RESUMO
This study examines the relationship between psychiatrists׳ fear of death and negative emotions toward patients with borderline personality disorder (BPD). A survey (N=120) demonstrated that fear of death is associated with stronger negative attitudes toward BPD patients, after controlling for attitudes toward suicide. Our findings emphasize the importance of psychiatrists׳ awareness to their fear of death as a relevant factor for their emotions toward BPD patients.
Assuntos
Atitude Frente a Morte , Transtorno da Personalidade Borderline/psicologia , Emoções , Medo/psicologia , Psiquiatria , Adulto , Transtorno da Personalidade Borderline/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Suicídio/psicologia , Inquéritos e QuestionáriosRESUMO
The impact of human exposure to environmental factors on Heart Rate Variability (HRV) was examined in the urban space of Tel-Aviv-Jaffa. Four environmental factors were investigated: thermal and social loads; CO concentrations and noise. Levels of HRV are explained mainly by subjective social stresses, noise and CO. The most interesting result is the fact that while subjective social stress and noise increase HRV, low levels of CO are reducing HRV to some extent moderating the impact of subjective social stress and noise. Beyond the poisoning effect of CO and the fact that extremely low levels of HRV associated with high dozes of CO increase risk for life, low levels of CO may have a narcotic effect, as it is measured by HRV. The effects of thermal loads on HRV are negligible probably due to the use of behavioral means in order to neutralize heat and cold effects.
Assuntos
Exposição Ambiental/estatística & dados numéricos , Ruído/efeitos adversos , Estresse Psicológico/epidemiologia , Adulto , Monóxido de Carbono/análise , Cidades , Exposição Ambiental/análise , Feminino , Frequência Cardíaca/efeitos dos fármacos , Frequência Cardíaca/fisiologia , Humanos , Masculino , Estresse Fisiológico , População Urbana , Adulto JovemRESUMO
We report an open-label study comparing tadalafil and acetazolamide (n = 24) versus acetazolamide (n = 27) for prevention of high-altitude illness (HAI) at Mt. Kilimanjaro. Tadalafil group had lower rates of severe HAI compared with controls (4% vs 26%, p = 0.03), mostly because of decreased high-altitude pulmonary edema rates (4% vs 22%, p = 0.06).
Assuntos
Acetazolamida/administração & dosagem , Doença da Altitude/prevenção & controle , Carbolinas/administração & dosagem , Inibidores da Anidrase Carbônica/administração & dosagem , Hipertensão Pulmonar/prevenção & controle , Montanhismo , Doença Aguda , Adulto , Doença da Altitude/tratamento farmacológico , Relação Dose-Resposta a Droga , Cefaleia/prevenção & controle , Humanos , Hipertensão Pulmonar/tratamento farmacológico , Masculino , Índice de Gravidade de Doença , Tadalafila , Tanzânia , Adulto JovemRESUMO
In the present, preliminary, naturalistic study, cardiac ventricular late potentials (LPs), were measured in 33 physically healthy schizophrenia patients (13 - females and 26 - males, age - 45.5+/-8.8years) maintained on typical and atypical antipsychotic agents. These LPs represent delayed ventricular activation that might predispose to fatal ventricular arrhythmias and sudden cardiac death (SCD) in cardiac patients. Sixteen of the 33 patients ( approximately 48%) were found to be positive for LPs (compared to 3.7-6% in the general population). No association was found with any of the following: drug type, anti-cholinergic burden, daily dose of antipsychotic agents, age, gender, disease duration, QT(c) interval and QT dispersion. Further large-scale longitudinal prospective studies are warranted to substantiate our findings and to clarify their impact on the excess cardiac morbidity and mortality in schizophrenia patients.
