scholarly journals On Psychosomatic Problems in Dentistry

PRILOZI ◽  
2020 ◽  
Vol 41 (1) ◽  
pp. 57-63
Author(s):  
Nada Pop-Jordanova ◽  
Sofija Loleska
Keyword(s):  
Emotional Disturbance ◽  
Therapeutic Approach ◽  
Daily Practice ◽  
Oral Manifestations ◽  
Psychosomatic Disorders ◽  
Long Time ◽  
Psychosomatic Problems ◽  
Psychological Management ◽  
Psychosomatic Diseases

AbstractIn their daily practice dentists frequently have patients showing signs of stress-related oral manifestations in different forms. Stress-related aetiology of oral changes are still not investigated enough, and present a subgroup of psychosomatic diseases which had been recognized in medicine a long time ago. Recognition of such psychological or emotional disturbance needs deep evaluation “per exclusionem”, and is beneficial for both the patient and clinician. Psychological management should be taken into consideration when treating patients with these psychosomatic disorders. Therapeutic approach comprises different forms of psychotherapy and medication as well.

scholarly journals The urgency of vaccination against Covid-19 in dentists

2021 ◽  
Vol 9 (1) ◽  
pp. e040
Author(s):  
Luis Ernesto Arriola Guillén
Keyword(s):  
Great Risk ◽  
Health Professionals ◽  
Daily Practice ◽  
Target Population ◽  
Health Priorities ◽  
First Line ◽  
Health Organizations ◽  
Risk Levels ◽  
Long Time ◽  
Priority Levels

The requirement of vaccines for the prevention of Covid-19 has become one of the health priorities of different countries worldwide (1, 2). However, most societies still do not have the necessary number of vaccines to cover their entire target population (3, 4). This is especially true in countries that delayed negotiations with the supply companies, and which will, unfortunately, have to wait a long time for the arrival of sufficient quantities to protect their populations. On theother hand, the global vaccination process has established priority levels among its citizens, specifically starting with the so-called first line of action that is health professionals attending Covid-19 patients, due to the great risk to which they are exposed. Additionally, the health organizations of the different countries have proposed to continue the vaccination process according to different criteria, one being the risk levels of the professions. This criterion is aimed at prioritizing professionals most exposed to contagion, but according to their daily practice, what professionals are really the most exposed to contagion?

scholarly journals The Role of the Limbic System in the Genesis of Psychoviscerosomatic Disorders

2017 ◽  
pp. 78-87 ◽  
Author(s):  
Y. . Potekhina ◽  
D. . Filatov
Keyword(s):  
Limbic System ◽  
Modern Medicine ◽  
Psychosomatic Disorders ◽  
Scientific Schools ◽  
Analysis And Synthesis ◽  
Psychosomatic Diseases

Introduction. The problem of psychosomatic effects is one of the most difficult problems of modern medicine. There are a large number of theories describing the causes and mechanisms of the emergence and development of psychosomatic diseases from the perspective of various scientific schools. In particular, the neurophysiological branch explains the emergence of psychosomatic disorders by the alteration of cortico-visceral relationship.Objective. To study the role of the limbic system in the genesis of psychoviscerosomatic disorders.Methods. Analysis and synthesis of the literature data.Conclusion. In the lignt of knowledge about the structure and functioning of the limbic system, it can be assumed that the cause of many psychosviscerosomatic disorders is the containment of one's wishes and emotions, which find their way out in the form of disturbances in the work of an organ or a system. The development of psychosomatic diseases occurs when there is a predisposition to certain reactions.

scholarly journals Endourological management of forgotten double J stents: case series

2019 ◽  
Vol 9 (1) ◽  
pp. 66-69
Author(s):  
Chandra S. Yadav ◽  
Ashok Kumar Kunwar ◽  
Sanjesh Shrestha ◽  
Kabir Tiwari ◽  
Amit Mani Upadhyay ◽  
...  
Keyword(s):  
Therapeutic Approach ◽  
Case Series ◽  
Ureteral Stents ◽  
X Ray ◽  
Long Time ◽  
Management Challenge

Putting ureteral stents are an integral part of urological practice. However, stents that fragment or are forgotten for a long time pose a management challenge and also legal dilemma. Our series consists of a review of five patients with forgotten double J stents. All these cases were managed at Kathmandu Model Hospital and all the forgotten stents were retrieved endourologically. Management of such complicated ureteral stents requires a multimodal therapeutic approach incorporating the latest ESWL and endourological techniques. Proper counseling to the patient with reference from post-operative KUB X-ray may prevent this urological tragedy.

Psychosomatic Patients in a Psychiatric Clinic

1989 ◽  
Vol 18 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Santosh K. Chaturvedi ◽  
Albert Michael
Keyword(s):  
Rheumatoid Arthritis ◽  
Irritable Bowel Syndrome ◽  
Peptic Ulcer ◽  
Heart Disease ◽  
Psychiatric Patients ◽  
Psychiatric Clinic ◽  
Psychosomatic Disorders ◽  
Urban Background ◽  
Psychosomatic Problems ◽  
Irritable Bowel

This study reports lifetime prevalence of certain “psychosomatic disorders” in psychiatric patients in India. The “psychosomatic disorders” studied were peptic ulcer, bronchial asthma, rheumatoid arthritis, ischemic heart disease and irritable bowel syndrome. One percent of psychiatric patients had these psychosomatic illnesses. Ten of the fifteen cases had two psychosomatic illnesses. Patients with psychosomatic disorders were significantly more often older in age ( p = 0.003) and from an urban background ( p = 0.05) as compared to other psychiatric patients. Depression was the commonest diagnosis, and was significantly ( p = 0.01) more often diagnosed in the psychosomatic patients. Psychosis was not diagnosed in patients with psychosomatic disorders. This article emphasizes the need for identifying concomitant psychosomatic problems in psychiatric patients for their appropriate management.

scholarly journals Pszichoszomatikus tünetek és betegségek: a medicina vakfoltja

2021 ◽  
Vol 162 (7) ◽  
pp. 252-261
Author(s):  
Péter Rajna
Keyword(s):  
Health Care Providers ◽  
Interdisciplinary Cooperation ◽  
Care Providers ◽  
Psychosomatic Disorders ◽  
Dual Nature ◽  
Psychiatric Institutions ◽  
Psychosomatic Problems ◽  
Therapeutic Recommendations ◽  
The Given ◽  
Medical Protocols

Összefoglaló. Bevezetés: A pszichoszomatikus medicina területéhez tartozó betegek ellátása rossz hatásfokú. Ez egyaránt jelentős terhet jelent a betegek és az egészségügy számára. Célkitűzés: A pszichoszomatikus tünetek és betegségek megjelenésének és ellátási ajánlásainak vizsgálata az irányadó hivatalos szakmai anyagban. Módszer: Az adatgyűjtés időpontjában elérhető 531 Szakmai irányelvből annak a 134 dokumentumnak a részletesebb elemzése, amelynek témájában pszichoszomatikus tünetek/betegségek gyakoribbak. Ebből 39 egyértelműen pszichoszomatikus vonatkozású anyag tartalmi vizsgálata, továbbá a Szakmai Kollégiumok listáján szereplő három pszichiátriai szakterület összes (26) szakmai irányelvének hasonló szempontú értékelése. Eredmények: A megvizsgált irányelvek töredéke tartalmaz csupán a pszichoszomatikus tünetképzésre, illetve kezelésre, megelőzésre vonatkozó megállapítást. A releváns témájú irányelvekben szereplő diagnosztikai utalások aránya: direkt 10,25, indirekt forma 23,7, a terápiás ajánlások között direkt 25,64, indirekt forma 15,38%. A megelőzésre vonatkozóan alig (5,12%-ban) szerepel említés, a pszichés betegségek egyidejű fennállásának esélyére is mindössze 10,25%-ban történik megállapítás. A szorongásos zavarok befolyásáról kevesebb, mint minden harmadik irányelv számol be (30,76%). A pszichiátriai irányelvek között pszichoszomatikus betegségekre vonatkozóan nincs célzott szakmai irányelv. Következtetés: A pszichoszomatikus medicina a hatékony betegellátás követelményeit meghatározó szakmai irányelvekben elégtelen arányban jelenik meg. Okait szemléleti zavarokban, a pszichiátriai szakmai konszenzus és a szakmaközi együttműködés hiányosságaiban kell keresni. Mind a vonatkozó kutatásokban, mind az irányelvek fejlesztése során erőfeszítéseket kell tenni a fentiek miatt kallódó nagy betegpopuláció hatékonyabb ellátása érdekében. A szerző javaslatot tesz a szükséges konkrét lépésekre. Orv Hetil. 2021; 162(7): 252–261. Summary. Introduction: The care of patients with psychosomatic disorders has bad efficacy. It beards hard both for the patients and the health care providers. Objective: Review of presentrecommendations for psychosomatic symptoms and illnesses in the recent Hungarian medical protocols. Method: A detailed evaluation of 134 medical protocols from altogether 531 protocols with closer connection with psychosomatic disorders were carried out, their diagnostic and therapeutic recommendations were analyzed. Further review of 39 (of the 134)directly related to psychosomatics was done. Investigation of psychiatric protocols for the same aspects was carried out, as well. Results: Only a small part of the protocols contain recommendations for psychosomatic disorders. Ratios of their presence: diagnostic – direct 10.25, indirect 23.7, therapeutic – direct 25.64, indirect 15.38%. Efforts for prevention are only in 5.12% of the materials and 10.25% of the protocols mention a possible dual nature of the given clinical manifestation. Anxiety disorders occur only in 30.76%. Psychiatric protocol directly aiming psychosomatic problems is lacking. Conclusion: Presence of psychosomatic medicine in clinical guidelines defining the conditions of successful care of patients is practically minimal. Possible explanations: confusion in approaches, lack of consensus among the psychiatric institutions, and deficiency of interdisciplinary cooperation. Both in relevant clinical research and in development of medical protocols common additive efforts are necessary for achieving a more successful care of high numbers of patients presently neglected because of the mentioned causes. Author advises some concrete steps for the solution. Orv Hetil. 2021; 162(7): 252–261.

scholarly journals Intra- and inter-observer concordance of the stabilizing chains test and its relationships with measures on a force platform

2020 ◽  
pp. 1-4
Author(s):  
Orlando Conde Vázquez ◽  
Carlos Mohíno Fernández
Keyword(s):  
Test Data ◽  
Therapeutic Approach ◽  
Daily Practice ◽  
Kappa Coefficient ◽  
Force Platform ◽  
Daily Work ◽  
Weight Percentage ◽  
Literal Translation ◽  
Cohen's Kappa ◽  
Student’S T

Background: There are numerous manual tests that are part of the daily work of clinicians, in order to assist in the diagnosis to a subsequent therapeutic approach. Objectives: The stabilizing chains* test was chosen to study its intra- and inter-observer reproducibility in 24 children with 11 years old, and the possible relation with certain baropodometric variables. Methods: The test data were collected by 2 operators and the baropodometric variables by a force platform. Cohen’s Kappa coefficient and Student’s t-tests were performed. Results: The results showed a good kappa coefficient (0.497 - 0.746) in the intra-observer and poor to moderate in the inter-observer (0.083 - 0.438). There are also relationships to the weight percentage in the frontal and sagittal planes (p ≤ 0.05). Conclusion: These results give validity to use the test in daily practice. * The English denomination of the test is a literal translation of the French expression ‘chaînes stabilisatrices’.

scholarly journals Gamma Knife Stereotactic Radiosurgery (GKS) for the treatment of meningiomas – a study of 550 cases

2015 ◽  
Vol 62 (2) ◽  
pp. 130-134
Author(s):  
Radu Perin ◽  
◽  
Rodica Stempurszki ◽  
Vasile Ciubotaru ◽  
Ligia Tataranu ◽  
...  
Keyword(s):  
Gamma Knife ◽  
Gamma Knife Radiosurgery ◽  
Daily Practice ◽  
University Hospital ◽  
Response To Treatment ◽  
Benign Tumors ◽  
Long Time ◽  
Remnant Tumor ◽  
Gamma Knife Stereotactic Radiosurgery ◽  
The Impact

Introduction. Meningiomas are benign tumors which originate from the cells of the arachnoid granules. Meningiomas represent a special pathologic entity for neurosurgeons due to the fact that they can grow silently for a long time, and can affect important neural structures when they become symptomatic. The total resection of meningiomas is curative. For the meningiomas which are not surgically accessible and for reoccurrence. Gamma Knife radiosurgery (GKS) is a very efficient solution. Materials and methods. The study below presents the experience of the authors regarding the use of GKS for the treatment of meningiomas. The authors focus on a population of 550 patients diagnosed and treated for meningiomas over a period of 10 years at the „Bagdasar-Arseni“ University Hospital in Bucharest. This study compares the impact of GKS when performed alone or in association with open microneurosurgery. The authors assessed patients with tumors ranging between 1 and 42 cm3 in volume. GKS is used successfully to treat meningiomas, both independently and in association with open microsurgery. Results. The major complications of the treatment are represented by lack of response to treatment (7% of patients) and transient cerebral edema (22% of patients). A disturbing phenomenon happens in a few meningiomas of the convexity, with malignant edema (<1%). Conclusion. Given the multiple advantages it has, GKS is right now the tip of the spear regarding the therapeutical methods available for meningiomas. These tumors usually are benign in nature; however, a small percentage are malignant. Often, meningiomas cause no symptoms and require no immediate treatment. But the growth of benign meningiomas can cause serious problems. In some cases, such growth can be fatal. Typically, symptomatic meningiomas are treated with either radiosurgery or conventional surgery. When the tumors met in daily practice are larger than the therapeutical resources of the devices used for GKS, an open microsurgical approach may be attempted followed by stereotactic irradiation of the remnant tumor.

PSYCHOLOGICAL FEATURES OF ACCOMMODATION OF PERSONS WITH PSYCHOSOMATIC DISEASES

2019 ◽  
pp. 64-69
Author(s):  
Т. Klebays ◽  
О. Dets
Keyword(s):  
Theoretical Model ◽  
Empirical Study ◽  
Comparative Study ◽  
Stress Resistance ◽  
Psychosomatic Disorders ◽  
Healthy Individuals ◽  
Frustration Tolerance ◽  
The World ◽  
Psychological Features ◽  
Psychosomatic Diseases

The article is devoted to a comparative study of the attitudes of healthy individuals and individuals with psychosomatic disorders. In the process of research, a theoretical model was created “Features of the attitudes of individuals with psychosomatics”. As a result of an empirical study, it was found that in the sample of healthy individuals and people with psychosomatosis there are significant differences in formation and beliefs. Particularly pronounced were the differences between the samples according to their propensity for catastrophization and frustration tolerance, perception of justice, controllability of the world, randomness as a principle of distribution of events. It was revealed that people with psychosomatoses are more likely to consider the world unfair than healthy ones, events are random, uncontrollable, therefore they often present their development in the future as a catastrophe and have reduced stress resistance. There was also some difference in the perception of duties on their own and on others.

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