Just Hypochondria or Something Else?

2017 ◽  
Vol 41 (S1) ◽  
pp. S657-S657
Author(s):  
I. Martine. Perez ◽  
F. Garcia Sánchez ◽  
A.L. Gonzalez Galdamez ◽  
M.D. Piqueras Acevedo ◽  
A. Belmar Simo ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Somatoform Disorders ◽  
Relevant Literature ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Underlying Disease ◽  
The Subject ◽  
Competing Interest ◽  
Mixed Approach ◽  
The Right

IntroductionIn the older adult hypochondria is one of the most common somatoform disorders, and represents a particular challenge for approach, diagnosis and treatment, since in this age group, non-psychiatric medical comorbidity and concomitant presence of other psychiatric disorders very high. It is therefore very complex differentiate hypochondria disease with a real organic cause [1].MethodsReview of the relevant literature on the subject by searching PUBMED, limited to studies of greater scientific hierarchy.ResultsAnalysis of symptoms present in a hypochondriac patient with comorbid psychiatric disorders and organic pathology, valuing the importance it has in its clinical manifestations and the difficulty of differential diagnosis.ConclusionsIn the elderly, the high frequency of somatic disease conditions the need for a deeper physical and mental examination to avoid subjecting patients to unnecessary scrutiny and risky complementary tests [1].The evolution of hypochondriacs, dragging hypochondria from youth is not good, persisting in his complaint and his need to see a doctor for diagnostic examinations [2]. The therapeutic approach depends on the type of complaint, in which the treatment of the underlying disease as a psychotherapeutic and pharmacological mixed approach may be the right things [2].Disclosure of interestThe authors have not supplied their declaration of competing interest.

Deaths and Symbolic Use of Language: Semiotics and Thanatological Reading of the Film Nell

2017 ◽  
Vol 41 (S1) ◽  
pp. S723-S723
Author(s):  
S. Färber ◽  
M. Färber
Keyword(s):  
Psychiatric Disorders ◽  
Spoken Language ◽  
Hostile Environment ◽  
Semiotic Analysis ◽  
Linguistic System ◽  
The World ◽  
Speech Performance ◽  
The Subject ◽  
Competing Interest ◽  
The Individual

IntroductionPsychiatric disorders may become more severe when the subject is exposed to a hostile environment. Symptoms of mental malaise are expressed by the senses, including speech and language.MethodsThe method is used of semiotic analysis and thanatological movie.ObjectiveTo investigate the limit and death as a trigger of a singular mode of use of the spoken language. The problem presented in this paper is the linguistic system created by Nell.ResultsPartial results show that spoken language in this particular cut, becomes an instrument for dealing with the losses accumulated throughout his life. The life of isolation, restrictions on maternal vocalization, her mother's death and mourning acted as an inhibitor of language.ConclusionThe spoken language works like kaleidoscope of interactions of the individual with their group, with the medium in which it is inserted, with the set of beliefs that nourishes and with the world that she wants there, even if only in your intimate venue. Thus, demonstrating the sociolinguistic approach inalienable role in speech performance.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Structure of psychic sphere pathology of patients of the regional medical consultative and diagnostic center of sub-arctic territory

2017 ◽  
Vol 41 (S1) ◽  
pp. S578-S579
Author(s):  
K. Shapovalov ◽  
L. Shapovalova
Keyword(s):  
Somatoform Disorders ◽  
Psychiatric Patients ◽  
Clinical Manifestations ◽  
Obsessive Compulsive ◽  
Diagnostic Center ◽  
Social Abilities ◽  
Regional Medical ◽  
Competing Interest ◽  
And Behavior ◽  
Speech Motor

In the structure of pathology 5356 psychiatric patients according to nosology forms, the first place ranking diagnosed by a psychiatrist of the regional advisory diagnostic center occupy organic, including symptomatic, mental disorders (F00–F09) to 48.2%. The second place ranking occupied by neurotic, stress-related and somatoform disorders (F40–F49) to 37.8%. This pathology includes various phobic, anxiety, depressive, hypochondria, obsessive-compulsive, dissociative (conversion), somatoform disorders, as well as response to heavy stress and adjustment disorders. The combination of anxiety and depression observed took place in 70.0% of patients. The majority of patients with anxiety disorders only part of the symptoms is found, however, and they are extremely painful. These people are in most cases not immediately come to the attention of psychiatrists, moving from a general practitioner to a neurologist, cardiologist and doctors of other medical specialists. They have initially diagnoses as vegetative-vascular dystonia, and then diencephalic crises, etc. The third rank place took patients with mental retardation - the proportion of an average of 1.3%. Mental disorder primarily characterized by impaired ability, manifested in the ripening period, provides a common level of intelligence: cognitive, speech, motor and social abilities. For the most part the clinical manifestations of these patients there are two groups of disorders: (1) Disorders of cognitive functions (memory, intelligence, learning, attention); (2) perception of disorder, the content of the thoughts, emotions and behavior.Disclosure of interestThe authors have not supplied their declaration of competing interest.

About an exhibitionism clinical case: Entity's review and state of the art exposure

2016 ◽  
Vol 33 (S1) ◽  
pp. S594-S594
Author(s):  
M.I. Varregoso ◽  
S. Coelho ◽  
G. Borges ◽  
R. Xavier
Keyword(s):  
Risk Factors ◽  
Sexual Arousal ◽  
Environmental Risk ◽  
Clinical Case ◽  
State Of The Art ◽  
Relevant Literature ◽  
Point Of View ◽  
Extensive Review ◽  
The Subject ◽  
Competing Interest

IntroductionExhibitionistic disorder may be present when there is sexual arousal from the exposure of one's genitals to an unsuspecting and nonconsenting person. This disorder prevalence is unknown but we know it is highly unusual in females. It generally starts at adolescence and its course is likely to vary with age. There are temperamental and environmental risk factors.Most of what we know about exhibitionistic disorder is largely based on research with individuals convicted for criminal acts involving genital exposure, and this may represent an important bias. From a clinical case of exhibitionism, the authors intend to review this type of paraphilia from an historical, conceptual and etiologic point of view.ObjectiveTo review the concept behind this diagnosis and its evolution, the comprehensive theories that attempt to justify and frame it, as well as the type of intervention currently considered to be the state of the art.MethodsPatient's observation and assessment, along with an extensive review of the relevant literature.ConclusionsStarting from a real clinical case, the authors present a general theoretical review on the subject.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Population and Family Studies in Depression and Mania

1988 ◽  
Vol 153 (S3) ◽  
pp. 16-25 ◽  
Author(s):  
J. Mendlewicz
Keyword(s):  
Environmental Factors ◽  
Psychiatric Disorders ◽  
Molecular Genetics ◽  
Critical Review ◽  
Recent Progress ◽  
Relevant Literature ◽  
Relative Importance ◽  
Affective Illness ◽  
The Subject ◽  
Insight Into

Recent progress in molecular genetics and neurobiology has attracted much attention and provided a new insight into the nature-nurture controversy in respect of the aetiology of psychiatric disorders. Affective illness, including the various subtypes of depressive and manic syndromes, has been the subject of a considerable amount of research on the relative importance of hereditary and environmental factors. This paper provides a critical review of the most relevant literature on the genetics of depression and mania.

scholarly journals Putting Citizens in Front of the Dilemma Voting VS Health Protection: The Biggest Challenge to Avoid by the Albanian Authority in the 2021 Parliamentary Election

2021 ◽  
Vol 17 (20) ◽  
pp. 16
Author(s):  
Irena Toshkallari
Keyword(s):  
The Elderly ◽  
Health Conditions ◽  
Vulnerable Groups ◽  
Parliamentary Election ◽  
Diverse Range ◽  
The Face ◽  
Voting System ◽  
The Subject ◽  
The Right ◽  
Voting Mechanisms

In a relatively new and fragile democracy like Albania, with only 30 years of life in this post-communist period, the COVID-19 Pandemic placed the authorities in the face of even more difficult challenges in holding free and fair elections that are uncontested and legitimate. Finding a balance between elections that meet the criteria of being democratic and protecting the lives of citizens is one of the chief objectives for Albanian authorities. This is likened to be the case of many other countries that had elections during the COVID19 period. Although COVID-19 virus is not selective as to whom it will infect, some specific groups such as the elderly people with underlying health conditions tend to manifest more severe symptoms. Countries are responsible for adapting the voting system to ensure public safety during the pandemic by implementing a diverse range of alternative voting mechanisms. Policymakers in the design process of measures have to take into consideration these vulnerable groups and also the individuals who show symptoms on the voting day due to SARS, CoV-2, or they may be hospitalized or be quarantined on the voting day. This paper focuses on analyzing the measures that Albanian authorities have envisaged to ensure the right to vote for these specific groups. After evaluating the decisions and instructions of the responsible authorities for the organization and administration of elections in Albania, it can be concluded that based on the subject of this research paper, no specific measures was undertaken for any of the groups mentioned above to ensure a safe voting process. The lack of this can probably lead to exclusive and not inclusive elections.

scholarly journals Giant Intrathoracic Goiter of Atypical Presentation: A Case Report

2020 ◽  
Vol 13 ◽  
pp. 2632010X2091674
Author(s):  
María B. Iriarte ◽  
Eliana I. Morales ◽  
Mauricio Velásquez ◽  
Valeria Zúñiga ◽  
Luz F. Sua ◽  
...  
Keyword(s):  
Thyroid Function ◽  
Multinodular Goiter ◽  
Superior Vena ◽  
Vena Cava ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Common Disease ◽  
Intrathoracic Goiter ◽  
Successful Recovery ◽  
The Right

Background: The term goiter is used to describe any abnormal growth of the thyroid gland, which can be diffuse or nodular, and can be associated with normal, diminished, or increased thyroid function. Multinodular goiter is a common disease whose prevalence increases at age 50. Clinical manifestations can be due to thyroid function impairment or related to size and location of the gland with compressive symptoms. Intrathoracic location is less frequent, can be mistaken with pulmonary lesions and usually implies a difficult surgical approach. Case presentation: A 66-year-old woman with a history of subtotal thyroidectomy presented with 7-month dyspnea, dry cough. There was no evidence of neck masses, or jugular engorgement. Physical examination was normal. Chest x-ray showed an 11 cm mass in the upper right hemithorax. Computed tomography (CT)-scan, showed calcifications, and compression of the superior vena cava without infiltration, the right subclavian vein and left displacement of the trachea. Distinction between intrapulmonary or mediastinal location was not clear. Biopsy showed thyroid origin, and bilateral thoracotomy was performed with confirmation of a giant multinodular goiter. Conclusions: Intrathoracic goiter should undergo surgical or ablative management if compressive symptoms of the airway and cervical or thoracic vessels are present. The large size of the tumor along with the presentation after thyroidectomy and the seeming location in the right upper lobe made this particular case striking. Specially in the elderly, multidisciplinary perioperative management is key for a successful recovery.

Clinical aspects of depression in Parkinson's disease

2016 ◽  
Vol 33 (S1) ◽  
pp. S380-S380
Author(s):  
F. Leite ◽  
H. Salgado ◽  
O. Campos ◽  
P. Carvalho ◽  
M. Pinto da Costa ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Depressive Symptoms ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Panic Attacks ◽  
Clinical Aspects ◽  
Motor Symptoms ◽  
Loss Of Self ◽  
Competing Interest

IntroductionParkinson's disease is the most common neurodegenerative movement disorder in the elderly population. The disease is clinically characterized by major motor symptoms that include bradykinesia, rigidity, tremor and postural instability. In addition to the motor symptoms, Parkinson‘s disease is characterized by emotional and cognitive deficits, which reduce quality of life independently from motor manifestations.Objectives/AimsTo discuss the clinical manifestations of depression in Parkinson's disease according to the most recent scientific literature.MethodsOnline search/review of the literature has been carried out, using Medline/Pubmed, concerning, “Parkinson's disease” and “depression”.ResultsDepression is the most frequent psychiatric disorder in Parkinson's disease. In up to 30% of the cases, the depressive symptoms precede the development of motor symptoms. Independently of the age of appearance, duration and severity of the motor symptoms, depression is generally an integral part of the disease. Depression in Parkinson's disease is generally mild or moderate, with premature loss of self-esteem and volition. Although the high rates of suicidal ideation, suicide is rare. There is also a high prevalence of panic attacks and anxiety.ConclusionsIt is difficult to correctly identify depression in Parkinson's disease as some symptoms assigned to Parkinson's disease itself can in fact be the clinical manifestation of a depressive disorder. On the other hand, depressive symptoms may not be recognized as such, but considered manifestations of Parkinson's disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Evolution of Mania in the Elderly: A Case Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S656-S657
Author(s):  
I. Martine. Perez ◽  
F. García Sánchez ◽  
A.L. Gonzalez Gáldamez ◽  
A. Belmar Simo ◽  
M.D. Piqueras Acevedo ◽  
...  
Keyword(s):  
Relevant Literature ◽  
The Elderly ◽  
Mood Stabilizers ◽  
Careful Attention ◽  
Organic Disease ◽  
Age Related ◽  
Degenerative Disorders ◽  
Underlying Causes ◽  
Competing Interest

IntroductionBipolar disorder in elderly patients may present as an evolution of the disease initiated in younger stages or as an entity newly emerging. In addition, mania in the elderly, has characteristics that make it different from the adult. These disorders can be correlated with underlying vascular or degenerative disorders [1].MethodsReview of the relevant literature by searching PUBMED, limited to studies of greater scientific hierarchy.ResultsThe existence of changes in the manic phase motivated by the influence of vascular disease, as well as the importance of the changes experienced in therapy at the rate of underlying organic disease described. The useful pharmacotherapeutic approach in this case is discussed.ConclusionThe most recent research points in the direction of a more organic for mania late age-related substrate. The diverse etiology requires differential diagnosis for addressing the underlying causes [1]. The clinic does not dim with age, but increases the tendency to develop rapid cycling as age progresses. It is also more frequent occurrence of paranoid and aggressive traits, especially in situations of confrontation, along with increased dysphoria [2]. The therapeutic management by neuroleptics require very careful attention, because of the vulnerability of this group to develop adverse effects. Mood stabilizers use has been demonstrated as effective as in young [2].Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals SARS-CoV-2 and neurology: characteristics of patients with Covid-19 affected by CVA

2021 ◽  
Author(s):  
Kaline dos Santos Kishishita Castro ◽  
Amanda Alves Cardoso da Silva ◽  
Ana Clara Mota Gonçalo ◽  
Camila Ângelo Vidal de Figueiredo ◽  
Lorena Menegussi Machado ◽  
...  
Keyword(s):  
Cerebrovascular Accident ◽  
Blood Clotting ◽  
Scientific Literature ◽  
Young Patients ◽  
Clinical Manifestations ◽  
Patient Characteristics ◽  
Elderly Male ◽  
Scientific Databases ◽  
The Subject ◽  
The Right

Introduction: Since the beginning of the pandemic in December 2019, COVID-19 caused by the infection of the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), in addition to the clinical manifestations already, can develop changes in the rate of blood clotting, where there are already notifications of Cerebrovascular Accident (CVA) associated with the virus. Objective: To know the characteristics of patients with COVID-19 affected by CVA, documented in the scientific literature. Method: A systematic literature review was carried out, using the MeSH Brower platform descriptors, namely: Stroke and Coronavirus, with an AND expression. The articles were searched in scientific databases: PubMed, MEDLINE Complete and SCIELO. 217 studies were found, of which 04 publications were included in this research. Results: Parallel studies on patient characteristics: elderly, male and comorbidities, such as hypertension, diabetes, heart disease and obesity, all risk factors for stroke. However, there were cases of young patients affected by CVA after the diagnosis of COVID-19. With regard to neurological changes, the researched articles state that most patients have symptoms such as deviation of the labial commissure on the right, dysarthria, aphasia, hemiplegia and hemianesthesia on the left. Conclusion: Although this incidence is not known, CVA is emerging as a complication of the COVID-19 pandemic. In this sense, further studies on the subject are necessary, since the elucidation of thrombotic mechanisms in patients with COVID- 19 can generate complications to prevent complications such as Cerebrovascular Accident.

Simultaneous Bilateral Fracture

2016 ◽  
Vol 106 (5) ◽  
pp. 370-374
Author(s):  
Ümit Aygün ◽  
Yalkçn Çalçk ◽  
Barçş Alkan ◽  
Cengiz Işçk
Keyword(s):  
Relevant Literature ◽  
Early Mobilization ◽  
Magnetic Resonance Imaging Scan ◽  
Rigid Fixation ◽  
Joint Movement ◽  
Resonance Imaging ◽  
Active Joint ◽  
Bilateral Fracture ◽  
The Subject ◽  
The Right

In this study, we present the case of a 42-year-old man with a fracture and dislocation of the left talus neck, and a fracture of the right talus neck due to a fall. This kind of fracture can be considered rare, and thus few cases have been reported. Fracture fixation was provided through cannulated screws on either side. Splints were removed after 6 weeks, and passive/active joint movement exercises were started. The patient was able to walk with partial weightbearing at 2 months and with full weightbearing at 3 months. The magnetic resonance imaging scan at 1 year postoperatively revealed the presence of avascular necrosis on the left, whereas it did not exist on the right. Range of motion in both of the ankles was satisfactory. The patient expressed that he was able to perform daily activities without any difficulty and run for 30 minutes without pain. In this case report, in addition to providing a review of the relevant literature on the subject, we set out to show the importance of rigid fixation and early mobilization in these rare injuries.

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