Liaison psychiatry: pathology medical-psychiatric concomitant to the cognitive impairment

2011 ◽  
Vol 26 (S2) ◽  
pp. 384-384
Author(s):  
A.I. Ledo ◽  
J. Coullaut-Valera ◽  
I.M. Sanchez ◽  
A. Soto ◽  
I. Lopez
Keyword(s):  
Internal Medicine ◽  
Cognitive Impairment ◽  
Informed Consent ◽  
Observational Study ◽  
Neuropsychiatric Symptoms ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Liaison Psychiatry ◽  
Dsm Iv

Objectives1Determine the prevalence of cognitive impairment in the population to study.2Determine treatment antidemential more prescribed in the population to study.3Determine the drugs more associated with the treatment antidemential.4Determine what is the pathology psychiatric more associated with cognitive impairment.5Determine the profile patient with cognitive impairment.MethodA retrospective and observational study. Sample size of 2628 patients. The criterions for inclusion were: persons admitted to the HCUV in 2006–2010, assisted by the service of liaison psychiatry hospitalized and that gave the informed consent. Was carried out valuation neuropsychological (MMS and CDR). Diagnostic as DSM-IV-TR.ResultsThe prevalence of cognitive impairment was 15.2%.The specialties that most requested the service of psychiatry at link were: internal medicine: 31.6%; Traumatology: 11.9%; 83.6% had been hospitalized for somatic reasons 9,6% for psychiatric reasons. The most common psychiatric pathology was Delirium 32.9%; Adaptive Disorder 30.7%, Cognitive Impairment 15.2%. Out of the 15.2% of patients with dementia, 85% receives specific treatment with at least a drug antidemential. The most used was Citicoline85,3%. In 71% observed concomitantly neuropsychiatric symptoms:Agitation(63,2%), anxiety(6,7%). The main associated treatments were Tiapride(70,1%) and Quetiapina and (21,9%).ConclusionsThe prevalence of cognitive impairment in patients of liaison psychiatry hospitalized in the HCUV is high, 15%. The frequency grows up with age increases as well as the related medical pathology. In the specific treatment have been used mainly:Donepezilo, Rivastigmine [3] Memantine. The evolution of the patients was favorable in 88,9%.

scholarly journals Prevalensi periodontitis pada pasien diabetes mellitus (Studi observasional di poliklinik penyakit dalam RSUP Dr. Sardjito)

2017 ◽  
Vol 3 (2) ◽  
pp. 98 ◽  
Author(s):  
Rezmelia Sari ◽  
Dahlia Herawati ◽  
Rizky Nurcahyanti ◽  
Pramudita Kusuma Wardani
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Informed Consent ◽  
Observational Study ◽  
General Hospital ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Central Java ◽  
Patients With Diabetes ◽  
Tissue Attachment

Prevalence of periodontal diseases in patients with  diabetes mellitus (An observational study     at internal medicine polyclinic in  Dr.  Sardjito General Hospital). Diabetes Mellitus (DM) is a  chronic disease    with an increasing prevalence and causes complications. The most frequent complication found in the oral cavity of patients with diabetes mellitus is periodontal diseases is characterized by the loss of tissue attachment. There have been numerous studies on the association of DM with periodontal diseases but there has not been any data on the prevalence of periodontal diseases in diabetic group, especially in Yogyakarta and Central Java. Dr. Sardjito General Hospital is a referral hospital in DIY and Central Java, so this study is expected to provide a picture regarding the level of periodontal tissue health among people in Yogyakarta and Central Java. This research was an observational study, involving 36 patients with DM according to criteria of the subjects: suffering from type 2 diabetes, being cooperative  and willing to sign an informed consent. The controlled variables: being 40 – 60 years of age, having good oral hygiene (OHI) according to Green and Vermillion, taking neither antibiotics nor anti-inammatory drugs in the last 3 months, not having a history of other systemic diseases. Oral hygiene exams were carried out, followed by examination using probe WHO to determine if there is CAL. The data were presented descriptively. The results showed that the prevalence of periodontal diseases in patients with DM at Internal Medicine Polyclinic in Dr. Sardjito General Hospital is 88.24% with a mean of CAL distance of 4.6 mm. The conclusion of this study is that the prevalence of periodontal diseases in patients with DM is high although the oral hygiene status is good. ABSTRAKDiabetes Mellitus (DM) adalah penyakit kronis menahun dengan prevalensi yang semakin meningkat dan menimbulkan komplikasi. Komplikasi yang paling sering terjadi di rongga mulut pasien DM adalah periodontitis yang ditandai dengan kehilangan perlekatan jaringan. Penelitian tentang hubungan DM dengan periodontitis banyak dilakukan namun belum ditemukan data mengenai prevalensi periodontitis pada kelompok  DM  khususnya di DIY dan  Jawa Tengah.  RSUP Dr. Sardjito merupakan rumah sakit rujukan DIY dan Jawa Tengah sehingga penelitian ini diharapkan dapat memberi gambaran mengenai tingkat kesehatan jaringan periodontal di masyarakat DIY dan Jawa Tengah. Jenis penelitian ini adalah observasional dengan melibatkan 36 orang pasien DM sesuai kriteria subjek yaitu menderita DM tipe II, kooperatif dan bersedia menandatangani informed consent. Variabel terkendali yaitu usia 40 – 60 tahun, kebersihan mulut (OHI) menurut Green and Vermillion dalam kriteria baik, tidak menggunakan antibiotik dan antiinamasi dalam 3 bulan terakhir dan tidak memiliki riwayat penyakit sistemik lain. Dilakukan pemeriksaan kebersihan mulut dilanjutkan dengan pemeriksaan menggunakan probe WHO untuk menentukan ada tidaknya CAL. Data disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa prevalensi periodontitis pada pasien DM di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% dengan rata-rata jarak CAL adalah 4,6 mm. Kesimpulan penelitian ini adalah prevalensi periodontitis pada pasien DM tinggi walaupun status kebersihan mulut tergolong dalam kriteria baik.

ADHD in alcoholism: A real problem?

2011 ◽  
Vol 26 (S2) ◽  
pp. 74-74
Author(s):  
A. Lligoña Garreta ◽  
A. Lligoña ◽  
C. Roncero ◽  
L. Ortega ◽  
C. Daigre ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Psychiatric Comorbidity ◽  
Self Report ◽  
Real Problem ◽  
Psychiatric Diagnoses ◽  
List Type ◽  
Type Number ◽  
Hyperactivity Disorder ◽  
New Type ◽  
Dsm Iv

IntroductionAttention deficit hyperactivity disorder (ADHD) is a risk factor for drug. Prevalence rates between 15 and 30% had been previously found in this population.ObjectiveTo identify the real the prevalence of ADHD in alcoholics and to find/test/ evaluate? a new type of screening (ASRS) for the initial diagnosis of ADHD in alcoholics.Method312 patients from an outpatient clinic for alcoholism were recruited during 1 year. All patients completed the ASRS: Adult Self-Report Scale. DSM IV criteria were used for other psychiatric diagnoses.Results•312 patients (66.3% (207) men) filled out the ASRS of which 13.5% (42) were positive.•Alcohol consumption: 69% for more than 1 month, 17% less than a month and 14% with active consumption.•27.6% (86) had another psychiatric diagnosis from which 69% were ASRS positive. ASRS positive patients present a major risk of having another mental disorder. OR = 8.3 (4,1 - 17,1, c2 = 0,77, p = 0,001).•Other drugs: 70.5% consume other drugs. 76% of them are ASRS positive. 27.6% consumed illegal substances, 47.6% of them being ASRS positive (c2 = 9.77, p = 0,002). ASRS positive patient have more average substance abuse (including tobacco): 1.02 DT: 0.87 versus 0.72, 7 DT: 0.04 (z -2.21, p.027).Conclusions•ASRS detected 13.5% of ADHD diagnosis in alcoholics.•Patients with positive screening present more substance abuse and more risk of psychiatric comorbidity.

scholarly journals An observational study of the interaction of impulsive and periodic perturbations in the solar atmosphere

1997 ◽  
Vol 181 ◽  
pp. 307-314
Author(s):  
F.-L. Deubner ◽  
R. Kleineisel
Keyword(s):  
Time Series ◽  
High Resolution ◽  
Observational Study ◽  
Solar Atmosphere ◽  
White Light ◽  
Mechanical Energy ◽  
List Type ◽  
Type Number ◽  
Photospheric Layer ◽  
Frequency Regime

Time series of simultaneous high resolution filtergram observations in white light and in CaK2 have been employed to study the dynamical interdependence of the ‘low’ and the ‘high’ layers of the solar atmosphere, the 3-D propagation of perturbations in the stratification, and the excitation of p-mode and other oscillations. Impulsive and oscillatory perturbations have been isolated in the wavenumber and frequency regime, and their mutual interaction was also studied.Several of our findings challenge interpretation and deserve further study. •The occurrence of a granule can be clearly recognized in the upper chromosphere.•A granule induces low brightness and low oscillation amplitudes at the CaK2 level, whereas the opposite happens at the intergranular border.•It is not always evident that the ‘source’ of the perturbation is located at the lower, i.e. the photospheric layer.•It is far from being clear which components of the various perturbations contribute to a net outward mechanical energy flux.

scholarly journals Paraphilias and paraphilic disorders: diagnosis, assessment and management

2014 ◽  
Vol 20 (3) ◽  
pp. 202-213 ◽  
Author(s):  
Jessica Yakeley ◽  
Heather Wood
Keyword(s):  
Diagnostic Category ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Sexual Offences ◽  
Paraphilic Disorder ◽  
Know How ◽  
Dsm 5 ◽  
Treatment Services ◽  
Paraphilic Disorders

SummaryWe outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce, particularly for individuals presenting with legal paraphilias or those who are committing paraphilic sexual offences but who have not been convicted.LEARNING OBJECTIVESBe able to diagnose a paraphilic disorder according to DSM-5 criteria.Understand the epidemiology, comorbidity and theories of aetiology of paraphilic disorders.Know how to assess the need for disclosure if the patient presents with illegal paraphilias.

Subjectivity and Intersubjectivity in Psychiatric Diagnosis

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
T. Fuchs
Keyword(s):  
Psychiatric Diagnosis ◽  
Subjective Experience ◽  
Self Concept ◽  
List Type ◽  
Type Number ◽  
Diagnostic Systems ◽  
Theoretical Level ◽  
Behavioural Symptoms ◽  
Icd 10 ◽  
Dsm Iv

The establishment of criteriological and manualized systems of diagnosis since the 1980ies has lead to a valuable increase in the precision and reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are increasingly becoming apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and downplayed on the pragmatic level, with serious consequences for the validity of psychiatric diagnosis, for empirical research and, above all, for therapeutic purposes.In my paper, I will argue that a thorough assessment and inclusion of subjective experience in our diagnostic systems will be indispensable for clinical, therapeutic as well as research purposes. To this purpose, I will distinguish three major approaches to the assessment of mental illness: 1.The positivistic, objectifying or 3rd person approach as endorsed by DSM IV and ICD 10, focusing mainly on observable behavioural symptoms.2.The phenomenological, subject-oriented or 1st person approach, focusing on the patient's self-experience and exploring its basic, often implicit structures.3.The hermeneutic, intersubjective or 2nd person approach, mainly aiming at the co-construction of shared narratives or interpretations regarding the patient's self-concept, conflicts and relationships, as e.g. in psychodynamic approaches.These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes.

Pap Smears: Physicians Must Disclose Risk of Refusal

1981 ◽  
Vol 2 (1) ◽  
pp. 3-3
Author(s):  
George J. Annas
Keyword(s):  
Duodenal Ulcer ◽  
Gastric Ulcer ◽  
Informed Consent ◽  
Pap Smears ◽  
List Type ◽  
Type Number ◽  
Success Rates ◽  
Bodily Harm ◽  
Ulcer Surgery ◽  
Potential Risks

In 1972 the California Supreme Court helped set the standard for informed consent in the landmark case of Cobbs v. Grant. That case involved a middleaged gentleman who was operated on for an intractable peptic duodenal ulcer. He suffered complications which included loss of his spleen, a subsequent gastric ulcer, and a 50% gastrectomy. None of these well-recognized potential risks of ulcer surgery had been disclosed to him. The court determined that physicians must disclose the following information to patients, in lay terms, before performing procedures on them:a description of the procedure and its success rates;risks of death or serious bodily harm;alternatives, and the dangers inherent in each; andmajor problems of recuperation.

Solar Corona Investigation by the Coronal Line Photometer at Lomnický Peak

1994 ◽  
Vol 144 ◽  
pp. 431-434
Author(s):  
M. Minarovjech ◽  
M. Rybanský
Keyword(s):  
Solar Corona ◽  
Time Resolution ◽  
Active Regions ◽  
High Time ◽  
High Time Resolution ◽  
List Type ◽  
Type Number ◽  
Coronal Line ◽  
Global Cycle

AbstractThis paper deals with a possibility to use the ground-based method of observation in order to solve basic problems connected with the solar corona research. Namely:1.heating of the solar corona2.course of the global cycle in the corona3.rotation of the solar corona and development of active regions.There is stressed a possibility of high-time resolution of the coronal line photometer at Lomnický Peak coronal station, and use of the latter to obtain crucial observations.

The LDE-Type Flare Occurrence (1969-1993)

1994 ◽  
Vol 144 ◽  
pp. 279-282
Author(s):  
A. Antalová
Keyword(s):  
Time Series ◽  
Fourier Analysis ◽  
Sunspot Cycle ◽  
List Type ◽  
Type Number ◽  
Solar Cycles ◽  
Type Iv ◽  
Long Duration ◽  
Cycle Maximum ◽  
Flare Index

AbstractThe occurrence of LDE-type flares in the last three cycles has been investigated. The Fourier analysis spectrum was calculated for the time series of the LDE-type flare occurrence during the 20-th, the 21-st and the rising part of the 22-nd cycle. LDE-type flares (Long Duration Events in SXR) are associated with the interplanetary protons (SEP and STIP as well), energized coronal archs and radio type IV emission. Generally, in all the cycles considered, LDE-type flares mainly originated during a 6-year interval of the respective cycle (2 years before and 4 years after the sunspot cycle maximum). The following significant periodicities were found:• in the 20-th cycle: 1.4, 2.1, 2.9, 4.0, 10.7 and 54.2 of month,• in the 21-st cycle: 1.2, 1.6, 2.8, 4.9, 7.8 and 44.5 of month,• in the 22-nd cycle, till March 1992: 1.4, 1.8, 2.4, 7.2, 8.7, 11.8 and 29.1 of month,• in all interval (1969-1992):a)the longer periodicities: 232.1, 121.1 (the dominant at 10.1 of year), 80.7, 61.9 and 25.6 of month,b)the shorter periodicities: 4.7, 5.0, 6.8, 7.9, 9.1, 15.8 and 20.4 of month.Fourier analysis of the LDE-type flare index (FI) yields significant peaks at 2.3 - 2.9 months and 4.2 - 4.9 months. These short periodicities correspond remarkably in the all three last solar cycles. The larger periodicities are different in respective cycles.

Discussion following the presentation by F. Deubner

1977 ◽  
Vol 36 ◽  
pp. 69-74
Keyword(s):  
List Type ◽  
The Sun ◽  
Type Number ◽  
Harmonic Motion ◽  
Locally Excited ◽  
Long Period ◽  
Coherent Wave ◽  
Short Period ◽  
Global Modes

The discussion was separated into 3 different topics according to the separation made by the reviewer between the different periods of waves observed in the sun :1) global modes (long period oscillations) with predominantly radial harmonic motion.2) modes with large coherent - wave systems but not necessarily global excitation (300 s oscillation).3) locally excited - short period waves.

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