RESUMO
Clear symptoms of erotomania were observed in a woman with past history of high blood pressure who, later, presented a slight subarachnoid hemorrhage from a ruptured anterior cerebral communicating artery aneurysm. The possibility that erotomania, in this case, may be related to the patient's organic brain damage is discussed.
Assuntos
Aneurisma Roto/psicologia , Transtorno Bipolar/etiologia , Aneurisma Intracraniano/psicologia , Hemorragia Subaracnóidea/complicações , Hemorragia Subaracnóidea/psicologia , Aneurisma Roto/complicações , Artérias Cerebrais/patologia , Delusões , Feminino , Humanos , Hipertensão , Aneurisma Intracraniano/complicações , Amor , Pessoa de Meia-Idade , Hemorragia Subaracnóidea/etiologiaRESUMO
Eighty-six alcoholic patients in hospital (average age: 44 years, range: 24-60), were evaluated with the Hamilton Scale for depression and it turned out that 57% were non-depressed alcoholic patients and 43% were depressed alcoholic patients, this being a statistically significant difference. In addition, personal and demographic data was obtained which contributed to the object of the study.
Assuntos
Alcoolismo/psicologia , Transtorno Depressivo/psicologia , Escalas de Graduação Psiquiátrica , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Eighty-six alcoholic patients in hospital (average age: 44 years, range: 24-60), were evaluated with the Hamilton Scale for depression and it turned out that 57
were non-depressed alcoholic patients and 43
were depressed alcoholic patients, this being a statistically significant difference. In addition, personal and demographic data was obtained which contributed to the object of the study.
RESUMO
A long-term open clinical study was made on nine schizophrenic patients, using injectable bromperidol decanoate in monthly doses. The dosage calculation was made from the haloperidol doses previously received by the patients, adjusted in each particular case, with a mean of 73 mg per application (range, 50 to 200 mg). The patients were seven males and two females with a mean age of 37,7 years, 11,8 years of evolution of the disease and 2,6 previous hospitalizations. The symptoms evaluation was based on the BPRS test, converting the impressions of professionals and patients on the ten symptoms into an arbitrary scale from 0 to 5 for their later statistical evaluation using the least-squares test. All the psychotic symptoms improved gradually and significantly due to the medication. The harmlessness of bromperidol was evaluated through complete blood and urine tests, which, repeated every month, showed no blood, liver, renal, etc. alterations due to the drug. Like all psychopharmacos derived from butyrophenone, bromperidol can cause collateral effects of an extrapyramidal type. These appeared in four of the nine patients, being tremors, sialorrhea and akathysia the most important ones. These were the only collateral effects. Two of the patients were also receiving phenothiazine and the four patients were well controlled by using trihexiphenidyl.
Assuntos
Haloperidol/análogos & derivados , Esquizofrenia/tratamento farmacológico , Adulto , Escalas de Graduação Psiquiátrica Breve , Doença Crônica , Ensaios Clínicos como Assunto , Feminino , Haloperidol/administração & dosagem , Haloperidol/efeitos adversos , Haloperidol/uso terapêutico , Humanos , Injeções Intramusculares , Masculino , Pessoa de Meia-IdadeRESUMO
A long-term open clinical study was made on nine schizophrenic patients, using injectable bromperidol decanoate in monthly doses. The dosage calculation was made from the haloperidol doses previously received by the patients, adjusted in each particular case, with a mean of 73 mg per application (range, 50 to 200 mg). The patients were seven males and two females with a mean age of 37,7 years, 11,8 years of evolution of the disease and 2,6 previous hospitalizations. The symptoms evaluation was based on the BPRS test, converting the impressions of professionals and patients on the ten symptoms into an arbitrary scale from 0 to 5 for their later statistical evaluation using the least-squares test. All the psychotic symptoms improved gradually and significantly due to the medication. The harmlessness of bromperidol was evaluated through complete blood and urine tests, which, repeated every month, showed no blood, liver, renal, etc. alterations due to the drug. Like all psychopharmacos derived from butyrophenone, bromperidol can cause collateral effects of an extrapyramidal type. These appeared in four of the nine patients, being tremors, sialorrhea and akathysia the most important ones. These were the only collateral effects. Two of the patients were also receiving phenothiazine and the four patients were well controlled by using trihexiphenidyl.
RESUMO
We did this work because the observation shows us a high percentage of readmissions in Psychiatric Services. Alejandro Korn Hospital has 2,306 beds, 98% of them occupied. Of these beds, 104 belong to neurology and 63 to clinic and surgery. In this hospital are the 89.50% of the whole beds of Buenos Aires Province. During the observation women area (where we work) was divided in three admission areas. Evaluation took us the last three months of 1975, and March, April and May of 1976. With Statistics Area's agree, the whole of admissions was proportionally divided in three areas. One of them was our Legal Psychiatric Ward. At the moment of the admission patient's family had to answer some questions we had prepared about causes we were looking for. During this time, 62 persons were admitted and of these, 47 were re-admitted (75.81%). To give up the treatment when the patient left the hospital was the main reason for the high re-admission percentage (76.59%): 61.11% of them gave up the treatment because they had no medical control; 25% because of bad economic conditions, and 13.89% because the patient sometimes interrupted his everyday medication.
Assuntos
Readmissão do Paciente , Adolescente , Adulto , Idoso , Feminino , Hospitais Psiquiátricos , Humanos , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde , Cooperação do Paciente , Projetos Piloto , Qualidade da Assistência à Saúde , Fatores Socioeconômicos , Inquéritos e QuestionáriosRESUMO
We did this work because the observation shows us a high percentage of readmissions in Psychiatric Services. Alejandro Korn Hospital has 2,306 beds, 98
of them occupied. Of these beds, 104 belong to neurology and 63 to clinic and surgery. In this hospital are the 89.50
of the whole beds of Buenos Aires Province. During the observation women area (where we work) was divided in three admission areas. Evaluation took us the last three months of 1975, and March, April and May of 1976. With Statistics Areas agree, the whole of admissions was proportionally divided in three areas. One of them was our Legal Psychiatric Ward. At the moment of the admission patients family had to answer some questions we had prepared about causes we were looking for. During this time, 62 persons were admitted and of these, 47 were re-admitted (75.81
). To give up the treatment when the patient left the hospital was the main reason for the high re-admission percentage (76.59
of them gave up the treatment because they had no medical control; 25
because of bad economic conditions, and 13.89
because the patient sometimes interrupted his everyday medication.
RESUMO
We did this work because the observation shows us a high percentage of readmissions in Psychiatric Services. Alejandro Korn Hospital has 2,306 beds, 98
of them occupied. Of these beds, 104 belong to neurology and 63 to clinic and surgery. In this hospital are the 89.50
of the whole beds of Buenos Aires Province. During the observation women area (where we work) was divided in three admission areas. Evaluation took us the last three months of 1975, and March, April and May of 1976. With Statistics Areas agree, the whole of admissions was proportionally divided in three areas. One of them was our Legal Psychiatric Ward. At the moment of the admission patients family had to answer some questions we had prepared about causes we were looking for. During this time, 62 persons were admitted and of these, 47 were re-admitted (75.81
). To give up the treatment when the patient left the hospital was the main reason for the high re-admission percentage (76.59
): 61.11
of them gave up the treatment because they had no medical control; 25
because of bad economic conditions, and 13.89
because the patient sometimes interrupted his everyday medication.