Vertex (Buenos Aires, Argentina)最新文献

{"title":"Functional capacity and cognitive performance of adults from Argentina in cardiopulmonary rehabilitation","authors":"Pablo Martino,&nbsp;Soraya Kerbage,&nbsp;Mauricio Cervigni,&nbsp;Roberto Lowenstein,&nbsp;Carlos Lirio,&nbsp;Laura Brandani,&nbsp;Barbara Gorodetzky,&nbsp;Melina Bellotti,&nbsp;Lola Martin,&nbsp;Sofia Segal,&nbsp;José Bonet","doi":"10.53680/vertex.v33i158.316","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.316","url":null,"abstract":"<p><p>Introduction: Functional capacity is decreased in people with Cardiovascular Diseases and Chronic Respiratory Diseases. These diseases have also been associated with cognitive dysfunction. The study examines the efficacy of a cardiopulmonary rehabilitation program in the recovery of functional capacity and analyzes whether subjects with cardiopulmonary diseases suffer from cognitive dysfunction. Materials and methods: Participated 50 adults with medium-high education who completed a cardiopulmonary rehabilitation program of between 3 and 6 months based on physical education, nutritional education, promotion of healthy habits and medication management. Functional capacity was evaluated with the Duke index at the beginning and end of the program. Memory and language tests were also administered, for the only time, at the beginning of the program, comparing the values obtained with Argentine normative studies. The data was analyzed with the Wilcoxon test, bivariate correlations, and linear regression. Results: Functional capacity increased significantly at the end of the program. In any case, the post-program Duke value suggests that the functional capacity of the patients continues to be affected. On the other hand, a memory test explained 10,8% of the variance in the Duke index, and there are no findings of cognitive dysfunction. Conclusion: The functional capacity of cardiopulmonary patients improved with the rehabilitation program, although this improvement is clinically insufficient. Better memory performance predicted greater functional capacity, which is why it is suggested to add cognitive stimulation workshops to cardiopulmonary rehabilitation programs. This sample with cardiopulmonary disease does not present cognitive dysfunction, probably due to its high cognitive reserve.</p><p><strong>Introduction: </strong>Functional capacity is decreased in people with Cardiovascular Diseases and Chronic Respiratory Diseases. These diseases have also been associated with cognitive dysfunction. The study examines the efficacy of a cardiopulmonary rehabilitation program in the recovery of functional capacity and analyzes whether subjects with cardiopulmonary diseases suffer from cognitive dysfunction.</p><p><strong>Materials and methods: </strong>Participated 50 adults with medium-high education who completed a cardiopulmonary rehabilitation program of between 3 and 6 months based on physical education, nutritional education, promotion of healthy habits and medication management. Functional capacity was evaluated with the Duke index at the beginning and end of the program. Memory and language tests were also administered, for the only time, at the beginning of the program, comparing the values obtained with Argentine normative studies. The data was analyzed with the Wilcoxon test, bivariate correlations, and linear regression.</p><p><strong>Results: </strong>Functional capacity increased significantly at the end of the program. In any case, the p","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"30-38"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524844","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":"Third Argentine Consensus statement on management Bipolar Disorders. Section1: introduction and general concepts","authors":"Marcelo Cetkovich-Bakmas,&nbsp;Andrea Abadi,&nbsp;Sebastián Camino,&nbsp;Gerardo García Bonetto,&nbsp;Luis Herbst,&nbsp;Eliana Marengo,&nbsp;Fernando Torrente,&nbsp;Tomás Maresca,&nbsp;Julián Bustin,&nbsp;Carlos Morra,&nbsp;Ricardo Corral,&nbsp;Daniel Sotelo,&nbsp;Sergio Strejilevich,&nbsp;Julián Pessio,&nbsp;Juan José Vilapriño,&nbsp;Manuel Vilapriño,&nbsp;Gustavo Vázquez,&nbsp;Alejo Corrales","doi":"10.53680/vertex.v33i158.319","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.319","url":null,"abstract":"<p><p>The Third Argentine Consensus on the management of bipolar disorders (TB) is an initiative of the Argentine Association of Biological Psychiatry (AAPB). As a reference document, this consensus pursues two main objectives: on the one hand, to summarize and systematize the best available evidence on the comprehensive management of this pathology; on the other, to provide a useful, up-to-date instrument for psychiatrists, multidisciplinary teams dedicated to mental health, and government agencies. During a period of approximately six months of work -that is, from May to October 2022- a\u0000committee of experts made up of 18 professionals and representatives of the three most important Psychiatry and Mental Health associations in Argentina (that is, the AAPB, the Argentine Association of Psychiatrists, AAP, and the Association of Argentine Psychiatrists, APSA) have focused on updating the information regarding TB. Finally, this document was prepared as a result of an exhaustive review of the bibliography published to date, which was strategically divided into three parts: the first deals with the generalities of TB; the second deals with the comprehensive treatment of the\u0000pathology; finally, the third analyzes TB in the context of special situations.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"56-88"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519772","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":"First approximations \"rioplatenses\" (from River Plate) to the History of Madness","authors":"Norberto Aldo Conti","doi":"10.53680/vertex.v33i158.322","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.322","url":null,"abstract":"Incluye el texto: Algo sobre la enajenación mental (1864), de Pedro Mallo.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"104-111"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519771","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":"Application of cinematographic vignettes to teaching in Mental Health","authors":"Gabriel Kunst,&nbsp;María Fernanda Iglesias,&nbsp;Marcela Pratto,&nbsp;Delia Saffoires","doi":"10.53680/vertex.v33i158.318","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.318","url":null,"abstract":"<p><p>In this work some ideas about the possible relationships between cinema and psychopathology are presented. To carry out this task, the results of an experience carried out at the IUSAM-APdeBA are described, where a particular way of telling patient stories is explored, which is the cinematographic story. One of the many possible varieties of communicating clinical cases, in addition to the classic written and oral forms, is the audiovisual format. It is known that it is not easy to find good patient stories; even more so in these times where the possibilities of communicating real cases have been restricted by ethical-legal regulations. It has been observed that the audiovisual clinical vignettes extracted from the cinematographic stories can be a very useful tool for the purposes of discussion, exchange and teaching in psychopathology.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519773","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":"Digestivamente: Mobile application for patients with irritable bowel syndrome","authors":"Milagros Celleri,&nbsp;Florencia Koutsovitis,&nbsp;Sofía Donatti,&nbsp;Jorge Ierache,&nbsp;Juan Zaragoza,&nbsp;Nicolás Domínguez,&nbsp;Hernán Merlino,&nbsp;Cristian J Garay","doi":"10.53680/vertex.v33i158.317","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.317","url":null,"abstract":"<p><p>Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder that represents a significant public health problem due to the impact it produces on quality of life. Recommended treatments include cognitive-behavioral therapy to address psychological factors that may exacerbate symptoms. The use of technology and particularly mobile applications has grown significantly in recent years. In Argentina, no applications have been developed for IBS. Digestivamente is a mobile application, based on cognitive-behavioral therapy developed in this country. It aims to register\u0000the psychological factors of patients with IBS, in the context of a psychotherapeutic treatment. This work describes the application and its functionalities. The use of the application is expected to allow greater adherence to treatment and an improvement in the symptoms of these patients.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519774","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":"Off-label prescriptions in child and adolescent psychiatry. Why, when and how?","authors":"María Florencia Iveli,&nbsp;Mariano Monti,&nbsp;María Eugenia Benito,&nbsp;Pablo Iveli","doi":"10.53680/vertex.v33i158.320","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.320","url":null,"abstract":"<p><p>In the paediatric population, paticulary in the field of child and adolescent psychiatry, off-label indications are the rule rather than the exception. This may occur when a drug is indicated for a pathology, age, route of administration or treatment length other than those described in the product label. Argentina, unlike other countries, has no explicit regulation on off-label prescribing. Therefore, the prescription of a medicine in a manner different from that approved by the National Administration of Medicines, Food and Medical Technology (ANMAT) does not have a regulatory framework regarding the conditions that must be met at the time of treatment. Although off-label use is not prohibited, it carries an additional risk. In order to encourage research in paediatrics, regulatory agencies such as the Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have introduced legislative reform. The following paper will review the current framework of the regulatory agencies that are relevant to the paediatric population and\u0000will analyse criteria to guide physicians in the rational use of off-label pharmacotherapy.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519770","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":"Epidemiologic Analysis of the Inpatient Psychiatric Unit at a General Metropolitan Community Hospital of Buenos Aires city, Argentina","authors":"Sebastián Malleza,&nbsp;Tomás Abudarham,&nbsp;Fernando Carlos Bertolani,&nbsp;Daniel Matusevich,&nbsp;José Luis Faccioli","doi":"10.53680/vertex.v33i158.314","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.314","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the frequency of sociodemographic, clinical, and therapeutic variables of the Inpatient Psychiatric\u0000Unit at the Italian Hospital of Buenos.</p><p><strong>Introduction: </strong>Considering that the Inpatient Psychiatric Unit functions within a General Metropolitan Community Hospital, referent both at the local and the international level, we deem it relevant to perform an updated characterization of the population admitted into our Unit. This is especially important given the changes presented since the approval of the National Mental Health Law N° 26.657.</p><p><strong>Materials and methods: </strong>We performed an observational descriptive and analytic cross-sectional study, studying the patients admitted into the Inpatient Psychiatric Unit for a period of 12 consecutive months (from October 1st, 2018, to September 30th, 2019).</p><p><strong>Results: </strong>During the study period a total of 254 hospitalizations were registered. Mean Age: 51,85 years (S.D.=21,23),\u0000Median hospitalization time 22 days [IQR=14.00, 34.00], 31.5% of the admissions were involuntary. The most frequent cause of hospitalization was due to depressive episodes (32.7%), psychosis (22.8%), and dementia/behavioral symptoms (13%). 10.6% of the patients were admitted into our Unit after a suicide attempt.</p><p><strong>Discussion: </strong>The present study provides an updated analysis of the hospitalized population. It contributes to outlining the changes that have taken place over the last years, because of the new legislation.</p><p><strong>Conclusions: </strong>The description of the epidemiologic characteristics of the inpatient population in our setting is crucial to have a current situation diagnosis that allows us to develop health-policy strategies and an adequate allocation of resources.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"6-19"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519776","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 bell jar","authors":"Lucía Valdez D'Stefano,&nbsp;Daniel Matusevich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Review of the book: The bell jar, of Sylvia Plath. Random House, 2020.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"112-113"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574032","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 semiology in postmodernity","authors":"Ignacio Barbagallo","doi":"10.53680/vertex.v33i158.321","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.321","url":null,"abstract":"<p><p>This article intends to reflect on the validation of psychiatric semiology and nosography that is taught in clinical psychologists and psychiatrists training programs. The vision of academic psychiatry of our times, strongly influenced by scientific narrative, seeks to consolidate an universal nosography that aims to erase the culture marks. However, the prevalence of certain diagnoses over others is determined by the social context and cultural changes that determine, in turn, the classifying standards of professionals. For this reason, it is important to include the contributions of public intellectuals and cultural theorists for an updated and culturalized semiology of clinical phenomena. We will use the developments of Mark Fisher on Capitalist Realism to rethink the main symptoms of depression.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574036","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":"Differences in opinions and positions about psychiatric practice topics between undergraduate medical and psychology students","authors":"Eduardo A Leiderman,&nbsp;Camila Agnessi,&nbsp;Barbara Balbiani,&nbsp;Cindy Cedeño,&nbsp;Lucía Evangelista,&nbsp;Iaacob Ghea,&nbsp;Catalina Repetto,&nbsp;Emma Saravia","doi":"10.53680/vertex.v33i158.315","DOIUrl":"https://doi.org/10.53680/vertex.v33i158.315","url":null,"abstract":"<p><p></p><p><strong>Introduction: </strong>Due to the prevalence of the model of interdisciplinary attention in mental health it is necessary to establish common views about therapeutic practices of the different disciplines that intervene in mental attention. Our objective was to determine if there are differences in opinions and positions with respect to psychiatric practice topics between undergraduate students of the last years of medicine and psychology.</p><p><strong>Methods: </strong>An ad hoc survey with different statements about psychiatric hospitalization, electroconvulsive therapy and psychotropics was done. One hundred eighteen medical students and 122 psychology students answered the online survey on February 2022.</p><p><strong>Results: </strong>One third of the opinions were statistically different between the students. Medical students had positions a little more positive towards electroconvulsive therapy and psychiatric hospitalization than psychology students. The prejudice towards psychiatric practices is important in both groups.</p><p><strong>Discussion and conclusionss: </strong>There are no important differences on the opinions of medical and psychology students. The prejudice and stigma towards mental health should be addressed since the first years of both carreers.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"33 158, oct.-dic.","pages":"20-29"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519775","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}