{"title":"[Report on the Who meeting on problems of prevention and control of stress].","authors":"E Dragomirecká","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The report informs of the Consultation organized by the World Health Organization, Regional Office for Europe in Prague, 24.-26. June 1992. It was attended by 27 experts from 15 countries. The scope of the Consultation was to review effective approaches to stress management in the community setting. Considering the fact the growing number of persons and population groups in Europe Region are exposed to major stressful situations there is great need for help either from the health and social welfare system as well as from various non-professional organization. During the Consultation the definition of the stress management and prevention, examples of intervention programmes and particularly set of recommendation to the WHO and its Member States in European Region were elaborated.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19387079","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 \"cognitive-behavioral program\" in the treatment of sexual offenders].","authors":"J Zvĕrina","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19387080","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 stimulation and the female orgasm].","authors":"S Kratochvíl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Questionnaire data regarding mode of sexual stimulation were collected in 200 women treated for neurotic disorders and 100 female health professionals and counselors. Clitoral stimulation was the source of female orgasm in 90% of subjects, while three quarters achieved orgasm also by means of vaginal stimulation. The anterior wall of the vagina seemed to be slightly more important than the posterior one. One third of the respondents reported effective stimulation in the depth of the vagina with cervical tapping. Stimulation in the area corresponding to the alleged G spot was acknowledged as effective by 10 to 20%. The sexual responsiveness of neurotic patients was generally somewhat lower than responsiveness of health professionals and counselors.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388476","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":"[Observations of participants in a bilateral symposium of the American Psychiatric Association and the Czechoslovak Medical Society].","authors":"P Zvolský","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388482","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 nocturnal eating syndrome (2 case reports and polysomnography)].","authors":"K Sonka, N Spacková, P Marusic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The nocturnal eating syndrome (NES) is a nocturnal sleep disorder caused by repeated awakening and the inability to fall a sleep again unless the patient ingests some food or drinks something. In children the NES is frequent, in adults rather rare and may be associated with various pathological conditions. The latter include in particular somnabulism, periodic movements of the lower extremities, narcolepsy, chronic triazolam intoxication, probably anorexia nervosa, and other eating disorders. The authors submit two case-histories of middle aged women (30 and 37 years old) without disturbances of the day-time eating behaviour, without obvious psychopathology where the symptomatology of NES developed slowly from the age of 14 and 25 years resp. Both patients ate at night small amounts of easily consumed foods which they went to fetch in the kitchen as often as five times per night. Their behaviour was calm and aimed. Usually they did not remember the nocturnal eating. Polysomnographic examination in both patients revealed poor sleep with frequent changes of the sleep stages, with frequent awakenings, in both patients incl. even awakening from deep NREM sleep. The authors conclude that in these two patients NES with somnabulism is involved.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388480","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":"[Epilepsy and intelligence. II. Correlation among 13 variables].","authors":"J Preiss, J Zvárová, M Kolínová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a group of 215 ambulatory adult patients the authors assessed links with full-scale IQ, verbal IQ, performance IQ and different Wechsler-Bellevue sub-tests. They revealed marked correlations in particular with the frequency of grand mal seizures, invalidity and the onset of the disease. More important than the close correlation of IQ and education is the finding that an earlier onset of the disease markedly reduces the opportunities of good education. Less marked but still significant are correlations with the known aetiology of the disease, the duration of the disease, the frequency of other seizures than grand mal and the course of the disease. Dramatically increased correlations with the frequency of other seizures than grand mal were recorded in a sub-group of 77 men whose data on the disease can be considered valid (in WPSI, the Washington Psychosocial Seizure Inventory, values of scale L within the range of 0-3). No marked correlations were found with seizures in relatives. The position of bachelors is often adverse also as far as intellectual performance is concerned. Patients with a history of contact with psychiatry have lower intellectual performance. Patients who admit subjective needs of psychiatric or psychological assistance have a markedly better performance. It is probable that rehabilitation procedures which improve the collaboration and adherence to the therapeutic regime, in particular as regards taking prescribed drugs may promote also better cognitive performance.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388478","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 asphyxiophilia (Koczwarism)].","authors":"M Zaviacic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author discusses the definition, history, anthropological data and sexual differences of a deviant sexual activity, asphyxiophilia (Kocwarism), the objective of which is stimulation or enhancement of sexual excitation or induction of orgasm by induced hypoxia. The author draws attention to the basic features which provide evidence of this life threatening and so far inadequately diagnosed sexual practice in both sexes, in particular in women. These features can be used in forensic psychiatry and sexuology and in forensic medicine.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388477","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":"[Hyperlipoproteinemia in mentally retarded children].","authors":"J Höllge, J Vymlátil, P Kostiuk, J Böswart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Screening revealed a significantly higher incidence of hyperlipoproteinaemia in mentally retarded children in an Institute for Social Welfare than in the healthy child population (P 1%). In the aetiology participate most markedly secondary influences ensuing in particular from complications of the basic diagnosis of oligophrenia. It is mainly a question of the action of antiepileptics, neuroleptics, the influence of viral hepatic infections and other endogenous and exogenous factors. Early diagnosis of hyperlipoproteinaemia is possible so far only by biochemical methods. It is essential for genetic counselling, for prevention of deterioration as regards mental retardation, restriction of pharmacotherapy and later for a reduced risk of development of cardiovascular disease.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19388479","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}
I David, V Filip, C Höschl, V Albrecht, M Palus, D Seifertová, H Prasková
{"title":"Dynamics of the effects of levoprotiline and maprotiline on EEG in patients with major depressive episodes (DSM-III-R).","authors":"I David, V Filip, C Höschl, V Albrecht, M Palus, D Seifertová, H Prasková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The presented study compares the effect of the well-tested antidepressant maprotiline and a new antidepressant with an atypical pharmacological profile, levoprotiline, on EEG during repeated assessment after single dose administration. From the original number of 34 patients fulfilling the criteria of a major depressive episode (DSM-III-R) on account of a low-voltage record or pathological findings 11 were eliminated. To 12 of the remaining patients levoprotiline was administered and to 11 maprotiline, after a one-week placebo period, in doses of 150 mg. The EEG was recorded after an accommodation session immediately before, 1.5, 3, 4.5, 6 and 24 hours after a single dose administration. The record was taken on a 16-channel average reference montage at rest with closed eyes. Two-minute intervals were divided into 30 four-second periods at a sampling frequency of 128 Hz. From the signal by means of FFT the spectra were estimated and the mean spectrum for the entire recording was calculated. This was then divided into 10 frequency bands. The new method of frequency analysis of alpha-entropy was also used which is a global measure of the difference between two spectra. Three hours after administration of a single dose levoprotiline had an EEG profile corresponding to the profile of tricyclic antidepressants, i.e. it increased the values of the power spectra density in the region of 5-8.5 Hz and in the entire beta band; the decline of power in the alpha band was, however, absent. As regards maprotiline, 3 hours after administration a profile typical for antidepressants was not found; obviously because of the great variance of values of power spectra density as a result of great interindividual differences in the ingestion phase. Changes of the EEG spectrum expressed as values of alpha-entropy during different periods of apparently assessment are not incidental. After the initial rise of values a decline occurs.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19340538","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":"[Indications for antidepressive agents in relation to diseases of the cardiovascular system].","authors":"K Tikal, M Hrabánková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Antidepressants, in particular tricyclic ones (TCA), and inhibitors of monoaminooxidase (IMAO) exert a number of undesirable cardiovascular effects. TCA and IMAO frequently cause postural hypotension (PH). IMAO administration is associated with the risk of hypertensive crisis. TCA raises the heart rate and can cause abnormalities in the conduction of the cardiac excitation. TCA are contraindicated after myocardial infarction and are the cause of death after overdosage. When PH is undesirable, in hypertension and cardiac insufficiency the following safe antidepressants are recommended: nortriptyline, mianserine, trazodone and viloxazine. In abnormalities of conduction of the cardiac excitation and after myocardial infarction only mianserine, trazodione and viloxazine are recommended. With regard to cardiovascular toxicity, antidepressants from the series of selective inhibitors of serotonin reabsorption are very promising: fluvoxamine, fluoxetine, citalopram, paroxetine and sertraline. The same applies also to the reversible IMAO type A moclobemide.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19340542","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}