ABSTRACT
The past 20 years have seen the evolution of the construct of a clinical high-risk (hereafter, HR) state for psychosis. This construct is designed to capture the pre-psychotic phase. Some aspects of this approach, such as its feasibility in children and adolescents, are still under investigation. In the present study, we address the feasibility of implementing prodrome clinics for HR individuals within the framework of Italy's national child and adolescent neuropsychiatry services and the clinical relevance of a HR diagnosis in this population. Using the Comprehensive Assessment of At-Risk Mental States (CAARMS) to identify help-seeking patients meeting at least one HR criterion at baseline (HR+), we recruited 50 subjects for a feasibility study. The results obtained show that the Italian version of the CAARMS is easily administrable, causing patients no substantial discomfort. The prevalence of HR+ in our cohort was 44 %, which increased by an additional 18 % when negative symptoms were considered as an experimental inclusion criterion (HRNeg). The HR+ subjects were significantly more impaired in their social and occupational functioning than their HR- peers (subjects not at HR). The cumulative 1-year transition risk of psychosis of the HR+ group was 26.7 %. When the HRNeg group was added, the 1-year transition risk was 17.3 %. We suggest that administration of the CAARMS to children and adolescents with putative prodromal psychosis is feasible and that this assessment can easily be integrated into existing Italian neuropsychiatry services although clinicians should interpret results with caution as results in this age group still have to be replicated.
Subject(s)
Mental Health Services/standards , Psychiatric Status Rating Scales/standards , Psychotic Disorders/diagnosis , Psychotic Disorders/epidemiology , Adolescent , Child , Cohort Studies , Cross-Sectional Studies , Feasibility Studies , Female , Follow-Up Studies , Humans , Italy/epidemiology , Male , Mental Health Services/trends , Prospective Studies , Psychotic Disorders/therapy , Risk Assessment , Risk FactorsSubject(s)
Composite Resins , Inlays , Dental Bonding , Dental Cavity Preparation , Female , Humans , MaleSubject(s)
Composite Resins , Evaluation Studies as Topic , Female , Humans , Male , Tooth Discoloration/therapy , Tooth Fractures/therapyABSTRACT
The study concerns 15 patients affected by pulmonary cancer using rosette Et, Ea, EAChu in pre-treatment phase but after leven-Therapy and Finally after surgery. After surgery we also evaluated the Ts population. The conclusions of our studies demonstrate a significant decrease of the rosette Et-Ea population in the pre-treatment phase that becomes normal after treatment and the use of surgery. Very important is the observation of the decrease of rosette Ts and said decrease coned be corolated with the presence in these subjects of inhibitory or facilitary factors which coned limit the immunitary intervention by an inhibitory action on the Ts lymphocytes.
