Vertex (Buenos Aires, Argentina)最新文献_第5页

Editorial. 社论。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-04-10

Juan Carlos Stagnaro

引用次数: 0

De la Revolución Francesa a la Medicina Científica: Pierre-Jean-Georges Cabanis, Relaciones entre los físico y moral del hombre (1802). 从法国大革命到科学医学：皮埃尔-让-乔治·卡巴尼斯，《人的物理与道德关系》（1802）。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.950

Norberto Aldo Conti

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Registering is also caring: Analysis of documentation practices on suicidal behavior in general and specialized hospitals in Argentina 登记也意味着护理：分析阿根廷综合医院和专科医院的自杀行为登记做法。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.940

Daniela Emilce Bonanno, José Martín Turriani, Paula Morra, Florencia Maite Badano, Joaquín Castro Valdez, Leandro Ochoa, Silvina Bernasconi, Sara Ardila-Gómez

{"title":"Registering is also caring: Analysis of documentation practices on suicidal behavior in general and specialized hospitals in Argentina","authors":"Daniela Emilce Bonanno, José Martín Turriani, Paula Morra, Florencia Maite Badano, Joaquín Castro Valdez, Leandro Ochoa, Silvina Bernasconi, Sara Ardila-Gómez","doi":"10.53680/vertex.v36i170.940","DOIUrl":"10.53680/vertex.v36i170.940","url":null,"abstract":"Introduction: Health records play multiple roles within mental health care services and systems, from supporting individual clinical work to informing public policy development. Despite this, record-keeping as part of routine practice\u0000faces numerous barriers and challenges. As part of a larger study on consultations for self-inflicted injuries in general neuropsychiatric hospitals in Argentina, this paper presents an analysis of the corresponding records.Methods: Records from February 2023 were reviewed using a structured form encompassing five domains: readability, comparability, documentary standardization, accessibility, and content. In addition, interviews were conducted with key informants from the management, statistics, and clinical departments of the participating institutions.Results: The findings highlight the need to strengthen documentary standardization —particularly through the implementation of predefined data-entry fields— and to streamline and clearly define the minimum data required for reporting suicide attempts. The study offers a concrete proposal in this regard.Conclusions: The results emphasize the importance of enhancing staff training, promoting a stronger sense of ownership of record-keeping as a core (rather than supplementary) professional responsibility, and ensuring the quality of care provided.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961067","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}

引用次数: 0

Diez historias de vida, sufrimiento y amor. 十个关于生命、痛苦和爱的故事。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10

Martín Reca

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Validation of the Autism Mental Status Exam in Spanish: sensitivity and specificity in an Argentine clinical sample 西班牙语自闭症心理状态测试的有效性：阿根廷临床样本的敏感性和特异性。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.941

Sebastián H Cukier, Ana Maglio, Jonathan Berman, Marco Arduini, Natalia Barrios, Maranada Ngue, Cecilia Montiel, Mónica Elsa Ferrea, Karina Gutson, Emilio Zieba, Marcela Menassé, David Grodberg

{"title":"Validation of the Autism Mental Status Exam in Spanish: sensitivity and specificity in an Argentine clinical sample","authors":"Sebastián H Cukier, Ana Maglio, Jonathan Berman, Marco Arduini, Natalia Barrios, Maranada Ngue, Cecilia Montiel, Mónica Elsa Ferrea, Karina Gutson, Emilio Zieba, Marcela Menassé, David Grodberg","doi":"10.53680/vertex.v36i170.941","DOIUrl":"10.53680/vertex.v36i170.941","url":null,"abstract":"Introduction: The Autism Mental State Exam (AMSE) is a brief clinician-completed instrument that structures the\u0000observation and documentation of the social, communicative, and behavioral signs and characteristics of autism. In its original English version, it demonstrated high accuracy in identifying autism spectrum disorder (ASD). This study explores the sensitivity and specificity of a Spanish version of AMSE in an Argentine sample of 313 subjects, against DSM-5 clinical consensus diagnosis as the primary outcome.Materials and methods: The cutoff values were calculated using the receiver operating characteristic (ROC) curve, identifying the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). The internal homogeneity of the items was determined using Cronbach's alpha, and the Cohen Kappa coefficient was calculated for inter-rater reliability.Results: Findings indicate an optimized sensitivity of 90.71% and a specificity of 92.17% for this sample of 313 patients. AMSE exhibited fair internal consistency (alpha coefficient of .75) and high inter-rater reliability (.97) in this sample of subjects evaluated for ASD in Argentina.Discussion & conclusions: AMSE is emerging as a promising tool for diagnostic assessment of ASD in children,\u0000adolescents and adults at risk, standing out for its high clinical utility. Its application is particularly relevant in regions like Latin America, where access to the Autism Diagnostic Observation Schedule training, materials and use is limited. These results support the use of AMSE as a brief, reliable, and culturally adapted diagnostic tool to support the clinical diagnosis of autism in Spanish-speaking contexts with limited resources.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"14-30"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961081","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}

引用次数: 0

Proposal for the management of involuntary hospitalizations in the outpatient setting 关于门诊非自愿住院管理的建议。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.948

Ezequiel Mercurio

{"title":"Proposal for the management of involuntary hospitalizations in the outpatient setting","authors":"Ezequiel Mercurio","doi":"10.53680/vertex.v36i170.948","DOIUrl":"10.53680/vertex.v36i170.948","url":null,"abstract":"Involuntary commitment in mental health represent a challenge for professionals working in outpatient services, due to tensions between therapeutic necessity and criticisms from a human rights perspective. Effective management of involuntary commitment requires a dual-level approach: comprehensive risk assessment followed by appropriate risk management. This paper outlines practical guidelines for managing involuntary detention across diverse outpatient settings. We analyze six distinct healthcare scenarios: 1) outpatient services within specialized or general hospitals; 2)\u0000public outpatient care services; 3) private outpatient care services within healthcare centers; 4) private outpatient care services outside healthcare centers; 5) private practice offices; and 6) telepsychiatry. For each scenario, we provide detailed recommendations addressing referral protocols, patient safety measures, and inter-professional-institutional coordination. Our findings suggest that implementing clear protocols and standardized guidelines significantly reduces professional uncertainty, minimizes improvisation in critical situations, and ensures consistent, high-quality patient care.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"146-153"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961056","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}

引用次数: 0

Some psycho-social consequences of compulsory isolation and preventive distancing measures implemented during the COVID-19 pandemic in women with prolonged hospitalisation in an Argentinean neuropsychiatric hospital 2019冠状病毒病大流行期间实施的强制性预防性隔离和隔离措施对长期住院在阿根廷神经精神病院的妇女造成的一些心理社会影响。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.942

Julieta L De Battista, Marisel Hartfiel, Natalia Osella, Nadia M Percovich

{"title":"Some psycho-social consequences of compulsory isolation and preventive distancing measures implemented during the COVID-19 pandemic in women with prolonged hospitalisation in an Argentinean neuropsychiatric hospital","authors":"Julieta L De Battista, Marisel Hartfiel, Natalia Osella, Nadia M Percovich","doi":"10.53680/vertex.v36i170.942","DOIUrl":"10.53680/vertex.v36i170.942","url":null,"abstract":"Introduction: This research project was initiated in response to a critical issue identified by the team at Esteves Hospital.\u0000This issue pertains to the necessity for hospitalised women to narrate their experiences during the pandemic and\u0000to examine the potential impact of confinement on outpatient work. The objective of this study is to produce knowledge about the approach to mental health in the context of the Coronavirus Disease 2019 (Covid-19) pandemic from the perspective of hospitalised users. Furthermore, this study aims to make the situation of these women visible in order to contribute to the reduction of stigma.Methodology: The research employed focus groups comprising eight users, selected intentionally. An informed consent process approved by the ethics committee was conducted. The analysis yielded some convergent meanings. The users highlighted the feeling of confinement during the most restrictive period of the health measures. They were notably distressed by the separation from their roommates and the disruption of their routines. They emphasised the importance of living together in the hospital and how getting to know each other was beneficial for thinking about a possible discharge. We emphasise the importance of situational awareness during the pandemic, particularly in terms of identifying the necessary care.Discussion and conclusions: We conclude on the significance of the bonds established in the hospital and their relevance in the outpatient project. As a key finding, we highlight the importance of working in small groups for the resolution of coexistence conflicts.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960992","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}

引用次数: 0

Contemporary Models and Theories of Suicidal Behaviour: A Comprehensive Review 自杀行为的当代模型和理论：综合分析。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.944

José Enrique Gutiérrez-Jurado, Sonia Janeth Romero Martínez

{"title":"Contemporary Models and Theories of Suicidal Behaviour: A Comprehensive Review","authors":"José Enrique Gutiérrez-Jurado, Sonia Janeth Romero Martínez","doi":"10.53680/vertex.v36i170.944","DOIUrl":"10.53680/vertex.v36i170.944","url":null,"abstract":"The paper provides a narrative review of the models and theories of suicidal behaviour. It highlights their relevance to empirical research on the phenomenon. It ranges from the classical approaches of Durkheim or Stengel to more recent models such as Joiner's interpersonal psychological theory or O'Connor's motivational-volitional model. It examines philosophical, psychological, sociological, neurobiological and integrative perspectives, analyzing the conceptual contributions, dimensions evaluated and limitations of each model. Following a systematic search of databases (PubMed,\u0000PsyINFO, Scopus, Web of Science and Google Scholar), 27 publications that met the inclusion criteria were analyzed. The integrative analysis revealed that classical theories have provided a conceptual basis, while more recent models have integrated individual, contextual and biological factors, providing a broader and more dynamic understanding of suicide. Common limitations of the analyzed models over time are identified, such as the lack of empirical validation or the complexity of practical operationalization of theoretical concepts. The review also highlights the need to develop an integrated theoretical framework that allows for the convergence of individual, interpersonal and societal factors to improve the prevention and intervention of suicidal behaviour in cross-cultural contexts.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"64-75"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961004","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}

引用次数: 0

Clozapina: actualización imperiosa de la normativa nacional de farmacovigilancia intensiva. 氯氮平：迫切需要更新国家强化药物警戒条例。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10

Julieta Ramírez, Alejo Corrales, Federico Rebok, Manuel Vilapriño Duprat, Cintia Prokopez, Pedro Damián Gargoloff

引用次数: 0

Cognitive profiles in dementia 痴呆中的认知特征。

Vertex (Buenos Aires, Argentina) Pub Date : 2026-01-10 DOI: 10.53680/vertex.v36i170.943

Edith Labos, Diana Cristalli, Florencia Deschle, Liliana Colli, Waleska Berrios, Guido Dorman, María Cecilia Fernández, Silvina Frontera, Marcelo Katz, Carlos Mangone, Fernando Márquez, Oscar Porta, Valeria Rubiño, María Julieta Russo, Juan Ollari

{"title":"Cognitive profiles in dementia","authors":"Edith Labos, Diana Cristalli, Florencia Deschle, Liliana Colli, Waleska Berrios, Guido Dorman, María Cecilia Fernández, Silvina Frontera, Marcelo Katz, Carlos Mangone, Fernando Márquez, Oscar Porta, Valeria Rubiño, María Julieta Russo, Juan Ollari","doi":"10.53680/vertex.v36i170.943","DOIUrl":"10.53680/vertex.v36i170.943","url":null,"abstract":"Dementia is characterized by a progressive deterioration of cognitive and functional abilities. While the most prevalent dementia is Alzheimer's disease, the wide spectrum of other forms of presentation such as vascular dementia, frontotemporal dementia or dementia with Lewy bodies, among others, implies a great diagnostic challenge. This instance is highly complicated since dementia generally presents initially with a varied overlap of clinical and cognitive manifestations, as well as with a great heterogeneity in the findings in magnetic resonance imaging scans, which makes their precision difficult.\u0000The cognitive profiles of Alzheimer's disease, vascular dementia, behavioral variant of frontotemporal dementia, focal dementias such as primary progressive aphasias, Parkinson's disease dementia, and LATE, a late-onset dementia highly similar to AD, are described. Considering that complex studies such as biomarkers or neuroimaging are not always available, the objective of this paper is to provide a current overview of cognitive profiles of onset and progression that may be clinically useful and guide a possible differential diagnosis.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 170, oct.-dic.","pages":"41-63"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961031","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}

引用次数: 0