethnically diverse samples. Moreover, a relationship was found between timing of pain onset and gynecologic

  10. Densidad de población y su efecto sobre el rendimiento de papa

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    Rodríguez Loyla


    plasticidad fenotípica del rendimiento frente

    al espaciamiento vegetal. Los resultados permitieron

    confirmar el postulado de Duncan, que propone que

    el rendimiento promedio por planta se reduce como

    consecuencia de la competencia por recursos del suelo

    y de la atmósfera. Los resultados aportan elementos de

    trabajo y discusión para que a partir de dos densidades

    de plantas evaluadas se estimen los rendimientos por

    planta y por hectárea en cultivos de papa.

  11. Psychiatric disorders and treatment among newly homeless young adults with histories of foster care. (United States)

    Thompson, Ronald G; Hasin, Deborah


    Although foster care placement is often preceded by stressful events such as child abuse, foster care itself often exposes children to additional severe stressors. A history of foster care, as well as the childhood abuse that often precedes it, is common among homeless young adults. This study examined whether a history of foster care was associated with psychiatric disorders, prior psychiatric counseling, prescription of psychiatric medications, and prior psychiatric hospitalization among newly homeless young adults. A consecutive sample of 423 adults aged 18 to 21 years who sought emergency shelter for the first time between October 1, 2007, and February 29, 2008, were assessed at intake. Logistic regression analyses determined the associations between foster care and any psychiatric disorder (affective, anxiety, personality, and psychotic) and psychiatric treatment. The analyses adjusted for demographic characteristics, childhood abuse, substance use, prior arrest, unemployment, lack of high school diploma, and histories of psychiatric disorders and drug abuse among biological relatives. Homeless young adults with histories of foster care were 70% more likely than those without such histories to report any psychiatric disorder. They were more than twice as likely to have received mental health counseling for a psychiatric disorder, to have been prescribed psychiatric medication, and to have been hospitalized for psychiatric problems. Histories of foster care among homeless young adults should trigger screening for psychiatric disorders to aid in the provision of treatment (counseling, medication, and hospitalization) tailored to the psychiatric needs of this highly vulnerable population.

  12. Avaliação das limitações no comportamento social em pacientes psiquiátricos de longa permanência The assessment of social role functioning impairments in long-stay psychiatric patients

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    Sylvia Gonçalves


    Full Text Available Este texto trata de uma avaliação do comportamento social de pacientes psiquiátricos de longa permanência. Estudos recentes concentram-se nesse tema, considerando-o relevante na transferência do eixo da atenção do hospital para a comunidade. Para avaliar dificuldades e limitações de uma população com longo período de institucionalização, utiliza-se a Social Behavioural Schedule (SBS, que cobre áreas do comportamento referentes às principais dificuldades de pacientes crônicos. Selecionou-se uma amostra de 46 pacientes de uma população de 200 mulheres, com longa história de internação psiquiátrica, residentes em duas moradias protegidas e quatro pavilhões do Núcleo Franco da Rocha (NFR, do Instituto Municipal Juliano Moreira, no Rio de Janeiro. Os resultados obtidos foram comparados aos dados de uma amostra de moradores em um albergue de sem tetos e aos de pacientes de um hospital psiquiátrico, ambos situados em Londres. Os resultados sugerem que significativo percentual dos pacientes que vivem longo tempo em hospitais teriam condições de viver em residências na comunidade.This paper describes an assessment of social role functioning impairments in long-stay psychiatric patients. Most recent studies have concentrated on this theme and these measures are very important to the transfer of care from hospitals to community facilities. In order to assess the long term impairments or disabilities, we have used the Social Behavioural Schedule (SBS that covers behaviour areas which have been shown in previous research to describe the major difficulties exhibited by patients with long-term impairments. Forty-six women were randomized from a range of two hundred women living at the Núcleo Franco da Rocha, a hospitalar unit of Instituto Municipal Juliano Moreira in Rio de Janeiro. The NFR results were compared with a homeless hostels sample and a long stay wards sample, both in London. Despite the average age and the long term

  13. [Psychiatric complications of abortion]. (United States)

    Gurpegui, Manuel; Jurado, Dolores


    The psychiatric consequences of induced abortion continue to be the object of controversy. The reactions of women when they became aware of conception are very variable. Pregnancy, whether initially intended or unintended, may provoke stress; and miscarriage may bring about feelings of loss and grief reaction. Therefore, induced abortion, with its emotional implications (of relief, shame and guilt) not surprisingly is a stressful adverse life event. METHODOLOGICAL CONSIDERATIONS: There is agreement among researchers on the need to compare the mental health outcomes (or the psychiatric complications) with appropriate groups, including women with unintended pregnancies ending in live births and women with miscarriages. There is also agreement on the need to control for the potential confounding effects of multiple variables: demographic, contextual, personal development, previous or current traumatic experiences, and mental health prior to the obstetric event. Any psychiatric outcome is multi-factorial in origin and the impact of life events depend on how they are perceived, the psychological defence mechanisms (unconscious to a great extent) and the coping style. The fact of voluntarily aborting has an undeniable ethical dimension in which facts and values are interwoven. No research study has found that induced abortion is associated with a better mental health outcome, although the results of some studies are interpreted as or Some general population studies point out significant associations with alcohol or illegal drug dependence, mood disorders (including depression) and some anxiety disorders. Some of these associations have been confirmed, and nuanced, by longitudinal prospective studies which support causal relationships. With the available data, it is advisable to devote efforts to the mental health care of women who have had an induced abortion. Reasons of the woman's mental health by no means can be invoked, on empirical bases, for inducing an abortion.

  14. Lamotrigine in psychiatric disorders. (United States)

    Reid, Jennifer G; Gitlin, Michael J; Altshuler, Lori L


    Owing to the prevalence of medication side effects and treatment resistance, prescribers often consider off-label uses of US Food and Drug Administration (FDA)-approved agents for the treatment of persistent symptoms. The authors review the available literature on the FDA-approved and non-FDA-approved uses of lamotrigine in adults with psychiatric disorders. We used PubMed, MEDLINE, and a hand search of relevant literature to find studies published between 1990 and 2012 and available in English language. The following keywords were searched: lamotrigine, psychiatric, mood disorders, depression, personality disorders, anxiety, schizophrenia, side effects, and rash. Data were selected from 29 randomized controlled trials (RCTs). When RCTs were not available, open-label trials (6), retrospective case reviews (10), and case series (4) were summarized. We extracted results of monotherapy and augmentation trials of lamotrigine on primary and secondary outcome measures. Lamotrigine is generally well tolerated, with the best evidence for the maintenance treatment of bipolar disorder, particularly in prevention of depressive episodes. In acute bipolar depression, meta-analyses suggested a modest benefit, especially for more severely depressed subjects, with switch rates similar to placebo. In unipolar depression, double-blind RCTs noted benefit on subsets of symptoms and improved response in more severely depressed subjects. Data are limited but promising in borderline personality disorder. Use of lamotrigine in schizophrenia and anxiety disorders has little supportive evidence. Lamotrigine is recommended in bipolar maintenance when depression is prominent. It also has a role in treating acute bipolar depression and unipolar depression, though the latter warrants more research. Data are too limited in other psychiatric disorders to recommend its use at this time. © Copyright 2013 Physicians Postgraduate Press, Inc.

  15. Parricide: Psychiatric morbidity

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    Dunjić Bojana


    Full Text Available INTRODUCTION Parricide is defined as a murder of parents by their children; the patricide is murder of father, while matricide is murder of mother. This entity is classified as homicide, but it differs in the fact that victims are parents and the killers are their children. Mostly, it is associated with psychiatric morbidity. OBJECTIVE To describe sociodemographic and psychopathological characteristics of parricide committers and to analyze circumstances of parricide and psychiatric morbidity in order to achieve better recognition and prevention of risks. METHOD This retrospective study included all homicide autopsy records (1991-2005 performed at the Institute of Forensic Medicine, Medical School, University of Belgrade. For further analyses, all parricide records were selected out. The study analyzed all available parameters, which concerned parricide committers, victims and the act itself. Methods of descriptive statistics were used. RESULTS Between 1991 and 2005, there were 948 cases of homicide; of these, 3.5% were parricides. The committers of parricide were on average 31.2±11.9 years old, 87.8% were males, 60.6% with psychiatric symptoms most commonly with schizophrenia, alcohol dependence, personality disorder etc. Victims were on average 63.7±11.9 years old, 54.5% males, and 21.2% had a diagnosed mental illness. CONCLUSION Parricide is a rare kind of homicide accounting for 3% of all homicides. Committers are mostly unemployed males in early adulthood who have mental disorder. The phenomenon of parricide deserves a detailed analysis of the committer (individual bio-psycho-social profile and the environ- mental factors (family, closely related circumstances to enable a precise prediction of the act and prevention of the fatal outcome, which logically imposes the need of further studies.

  16. Psychiatric aspects of dwarfism. (United States)

    Brust, J S; Ford, C V; Rimoin, D L


    Sixteen adult dwarfs - 11 with achondroplasia and 5 with hypopituitarism - were studied by means of psychiatric interviews and psychological tests. There were no significant differences between the two groups; in general, the subjects had achieved a satisfactory life adjustment despite the stress of having bodies uniquely different from those of the general population. They had secure identities as "little people" and successfully used coping mechanisms such as a sense of humor and a pleasant interpersonal style. Male dwarfs tended to experience more emotional distress than female dwarfs.

  17. Psychiatric Disorders in Adolescents and Adults with Autism and Intellectual Disability: A Representative Study in One County in Norway (United States)

    Bakken, Trine L.; Helverschou, Sissel B; Eilertsen, Dag E.; Heggelund, Trond; Myrbakk, Even; Martinsen, Harald


    Few studies assess psychiatric disorders in representative samples of individuals with autism and ID. Symptoms of autism and psychiatric disorders have been confounded. PAC, a conceptually analysed and validated screening instrument, was used. Aims: Assess prevalence of psychiatric disorders in individuals with intellectual disability only…

  18. Cerebellum and psychiatric disorders. (United States)

    Baldaçara, Leonardo; Borgio, João Guilherme Fiorani; Lacerda, Acioly Luiz Tavares de; Jackowski, Andrea Parolin


    The objective of this update article is to report structural and functional neuroimaging studies exploring the potential role of cerebellum in the pathophysiology of psychiatric disorders. A non-systematic literature review was conducted by means of Medline using the following terms as a parameter: "cerebellum", "cerebellar vermis", "schizophrenia", "bipolar disorder", "depression", "anxiety disorders", "dementia" and "attention deficit hyperactivity disorder". The electronic search was done up to April 2008. Structural and functional cerebellar abnormalities have been reported in many psychiatric disorders, namely schizophrenia, bipolar disorder, major depressive disorder, anxiety disorders, dementia and attention deficit hyperactivity disorder. Structural magnetic resonance imaging studies have reported smaller total cerebellar and vermal volumes in schizophrenia, mood disorders and attention deficit hyperactivity disorder. Functional magnetic resonance imaging studies using cognitive paradigms have shown alterations in cerebellar activity in schizophrenia, anxiety disorders and attention deficit hyperactivity disorder. In dementia, the cerebellum is affected in later stages of the disease. Contrasting with early theories, cerebellum appears to play a major role in different brain functions other than balance and motor control, including emotional regulation and cognition. Future studies are clearly needed to further elucidate the role of cerebellum in both normal and pathological behavior, mood regulation, and cognitive functioning.

  19. [Psychiatry and the assessment of human destructiveness: on the question of drawing the line between the "normal" concept of evil and psychiatric illnesses]. (United States)

    Hinterhuber, Hartmann


    Every culture in this world demands that its members comply with a few basic rules: Respect for and maintenance of the health and life of others are recognised as worldwide ethical norms just as much as consideration for the economic basis of existence of others. When these are exceeded, they are punished in all social systems. If there is no severe mental disturbance, the responsibility for a crime or for socially damaging or non-conformist behaviour lies with the individual himself. The question, whether a person could have acted differently in a defined situation on the basis of his personality characteristics and his neural constitution, leads to diverse answers. Is anti-social, criminal behaviour a "disturbance in itself" or the result of a personality structure which has been defined as an illness or an organic deficit? The widest branches of science are occupied with this topic: psychiatry, psychology and philosophy, neural sciences and sociology, jurisprudence and ethics. The list could be continued. The results of personality research along with findings concerning neural mis-connections and the discourse regarding free will in contrast to deterministic interpretations are undoubtedly of particular relevance. On the basis of research results from the scientific disciplines mentioned above, the author concludes that people with socially damaging or radically "evil" behaviour are a very heterogeneous group with strongly varying personality profiles, unfavourable family socialisation conditions and often varied neuro-physiological disturbances, but that responsibility for the crimes they are accused of lies with them as long as their disposition and discretion capacity has not been impaired or removed through serious psychiatric illness.Without classifying them as patients, as our fellow citizens, they deserve our due care and recognition of their human dignity.

  20. Ecological Assessment of Clinicians’ Antipsychotic Prescription Habits in Psychiatric Inpatients: A Novel Web- and Mobile Phone–Based Prototype for a Dynamic Clinical Decision Support System (United States)

    Barrigón, Maria Luisa; Brandt, Sara A; Nitzburg, George C; Ovejero, Santiago; Alvarez-Garcia, Raquel; Carballo, Juan; Walter, Michel; Billot, Romain; Lenca, Philippe; Delgado-Gomez, David; Ropars, Juliette; de la Calle Gonzalez, Ivan; Courtet, Philippe; Baca-García, Enrique


    Background Electronic prescribing devices with clinical decision support systems (CDSSs) hold the potential to significantly improve pharmacological treatment management. Objective The aim of our study was to develop a novel Web- and mobile phone–based application to provide a dynamic CDSS by monitoring and analyzing practitioners’ antipsychotic prescription habits and simultaneously linking these data to inpatients’ symptom changes. Methods We recruited 353 psychiatric inpatients whose symptom levels and prescribed medications were inputted into the MEmind application. We standardized all medications in the MEmind database using the Anatomical Therapeutic Chemical (ATC) classification system and the defined daily dose (DDD). For each patient, MEmind calculated an average for the daily dose prescribed for antipsychotics (using the N05A ATC code), prescribed daily dose (PDD), and the PDD to DDD ratio. Results MEmind results found that antipsychotics were used by 61.5% (217/353) of inpatients, with the largest proportion being patients with schizophrenia spectrum disorders (33.4%, 118/353). Of the 217 patients, 137 (63.2%, 137/217) were administered pharmacological monotherapy and 80 (36.8%, 80/217) were administered polytherapy. Antipsychotics were used mostly in schizophrenia spectrum and related psychotic disorders, but they were also prescribed in other nonpsychotic diagnoses. Notably, we observed polypharmacy going against current antipsychotics guidelines. Conclusions MEmind data indicated that antipsychotic polypharmacy and off-label use in inpatient units is commonly practiced. MEmind holds the potential to create a dynamic CDSS that provides real-time tracking of prescription practices and symptom change. Such feedback can help practitioners determine a maximally therapeutic drug treatment while avoiding unproductive overprescription and off-label use. PMID:28126703

  1. Prevalence of psychiatric comorbidities in chronic obstructive pulmonary disease patients. (United States)

    Chaudhary, Shyam Chand; Nanda, Satyan; Tripathi, Adarsh; Sawlani, Kamal Kumar; Gupta, Kamlesh Kumar; Himanshu, D; Verma, Ajay Kumar


    Psychiatric disorders, especially anxiety and depression have been reported to have an increased prevalence in chronic obstructive pulmonary disease (COPD) patients, but there is a paucity of data from India. Aim of our study is to study the frequency of psychiatric comorbidities in COPD patients and their correlation with severity of COPD, as per global initiative for obstructive lung disease guidelines. This study was conducted in outpatient department of a tertiary care hospital (King George's Medical University). A total of 74 COPD patients were included in this study and compared with 74 controls. The diagnosis and severity of COPD were assessed by spirometry. Psychiatric comorbidities were assessed using the Mini International Neuropsychiatric Interview questionnaire. The frequency of psychiatric comorbidities was significantly higher (P < 0.05) in COPD patients (28.4%) as compared to controls (2.7%). As regards to severity, the frequency was significantly increased in severe and very severe COPD. The frequency of psychiatric comorbidities in COPD patients increased significantly with the increase in duration of symptoms being present in 67% of patients with duration of symptoms more than 10 years and only 23% of patients with duration of symptoms ≤5 years. The frequency of psychiatric comorbidities is increased in COPD patients as compared to controls. We recommend that all patients with COPD should be screened for psychiatric comorbidity, if any.


    Directory of Open Access Journals (Sweden)

    Germán Marcillo


    Full Text Available A partir de consideraciones de tipo económico y matemático se especifican dos funciones de oferta y demanda de la papa en el municipio de Pasto; utilizando series de tiempo del periodo 1999 a 2010 se describen los datos de las variables empleadas para cada función a estimar; con ayuda de programas computacionales como Excel (2007 Statgraphics Centurion y Gretl (versión libre, se realizan las estimaciones de los modelos de oferta y demanda, posteriormente se desarrollan técnicas econométricas y estadística para validarlos. Finalmente, aplicando el concepto de elasticidad se analiza el efecto de cada variable con la variable en estudio. Se observó que variables como el precio y costos de producción son, en porcentaje, las que más determinan las decisiones de los ofertantes y consumidores de papa.

  3. Predicting Incarceration of Clients of a Psychiatric Probation and Parole Service

    National Research Council Canada - National Science Library

    Solomon, Phyllis; Draine, Jeffrey; Marcus, Steven C


    OBJECTIVE: This study assessed the extent to which clinical characteristics, psychiatric status, and use of mental health services explain incarceration for technical violations of probation or parole rather...

  4. Shared Decision Making for Psychiatric Rehabilitation Services Before Discharge from Psychiatric Hospitals. (United States)

    Zisman-Ilani, Yaara; Roe, David; Elwyn, Glyn; Kupermintz, Haggai; Patya, Noa; Peleg, Ido; Karnieli-Miller, Orit


    Shared decision making (SDM) is an effective health communication model designed to facilitate patient engagement in treatment decision making. In mental health, SDM has been applied and evaluated for medications decision making but less for its contribution to personal recovery and rehabilitation in psychiatric settings. The purpose of this pilot study was to assess the effect of SDM in choosing community psychiatric rehabilitation services before discharge from psychiatric hospitalization. A pre-post non-randomized design with two consecutive inpatient cohorts, SDM intervention (N = 51) and standard care (N = 50), was applied in two psychiatric hospitals in Israel. Participants in the intervention cohort reported greater engagement and knowledge after choosing rehabilitation services and greater services use at 6-to-12-month follow-up than those receiving standard care. No difference was found for rehospitalization rate. Two significant interaction effects indicated greater improvement in personal recovery over time for the SDM cohort. SDM can be applied to psychiatric rehabilitation decision making and can help promote personal recovery as part of the discharge process.

  5. Psychiatric Disorders and Trends in Resource Use in Pediatric Hospitals. (United States)

    Zima, Bonnie T; Rodean, Jonathan; Hall, Matt; Bardach, Naomi S; Coker, Tumaini R; Berry, Jay G


    To describe recent, 10-year trends in pediatric hospital resource use with and without a psychiatric diagnosis and examine how these trends vary by type of psychiatric and medical diagnosis cooccurrence. A retrospective, longitudinal cohort analysis using hospital discharge data from 33 tertiary care US children's hospitals of patients ages 3 to 17 years from January 1, 2005 through December 31, 2014. The trends in hospital discharges, hospital days, and total aggregate costs for each psychiatric comorbid group were assessed by using multivariate generalized estimating equations. From 2005 to 2014, the cumulative percent growth in resource use was significantly (all P < .001) greater for children hospitalized with versus without a psychiatric diagnosis (hospitalizations: +137.7% vs +26.0%; hospital days: +92.9% vs 5.9%; and costs: +142.7% vs + 18.9%). During this time period, the most substantial growth was observed in children admitted with a medical condition who also had a cooccurring psychiatric diagnosis (hospitalizations: +160.5%; hospital days: +112.4%; costs: +156.2%). In 2014, these children accounted for 77.8% of all hospitalizations for children with a psychiatric diagnosis; their most common psychiatric diagnoses were developmental disorders (22.3%), attention-deficit/hyperactivity disorder (18.1%), and anxiety disorders (14.2%). The 10-year rise in pediatric hospitalizations in US children's hospitals is 5 times greater for children with versus without a psychiatric diagnosis. Strategic planning to meet the rising demand for psychiatric care in tertiary care children's hospitals should place high priority on the needs of children with a primary medical condition and cooccurring psychiatric disorders. Copyright © 2016 by the American Academy of Pediatrics.

  6. New record of the King Vulture Sarcoramphus papa (Aves, Cathartiformes in Santa Catarina State, Brazil, and considerations about its conservation status

    Directory of Open Access Journals (Sweden)

    Fernando Rodrigo Tortato


    Full Text Available The King Vulture Sarcoramphus papa occurs from Mexico to Uruguay, in northern Argentina, and throughout Brazil where it is more frequent in the northern region. The species is rare in Santa Catarina State, with 11 known records. This work reports a recent record of the King Vulture in the Doutor Pedrinho municipality in Santa Catarina State, and contributes to the knowledge about the conservation status and ocurrence of this bird in southern Brazil.

  7. Evaluación de residuos de papa, yuca y naranja para la producción de etanol en cultivo discontinuo utilizando Saccharomyces cerevisiae


    Leidy Patricia Quintero Mora; Yenis Martínez Castilla; Josman Andrey Velasco Mendoza; Ashly Arévalo Rodríguez; Yaneth Amparo Muñoz; Nestor Andrés Urbina Suarez


    El presente trabajo de investigación tuvo como objetivo producir etanol utilizando un jarabe glucosado elaborado a partir de residuos de papa, naranja y yuca, por cultivo discontinuo como una alternativa para el manejo de los residuos generados. Para cumplir con el objetivo planteado se utilizaron cepas Saccharomyces cerevisiae, una cepa nativa (LYP) y una cepa control (CTL) obtenida del Cepario de la Universidad. Posteriormente, para la elaboración de l...

  8. Chromosomal abnormalities in child psychiatric patients.


    Hong, K. E.; Kim, J. H.; Moon, S. Y.; Oh, S. K.


    To determine the frequency of chromosomal abnormalities in a child psychiatric population, and to evaluate possible associations between types of abnormalities and patient's clinical characteristics, cytogenetic examination was performed on 604 patients. Demographic data, reasons for karyotyping, clinical signs, and other patient characteristics were assessed and correlated with the results from karyotyping. Chromosomal abnormalities were found in 69 patients (11.3%); these were structural in...

  9. Dimensional assessment of schizotypal, psychotic, and other psychiatric traits in children and their parents: development and validation of the Childhood Oxford-Liverpool Inventory of Feelings and Experiences on a representative US sample. (United States)

    Evans, David W; Lusk, Laina G; Slane, Mylissa M; Michael, Andrew M; Myers, Scott M; Uljarević, Mirko; Mason, Oliver; Claridge, Gordon; Frazier, Thomas


    Healthy functioning relies on a variety of perceptual, cognitive, emotional, and behavioral abilities that are distributed throughout the normal population. Variation in these traits define the wide range of neurodevelopmental (NDD) and neuropsychiatric (NPD) disorders. Here, we introduce a new measure for assessing these traits in typically developing children and children at risk for NDD and NPD from age 2 to 18 years. The Childhood Oxford-Liverpool Inventory of Feelings and Experiences (CO-LIFE) was created as a dimensional, parent-report measure of schizotypal and psychotic traits in the general population. Parents of 2,786 children also self-reported on an adapted version of the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE-US). The CO-LIFE resulted in continuous distributions for the total score and for each of three factor analytically-derived subscales. Item response theory (IRT) analyses indicated strong reliability across the score range for the O-LIFE-US and the CO-LIFE. Internal consistency and test-retest reliability were high across all scales. Parent-child intraclass correlations were consistent with high heritability. The scales discriminated participants who reported a lifetime psychiatric diagnosis from those who reported no diagnosis. The O-LIFE-US and CO-LIFE scores correlated positively with the Social Responsiveness Scale 2 (SRS-2) indicating good convergent validity. Like the original O-LIFE, the O-LIFE-US and the CO-LIFE are valid and reliable tools that reflect the spectrum of psychiatric and schizotypal traits in the general population. Such scales are necessary for conducting family studies that aim to examine a range of psychological and behavioral traits in both children and adults and are well-suited for the Research Domain Criteria (RDoC) initiative of the NIMH. © 2017 Association for Child and Adolescent Mental Health.

  10. Psychiatric Axis I Comorbidities among Patients with Gender Dysphoria

    Directory of Open Access Journals (Sweden)

    Azadeh Mazaheri Meybodi


    Full Text Available Objectives. Cooccurring psychiatric disorders influence the outcome and prognosis of gender dysphoria. The aim of this study is to assess psychiatric comorbidities in a group of patients. Methods. Eighty-three patients requesting sex reassignment surgery (SRS were recruited and assessed through the Persian Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I. Results. Fifty-seven (62.7% patients had at least one psychiatric comorbidity. Major depressive disorder (33.7%, specific phobia (20.5%, and adjustment disorder (15.7% were the three most prevalent disorders. Conclusion. Consistent with most earlier researches, the majority of patients with gender dysphoria had psychiatric Axis I comorbidity.

  11. Prevalence of Psychiatric Disorders in Patients with Diabetes Type 2

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    S. Alireza Sajjadi


    Full Text Available Background: Psychiatric disorders are important complications of chronic diseases such as diabetes mellitus.Materials and method: In this descriptive study, 80 patients with diabetes type 2 referred to diabetes clinic of Zahedan in 2009. They were selected by simple randomized method, screened by General Health Questionnaire and assessed by psychiatric interview, if it was necessary.Results: Totally, 67.5% required an interview and 43.75% were diagnosed with a psychiatric disorder. Major depression were more prevalent (13.5% than adjustment disorders (15%.Conclusion: High prevalence of depression and adjustment disorder in diabetic patients needs psychiatric assessment and treatment as the main part, in the diabetes clinics

  12. Treating the disconfirmed psychiatric client. (United States)

    Heineken, J


    Frequent disconfirmation behaviors have been documented in psychiatric clients. Individuals who demonstrate maladaptive patterns of disconfirmation can learn to understand and modify this dysfunctional sequence. Through one to one interactions and group discussions, psychiatric nurses can help clients learn more positive communication behaviors. This accomplishment will positively affect the client's interpersonal responsiveness and self-esteem.

  13. Psychiatric comorbidity : fact or artifact?

    NARCIS (Netherlands)

    van Loo, Hanna; Romeijn, Johannes

    The frequent occurrence of comorbidity has brought about an extensive theoretical debate in psychiatry. Why are the rates of psychiatric comorbidity so high and what are their implications for the ontological and epistemological status of comorbid psychiatric diseases? Current explanations focus

  14. College Students with Psychiatric Disabilities (United States)

    Singh, Delar K.


    This paper focuses on college students with psychiatric disabilities. It defines and discusses various psychiatric conditions such as mood disorders, anxiety disorders, eating disorders, and personality disorders. It concludes with accommodations that a college professor can make to help these students succeed in higher education. (Contains 1…

  15. Prevalence of smoking in psychiatric patients. (United States)

    Poirier, Marie-France; Canceil, Olivier; Baylé, Franck; Millet, Bruno; Bourdel, Marie-Chantal; Moatti, Cécile; Olié, Jean-Pierre; Attar-Lévy, Dominique


    Compelling evidence that tobacco-smoking is a form of drug addiction exists. The aim of this study is to determine the following: (1) prevalence of tobacco-smoking and of nicotine dependence in French psychiatric patients; (2) rates and patterns of tobacco smoking and of nicotine dependence according to diagnosis; (3) relationship between current smoking status and antipsychotic medications; and (4) relationship between cigarette smoking and neurological side effects induced by neuroleptics. A population of 711 psychiatric in- and outpatients was assessed using: (1) a detailed smoking self-questionnaire for smoking history and nicotine dependence; and (2) a questionnaire for staff covering treatments and DSMIII-R diagnoses. Data were analyzed using chi2 analysis of variance (ANOVA) tests (one factor) for quantitative comparisons between groups of patients, and analysis of covariance (ANCOVA) test with age covariate was performed for age-dependent variables. Prevalence of smoking in the population of psychiatric patients was significantly higher than in the French general population. Diagnoses among current smokers were mainly substance-related disorder and schizophrenia. The authors established correlations between prevalence of smoking and age, sex, marital and socioeconomic status, alcohol use, coffee consumption and other psychoactive substance use or abuse. The authors did not find relationship between smoking prevalence and institutionalization. Neuroleptic neurological side effects were significantly fewer among smokers compared to nonsmokers. However, the rate of smokers was significantly higher in psychiatric patients receiving neuroleptic drugs. Nicotine abuse in psychiatric patients, and especially in schizophrenic patients, could support the hypothesis that smoking is consistent with self-medication.

  16. Psychiatric disorders and urbanization in Germany. (United States)

    Dekker, Jack; Peen, Jaap; Koelen, Jurrijn; Smit, Filip; Schoevers, Robert


    Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German population study, controlling for other known risk factors such as gender, social class, marital status and the interaction variables of these factors with urbanization. The Munich Composite International Diagnostic Interview (M-CIDI) was used to assess the prevalence of mental disorders (DSM-IV) in a representative sample of the German population (N = 4181, age: 18-65). The sample contains five levels of urbanization based on residence location. The epidemiological study was commissioned by the German Ministry of Research, Education and Science (BMBF) and approved by the relevant Institutional Review Board and ethics committee. Written informed consent was obtained for both surveys (core survey and Mental Health Supplement). Subjects did not get any financial compensation for their study participation. Higher levels of urbanization were linked to higher 12-month prevalence rates for almost all major psychiatric disorders (with the exception of substance abuse and psychotic disorders). The weighted prevalence percentages were highest in the most urbanized category. Alongside urbanization, female gender, lower social class and being unmarried were generally found to be associated with higher levels of psychopathology. The impact of urbanization on mental health was about equal (for almost all major psychiatric disorders) in young people and elderly people, men and women, and in married and single people. Only people from a low social class in the most urbanized settings had more somatoform disorders, and unmarried people in the most urbanized settings had more anxiety disorders. Psychiatric disorders are more prevalent among the inhabitants of more urbanized areas

  17. Psychiatric disorders and urbanization in Germany

    Directory of Open Access Journals (Sweden)

    Koelen Jurrijn


    Full Text Available Abstract Background Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German population study, controlling for other known risk factors such as gender, social class, marital status and the interaction variables of these factors with urbanization. Methods The Munich Composite International Diagnostic Interview (M-CIDI was used to assess the prevalence of mental disorders (DSM-IV in a representative sample of the German population (N = 4181, age: 18–65. The sample contains five levels of urbanization based on residence location. The epidemiological study was commissioned by the German Ministry of Research, Education and Science (BMBF and approved by the relevant Institutional Review Board and ethics committee. Written informed consent was obtained for both surveys (core survey and Mental Health Supplement. Subjects did not get any financial compensation for their study participation. Results Higher levels of urbanization were linked to higher 12-month prevalence rates for almost all major psychiatric disorders (with the exception of substance abuse and psychotic disorders. The weighted prevalence percentages were highest in the most urbanized category. Alongside urbanization, female gender, lower social class and being unmarried were generally found to be associated with higher levels of psychopathology. The impact of urbanization on mental health was about equal (for almost all major psychiatric disorders in young people and elderly people, men and women, and in married and single people. Only people from a low social class in the most urbanized settings had more somatoform disorders, and unmarried people in the most urbanized settings had more anxiety disorders. Conclusion Psychiatric disorders are more

  18. Gene therapy for psychiatric disorders. (United States)

    Gelfand, Yaroslav; Kaplitt, Michael G


    Gene therapy has become of increasing interest in clinical neurosurgery with the completion of numerous clinical trials for Parkinson disease, Alzheimer disease, and pediatric genetic disorders. With improved understanding of the dysfunctional circuitry mediating various psychiatric disorders, deep brain stimulation for refractory psychiatric diseases is being increasingly explored in human patients. These factors are likely to facilitate development of gene therapy for psychiatric diseases. Because delivery of gene therapy agents would require the same surgical techniques currently being employed for deep brain stimulation, neurosurgeons are likely to lead the development of this field, as has occurred in other areas of clinical gene therapy for neurologic disorders. We review the current state of gene therapy for psychiatric disorders and focus specifically on particular areas of promising research that may translate into human trials for depression, drug addiction, obsessive-compulsive disorder, and schizophrenia. Issues that are relatively unique to psychiatric gene therapy are also discussed. Copyright © 2013. Published by Elsevier Inc.

  19. The psychiatric interview

    DEFF Research Database (Denmark)

    Frederiksen, Julie Elisabeth Nordgaard; Sass, Louis A; Parnas, Josef


    that are historically rooted in logical positivism and behaviorism. These theoretical approaches marked decisively the so-called "operational revolution in psychiatry" leading to the creation of DSM-III. This paper attempts to examine the theoretical assumptions that underlie the use of a fully structured psychiatric...... person), actionable format, used for classification, treatment, and research. Our central thesis is that psychiatry targets the phenomena of consciousness, which, unlike somatic symptoms and signs, cannot be grasped on the analogy with material thing-like objects. We claim that in order to perform...... faithful distinctions in this particular domain, we need a more adequate approach, that is, an approach that is guided by phenomenologically informed considerations. Our theoretical discussion draws upon clinical examples derived from structured and semi-structured interviews. We conclude that fully...

  20. Treating Adolescents for Substance Abuse and Comorbid Psychiatric Disorders


    Riggs, Paula D.


    Recent research has identified a cluster of standardized approaches that effectively treat adolescents with substance abuse disorders. Many of these approaches share elements that may be adopted to improve outcomes in substance treatment programs. In adolescents, treatment goals should be informed by a comprehensive assessment that includes the adolescent patient?s developmental history and evaluation of psychiatric comorbidity. Treatment for behavioral, psychosocial, and psychiatric problems...

  1. Variants of psychiatric disorders in patients with systemic lupus erythematosus

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    T A Lisitsyna


    Full Text Available Objective. To analyze prevalence and structure of psychiatric disorders in pts with systemic lupus erythematosus (SLE examining in the Institute of rheumatology of RAMS. Material and methods. 115 pts with SLE with median age 34 [24; 45] years and median disease duration 8 [4; 17] years were included. SLE activity was assessed with SLEDAI. Psychiatric disorders were diagnosed by a psychiatrist according to ICD-10 using some psychiatric and psychological scales. Results. Psychiatric disorders were revealed in 76 from 115 (66% pts. Anxiety-depressive spectrum disorders prevailed (83%: depressive episode (40%, adjustment disorders (24%, generalized anxiety disorder (10%, dysthymia (9%. Severe cognitive dysfunction was revealed in 7% of pts. Pts with and without psychiatric disorders did not significantly differ in age, sex, duration and activity of the disease, duration of treatment and cumulative dose of prednisolone and cytotoxic drugs. Conclusion. Psychiatric disorders are frequent in pts with SLE (66%. Anxiety-depressive disorders prevail among them (83%. Relationship between SLE and psychiatric disorders requires further examination.

  2. Signs of bruxism and temporomandibular disorders among psychiatric patients. (United States)

    Winocur, Ephraim; Hermesh, Hagay; Littner, Dan; Shiloh, Roni; Peleg, Liat; Eli, Ilana


    To investigate the prevalence of bruxism and signs of temporomandibular disorders (TMDs) among psychiatric patients compared with a healthy population and to assess the effect of psychiatric medications on the parameters studied. Subjects included 77 psychiatric patients under treatment at 2 psychiatric hospitals in Israel and 50 healthy individuals (control). One experienced calibrated examiner performed the clinical examination (presence of bruxism and signs of TMD). Abnormal attrition was evident in 46.8% of the psychiatric patients compared with 20% in the controls (P prevalence of joint clicks and no association between time of receiving treatment with dopamine antagonists (or any other psychotropic drugs) and TMD signs and symptoms. The higher prevalence of bruxism and signs of TMD in psychiatric patients is a major clinical comorbidity. Whether it is a manifestation of the abnormal central nervous system of psychiatric patients or neuroleptic-induced phenomenon deserves further attention. The exact factors that affect the pain experience in these patients should be evaluated as well.


    Directory of Open Access Journals (Sweden)

    Daniela GARCÍA RUÍZ


    Full Text Available En este estudio se determinaron las relaciones filogenéticas y los niveles de variación de aislamientos de PVX obtenidos en tejidos foliares de plantas de Solanum tuberosum subsp. andigena var. Diacol-Capiro y S. phureja var. Criolla Colombia en Antioquia, utilizando métodos de secuenciación de nueva generación (NGS y de Sanger. Inicialmente, se detectó el PVX mediante DAS-ELISA (Agdia- PSA10000, confirmándose su presencia en ocho de las muestras por Inmunocaptura-RT-PCR en tiempo real (IC-RT-qPCR. Los resultados de las pruebas serológicas indicaron la infección de PVX en 14,7 % y 13,3 % de las muestras de Diacol-Capiro y Criolla Colombia, respectivamente. Su identidad fue confirmada por IC-RT-qPCR, con valores de ciclo umbral (Ct de 15,04 a 27,59 y dos temperaturas de fusión (Tm (Tm1 = 80,3 °C ± 0,5 y Tm2 = 83,3 °C ± 0,5, encontrándose así dos variantes de PVX en Antioquia. Utilizando NGS se detectó el PVX en bajos niveles de infección en las muestras de Criolla Colombia, siendo posible obtener contigs parciales para todos los ORFs del genoma viral. Con NGS no se detectó el virus en las muestras de Diacol-Capiro evaluadas. Los análisis filogenéticos realizados con base en secuencias de cápside y replicasa viral separaron los aislamientos de PVX de Antioquia en dos grupos, relacionados con el clado Eurasiático (I de este virus. Los altos niveles de infección de PVX detectados en los cultivos de papa de Antioquia y la ocurrencia de al menos dos variantes, enfatizan en la necesidad de fortalecer los programas de certificación de tubérculos-semilla de papa, como principal herramienta para el control de este virus.

  4. Estudio de las características del drenaje de un suelo orgánico del páramo de las papas, Cauca Study of characteristics of drainage conditions in an organic soil at paramo de las papas

    Directory of Open Access Journals (Sweden)

    Tafur Hermann Harold


    Full Text Available En la hacienda Los Andes, ubicada en el municipio de San Sebastián, departamento del Cauca, Colombia (2.700 m.s.n.m., se adelantó un estudio acerca de las características hidráulicas de sus suelos, determinados por un alto contenido de materia orgánica (suelos orgánicos. Se encontró que a pesar de la alta porosidad que puede presentar un suelo orgánico, su permeabilidad no necesariamente, responde directamente a esta característica, porque está dominada esencialmente por microporos. El mal drenaje de estos suelos (encharcamiento, está determinado por la alta capacidad de almacenamiento de agua de su vegetación natural, el musgo, el cual a su vez tiene baja transmisibilidad. Se describen los procesos mediante los cuales los agricultores adecuan los suelos para el uso agrícola.A study about the hydraulic characteristics of the organic soil in a farm located at Paramo de Las Papas (2700 m.a.s.l., Colombia, was carried out. It was found that permeability is not directly related with the high porosity of this type of soils. The present water logging is determined by the high water holding capacity of the surface vegetation, that is constitued by moss species, material that have a low transmisibility. In this paper, the proccess by which farmers reclaim the soils for cultivation, is described too.

  5. The Quality of Prescribing for Psychiatric Patients

    DEFF Research Database (Denmark)

    Soerensen, A L; Nielsen, L P; Poulsen, B K


    The Quality of Prescribing for Psychiatric PatientsSoerensen AL1,2, Nielsen LP3,4, Poulsen BK3, Lisby M3,5, Mainz J6,7 1Danish Center for Healthcare Improvements, Faculty of Social Sciences and Faculty of Health Sciences, Aalborg University, Denmark; 2University College of Northern Denmark; 3...... of PIP was assessed using four categories. Logistic regression analysis was used to identify possible predictive factors of PIP. RESULTS: The proportion of patients with one or more PIPs was 123/219(56%). “Interaction between drugs” was the most common category for potentially serious and potentially...... need to improve the quality in prescribing for psychiatric patients....

  6. The Quality of Prescribing for Psychiatric Patients

    DEFF Research Database (Denmark)

    Sørensen, Ann Lykkegaard; Nielsen, Lars Peter; Poulsen, Birgitte Klindt


    The Quality of Prescribing for Psychiatric Patients Soerensen AL1,2, Nielsen LP3,4, Poulsen BK3, Lisby M3,5, Mainz J6,7 1Danish Center for Healthcare Improvements, Faculty of Social Sciences and Faculty of Health Sciences, Aalborg University, Denmark; 2University College of Northern Denmark; 3...... of PIP was assessed using four categories. Logistic regression analysis was used to identify possible predictive factors of PIP. RESULTS: The proportion of patients with one or more PIPs was 123/219(56%). “Interaction between drugs” was the most common category for potentially serious and potentially...... need to improve the quality in prescribing for psychiatric patients....

  7. Psychiatric disorders in myasthenia gravis

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    Mariana Inés Ybarra


    Full Text Available OBJECTIVE: To investigate the prevalence of psychiatric disorders in patients with myasthenia gravis (MG. METHOD: Forty-one patients with MG answered to a structured psychiatric interview (MINI-Plus. RESULTS: Eleven (26.1% patients were diagnosed with a depressive disorder and 19 (46.3% were diagnosed with an anxiety disorder. Patients with dysthymia were older (p=0.029 and had longer disease duration (p=0.006. Patients with social phobia also had longer disease duration (p=0.039. CONCLUSION: Psychiatric disorders in MG are common, especially depressive and anxiety disorders.

  8. The cerebellum and psychiatric disorders

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    Joseph ePhillips


    Full Text Available The cerebellum has been considered for a long time to play a role solely in motor coordination. However, studies over the past two decades have shown that the cerebellum also plays a key role in many motor, cognitive, and emotional processes. In addition, studies have also shown that the cerebellum is implicated in many psychiatric disorders including attention deficit hyperactivity disorder, autism spectrum disorders, schizophrenia, bipolar disorder, major depressive disorder and anxiety disorders. In this review, we discuss existing studies reporting cerebellar dysfunction in various psychiatric disorders. We will also discuss future directions for studies linking the cerebellum to psychiatric disorders.

  9. [Qualitative methods in psychiatric research]. (United States)

    Sikorski, Claudia; Glaesmer, Heide


    This article addresses the usage of qualitative methods in psychiatric research and presents the qualitative approach in more detail. Recent original empirical work of a German psychiatric journal was systematically reviewed. Methods used to collect and analyse the information are detailed. One third of the articles used a solely qualitative research design. One further article applied a combination of quantitative and qualitative approaches. Three kinds of the qualitative interviews were used (in depth, narrative and problem-focussed interview). Additionally, focus groups (group discussions) and qualitative content analysis were applied by studies. Qualitative approaches are an integral part of psychiatric research. Further work should assure to use adequate sampling strategies.

  10. Celiac Disease Is Associated with Childhood Psychiatric Disorders: A Population-Based Study. (United States)

    Butwicka, Agnieszka; Lichtenstein, Paul; Frisén, Louise; Almqvist, Catarina; Larsson, Henrik; Ludvigsson, Jonas F


    To determine the risk of future childhood psychiatric disorders in celiac disease, assess the association between previous psychiatric disorders and celiac disease in children, and investigate the risk of childhood psychiatric disorders in siblings of celiac disease probands. This was a nationwide registry-based matched cohort study in Sweden with 10 903 children (aged celiac disease and 12 710 of their siblings. We assessed the risk of childhood psychiatric disorders (any psychiatric disorder, psychotic disorder, mood disorder, anxiety disorder, eating disorder, psychoactive substance misuse, behavioral disorder, attention-deficit hyperactivity disorder [ADHD], autism spectrum disorder [ASD], and intellectual disability). HRs of future psychiatric disorders in children with celiac disease and their siblings was estimated by Cox regression. The association between previous diagnosis of a psychiatric disorder and current celiac disease was assessed using logistic regression. Compared with the general population, children with celiac disease had a 1.4-fold greater risk of future psychiatric disorders. Childhood celiac disease was identified as a risk factor for mood disorders, anxiety disorders, eating disorders, behavioral disorders, ADHD, ASD, and intellectual disability. In addition, a previous diagnosis of a mood, eating, or behavioral disorder was more common before the diagnosis of celiac disease. In contrast, siblings of celiac disease probands were at no increased risk of any of the investigated psychiatric disorders. Children with celiac disease are at increased risk for most psychiatric disorders, apparently owing to the biological and/or psychological effects of celiac disease. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. A Professional Containment Method in Acute Psychiatric Care: Nursing Observations

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    Selma Sabancigullari


    Full Text Available Observation is a method that is used in place of other control methods such as chemical and physical detention, isolation. Observation is used especially as an interference method to ensure the safety of the patients with suicidal and aggressive behaviors in acute psychiatric care in many countries. Especially in acute psychiatric wards using observations of nursing as a professional control method is an important issue. This article aims to draw attention to the importance of the subject in our country about using nursing observations as a control method in acute psychiatric care from the view of the literature. In this article several studies related to risk assessment, decision making, the levels of observation, the application of observation and the ethical aspects of observation on acute psychiatric care have been discussed. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(1.000: 79-91

  12. Acute and long-term psychiatric side effects of mefloquine

    DEFF Research Database (Denmark)

    Ringqvist, Asa; Bech, Per; Glenthøj, Birte


    BACKGROUND: The aim of the study was to explore the profile of acute and long-term psychiatric side effects associated with mefloquine. METHODS: Subjects (n = 73) reported to a Danish national register during five consecutive years for mefloquine associated side effects were included. Acute...... psychiatric side effects were retrospectively assessed using the SCL-90-R and questions based on Present State Examination (PSE). Subjects reporting suspected psychotic states were contacted for a personal PSE interview. Electronic records of psychiatric hospitalizations and diagnoses were cross-checked. Long......), and vitality (VT) in the mefloquine group compared to matched controls. CONCLUSION: The most frequent acute psychiatric problems were anxiety, depression, and psychotic symptoms. Data indicated that subjects experiencing acute mefloquine adverse side effects may develop long-term mental health problems...

  13. Psychiatric Nurses' Attitude and Practice toward Physical Restraint. (United States)

    Mahmoud, Amal Sobhy


    This study was to assess psychiatric nurses' attitude and practice toward physical restraint among mentally ill patients. A descriptive research design was used to achieve the study objective. The present study was carried out in three specialized governmental mental hospitals and two psychiatric wards in general hospital. A convenient purposive sample of 96 nurses who were working in the previously mentioned setting was included. The tool used for data collection was the Self-Administered Structured Questionnaire; it included three parts: The first comprised items concerned with demographic characteristics of the nurses, the second comprised 10 item measuring nurses' attitudes toward physical restraint, and the third was used to assess nurses' practices regarding use of physical restraint. There were insignificant differences between attitudes and practices in relation to nurses' sex, level of education, years of experience and work place. Moreover, a positive significant correlation was found between nurses' total attitude scores, and practices regarding use of physical restraint. Psychiatric nurses have positive attitude and adequate practice toward using physical restraints as an alternative management for psychiatric patients. It is important for psychiatric nurses to acknowledge that physical restraints should be implemented as the last resort. The study recommended that it is important for psychiatric nurses to acknowledge that physical restraints should be implemented as the last resort. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Rabeprazole and psychiatric symptoms. (United States)

    Polimeni, Giovanni; Cutroneo, Paola; Gallo, Adele; Gallo, Salvatore; Spina, Edoardo; Caputi, Achille P


    To report the case of a patient who developed marked anxiety associated with episodes of panic attacks after starting rabeprazole therapy. An otherwise healthy 55-year-old woman was prescribed rabeprazole 20 mg/day administered in the morning for persistent symptoms of dyspepsia. Ten days later, she presented with a 7 day history of marked anxiety associated with panic attacks, night terror (pavor nocturnus), episodic mental confusion, and attention deficit. Within 2 days of discontinuing rabeprazole, the patient recovered completely from the neuropsychiatric manifestations. Subsequent esomeprazole therapy did not cause psychiatric symptoms. Rabeprazole-induced hypergastrinemia may have played a role in this neuropsychiatric adverse reaction. Several lines of evidence have indicated that gastrin-releasing peptide, whose release is mediated by proton pump inhibitor (PPI)-induced secretion of gastrin, is involved in regulating aspects of behavior that might be altered in disorders such as anxiety, depression, and dementia. The fact that rabeprazole has the highest capacity of inducing gastrin increase compared with other PPIs might explain why our patient's panic symptoms disappeared after switching to esomeprazole. Based on the Naranjo probability scale, rabeprazole was the probable cause of the adverse reaction. Specific studies are needed to investigate the potential role of PPI-induced hypergastrinemia in neuropsychiatric adverse reactions.

  15. Low self-esteem and psychiatric patients: Part I – The relationship between low self-esteem and psychiatric diagnosis (United States)

    Silverstone, Peter H; Salsali, Mahnaz


    Background The objective of the current study was to determine the prevalence and the degree of lowered self-esteem across the spectrum of psychiatric disorders. Method The present study was carried out on a consecutive sample of 1,190 individuals attending an open-access psychiatric outpatient clinic. There were 957 psychiatric patients, 182 cases with conditions not attributable to a mental disorder, and 51 control subjects. Patients were diagnosed according to DSM III-R diagnostic criteria following detailed assessments. At screening, individuals completed two questionnaires to measure self-esteem, the Rosenberg self-esteem scale and the Janis and Field Social Adequacy scale. Statistical analyses were performed on the scores of the two self-esteem scales. Results The results of the present study demonstrate that all psychiatric patients suffer some degree of lowered self-esteem. Furthermore, the degree to which self-esteem was lowered differed among various diagnostic groups. Self-esteem was lowest in patients with major depressive disorder, eating disorders, and substance abuse. Also, there is evidence of cumulative effects of psychiatric disorders on self-esteem. Patients who had comorbid diagnoses, particularly when one of the diagnoses was depressive disorders, tended to show lower self-esteem. Conclusions Based on both the previous literature, and the results from the current study, we propose that there is a vicious cycle between low self-esteem and onset of psychiatric disorders. Thus, low self-esteem increases the susceptibility for development of psychiatric disorders, and the presence of a psychiatric disorder, in turn, lowers self-esteem. Our findings suggest that this effect is more pronounced with certain psychiatric disorders, such as major depression and eating disorders. PMID:12620127

  16. Low self-esteem and psychiatric patients: Part I - The relationship between low self-esteem and psychiatric diagnosis. (United States)

    Silverstone, Peter H; Salsali, Mahnaz


    BACKGROUND: The objective of the current study was to determine the prevalence and the degree of lowered self-esteem across the spectrum of psychiatric disorders. METHOD: The present study was carried out on a consecutive sample of 1,190 individuals attending an open-access psychiatric outpatient clinic. There were 957 psychiatric patients, 182 cases with conditions not attributable to a mental disorder, and 51 control subjects. Patients were diagnosed according to DSM III-R diagnostic criteria following detailed assessments. At screening, individuals completed two questionnaires to measure self-esteem, the Rosenberg self-esteem scale and the Janis and Field Social Adequacy scale. Statistical analyses were performed on the scores of the two self-esteem scales. RESULTS: The results of the present study demonstrate that all psychiatric patients suffer some degree of lowered self-esteem. Furthermore, the degree to which self-esteem was lowered differed among various diagnostic groups. Self-esteem was lowest in patients with major depressive disorder, eating disorders, and substance abuse. Also, there is evidence of cumulative effects of psychiatric disorders on self-esteem. Patients who had comorbid diagnoses, particularly when one of the diagnoses was depressive disorders, tended to show lower self-esteem. CONCLUSIONS: Based on both the previous literature, and the results from the current study, we propose that there is a vicious cycle between low self-esteem and onset of psychiatric disorders. Thus, low self-esteem increases the susceptibility for development of psychiatric disorders, and the presence of a psychiatric disorder, in turn, lowers self-esteem. Our findings suggest that this effect is more pronounced with certain psychiatric disorders, such as major depression and eating disorders.


    Directory of Open Access Journals (Sweden)

    Ignacio Durruty


    Full Text Available Se estudió la digestión anaerobia de efluentes de la industria de la papa a partir de un sustrato simulado para determinar las distintas etapas de proceso para futuras aplicaciones en modelos cinéticos. La reacción se llevó a cabo en un reactor batch operado a 36oC y pH=7 durante 25 días. Se determinaron los sólidos suspendidos totales (TSS, los sólidos volátiles totales (VSS, la Demanda Química de Oxigeno (DQO soluble y total, la concentración de ácidos grasos y el volumen de metano producido durante el proceso. Los resultados indican la existencia de una primera etapa de reacción donde predomina la acidogénesis con grandes disminuciones en la materia orgánica, acompañada de altas producciones de ácidos grasos de cadena corta y metano, y una segunda etapa con predominio de la actividad metanogénica con menores velocidades de conversión. La etapa de hidrólisis puede ser ajustada a una cinética de primer orden según la ley de la potencia.

  18. Wintertime Air-Sea Gas Transfer Rates and Air Injection Fluxes at Station Papa in the NE Pacific (United States)

    McNeil, C.; Steiner, N.; Vagle, S.


    In recent studies of air-sea fluxes of N2 and O2 in hurricanes, McNeil and D'Asaro (2007) used a simplified model formulation of air-sea gas flux to estimate simultaneous values of gas transfer rate, KT, and air injection flux, VT. The model assumes air-sea gas fluxes at high to extreme wind speeds can be explained by a combination of two processes: 1) air injection, by complete dissolution of small bubbles drawn down into the ocean boundary layer by turbulent currents, and 2) near-surface equilibration processes, such as occurs within whitecaps. This analysis technique relies on air-sea gas flux estimates for two gases, N2 and O2, to solve for the two model parameters, KT and VT. We present preliminary results of similar analysis of time series data collected during winter storms at Station Papa in the NE Pacific during 2003/2004. The data show a clear increase in KT and VT with increasing NCEP derived wind speeds and acoustically measured bubble penetration depth.

  19. Seaglider surveys at Ocean Station Papa: Circulation and water mass properties in a meander of the North Pacific Current (United States)

    Pelland, Noel A.; Eriksen, Charles C.; Cronin, Meghan F.


    A Seaglider autonomous underwater vehicle augmented the Ocean Station Papa (OSP; 50°N, 145°W) surface mooring, measuring spatial structure on scales relevant to the monthly evolution of the moored time series. During each of three missions from June 2008 to January 2010, a Seaglider made biweekly 50 km × 50 km surveys in a bowtie-shaped survey track. Horizontal temperature and salinity gradients measured by these surveys were an order of magnitude stronger than climatological values and sometimes of opposite sign. Geostrophically inferred circulation was corroborated by moored acoustic Doppler current profiler measurements and AVISO satellite altimetry estimates of surface currents, confirming that glider surveys accurately resolved monthly scale mesoscale spatial structure. In contrast to climatological North Pacific Current circulation, upper-ocean flow was modestly northward during the first half of the 18 month survey period, and weakly westward during its latter half, with Rossby number O>(0.01>). This change in circulation coincided with a shift from cool and fresh to warm, saline, oxygen-rich water in the upper-ocean halocline, and an increase in vertical fine structure there and in the lower pycnocline. The anomalous flow and abrupt water mass transition were due to the slow growth of an anticyclonic meander within the North Pacific Current with radius comparable to the scale of the survey pattern, originating to the southeast of OSP.


    Directory of Open Access Journals (Sweden)

    Miguel Barquero


    Full Text Available Se determinó la resistencia al tizón tardío presente en 83 genotipos de papa, provenientes de diferentes cruces y fusión de protoplastos de líneas de mejoramiento con las especies silves- tres Solanum bulbocastanum, S. circaeifolium, S. okadae, S. laxissimum, S. berthaultii, S. pinnatisectum y S. commersonii. Los materiales fueron evaluados en el campo, y en el labora- torio se realizó pruebas de foliolos separados, utilizando como inóculo una raza compleja (1- 11 de P. infestans. Los genotipos provenientes de las hibridaciones somáticas o cruces con las especies silvestres S. bulbocastanum, S. circaei-folium y S. okadae fueron los que presentaron los valores más bajos del área bajo la curva de desarrollo de la enfermedad: 60, 80 y 79, res- pectivamente. Las variedades Alpha, Waych'a,Pimpernell y Granola, utilizadas como testigos, presentaron los valores más altos del área bajo la curva 477, 474, 466 y 427, respectivamente.

  1. Web of Objects Based Ambient Assisted Living Framework for Emergency Psychiatric State Prediction. (United States)

    Alam, Md Golam Rabiul; Abedin, Sarder Fakhrul; Al Ameen, Moshaddique; Hong, Choong Seon


    Ambient assisted living can facilitate optimum health and wellness by aiding physical, mental and social well-being. In this paper, patients' psychiatric symptoms are collected through lightweight biosensors and web-based psychiatric screening scales in a smart home environment and then analyzed through machine learning algorithms to provide ambient intelligence in a psychiatric emergency. The psychiatric states are modeled through a Hidden Markov Model (HMM), and the model parameters are estimated using a Viterbi path counting and scalable Stochastic Variational Inference (SVI)-based training algorithm. The most likely psychiatric state sequence of the corresponding observation sequence is determined, and an emergency psychiatric state is predicted through the proposed algorithm. Moreover, to enable personalized psychiatric emergency care, a service a web of objects-based framework is proposed for a smart-home environment. In this framework, the biosensor observations and the psychiatric rating scales are objectified and virtualized in the web space. Then, the web of objects of sensor observations and psychiatric rating scores are used to assess the dweller's mental health status and to predict an emergency psychiatric state. The proposed psychiatric state prediction algorithm reported 83.03 percent prediction accuracy in an empirical performance study.

  2. [Current issues in psychiatric ethics]. (United States)

    Kovács, József


    The article analyzes some ethical problems in psychiatry that have been emerging in recent years. It deals with the ongoing intensive debates about the DSM-5 before its publication, and with some of the criticisms of the DSM-5 itself. Then it goes on to analyze the use of placebo. This is followed by the ethical problems of the treatment of ADHD with stimulant drugs, among which one is the question of authenticity, namely whether the pre-treatment or the post-treatment personality is the real, authentic self of the patient. This question has been raised not only in the case of the ADHD, but also in relation with the antidepressant treatment of depression earlier, and in relation with deep brain stimulation and dopamine replacement therapy now, all of which causes changes in the treated patient's personality and motivations. Finally the article describes some ethical problems of informed consent in the case of antidepressant medication, together with the necessity to involve psychiatric nurses and rating scales in the assessment of the patient's decision making capacity.

  3. Lesion procedures in psychiatric neurosurgery. (United States)

    Patel, Shaun R; Aronson, Joshua P; Sheth, Sameer A; Eskandar, Emad N


    Lesion procedures for psychiatric indications have a history that spans more than a century. This review provides a brief history of psychiatric surgery and addresses the most recent literature on lesion surgery for the treatment of anxiety and mood disorders. Relevant data described in publications from the early 1900 s through the modern era regarding lesion procedures for psychiatric indications, both historical and current use, are reported. The early procedures of Burkhardt, Moniz, and Freeman are reviewed, followed by descriptions of the more refined techniques of Leksell, Knight, Foltz, White, and Kelly. The application of lesion procedures to obsessive-compulsive disorder, mood disorders, and addiction are discussed. Lesioning procedures have informed modern deep brain stimulation targets. Recent lesioning studies demonstrate the efficacy and durability of these procedures in severely disabled patients. Judicious application of these techniques should continue for appropriately selected patients with severe, refractory psychiatric disorders. Copyright © 2013. Published by Elsevier Inc.

  4. Tics, ADHD and Psychiatric Comorbidity

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap


    Full Text Available The prevalence of teacher-rated tic behaviors in 3006 school children, from preschool to adolescence, was determined in a study of comorbid psychiatric symptoms at State University of New York, Stony Brook, NY.

  5. Tics, ADHD and Psychiatric Comorbidity


    J Gordon Millichap


    The prevalence of teacher-rated tic behaviors in 3006 school children, from preschool to adolescence, was determined in a study of comorbid psychiatric symptoms at State University of New York, Stony Brook, NY.

  6. Psychiatric disorders in the elderly. (United States)

    Skoog, Ingmar


    Recent research has shown that depression, anxiety disorders, and psychosis are more common than previously supposed in elderly populations without dementia. It is unclear whether the frequency of these disorders increases or decreases with age. Clinical expression of psychiatric disorders in old age may be different from that seen in younger age groups, with less and often milder symptoms. Concurrently, comorbidity between different psychiatric disorders is immense, as well as comorbidity with somatic disorders. Cognitive function is often decreased in people with depression, anxiety disorders, and psychosis, but whether these disorders are risk factors for dementia is unclear. Psychiatric disorders in the elderly are often related to cerebral neurodegeneration and cerebrovascular disease, although psychosocial risk factors are also important. Psychiatric disorders, common among the elderly, have consequences that include social deprivation, poor quality of life, cognitive decline, disability, increased risk for somatic disorders, suicide, and increased nonsuicidal mortality.

  7. Psychiatric emergencies (part II): psychiatric disorders coexisting with organic diseases. (United States)

    Testa, A; Giannuzzi, R; Sollazzo, F; Petrongolo, L; Bernardini, L; Dain, S


    In this Part II psychiatric disorders coexisting with organic diseases are discussed. "Comorbidity phenomenon" defines the not univocal interrelation between medical illnesses and psychiatric disorders, each other negatively influencing morbidity and mortality. Most severe psychiatric disorders, such as schizophrenia, bipolar disorder and depression, show increased prevalence of cardiovascular disease, related to poverty, use of psychotropic medication, and higher rate of preventable risk factors such as smoking, addiction, poor diet and lack of exercise. Moreover, psychiatric and organic disorders can develop together in different conditions of toxic substance and prescription drug use or abuse, especially in the emergency setting population. Different combinations with mutual interaction of psychiatric disorders and substance use disorders are defined by the so called "dual diagnosis". The hypotheses that attempt to explain the psychiatric disorders and substance abuse relationship are examined: (1) common risk factors; (2) psychiatric disorders precipitated by substance use; (3) psychiatric disorders precipitating substance use (self-medication hypothesis); and (4) synergistic interaction. Diagnostic and therapeutic difficulty concerning the problem of dual diagnosis, and legal implications, are also discussed. Substance induced psychiatric and organic symptoms can occur both in the intoxication and withdrawal state. Since ancient history, humans selected indigene psychotropic plants for recreational, medicinal, doping or spiritual purpose. After the isolation of active principles or their chemical synthesis, higher blood concentrations reached predispose to substance use, abuse and dependence. Abuse substances have specific molecular targets and very different acute mechanisms of action, mainly involving dopaminergic and serotoninergic systems, but finally converging on the brain's reward pathways, increasing dopamine in nucleus accumbens. The most common

  8. Psychiatric characteristics of homicide defendants. (United States)

    Martone, Christine A; Mulvey, Edward P; Yang, Suzanne; Nemoianu, Andrei; Shugarman, Ryan; Soliman, Layla


    The authors examined the rate of mental disorders in an unselected sample of homicide defendants in a U.S. jurisdiction, seeking to identify psychiatric factors associated with offense characteristics and court outcomes. Defendants charged with homicide in a U.S. urban county between 2001 and 2005 received a psychiatric evaluation after arrest. Demographic, historical, and psychiatric variables as well as offense characteristics and legal outcomes were described. Bivariate analyses examined differences by age group and by race, and logistic models examined predictors of multiple victims, firearm use, guilty plea, and guilty verdict. Fifty-eight percent of the sample had at least one axis I or II diagnosis, most often a substance use disorder (47%). Axis I or II diagnoses were more common (78%) among defendants over age 40. Although 37% of the sample had prior psychiatric treatment, only 8% of the defendants with diagnosed axis I disorders had outpatient treatment during the 3 months preceding the homicide; African Americans were less likely than non-African Americans to be in treatment. African American males were more likely to use a firearm and to have a male victim. In exploratory analyses, psychiatric factors did not predict multiple victims, firearm use in the crime, or a guilty verdict. Rates of axis I disorders were lower than reported in previous studies. Few homicide defendants were in psychiatric treatment at the time of the crime, suggesting limited opportunities for prevention by mental health providers.

  9. Psychiatric aspects of induced abortion. (United States)

    Stotland, Nada L


    Approximately one third of the women in the United States have an abortion during their lives. In the year 2008, 1.21 million abortions were performed in the United States (Jones and Koolstra, Perspect Sex Reprod Health 43:41-50, 2011). The psychiatric outcomes of abortion are scientifically well established (Adler et al., Science 248:41-43, 1990). Despite assertions to the contrary, there is no evidence that abortion causes psychiatric problems (Dagg, Am J Psychiatry 148:578-585, 1991). Those studies that report psychiatric sequelae suffer from severe methodological defects (Lagakos, N Engl J Med 354:1667-1669, 2006). Methodologically sound studies have demonstrated that there is a very low incidence of frank psychiatric illness after an abortion; women experience a wide variety of feelings over time, including, for some, transient sadness and grieving. However, the circumstances that lead a woman to terminate a pregnancy, including previous and/or ongoing psychiatric illness, are independently stressful and increase the likelihood of psychiatric illness over the already high baseline incidence and prevalence of mood and anxiety disorders among women of childbearing age. For optimal psychological outcomes, women, including adolescents, need to make autonomous and supported decisions about problem pregnancies. Clinicians can help patients facing these decisions and those who are working through feelings about having had abortions in the past.

  10. Modelo para evaluar la calidad de las tierras: caso del cultivo de papa

    Directory of Open Access Journals (Sweden)

    Martínez Luis Joel


    desarrollo un modelo, en una zona montanosa dedicada al cultivo de la papa en Cundinamarca (Colombia, que permite evaluar la calidad de las tierras. El modelo se basa en  analisis espacial, integra indicadores de calidad de las tierras con tecnologias como los sistemas de información geografica, las imagenes de satelite, las bases de datos y de conocimiento, con el fin de apoyar la toma de decisiones sobre uso, manejo y conservacion de las tierras. En la zona estudiada se encontro que la erosion es uno de los procesos  que tiene mayor efecto en la calidad de las tierras; tambien se evaluaron otros indicadores como la disponibilidad de agua, las condiciones de enraizamiento, las condiciones para la mecanizacion y el drenaje. Se realizo un analisis entre la ubicacion de los cultivos de papa, la calidad de la tierra y la altitud. El enfoque del modelo permite que sea adaptado para

    evaluacion de la calidad de las tierras en otras zonas y para otros tipos de uso.

  11. Psychiatric diagnosis and aggression before acute hospitalisation. (United States)

    Colasanti, A; Natoli, A; Moliterno, D; Rossattini, M; De Gaspari, I F; Mauri, M C


    To examine the predictors of aggressive behaviours occurring before acute hospitalisation. We analysed 350 acute admissions to a psychiatric ward during a 12-month period. The diagnoses were formulated according to the DSM IV axis I and II criteria. Aggressive behaviours occurring in the week before admission were retrospectively assessed using the modified overt aggression scale. The patients' clinical and sociodemographic variables, concurrent drug or alcohol abuse, and admission status were recorded at the time of admission. Aggressive and violent behaviours were highly prevalent, respectively, in 45% and 33% of the cases. Violence before admission was independently associated with drug abuse, involuntary admission status, and severe psychopathology. A diagnosis of a psychotic disorder did not increase the risk of aggression or violence, compared to the other psychiatric diagnoses. Personality disorders were significantly more associated to aggressive behaviours than psychotic disorders. The diagnosis of psychotic disorder is a poor predictor of aggression in a sample of psychiatric patients. Other clinical and non-clinical variables are associated to aggression before hospitalisation: they include drug abuse, involuntary admission status, general severity of symptoms, and diagnosis of personality disorder.

  12. Um balanço da reforma psiquiátrica brasileira: instituições, atores e políticas An assessment of Brazilian psychiatric reform: institutions, actors and policies

    Directory of Open Access Journals (Sweden)

    Ana Maria Fernandes Pitta


    Full Text Available O artigo provoca olhares sobre a Reforma Psiquiátrica Brasileira (RPB na última década, após a homologação da Lei Federal 10.216/2001 e pretende suscitar o debate inadiável sobre os novos desafios que ela precisa enfrentar para alimentar ou reciclar a antiga utopia de "cidadania plena para todos, numa sociedade sem manicômios". Estaria a Reforma dando sinais de exaustão? É inegável a reorientação do modelo assistencial de Saúde Mental no Brasil do hospital para a comunidade nessa última década. Ao tomar o uso de Substâncias Psicoativas como objeto de políticas e intervenção, incorpora demandas complexas que o atual drama do Crack somente imediatiza a necessidade de questionar sua história, seus limites, sua potência. O que manterá acesa a chama de um movimento exitoso que, surpreendentemente, resiste à força do tempo e do estigma nesses dez anos da Lei? Essas e outras questões precisam ser equacionadas. Está na hora de reciclar os focos de avaliação e análise no sentido de identificar o que ameaça sua vitalidade. Esse é o desafio que a articulista e debatedores estarão provocados a contribuir.The article takes a look at Brazilian Psychiatric Reform over the past decade, after the approval of Federal Law 10.216/2001 and seeks to elicit long overdue discussion about the pressing challenges that Brazilian Psychiatric Reform needs to tackle to promote or review the long-desired utopia of "full citizenship for all in a society without asylums." Is the Reform showing signs of exhaustion? The redirection of the care model for Mental Health in Brazil from the hospital to the community over the past decade is an undeniable achievement. Taking the use of psychoactive substances as the scope of policy and intervention, this incorporates complex demands that the current Crack drama makes it more urgent to question its history, its limits, its power. What will keep the flame alight of a successful movement that, surprisingly

  13. Premenstrual Syndrome and Psychiatric Co-morbidities.

    Directory of Open Access Journals (Sweden)

    Ziba Taghizadeh


    Full Text Available "n    "nObjective: Premenstrual syndrome (PMS is a common disorder with prevalence rate of approximately 30%; its concurrence with psychiatric symptoms will make it a disabling condition that resists usual treatment. Objective: This study was enrolled to assess the co-morbidity of PMS and psychiatric disorders in a sample of girls with PMS compared to those without PMS. "n    "nMaterial and method : This study was conducted through a cross sectional method with 362 participants (166 with PMS and 196 healthy girls who were selected randomly and completed the demographic questionnaire, premenstrual syndrome symptom daily record scale and the symptom checklist 90-revised (SCL-90-R. "n    "nResult: According to the result of the independent t test, the mean score of all the psychiatric symptoms in the PMS group was significantly higher than those in healthy group (P<0.001. According to SCL-90-R measurement, most of the participants in the PMS group were categorized as extremely sick for somatization (44% ,obsessive-compulsive (59%, depression (58.4%, anxiety (64.5%, hostility (47% and psychoticism (69.3%; most of the participants were diagnosed as having borderline severity of disorders for interpersonal sensitivity (44.6% and paranoid (42.8% and most of the respondents with PMS (46.4% were diagnosed as healthy only for phobic anxiety. "n    "nConclusion: There is a considerable relationship between PMS and different psychiatric symptoms that can complicate the diagnosis of PMS and its treatment for the health care providers. Therefore, all health care providers who are in contact with women in their reproductive age should be sensitive to mental health status in women with PMS.

  14. Clinical utility of the MMPI-A content scales and Harris-Lingoes subscales in the assessment of suicidal risk factors in psychiatric adolescents. (United States)

    Kopper, B A; Osman, A; Osman, J R; Hoffman, J


    This study of 143 inpatient adolescents (68 boys and 75 girls) investigated the clinical utility of the MMPI-A in assessing suicidal risk factors by examining the unique contribution of the content scales and Harris-Lingoes subscales beyond what is provided by the basic clinical scales. The results of the regression analyses indicated that for boys, the Depression, Psychopathic Deviate and Hypomania scales; Alienation and Anxiety content scales: and Subjective Depression. Self Alienation, Imperturbability, and Amorality Harris-Lingoes subscales contributed significantly to the prediction of suicide probability. For girls, the Depression, Psychopathic Deviate, and Hypomania scales; Family Problems, Conduct Problems, School Problems, Depression, and Social Discomfort content scales; and the Subjective Depression, Self Alienation, Psychomotor Acceleration, and Imperturbability Harris-Lingoes subscales contributed significantly to the prediction of suicide probability.

  15. Psychiatric/ psychological forensic report writing. (United States)

    Young, Gerald

    Approaches to forensic report writing in psychiatry, psychology, and related mental health disciplines have moved from an organization, content, and stylistic framework to considering ethical and other codes, evidentiary standards, and practice considerations. The first part of the article surveys different approaches to forensic report writing, including that of forensic mental health assessment and psychiatric ethics. The second part deals especially with psychological ethical approaches. The American Psychological Association's Ethical Principles and Code of Conduct (2002) provide one set of principles on which to base forensic report writing. The U.S. Federal Rules of Evidence (2014) and related state rules provide another basis. The American Psychological Association's Specialty Guidelines for Forensic Psychology (2013) provide a third source. Some work has expanded the principles in ethics codes; and, in the third part of this article, these additions are applied to forensic report writing. Other work that could help with the question of forensic report writing concerns the 4 Ds in psychological injury assessments (e.g., conduct oneself with Dignity, avoid the adversary Divide, get the needed reliable Data, Determine interpretations and conclusions judiciously). One overarching ethical principle that is especially applicable in forensic report writing is to be comprehensive, scientific, and impartial. As applied to forensic report writing, the overall principle that applies is that the work process and product should reflect integrity in its ethics, law, and science. Four principles that derive from this meta-principle concern: Competency and Communication; Procedure and Protection; Dignity and Distance; and Data Collection and Determination. The standards or rules associated with each of these principles are reviewed. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  16. Screening of alcohol use disorders in psychiatric outpatients: influence of gender, age, and psychiatric diagnosis. (United States)

    Sánchez Autet, Mónica; Garriga, Marina; Zamora, Francisco Javier; González, Idilio; Usall, Judith; Tolosa, Leticia; Benítez, Concepción; Puertas, Raquel; Arranz, Belén


    Alcohol use disorders (AUD) are 2 times higher among psychiatric patients than in the general population. The under-recognition of this dual diagnosis can entail several negative outcomes. Early assessment with a screening tool like the CAGE questionnaire could be an opportunity to improve patients' prognoses. The objective of this study is to assess AUD risk in an outpatient psychiatric sample with a modified CAGE, considering the influence of age, gender and clinical psychiatric diagnosis. An observational, multicentric, descriptive study was carried out. The 4-item CAGE scale, camouflaged in a healthy lifestyle questionnaire, was implemented, using a cut-off point of one. 559 outpatients were assessed. 54% were female and the average age was 50.07 years. 182 patients presented a CAGE score ≥1 (45.1% of men and 21.9% of women). Gender was the strongest predictor of a positive result in CAGE, as men were 3.03 times more likely to score ≥1 on the CAGE questionnaire (p < .001, 95% CI: 0.22-0.49). Patients with bipolar and personality disorders had the highest rates of CAGE scores ≥1 (45.2 and 44.9%, respectively), with a significant association between diagnosis and a positive score (p = .002). Patients above 60 years were 2.5 times less likely to score ≥1 on the CAGE (p = .017, 95% CI: 0.19-0.85). Specific screening questionnaires, like the CAGE scale, can be an easy and useful tool in the assessment of AUD risk in psychiatric outpatients. Male patients with a bipolar or personality disorder present a higher risk of AUD.

  17. Psychiatric Symptoms in Childhood Wilson’s Disease: Case Reports

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    Sevcan Karakoç Demirkaya


    Full Text Available Various psychiatric symptoms/signs have been identified since the identification of Wilson’s disease (WD. Every patient with WD suffers from one or more psychiatric problems (organic dementia, psychosis, and impulsivity across the disease course. Sometimes, insidious symptoms, such as behavioral changes, failure in school performance, and disturbances in hand-eye coordination may be seen before the onset of neurologic presentation. In this report, five patients, who were diagnosed with WD and followed up in the Child Neurology Unit, were assessed by a Diagnostic and Statistical Manual of Mental Disorders-4-based semistructured psychiatric interview (Schedule for Affective Disorders and Schizophrenia for School-Age Children. All patients had psychiatric symptoms. One patient had a history of a manic episode and the other had a history of a psychotic disorder at the initial stage of WD. Psychiatric symptoms coexist mostly with neurologic signs in patients with WD. In this sense, pediatric neurological consultation and copper screening are lifesaving in excluding organic etiology. However, WD is a lifelong treatment-requiring disease and psychiatric evaluation of the patients is essential.

  18. Culture in Psychiatric Epidemiology: Using Ethnography and Multiple Mediator Models to Assess the Relationship of Caste with Depression and Anxiety in Nepal (United States)

    Kohrt, Brandon A.; Speckman, Rebecca A.; Kunz, Richard D.; Baldwin, Jennifer L.; Upadhaya, Nawaraj; Acharya, Nanda Raj; Sharma, Vidya Dev; Nepal, Mahendra K.; Worthman, Carol M.


    Background The causes of ethnic and caste-based disparities in mental health are poorly understood. Aim To identify mediators underlying caste-based disparities in mental health in Nepal. Subjects and methods A mixed methods ethnographic and epidemiological study of 307 adults (Dalit/Nepali, n=75; high caste Brahman and Chhetri, n=232) assessed with Nepali versions of Beck Depression (BDI) and Anxiety (BAI) Inventories. Results One third (33.7%) of participants were classified as depressed: Dalit/Nepali 50.0%, high caste 28.4%. One quarter (27.7%) of participants were classified as anxious: Dalit/Nepali 50.7%, high caste 20.3%. Ethnographic research identified four potential mediators: stressful life events, owning few livestock, no household income, and lack of social support. The direct effect of caste was 1.08 (95% CI -1.10—3.27) on depression score and 4.76 (95% CI 2.33—7.19) on anxiety score. All four variables had significant indirect (mediation) effects on anxiety, and all but social support had significant indirect effects on depression. Conclusion Caste-based disparities in mental health in rural Nepal are statistically mediated by poverty, lack of social support, and stressful life events. Interventions should target these areas to alleviate the excess mental health burden born by Dalit/Nepali women and men. PMID:19381985

  19. Al Ain Community Survey of Psychiatric Morbidity III. The natural history of psychopathology and the utilization rate of psychiatric services in Al Ain. (United States)

    Daradkeh, T K; Ghubash, R; Abou-Saleh, M T


    We evaluated the natural history of psychopathology in a stratified sample (n = 245) comprising subjects with no DSM-III-R psychiatric disorder, subthreshold disorder and threshold (DSM-III-R) psychiatric disorder, respectively, over a 12-months period, using the Structured Clinical Interview for DSM-III-R mental disorders (SCID) as an assessment tool. A representative sample categorized 1 year earlier into DSM-III-R psychiatric disorder, subthreshold disorder and no DSM-III-R psychiatric disorder were reassessed with SCID 1 year on. The incidence, recovery rates and the percentage of subthreshold disorders which become DSM-III-R disorders were calculated. The utilization rate of psychiatric services was also assessed. The incidence rate of new cases was 10.4%. The recovery (remission) rate was 41.5%, and approximately 20% of subthreshold disorders became definitive disorders (DSM-III-R) after 1 year. Anxiety disorders tend to have a higher magnitude of temporal stability in comparison with depressive disorders. Male sex and contact with psychiatric services were found to affect the recovery rate. Approximately 13% of the sample had made contact with psychiatric services with no gender differences, but men were significantly more often hospitalized than women. Our findings indicate that mental disorders are relatively common. The high incidence rate found in this study is attributed in part to the high negative rate at baseline assessment. Approximately 60% of psychiatric disorders in the community are persistent, and patients with emotional disorder under-utilize existing services.

  20. Psychiatric problems in children with hemiplegia: cross sectional epidemiological survey. (United States)

    Goodman, R.; Graham, P.


    OBJECTIVE--To examine the prevalence and predictors of psychiatric problems in children with hemiplegia. DESIGN--Cross sectional questionnaire survey of an epidemiological sample with individual assessments of a representative subgroup. The questionnaire survey was repeated on school age subjects four years later. SUBJECTS--428 hemiplegic children age 2 1/2-16 years, of whom 149 (aged 6-10 years) were individually assessed. MAIN OUTCOME MEASURES--Psychiatric symptom scores and the occurrence of psychiatric disorder. RESULTS--Psychiatric disorders affected 61% (95% confidence interval 53% to 69%) of subjects as judged by individual assessments and 54% (49% to 59%) and 42% (37% to 47%) as judged from parent and teacher questionnaires, respectively. Few affected children had been in contact with child mental health services. The strongest consistent predictor of psychiatric problems was intelligence quotient (IQ), which was highly correlated with an index of neurological severity; age, sex, and laterality of lesion had little or no predictive power. CONCLUSION--Though most hemiplegic children have considerable emotional or behavioural difficulties, these psychological complications commonly go unrecognised or untreated. Comprehensive health provision for children with chronic neurodevelopmental disorders such as hemiplegia should be psychologically as well as physically oriented. PMID:8616413

  1. Efecto de la adición de materia orgánica sobre la dinámica poblacional bacteriana del suelo en cultivos de papa y maíz


    David García Ventocilla; Gloria Mamani Gamarra; Nicolás Román Cabello; Luis Suárez Salas; Ana Contreras Marín; Julio Malca Jauregui


    Se determinó el efecto de la fertilización orgánica sobre las poblaciones bacterianas del suelo en cultivos de papa y maíz durante la campaña agrícola 2008-2009 en terrenos de cuatro localidades del Valle del Mantaro: INIA Santa Ana (Huancayo), en la EEA El Mantaro (Jauja), Vista Alegre y Huayao (ambos en Chupaca). En estos lugares se instalaron parcelas experimentales de papa (Solanum tuberosum L. Var. Canchan) y maíz (Zea maíz L. Var. Cusco mejorado) bajo abonamiento orgánico (vacuno, ovino...

  2. EVALUACIÓN DE UN SISTEMA in vitro PARA ESTUDIOS DE Spongospora subterranea f. sp. subterranea EN RAÍCES DE PAPA (Solanum tuberosum subsp. andigena L.) Var. DIACOL CAPIRO




    La papa es uno de los principales cultivos de importancia a nivel mundial. Según la Cadena Agroalimentaria de la papa de Colombia, la sarna polvosa está dentro de los siete principales problemas fitosanitarios de este cultivo en las zonas productoras. La enfermedad es causada por el patógeno Spongospora subterranea, que disminuye la producción y calidad de los tubérculos. La naturaleza obligada del patógeno  imposibilita su aislamiento y el mantenimiento de cepas, dificultando su investigació...

  3. Estudio reológico de las mezclas de harinas: trigo (Triticum vulgare), cebada (Hordeum vulgare) y papas (Solanum tuberosum) para la utilización en la elaboración de pan


    Galo Sandoval; Mario Álvarez; Mayra Paredes; Alexandra Lascano


    Con las harinas de trigo importado, el trigo nacional y los cereales que se producen en el país, y el tubérculo papa, se realizó un estudio reológico para determinar las proporciones más convenientes de sustitución de harina de trigo importado con éstas últimas y su factibilidad para la elaboración de pan. Se trabajó en mezclas de harinas, de trigo CWRS#1 (trigo rojo de primavera del oeste de Canadá), de cebada Cañicapa, trigo Cojitambo y papa Gabriela, provenientes de cultivos ecuatorianos, ...

  4. Current psychiatric disorders in patients with epilepsy are predicted by maltreatment experiences during childhood. (United States)

    Labudda, Kirsten; Illies, Dominik; Herzig, Cornelia; Schröder, Katharina; Bien, Christian G; Neuner, Frank


    Childhood maltreatment has been shown to be a risk factor for the development of psychiatric disorders. Although the prevalence of psychiatric disorders is high in epilepsy patients, it is unknown if childhood maltreatment experiences are elevated compared to the normal population and if early maltreatment is a risk factor for current psychiatric comorbidities in epilepsy patients. This is the main purpose of this study. Structured interviews were used to assess current Axis I diagnoses in 120 epilepsy patients from a tertiary Epilepsy Center (34 TLE patients, 86 non-TLE patients). Childhood maltreatment in the family and peer victimization were assessed with validated questionnaires. Patients' maltreatment scores were compared with those of a representative matched control group. Logistic regression analysis was conducted to assess the potential impact of childhood maltreatment on current psychiatric comorbidity in epilepsy patients. Compared to a matched control group, epilepsy patients had higher emotional and sexual maltreatment scores. Patients with a current psychiatric diagnosis reported more family and peer maltreatment than patients without a psychiatric disorder. Family maltreatment scores predicted the likelihood of a current psychiatric disorder. TLE patients did not differ from non-TLE patients according to maltreatment experiences and rates of current psychiatric disorders. Our findings suggest that in epilepsy patients emotional and sexual childhood maltreatment is experienced more often than in the normal population and that early maltreatment is a general risk factor for psychiatric comorbidities in this group. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Donde papas y diablos bailan. danza, producción agrícola y religión en el altiplano boliviano


    Eveline Sigl


    El presente texto da una vista detallada de la relación entre el ciclo productivo de la papa, los conceptos de fertilidad y crecimiento, las creencias religiosas (producto del sincretismo entre la cosmovisión aymara y el catolicismo) y las danzas rurales autóctonas y urbanas mestizas del altiplano de Bolivia. Mientras que el contexto rural es ejemplificado por Waka Thuqhuri, Choquelas y Tarqueada (dos danzas del tiempo seco y una danza de la época de lluvias), el ámbito urbano ...

  6. Medición de preferencias por alimentos con atributos ambientales: disposición a pagar por papa fresca integrada


    Lacaze, María Victoria


    El análisis de las preferencias por alimentos con atributos relacionados con la salud y la calidad ambiental depende, en gran parte, de las percepciones de los consumidores. En el caso de productos novedosos, las estrategias de valoración evalúan situaciones de compra hipotética. El trabajo estima una medida de la valoración de un alimento con atributos de calidad ambiental, la papa fresca integrada, aplicando el Método de Valoración Contingente. Los datos provienen de una encuesta probabilís...

  7. Modelación de la Papa en Latinoamérica: Estado del arte y base de datos para parametrización


    CONDORI ALI Bruno; de la Casa, Antonio; ADALTON MAZETTI Fernandes,; ROGÉRIO PERES Soratto; OLARTE MANTILLA Sandra Milena; JEREZ MOMPIES Eduardo; CLAVIJO PONCE Neidy Lorena; Rodriguez, Diego; GÓMEZ BENITEZ Beatriz; TREBEJO Irene; VILARO Francisco; García, Claudio; Sarmiento, Lina; RODRIGUEZ BAIDE JOYSEE; VAN DEN BERG MAURITS


    La papa en Latinoamérica (LA) es un cultivo con importancia social y económica, y constituye la base alimentaria de varios países. La variabilidad y el cambio climático incrementan la incertidumbre de los rendimientos que alcanzarán los cultivos. Modelos de simulación que permitan explicar los rendimientos a través de la interacción del genotipo - ambiente más su manejo, pueden ser la herramienta destinada a reducir la incertidumbre sobre los rendimientos de los cultivos y ayudar a reducir la...

  8. Evaluaciones de bienestar ante cambios en la estructura del mercado de papas prefritas congeladas: un análisis con coeficientes aleatorios


    González, Julia; Lacaze, María Victoria


    La industria argentina de papas prefritas congeladas (PPC) es altamente diferenciada y concentrada, siendo escasos los estudios que analizan el mercado. El trabajo evalúa el efecto provocado por cambios hipotéticos en la estructura del mercado marplatense de PPC sobre los precios, las ventas y el excedente de los consumidores. Para ello, se estima la demanda directa de los hogares a través de un modelo de elección discreta con coeficientes aleatorios. Se emplea un panel de volúmenes y montos ...

  9. Variabilidad espacial de propiedades edáficas y su relación con el rendimiento en un cultivo de papa (solanum tuberosum l.)


    Muñoz, Juan D.; Martínez, Luis J.; Giraldo, Ramón


    Se efectuó una investigación con el fin de modelar la variabilidad espacial de algunas propiedades del suelo y su relación con la variación de la producción en un cultivo de papa (Solanum tuberosumL.), como base para identificar algunos indicadores de calidad de suelos en el departamento de Cundinamarca, región andina de Colombia. Mediante la realización de diversos análisis espaciales se encontró una alta variabilidad espacial de las propiedades del suelo y de la producción dentro del lote. ...

  10. Regeneración de la planta de papa (Solanum Tuberosum L.) In Vitro a partir del estolón




    El crecimiento poblacional y el incremento en la demanda de vegetales para satisfacer los requerimientos nutrimentales de la propia población son cada vez m·s altos, tal es el caso de la papa (Sola- num tuberosum L.). Al no existir la cantidad de pro- ducto con la calidad necesaria para consumo hu- mano e industrial, se hace necesario implementar mecanismos para incrementar la producciU?n. Se realizaron estudios para encontrar el medio de cultivo adecuado para desarrollar la tuberizaciU?n in ...

  11. Bases para el estudio de la competitividad de la produccion de papa de las agroempresas campesinas de la region central de Boyaca

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    Rodriguez Luis Felipe


    Full Text Available

    Para el Departamento de Boyacá, la problemática más relevante en los aspectos tecnologico y socioeconómico en el contexto del Sector Agropecuario, se centra en el gremio de los productores de papa, especialmente en los pequeños agroempresarios. En esta región, existe un marcado predominio de los pequeños cultivos de papa, atendidos básicamente por sus dueños, arrendatarios o aparceros. La demasiada parcelación del terreno ha sido un factor determinante para su bajo nivel de mecanizaci6n. En Boyacá, se resalta la existencia de varias zonas donde el cultivo de papa se constituye en el epicentro, en torno al cual gravita la actividad productiva de una gran cantidad de pequeñas agroempresas de carácter campesino, que operan en este departamento. Dentro de tales zonas, la zona central de Boyacá se constituye en un espacio geográfico representativo de la produccion agropecuaria campesina, donde la población dedicada a la producción de papa presenta un deficiente nivel de vida, como consecuencia de los bajos niveles de productividad y de la problemática comercial que tienen que enfrentar en la fase de posproduccion de tal especie agrícola.

    Palabras claves: Agroempresas campesinas, productor, productividad, cultivos múltiples, rentabilidad, comercialización.

  12. Evaluación del comportamiento productivo de tres variedades de papa sometidas a tres tipos diferentes de fertilización


    Ante, Lorenzo; Montenegro, Mario


    La evaluación de productividad de tres variedades de papa (dos mejoradas y una nativa) se realizó con la aplicación a un suelo que es franco arenoso de tres tipos de fertilizantes (orgánico; químico, y orgánico más químico). El estudio tuvo lugar en la Comunidad Guayama (parroquia Chugchilán, Municipio Sigchos, provincia de Cotopaxi) que está a 3.220 msnm, tiene una temperatura anual promedio de 12oC y registra una precipitación anual promedio de 900 mm. ...



    Ramírez, O.; Cabrera, A.; Corbera, J.


    En la actualidad, en la provincia de Holguín se plantan más de 1 300 ha de papa, generalmente sobre suelo Pardo Mullido sin carbonatos y la fertilización se lleva a cabo sin tomar en consideración las particularidades edafoclimáticas de la localidad. Para conocer este requisito indispensable, se desarrollaron dos experimentos con dosis de N entre 50 y 200 kg.ha-1, en los años 1996-1997 y 1997-1998. La altura de las plantas guardó una relación lineal positiva con las dosis de N aplicadas y el ...


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    Daniela García Ruíz


    Full Text Available RESUMENEn este estudio se determinaron las relaciones filogenéticas y los niveles de variación de aislamientos de PVX obtenidos en tejidos foliares de plantas de Solanum tuberosum subsp. andigena var. Diacol-Capiro y S. phureja var. Criolla Colombia en Antioquia, utilizando métodos de secuenciación de nueva generación (NGS y de Sanger. Inicialmente, se detectó el PVX mediante DAS-ELISA (Agdia- PSA10000, confirmándose su presencia en ocho de las muestras por Inmunocaptura-RT-PCR en tiempo real (IC-RT-qPCR. Los resultados de las pruebas serológicas indicaron la infección de PVX en 14,7 % y 13,3 % de las muestras de Diacol-Capiro y Criolla Colombia, respectivamente. Su identidad fue confirmada por IC-RT-qPCR, con valores de ciclo umbral (Ct de 15,04 a 27,59 y dos temperaturas de fusión (Tm (Tm1 = 80,3 °C ± 0,5 y Tm2 = 83,3 °C ± 0,5, encontrándose así dos variantes de PVX en Antioquia. Utilizando NGS se detectó el PVX en bajos niveles de infección en las muestras de Criolla Colombia, siendo posible obtener contigs parciales para todos los ORFs del genoma viral. Con NGS no se detectó el virus en las muestras de Diacol-Capiro evaluadas. Los análisis filogenéticos realizados con base en secuencias de cápside y replicasa viral separaron los aislamientos de PVX de Antioquia en dos grupos, relacionados con el clado Eurasiático (I de este virus. Los altos niveles de infección de PVX detectados en los cultivos de papa de Antioquia y la ocurrencia de al menos dos variantes, enfatizan en la necesidad de fortalecer los programas de certificación de tubérculos-semilla de papa, como principal herramienta para el control de este virus.ABSTRACTIn this study, the phylogenetic relationships and molecular variability of PVX isolates from leaf samples of Solanum tuberosum subsp. andigena var. Diacol-Capiro and S. phureja var. Criolla Colombia in Antioquia were analyzed. Sequences were obtained using Next Generation Sequencing (NGS of bulk


    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction: Severe Psychiatricillness is accompanied by gross disturbances in patient's occupational role. This study presents a comparative picture of work performance before and after psychiatric hospitalization. Method: Subjects comprised 440 psychiatric admitters from Noor Medical center - Isfahan - Iran, who were followed from November 1999 to November 2000. Their work adjustment was measured by means of Weiss man's index. Data were computer analyzed using SPSS by running paired t- student and ANOVA. Results: Majority of the patients (53 % were without permanent sources of income before psychiatric hospitalization, about 12 percent of those who were working prior to hospitalization lost their job after being discharged from hospital. Better work adjustment before hospitalization was positively correlated with better work adjustment after discharge for working patients (r =0/66. Working ability of the patients after discharge was lesser than before the attack f9r patients with regular and irregular job (P < 001. Discussion: Job loss or poor working ability after psychiatric admission reported by several researchers and has bean confirmed in this study as well. These observatoins have been discussed in view of the current socio economic problems in the society and nature of psychiatric disturbances.

  16. Microtuberización in vitro de siete accesiones de papa de la colección central colombiana

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    Rivera ängela Liliana


    Full Text Available Se evaluó la producción in vitro de microtubérculos de papa (cuatro accesiones de S. tuberosum ssp andigena y tres de S. phureja de la Colección Central Colombiana. Se emplearon dos protocolos (líquido-líquido y sólido-líquido en un diseño completamente al azar con arreglo factorial. Las variables evaluadas al momento de la cosecha fueron número de microtubérculos con tamaño inferior a 0.5cm, superior a 0.5cm y número total. La producción de microtubérculos estuvo determinada por el genotipo, el protocolo y las diferentes concentraciones de las hormonas Benzilaminopurina (BAP y Cloruro de Cloro Colina (CCC. La producción fue mayor en el protocolo sólido – líquido, y entre concentraciones la de mejor producción de microtubérculos fue C1 (Sales MS 100%, sacarosa 8%, 10mg BAP/ 500mg CCC y oscuridad. Los mejores productores de microtubérculos fueron las accesiones C.C.C. 4318 (Carriza, C.C.C. 4981 (Guata negra y Solanum phureja 50 (sin nombre.

  17. Caracterización estructural y térmica de almidones provenientes de diferentes variedades de papa

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    Oscar Hernando Pardo C


    Full Text Available Utilizando análisis fisicoquímico, estructural y térmico, se evaluaron almidones de las variedades de papa Parda Pastusa (P, Tuquerreña (T, ICA Huila (IH, ICA Puracé (IP, ICA Única (IU, Criolla Latina (C y R-12 (R, cultivadas en el departamento de Boyacá, Colombia. En cada una de ellas se determinaron los contenidos de ceniza y proteína siguiendo métodos de la AOAC, humedad utilizando un analizador, estructura cristalina mediante difracción de rayos-X (DRX y propiedades térmicas utilizando calorimetría diferencial de barrido (DSC. Se encontraron diferencias significativas (P < 0.05 entre los contenidos de humedad en almidones. El almidón de la variedad IU presentó el mayor contenido de ceniza y el de la variedad T, el menor. Los difractogramas mostraron para todas las variedades patrones de cristalinidad tipo B; no obstante el almidón de las variedades IP, P, IU, T y IH presentó un patrón más cristalino que el de las variedades C y R. Los termogramas de los almidones mostraron el primer y segundo pico endotérmico, entre 123 y 163 J/g y entre 141 y 213.3 J/g, respectivamente, para las variedades IP, P, IU, T y IH; mientras que para los almidones de las variedades C y R estos valores fueron entre 68 y 77 J/g y entre 334 y 358 J/g, respectivamente.


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    Carolina Porras-Martínez


    Full Text Available Se evaluaron características de calidad y componentes de rendimiento en una progenie de 837 híbridos F 1 de papa, del cruce entre genotipos seleccionados por sus características de resis - tencia, producción y calidad del tubérculo. Las semillas sexuales se cultivaron bajo condiciones de invernadero y al momento de la cosecha se evaluó, para cada híbrido, las características de los tubérculos: color de piel y pulpa, profundidad de los ojos y número y masa total por planta. Pos - teriormente, los híbridos se sembraron durante 3 generaciones clonales en el campo. En cada ciclo se realizó una selección basada en su resistencia al tizón tardío ( Phytophthora infestans (Mont. de Bary y al minador de la hoja ( Liriomy - za huidobrensis Blanchard y se descartaron aquellos con características no deseables en los tubérculos. En la tercera generación clonal en el campo se evaluaron, además, los componentes de rendimiento de cada híbrido y variables de calidad del tubérculo. Como resultado de estas evaluaciones se seleccionaron 19 híbridos al final de los 3 ciclos de evaluación en el campo. Los híbridos seleccionados presentan en su mayoría pulpa color crema, forma ovalada, piel lisa y ojos superficiales. Además, una producción media de un kilogramo por planta y altos contenidos de almidón y sólidos totales.


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    D. Rodríguez-Aguilar


    Full Text Available El almidón resistente retrogradado (AR3 de las variedades de papa Pastusa (Solanum tuberosum grupo tuberosum y Guaneña (Solanum tuberosum grupo phureja fue evaluado como aditivo funcional con características similares a la fibra dietaria y por su potencial prebiótico en pollos de engorde. Se asignaron aleatoriamente 792 pollos machos Ross de un día de edad a uno de cinco tratamientos experimentales bajo un diseño completamente al azar. Se evaluaron niveles de suplementación de 1,0% de AR3 –Pastusa (AR3P y Guaneña (AR3G–, frente a manano-oligosacáridos (MOS, 0,5%, carboximetilcelulosa (CMC, 1%, levadura comercial (LEV, 0,5% y un control sin suplementar. Los datos se analizaron mediante el procedimiento GLM del programa SAS®. MOS y AR3P mostraron el mayor peso y ganancia de peso corporal al día 42 de edad (P<0,05, MOS presentó el menor consumo de alimento frente al tratamiento CMC (P<0,05, con una mejor conversión alimenticia comparado con CMC y el control sin suplementar (P<0,05. Los grupos AR3P y AR3G tuvieron un comportamiento intermedio para la conversión de alimento. El mayor porcentaje de eficiencia americana e índice de productividad fue para MOS, seguido de AR3P frente al control sin suplementar (P<0,05. Con referencia al ingreso neto parcial por pollo fraccionado, MOS mostró el mayor ingreso comparado con AR3G, observando para los demás tratamientos un comportamiento intermedio (P<0,05. Los resultados sugieren que el AR3P tiene potencial para ser usado como un aditivo funcional en dietas para pollos de engorde durante un ciclo comercial de producción.

  20. Randomised clinical trial: escitalopram for the prevention of psychiatric adverse events during treatment with peginterferon-alfa-2a and ribavirin for chronic hepatitis C

    NARCIS (Netherlands)

    de Knegt, R. J.; Bezemer, G.; van Gool, A. R.; Drenth, J. P. H.; Hansen, B. E.; Droogleever Fortuyn, H. A.; Weegink, C. J.; Hengeveld, M. W.; Janssen, H. L. A.


    Background Treatment of hepatitis C with peginterferon and ribavirin is associated with psychiatric side-effects, frequently necessitating dose reduction or therapy cessation. Aim To assess the efficacy of prophylactic escitalopram to prevent psychiatric side-effects during peginterferon and

  1. Moral learning in psychiatric rehabilitation. (United States)

    Sitvast, J E; Widdershoven, G A M; Abma, T A


    The purpose of this article is to illustrate moral learning in persons with a psychiatric disability who participated in a nursing intervention, called the photo-instrument. This intervention is a form of hermeneutic photography. The findings are based on a multiple case study of 42 patients and additional interviews with eight of them. Photo groups were organized within three settings of psychiatric services: ambulatory as well as clinical, all situated in the Netherlands. Data were analysed according to hermeneutic and semiotic principles. Two cases are presented. Findings show that voice and face are concepts that help to identify elements of moral learning in the rehabilitation process of persons with a psychiatric disability. During the process patients become more aware of their responsibilities towards themselves and others.

  2. Transposable elements and psychiatric disorders. (United States)

    Guffanti, Guia; Gaudi, Simona; Fallon, James H; Sobell, Janet; Potkin, Steven G; Pato, Carlos; Macciardi, Fabio


    Transposable Elements (TEs) or transposons are low-complexity elements (e.g., LINEs, SINEs, SVAs, and HERVs) that make up to two-thirds of the human genome. There is mounting evidence that TEs play an essential role in genomic architecture and regulation related to both normal function and disease states. Recently, the identification of active TEs in several different human brain regions suggests that TEs play a role in normal brain development and adult physiology and quite possibly in psychiatric disorders. TEs have been implicated in hemophilia, neurofibromatosis, and cancer. With the advent of next-generation whole-genome sequencing approaches, our understanding of the relationship between TEs and psychiatric disorders will greatly improve. We will review the biology of TEs and early evidence for TE involvement in psychiatric disorders. © 2014 Wiley Periodicals, Inc.

  3. Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo

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    Ishimoto Kayo


    Full Text Available Abstract Background Patients admitted to a psychiatric hospital with suicidal behavior (SB are considered to be especially at high risk of suicide. However, the number of studies that have addressed this patient population remains insufficient compared to that of studies on suicidal patients in emergency or medical settings. The purpose of this study is to seek features of a sample of newly admitted suicidal psychiatric patients in a metropolitan area of Japan. Method 155 suicidal patients consecutively admitted to a large psychiatric center during a 20-month period, admission styles of whom were mostly involuntary, were assessed using Structured Clinical Interviews for DSM-IV Axis I and II Disorders (SCID-I CV and SCID-II and SB-related psychiatric measures. Associations of the psychiatric diagnoses and SB-related characteristics with gender and age were examined. Results The common DSM-IV axis I diagnoses were affective disorders 62%, anxiety disorders 56% and substance-related disorders 38%. 56% of the subjects were diagnosed as having borderline PD, and 87% of them, at least one type of personality disorder (PD. SB methods used prior to admission were self-cutting 41%, overdosing 32%, self-strangulation 15%, jumping from a height 12% and attempting traffic death 10%, the first two of which were frequent among young females. The median (range of the total number of SBs in the lifetime history was 7 (1-141. Severity of depressive symptomatology, suicidal intent and other symptoms, proportions of the subjects who reported SB-preceding life events and life problems, and childhood and adolescent abuse were comparable to those of the previous studies conducted in medical or emergency service settings. Gender and age-relevant life-problems and life events were identified. Conclusions Features of the studied sample were the high prevalence of affective disorders, anxiety disorders and borderline PD, a variety of SB methods used prior to admission

  4. Psychiatric and psychosocial correlates of sexual risk behavior among adults with severe mental illness. (United States)

    Meade, Christina S; Sikkema, Kathleen J


    Persons with severe mental illness (SMI) are disproportionately affected by HIV/AIDS. This study examined multivariate correlates of sexual risk among 152 adults with SMI receiving outpatient psychiatric treatment. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. The majority was sexually active (65%), and many reported unprotected intercourse (73%), multiple partners (45%), and sex trading (21%) in the past year. Logistic regression models found that sexual behaviors were differentially associated with non-psychotic disorder, psychiatric symptoms, substance abuse, childhood sexual abuse, romantic partnership, and social support (all ps < .05). Findings underscore the need for targeted HIV prevention interventions that address psychiatric and psychosocial risk factors.

  5. HIV-associated neurocognitive disorder: rate of referral for neurorehabilitation and psychiatric co-morbidity.

    LENUS (Irish Health Repository)

    Herlihy, D


    Despite advances in antiretroviral therapy, HIV-infected patients continue to present with HIV-associated neurocognitive disorder (HAND) which may be associated with significant psychiatric co-morbidity. We audited our patients with HAND referred for psychiatric assessment against the National Service Framework guidelines that they should receive neurorehabilitation. We found that despite these patients posing a risk to themselves and others due to poor insight and medication adherence, high rates of psychiatric co-morbidity and severely challenging behaviour, few were referred for neurorehabilitation. We recommend that clear referral pathways for psychiatric intervention and neurorehabilitation are established in HIV treatment centres.

  6. Boys with Asperger Syndrome Grow Up: Psychiatric and Neurodevelopmental Disorders 20 Years After Initial Diagnosis. (United States)

    Gillberg, I Carina; Helles, Adam; Billstedt, Eva; Gillberg, Christopher


    We examined comorbid psychiatric and neurodevelopmental disorders in fifty adult males (mean age 30 years) with Asperger syndrome (AS) diagnosed in childhood and followed up prospectively for almost two decades (13-26 years). Only three of the 50 men had never met criteria for an additional psychiatric/neurodevelopmental diagnosis and more than half had ongoing comorbidity (most commonly either ADHD or depression or both). Any psychiatric comorbidity increased the risk of poorer outcome. The minority of the AS group who no longer met criteria for a full diagnosis of an autism spectrum disorder were usually free of current psychiatric comorbidity. The high rate of psychiatric/neurodevelopmental comorbidities underscores the need for a full psychiatric/neurodevelopmental assessment at follow-up of males with AS.

  7. Competency of psychiatric residents in the treatment of people with severe mental illness before and after a community psychiatry rotation. (United States)

    Randall, Melinda; Romero-Gonzalez, Mauricio; Gonzalez, Gerardo; Klee, Anne; Kirwin, Paul


    psychiatric rehabilitation is an evidence-based service with the goal of recovery for people with severe mental illness. Psychiatric residents should understand the services and learn the principles of psychiatric rehabilitation. This study assessed whether a 3-month rotation in a psychiatric rehabilitation center changes the competency level of second-year psychiatric residents in evidence-based treatment of severe mental illness. the study is a prospective, case-control comparison using the validated Competency Assessment Instrument (CAI), which measures 15 provider competencies critical to recovery, rehabilitation, and empowerment for people with severe mental illness, providing a score for each competency. Participants were second-year psychiatric residents attending a 3-month rotation at the Community Reintegration Program, a psychiatric rehabilitation day program. The authors administered the CAI at the beginning and the end of the residents' 3-month rotation in order to assess change in their competency in psychiatric rehabilitation. The authors also administered the CAI to a comparison group of second-year psychiatric residents who did not rotate through the Community Reintegration Program, and therefore had no formal training in psychiatric rehabilitation. a 3-month rotation in psychiatric rehabilitation significantly improved residents' competency in the domains of goal functioning, client preferences, holistic approach, skills, and team value relative to nonrotating residents. a brief community psychiatry rotation in the second year of residency likely improves some skills in the treatment of people with severe mental illness. Future research should evaluate year-long electives and public psychiatry fellowships.

  8. Psychiatric Adverse Effects of Dermatological Drugs

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    Mine Özmen


    Full Text Available Dermatological drugs, mostly corticosteroids and isotretinoin, cause different psychiatric adverse effects. During steroid therapy, a wide range of psychiatric conditions, from minor clinical symptoms like insomnia and anxiety to serious psychiatric syndromes like psychosis and delirium might be seen. In medical literature, a causal connection is usually suggested between “isotretinoin”, which is used for treatment of acne vulgaris and depression and suicide attempts. However, there are no statistically significant double-blind randomized studies that support this connection. Clinicians must know patient’s psychiatric history before using any dermatological treatment known as causing psychiatric adverse effects, and psychiatric consultation should be established whenever necessary.

  9. Psychiatric morbidity and pattern of dysfunctions in patients with leprosy

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    Bhatia M


    Full Text Available BACKGROUND: Leprosy, being a chronic infectious disease with profound social stigma, remains associated with high psychological mortidity. PURPOSES: To find out the pattern of psychiatric morbidity in leprosy patients and the relationship of various factors with the morbidity. METHODS: Ninty patients attending leprosy clinic were randomly chosen for the study group alongwith 40 patients suffering from acute skin problem other than leprosy as control group. The socio-demographic data were recorded in semi-structural proforma; all patients were given Goldbery Health Questioneaire (GHQ. Patients having GHQ score> 2 was assessed by Disability Assessent Questionaire (DAQ. The psychiatric diagnoses was made according to ICD-10 by W ho0 and physical deformity by W ho 0 Disability Scale. FINDINGS: The mean GHQ score of the study grant was 3.44 and that of control group was 1.62. The mean DAQ score was 45.13. Psychiatric disorder was seen in 44.4% and 7.5% of study group and control group respectively. The psychiatric illness was generalised anoxidy disorder (GAD (27.8%. CONCLUSIONS: Leprosis highly associated with psychiatric mobidity. LIMITATIONS: The findings can not be generalised due to small sample size and clinic-based data.

  10. Perinatal problems and psychiatric comorbidity among children with ADHD. (United States)

    Owens, Elizabeth B; Hinshaw, Stephen P


    Among two large, independent samples of girls with attention-deficit/hyperactivity disorder (ADHD), we examined associations between specific (maternal gestational smoking and drug use, early labor, low birth weight, and infant breathing problems at birth) and cumulative prenatal and perinatal risk factors and psychiatric comorbidity during childhood. Data from the (a) Multimodal Treatment Study of Children with ADHD, a randomized clinical trial with 579 children aged 7 to 9.9 years with combined-type ADHD, and the (b) Berkeley Girls ADHD Longitudinal Sample, a naturalistic study of 140 girls with ADHD (93 combined-type and 47 inattentive-type) who were first seen when they were 6 to 12 years old, were analyzed separately. In each sample, perinatal risk factors were assessed retrospectively by maternal report, and current childhood psychiatric comorbidity was assessed using maternal report on the Diagnostic Interview Schedule for Children. Consistent findings across these two studies show that infant breathing problems, early labor, and total perinatal problems predicted childhood comorbid depression but not comorbid anxiety or externalizing disorders. These associations remained significant, in both samples, with control of family socioeconomic status (SES) and maternal symptoms of ADHD and depression. Results attenuated slightly with control of the number of child comorbidities plus SES and maternal symptoms. Accumulating evidence suggests that perinatal risk factors are important precursors of childhood psychiatric comorbidity and that the association between these risk factors and detrimental psychiatric outcomes cannot be explained by maternal psychiatric symptoms or SES during childhood.

  11. Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal. (United States)

    Berg, Anne T; Altalib, Hamada H; Devinsky, Orrin


    Psychiatric and behavioral disorders are important aspects of epilepsy and have received increasing attention in the last several years. The literature upon which most of the field relies contains some biases that must be carefully examined and resolved in future studies. First, in the pediatric epilepsy literature, many reports find that children with epilepsy have high levels of behavioral and psychiatric disorders when compared to appropriate controls. Most of these studies rely on parent-proxy completed instruments to assess these behavioral endpoints. Parents' reports are not objective but reflect parents' reactions and emotions. Increasing evidence suggests inherent biases in proxy reports and highlights the need to assess children directly. Second, periictal phenomena may be mischaracterized as underlying mood disorders. Third, many studies report elevated levels of psychiatric morbidity before and after the diagnosis of epilepsy, suggesting an inherent relation between the two types of disorders. Psychogenic nonepileptic seizures, while widely recognized as posing a diagnostic dilemma in the clinic, may account for some of these research findings. Diagnostic errors between epilepsy and psychogenic nonepileptic seizures need careful consideration when evaluating studies demonstrating associations between psychiatric disorders and epilepsy or poorer seizure control in association with psychiatric disorders in people who have epilepsy. Mental health concerns are important for everyone. An accurate, undistorted understanding of the relation between mental health disorders and epilepsy is essential to ensure appropriate therapy and to avoid unnecessary and potentially harmful treatments and common misconceptions. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

  12. Suicide among older psychiatric inpatients

    DEFF Research Database (Denmark)

    Erlangsen, Annette; Zarit, Steven H; Tu, Xin


    characteristics. RESULTS: Affective disorders were found to be associated with an almost twofold higher risk of suicide among psychiatric inpatients than other types of disorders (95% confidence interval [CI]: 1.5-2.6). Patients with dementia had a significantly lower risk ratio of 0.2 (95% CI: 0......OBJECTIVE: Older adults have elevated suicide rates, especially in the presence of a psychiatric disorder, yet not much is known about predictors for suicide within this high-risk group. The current study examines the characteristics associated with suicide among older adults who are admitted...

  13. [Social psychiatric service as a cornerstone of psychiatric community care]. (United States)

    Hoffmann, P; Tiggemann, H G


    Psychiatric care has gradually been shifting in Germany from its original inpatient basis to outpatient and complementary treatment. This shift of emphasis resulted in a transfer of psychiatry-political responsibility to communal bodies and hence also to communal public health services. Sociopsychiatric service ranks high in communal psychiatric care setups, since it promotes cooperation and helps to coordinate efforts in individual cases in respect of focal points on which such care is centered. For the future, an expert commission has suggested that the various institutions actively engaged in community psychiatric care should team up in each region. This applies in particular to mobile services visiting the patients in their homes, and to the offices providing contracts to sociopsychiatric services of public health offices. Despite positive outlooks there are also quite a few negative aspects of present-day practice. One of them is poor definition of tasks and functions of communal sociopsychiatric services, whereas another one are the unsatisfactory quantitative and qualitative means at their disposal. It is also too often overlooked that psychiatric patients and disabled persons are entitled to compensation insurance payments to promote their rehabilitation, as provided for by individual legislation in the various German laender. To tap these sources sufficiently well, sociopsychiatric services must be better equipped in every respect. The professional competence of social workers and physicians, as well as of the relevant staff, must be safeguarded by continuing education and specialist training measures.

  14. Screening for depressed mood in an adolescent psychiatric context by brief self-assessment scales -- testing psychometric validity of WHO-5 and BDI-6 indices by latent trait analyses

    DEFF Research Database (Denmark)

    Blom, Eva Henje; Bech, Per; Högberg, Göran


    ABSTRACT: BACKGROUND: Major depressive disorder is prevalent in the adolescent psychiatric clinical setting and often comorbid with other primary psychiatric diagnoses such as ADHD or social anxiety disorder. Systematic manual-based diagnostic procedures are recommended to identify such comorbidity...... of two such scales, which may be used in a two-step screening procedure, the WHO-Five Well-being Index (WHO-5) and the six-item version of Beck's Depression Inventory (BDI-6). METHOD: 66 adolescent psychiatric patients with a clinical diagnosis of major depressive disorder (MDD), 60 girls and 6 boys....... The BDI-6 may be recommended as a second step in the screening procedure, since it is statistically valid and has the ability to unidimensionally capture the severity of depressed mood....

  15. Psychiatric outcomes after pediatric sports-related concussion. (United States)

    Ellis, Michael J; Ritchie, Lesley J; Koltek, Mark; Hosain, Shahid; Cordingley, Dean; Chu, Stephanie; Selci, Erin; Leiter, Jeff; Russell, Kelly


    The objectives of this study were twofold: (1) to examine the prevalence of emotional symptoms among children and adolescents with a sports-related concussion (SRC) who were referred to a multidisciplinary pediatric concussion program and (2) to examine the prevalence, clinical features, risk factors, and management of postinjury psychiatric outcomes among those in this clinical population. The authors conducted a retrospective chart review of all patients with SRC referred to a multidisciplinary pediatric concussion program between September 2013 and October 2014. Clinical assessments carried out by a single neurosurgeon included clinical history, physical examination, and Post-Concussion Symptom Scale (PCSS) scoring. Postinjury psychiatric outcomes were defined as a subjective worsening of symptoms of a preinjury psychiatric disorder or new and isolated suicidal ideation or diagnosis of a novel psychiatric disorder (NPD). An NPD was defined as a newly diagnosed psychiatric disorder that occurred in a patient with or without a lifetime preinjury psychiatric disorder after a concussion. Clinical resources, therapeutic interventions, and clinical and return-to-play outcomes are summarized. One hundred seventy-four patients (mean age 14.2 years, 61.5% male) were included in the study. At least 1 emotional symptom was reported in 49.4% of the patients, and the median emotional PCSS subscore was 4 (interquartile range 1-8) among those who reported at least 1 emotional symptom. Overall, 20 (11.5%) of the patients met the study criteria for a postinjury psychiatric outcome, including 14 patients with an NPD, 2 patients with isolated suicidal ideation, and 4 patients with worsening symptoms of a preinjury psychiatric disorder. Female sex, a higher initial PCSS score, a higher emotional PCSS subscore, presence of a preinjury psychiatric history, and presence of a family history of psychiatric illness were significantly associated with postinjury psychiatric outcomes

  16. Psychiatric morbidity among inmates of center for destitutes: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Raghavendra B Nayak


    Full Text Available Context: One percent of the population in India is homeless (destitutes which include beggars, commercial sex workers, homeless mentally ill, elderly women with dependent children, street children, and persons with disability. Psychiatric disorders are generally seen to be common among homeless individuals. The data are limited regarding psychiatric morbidity and its prevalence in this populace in Indian context. Aim: The aim was to study the prevalence of psychiatric morbidity among the inmates of a center for destitutes. Settings and Design: Cross-sectional study. Materials and Methods: The study included all the residents (n = 50 of a center of destitutes. Psychiatric evaluation was done by qualified practicing psychiatrist. Brief Psychiatric Rating Scale and Global Assessment of Functioning instruments were used to assess the severity of psychiatric symptoms and general functioning of the individuals with mental disorders. Statistical Analysis Used: SPSS version 13 was used for statistical analysis. Results: All residents (n = 50 of center of destitutes were evaluated for psychiatric co-morbidity. 42 (84% inmates were suffering from psychiatric disorders. Most common psychiatric disorder among them was psychotic disorders in 19 (38%, followed by affective disorders, mainly depression in 16 (32%, somatoform disorders in 5 (10%, and anxiety disorders in 2 (4%. No significant gender differences were noted (P = 0.335. Substance abuse was present in 22 (44% of the inmates. A significant negative correlation between psychiatric symptoms and functioning of the subject was seen, (P < 0.001. Conclusion: Psychiatric disorders and in particular substance abuse, are common among the homeless people who stay in the center of destitutes. Psychiatric disorders are likely to be the cause significant functional impairment.

  17. Personality Inventory Assessment of Psychiatric Residents (United States)

    Gough, Harrison G.; And Others


    The study results in two hypotheses. First, within the interpersonal domain an identifiable pattern of variables relevant to competence in psychiatry is discernible. Second, the higher scorer on this predictive pattern is a complex individual, ambivalent in his relationships to others, and characterized by both nurturant and antinurturant…

  18. Adapting the psychiatric assessment for primary care

    African Journals Online (AJOL)

    severe physical illness and particularly if the diagnosis is associated with stigma. • when there are many physical complaints (especially more than three) that do not fit with any recognised pattern of physical illness. • when the person has physical complaints that fail to respond to the appropriate treatment. • when there is a ...

  19. acute psychiatric readmissions

    African Journals Online (AJOL)

    This study attempted primarily to assess the effect of length of stay and administration of depot antipsychotics in hospital on time to readmission. Design. A retrospective cohort of 180 admissions was fol- lowed up for 12 months, after an index discharge, by means of multiple hospital and community-based record reviews.

  20. Actividad biológica de Bacillus thuringiensis sobre la polilla guatemalteca de la papa, Tecia solanivora Povolny (Lepidoptera: Gelechiidae

    Directory of Open Access Journals (Sweden)

    Adriana Carolina Rojas Arias


    Full Text Available La papa (Solanum tuberosum es uno de los cultivos más importantes de Colombia. Las larvas de la polilla guatemalteca de la papa, Tecia solanivora Povolny (Lepidoptera: Gelechiidae, causan daños directos a los tubérculos, produciendo pérdidas económicas e incremento en el uso de agroquímicos. Bacillus thuringiensis (Bt es una alternativa en el manejo de insectos plaga gracias a su especificidad. Su actividad depende de proteínas denominadas Cry, que cuando son ingeridas por un insecto susceptible forman poros en sus células intestinales que producen la muerte del insecto. Esta revisión presenta los estudios sobre el efecto de Bt hacia T. solanivora. Se ha encontrado que las toxinas Cry1Ac (base para variedades transgénicas y Cry1B tienen importante actividad tóxica. Igualmente se destaca la experiencia del diseño y evaluación de una toxina híbrida (Cry1B-Cry1I que resultó en una importante letalidad hacia T. solanivora.

  1. Genetic counseling for psychiatric disorders. (United States)

    Tsuang, D W; Faraone, S V; Tsuang, M T


    Like other medical conditions, some psychiatric disorders are inherited, whereas others are not. Human genetics research is moving at a rapid pace. Genes for over 450 genetic disorders have been cloned and many disease-causing mutations have also been identified. The explosion of this new knowledge has created many new exciting opportunities in the diagnosis of these heritable disorders. The rapid pace of gene discovery will aid the identification of susceptibility genes for psychiatric disorders. Indeed, we can look forward to answers to many clinical and research questions. These are some of the gifts that the expanding field of human genetics research will continue to bring to medical science. However, as genetic tests for the detection of psychiatric disorders become available, many ethical, legal, and social implications will need to be considered. In this article, we review the principles of genetic counseling for psychiatric disorders, as well as the social and ethical dilemmas that genetic testing may bring. Although medical and scientific advances may bring many gifts, we should approach this new knowledge with caution, as one of the gifts may be a Pandora's box.

  2. Moral learning in psychiatric rehabilitation

    NARCIS (Netherlands)

    Sitvast, J.E.; Widdershoven, G.G.A.M.; Abma, T.A.


    The purpose of this article is to illustrate moral learning in persons with a psychiatric disability who participated in a nursing intervention, called the photo-instrument. This intervention is a form of hermeneutic photography. The findings are based on a multiple case study of 42 patients and

  3. Predictors of psychiatric readmissions to

    African Journals Online (AJOL)

    identification of early symptoms of relapse, application of immediate and appropriate measures, and adequate record-keeping by health institutions are ... hospitalization, resulting from the policy of de-institutionalization in. Nigeria has led to ..... adolescent psychiatric care Aust N Z ] Psychiatry 2005; 39: 600-606. 3. vaett C.

  4. Dyspepsia in chronic psychiatric patients

    NARCIS (Netherlands)

    Mookhoek, E.J.; Meijs, V.M.M.; Loonen, A.J.M.; Leufkens, H.G.M.


    Introduction: We report on dyspeptic complaints among patients hospitalized in the long-stay ward of a general psychiatric hospital. Methods: A representative sample of the patients was interviewed using a structured questionnaire. Results: Eighty percent of the patients reported one or more

  5. Psychiatric Morbidity Among Suicide Attempters Who Needed ICU Intervention

    Directory of Open Access Journals (Sweden)

    MMA Shalahuddin Qusar


    Full Text Available Background: Suicide is a tragic and serious but preventable public health problem all over the world including Bangladesh. Committing suicide has become a burning issue and mortality rate increases especially in young females. Psychiatric evaluation is needed in suicide attempted patients for better management plan to reduce such unnatural mortality, as well as the impairment related to suicidal thought and psychiatric disorders. Objectives: To assess the psychiatric disorders and conditions that needed sufficient clinical attention among the suicide attempters who needed ICU intervention. Methods: This cross-sectional study was carried out in an Intensive Care Unit (ICU of a private hospital of Dhaka City from July 2008 to December 2008. Total forty four subjects of attempted suicide were included in the study and psychiatric diagnosis was made by using Diagnostic and Statistical Manual of Mental Disorders (DSM-IV by psychiatrists after initial physical problems subsided. Results: The most common psychiatric diagnosis was Major Depressive Disorder. Female suffered more and among them attention-seeking behaviors were frequent. Thirty-four patients (77.3% had previous history of psychiatric disorder. Chemicals (like; organophosphorous, kerosene, harpic and other medicine overdose ingestion was the most frequently used method by the suicide attempters. Conclusion: This study may be helpful for further research regarding suicide attempters and its' association with mental problems. In primary health care setting, the physicians may get a clue to design a system for preventing, early recognition and managing suicidal ideas, thoughts and attempts. Psychiatric consultation should be made mandatory for all patients admitted following attempted suicide. DOI: 10.3329/bsmmuj.v2i2.4761 BSMMU J 2009; 2(2: 73-77

  6. Deep brain stimulation for psychiatric diseases: what are the risks? (United States)

    Saleh, Christian; Fontaine, Denys


    Despite the application of deep brain stimulation (DBS) as an efficient treatment modality for psychiatric disorders, such as obsessive-compulsive disorder (OCD), Gilles de la Tourette Syndrome (GTS), and treatment refractory major depression (TRD), few patients are operated or included in clinical trials, often for fear of the potential risks of an approach deemed too dangerous. To assess the surgical risks, we conducted an analysis of publications on DBS for psychiatric disorders. A PubMed search was conducted on reports on DBS for OCD, GTS, and TRD. Forty-nine articles were included. Only reports on complications related to DBS were selected and analyzed. Two hundred seventy-two patients with a mean follow-up of 22 months were included in our analysis. Surgical mortality was nil. The overall mortality was 1.1 %: two suicides were unrelated to DBS and one death was reported to be unlikely due to DBS. The majority of complications were transient and related to stimulation. Long-term morbidity occurred in 16.5 % of cases. Three patients had permanent neurological complications due to intracerebral hemorrhage (2.2 %). Complications reported in DBS for psychiatric diseases appear to be similar to those reported for DBS in movement disorders. But class I evidence is lacking. Our analysis was based mainly on small non-randomized studies. A significant number of patients (approximately 150 patients) who were treated with DBS for psychiatric diseases had to be excluded from our analysis as no data on complications was available. The exact prevalence of complications of DBS in psychiatric diseases could not be established. DBS for psychiatric diseases is promising, but remains an experimental technique in need of further evaluation. A close surveillance of patients undergoing DBS for psychiatric diseases is mandatory.

  7. Clavibacter michiganensis ssp sepedonicus: UNA ENFERMEDAD BACTERIANA EN EL CULTIVO DE PAPA (Solanum tuberosum L. EN SONORA, MÉXICO

    Directory of Open Access Journals (Sweden)

    Edgar Omar Rueda Puente


    Full Text Available A nivel mundial la papa junto con el arroz, el maíz y el trigo, constituyen los cuatro cultivos más importantes para la alimentación humana. En años recientes se ha detectado en algunas regiones de Estados Unidos (EUA y Canadá, la bacteria Clavibacter michiganensis ssp sepedonicus (Cms la cual provoca la enfermedad denominada podredumbre anular (PA en el cultivo de papa. Esta bacteria ocasiona una pudrición en el tubérculo, tallos y hojas de este cultivo y tiene la particularidad de diseminarse por semilla. Dada la cercanía con los EUA y Canadá, y siendo México un país importador de semilla de esos países, las probabilidades de una eventual introducción de esta enfermedad son significativas, especialmente en áreas con amplias extensiones de papa. El estado de Sonora es una de las regiones más importantes en relación a la producción de papa y otros cultivos en México. Por lo anterior, se realizó la presente investigación, teniendo como objetivos conocer la situación actual de Cms en las zonas agrícolas donde se desarrolla el cultivo de papa en el estado de Sonora, en material vegetativo de importación y aquel de procedencia nacional considerado semilla por los productores. La investigación se llevó acabo en la Universidad de Sonora, Campus Santa Ana; el desarrollo del estudio consistió en la obtención de semilla procedente del extranjero y aquella nacional que utilizan algunos productores paperos para su siembra. Asimismo se desarrolló una toma de muestra vegetativa en las etapas de plántula, floración y madurez fisiológica. Para su diagnóstico se consideraron medios específicos, conjugación de anticuerpos específicos con la bacteria en estudio, formación de capas de inmunocomplejos, revelados enzimáticos y pruebas de patogenicidad. Los resultados muestran positiva la presencia de Cms en tubérculo de consumo (Navojoa, Hermosillo y

  8. CAMAROTTI, Gerson. Segredos do Conclave: os bastidores da eleição do papa Francisco e a operação do Vaticano para estancar a hemorragia de fiéis na América Latina.

    Directory of Open Access Journals (Sweden)

    Lucas Soares Portela


    Full Text Available RESENHA:CAMAROTTI, Gerson. Segredos do Conclave: os bastidores da eleição do papa Francisco e a operação do Vaticano para estancar a hemorragia de fiéis na América Latina. 1ª ed. São Paulo: Geração Editorial, 2013. 

  9. The impact of sleep and psychiatric symptoms on alcohol consequences among young adults. (United States)

    Miller, Mary Beth; Van Reen, Eliza; Barker, David H; Roane, Brandy M; Borsari, Brian; McGeary, John E; Seifer, Ronald; Carskadon, Mary A


    Independent lines of research have documented links between psychiatric symptoms and poor sleep quality, psychiatric symptoms and alcohol use, and alcohol use and poor sleep quality. The current study examined the synergistic effect of poor sleep quality and psychiatric symptoms on alcohol-related consequences in heavy-drinking young adults. Matriculating college students reporting at least one heavy drinking episode over the first nine weeks of the semester (N=385, 52% female) were categorized as experiencing 'good' (n=280) versus 'poor' sleep quality (n=105) and screening 'positive' (n=203) or 'negative' (n=182) for a psychiatric disorder. Sleep quality was assessed using the Pittsburgh Sleep Quality Index; psychiatric diagnosis was assessed using the Psychiatric Diagnostic Screening Questionnaire; and alcohol-related consequences were assessed using the Brief Young Adult Alcohol Consequences Questionnaire. General linear models were used to examine the main effects and interaction between sleep quality and psychiatric symptoms on alcohol-related consequences. Sleep quality moderated the association between psychiatric screen and alcohol-related consequences among heavy-drinking college students, such that psychiatric symptoms were associated with more alcohol-related consequences in the context of poor sleep quality. The combination of poor sleep quality and psychiatric symptoms is associated with increased alcohol-related consequences among heavy-drinking college students. Given the significant interaction between these symptoms, healthcare providers are encouraged to screen for the presence of sleep and psychiatric disorders among heavy-drinking young adults and to provide empirically-supported treatments as appropriate. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Psychiatric disorders after radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Kokai, Masahiro [Hyogo Coll. of Medicine, Nishinomiya (Japan); Soejima, Toshinori; Wang, Shangdong; Shinfuku, Naotaka


    This review focuses on the mental and psychological effects of medical radiation exposure, the nuclear accident at Three Mile Island, the Chernobyl disaster, atomic bomb explosions at Nagasaki and Hiroshima, and accidents at nuclear power plants and nuclear waste plants. Studies have shown that anxiety about the adverse effects of radiation in medicine (such as infertility, carcinogenicity, and genotoxicity) and fear for exposure has caused psychiatric disorders. Several studies on the mental health effects of the nuclear accident at Three Mile Island were conducted, and the results indicated that psychiatric distress persisted for a certain period of time, particularly in pregnant women and women who have children, even when no evidence of substantial of radiation exposure is seen clinically. The psychological consequences of the Chernobyl disaster have been investigated continuously, and various problems, e.g., acute stress reaction, neurosis, and psychosis, have been identified, although no physical damage due to the radiation or PTSD have been reported. By contrast, PTSD has been seen in survivors of the Nagasaki and Hiroshima nuclear explosions. A study in Ohio, (United States), which has a nuclear waste plant, investigated PTSD in people living near the plant and found that the symptom level was mild. In general, the most common symptoms among people with mental and psychological disorders due to radiation exposure are depression and anxiety, with many people having associated somatoform disorders, and some people complain of PTSD. Vague anxiety and fear of sequelae, regardless of the exposure dose, appears to cause such psychiatric disorders. Although it is rare for psychiatrists to see such cases of psychiatric disorders due to radiation exposure, their number may increase as psychiatric services become more widely available. (K.H.)

  11. Firearm Anticipatory Guidance Training in Psychiatric Residency Programs (United States)

    Price, James H.; Thompson, Amy J.; Khubchandani, Jagdish; Mrdjenovich, Adam J.; Price, Joy A.


    Objective: Most suicides (60%) are committed with firearms, and most (80%) of individuals attempting suicide meet diagnostic criteria for mental illness. This study assessed the prevalence of firearm injury prevention training in psychiatric residency programs. Methods: A three-wave mail survey was sent to the directors of 179 psychiatric…

  12. Microtraining of Forensic Psychiatric Patients for Empathic Counseling Skills. (United States)

    Lomis, Marsha J.; Baker, Linda L.


    Assessed the usefulness of a microtraining package for developing empathic communication skills of peer counselors (N=16) in a therapeutic community of forensic psychiatric patients. Patients were assigned to the skills (empathy training) group, or the attention group, where they viewed counseling films. The skills group gained greater counseling…

  13. Specific psychiatric moridity among diabetics at a Nigerian General ...

    African Journals Online (AJOL)

    Objective: To assess the prevalence of specific psychiatric disorders and general cognitive impairment in patients with diabetes mellitus. ... Conclusion: Health education, subsidising the cost of treatment, and physicians' sensitivity to the emotional condition of patients, will help to relieve psychic distress and make for more ...

  14. Psychiatric treatment with people displaced in or from fragile states

    Directory of Open Access Journals (Sweden)

    Verity Buckley


    Full Text Available A fragile state is not an ideal environment for any professional to work within` – psychiatric, medical or otherwise. Psychiatrists working to assess psychological distress and mental health in fragile states, or with refugees from fragile states, need to adopt flexible approaches.


    NARCIS (Netherlands)


    The feasibility of computerized psychological testing was investigated in a sample of 452 consecutive psychiatric outpatients. Forty-six percent of the solicited patients agreed to participate in the computerized assessment. Tested patients were significantly younger and better educated than those

  16. Determinants of quality of life in children with psychiatric disorders

    NARCIS (Netherlands)

    Bastiaansen, D.; Koot, H.M.; Ferdinand, R.F.


    Objective: To assess factors that, in addition to childhood psychopathology, are associated with Quality of Life (QoL) in children with psychiatric problems. Methods: In a referred sample of 252 8 to 18-year-olds, information concerning QoL, psychopathology and a broad range of child, parent, and

  17. Psychiatric Disorders in Detained Male Adolescents: A Systematic Literature Review

    NARCIS (Netherlands)

    Colins, Olivier; Vermeiren, Robert; Vreugdenhil, Coby; van den Brink, Wim; Doreleijers, Theo; Broekaert, Erik


    Objective: To provide a best estimate of the prevalence of psychiatric disorders among detained male adolescents, with particular emphasis on impairment, multi-informant assessment, and race or ethnicity. Method: Computer-assisted searches were executed to identify relevant studies. Results: Fifteen

  18. Co–Morbid Psychiatric Disorders Nigerian Patients Suffering ...

    African Journals Online (AJOL)

    The State–Trait Anxiety Inventory, 28–item General Health Questionnaires and the Hospital Anxiety and Depression Scales were used for first stage screening while the second stage interview utilised the Psychiatric Assessment Schedule. Results: The prevalence of psychotic morbidity was 37.5 % and 12.5% in the study ...

  19. Use of Restraint in the Psychiatric Setting: Knowledge of Medical ...

    African Journals Online (AJOL)

    Background: Restraint is a widely used method of controlling patient's behaviour throughout the world. However, next to nothing is known about its use in the developing countries. Aims: To assess the knowledge of medical staff of a Nigerian psychiatric hospital concerning the use of restraint. Methods: We administered a ...

  20. Psychiatric disorders among war-abducted and non-abducted ...

    African Journals Online (AJOL)

    Objective:We aimed to assess the nature and patterns of psychiatric disorders among adolescents who had been war-abducted in the war in northern Uganda, compared to non-abducted adolescents living in Gulu district, Uganda.Method: A cros sectional study that used an unmatched case-control design compared 82 ...

  1. Efecto de la temperatura, pH y concentración de sustrato sobre la velocidad de hidrólisis del almidón de papa por Bacillus subtilis nativo en un biorreactor cilíndrico agitado


    Llenque Díaz, Luis Alberto


    Se planteó el problema científico: ¿Cuál es el efecto de la temperatura, pH y concentración de sustrato sobre la velocidad de hidrólisis del almidón de papa por Bacillus subtilis nativo, aislado de suelos de papa de la ciudad de Huamachuco en un biorreactor cilíndrico agitado en condiciones de laboratorio?. Se procesaron muestras de suelo para aislar y seleccionar al cultivo puro de bacterias con mayor capacidad hidrolítica sobre el almidón de papa en medio acuoso; luego se establecieron 15 s...

  2. Análisis Físico-Químico y Morfológico de Almidones de Ñame, Yuca y Papa y Determinación de la Viscosidad de las Pastas Physicochemical and Morphological Analyses of Yam, Cassava and Potato Starches and Determination of their Viscosity


    Armando Alvis; Carlos A Vélez; Héctor S Villada; Maite Rada-Mendoza


    Se estudiaron las propiedades fisicoquímicas y la morfología y los viscoamilogramas de cuatro almidones nativos de ñame, tres de yuca y uno de papa, Previo a las determinaciones, las muestras fueron secadas hasta peso constante. El contenido de cenizas y amilosa, la temperatura de gelatinización y la viscosidad fue inferior en yuca; la grasa mostró diferencias entre yuca y papa; el índice de absorción de agua en ñame, papa y yuca, mostró diferencias significativas. En el índice de solubilidad...

  3. Improvement of psychiatric symptoms in youth following resolution of sinusitis. (United States)

    Mahony, Talia; Sidell, Douglas; Gans, Hayley; Brown, Kayla; Farhadian, Bahare; Gustafson, Melissa; Sherr, Janell; Thienemann, Margo; Frankovich, Jennifer


    Accumulating evidence supports a role for inflammation in psychiatric illness, and the onset or exacerbation of psychiatric symptoms may follow non-CNS infections. Here, we provide the first detailed description of obsessive-compulsive and related psychiatric symptoms arising concurrently with sinusitis. We reviewed the charts of 150 consecutive patients evaluated in our Pediatric Acute-onset Neuropsychiatric Syndromes clinic for documented sinusitis as defined by the American Academy of Pediatrics guidelines. Sinusitis treatments, sinonasal imaging, and neuropsychiatric symptoms before, during, and after sinusitis onset were noted. Patients were included in the final review if they had a clear diagnosis of isolated sinusitis (without concurrent illness and/or immunodeficiency), and were evaluated during an episode of sinusitis. 10/150 (6.6%) patients had isolated sinusitis at the time of their neuropsychiatric deterioration. Eight patients received antibiotics to treat sinusitis, three of whom also received sinus surgery. Neuropsychiatric symptoms improved in all eight patients concurrent with resolution of sinusitis per parent report and clinician assessment. One patient did not follow through with recommended sinus surgery or antibiotics and her psychiatric symptoms persisted. One patient was lost to follow-up. Improvement of psychiatric symptoms correlated with resolution of sinus disease in this retrospective study. Identification, treatment, and resolution of underlying infections, including sinusitis, may have the potential to change the trajectory of some neuropsychiatric illnesses. Randomized clinical trials are needed. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  4. Low rate of obesity among psychiatric inpatients in Indonesia. (United States)

    Marthoenis, M; Aichberger, Marion; Puteh, Ibrahim; Schouler-Ocak, Meryam


    A vast majority of psychiatric medication causes weight gain, however the rate of obesity in psychiatric patients has yet to be thoroughly studied in Indonesia. The present study aims to assess the prevalence of obesity among psychiatric inpatients in Indonesia. This cross sectional study was conducted in Banda Aceh Psychiatric Hospital, Indonesia from December 2012 to January 2013. The Body Mass Index (BMI) and blood pressure of a total 242 inpatients was measured, and data on their demographic information and medication were collected from the patient's chart. The prevalence rate of obesity among psychiatric inpatients was 5% (95% CI = 2.6-8.5%), and overweight was 8% (95% CI = 5.1-12.4). The mean BMI was 21.44 kg/m² (SD: 3.43). Stage I hypertension and stage II hypertension was found among 7% (95% CI = 4.1-11), and 2% (95% CI = 0.9-5.3%) inpatients, respectively. The findings suggest that the rate of overweight, obesity and hypertension in the present study population was relatively low compared to rates of the general population. The inpatients have limited access to food and only eat meals that are provided to them by the hospital.

  5. Psychiatric disorders and menopause symptoms in Brazilian women. (United States)

    Barazzetti, Lidiane; Pattussi, Marcos Pascoal; Garcez, Anderson da Silva; Mendes, Karina Giane; Theodoro, Heloísa; Paniz, Vera Maria Vieira; Olinto, Maria Teresa Anselmo


    This study investigated the association between minor psychiatric disorders and menopause symptoms and their associated factors. A cross-sectional study was conducted with 615 women aged 40 to 65 years treated in a public menopause and gynecological outpatient clinic in the South Region of Brazil. Minor psychiatric disorders were assessed using the Self-Reporting Questionnaire (SRQ-20) and menopause symptoms using the Menopause Rating Scale. Score for menopause symptoms was categorized into three levels of symptoms: mild, moderate, and severe. Multivariate analyses used ordinal logistic regression. The prevalence of mild, moderate, and severe menopause symptoms was 34.1% (95% CI 30.3-37.9), 29.6% (95% CI 25.8-33.1), and 36.3% (95% CI 32.4-40.0), respectively. The overall prevalence of minor psychiatric disorders was 66.6% (95% CI 62.8-70.3). After adjustment, the odds ratio (OR) of the occurrence of menopause symptoms were approximately eight times higher in women relating minor psychiatric disorders compared with those without such disorders (OR = 7.76; 95% CI 5.27-11.44). The following factors were also associated with the menopause symptoms: women older than 50 years, living with a partner, lower educational level, smokers, larger number of pregnancies, obese, and those using psychotropic and/or postmenopause medication. The minor psychiatric disorders exhibited strong association with the presence of menopause symptoms independently of sociodemographic, behavioral, and reproductive factors, and of use of psychotropic medication.

  6. Factores y mecanismos relacionados con la dormancia en tubérculos de papa. Una revisión

    Directory of Open Access Journals (Sweden)

    Rodriguez Luis Ernesto


    Full Text Available Los tubérculos de la papa (Solanum tuberosum L., al momento
    de la cosecha y por un tiempo determinado, se encuentran en
    estado dormante. La dormancia se induce con el inicio de la
    tuberización y se define como un período en el cual no ocurre
    ningún crecimiento visible de los brotes. Las hormonas vegetales
    están involucradas en todas las fases de progresión de
    la dormancia. Si bien el ácido abscísico (ABA y el etileno son
    necesarios para su inducción, sólo el primero se requiere para
    su mantenimiento. Los niveles de ABA se incrementan durante
    la formación de los tubérculos, se mantienen constantes durante
    la dormancia y disminuyen con el crecimiento activo de los
    brotes. Un incremento en los niveles del ácido giberélico (AG
    es necesario para inducir la formación del tubérculo, mientras
    que una sensibilidad mayor a las citoquininas es determinante
    para la pérdida de la dormancia. Cambios en los contenidos de
    ácido indol acético (AIA y AG , están relacionados con la regulación
    del crecimiento del brote una vez se rompe la dormancia.
    Se ha comprobado que un factor importante, que contribuye
    tanto a la inducción de la tuberización como a la pérdida de la
    dormancia, es el flujo simplástico que controla la asignación de
    azúcares, el cual se inicia con un meristemo apical dormante
    aislado simplásticamente. La pérdida de dormancia se asocia
    con la conexión simplástica del meristemo del brote con la red
    de floema del tubérculo, y con una descarga simplástica en la
    región de la yema, todo lo cual favorece el crecimiento activo
    de los nuevos brotes.

  7. Perceived Spirituality, Mindfulness and Quality of Life in Psychiatric Patients. (United States)

    Da Silva, João P; Pereira, Anabela M S


    There is some evidence of the relationship between spirituality and quality of life, but there are few bibliographic references on these constructs for patients suffering from mental illness; thus, this study was aimed at revealing the possible role of spiritual outlooks as a protective factor in these individuals. The sample consisted of 96 Portuguese psychiatric patients, selected from a psychiatric hospital and assessed based on parameters for quality of life, spirituality and mindfulness. The data support some theories about the nature of the spirituality. Spiritual beliefs are poorly correlated with the quality of life index, and there is a moderate association between these beliefs and some aspects of mindfulness. It is suggested that a spiritual outlook of psychiatric patients should be taken into account in psychological interventions.

  8. [Psychiatric investigation of Tyrolean patients with primary Raynaud's phenomenon]. (United States)

    Weigel, Iris; Klein-Weigel, Peter; Kinzl, Johann; Biebl, Wilfried; Fraedrich, Gustav; Heidrich, Heinz


    Raynaud's phenomenon is provoked by digital vasospasm, mostly induced by cold and emotional strain. While studies dealing with other vasospastic disorders, e. g. migraine, described an increased comorbidity with affective and anxiety disorders, only little evidence has been reported for such an association in Raynaud's phenomenon. 70 Tyrolean patients (55 females and 15 males) with primary Raynaud's phenomenon presented more often with psychiatric morbidity on DSM-IV axis-I during their life-time than prevalence studies in the general population of North America and Europe would have led to expect. No psychotic (0%) and fewer somatoform disorders (2.9%) were found whereas anxiety disorders (77.1%), affective disorders (48.6%), and eating disorders (14.3%) were clearly overrepresented. We would therefore recommend a psychiatric evaluation in primary Raynaud's phenomenon along with the vascular diagnostic assessment to ensure that any psychiatric co-morbidity can be identified and treated.

  9. [The attitude of the general public towards (discharged) psychiatric patients: results from NEMESIS-2]. (United States)

    Ten Have, M; van Weeghel, J; van Dorsselaer, S; Tuithof, M; de Graaf, R


    In the Netherlands there is no up-to-date information about the attitude of the public to (discharged) psychiatric patients. Also, very little is known about which population groups hold stigmatising views. To measure the public's attitudes to (discharged) psychiatric patients and to find out whether these attitudes differ according to the background characteristics (e.g. demographics, respondent's psychiatric history). In our study we used attitudes collected via the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological study of the adult general population (n = 6646; aged 18-64 years). The psychiatric history of the respondents was assessed by means of the Composite International Diagnostic Interview 3.0. More than 70% of the respondents stated that they had no objection to having a (discharged) psychiatric patient as a neighbour, friend or colleague. However, their ´willingness´ declined markedly, namely to less than 30%, when they were asked if they would be willing to have a (discharged) psychiatric patient as their son-in-law or baby-sitter. A comparison with other earlier Dutch studies indicates that since 1987 the willingness of members of the public to let (ex-)psychiatric patients participate in their private and/or family life has increased only very slightly. Nowadays, just as in past decades, most Dutch citizens are not opposed to living alongside (discharged) psychiatric patients, but they have reservations about letting such persons participate in their private and family life.

  10. Predictors of violent behavior among acute psychiatric patients: clinical study. (United States)

    Amore, Mario; Menchetti, Marco; Tonti, Cristina; Scarlatti, Fabiano; Lundgren, Eva; Esposito, William; Berardi, Domenico


    Violence risk prediction is a priority issue for clinicians working with mentally disordered offenders. The aim of the present study was to determine violence risk factors in acute psychiatric inpatients. The study was conducted in a locked, short-term psychiatric inpatient unit and involved 374 patients consecutively admitted in a 1-year period. Sociodemographic and clinical data were obtained through a review of the medical records and patient interviews. Psychiatric symptoms at admission were assessed using the Brief Psychiatric Rating Scale (BPRS). Psychiatric diagnosis was formulated using the Structured Clinical Interview for DSM-IV. Past aggressive behavior was evaluated by interviewing patients, caregivers or other collateral informants. Aggressive behaviors in the ward were assessed using the Overt Aggression Scale. Patients who perpetrated verbal and against-object aggression or physical aggression in the month before admission were compared to non-aggressive patients, moreover, aggressive behavior during hospitalization and persistence of physical violence after admission were evaluated. Violent behavior in the month before admission was associated with male sex, substance abuse and positive symptoms. The most significant risk factor for physical violence was a past history of physically aggressive behavior. The persistent physical assaultiveness before and during hospitalization was related to higher BPRS total scores and to more severe thought disturbances. Higher levels of hostility-suspiciousness BPRS scores predicted a change for the worse in violent behavior, from verbal to physical. A comprehensive evaluation of the history of past aggressive behavior and psychopathological variables has important implications for the prediction of violence in psychiatric settings.

  11. Compulsive buying: descriptive characteristics and psychiatric comorbidity. (United States)

    Christenson, G A; Faber, R J; de Zwaan, M; Raymond, N C; Specker, S M; Ekern, M D; Mackenzie, T B; Crosby, R D; Crow, S J; Eckert, E D


    Compulsive buying is infrequently described in the psychiatric literature despite suggestions that it may be prevalent. The authors investigated the demographics and phenomenology of this syndrome and assessed psychiatric comorbidity via interviews of both compulsive buyers and normal buyers. Twenty-four compulsive buyers were compared with 24 age- and sex-matched normal buyers using (1) a semistructured interview for compulsive buying and impulse control disorders, (2) a modified version of the Structured Clinical Interview for DSM-III-R, and (3) scales measuring compulsiveness, depression, and anxiety. The typical compulsive buyer was a 36-year-old female who had developed compulsive buying at age 17 1/2 and whose buying had resulted in adverse psychosocial consequences. Purchases were usually of clothes, shoes, jewelry, or makeup, which frequently went unused. Compared with normal buyers, compulsive buyers had a higher lifetime prevalence of anxiety disorders, substance use disorders, and eating disorders and were more depressed, anxious, and compulsive. Among compulsive buyers, 16 (66.7%) described buying that resembled obsessive compulsive disorder, whereas 23 (95.8%) described buying that resembled an impulse control disorder. Compulsive buying is a definable clinical syndrome that can result in significant psychosocial impairment and which displays features of both obsessive compulsive disorder and the impulse control disorders.

  12. Psychiatric Genocide: Nazi Attempts to Eradicate Schizophrenia (United States)

    Torrey, E. Fuller; Yolken, Robert H.


    Although the Nazi genocide of Jews during World War II is well known, the concurrent Nazi genocide of psychiatric patients is much less widely known. An attempt was made to estimate the number of individuals with schizophrenia who were sterilized and murdered by the Nazis and to assess the effect on the subsequent prevalence and incidence of this disease. It is estimated that between 220 000 and 269 500 individuals with schizophrenia were sterilized or killed. This total represents between 73% and 100% of all individuals with schizophrenia living in Germany between 1939 and 1945. Postwar studies of the prevalence of schizophrenia in Germany reported low rates, as expected. However, postwar rates of the incidence of schizophrenia in Germany were unexpectedly high. The Nazi genocide of psychiatric patients was the greatest criminal act in the history of psychiatry. It was also based on what are now known to be erroneous genetic theories and had no apparent long-term effect on the subsequent incidence of schizophrenia. PMID:19759092

  13. Psychiatric morbidity following Hurricane Andrew. (United States)

    David, D; Mellman, T A; Mendoza, L M; Kulick-Bell, R; Ironson, G; Schneiderman, N


    The nature of psychiatric morbidity in previously non-ill subjects from the area most affected by Hurricane Andrew was investigated at 6-12 months posthurricane. Preliminary associations of morbidity with personal and event-related risk factors were also determined. Fifty one percent (31/61) met criteria for a new-onset disorder, including posttraumatic stress disorder (PTSD) in 36%, major depression (MD) in 30%, and other anxiety disorders in 20%. Thirty four subjects (56%) had significant symptoms persisting beyond 6 months. Having sustained "severe damage" was the risk factor most strongly associated with outcome. Our data underscore the range of psychiatric morbidity related to a natural disaster, and suggest a relationship to chronic stressors.

  14. [Psychiatric emergencies in drug addiction]. (United States)

    Benyamina, Amine; Bouchez, Jacques; Rahioui, Hassan; Reynaud, Michel


    The practitioner is very frequently confronted by emergencies in drug-addicted patients also having psychiatric symptomatology. In this article the authors will address emergencies related to alcohol (notably intoxication, pre-DTs and the encephalopathies); emergencies related to cannabis (notably intoxication, psychotic states and panic attacks); and emergencies related to other psycho-active substances (overdoses, drug-withdrawal, psychiatric complications related to cocaine or amphetamines). In the domain of drug addiction, as in psychiatry, the practitioner must give as much importance to the organisation of the long-term healthcare plan for the drug addict, ulterior to the management of the immediate emergency. For example, whereas 90% of subjects presenting to the emergency department for acute alcoholic intoxication have a pathological consumption of alcohol (abuse or dependance), management of the alcoholism is proposed in only 2% of them.

  15. Dysfunctions in public psychiatric bureaucracies. (United States)

    Marcos, L R


    The author describes common dysfunctions in public psychiatric organizations according to the model of bureaucracy articulated by Max Weber. Dysfunctions are divided into the categories of goal displacement, outside interference, unclear authority structure and hierarchy, and informal relations in the work place. The author emphasizes the bureaucratic nature of public psychiatry and the need for mental health professionals to understand the dysfunctions of the organizations in which they work, including the impact of these dysfunctions on the provision of quality care.

  16. Psychiatric Thoughts in Ancient India*


    Ravi Abhyankar


    A review of the literature regarding psychiatric thoughts in ancient India is attempted. Besides interesting reading, many of the concepts are still relevant and can be used in day-to-day practice especially towards healthy and happy living. Certain concepts are surprisingly contemporary and valid today. They can be used in psychotherapy and counselling and for promoting mental health. However, the description and classification of mental illness is not in tune with modern psychiatry.

  17. Treatment Adherence in Psychiatric Disorders

    Directory of Open Access Journals (Sweden)

    Mehmet Emin Demirkol


    Full Text Available Despite developments in treatment options there is no significant increase in treatment adherence ratios. Inadherence in psychiatric disorders is higher than the other diseases. Loss of insight, drugs' side effects, sociodemographic features, personality traits are major factors affecting the treatment adherence. Determining and overcoming these factors for each disorder will help to improve adherence and reduce the treatment costs and hospitalization. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(1: 85-93

  18. Psychiatric thoughts in ancient India. (United States)

    Abhyankar, Ravi


    A review of the literature regarding psychiatric thoughts in ancient India is attempted. Besides interesting reading, many of the concepts are still relevant and can be used in day-to-day practice especially towards healthy and happy living. Certain concepts are surprisingly contemporary and valid today. They can be used in psychotherapy and counselling and for promoting mental health. However, the description and classification of mental illness is not in tune with modern psychiatry.

  19. Psychiatric Thoughts in Ancient India* (United States)

    Abhyankar, Ravi


    A review of the literature regarding psychiatric thoughts in ancient India is attempted. Besides interesting reading, many of the concepts are still relevant and can be used in day-to-day practice especially towards healthy and happy living. Certain concepts are surprisingly contemporary and valid today. They can be used in psychotherapy and counselling and for promoting mental health. However, the description and classification of mental illness is not in tune with modern psychiatry. PMID:25838724

  20. Dissociative Experiences in Psychiatric Inpatients


    Ali Firoozabadi; Nooshin Reza Alizadeh


    Dissociative disorders are conditions that involve disruptions of memory, awareness, identity, or perception. Data collected in diverse geographic locations underline the consistency in clinical symptoms of dissociative disorders. In this cross-sectional descriptive study, prevalence of dissociative experiences has been screened in hospitalized patients in psychiatric wards of Shiraz University of Medical Sciences in Iran. One hundred and sixty patients in two hospitals entered the study. Our...


    Directory of Open Access Journals (Sweden)



    Full Text Available La sarna polvosa de la papa (Solanum tuberosum, S. phureja causada por Spongospora subterranea f. sp. subterranea (Sss, es una de las enfermedades más limitantes de este cultivo. En Colombia, se han empleado diferentes métodos de detección asintomática de Sss, incluyendo bioensayos con plantas señuelo, PCR de ITS y pruebas de ELISA. Sin embargo, sus niveles de sensibilidad son bajos o requieren tiempos extensos. Una alter- nativa para complementar dichas herramientas es la PCR cuantitativa en tiempo real (qPCR. En este trabajo se evaluó dicha técnica utilizando los juegos de cebadores SsTQF1-SsTQR1; Spon421F-Spon494R y SscolF-SscolR (diseñados en este estudio, bajo la metodología de SYBR Green®; mientras que con Taqman® se evaluaron los ce- badores SponF-SponR y la sonda SponP. Una vez determinada la funcionalidad de los cebadores, se descartó por inespecificidad, el par Spon421F-Spon494R; para los restantes se realizaron curvas estándar basadas en diluciones seriadas de quistosoros. Las pruebas de qPCR detectaron a Sss en las 20 muestras evaluadas de plantas señuelo de Nicotiana benthamiana y papa, utilizando los cebadores SsTQF1-SsTQR1 (Ct: 10,57- 29,34 y SscolF-SscolR (Ct: 14,39-34,08; mientras que 19 de las muestras fueron positivas con SponF-SponR-SponP (Ct: 15,63-38,93. A partir de 20 muestras de raíces de papa de cultivos de La Unión (Antioquia, Colombia, fue posible detectar el pató- geno en 17 de ellas con SscolF-SscolR, estimándose una concentración de 6470 a 1,39 x 1010 quistorosos/mL. Estos resultados indican la ocurrencia de altos niveles de inócu- lo de Sss en esta región y enfatizan en la necesidad de fortalecer los programas de cer- tificación de tubérculo-semilla en Colombia.

  2. Producción de quistosoros de Spongospora subterranea (Walk. Lagerh f. sp. subterranea Tomlinson durante un ciclo de cultivo de papa en tres tipos de suelo

    Directory of Open Access Journals (Sweden)

    Pérez Pérez Wilmar


    Full Text Available La sarna polvosa es causada por el protista Spongospora subterranea (Walk. Lagerh f. sp. subterranea Tomlinson, un parásito obligado el cual replica en raíces y tubérculos de papa (Solanum tuberosum. Esta replicación resulta en estructuras de resistencia denominadas quistosoros. En este estudio se investigó la producción de quistosoros en papa variedad Diacol Capiro, cultivada en tres tipos de suelos: Inceptisol, Entisol, y Andisol, infestados con quistosoros. La concentración de este parásito se determinó en el suelo a la siembra (inicial, a la senescencia de las plantas (cosecha y dos meses más tarde, cuando las plantas estaban desintegradas (poscosecha. El diseño experimental fue completa- mente al azar con dos tratamientos y tres niveles cada uno. Un tratamiento fue el tipo de suelo con los niveles Inceptisol, Entisol y Andisol; y el otro, el tiempo de muestreo con los niveles Inicial, Cosecha y Poscosecha. Adicionalmente, se realizó un ensayo de regresión simple para analizar la correlación de la concentración inicial y final de quistosoros. En todos los tipos de suelo la concentración aumentó (48% (P   0.05 desde el inicio a la poscosecha. No se observaron di%erencias (P   0.05 en la concentra- ción de quistosoros entre los suelos durante los muestreos realizados. La concentración final de estos (poscosecha se correlacionó (P   0.05 con la concentración inicial (inicio. Estos resultados sugieren que la concentración de quistosoros puede su%rir un incremento significativo en un solo ciclo de cul- tivo de papa en todos los suelos estudiados y que los residuos de cosecha como tubérculos infectados pueden contribuir a este incremento.

  3. Efecto antioxidante y citoprotector del Solanum tuberosum (papa en la mucosa gástrica de animales de experimentación

    Directory of Open Access Journals (Sweden)

    Miguel Sandoval-Vegas


    Full Text Available Introducción: Existen alternativas terapéuticas con productos naturales oriundos usados de manera empírica en la población. Tal es el caso del zumo de papa (Solanum tuberosum usado para problemas de mucosa gástrica. Objetivos: Evaluar la capacidad antioxidante y el efecto citoprotector a la mucosa gástrica del zumo de papa (Solanum tuberosum. Diseño: Experimental. Institución: Centro de Investigación de Bioquímica y Nutrición de la Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima. Materiales biológicos: Solanum tuberosum, variedad Tomasa y ratas albinas machos. Métodos: Se administró vía oral post ayuno las fracciones de sobrenadante y sedimento del zumo de Solanum tuberosum. Una hora después se administró alcohol como injuria de mucosa gástrica. Por laparotomía abdominal se obtuvo el tejido gástrico. Se midió en la mucosa gástrica el estrés oxidativo por lipoperoxidación, la formación de moco por alcian blue y la protección midiendo la extensión del área lacerada en imagen digitalizada. Principales medidas de resultados: Capacidad antioxidante y efecto citoprotector a la mucosa gástrica. Resultados: El sobrenadante de la dosis 5 mL/ kg produjo mayor protección al estrés oxidativo; el precipitado en dosis 5 mL/kg presentó mayor producción de moco, sin superar al control. El precipitado 20 mL/kg produjo mayor citoprotección (73,8%. Conclusión: La fracción sobrenadante del zumo de la papa (Solanum tuberosum posee actividad de defensa antioxidante y la fracción del sedimento, mayor actividad citoprotectora de la mucosa gástrica.

  4. Psychiatric trainees in Finland 2001. (United States)

    Putkonen, Hanna; Holi, Matti; Kaltiala-Heino, Riittakerttu; Korkeila, Jyrki; Eronen, Markku


    This study examined Finnish psychiatric trainees' views on their education. This was a survey study of nationwide data on Finnish psychiatric trainees in 2001. The quality of training was considered at least moderate by 84% of the respondents. Training on epidemiology, on taking history and status, and on psychopharmacology was considered the best. Quality was rated bad for training in leadership and administration, and educating the community. Research was done by 20%, and a personal clinical supervisor was appointed to 52% of the respondents. Offensive treatment had been experienced by 49% of the trainees in this study. Generally, studies of training also reflect strengths and weaknesses of the profession. Based on our results, it seems especially that training in leadership and in educating the community need to be improved; both of these are quintessential skills to survive in the struggle for economic and human resources. Furthermore, treatment of the trainees could still be better; attention should be paid to supervision of all trainees. Moreover, research must become more attractive. Psychiatry can be developed by the development of psychiatric training.

  5. Assessing Changes in Job Behavior Due to Training: A Guide to the Participant Action Plan Approach. (United States)

    Office of Personnel Management, Washington, DC.

    This guide provides a brief introduction to the Participant Action Plan Approach (PAPA) and a user's handbook. Part I outlines five steps of PAPA which determine how job behavior is changed by training course or program participation. Part II, the manual, is arranged by the five steps of the PAPA approach. Planning for PAPA discusses making…

  6. Mood disorders in general hospital inpatients: one year data from a psychiatric consultation-liaison service. (United States)

    Elisei, Sandro; Pauselli, Luca; Balducci, Pierfrancesco Maria; Moretti, Patrizia; Quartesan, Roberto


    Mood disorders (MD) show higher prevalence among psychiatric disorders. As a matter of fact 10% of inpatients in non psychiatric health care structures are affected by MD. A consultation-liaison service bridges the gap between psychiatric and other medical disciplines and increases the cooperation in the context of care, improving the diagnostic process for all inpatients in medical wards. Our sample is composed of 1702 patients assessed from 1 January 2012 to 31 December 2012 referred from the wards for psychiatric specialist evaluation in Santa Maria della Misericordia, Perugia, Italy. Each patient was assessed by a consultant psychiatrist performing a psychiatric interview leading to a diagnosis according to DSM-IV-TR criteria. Clinical and sociodemographic data were collected and registrered in the clinical records. SPSS software (ver. 18) was used for data analysis. Chi-square test and T-student tests were performed as appropriate. A p-valueconsultation referral urgent status we found that 84% of requests needed to be seen within 24 h, most of them come from Emergency room. Statistically significant correlations can be found between the source of referrals, the reasons for the referrals, psychiatric care prior to the evaluation and the psychiatric disorder which was diagnosed during the assessment. Consultation-liaison service for MD in an italian general hospital is generally based on emergency/urgency referrals from the Emergency room for patients already assessed to mental care facilities by private or national health service psychiatrists.

  7. Salinity and other variables collected from time series observations using Bubble type equilibrator for autonomous carbon dioxide (CO2) measurement, Carbon dioxide (CO2) gas analyzer and other instruments from MOORINGS_PAPA_145W_50N in the North Pacific Ocean from 2007-06-08 to 2014-11-06 (NCEI Accession 0160486) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0160486 includes chemical, meteorological, physical and time series data collected from MOORINGS_PAPA_145W_50N in the North Pacific Ocean from...

  8. Psychiatric morbidity among physically injured Syrian refugees in Turkey. (United States)

    Al-Nuaimi, Saleem; Aldandashi, Samer; Easa, Abdul Kadir Saed; Saqqur, Maher


    To the best of our knowledge, the mental health status of physically injured Syrian refugees has not yet been investigated. The aim of this study was to examine the prevalence of psychiatric morbidity among physically injured Syrian refugees in Turkey receiving treatment at the main rehabilitation centre near the Syrian border. This is a cross sectional study. Information was collected from consenting injured Syrian refugees at Dar-el-Shefa'a Hospital in Reyhanlı (Turkey) during a one week period in December 2012 and another one week period in August 2013. A clinical psychiatric interview was conducted to determine a diagnosis according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-TR. A total of 40 refugees consented and completed a clinical psychiatric interview. All refugees in this study did not have a significant past psychiatric history. The most prevalent current diagnosis was major depressive disorder (22.5%), adjustment disorder (20%), and post-traumatic stress disorder (15%). Five (12.5%) patients had no evidence of a psychiatric disorder. The prevalence of psychiatric morbidity among injured Syrian refugees in our study was extremely high. This may help guide the treatment and management of this select population. This study had a low number of participants. The method of assessment was not standardized with a validated tool. This study may help guide the treatment and management of this select population, both in neighbouring countries and as resettled refugees in Western host countries. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Suicidal thoughts and behaviors in psychiatrically referred young children. (United States)

    Martin, Sarah E; Liu, Richard T; Mernick, Lauren R; DeMarco, Mia; Cheek, Shayna M; Spirito, Anthony; Boekamp, John R


    Despite increased awareness of the prevalence and seriousness of mental health problems in early childhood, there have been few empirical studies of suicidal thoughts and behaviors in this age group. This study examined suicidal thoughts and behaviors in 360 preschool-aged children (ages 3 to 7 years) presenting to a psychiatric day treatment program. A semi-structured diagnostic interview (conducted with primary caregivers) was used to assess for child suicidal thoughts and behaviors and psychiatric disorders. Participating mothers also reported on their own psychological distress and family psychiatric history. Forty-eight children (13%) were reported to have suicidal thoughts and behaviors, with suicidal plans or attempts endorsed for 2-3% of the sample. Suicidal thinking and behavior was associated with older child age and with higher rates of concurrent depression, oppositional defiant disorder, and posttraumatic stress disorder in univariate analyses, with age and depression remaining as significant predictors in a multivariate logistic regression model. Findings suggest that suicidal thoughts and behaviors are a significant clinical concern for young children presenting with early psychopathology, particularly depression, with implications for early childhood psychiatric assessment and treatment. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Psychiatric impairment and childhood victimization experiences in female child molesters. (United States)

    Green, A H; Kaplan, M S


    To assess psychiatric impairment and childhood victimization experiences in female child molesters. Eleven incarcerated female child molesters were compared to 11 women imprisoned for nonsexual offenses as to their psychiatric diagnoses based on interviews with the Structured Clinical Interview for DSM-III-R, Outpatient Version (SCID-OP), the SCID II for Personality Disorders, and the Harvard-Upjohn Post-Traumatic Stress Disorder (PTSD) Interview. A family and sexual history with a description of childhood victimization experiences was also obtained by using the Wyatt Sexual History Questionnaire. The majority of the subjects in each group exhibited major depression, alcohol/substance abuse, and PTSD, but the sexual offenders demonstrated more psychiatric impairment on the Global Assessment of Functioning Scale on the SCID-OP. The sexual offenders demonstrated a higher incidence of childhood physical and sexual abuse within the family than the comparison group, and these victimization experiences were more severe and more frequently associated with PTSD. The sexual offenders and the comparison women described negative relationships with parents and caretakers, and with spouses or boyfriends. However, the sexual offenders perceived their parents as more abusive, while the comparison women regarded their parents as more neglecting. Incarcerated female child molesters exhibited greater psychiatric impairment and more intrafamilial physical and sexual abuse than a comparison group of women imprisoned for nonsexual offenses.

  11. Psychiatric rating scales in Urdu: a systematic review. (United States)

    Ahmer, Syed; Faruqui, Rafey A; Aijaz, Anita


    Researchers setting out to conduct research employing questionnaires in non-English speaking populations need instruments that have been validated in the indigenous languages. In this study we have tried to review the literature on the status of cross-cultural and/or criterion validity of all the questionnaires measuring psychiatric symptoms available in Urdu language. A search of Medline, Embase, PsycINFO and was conducted using the search terms; Urdu psychiatric rating scale, and Urdu and Psychiatry. References of retrieved articles were searched. Only studies describing either cross-cultural or criterion validation of a questionnaire in Urdu measuring psychiatric symptoms were included. Thirty two studies describing validation of 19 questionnaires were identified. Six of these questionnaires were developed indigenously in Urdu while thirteen had been translated from English. Of the six indigenous questionnaires five had had their criterion validity examined. Of the thirteen translated questionnaires only four had had both their cross-cultural and criterion validity assessed. There is a paucity of validated questionnaires assessing psychiatric symptoms in Urdu. The BSI, SRQ and AKUADS are the questionnaires that have been most thoroughly evaluated in Urdu.

  12. Psychiatric rating scales in Urdu: a systematic review

    Directory of Open Access Journals (Sweden)

    Faruqui Rafey A


    Full Text Available Abstract Background Researchers setting out to conduct research employing questionnaires in non-English speaking populations need instruments that have been validated in the indigenous languages. In this study we have tried to review the literature on the status of cross-cultural and/or criterion validity of all the questionnaires measuring psychiatric symptoms available in Urdu language. Methods A search of Medline, Embase, PsycINFO and was conducted using the search terms; Urdu psychiatric rating scale, and Urdu and Psychiatry. References of retrieved articles were searched. Only studies describing either cross-cultural or criterion validation of a questionnaire in Urdu measuring psychiatric symptoms were included. Results Thirty two studies describing validation of 19 questionnaires were identified. Six of these questionnaires were developed indigenously in Urdu while thirteen had been translated from English. Of the six indigenous questionnaires five had had their criterion validity examined. Of the thirteen translated questionnaires only four had had both their cross-cultural and criterion validity assessed. Conclusion There is a paucity of validated questionnaires assessing psychiatric symptoms in Urdu. The BSI, SRQ and AKUADS are the questionnaires that have been most thoroughly evaluated in Urdu.

  13. Papas Chips VII : coloración de las Chips (reacción de Maillard) y su relación con la calidad


    Ordoñez, Ceferina Rosario; Limongelli, Juan Carlos Héctor; Alonso, Sara Angela


    p.91-106 Se estudió la influencia del contenido de glúcidos reductores solubles y de aminoácidos libres en la coloración de las papas fritas chips y su relación como posible parámetro de determinación de calidad. Los índices de color se relacionaron con la actividad de un panel calificador. Como materia prima se utilizaron tubérculos de Solanum tuberosum L., cultivares de distintos orígenes y años agrícola, previa conservación en dos condiciones. Se estudió la influencia de las mismas sobr...



    Calvo, Pamela; Universidad Nacional Agraria La Molina (Perú).; Zúñiga, Doris; Universidad Nacional Agraria La Molina (Perú).


    Bacillus es un género altamente presente en la rizósfera de diversos cultivos debido a su capacidad de formación de esporas que le da una ventaja de supervivencia en la rizósfera vegetal. En el presente estudio se realizó una descripción morfológica de las colonias, caracterización fisiológica y bioquímica a 43 aislamientos de Bacillus spp. provenientes de la rizósfera del cultivo de papa de dos zonas altoandinas en Perú. Se encontró que la mayoría de estos aislamientos pertenecían al grupo d...

  15. [Perception of ethical aspects in psychiatric patient care: a pilot study]. (United States)

    Rabenschlag, Franziska; Steinauer, Regine; Heimann, Regine; Reiter-Theil, Stella


    Research on staff perception of ethical aspects of psychiatric patient care are scarce; little is known about systematic supplies of ethics support in psychiatric institutions. The goal of this pilot study is to inform the implementation of Clinical Ethics Support Services in psychiatric institutions by assessing which topics of psychiatric practice are considered ethically challenging by the staff. Explorative survey as pilot study by questionnaire with clinical staff, quantitative (descriptive) and qualitative (coding) data-analysis. Involuntary treatment, the relationship between healthcare professionals and patients, staff shortage and the collaboration between the professions as well as dealing with patient relatives came up as ethical challenges. Clinical Ethics Support in psychiatric patient care should not only cover aspects that are specific for psychiatry, but also structural topics such as short resources, interprofessional collaboration and communication with relatives. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Psychiatric diagnoses and psychoactive medication use among nonsurgical critically ill patients receiving mechanical ventilation

    DEFF Research Database (Denmark)

    Wunsch, Hannah; Christiansen, Christian Fynbo; Johansen, Martin B


    , the absolute risk of new psychiatric diagnoses was low but higher than hospitalized patients: 0.5% vs 0.2% over the first 3 months (adjusted HR, 3.42; 95% CI, 1.96-5.99; P general population cohort (0.02%; adjusted HR, 21.77; 95% CI, 9.23-51.36; Pmedication....... CONCLUSIONS AND RELEVANCE: Prior psychiatric diagnoses are more common in critically ill patients than in hospital and general population cohorts. Among survivors of critical illness, new psychiatric diagnoses and psychoactive medication use is increased in the months after discharge. Our data suggest both......IMPORTANCE: The relationship between critical illness and psychiatric illness is unclear. OBJECTIVE: To assess psychiatric diagnoses and medication prescriptions before and after critical illness. DESIGN, SETTING, AND PARTICIPANTS: Population-based cohort study in Denmark of critically ill patients...

  17. Predictors of patient communication in psychiatric medication encounters among veterans with serious mental illnesses. (United States)

    Hack, Samantha M; Medoff, Deborah R; Brown, Clayton H; Fang, Lijuan; Dixon, Lisa B; Klingaman, Elizabeth A; Park, Stephanie G; Kreyenbuhl, Julie A


    Person-centered psychiatric services rely on consumers actively sharing personal information, opinions, and preferences with their providers. This research examined predictors of consumer communication during appointments for psychiatric medication prescriptions. The Roter Interaction Analysis System was used to code recorded Veterans Affairs psychiatric appointments with 175 consumers and 21 psychiatric medication prescribers and categorize communication by purpose: biomedical, psychosocial, facilitation, or rapport-building. Regression analyses found that greater provider communication, symptomology, orientation to psychiatric recovery, and functioning on the Repeatable Battery for the Assessment of Neuropsychological Status Attention and Language indices, as well as consumer diagnostic label, were positive predictors of consumer communication, though the types of communication impacted varied. Provider communication is the easiest variable to intervene on to create changes in consumer communication. Future research should also consider how cognitive and symptom factors may impact specific types of consumer communication in order to identify subgroups for targeted interventions. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  18. An approach to measure compliance to clinical guidelines in psychiatric care


    Forsner, Tord; Wistedt, Anna Åberg; Brommels, Mats; Forsell, Yvonne


    Abstract Background The aim of this study was to measure six months compliance to Swedish clinical guidelines in psychiatric care after an active supported implementation process, using structured measures derived from the guidelines. Methods In this observational study four psychiatric clinics each participated in active implementation of the clinical guidelines for the assessment and treatment of depression and guidelines for assessment and treatment of patients with suicidal behaviours dev...

  19. The medication process in a psychiatric hospital

    DEFF Research Database (Denmark)

    Soerensen, Ann Lykkegaard; Lisby, Marianne; Nielsen, Lars Peter


    Purpose: To investigate the frequency, type, and potential severity of errors in several stages of the medication process in an inpatient psychiatric setting. Methods: A cross-sectional study using three methods for detecting errors: (1) direct observation; (2) unannounced control visits....... The observational unit: The individual handling of medication (prescribing, dispensing, and administering). Results: In total, 189 errors were detected in 1,082 opportunities for error (17%) of which 84/998 (8%) were assessed as potentially harmful. The frequency of errors was: prescribing, 10/189 (5%); dispensing......, 18/189 (10%); administration, 142/189 (75%); and discharge summaries, 19/189 (10%). The most common errors were omission of pro re nata dosing regime in computerized physician order entry, omission of dose, lack of identity control, and omission of drug. Conclusion: Errors throughout the medication...

  20. Psychiatric disorders: The psychiatrist's contribution to sport. (United States)

    Currie, Alan; Johnston, Allan


    Athletes experience a range of mental health problems with at least an equivalent prevalence to the general population. This chapter explores the psychiatrist's role in sport, along a pathway of mental healthcare from 'upstream' prevention, screening, and early detection of mental stress to 'downstream' assessment, treatment, rehabilitation, and recovery from mental illness. At each stage on this pathway the psychiatrist has a broad spectrum of bio-psycho-social strategies to employ in clinical practice. Upstream, the importance of psychological resilience is described along with the concept of mental 'pre-habilitation' (a term usually associated with the prevention of physical injury). Alongside these preventative measures, early detection is improved by education, increased awareness, and by the use of effective mental health screening measures. Further downstream ready access to psychiatric expertise and good collaboration between the psychiatrist and the world of sport improve access to treatment, delivery of that treatment, rehabilitation, and return to sport during recovery.

  1. Estructura poblacional de Phytophthora infestans en cultivos de papa de los departamentos de Antioquia, Boyacá, Cundinamarca y Norte de Santander (Colombia

    Directory of Open Access Journals (Sweden)

    Silva A. Bernardo


    Full Text Available El tizón tardío ó gota de la papa, causada por el oomycete Phytophthora infestans (Mont. de Bary (Peronosporales, es la enfermedad más limitante de este cultivo en Colombia. Una alternativa viable para reducir la dependencia de los productos fungicidas para el control de la gota, incluye la generación de variedades con tolerancia o resistencia al patógeno, algunas de las cuales (Pastusa Suprema, Esmeralda se han entregado recientemente a los agricultores con buenos niveles de aceptación. Sin embargo, tanto el mantenimiento de los niveles de resistencia de estos materiales como la efectividad de los productos fungicidas de acción sistémica que se utilizan para su control, dependen de la dinámica ecológica y evolutiva de P. infestans en cada región cultivadora. Este trabajo evaluó dicha condición a partir del estudio de la estructura poblacional del patógeno en los departamentos de Antioquia, Boyacá, Cundinamarca y Norte de Santander (Colombia, mediante el empleo de marcadores moleculares AFLPs. Los resultados indicaron la ocurrencia de variabilidad genética al interior de cada una de las cuatro poblaciones evaluadas y con algún grado de subestructuración entre ellas, siendo evidente la diferenciación entre la población del patógeno presente en Antioquia y aquellas obtenidas en el centro-oriente del país. Con el desarrollo de esta investigación se ofrece una fuente de información actualizada para el apoyo a la toma de decisiones en los programas de control integrado de la gota de la papa en estos departamentos Colombianos.

  2. Detección serológica y caracterización molecular de Potato virus S (PVS, Carlavirus en cultivos de papa de Colombia

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    José Fernando Gil


    Full Text Available El cultivo de papa en Colombia es afectado por diversos virus, que incluyen PVY, PLRV, PVX, PMTV y PVS; aunque se han realizado pocos estudios sobre la biología, distribución y patogenicidad de dichos virus en Colombia, siendo especialmente escasa la información referente al PVS. En este trabajo se evaluó mediante pruebas de ELISA, la presencia del PVS en cuatro departamentos de Colombia, así como sus niveles de variación, a partir de la secuenciación de una porción del gen de la cápside viral. Los resultados indicaron una detección promedio del virus en el 40% de las 320 muestras analizadas, con zonas como el Oriente cercano de Antioquia (49% y Pasto (Nariño (47%, donde se detectó en mayor proporción el virus. Los análisis de variación molecular indicaron la presencia de las dos razas de PVS (Ordinaria y Andina en Colombia, siendo los aislamientos de PVS A los más diversos, al pre- sentar un rango de identidad del 88 al 99%. Estos hallazgos indican que es imperativo el fortalecimiento de los programas de certificación de semilla y vigilancia cuarentenaria en el país, especialmente para virus como el PVS, que aunque puede ser asintomático, causa pérdidas hasta del 20% en cultivos de papa.

  3. Evaluación financiera del sistema de producción de papa (Solanum tuberosum L en Oicatá, Boyacá

    Directory of Open Access Journals (Sweden)

    Elmer Avendaño-Gómez


    Full Text Available La factibilidad financiera es fundamental para tomar decisiones en un sistema productivo; en consecuencia, toda actividad agropecuaria debe hacer uso de dicha herramienta, a fin de obtener mayor comprensión de su ejercicio financiero y, a la vez, tener un soporte objetivo para determinar, entre otras cosas, si continuar con la actividad, diversificarla, combinarla o arrendar el espacio físico donde se realiza (1. El objetivo de este trabajo fue realizar una evaluación financiera en el sistema de producción de la papa Solanum tuberosum, variedad Diacol capiro, de manera participativa y con la inclusión de indicadores históricos, en función de horizontes de tiempo y tasa de oportunidad. La población objeto del estudio correspondió a 32 agricultores de papa inscritos en la Empresa Prestadora de Servicios Técnicos Agropecuarios (Epsagro del municipio de Oicatá, departamento de Boyacá, para el año 2014, de los cuales se seleccionaron tres productores (grande, mediano y pequeño para realizar la investigación. Los resultados indican que el diagnóstico rural participativo fue una herramienta de investigación adecuada para la compilación de la información, además de la existencia de diferencias en la estructura de costos de producción en los diferentes agricultores. En el municipio de Oicatá se encontró que existen fallas relevantes a nivel operativo y contable que deben ser corregidas.

  4. Pérdida de Peso y Tiempo Máximo de Almacenamiento de las Variedades de Papa Purace y Capiro

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    Villa Villegas Luis Gabriel


    Full Text Available El presente trabajo de investigación tuvo como objetivo el estudio del comportamiento de dos variedades de papa colombianas: Puracé y Capiso, en relación a la pérdida de  peso en almacenamiento. Se estudió tanto el problema “inverso” de la determinación de los parámtros que caracterizan el comportamiento individual del producto, como la predicción de pérdida de peso y tiempo máximo de almacenamiento de dichas variedades. Se utilizó un modelo desarrollado por Villa (1973, el cual se basó en el comportamiento diferencial de las distintas regiones de la corteza de un producto. “Superficies libres “, membranas porosas y regiones impermeables son identificadas en el modelo como los componentes de la corteza. Para utilizar el modelo fue necesario determinar el área superficial de partículas individuales del producto. Se obtuvieron relaciones de peso-área superficial para cada una de las variedades estudiadas. El modelo matemático pudo simplificarse debido a que, al analizar los resultados, las áreas de la corteza de estas variedades que se comportan como “superficie libre” mostraron ser de naturaleza despreciable en relación con la pérdida de peso. Utilizando el modelo simplificado, y en base a experimentos de pérdida de peso a diferentes condiciones de almacenamiento, se obtuvieron los parámetros que caracterizan el comportamiento de cada una de estas variedades. Se encontró que la corteza de las variedades Puracé y Capiro son impermeables al paso del vapor de agua en 95,7 y 99%, respectivamente. Se encontró que el parámetro rδ, que define la “resistividad” de zonas que se comportan como membrana porosas, es función del déficit de presión de vapor en las dos variedades estudiadas. Relaciones lineales entre rδ y el déficit de presión de vapor para cada variedad fueron obtenidas. Una vez determinados los parámetros, se desarrollaron gráficos de predicción de pérdidas de peso y tiempo de

  5. Satisfaction of patients hospitalised in psychiatric hospitals: a randomised comparison of two psychiatric-specific and one generic satisfaction questionnaires

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    Cléopas Agatta


    Full Text Available Abstract Background While there is interest in measuring the satisfaction of patients discharged from psychiatric hospitals, it might be important to determine whether surveys of psychiatric patients should employ generic or psychiatry-specific instruments. The aim of this study was to compare two psychiatric-specific and one generic questionnaires assessing patients' satisfaction after a hospitalisation in a psychiatric hospital. Methods We randomised adult patients discharged from two Swiss psychiatric university hospitals between April and September 2004, to receive one of three instruments: the Saphora-Psy questionnaire, the Perceptions of Care survey questionnaire or the Picker Institute questionnaire for acute care hospitals. In addition to the comparison of response rates, completion time, mean number of missing items and mean ceiling effect, we targeted our comparison on patients and asked them to answer ten evaluation questions about the questionnaire they had just completed. Results 728 out of 1550 eligible patients (47% participated in the study. Across questionnaires, response rates were similar (Saphora-Psy: 48.5%, Perceptions of Care: 49.9%, Picker: 43.4%; P = 0.08, average completion time was lowest for the Perceptions of Care questionnaire (minutes: Saphora-Psy: 17.7, Perceptions of Care: 13.7, Picker: 17.5; P = 0.005, the Saphora-Psy questionnaire had the largest mean proportion of missing responses (Saphora-Psy: 7.1%, Perceptions of Care: 2.8%, Picker: 4.0%; P P Conclusion Despite differences in the intended target population, content, lay-out and length of questionnaires, none appeared to be obviously better based on our comparison. All three presented advantages and drawbacks and could be used for the satisfaction evaluation of psychiatric inpatients. However, if comparison across medical services or hospitals is desired, using a generic questionnaire might be advantageous.

  6. The Competencies, Roles and Scope of Practice of Advanced Psychiatric Nursing in Indonesia

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    Yulia Wardani


    Full Text Available The graduate advanced psychiatric nursing (psychiatric nursing specialist from master degree in Indonesia are about 70 nurses, 67 nurses were graduated from University of Indonesia. They are working at mental health services and educational setting around Indonesia and yet seem not ready to perform some specific advanced competencies in clinical area. The mastery on mental health assessment, neurochemical perspectives, medical management and psychotherapy have not yet performed by the psychiatric nurse specialist in the clinical area or community.To have those competencies and its performances, therefore the curriculum in a psychiatric nursing graduate program must include advanced courses in physiopsychology, psychopathology, advanced psychopharmacology, neurobehavioral science, advanced mental health assessment, and advanced treatment interventions such as psychotherapy and prescription and management of psychotropic medications as their core and major courses in the curriculum. Those courses should be performed in their clinical practice courses or other related learning experiences. When those qualifications are met, then they are competent to be called advanced psychiatric nurse.As advanced practice registered nurses, the advanced psychiatric nurses should be able to demonstrate their direct expertise and roles in advanced mental health assessment, diagnostic evaluation, psychopharmacology management, psychotherapy with individuals, group and families, case management, millieu management, liason and counselling from prevention, promotion until psychiatric rehabilitation. Meanwhile the skill such as psycho-education, teaching, unit management, research and staff development can be added as their indirect roles.

  7. Gerberto, scienziato e Papa (United States)

    Sigismondi, Costantino


    Gerbert d'Aurillac was Pope Sylvester II since 999 through 1003. His history is presented in order to understand his outstanding contribution in the establishment of quadrivium sciences (arithmetics, music, geometry and astronomy) in the curricula studiorum of cathedral schools and therefore of forthcoming universitates studiorum. Gerbert allowed the first sharing of arabic scientific culture (e.g. introducing in his didactic method the astrolabium, the abacus and the monochord) with Christian world participating in person to the "mini-renaissance" of the 10th century.

  8. 150 aastat papa Jannsenist

    Index Scriptorium Estoniae


    2007. a. möödub 150 aastat Johann Voldemar Jannseni asutatud Pärnu Postimehe 1. numbri ilmumisest. Selle tähistamiseks avatakse Pärnus Rüütli tänava muulil 5. juunil 2007 Jannseni kuju (skulptor Mati Karmin)

  9. Psychiatric symptoms, quality of life, and HIV status among people using opioids in Saint Petersburg, Russia. (United States)

    Desrosiers, Alethea; Blokhina, Elena; Krupitsky, Evgeny; Zvartau, Edwin; Schottenfeld, Richard; Chawarski, Marek


    The Russian Federation is experiencing a very high rate of HIV infection among people who inject drugs (PWID). However, few studies have explored characteristics of people with co-occurring opioid use disorders and HIV, including psychiatric symptom presentations and how these symptoms might relate to quality of life. The current study therefore explored a.) differences in baseline psychiatric symptoms among HIV+ and HIV- individuals with opioid use disorder seeking naltrexone treatment at two treatment centers in Saint Petersburg, Russia and b.) associations between psychiatric symptom constellations and quality of life. Participants were 328 adults enrolling in a randomized clinical trial evaluating outpatient treatments combining naltrexone with different drug counseling models. Psychiatric symptoms and quality of life were assessed using the Brief Symptom Inventory and The World Health Organization Quality of Life-BREF, respectively. Approximately 60% of participants were HIV+. Those who were HIV+ scored significantly higher on BSI anxiety, depression, psychoticism, somatization, paranoid ideation, phobic anxiety, obsessive-compulsive, and GSI indexes (all p<0.05) than those HIV-. A K-means cluster analysis identified three distinct psychiatric symptom profiles; the proportion of HIV+ was significantly greater and quality of life indicators were significantly lower in the cluster with the highest psychiatric symptom levels. Higher levels of psychiatric symptoms and lower quality of life indicators among HIV+ (compared to HIV-) individuals injecting drugs support the potential importance of combining interventions that target improving psychiatric symptoms with drug treatment, particularly for HIV+ patients. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Prior trauma and psychiatric history as risk factors for intentional and unintentional injury in Australia. (United States)

    O'Donnell, Meaghan L; Creamer, Mark; Elliott, Peter; Bryant, Richard; McFarlane, Alexander; Silove, Derrick


    Preliminary evidence suggests that injury survivors are at increased risk for having experienced traumatic events before their injury or having a lifetime psychiatric history. We aimed to extend the previous research by examining in the same sample whether trauma history or lifetime psychiatric history represented risk pathways to injury for intentional or unintentional injury survivors. We also aimed to describe the co-occurrence between trauma history and psychiatric history in unintentionally injured survivors. In this multisited study, randomly selected injury survivors admitted to five trauma services in three states of Australia (April 2004 to February 2006) completed two structured clinical interviews that assessed their history of traumatic life events and lifetime psychiatric disorder (n = 1,167). chi analyses were conducted to compare the lifetime prevalence of traumatic events and psychiatric history for intentional and unintentional injury with population norms. Both intentional and unintentional injury survivors were at increased risk for reporting all types of trauma and reporting all measured psychiatric diagnoses compared with population norms. The majority of unintentional injury survivors with a psychiatric history were likely to have a trauma history. In this study, we identified that prior trauma or prior psychiatric illness may represent risk for injury in both intentionally and unintentionally injured survivors. The results highlight the need for injury-care services to address mental health issues in injury patients as part of routine care.

  11. Medication Discontinuation in Patients After Discharge From a Psychiatric Hospital. (United States)

    Abdullah-Koolmees, Heshu; Gardarsdottir, Helga; Yazir, Dilek; Stoker, Lennart J; Vuyk, Judith; Egberts, Toine C G; Heerdink, Eibert R


    Patients discharged from psychiatric hospitals may be at risk for intentional or unintentional discontinuation of their medication. To describe and assess the discontinuation of, and changes to, psychiatric and/or somatic medication in patients after discharge from psychiatric hospitals. A retrospective follow-up study was conducted in patients discharged from 4 psychiatric hospitals in The Netherlands between 2006 and 2009. Patients' medication use during the last 2 days of hospitalization was compared with medication dispensed during the 3 months following discharge. Changes in psychiatric and somatic medication were investigated and defined as medication discontinuation, start, or switch. Patients were classified as continuing users, when there were no changes to the medication after discharge. Relative risks with 95% confidence intervals to measure differences in discontinuation were estimated using Cox regression analysis. This study included 1324 patients, 69.8% of whom discontinued medication, and 9.7% switched one or more medications. Nearly half (47.4%) of all patients started a medication other than that dispensed during the last 2 days of hospitalization, and 13.7% of all patients experienced no changes to their medication regimen. Approximately 40% of the patients discontinued one or more medications for chronic conditions. From these, 68% discontinued psychiatric medications and 49.4% discontinued somatic medications. A quarter (25.2%) of the 644 patients discontinued using antipsychotics. More than a quarter (28.4%) of the 292 patients using medications for cardiovascular problems discontinued. Patients using as-needed medication prior to discharge were more likely to discontinue their medication (relative risk = 1.85; 95% confidence interval = 1.55-2.20). Discharge from a psychiatric hospital led to medication discontinuation in approximately 70% of all patients. Approximately 40% of the patients discontinued medications for chronic conditions

  12. Psychiatric diagnosis in legal settings

    Directory of Open Access Journals (Sweden)

    Alfred Allan


    Full Text Available When asked to give a diagnosis in legal settings practitioners should be mindful of the tentative nature of psychiatric diag- noses and that courts require that such a diagnosis must have scientific credibility. South African courts are not explicit about the test they will apply to determine whether a diagno- sis is scientifically credible, but some guidance can be found in United States case law. This paper examines these criteria with reference to the disorders included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR.

  13. Cultural relativism and psychiatric illness. (United States)

    Fabrega, H


    Psychiatry has had a long-standing association with sociology and, especially, cultural anthropology. These social sciences have been influential in developing the concept of cultural relativism and applying it to psychiatry, sometimes in a challenging way and with much detriment. The concept has been used by some antipsychiatrists in attempts to discredit psychiatric practice. Contemporary psychiatrists endorsing a form of biological determinism have tended to either disregard the concept or judge it as trivial if not nonsensical. This study describes the concept of cultural relativism, reviews its applications to illness, and analyzes its implications from a historical and theoretical point of view. Its varied aspects, power, and limitations are discussed.

  14. [Gender aspects of psychiatric publications]. (United States)

    Freidl, Marion; Unger, Annemarie; Vyssoki, Benjamin; Wancata, Johannes


    Are authors of German language psychiatric journals more often male or female? Are there gender differences regarding scientific topics? Analysis of publications of two German-language journals (Neuropsychiatrie, Psychiatrische Praxis) for the period 2008-2009. We could not find any gender differences concerning the number of first authors, but the number of male co-authors was nearly double as high as of female co-authors. Qualitative research methods were used more often by female researchers, but there were no significant differences regarding scientific topics. Overall, we found fewer gender differences than expected concerning authorship.

  15. Psychiatric morbidity in asymptomatic human immunodeficiency virus patients

    Directory of Open Access Journals (Sweden)

    V S Chauhan


    Full Text Available Background: Psychiatric morbidity in human immunodeficiency virus (HIV patients is being studied all over the world. There is paucity of Indian literature particularly in asymptomatic HIV individuals. Aim: The aim of the following study is to establish the prevalence and the determinants of psychiatric morbidity in asymptomatic HIV patients. Materials and Methods: A cross-sectional study was undertaken to assess psychiatric morbidity as per ICD-10 dacryocystorhinostomy criteria in 100 consecutive asymptomatic seropositive HIV patients and an equal number of age, sex, education, economic and marital status matched HIV seronegative control. All subjects were assessed with the general health questionnaire (GHQ, mini mental status examination, hospital anxiety and depression scale (HADS and sensation seeking scale (SSS and the scores were analyzed statistically. Results: Asymptomatic HIV positive patients had significantly higher GHQ caseness and depression but not anxiety on HADS as compared to HIV seronegative controls. On SSS asymptomatic HIV seropositive subjects showed significant higher scores in thrill and adventure seeking, experience seeking and boredom susceptibility as compared to controls. HIV seropositive patients had significantly higher incidence of total psychiatric morbidity. Among the individual disorders, alcohol dependence syndrome, sexual dysfunction and adjustment disorder were significantly increased compared with HIV seronegative controls. Conclusion: Psychiatric morbidity is higher in asymptomatic HIV patients when compared to HIV seronegative controls. Among the individual disorders, alcohol dependence syndrome, sexual dysfunction and adjustment disorder were significantly increased compared with HIV seronegative controls. High sensation seeking and substance abuse found in HIV seropositive patients may play a vital role in engaging in high-risk behavior resulting in this dreaded illness.

  16. Pre-trial psychiatric evaluations and ethnicity in the Netherlands. (United States)

    Vinkers, David J; de Beurs, Edwin; Barendregt, Marko; Rinne, Thomas; Hoek, H Wijbrand


    Black and ethnic minorities (BME) are disproportionally represented in western prisons and forensic psychiatric facilities. The authors wished to determine whether patient-related or services-related factors account for this overrepresentation. This study examined the relationship among the assessments of psychological accountability for a crime, treatment recommendations, and ethnicity among persons accused of a crime and suspected of having a mental disorder. We examined all 21,857 pre-trial psychiatric reports requested by Dutch courts between 2000 and 2006. Ethnicity was classified as Dutch native (n=15,004), Black and minority ethnic (BME) groups (n=6202), and Whites from other western countries (n=638). Accountability assessments and treatment recommendations were compared using chi-square tests and logistic regression models, adjusted for demographic, psychiatric, and judiciary characteristics. Among BME and Whites from other western countries, accountability for the crimes committed was more often judged to be at the extreme ends of the spectrum, that is, "fully responsible" or "not responsible." Compulsory admission to a psychiatric hospital was more frequently recommended for BME persons (OR: 1.38, 95% CI: 1.16-1.64) and Whites from other western countries (OR: 1.54, 95% CI: 1.05-2.27), but not admission to a penitentiary hospital or use of medication. The compulsory admission findings are largely explained by a higher prevalence of psychotic disorders in BME persons (19.8%) and Whites from other western countries (19.3%) as compared to Dutch natives (9.2%). Outpatient treatment was less often recommended for BME persons (OR: 0.81, 95% CI: 0.76-0.87) and Whites from other western countries (OR: 0.83, 95% CI: 0.70-0.99) than for Dutch natives. Both patient-related and services-related factors play a role in the increased admission of BME groups and Whites from other western countries to psychiatric hospitals.

  17. Subjective anger and overt aggression in psychiatric outpatients. (United States)

    Genovese, Timothy; Dalrymple, Kristy; Chelminski, Iwona; Zimmerman, Mark


    The attention given to anger and aggression in psychiatric patients pales in comparison to the attention given to depression and anxiety. Most studies have focused on a limited number of psychiatric disorders, and results have been inconsistent. The present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project sought to replicate and extend prior findings examining which psychiatric disorders and demographic characteristics were independently associated with elevated levels of anger and aggression. 3800 individuals presenting to the Rhode Island Hospital Department of Psychiatry outpatient practice underwent a semi-structured interview to determine current Axis I (N=3800) and Axis II (N=2151) pathology. Severity of subjective anger and overt aggression within the past week were also assessed for each patient, and odds ratios were determined for each disorder. Multiple regression analyses were conducted to determine which diagnoses independently contributed to increased levels of anger and aggression. Almost half of the sample reported moderate-to-severe levels of current subjective anger, and more than 20% endorsed moderate-to-severe levels of current overt aggression. The frequency of anger was similar to the frequencies of depressed mood and psychic anxiety. Anger and aggression were elevated across all diagnoses except adjustment disorder. Anger and aggression were most elevated in patients with major depressive disorder, panic disorder with agoraphobia, post-traumatic stress disorder, intermittent explosive disorder, and cluster B personality disorders. Anger is as common as depressed mood and psychic anxiety amongst psychiatric outpatients, and problems with anger cut across diagnostic categories. Given the high prevalence of problems with anger in psychiatric patients, more research should be directed towards its effective treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Psychiatric sequelae of traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Suprakash Chaudhury


    Full Text Available Almost half of the people suffering traumatic brain injury (TBI may later be diagnosed with psychiatric disorders. The literature (PubMed, IndMed of past 30 years on psychiatric disturbances associated with TBI is reviewed. The authors highlight the close link between head injury and psychiatry and provide an overview of the epidemiology, risk-factors, and mechanisms of psychiatric sequelae including, cognitive deficits, substance abuse, psychoses, mood disorders, suicide, anxiety disorders, dissociative disorders, post-concussion syndrome, and personality changes following head injury. The various psychiatric sequelae are briefly discussed.

  19. Approaches to psychiatric nosology: A viewpoint

    National Research Council Canada - National Science Library

    Avasthi, Ajit; Sarkar, Siddharth; Grover, Sandeep


    Psychiatric nosology is required for communication among clinicians and researchers, understanding etiology, testing treatment efficacy, knowing the prevalence of the problems and disorders, health...

  20. Towards a systems definition of psychiatric practice. (United States)

    Rashkis, H A; Yanovski, A


    Assessment of psychiatric practice has been difficult largely because of the apparent diversity of psychiatrists' theories, procedures, and goals. Searching for a unifying principle, we propose system identification failure (SIF), a defect in data-processing, as the unit of psychopathology underlying all psychiatric disorder (and other behavioral error). Definitive treatment must not only identify and correct the data-processing defect, but also eliminate the secondary symptoms. Emphasis is not on method of treatment but on goal or intent. Preparatory treatment includes supportive psychological and environmental measures and somatic therapies (regardless of type, duration, or intensity) which make definitive treatment possible. Palliative treatment must be frequently reviewed. Preventive treatment should prevent SIF-formation. We consider our proposal a distillate of the aims and implicit intent of experienced psychiatrists regardless of their training or theoretical orientation. The search for a functional definition of the practice of psychiatry was perhaps at one time an academic or lexicographic exercise, but, with the advent of peer review, it has become a pragmatic matter deserving of earnest attention. What is psychiatric practice? In a universe criss-crossed by psychiatrists "riding madly off in all directions." not only are the descendants of Anna O. and Dora analyzed in vivo and those of Little Hans at one remove, but also are distant figures and cultures subjected, often iv vitro, to critical scrutiny, while the "talking treatment" is applied to couples, families, groups, "networks" and communities. When one adds to this the diversity of biological therapies and institutional, environmental, and behavioral manipulations, the task of finding a common theme, much less procedure, becomes a worthy problem in hermeneutics, general semantics, or system analysis. Thus we must ask not only the operational question, "What do psychiatrists do?" BUt also, "What did


    Directory of Open Access Journals (Sweden)

    Ivan Aleksandrov


    Full Text Available Background: It has been discussed that being held hostage can have harmful short and often long-term physical, psychological, familial and social effects on the victims. This is a complex area of research and the data is sparse yet. The aim of our study is to present our experience concerning some psychological and psychiatric consequences on Bulgarian seamen victims of pirate's attack long captivity and to suggest a suitable methodology of a psychological investigation in such cases. Methods: Seven Bulgarian hostage survivors underwent comprehensive psychological and psychiatric assessments twenty days after pirate’s captivity release. Results and discussion: In general terms, the psychological and psychiatric impact on the victims is similar to that of being exposed to other serious life-threatening events, including terrorist incidents and natural disasters. All the subjects, who have been examined in our study, reported feelings of detachment and alienation from close others and startle by noises, nightmares and sleep disturbances. Anxiety symptoms, characterized by apprehension, tension and fear in particular situations, and some depressive features (depressive mood, lack of interest and activities, lassitude on a sub- clinical level were registered. Conclusion: Despite some limitations our report discusses important issues, concerning psychological and psychiatric consequences on Bulgarian seamen victims of pirate’s attack long captivity and present a suitable model of a psychological investigation in such cases and states the need of supportive care of the victims.

  2. Psychiatric comorbidity and personality traits in patients with hyperacusis. (United States)

    Jüris, Linda; Andersson, Gerhard; Larsen, Hans Christian; Ekselius, Lisa


    Hyperacusis, defined as unusual intolerance of ordinary environmental sounds, is a common problem. In spite of this, there is limited understanding of the underlying mechanisms. We hypothesized that individuals with hyperacusis would be prone to suffer from psychiatric disorders, related in particular to anxiety. Therefore, psychiatric morbidity and personality traits were investigated, along with different sociodemographic and clinical characteristics. Patients were assessed with a clinical interview related to symptoms of hyperacusis, the Mini-international neuropsychiatric interview (MINI), and the Swedish Universities scales of Personality (SSP) to study psychiatric disorders and personality traits. A group of 62 Swedish patients with hyperacusis between 18 and 61 years (mean 40.2, SD 12.2) was included. Altogether 56% of the patients had at least one psychiatric disorder, and 47% had an anxiety disorder. Also, personality traits related to neuroticism were over-represented. A majority, 79%, suffered from comorbid tinnitus, and a similar proportion used measures to avoid noisy environments. The over-representation of anxiety disorders and anxiety-related personality traits in patients with hyperacusis suggests common or cooperating mechanisms. Cognitive behavioural treatment strategies, proven efficient in treating anxiety, may be indicated and are suggested for further studies.

  3. Legal duties of psychiatric patients. (United States)

    Beahrs, J O


    Psychiatric practice involves an implied contract in which each party fulfills a specialized role and incurs corresponding duties and obligations to be discharged as best able. Patients incur duties at three levels. First are specific duties that arise from patients' specialized role in their own health care: (1) to provide accurate and complete information, and (2) to cooperate with treatment within the bounds of informed consent. Second are general duties that apply to all citizens, but are especially relevant within the mental health context: (1) to respect the physical integrity of self, others, and property, and (2) to obey the law. The controversial "duty to protect" is at a third level, a transcendent duty that is specific to the context at hand, but in principle can apply to more than one party. Advantages of enforcing patients' duties include better care by treating professionals, optimum level of functioning of patients, and improved systems-wide morale and safety. Breach of patients' duty has many potential consequences in the forensic sphere: termination of care, malpractice defense, criminal prosecution, and tort liability. Complicating factors include the degree and effect of patients' psychiatric impairment, patients' legal status, and the role played by psychotherapeutic transference.

  4. Psychotherapy in Contemporary Psychiatric Practice (United States)

    Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S


    Objective: American data suggest a declining trend in the provision of psychotherapy by psychiatrists. Nevertheless, the extent to which such findings generalize to psychiatric practice in other countries is unclear. We surveyed psychiatrists in British Columbia to examine whether the reported decline in psychotherapy provision extends to the landscape of Canadian psychiatric practice. Method: A survey was mailed to the entire population of fully licensed psychiatrists registered in British Columbia (n = 623). The survey consisted of 30 items. Descriptive statistics were used to characterize the sample and psychotherapy practice patterns. Associations between variables were evaluated using nonparametric tests. Results: A total of 423 psychiatrists returned the survey, yielding a response rate of 68%. Overall, 80.9% of psychiatrists (n = 342) reported practicing psychotherapy. A decline in the provision of psychotherapy was not observed; in fact, there was an increase in psychotherapy provision among psychiatrists entering practice in the last 10 years. Individual therapy was the predominant format used by psychiatrists. The most common primary theoretical orientation was psychodynamic (29.9%). Regarding actual practice, supportive psychotherapy was practiced most frequently. Professional time constraints were perceived as the most significant barrier to providing psychotherapy. The majority (85%) of clinicians did not view remuneration as a significant barrier to treating patients with psychotherapy. Conclusions: Our findings challenge the prevailing view that psychotherapy is in decline among psychiatrists. Psychiatrists in British Columbia continue to integrate psychotherapy and pharmacotherapy in clinical practice, thus preserving their unique place in the spectrum of mental health services. PMID:26175328

  5. Time Perception and Psychiatric Disorders

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    Hatice Ceviz


    Full Text Available Time perception is an ability which we use in every moment of daily life, that guides the formation and continuation of our behaviors and from an evolutionary perspective ensures survival. Internal clock models help us to understand time perception. Time perception is known to vary between individuals and particular situations. This variability is explained with the mechanisms which is associated with the processes related to attention, the speed of the internal clock and the memory unit. It is suggested that time perception is mainly associated with the activities of dopamine and acetylcholine. Some dopaminergic psychoactive substances like cocaine and amphetamine have all been shown to change time perception by increasing the speed of internal clock while on the other hand some antipsychotic drugs make an opposite change in time perception by descreasing the speed of the clock. Similarly, time perception is affected in some psychiatric disorders and an ethiopathological relationship between time perception disturbances and psychiatric disorders is suggested. In this article time perception changes in schizophrenia, attention deficit/hyperactivity syndrome, depression, anxiety disorders and personality disorders are briefly reviewed.

  6. Face processing in psychiatric conditions. (United States)

    Archer, J; Hay, D C; Young, A W


    Functional models of face processing have indicated that dissociations exist between the various processes involved, e.g. between familiar face recognition and matching of unfamiliar faces, and between familiar face recognition and facial expression analysis. These models have been successfully applied to the understanding of the different types of impairment that can exist in neuropsychological patients. In the present study, aspects of face processing in psychiatric patients were investigated in relation to Bruce & Young's (1986) model. Based on this functional model different predictions can be made. We contrast here the impaired expression analysis hypothesis, which is that psychiatric patients would show a deficit in facial expression recognition, but not in facial identity recognition or unfamiliar face matching, with the generalized deficit hypothesis, that patients would be impaired on all tasks. These hypotheses were examined using three forced-choice tasks (facial recognition, facial expression recognition, and unfamiliar face matching) which were presented to schizophrenic and depressed patients, and to non-patient controls. Results showed that schizophrenic patients performed at a significantly lower level than non-patient controls on all three tasks, supporting the generalized deficit hypothesis.

  7. Epigenetic signaling in psychiatric disorders. (United States)

    Peña, Catherine J; Bagot, Rosemary C; Labonté, Benoit; Nestler, Eric J


    Psychiatric disorders are complex multifactorial illnesses involving chronic alterations in neural circuit structure and function. While genetic factors are important in the etiology of disorders such as depression and addiction, relatively high rates of discordance among identical twins clearly indicate the importance of additional mechanisms. Environmental factors such as stress or prior drug exposure are known to play a role in the onset of these illnesses. Such exposure to environmental insults induces stable changes in gene expression, neural circuit function, and ultimately behavior, and these maladaptations appear distinct between developmental and adult exposures. Increasing evidence indicates that these sustained abnormalities are maintained by epigenetic modifications in specific brain regions. Indeed, transcriptional dysregulation and associated aberrant epigenetic regulation is a unifying theme in psychiatric disorders. Aspects of depression and addiction can be modeled in animals by inducing disease-like states through environmental manipulations (e.g., chronic stress, drug administration). Understanding how environmental factors recruit the epigenetic machinery in animal models reveals new insight into disease mechanisms in humans. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. The Association between Psychiatric Disorders and Quality of Life of Patient with Diabetes Mellitus

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    Olusegun Baiyewu


    Full Text Available Objective: Quality of life (QOL assessment has been employed increasingly to evaluate outcome among patients with chronic medical conditions. Such assessment could be adversely affected by psychiatric disorders, co existing with such a medical condition. Method: A cross sectional study of 251 out-patients with diabetes mellitus was done at a Nigerian University Teaching Hospital using the Composite Diagnostic Interview (CIDI for psychiatric assessment and the World Health Organisation Quality of Life brief version (WHOQOL-BREF to evaluate the QOL. Results: Fifty (20% of the 251 respondents met the ICD-10 criteria for definite psychiatric diagnosis. Depression accounted for 9.6% while twenty-six (10.4% had anxiety disorder. Of the 35 respondents who performed poorly on the overall quality of life, 17(48.57% had psychiatric diagnosis; 9 were depressed and 8 had anxiety disorder. 39 (15.5% scored poor on the physical health domain. 21(53.8% of the 39 respondents with poor score had psychiatric diagnosis: 13 had depression while 8 had anxiety disorder. On domain 1 (physical health, 51 (20.3% scored poor. Twenty-eight (54.9% of the poor scorers had psychiatric diagnosis, 20 were depressed while 8 had anxiety. 51 (20.3% scored poor on psychological domain (domain 2 twenty-eight (54.9% of the poor scorers had psychiatric diagnosis, 20 of which were depressed while 8 had anxiety. 34 (13.5% scored poor on social relations (domain 3. 19 (55.9% of those who scored poor had psychiatric disorder and the diagnosis was depression. Conclusions: Physicians need to increase their surveillance of psychiatric co-morbidity in diabetes mellitus and collaborate with psychiatrists for a more effective liaison to improve the quality of life of patients with diabetes.

  9. Co-occurrence of psychiatric and medical morbidity in primary care. (United States)

    Kessler, L G; Tessler, R C; Nycz, G R


    This study examines the co-occurrence of psychiatric and medical morbidity in primary care patients utilizing a health care clinic in Marshfield, Wisconsin. Previous research has shown that individuals with psychiatric disorders have higher rates of medical illness than people without psychiatric illness, but most prior studies have tended to confound the measures of psychiatric and medical morbidity. In addition, appropriate controls for bias resulting from different medical utilization patterns have sometimes been absent. The present study reports the medical diagnoses of persons who had been assessed for psychiatric disorder with a standardized psychiatric interview using research diagnostic criteria independent of their medical assessment. Psychiatric diagnoses are analyzed in relation to medical diagnoses at the time of the interview and for a one-year period--six months before and six months after that date. The results indicate that persons with mental disorder diagnoses have significantly more morbidity for the one-year study period. Although considerable congruence exists in the physical diagnoses recorded for both groups, those with mental disorders are more likely to have diagnoses of the digestive and genitourinary systems. Some sex differences are also explored.

  10. Stigmatization of psychiatric symptoms and psychiatric service use: a vignette-based representative population survey. (United States)

    Sowislo, Julia F; Lange, Claudia; Euler, Sebastian; Hachtel, Henning; Walter, Marc; Borgwardt, Stefan; Lang, Undine E; Huber, Christian G


    Background There is evidence for two different types and/or sources of mental illness stigma, namely the display of psychiatric symptoms and the use of psychiatric service institutions. However, no current study has compared the two. Furthermore, gaps exist in our knowledge of both types of stigma. Little is known about the perceived stigma of specific psychiatric service treatment environments, for instance forensic settings. In addition, systematic research on stigma attached to symptoms of personality disorders in the general population is scarce, and for borderline personality disorder, nonexistent. Methods We conducted a representative survey of the general population (N = 2207) in the canton of Basel-Stadt, Switzerland. Participants were asked to read a vignette depicting either the psychiatric symptoms of a fictitious character or a psychiatric service institution to which the character had been admitted, and indicate desired social distance (an indicator for stigma). Type of symptoms, type of psychiatric service, dangerousness, and gender were systematically varied between vignettes. Findings Desired social distance was significantly lower in relation to psychiatric service use than to psychiatric symptoms. Overall, symptoms of alcohol dependency, behavior endangering others, and the fictitious character's being male tend to increase stigmatization. Interestingly, the character's being hospitalized in a psychiatric unit at a general hospital and also respondent familiarity with psychiatric services tend to decrease stigmatization. Interpretation Familiarity of the general population with psychiatric patients should be increased. Furthermore, treatment in psychiatric units located within general hospitals should be promoted, as such treatment is associated with decreased stigma.

  11. ASD, a Psychiatric Disorder, or Both? Psychiatric Diagnoses in Adolescents with High-Functioning ASD (United States)

    Mazefsky, Carla A.; Oswald, Donald P.; Day, Taylor N.; Eack, Shaun M.; Minshew, Nancy J.; Lainhart, Janet E.


    Varied presentations of emotion dysregulation in autism complicate diagnostic decision making and may lead to inaccurate psychiatric diagnoses or delayed autism diagnosis for high-functioning children. This pilot study aimed to determine the concordance between prior psychiatric diagnoses and the results of an autism-specific psychiatric interview…

  12. Análisis de grasas y vitamina C en papas congeladas fritas en diferentes aceites Analysis of fats and vitamin c in frozen potatoes fried in different oils


    María Sabrina Lencina; María Beatriz Gomez; Eduardo Raul Costa; Ana Rosa Abalos; Ana Frigola; María José Estevés


    Las papas prefritas congeladas son mayormente destinadas a los servicios de comidas rápidas incorporándose recientemente al hogar. El método más utilizado para su elaboración es la fritura, el cual se caracteriza por la absorción de lípidos y por menor pérdida de nutrientes termolábiles, lo que puede contribuir a la preservación de vitamina C frente a otros métodos de cocción. Este estudio se propone comparar el contenido de vitamina C y grasas en variedades de papas prefritas y frescas, frit...

  13. Obtención de plantas sanas de papa, Solanum tuberosum L. Variedad salentuna. A través de las técnicas de termoterapia y cultivo de meristemas in vitro.

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    Marulanda Aguirre Adriana


    Full Text Available Se obtuvieron plantas Super Elite de papa (Solanum tuberosum L., de la variedad regional Salentuna, catalogada como papa filia, implementando las técnicas de termoterapia, cultivo in vitro de meristemas y multiplicación acelerada. Se limpió esta variedad del complejo de enfermedades que la afectaban, para entregarle a los productores un material sano que los motive a regresar al campo con una alternativa de producción de mayor calidad y rentabilidad. La falta de semilla sana es una necesidad sentida por los agricultores del departamento de Caldas, pues hace más de treinta años que no se renueva el material vegetal y no existen programas de producción de semilla certificad de esta variedad en el país.

  14. Transferencia de tecnología para la producción de semilla prebásica y básica de papa en las zonas productoras Costa Rica


    Flores, Dora; Barboza-Flores, Sonia; Villalobos, Mario


    Proyecto de Investigación El Instituto Tecnológico de Costa Rica junto con las otras universidades públicas ha venido trabajando por más de 10 años en la aplicación de técnicas biotecnológicas en la producción de semilla de papa. El proyecto inició con la validación en el laboratorio de los protocolos para producción de vitroplantas y microtubérculos. Posteriormente se trabajó en la obtención de semilla prebásica de papa en invernadero utilizando material producido en laboratorio y se l...

  15. Estabilidad oxidativa del aceite de soya con adición de antioxidante de antioxidante de Isaño (Tropaeolum tuberosum Ruiz & Pavón) durante la fritura de papas


    Calsin Cutimbo, Marienela; Universidad Nacional del Altiplano; Aro Aro, Juan Marcos; Universidad Nacional del Altiplano; Tipacti Vivanco, Zulli Lisbeth; Universidad Nacional del Callao, Lima, Perú.


    El objetivo fue evaluar la estabilidad oxidativa del aceite de soya con adición de antioxidante de isaño (Tropaeolum tuberosum Ruiz & Pavón) y TBHQ durante la fritura de papas, analizados en tiempos de 0, 1,5, 2,5 y 3,5 horas a 180 ºC+10ºC, con intervalos de fritura de papas cada 30 min realizando ocho eventos de fritura. Para evaluar se realizaron pruebas de índices de peróxido, acidez, dienos y trienos.  Durante la fritura las muestras de aceite de soya con adición de extracto Isaño pre...

  16. Prevalence of dissociative disorders in psychiatric outpatients. (United States)

    Foote, Brad; Smolin, Yvette; Kaplan, Margaret; Legatt, Michael E; Lipschitz, Deborah


    The purpose of the study was to assess the prevalence of DSM-IV dissociative disorders in an inner-city outpatient psychiatric population. Subjects were 231 consecutive admissions (84 men and 147 women, mean age=37 years) to an inner-city, hospital-based outpatient psychiatric clinic. The subjects completed self-report measures of dissociation (Dissociative Experiences Scale) and trauma history (Traumatic Experiences Questionnaire). Eighty-two patients (35%) completed a structured interview for dissociative disorders (Dissociative Disorders Interview Schedule). The 82 patients who were interviewed did not differ significantly on any demographic measure or on the self-report measures of trauma and dissociation from the 149 patients who were not interviewed. Twenty-four (29%) of the 82 interviewed patients received a diagnosis of a dissociative disorder. Dissociative identity disorder was diagnosed in five (6%) patients. Compared to the patients without a dissociative disorder diagnosis, patients with a dissociative disorder were significantly more likely to report childhood physical abuse (71% versus 27%) and childhood sexual abuse (74% versus 29%), but the two groups did not differ significantly on any demographic measure, including gender. Chart review revealed that only four (5%) patients in whom a dissociative disorder was identified during the study had previously received a dissociative disorder diagnosis. Dissociative disorders were highly prevalent in this clinical population and typically had not been previously diagnosed clinically. The high prevalence of dissociative disorders found in this study may be related to methodological factors (all patients were offered an interview rather than only those who had scored high on a screening self-report measure) and epidemiological factors (extremely high prevalence rates for childhood physical and sexual abuse were present in the overall study population).

  17. History of the Nordic psychiatric cooperation. (United States)

    von Knorring, Lars


    The Nordic countries include Denmark, Finland, Iceland, Norway and Sweden as well the Faroe Islands, Greenland, Svalbard and Åland. The countries share much common history as well as common traits in their respective societies. As early as 1906, a Scandinavian Psychiatric Association was suggested. The first Nordic Psychiatric Congress was held in Copenhagen 1913. After the First World War, at the 6th Nordic Psychiatric Congress in Stockholm 1935, a Nordic Psychiatric Association was founded and it was decided that a Nordic Journal of Psychiatry should be founded. After the Second World War, at the 8th Nordic Psychiatric Congress in Copenhagen 1946, the Nordic Psychiatric Association was terminated. At this time, the most important task of the Association, to found a Nordic Journal of Psychiatry, had been achieved. After 1946, there has been a close cooperation between the Nordic countries but no common Nordic Psychiatric Association. Today, the Nordic Psychiatric Cooperation is active and ongoing. The 30th Nordic Psychiatric Congress is scheduled to be held in Tromsö, in 2012. The Nordic Journal of Psychiatry is publishing its 64 th volume. The Journal is indexed in the important international databases and the impact factor is increasing. The Joint Committee of the Nordic psychiatric associations has established itself as the owner of the Journal and the organizer of the congresses. There are also a series of Nordic cooperations in a series of different fields, such as the Scandinavian Societies of Biological Psychiatry, the Scandinavian College of Neuropsychopharmacology (SCNP), the bi-annual Nordic Psychoanalytical Congresses, the Scandinavian Psychoanalytic Review, the Nordic Association of Psychiatric Epidemiology, NAPE, and so on.

  18. [Psychiatric and psychological aspects of premenstrual syndrome]. (United States)

    Limosin, F; Ades, J


    Numerous, but heterogeneous studies have been performed about premenstrual syndrome, with finally a lack of credibility and interest among practitioners. More recently with the diagnosis criteria generalization, psychiatrists were more concerned about this syndrome, because of anxiety and mood symptoms involved in social impairment and need of medical care. In 1983 in the United States, the National Institute of Mental Health conference devoted to this topic proposed the first diagnosis criteria, requiring a prospective and daily assessment of the symptoms. In 1987, the American Psychiatric Association, in the DSM III-R, introduced the Late Luteal Phase Dysphoric Disorder diagnosis that became in 1994 in the DSM IV the Premenstrual Dysphoric Disorder, with the same diagnosis criteria. In the literature, prevalence rates are very heterogeneous according to the diagnosis criteria used and to the populations studied. One of the most relevant criteria is the induced impairment, such as avoidance of social activities, or search for medical care. Lifetime prevalence is thus estimated between 75 and 85% if considering the report of one or several symptoms, between 10 and 15% in case of medical care request, and between 2 and 5% in case of social activities interruption. To distinguish isolated complaints from a disabling disorder, self-questionnaires are the best way of assessment in a so complex and changing disease. Most of the epidemiological studies found a positive correlation between the premenstrual dysphoric symptoms and the lifetime major depressive disorder diagnosis. However, recent prospective studies failed to find an association between premenstrual syndrome and an increased risk of major depression. On the other hand, some studies showed that the premenstrual period is a risk period for associated psychiatric disorders exacerbations, as the obsessive-compulsive disorder, more severe alcohol intakes in case of alcoholism, symptoms increase in schizophrenics

  19. Significance of personality disorders in the face of drop-outs from psychiatric hospitalizations. The case of selected psychiatric units. (United States)

    Biała, Maja; Kiejna, Andrzej


    The World Health Organization's estimations indicate that about 50% of patients in well-developed countries may not adhere to long-term therapies. In the field of psychiatry, drop-outs from psychiatric treatment are particularly important. Personality disorders are a significant part of this sphere. The aim of this research was to empirically verify the hypothesis regarding the relation between comorbid personality disorders and drop-outs from treatment among patients of psychiatric wards. This study was a prospective cohort study. 110 patients, hospitalized in 3 different psychiatric wards, were included. Personality disorders were assessed with the Structured Clinical Interview For DSM-IV Personality Disorders (SCID-II). The research was financed by the Polish National Science Center (DEC-2011/01/N/NZ5/05364). The response rate was 89.1%. 72.56% of patients suffered from personality disorders (SCID-II) (among them the most prevalent were: personality disorder - not otherwise specified - 40.7% and borderline personality disorder - 12.38%; 22.95% of patients dropped out from treatment). However, occurrence of personality disorders was not relevant for those drop-outs. On the other hand, relationships at the level of certain criteria of borderline personality disorders and passive-aggressive personality have been revealed. These relationships became stronger when considered from the perspective of differences in the organization of treatment at individual wards. Some personality disorders may play an important role in drop-outs from psychiatric treatment. Presented results require further research.

  20. The customer is always right: patients' perceptions of psychiatric nursing actions. (United States)

    Richmond, I; Roberson, E


    In this age of consumerism, consideration should be given to patients' perceptions of interactions with the health care provider as a factor in assessing the quality of care provided. This article describes a study of 100 psychiatric inpatients in a large urban medical center who evaluated 50 commonly used psychiatric nursing actions. Significant differences were found between the general psychiatric patient population and the substance abuse population in perception of helpfulness and frequency of performance with 7 of the 50 nursing actions. As the consumer's perception of the effectiveness of nursing actions is determined, emphasis can be given to those interventions when planning patient care.

  1. Detection of psychiatric morbidity in the primary medical care setting in Brazil


    Mari,Jair de Jesus; Iacoponi,Eduardo; Williams,Paul; Simões,Oziris; Silva,João Batista Teodoro


    The aims of this study were a) to assess the ability of primary care doctors to make accurate ratings of psychiatric disturbance and b) to evaluate the use of a case-finding questionnaire in the detection of psychiatric morbidity. The estudy took place in three primary care clinics in the city of São Paulo, Brazil, during a six-month survey. A time sample of consecutive adult attenders were asked to complete a case-finding questionnaire for psychiatric disorders (the Self Report Questionnaire...

  2. Actividades Enzimáticas en Consorcios Bacterianos de Suelos Bajo Cultivo de Papa con Manejo Convencional y Bajo Pastizal Enzyme Activities in Bacterial Consortium Isolated from Soils with Potato Crop under Conventional Management and under Grassland


    Lizeth Manuela Avellaneda-Torres; Luz Marina Melgarejo Muñoz; Carlos Eduardo Narváez Cuenca; Jimena Sánchez Nieves


    Resumen. Se evaluaron las actividades enzimáticas (ureasa, proteasa, fosfatasa ácida y alcalina, fosfodiesterasa, b-glucosidasa y arilsulfatasa) en consorcios bacterianos (Bacillus subtilis, Brevundimonas diminuta, Flavimonas oryzihabitants) de suelos bajo cultivo de papa variedad Parda Pastusa, con manejo convencional de aplicación de agroinsumos (PCA) y en suelos bajo pastizal sin aplicación de agroinsumos (PSA), en fincas de tres localidades del departamento de Cundinamarca (Tausa, Villapi...

  3. Virtual Reality Objectifies the Diagnosis of Psychiatric Disorders: A Literature Review. (United States)

    van Bennekom, Martine J; de Koning, Pelle P; Denys, Damiaan


    To date, a diagnosis in psychiatry is largely based on a clinical interview and questionnaires. The retrospective and subjective nature of these methods leads to recall and interviewer biases. Therefore, there is a clear need for more objective and standardized assessment methods to support the diagnostic process. The introduction of virtual reality (VR) creates the possibility to simultaneously provoke and measure psychiatric symptoms. Therefore, VR could contribute to the objectivity and reliability in the assessment of psychiatric disorders. In this literature review, we will evaluate the assessment of psychiatric disorders by means of VR environments. First, we investigate if these VR environments are capable of simultaneously provoking and measuring psychiatric symptoms. Next, we compare these measures with traditional diagnostic measures. We performed a systematic search using PubMed, Embase, and Psycinfo; references of selected articles were checked for eligibility. We identified studies from 1990 to 2016 on VR used in the assessment of psychiatric disorders. Studies were excluded if VR was used for therapeutic purposes, if a different technique was used, or in case of limitation to a non-clinical sample. A total of 39 studies were included for further analysis. The disorders most frequently studied included schizophrenia ( n  = 15), developmental disorders ( n  = 12), eating disorders ( n  = 3), and anxiety disorders ( n  = 6). In attention-deficit hyperactivity disorder, the most comprehensive measurement was used including several key symptoms of the disorder. Most of the studies, however, concerned the use of VR to assess a single aspect of a psychiatric disorder. In general, nearly all VR environments studied were able to simultaneously provoke and measure psychiatric symptoms. Furthermore, in 14 studies, significant correlations were found between VR measures and traditional diagnostic measures. Relatively small clinical sample sizes

  4. Psychosocial differences in children living in orphanages of Kashmir with and without psychiatric morbidity

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    Syed Karrar Hussain


    Full Text Available Background/Objectives: Orphanages are emerging as an important source of care and child-raising for the ever-increasing number of orphans in the conflict-ridden Kashmir. These children are generally prone to develop psychiatric disorders even reared in well run institution. Objective is to highlight the psychosocial differences in children living in orphanages of Kashmir with and without psychiatric morbidity. Materials and Methods: Cross-sectional descriptive study was carried out where 348 children were recruited from eight registered orphanages of Srinagar, Jammu and Kashmir. Semistructured questionnaire was used to collect data related to sociodemographic profile of the children. Development and Well-Being Assessment (DAWBA was used for one stage structured assessment of psychopathology. Data analysis was done by Statistical Package for Social Sciences for windows 20.0 version. Results: A total of 97.87% among those having psychiatric morbidity were males as against those without psychiatric morbidity where 28.99% were females. While 8.51% among those having psychiatric morbidity were double orphans, it formed only 1.45% of those without psychiatric morbidity. Likewise 25% among those having psychiatric morbidity had parental deaths due to fire-arm injury, while only 11.67% of them fall in the group without psychiatric morbidity. Among the group with psychiatric morbidity 31.91% had spent less than a year in an orphanage and 10.64% had spent ≥ 9 years as against those without morbidity where percentages were 14.49% and 4.35%, respectively. While 21.28% among those with psychiatric morbidity were enrolled in high education, it formed only 13.04% of those without psychiatric morbidity. Gender, type of orphan, length of stay, cause of parental death, and grade (education level were significantly associated with the psychiatric morbidity (40.52%. Conclusion: The psychosocial differences in children with and without psychiatric morbidity may

  5. Psychiatric aspects of criminal responsibility: insanity and mitigation. (United States)

    Burrows, Maureen; Reid, William H


    Forensic psychiatry expertise may be useful to criminal courts in several ways, including evaluating competence (e.g., to stand trial, waive Miranda rights, confess, plead, represent oneself, or be sentenced), assessing responsibility for alleged criminal behavior, and clarifying mental or psychosocial factors that may mitigate criminal charges or the form and severity of punishment. This column focuses on psychiatric/psychological aspects of mitigation in criminal matters.

  6. An observational study in psychiatric acute patients admitted to General Hospital Psychiatric Wards in Italy

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    Margari Francesco


    Full Text Available Abstract Objectives this Italian observational study was aimed at collecting data of psychiatric patients with acute episodes entering General Hospital Psychiatric Wards (GHPWs. Information was focused on diagnosis (DSM-IV, reasons of hospitalisation, prescribed treatment, outcome of aggressive episodes, evolution of the acute episode. Methods assessments were performed at admission and discharge. Used psychometric scales were the Brief Psychiatric Rating Scale (BPRS, the Modified Overt Aggression Scale (MOAS and the Nurses' Observation Scale for Inpatient Evaluation (NOSIE-30. Results 864 adult patients were enrolled in 15 GHPWs: 728 (320 M; mean age 43.6 yrs completed both admission and discharge visits. A severe psychotic episode with (19.1% or without (47.7% aggressive behaviour was the main reason of admission. Schizophrenia (42.8% at admission and 40.1% at discharge and depression (12.9% at admission and 14.7% at discharge were the predominant diagnoses. The mean hospital stay was 12 days. The mean (± SD total score of MOAS at admission, day 7 and discharge was, respectively, 2.53 ± 5.1, 0.38 ± 2.2, and 0.21 ± 1.5. Forty-four (6.0% patients had episodes of aggressiveness at admission and 8 (1.7% at day 7. A progressive improvement in each domain/item vs. admission was observed for MOAS and BPRS, while NOSIE-30 did not change from day 4 onwards. The number of patients with al least one psychotic drug taken at admission, in the first 7 days of hospitalisation, and prescribed at discharge, was, respectively: 472 (64.8%, 686 (94.2% and 676 (92.9%. The respective most frequently psychotic drugs were: BDZs (60.6%, 85.7%, 69.5%, typical anti-psychotics (48.3%, 57.0%, 49.6%, atypical anti-psychotics (35.6%, 41.8%, 39.8% and antidepressants (40.9%, 48.8%, 43.2%. Rates of patients with one, two or > 2 psychotic drugs taken at admission and day 7, and prescribed at discharge, were, respectively: 24.8%, 8.2% and 13.5% in mono-therapy; 22.0%, 20

  7. [Multisystemic therapy for child abuse and neglect (MST-CAN): description of the treatment, psychiatric morbidity, and the psychiatrist's role]. (United States)

    Kamphuis, F N; Brand-De Wilde, O M; van der Rijken, R E A


    Many untreated psychiatric problems occur in families where there is child abuse. It is very important to find ways of ensuring that the hard-to-reach families receive adequate psychiatric assessment and appropriate treatment. To describe the treatment method and first results of multisystemic therapy for child abuse and neglect (mst-can). We report the psychiatric problems of the first 18 families that were treated and we report the follow-up during the first 18 months. In addition, the mst-can treatment and the psychiatrist's role are illustrated by taking two cases as an example. Most of the families agreed to a psychiatric assessment and subsequent treatment. In most families safety improved considerably and out-of-house placements were avoided. The first results suggest that mst-can is a promising treatment for families where there is child abuse. Essential elements of mst-can are targeted psychiatric diagnostic assessment and subsequent treatment.

  8. Uso e efetividade da papaína no processo de cicatrização de feridas: uma revisão sistemática Uso y efectividad de la papaína en la cicatrización de heridas: una revisión sistemática Use and effectiveness of papain in the wound healing process: a systematic review

    Directory of Open Access Journals (Sweden)

    Andréa Pinto Leite


    Full Text Available Trata-se de uma revisão sistemática, cujo objetivo é analisar as evidências sobre o uso da papaína na cicatrização de feridas. Foi realizado levantamento bibliográfico manual e eletrônico nas bases de dados: LILACS; COCHRANE; IBECS; MEDLINE via Pubmed e CINAHL, utilizando os seguintes termos como descritores e como palavras: Carica; Papaína; e Cicatrização, período de 1987 a 2010. Os resultados apontaram predomínio de estudos descritivos, exploratórios, estudos de caso e relatos de caso, apenas um ensaio clínico randomizado e controlado. Os resultados também evidenciaram que a papaína é usada em feridas de diversas etiologias e em todas as fases da cicatrização, sem contraindicações específicas, sendo efetiva e segura, embora haja relatos de ardência e dor. Conclui-se que este estudo contribuiu para demonstrar o uso da papaína nesse período, como fonte de consulta, além de apontar para necessidade de pesquisas com maior rigor metodológico, que proporcionem evidências fortes do seu uso e recomendação.Se trata de revisión sistemática, cuyo objetivo es analizar evidencias sobre la papaína en la cicatrización de heridas. Se realizó un levantamiento bibliográfico manual y electrónico en la siguientes bases de datos: LILACS, Cochrane, IBECS, MEDLINE vía PubMed y CINAHL, utilizando los términos como descriptores y también como palabra: Carica (Carica, Papaína (Papain y Cicatrización de Heridas (Wound Healing, desde 1987 hasta 2010. Los resultados mostraron predominio de estudios descriptivos, exploratorios, estudio de caso e informes de caso, y solamente un ensayo clínico aleatorio y controlado. Los artículos mostraron que la papaína se utiliza en heridas de diversas etiologías y en todas las etapas de la cicatrización; sin contraindicaciones específicas; es efectiva y segura, aunque haya informes de ardor y dolor. Se concluye que este estudio demostró cómo se utiliza la papaína desde 1987 hasta hoy

  9. EVALUACIÓN DE UN SISTEMA in vitro PARA ESTUDIOS DE Spongospora subterranea f. sp. subterranea EN RAÍCES DE PAPA (Solanum tuberosum subsp. andigena L. Var. DIACOL CAPIRO

    Directory of Open Access Journals (Sweden)



    Full Text Available La papa es uno de los principales cultivos de importancia a nivel mundial. Según la Cadena Agroalimentaria de la papa de Colombia, la sarna polvosa está dentro de los siete principales problemas fitosanitarios de este cultivo en las zonas productoras. La enfermedad es causada por el patógeno Spongospora subterranea, que disminuye la producción y calidad de los tubérculos. La naturaleza obligada del patógeno  imposibilita su aislamiento y el mantenimiento de cepas, dificultando su investigación. En este trabajo se  buscó estandarizar el cultivo de raíces de papa in vitro infectadas con el patógeno, para permitir su mantenimiento y proliferación y avanzar así en las investigaciones posteriores sobre biología del patógeno y su interacción con sus hospedantes. En un medio gelificado in vitro y en un ambiente controlado se asociaron las raíces de las plantas al microorganismo, mientras que la parte aérea desarrolló fotosíntesis. Se realizaron evaluaciones durante dos meses después de inoculadas las raíces con quistosoros desinfectados, período de tiempo que fue condicionado por la contaminación del sistema de cultivo. Sin embargo, en observaciones al microscopio, se lograron detectar las estructuras de S. subterranea

  10. Comorbid psychiatric disorders and stages of change in cannabis-dependent, treatment-seeking patients

    Directory of Open Access Journals (Sweden)

    Hercilio P. Oliveira


    Full Text Available Objectives: To determine whether and to what extent cannabis dependence is associated with comorbid psychiatric disorders and specific stages of change in treatment-seeking patients. Methods: We evaluated 80 cannabis-dependent, treatment-seeking patients residing in an urban area. Data on cannabis dependence, psychiatric disorders, and motivation were obtained using the Schedules for Clinical Assessment in Neuropsychiatry and the University of Rhode Island Change Assessment (URICA. Results: A diagnosis of schizophrenia was found to correlate with lower motivation scores (p = 0.038, which could have a negative effect on adherence to treatment. Conclusion: The high prevalence of concurrent psychiatric disorders in cannabis-dependent patients should serve as a stimulus for early screening and treatment of such disorders. Health care professionals should be aware of the magnitude of this association to increase the level of motivation in cannabis-dependent patients with severe concurrent psychiatric disorders.

  11. Comorbid psychiatric disorders and stages of change in cannabis-dependent, treatment-seeking patients. (United States)

    Oliveira, Hercilio P; Malbergier, Andre


    To determine whether and to what extent cannabis dependence is associated with comorbid psychiatric disorders and specific stages of change in treatment-seeking patients. We evaluated 80 cannabis-dependent, treatment-seeking patients residing in an urban area. Data on cannabis dependence, psychiatric disorders, and motivation were obtained using the Schedules for Clinical Assessment in Neuropsychiatry and the University of Rhode Island Change Assessment (URICA). A diagnosis of schizophrenia was found to correlate with lower motivation scores (p = 0.038), which could have a negative effect on adherence to treatment. The high prevalence of concurrent psychiatric disorders in cannabis-dependent patients should serve as a stimulus for early screening and treatment of such disorders. Health care professionals should be aware of the magnitude of this association to increase the level of motivation in cannabis-dependent patients with severe concurrent psychiatric disorders.

  12. Psychiatric sequelae of traumatic brain injury: Retrospective ...

    African Journals Online (AJOL)


    Dec 23, 2011 ... Objective: Traumatic brain injury (TBI) is a public health problem and is associated with many complications. However little is known about the psychiatric sequelae of TBI in Nigeria. This study described the pattern and determinants of psychiatric sequelae among subjects with TBI. Materials and Methods: ...

  13. Human Immunodeficiency Virus Infection among Psychiatric ...

    African Journals Online (AJOL)

    Background: Psychiatric patients are considered high risked group for Human immunodeficiency virus (HIV) infection. This has been found to be as a result of poor judgment and irrationality associated with some of the disorders. However, there is dearth of literature on the prevalence of HIV infection among psychiatric ...

  14. Psychiatric sequelae of traumatic brain injury: Retrospective ...

    African Journals Online (AJOL)

    Information obtained included the sociodemographic characteristics, type of injury, durations of unconsciousness (LOC) and posttraumatic amnesia (PTA), psychiatric and psychoactive substance use history. Psychiatric diagnosis was based on the criteria of the 10th edition of the International Classification of Diseases ...

  15. Exploring the perceptions of psychiatric patients regarding ...

    African Journals Online (AJOL)


    Mar 13, 2012 ... recommendations for nursing education, nursing research and nursing practice, with the aim of reducing the readmission of ... impairment of memory, concentration, motivation, self- esteem, relationships with others and ..... at increasing nursing students' and psychiatric nurses' insight about psychiatric ...

  16. Exploring the perceptions of psychiatric patients regarding ...

    African Journals Online (AJOL)

    The purpose of this study was to explore and describe the perceptions of psychiatric patients with regard to marijuana use in Potchefstroom, North West Province, as well as to formulate recommendations for nursing education, nursing research and nursing practice, with the aim of reducing the readmission of psychiatric ...

  17. Smartphone apps as a new psychiatric treatment

    DEFF Research Database (Denmark)

    Dalum, Anette Ellegaard; Arnfred, Sidse Marie


    Søg 1 - 1 ud af 1 Smartphone apps as a new psychiatric treatment. Anette Ellegaard Dalum, Sidse Arnfred, 2014, vol. 176, nummer 34, 2014. Ugeskrift for laeger Artikel Importer Fjern......Søg 1 - 1 ud af 1 Smartphone apps as a new psychiatric treatment. Anette Ellegaard Dalum, Sidse Arnfred, 2014, vol. 176, nummer 34, 2014. Ugeskrift for laeger Artikel Importer Fjern...

  18. Establishment of a local psychiatric service

    DEFF Research Database (Denmark)

    Wang, A G


    of senile psychoses. The total increase amounts to 2.4 times the admission rates of psychiatric cases to the General Hospital and 4.4 times the admission rates to the Psychiatric Hospital in Nykøbing in the last years prior to the start of the local service. The outpatient department has grown steadily...

  19. Sleep in Children With Psychiatric Disorders. (United States)

    Ramtekkar, Ujjwal; Ivanenko, Anna


    Sleep disturbances are common in pediatric psychiatric disorders and constitute key elements in diagnostic symptomatology of various primary psychiatric disorders including bipolar disorder, depression, and anxiety disorder. Although sleep is not included in key defining criteria of some impairing illnesses such as obsessive-compulsive disorder and schizophrenia, these disorders present with a very high prevalence of sleep disturbances. The interaction between sleep and psychopathology is very complex with significant interrelationship in development, severity, and prognosis of psychiatric disorders and comorbid sleep disturbances. The research ranging from small intervention case series to large epidemiologic studies have demonstrated the role of specific sleep complaints in specific psychiatric diagnoses. However, the research using objective instruments such as polysomnography and actigraphy remains limited in youth with psychiatric disorders. The intervention studies using pharmaceutical treatment specifically focusing on sleep disturbances in psychiatric disorders are also sparse in the pediatric literature. Early identification of sleep disturbances and behavioral management using cognitive behavior therapy-based tools appear to be the most effective approach for treatment. The use of psychotropic medications such as selective serotonin reuptake inhibitors for the treatment of primary psychiatric disorder often alleviate the psychological barriers for sleep but may lead to emergence of other sleep issues such as restless leg syndrome. The safety and efficacy data of hypnotics for primary sleep disorders are limited in pediatrics and should be avoided or used with extreme caution in children with comorbid sleep and psychiatric problems. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Perceived sleep quality of psychiatric patients

    NARCIS (Netherlands)

    de Niet, G. J. (Gerrit); Tiemens, B. G. (Bea); Lendemeijer, H. H. G. M. (Bert); Hutschemaekers, G. J. M. (Giel)

    This paper aims at acquiring knowledge about the quality of sleep of adult and elderly psychiatric patients who receive clinical or outpatient nursing care, and identifying key factors in perceiving a sleep problem. To do so, a sample of 1699 psychiatric patients were asked whether they perceived a