Appearance Of Symptomatology Research Articles

Experiences of People Living with Parkinson's Disease in Care Homes: A Qualitative Systematic Review.

Incidence of disability secondary to Parkinson's disease is increasing faster globally than any other neurological condition. The diverse appearance of symptomatology associated with Parkinson's, and the degenerative nature and subsequent functional decline, often increase dependence on caregivers for assistance with daily living, most commonly within a care home setting. Yet, primary literature and evidence synthesis surrounding these unique and complex care needs, challenges and the lived experiences of this population living in long-term nursing or residential facilities remains sparce. The aim of this review is to synthesize qualitative literature about the lived experience of people with Parkinson's disease living in care home settings. A systematic search of the literature was conducted in October 2023 across six different databases (CINAHL, Medline, EMBASE, PsycINFO, Scopus and Cochrane Library). The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used to guide this review. Five articles met the inclusion criteria. Four themes were identified following evidence synthesis: (1) Unique pharmacological challenges. (2) Transitioning and adapting to care home life and routines. (3) Dignified care within care homes. (4) Multidisciplinary care vacuum in care homes. This review revealed the significant and unique challenges for people with Parkinson's disease when transitioning into care homes. These are exacerbated by wider social care challenges such as staffing levels, skill mixes and attitudes as well as a lack of disease-specific knowledge surrounding symptomatology and pharmacology. The lack of multi-disciplinary working and risk-adverse practice inhibited person-centred care and autonomy and reduced the quality of life of people living with Parkinson's disease in care homes. Recommendations for practice highlight training gaps, the need for consistent and improved interdisciplinary working and better person-centred assessment and care delivery.

Relationship Between Child Perfectionism and Psychological Disorders.

Objective: Perfectionism is one of the variables related to the correct emotional development or with the appearance of clinical symptomatology in childhood. A study has been designed to evaluate the differential effect that each dimension of perfectionism (external pressure, self-exigency, and negative self-evaluation) has in a Spanish children sample of general population for each of the following clinical aspects: irritability, worthlessness feelings, thinking problems, and psychophysiological symptoms.Method: By a random cluster sampling, a total of 2,636 children from 8 to 12 years (M = 9.9, SD = 1.2; 51.3% boys) took part in this research. A serial multiple mediators model was used to check the relation between external pressure over the clinical symptoms through self-exigency and negative-self-evaluation.Results: The results have shown a predictive effect of external pressure over a great variety of clinical symptomatology (irritability, worthlessness, thinking problems, and psychophysiological symptoms), a relation mediated by self-exigency and negative self-evaluation. These relations suggest that external pressure and negative self-evaluation are maladaptive dimensions as they predict the appearance of symptomatology, being the level of self-exigency a protective dimension and favoring the child’s positive development.Conclusions: In consequence, these results point to the importance of the study of these variables that can generate difficulties in childhood in order to improve children’s quality of life and their correct development.

Post-Traumatic Stress Disorder Symptomatology in People affected by Home Eviction in Spain.

Despite the higher proportion of foreclosures and home evictions executed in Spain, compared to other countries, and the known link between social exclusion and mental health problems, studies exploring this association in Spain remain scarce. This study investigated the link between the process of home eviction and the appearance of symptomatology of post-traumatic stress disorder (PTSD), anxiety, depression, and perceived stress. Two hundred and five people affected by the process of home eviction were assessed using a structured interview that included three validated assessment instruments for PTSD, perceived stress, anxiety and depression. Analysis involved comparison with the normative groups that formed the validation studies together with regression analysis to determine the major psychological and socio-demographic predictors of perceived stress. Of the participants, 95.1% reported that they were experiencing the process of home eviction with fear, helplessness, or horror. In PTSD symptomatology, they scored higher than the normative PTSD group in symptoms of avoidance (t = 5.01; p < .05), activation (t = 5.48; p < .01), and total score (t = 4.15; p < .05). Of this subgroup, 72.5% fulfilled the DSM-IV symptom criteria for PTSD. The major predictor of perceived stress was PTSD symptomatology (B = .09; p < .001). The process of home eviction in Spain is having an alarming impact on mental health of affected people calling for effective measures to provide psychological and social support.

Superior articular muscle syndrome

A high percentage of people of every age sufer, sickness, headache and symptomatology in the neck, waist, arms and hands. The Medical Institution diagnoses these symptoms as chronic sickness, and it limits to fight the symptomatology with analgesic, anti-inflamatorys and muscular relaxings who the patient consume-regularly during years. We interpret of all these regions belong to a same system, that we call Upper Articulated Muscle (UAM ). Jaw is the phisiological centre of itself. This certify the functions which take part phonation, swallowing and mastication, the movement that it executes, and a large number of muscles which inserts in it. The eccentric positions in the functions and in the rest modify the sincronization´s system determining the symptomatology appearance in one or several regions which compose the system. All these associated symptoms in a same cause characterize the syndrome.The conclusion of this clinical job here presented show the related symptons and the percentages of protrude of themselves.

P02-85 - Examination of depression at patients with diabetes mellitus

IntroductionDepression is a dysfunction with great range of demonstrations and according to researches appears at person with diabetes mellitus two or three times more than in general population. The knowledge although about the reasons and the way that depression affects the management of diabetes are limited.AimOf this study was the examination of existence of possible depression at patients with diabetes mellitus.Material/method164 diabetics were studied (72 male and 92 female, medieval age 66,9 ± 11,53 years) at diabetic clinics. We used the self evaluation scale of Zung (ZDRS) and structured questionnaire about demographical and body measure data.The statistic analysis was done with the statistic package SPSS 18.0.Results57,3% of diabetics were overweight, and 30,5% obese, with high rates of central obesity (83,3% at males and 92,4% at females), while the big Index of Body Maze [r = 0,309, p = 0,001] and central obesity [t(162)=4,773, p = 0,001] were related significantly with depression. 50% of diabetics appeared depression symptoms at mild levels and 20% at medium levels, with the females [t(162)=3,26, p = 0,001] and elder to be related statistically significant with depression.ConclusionsThe majority of the sample appeared a level of mild or medium depression and correlation was observed between bad glycemic examinations. The daily and for many years effort of diabetes control can create the suitable situation for depressive symptomatology appearance. The examination and evaluation of the causative factors can help at the adaptation of diabetic and the solution of his problems.

Alergia al látex en los trabajadores sanitarios (I): Vigilancia de la salud

Latex allergy constitutes an important problem of health in the healthcare workers, so much for its high prevalence as for the graveness of the reactions that can take place. The early detection of the symptoms by means of specific health surveillance, and the measures guided to avoid the sensitization and to prevent the symptomatology appearance and progression of the illness in the sensitized workers, are the best intervention strategies on this occupational problem.

Prognostic implications of admission inflammatory profile in acute ischemic neurological events.

To reveal the potential prognostic implications of admission inflammatory markers in patients with acute ischemic neurological events. Sixty patients with an acute ischemic neurological event who were examined within 24 h from the appearance of symptomatology. We determined the high-sensitive C-reactive protein (hs-CRP) concentrations, erythrocyte sedimentation rate (ESR), fibrinogen concentrations and degree of erythrocyte adhesiveness/aggregation. A significant correlation was noted between baseline hs-CRP concentrations, ESR as well as adhesiveness/aggregation and the outcome of the ischemic neurological event as determined by the modified Rankin scale 8-12 months following the insult. Admission inflammatory markers have long-term prognostic implications in patients with acute ischemic neurological events. These findings are relevant in view of the new therapeutic interventions now available for reducing the inflammatory response.

Activation of Latent Graves' Disease in Children

In some children, psychological events have appeared to be important in the triggering of Graves' disease. This report examines the case histories of three children in whom the appearance of symptomatology of Graves' disease was associated with depression following the death of a loved one. An analysis of neuroendocrine and immunologie pathways suggests that depression, set off by bereavement, causes low levels of norepinephrine in the brain. The latter in turn may mediate an increase in ACTH and cortisol, leading to reductions in immune surveillance and resultant production of thyroid-stimulating immunoglobulins, hence the development of Graves' disease.