The European Conference of Psychiatry and Mental Health "Galatia"最新文献

{"title":"SARS-COV 2 PANDEMIC AND THE PRINCIPLES OF MEDICAL ETHICS","authors":"V. Lupu, I. Miron, A. Ciubară, V. Lupu, Anca Lavinia Cianga, I. Stârcea, Ş. Burlea, A. Ciubară, Ancuța Lupu","doi":"10.35630/2022/12/psy.ro.2","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.2","url":null,"abstract":"During the coronavirus pandemic, it was clearly seen how vulnerable society is with its entire health and sanitary security system, how vulnerable medicine is to a biological attack (whether it was natural or manufactured in a laboratory) and how chaotically society reacts as a whole, when faced with an unknown danger. It was quickly seen that medical science and technology have its limits and risks, that they do not always serve the cause of the suffering man, that biotechnology and genetic manipulation pose a major danger to humanity and that, for the simple reason that it is the product of human reason, always doubtful and hesitant. It has gone so far as to the principles of medical ethics were breached, whether we are talking about non-maleficence or beneficence, decision-making autonomy or nondiscriminatory attitude toward access to resources, with serious damage to the individual - medical system relationship.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128156018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GENERAL NUTRITION PRINCIPLES FOR THE MENTAL AND PHYSICAL HEALTH OF CHILDREN","authors":"V. Lupu, I. Miron, N. Nistor, D. Voinescu, M. Starcea, Ancuța Lupu, A. Ciubară","doi":"10.35630/2022/12/psy.ro.26","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.26","url":null,"abstract":"According to the theory of Hipocrates (3rd century BC) \"all diseases begin in the intestines\". It is now known that intestinal microorganisms participate in physiological processes such as: immune system functioning, detoxification, inflammation, neurotransmitter and vitamin production, nutrient absorption, hunger, and satiety signaling, carbohydrate and fat burning. Thus, a beneficial microbial flora is maintained by proper nutrition. Also, in the literature, there are microbiome-specific associations with different pathologies: attention deficit hyperactivity disorder (ADHD), asthma, autism, allergies, chronic fatigue, depression, anxiety, and diabetes. To prevent these pathologies, in the children's growth and development it must be considered multiple factors: the type of birth (natural or caesarean), genetics, general health, physical activity, sedentarism, sleep quality, and appropriate nutrition.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133925169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHARMACOLOGICAL ADD-ON TREATMENTS IN MANAGING ANTIPSYCHOTIC-INDUCED WEIGHT GAIN","authors":"I. Rădulescu, Letiția Dobri Mirona, C. Moraru, P. Nechita, Ciprian Vlad, C. Bichescu","doi":"10.35630/2022/12/psy.ro.24","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.24","url":null,"abstract":"Introduction: One of the most common antipsychotic (AP) related adverse drug reactions is weight gain, with a large proportion of patients started on AP even from the onset of schizophrenia, ending up gaining considerable weight. Aim: The study was designed to research current evidence for reducing weight gain through pharmacological supplementation or other practical interventions, in patients treated with APs. Method: A review of the published works found on MEDLINE and PubMed from 2015 to 2019 was done, concentrating mostly on research that specifically examined changes in body weight in individuals taking AP medications along with various pharmaceutical supplements. There were 14 major eligible articles found and examined. We have concentrated on many meta-analyses that evaluated various pharmacological classes, including appetite suppressants, anti-obesity medications, anti-diabetics, gastrointestinal medicines, and anticonvulsants, in avoiding or lowering weight gain in patients receiving AP. Conclusions: Maintaining a balanced weight has a major impact on the patient’s quality of life. In addition to having a detrimental effect on the patient's physical and mental health, weight increase makes it more challenging for them to adhere to their treatment schedule. Antipsychotics can cause weight gain, however, there are numerous effective treatments for this condition. Given that they are both well tolerated in the short term, we found topiramate and metformin to be the most effective among them when compared to a placebo. To advance this topic, larger and more comprehensive investigations are required.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120972862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SEXUAL DYSFUNCTIONS IN SCHIZOPHRENIA - A GENERAL OVERVIEW OF RELEVANT CLINICAL SYMPTOMS","authors":"C. Moraru, I. Rădulescu, Ioana Roșu, I. Fulga, M. Antohe, O. Stefanescu, Ioana Rudnic, Ş. Burlea, P. Nechita","doi":"10.35630/2022/12/psy.ro.14","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.14","url":null,"abstract":"Sexuality in schizophrenia has been and still is a taboo subject, difficult to address, both for the patient and the clinician. Poor communication links are a major non-compliance factor, with schizophrenia requiring special attention in terms of therapeutic conduct, which requires a thorough evaluation. By nature of the disease, schizophrenic patients struggle to establish and maintain healthy intimate relationships. They frequently lack the psycho-social abilities required to create and sustain interpersonal connections.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126246601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ANNIVERSARY DEPRESSION","authors":"Loredana-Maria Muscă, O. Stefanescu, M. Antohe, Ioana Rudnic, C. Pleșea-Condratovici, Ş. Burlea","doi":"10.35630/2022/12/psy.ro.15","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.15","url":null,"abstract":"ntroduction: Anniversary depressions are characterized by a dispositional change dominated by sadness, revolt against \"destiny\", regret and often self-accusations and suicidal concerns. They reflect a close correlation with a stressful event, especially localized during the family lifetime, such as the death of the child, the parent, partner or other loved ones. Anniversary depression occurs spontaneously with the approach of the trauma event or even at the anniversary of it. Symptoms of depression may occur a few days or weeks before and culminate at the anniversary when some of the depressed guilty feelings are shut down in their own painful intimacy (with high suicidal risk) and the others revolt against the destiny and \"the guilty\". Aim: The objective of this study is to evaluate young people's opinions about anniversary depression. Method: A questionnaire derived from HAM-D (Hamilton Depression Rating Scale) was applied to a group of 56 students during the year 2019. A quantitative and qualitative assessment of young people's perception of depressive symptomatology was evaluated. Applied questionnaires comply with the privacy rules of Law 46/2003 (A) and EU Regulation 2016/679. Conclusions: From the investigated group it results than 93% know someone who has experienced a traumatic episode. Of the 56 examines a significant proportion know or have experienced a traumatic event with an impact on mood (79%). Behavioural changes associated with the traumatic event or recall of such an event (in decreasing frequency) are sleeping disorders 79%, mood disorders 77%, appetite change 48%, somatoform accusations 36%, suicidal tendency 30%, decreasing useful yields 25 %, feelings of guilt 21%, decrease in alcohol consumption 14%, increase in alcohol consumption 7%.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131655372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DIFFICULTIES IN THE THERAPEUTIC MANAGEMENT OF COMPLICATED PNEUMONIA IN CHILDREN","authors":"O. Miron, A. Ivanov, A. Mocanu, M. Starcea, L. Trandafir, I. Miron","doi":"10.35630/2022/12/psy.ro.12","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.12","url":null,"abstract":"Background: Pneumonia remains an important cause of morbidity and mortality at pediatric age (estimated by UNICEF at 3 million child deaths per year worldwide). Although the etiology of pneumonia is well known, in many patients the exact pathogen is not identified after routine diagnostic workup. We present three cases with complications. that were diagnosed and treated in our Pneumology Clinic. The aim of this case series is to point out the challenges in diagnosing and managing such diseases in children. The evolution of the three cases was difficult, all children needed ICU care. Cultures collected for all of them were negative, probably secondary to the fact that they received antibiotic treatment at home, before carrying out tests. Yet, after receiving broad-spectrum antibiotics and supportive treatment the evolution was favorable in the end. Conclusion: Despite progresses that were made in the last century concerning the antibiotic treatment in pneumonia there are still cases that develop severe complications that require multidisciplinary approach.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124983218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PSYCHIATRIC DISORDERS ASSOCIATED WITH ENDOCRINE DYSFUNCTIONS","authors":"A. Chiriţă, M. Popescu, V. Calborean, V. Gheorman, I. Udriștoiu","doi":"10.35630/2022/12/psy.ro.25","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.25","url":null,"abstract":"Introduction: Psychiatric disorders occurring during endocrine dysfunction and, conversely, endocrine dysfunctions associated with mental disorders were the emergence of a new discipline, psychoendocrinology. Psychiatric disorders correlated with endocrine diseases are defined as psychopathological manifestations of variable intensity and clinical symptomatology, determined by complex psycho-neuro-endocrinological interrelationships. Defining elements consist of the association between diagnosis of mental disorders and specific symptoms for endocrine dysfunction. Methods: We conducted a prospective one-year study (January 2018 - December 2018 on 112 patients hospitalized in the Clinic of Psychiatry who also had an endocrinological comorbidity. We investigated the frequency and severity of psychoendocrinological associations by studying a number of demographic and clinical items. Results: The results showed that the highest incidence belongs to thyroid disorder - 55.36%, followed by gonadal disorders - 24.11%, and, rarely, pituitary diseases and diabetes. Hyperthyroidism was associated most frequently with manic episodes, while unipolar depression prevailed in patients with hypothyroidism. In gonadal disorders, present in majority in female patients (secondary amenorrhea, menopause or erectile dysfunction in males), depression accompanied by anxiety, often severe in intensity, was the most frequent psychiatric diagnosis. Psychotic disorders were met in a smaller number of cases, especially in patients with long history of endocrine disorders and instability of biological constants. Conclusions: We may state that affective disorders are the most frequent nosologically category in patients with endocrine dysfunctions. It requires a better collaboration between specialists in endocrinology and psychiatry, to highlight the determinants which contribute to the development of psychopathological manifestations in endocrine diseases and to individualize the treatment depending on cases’ particularities.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132194179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SARS COV 2 PANDEMIC - BETWEEN CAUTION AND PRUDENCE","authors":"V. Lupu, I. Miron, A. Ciubară, V. Lupu, I. Stârcea, Anca Adam Raileanu, Ş. Burlea, A. Ciubară, Ancuța Lupu","doi":"10.35630/2022/12/psy.ro.3","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.3","url":null,"abstract":"There is no doubt that a natural phenomenon of the magnitude of a pandemic requires a series of tough precautionary measures in order to limit the spread of the disease, to combat the manifestations of the disease by appropriate therapeutic means and to increase the resistance of the population through prophylactic immunisation, namely vaccination. At the same time, caution points out that not all precautionary measures achieve their aim, for at least two reasons: first, it is an extremely versatile micro-organism (like any virus) which can change its genetic configuration through mutations, thus retaining its main characteristics; contagiousness and pathogenicity; second, the preventive measures initially used: quarantine, mask and physical distancing, have proved to be totally outdated and ineffective in today's conditions (economic interdependence, population movement, overpopulation of the planet). The very vaccination on which so much hope was pinned has failed to stem the new pandemic waves (3 and 4), even in countries where the vaccine immunisation rate has exceeded 70%. The three major means of prevention are reviewed which, beyond the immense frustration they have produced in the population, have had a devastating socio-economic impact, and the results of forcible imposition have produced insignificant results. It has been demonstrated once again that the global approach to the pandemic is doomed to failure (witness the successive waves) and that precautionary measures are illusory. Thus, between precaution and prudence, prudence must prevail in order not to replace an existing evil with a greater evil. The only effective measures remain outbreak control with specific means (which epidemiologists know very well) and immunisation by vaccine.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129268243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE LINK BETWEEN LIPIDIC PROFILE, DEPRESSION AND CARDIOVASCULAR DISEASE","authors":"Lucreţia Anghel, D. Ursu, Simona Mitincu Caramfil, C. Stefanescu, Ș. Moisă, A. Ciubară, Liliana Baroiu","doi":"10.35630/2022/12/psy.ro.17","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.17","url":null,"abstract":"The purpose of this study was to identify the connection between cardiovascular disease and depression taking lipid profile as a common risk factor in the occurrence of both pathologies. Materials and methods: 100 patients were examined for 3 months, admitted to the internal medicine department of St. Andrew's Emergency Hospital in Galati. Anamnesis was collected; electrocardiogram, objective examination and lipid profile were performed. The Hamilton scale (HDRS-17) was used to assess depression. Results: In patients with depression, an increased prevalence of dyslipidaemia and obesity was detected, especially in women. Of 10 women with mild and severe depression, all had altered lipid profile, obesity or overweight and increased risk of cardiovascular disease. Conclusions: Although it is claimed that depression would be an individual risk factor for the occurrence of an adverse cardiac event, the comprehensive pathophysiological approach allows the identification of risk factors for both CVD and depression as being largely common. Therefore, a coexistence relationship is created. The other possible situations may arise due to the involvement of individual protective factors and genetic vulnerability. As a result, treatment of depression may reduce risk of cardiovascular event in some cases.","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124179816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PSYCHO-ONCOLOGY. CASE PRESENTATION","authors":"A. Pâslaru, A. Fătu, Alexandru Nechifor, L. Rebegea, D. Iliescu, A. Ciubară","doi":"10.35630/2022/12/psy.ro.35","DOIUrl":"https://doi.org/10.35630/2022/12/psy.ro.35","url":null,"abstract":"Increased survival of oncology patients brings to attention new aspects of adverse effects due to antineoplastic treatment. Psychiatric disorders, cardiovascular disorders as well as the progressive incidence of multiple primary neoplasia are some of the most common side effects. Aim: Care of the oncology patient undergoes an important period of change, from the management of tumor disease to the multidisciplinary approach, centered on improving the quality of life. Method: We present the case of a 75-year-old patient, whose personal pathological history reveals the presence of a diagnosis of left testicular seminoma, in 1978, for which he received radiochemical therapy. An oncological patient under long-term medical supervision for several decades is diagnosed in November 2017 with urothelial carcinoma, infiltrative, invasive in his own muscle patch, pT2NxMx. Approximately 40 years later, the second neoplastic site, the malignant bladder tumor, appears. Facing this diagnosis, the patient becomes anxious, anticipates catastrophic consequences, isolates himself. The family and friends support is essential in these moments, the patient tries cognitive-behavioral psychotherapy, as well as various relaxation techniques, which have positive results for the patient attitude towards the disease. He admits, to complete staging, to follow the recommendations of the oncologist, perform proton emission tomography, which detects the presence of two lesions on the right lung. In January 2018, the surgical intervention is done by straight thoracotomy, atypical upper lobe resection and inferior lobectomy is performed. The histopathological and immunohistochemical results describe the presence of the third primary adenocarcinoma neoplasia. The initial emotional reaction is one of anger, denial, followed by demoralization, easy crying, sadness. The patient is examined by the psychiatrist, thus receiving the diagnosis of a severe depressive episode without psychotic symptoms. He follows an anxiolytic, antidepressant, sedative treatment but continues also the cognitive-behavioral therapy. The patient shows good compliance with psychopharmacological treatment and accepts adjuvant chemotherapy courses, which are well tolerated. Throughout the antineoplastic therapy, there was a close collaboration between the psychiatrist and the oncologist, to avoid drug interactions that could have led to interruption of the treatment. Under the oncology supervision, the patient receives another bad news, in September 2018, the fourth neoplastic localization, the prostatic adenocarcinoma pT2bN0M0, is discovered. In this case, in the presence of the combination of synchronous and methacrone tumors, the patient's psyche is deeply affected, continuing the psychopharmacological treatment. Conclusions: Psychiatric disorders are common among oncological patients, and they may suffer serious impairments in quality of life and treatment compliance, psycho-oncological collaboration being in","PeriodicalId":228081,"journal":{"name":"The European Conference of Psychiatry and Mental Health \"Galatia\"","volume":"196 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133651722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}