Anxiety and depression symptoms in recurrent painful renal lithiasis colic

Several studies have reported that symptoms of anxiety and depression are significantly associated with diseases characterized by painful crises. However, there is little information about the psychological aspects of recurrent painful episodes of renal stone disease. Our objective was to evaluate the association of symptoms of anxiety, depression and recurrent painful renal colic in a case-control study involving 64 subjects (32 cases/32 controls) matched for age and sex. Cases were outpatients with a confirmed diagnosis of nephrolithiasis as per their case history, physical examination, image examination and other laboratory exams. Patients had a history of at least two episodes within a 3-year period, and were currently in an intercrisis interval. The control group consisted of subjects seen at the Ophthalmology Outpatient Clinic of this University Hospital with only eye refraction symptoms, and no other associated disease. Symptoms of anxiety were evaluated by the State-Trait Anxiety Inventory and symptoms of depression by the Beck Depression Inventory. Statistically significant differences were observed between patients with nephrolithiasis and controls for anxiety state (P = 0.001), anxiety trait (P = 0.005) and symptoms of depression (odds ratio = 3.74; 95 percentCI = 1.31-10.62). The Beck Depression Inventory showed 34.5 percent of respondents with moderate and 6 percent with severe levels of depression. There was a significant linear correlation between symptoms of anxiety (P = 0.002) and depression (P < 0.001) and the number of recurrent colic episodes (anxiety-state: P = 0.016 and anxiety-trait: P < 0.001). These data suggest an association between recurrent renal colic and symptoms of both anxiety and depression.

Dermatoses observadas em hospital psiquiatrico. / Dermatosis in a psychiatric hospital

Os autores examinaram 150 doentes internados em hospital psiquiatrico sob tratamento especializado. Procuraram verificar a ocorrencia de dermatoses nesses doentes e relacionar as molestias cutaneas com as diferentes doencas mentais observadas e o tratamento em uso. Grande numero de doentes apresentava lesoes cutaneas e/ou mucosas, que foram caracterizadas como farmacodermias. Pelo seu elevado numero, bem como pela variedade de aspectos clinicos, elas serao motivo de outra comunicacao

Profilaxia de psicose maniaco-depressiva: o uso do carbonato de litio em 19 casos. / Prophylaxis of manic-depressive psychosis: the use of lithium carbonate in 19 cases

Os autores examinam a evolucao da psicose maniaco-depressiva com a utilizacao do carbonato de litio como agente profilatico Para tanto, selecionam 19 pacientes com diagnostico de PMD bipolar tipos I e II e avaliam os resultados terapeuticos. A evolucao desses casos evidencia a existencia de uma modificacao no curso da doenca, suprimindo ou aliviando a sintomatologia. Os autores descrevem tambem os efeitos colaterais mais encontrados

Profilaxia de psicose maniaco-depressiva. O uso de carbonato de litio em 19 casos. / Prevention of manic-depressive psychosis. Use of the lithium carbonate in 19 cases

Os autores examinam a evolucao da psicose maniaco-depressiva com a utilizacao do carbonato de litio como agente profilatico Para tanto selecionam 19 pacientes com diagnostico de PMD bipolar tipos I e II e avaliam os resultados terapeuticos. A evolucao desses casos evidencia a existencia de uma modificacao no curso da doenca, suprimindo ou aliviando a sintomatologia. Os autores descrevem tambem os efeitos colaterais mais encontrados

Alteracoes electroliticas plasmaticas em pacientes alcoolatras cronicos com e sem delirium tremens. / Plasma electrolyte alterations in chronic alcoholic patients with and without delirium tremens

Los electrolitos magnesio, sodio, potasio y cloro fueron dosados en tres grupos de personas: enfermos alcoholicos con delirium tremens; enfermos alcoholicos cronicos sin delirium tremens; y un grupo control de no alcoholicos. Los resultados mostraron una disminucion de los valores de magnesio y potasio en los grupos alcoholicos cuando fueron comparados a los controles. Los valores de sodio estan disminuidos apenas en el grupo con delirium tremens. Los niveles de cloro no eran diferentes en los grupos estudiados