News ... - January - 2012

* tumora cerebrala
Don't worry, there is absolutely no risk of developing a brain tumor from using a mobile phone."

 

 

 

* Scleroza multipla si consumul de cafea si alcool

December 15, 2011 — Regularly eating fish and drinking alcohol and coffee may help delay disease progression in patients with relapsing-onset multiple sclerosis (MS).

 

 

 

* * artrita genuchiului

the one that caught my eye this year was the oral calcitonin study,[1] which was a 2-year study of twice-a-day oral calcitonin in a high-tech orally bioavailable form. [The investigators] were able to demonstrate really significant improvements in pain and function. While it was too short and they weren't able to see radiographic joint space progression differences.

 

 

 

 

 

* ADHD si riscul de infarcy miocardic

December 12, 2011 — Stimulants and other medications used to treat attention-deficit hyperactivity disorder (ADHD) confer no increased risk for serious cardiovascular events.

 

 

 

 

* aspirina...

December 12, 2011 (San Diego, California) — The use of aspirin reduces the risk of recurrent venous thromboembolism (VTE) by more than half when compared with placebo, according to the results of a new study.

 

 

 

 

* Tratamentul schizofeniei
Nevertheless, although there have been encouraging early results for a number of agents and mechanisms, only time will determine which mechanisms are viable for the much-needed improved treatment outcomes in schizophrenia. In the absence of currently available, evidence-based, additional treatment options and mechanisms clozapine still remains the gold standard for refractory schizophrenia.[1]

MDLinx - January - UpToDate

 

*Clopidogrel vs. aspirin treatment on admission improves 5-year survival after a first-ever acute ischemic stroke. data from the athens stroke outcome project
Archives of Medical Research, 12/15/11
Milionis HJ et al. – This study supports that clopidogrel is superior to aspirin in preventing death and cardiovascular events after an acute noncardioembolic ischemic stroke.

Methods

    This was a retrospective study involving patients with an acute ischemic stroke who had an indication for antiplatelet therapy (atherothrombotic, lacunar and cryptogenic stroke subtype).
    A total of 1228 (383 women) hospitalized due to an acute first–ever stroke and receiving aspirin (n = 880) or clopidogrel (n = 348) were finally involved.
    To determine the factors that independently predict 5–year survival statistical analysis including the Kaplan–Meier survival curve and multifactorial analysis (Cox regression) was performed.

Results

    Subjects treated with clopidogrel had improved 5–year survival compared with those receiving aspirin (log rank test: 16.4, p <0.0001).
    The difference in survival was evident as early as 6 months from index stroke: cumulative survival 93.8% for aspirin vs. 97% for clopidogrel (log rank test: 4.01, p = 0.045).
    The composite cardiovascular event (including stroke recurrence, myocardial infarction, unstable angina, coronary revascularization, aortic aneurysm rupture, peripheral atherosclerotic artery diseases, and sudden death) rates were lower in the clopidogrel group (n = 60, 17.2%) compared with the aspirin (n = 249, 28.3%) group (log rank test: 12.4, p <0.0001).
    This preferential effect of clopidogrel over aspirin was independent of age, gender, presence of cardiovascular disease other than stroke or cardiovascular risk factors as well as irrespective of the severity of stroke and days of hospitalization.

Up To Date January

* tratamentul depresiei rezistente

Let's talk about FDA approvals. Quetiapine and quetiapine XR are FDA approved for treating bipolar depression as monotherapy. We have more options with adjunctive treatments. Aripiprazole was approved as an augmentation strategy for resistant major depression.

 

 

 

 

* tratamentul antidepresiv

Depressive disorders are common. Bipolar depression is often under-recognized and misdiagnosed as unipolar. Approximately one third to one half of patients with unipolar depression do not respond fully to antidepressant therapy.

 

 

 

 

* antidepresivele

  1. A patient presenting with symptoms consistent with major depressive disorder reports loss of pleasure or interest in activities that she previously enjoyed. Which region of the brain is most strongly implicated with such reactions?
    Answer: Anterior cingulate cortex
    Symptoms of depression -- and the neurologic pathways associated with their treatment -- involve multiple regions of the brain related to memory, emotion, anticipation and decision making. The anterior cingulated cortex is most closely associated with hedonistic behavior or pleasure, while the amygdala, hippocampus, and prefrontal cortex are associated with affect, memory, and decision making, respectively.
  2. Based on current understanding of depression's effect on the brain and the effects of antidepressants in animal models of depression, an effective pharmacologic treatment is thought to do all but which of the following?
    Answer: Stimulating amygdala activity to emotional associations
    The causes of depression are multifactorial; genetics may predispose some individuals to depression above and beyond the risk from general life stressors via heightened sensitivity to emotional responses. Imaging and other studies suggest that both that stress and depression have deteriorating effects on various regions of the brain, and that antidepressants can mitigate or help to reverse these effects, which range from atrophy to decreased metabolic activity in various brain regions. Restoring neurogenesis is thought to be one way by which antidepressants can increase hippocampal volume.

Medscape - January 2012

Preserving Vision in Patients With Diabetes
CDC Expert Commentary, 2011-12-05

 

 

 

 

Top 10 for 2011: Most-Read Gastroenterology Articles
Medscape Gastroenterology, 2011-12-08

 

 

 

 

Top 10 Allergy & Clinical Immunology Articles of 2011
Medscape Allergy & Immunology, 2011-12-08

 

 

 

 

Antidepressants in Dementia: Is a Reevaluation Due?
Medscape Psychiatry, 2011-12-05

 

 

 

 

Top Ten Neurology Articles of 2011
Medscape Neurology, 2011-12-08

 

 

 

 

Best Psychotherapy for Social Anxiety Disorder
Medscape Psychiatry, 2011-12-02

 

 

 

 

Top 10 Psychiatry Articles of 2011
Medscape Psychiatry, 2011-12-08

 

 

 

 

Are Psychiatrists Happy? A Look at Compensation and Career Satisfaction
Medscape Psychiatry, 2011-10-12

 

 

 

 

Adjunctive Therapy for Schizophrenia: Current and Emerging Directions
Medscape Education Psychiatry & Mental Health, 2011-03-17

 

 

 

Shift Work Sleep Disorder in Hospitals: Reducing Risk and Improving Outcomes
2011-11-28

 

 

Editorial Decembrie 2011 - Profesor Dr. Aurel ROMILA

 

                                                                        VIITOR


A trai, a spera este si sensul pe care il are psihiatrul si psihologul.Tendintele mondiale sunt prea superficiale, limitate la practica, la medicamente sau incurajari. E necesara fundamentarea teoretica a practicii, orizontul filozofic, spiritual, sustinerea unor convingeri despre fiinta, despre posibilitatea coexistentei sociale, despre integrarea suferintelor. Rezistenta la entropie, regresie, instinctualizare, racire, indiferenta constitue idealul de umanitate, de autenticitate, de intrajutorare. Sensibilitatea pentru inalt, pentru spiritualitate trebuie cultivata toata viata.

                                                      Prof.Dr.Aurel ROMILA

Sanatatea mentala

No Health without Mental Health’

The Revelation Of The Pyramids (Full Movie) HD

 

 Click : http://youtu.be/hAuRM44815c

 

Heidegger şi Facebook-ul


Filozofului obsedat de sensurile ascunse ale lumii, anii 60 i se pãreau “nebunie” curatã. Iatã ce scria Heidegger, în 1962, în jurnal, întorcându-se din prima sa excursie în Grecia. Avea la acel moment 73 de ani ºi pânã atunci sucise ºi parasucise lumea ºi filozofia greacã, stând cu nasul în cãrþi ºi cu gândurile în propria Aletheia. Sigur nu ar fi intrat pe Facebook, dacã ar fi trãit vremurile noastre, iar observaþiile lui de atunci sunt valabile ºi astazi, dupã jumãtate de secol.
Ce mi-a plãcut cel mai mult scurta lui analiza de mai jos este metafora “noi destinaþii”. Aplicatã lumii virtuale de azi, exact aºa stau lucrurile. Orice informaþie, pozã, poantã, controversã pe wall, filmuleþ, dialog privat sunt noi destinaþii. Pleci cãtre ceva, dar aproape niciodatã nu ajungi, nu atingi þinta sau nu ajungi sã „locuieºti” prea mult în locul sau în ideea cãtre care pleci. Stai mereu pe drum, de unde ºi oboseala, sentimentul cã nu mai eºti nicãieri acasã, deºi unii ajung sã se simtã cel mai bine în faþa computerului conectat la Facebook, Twitter sau ce alte reþele de socializare mai existã. De aceea zic cã e bine ca uneori sã ne retragem, sã adãstãm, sã ne înrãdãcinãm departe de net, poate mai prindem ºi noi câte o deschidere, câte o des-ascundere a celor închise. ªtiu cã îndemul meu, concluzia mea reprezintã un loc comun, dar nu mi-am putut înfrânge tentaþia de a-l aduce ºi pe Heidegger pe Facebook ºi aici, pe blog, prin intermendiul acestei postãri. :)


“…ceea ce noi numim astãzi lume nu mai e decât un haos de aparate tehnice, puse în slujba informaþiei, dar pe care nimeni nu mai e în stare sã le cuprindã cu privirea. Haosul s-a aºezat în faþa physis-ului*, ce nu înceteazã totuºi sã rãmânã teafãr ºi neatins. Luându-i locul, haosul tehnic permite un singur tip de acces la funcþionarea sa ºi un singur fel de control: prin calcul. ªi astfel nu mai reuºim deât rareori ºi doar dupã o îndelungatã muncã pregãtitoare sã întrevedem ceva din adãstarea aceluia care, odatã, ºi-a primit forma ºi mãsura din domeniul lui Aletheia[. ..] acel învizibil care se sustrage – ca o adãpostire ce des-ascunde – oricãrei încercãri de a-l face accesibil simþurilor.”

Mai înainte, în aceelºi text, defineºte Aletheia în acest fel: „întrepãtrunderea unitarã a neascunderii (des-ascunderii) ºi a ascunderii (adãpostirii)”

„...Nu cumva lumea aceastã tehnicã, ºtiinþific-industrializatã, produce cu rapiditate ºi siguranþã posibilitãþi ce tind apoi sã se multiplice, posibilitãþi prin care omul modern sã se simtã pretutindeni ca acasã? Iatã, în acest chip s-ar dovedi, fãrã drept de apel, cã tot ceea ce am spus cu privire la pierderea locuirii într-o patrie nu e decât o minciunã: a vorbi astfel nu înseamnã, în fond, decât a te refugia într-un discurs romantic ºi gãunos. ªi totuºi, dacã, cumva, acest acasã dezrãdãcinat, asigurat doar prin mijloace tehnice ºi de informare, a renunþat la orice pretenþie de locuire ºi patrie, mulþumindu-se a fi doar pustiul administrat de o întreagã industrie a cãlãtoriei? Ca urmare, nici mãcar o asemenea întrebare nu are de cine sã se facã ascultatã, pentru cã orice liniºtire este deja înlãturatã prin oferta, mereu gata de a sta la dispoziþie, a unei noi destinaþii.”




Fragmentele sunt din „Scufundãtorii din Delos. Heidegger ºi primii filozofi” de Bogdan Mincã, Editura Humanitas, 2010.

DSM IV TR

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