Repositorio de la Asociación Española de Neuropsiquiatría
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Mi vida en el manicomio (1953). La experiencia de Ángeles Villarta en el Hospital Psiquiátrico Provincial de Oviedo
No full textThe Asturian writer and journalist Ángeles Villarta published in 1953 the book Mi vida en el manicomio. She writes about the experiences she lived in the women’s section of the Oviedo Provincial Psychiatric Hospital, where she was admitted for a few days with official authorization. Although some of its contents may have been fictionalized, the work allows us to know the experiences of the patients of the institution through a certainly subjective (but at the same time truthful) narration, which moves away from the topics related to the condition of the “mad women” and the asylums in force during those years. It is a story to a certain extent feminist and empathetic with the women, although it is also true that it offers few elements of social or institutional criticism.En 1953, la escritora y periodista asturiana Ángeles Villarta publica Mi vida en el manicomio. Recoge las experiencias vividas en la sección de mujeres del Hospital Psiquiátrico Provincial de Oviedo, donde ingresa durante unos pocos días con autorización oficial. Aunque algunos de sus contenidos pueden haber sido ficcionados, la obra nos permite conocer las vivencias de las enfermas de esa institución a través de un relato ciertamente subjetivo, pero al mismo tiempo veraz, que se aleja de los tópicos relativos a la condición de “las locas” y de los manicomios vigente durante aquellos años. Es un texto que resulta en cierta medida feminista y empático con las mujeres ingresadas, aunque también es verdad que ofrece escasos elementos de crítica social, y mucho menos institucional
El escenario asistencial de la reforma psiquiátrica
No full textUna de las características de la AEN-PSM desde sus inicios ha sido su interés y su compromiso por lo asistencial, por la mejora de los modelos de atención en salud mental y por una clara voluntad reformista de la organización de los servicios públicos. Tanto la reforma psiquiátrica de la Segunda República como la que se inició en los años ochenta del siglo xx estuvieron precedidas de debates en el seno de la AEN, así como de iniciativas y valoraciones posteriores
En compañía de Laing: recuerdos de un joven aspirante a psicoterapeuta: En compañía de Laing: recuerdos de un joven aspirante a psicoterapeuta. Andrew Feldmár, Credo. R. D. Laing and Radical Psychoterapy.
No full textLa obra laingiana, vasta y compleja, es expresión del genio creador de Ronald D. Laing, médico psiquiatra y psicoanalista escocés (1927-1989). Aunque empañada en ocasiones por sus excesos etílicos, así como por su agitada vida afectiva- familiar (de la que son fiel reflejo los diez vástagos que tuvo con cuatro mujeres distintas), esto no ensombrece en nada, a nuestro juicio, sus aportaciones psico(pato) lógicas acerca de la condición humana, y particularmente, en el caso de los individuos aquejados de psicosis
¿Qué persona soy? Interdicción, familia y locura en el México liberal del siglo XIX: Cristina Sacristán, El ruido y el velo. Perder los derechos civiles en el México liberal. El caso Raigosa, 1872-1879.
No full textDesde que se estableció en el código civil francés de 1804, el juicio de interdicción ha tenido la finalidad de “proteger” a la persona “incapaz” de conducir su vida y administrar sus bienes. En este sentido, es una invención de la modernidad jurídica decimonónica que logró hacer extensivo el derecho civil a las personas afectadas con alguna enfermedad mental en varias partes del mundo
Heridas que no sangran: de pandemias, sanitarios y daño moral
No full textThis text reflects on the moral impact of the pandemic on healthcare professionals and its consequences. It argues that the SARS-CoV-2 pandemic has caused significant moral injury, affecting different sectors of the healthcare system unevenly. Moral injury stems from our social nature and sensitivity to relational experiences, extending to the evolving relationship between healthcare professions and society. The moral impact has led to dangers such as professional burnout, attrition, and retaliation. Consequently, urgent processes of repair and reconciliation among key stakeholders are crucial to address these challenges.El presente texto se propone reflexionar acerca del impacto que la pandemia ha podido tener sobre los profesionales sanitarios en la esfera moral y las posibles repercusiones de dicho impacto en su bienestar y desempeño laboral. Puede afirmarse que la pandemia del SARS-CoV-2 ha supuesto un importante daño moral para muchos profesionales sanitarios, manifestándose de forma desigual a lo largo y ancho de nuestros sistemas sanitarios. El denominado “daño moral” arraiga en nuestra naturaleza de animales sociales y nuestra sensibilidad hacia los hechos relacionales. Esta sensibilidad se extiende más allá del acto clínico concreto, alcanzando la relación entre profesiones sanitarias y la sociedad en su conjunto. Consecuencias de este impacto moral por la pandemia serían el desencanto (desgaste profesional o “Burnout”), la deserción (“La Gran Renuncia”) o la represalia (desplazamiento de la agresión). Se hacen más necesarios y urgentes que nunca procesos de reparación y reconciliación entre los principales agentes implicados
El insólito desarrollo de la primera cátedra de Psiquiatría por concurso-oposición en España. Madrid: 1933-1947
No full textThe main objective of this study is the historical development of the process by which the first chair of Psychiatry was covered, by public competition, in a Spanish Faculty of Medicine. The first announcement was in 1933, but it took fourteen years to be resolved. The numerous opponents along the years, various university courts, six calls and three types of contests will be analyzed. These unusual processes, that led to declaring the chair empty four times, an unusual event in Spanish medical schools, will be discussed.El objetivo principal de este estudio es el desarrollo histórico del proceso gracias al cual se creó la primera cátedra de Psiquiatría por concurso-oposición existente en una facultad de Medicina española. Su convocatoria inicial fue en 1933, pero tardó catorce años en ser cubierta en propiedad. Se analizarán los numerosos opositores que se presentaron, los diversos tribunales, las seis convocatorias y los tres tipos de concurso. Se disertará sobre estos insólitos procesos que llevaron a declarar la plaza desierta en cuatro ocasiones
RELATIONSHIP BETWEEN MODIFIED SYSTEMIC IMMUNE-INFLAMMATION INDEX AND CONTRAST-INDUCED NEPHROPATHY IN PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION
No full textYıl : 2024 Cilt : 14 Sayı : 3 Sayfa : 152-159 Metin Dili : İngilizceDeveloping contrast induced nephropathy after primary PCI in patients with ST segment elevation myocardial infarction is a risky condition in terms of mortality and morbidity. Various studies have shown that the systemic inflammatory index predicts (SII) the development of CIN. Mean platelet volume (MPV) is an important indicator known to be associated with the platelet function and activation. Therefore, we revised SII and named it modified SII (mSII) by using NLR multiply MPV. Material and Methods: This study includes patients who underwent pPCI due to STEMI in our cardiology department between February 2015 and February 2021. Modified SII was obtained by using MPV instead of platelet in the formula (mSII= NLR x MPV). Patients who underwent pPCI with STEMI were divided into two groups, those with CIN and those without CIN, and compared. Informed consent was obtained from all patients. Results: In the logistic regression analysis, it was observed that the mSII, NLR, GFR and contrast medium amount was independent predictor of CIN. The optimal threshold mSII for predicting CIN was >42.5, with a 78.1% sensitivity and 52.3% specificity ([AUC]: 0.639, 95%CI: 0.602- 0.674, p< 0.001). Pairwise comparison of ROC curves, it was observed that the predictive value of mSII for the development of CIN was better than NLR. (z-test = 3.144, P = 0.001) Conclusion: We think that mSII, which we have shown to be superior to SII in predicting the development of CIN and is very easy to calculate, is a parameter that can be considered in predicting the development of CIN after pPCI in STEMI patients
A Robust Approach About Compact Operators on Some Generalized Fibonacci Difference Sequence Spaces
No full textIn this new study, which deals with the different properties of ?p( ?F (r, s)) (1 ? p < ?) and ??( ?F (r, s)) spaces defined by Candan and Kara in 2015 by using Fibonacci numbers according to a certain rule, we have tried to review all the qualities and features that the authors of the previous editions have found most useful. This document provides everything needed to characterize the matrix class (?1, ?p( ?F (r, s))) (1 ? p < ?) . Using the Hausdorff measure of non-compactness, we simultaneously provide estimates for the norms of the bounded linear operators LA defined by these matrix transformations and identify requirements to derive the corresponding subclasses of compact matrix operators. The results of the current research can be regarded as to be more inclusive and broader when compared to the similar results available in the literature
Awarenesses of Future Physicians and Pharmacists on Rational Use of Drug in the First Year of Their Education
No full textDünya Sağlık Örgütü, tüm ilaçların yarısından fazlasının hastaya uygun olmadan reçetelendiği veya hasta tarafından eczaneden tedarik edildiğini, reçeteli veya reçetesiz olarak eczaneden edinilmiş bu ilaçların da hastaların yarısı tarafından doğru bir şekilde kullanmadığını bildirmiştir. Çalışmanın amacı ilerde ilaçları reçete edecek veya reçetedeki ilaçları hastaya ulaştıracak sağlık çalışanları olma eğitimlerinin ilk yılında tıp, diş hekimliği ve eczacılık fakülteleri öğrencilerinin Akılcı İlaç Kullanımı (AİK) bilgi ve davranışlarını değerlendirmektir. Gereç ve Yöntem: Bir internet tarayıcısının çevrimiçi anketlerinden faydalanılarak sunulan ankette önce cinsiyet ve yaş gibi demografik bilgiler alınmış, sonra AİK bilgi ve davranışlarını gösterecek sorular sorulmuş ve son olarak AİK ölçeği sorularının yanıtlanması beklenmiştir. 3 ay süre ile açık tutulan ankette toplamda 359 tıp, diş hekimliği ve eczacılık öğrencisine ulaşılmıştır. AİK ölçeğinde toplam puanı 35 üzeri olanlar, AİK konusunda başarılı olarak değerlendirilmiştir. Bulgular: Katılımcıların 246’sı (%68.5) kadın ve 113’ü (%31.5) erkekti. Katılım oranı %61.81 idi. Yaş ortalaması 19.4±1.1 olan katılımcıların %12.3’ü kronik ilaç kullanmaktaydı. En çok satın alınan ilaçlar ağrı kesicilerdi. AİK ölçeği başarı ortalaması 36.6±4.2 oldu. Tıp fakültesi öğrencilerinin AİK bilgi ve davranışları diş hekimliği ve eczacılık fakültesi öğrencilerine kıyasla anlamlı şekilde daha yüksekti (p=0.002). Ölçeğe göre kadın öğrenciler erkeklerden daha başarılıydı (p=0.001). Sürekli ilaç kullanmak, SKT’ye dikkat etmek, prospektüs okuma alışkanlığı ve komşu/yakın tavsiyesi ile ilaç kullanmama AİK ölçeğinde başarılı olanları başarısız olanlardan ayıran davranışlardı (p=0.002), (p<0.001), (p=0.001), (p<0.001). Sonuç: Tıp Fakültesi öğrencileri eğitimlerinin ilk yılında diş hekimliği ve eczacılık fakülteleri öğrencilerine göre AİK’de daha başarılıydı. Her üç fakülte öğrencisinin AİK puanları ise toplum ortalamasının üstündeydi. Başarılı olan ve olmayan bireyler arasında ortak davranışlar söz konusuydu. Sonuç olarak, ilaç reçete edecek ve karşılayacak sağlıkçılar olarak tıp, diş hekimliği ve eczacılık fakültelerinin uzun lisans eğitimlerinde AİK farkındalığı artırılmalı ve AİK davranışları asgari düzeyde eşitlenmeye çalışılmalıdır
Effects of VCN coating of PEEK gears with the PVD method on wear performance
No full textIn this study, the effects of coating gear wheels made of PEEK material, which is frequently used in the industry, with the PVD method on the tribological performance were investigated. Spur gears with 6 modules, 15 teeth, and 20 mm surface width consisting of PEEK samples were used as the base material. Gears modeled in Solidworks were manufactured on a CNC milling machine. The coating process was performed with VCN target material in three different thicknesses. After the coating process, hardness and wear tests were applied to the samples. An increase in the hardness values of the samples coated in different thicknesses was observed compared to the pure PEEK material. As the coating thickness increased, the amount of wear on the gear wheels increased and it was determined that the most resistant sample against wear was the gear wheel with a coating thickness of 367 nm. In experiments conducted in different liquids, it was observed that the most wear occurred in NaCl solution.Inn niversitesi [BAP-2023-ID2991]; Research Fund of the Inonu UniversityThis study was produced from the master thesis titled Ceramic Coating of Straight Gear Wheels Made of PEEK (Polyether Ether Ketone) Material with PVD Method and Investigation of The Wear Behavior. Also, this work was supported by the Research Fund of the Inonu University (Project Number: BAP-2023-ID2991)