232 research outputs found
Women mental health
No full textWomen mental health is a major public health challenge.
Over the past three decades, there has been growing interest in the understanding of the strong influence of sex hormones on women’s mental and physical health. In particular, the literature clearly documents that fluctuating levels of reproductive hormones can manifest as premenstrual, perinatal, and perimenopausal psychiatric disorders in women who are vulnerable to these fluctuations. Perinatal depression is a global epidemic with adverse life-long consequences for the mother, the partner and the offspring. For many women perinatal period is a challenging time, with an increased rate of mental illness, aggravated by widespread stigma. Therefore, suicide is a major cause of maternal deaths.
Despite the high prevalence of perinatal depression most cases remain undetected leading to an increased burden of the disease.
The need and the modality to perform screening programs in order to prevent and reduce the negative impact of perinatal depression are still a matter of controversy.
International guidelines highlight the failure of the screening plans when they are not linked to treatment options.
SOS MAMMA counselling service is a program that was born in 2012 at Fondazione Policlinico Tor Vergata, providing support for women with perinatal depression. This service supplies a free multidisciplinary counselling, performed by at least a psychiatrist, psychologist, maternal/child health nurses, obstetrician and gynaecologist. After the first referral, the health professionals offer an integrated therapeutic program individualized for each woman, with psychological sessions, pharmacological options, light therapy, and trauma focused therapy depending on the case.
Finally, the author on behalf of an Inter-University Roman Group, present the protocol of a multicenter prospective clinical trial designed to perform a screening for perinatal depression in pregnant women
Where is the honey bee queen flying? The original case of a foraging queen
No full textDuring a bee fauna survey in the countryside of northern Sardinia, a honey bee queen (Apis mellifera L.) was detected while foraging on a borage (Borago officinalis L.) flower in Uri, Province of Sassari, Italy, most likely during an orientation flight before mating. Morphological details, detectable from photos with the naked eye and stereomicroscopic observations, confirmed that the honey bee queen was sucking nectar from a flower. The enormous development of the abdomen, lack of pollen-collecting structures in the legs and other characteristics such as the typical distally bilobed shape of the mandibles, with long hairs on their outer surface, proved the structural differences between the queen specimen and the other castes of bees. The queen’s proboscis, which is shorter compared to the workers, may have been counterbalanced by the shape and nectar production of the borage flower. This new observation proves that the queen can feed herself under natural conditions, likely to obtain the energy required for flying. Although we cannot exclude disturbing factors that could explain this foraging behaviour of a queen observed for the first time, this note opens a new scenario and discusses this new finding in the context of the available literature on the queen’s behaviour and questions to be answered
Laparoscopic sleeve gastrectomy for morbid obesity and Klinefelter syndrome: clinical report on two patients, with long-term follow-up
No full textKlinefelter syndrome (KS) can appear as a wide spectrum of clinical manifestations, with no guidelines for appropriate treatment. We present the first study of bariatric surgery (BS) with a 48-month follow-up, for the management of two patients affected by obesity and KS
Post-operative bed and anhedonia may affect bariatric surgery results: a prospective study
No full textObesity is a severe disease with a decreased life expectancy and impaired quality of life. Bariatric surgery leads to long-term weight loss and improvement of psychiatric and medical
comorbidities, even after accounting for weight regain. Although several researches have explored possible pre-operative psychiatric predictors of weight loss, results were inconsistent. There is a growing interest in understanding how psychological post-operative factors may influence weight loss. Data identifying the predictive validity of post-operative psychiatric features are still lacking. Binge eating disorder (BED) was associated with weight loss with mixed results. Anhedonia is a core symptom of depressive disorder and is related to a reduced feeling of pleasure from activities previously found enjoyable. Few studies have explored the relationship between anhedonia and eating disorders. The purpose of this study was to explore whether post-operative binge eating disorder (BED) and anhedonia can be used to predict outcome of bariatric surgery.
Methods A group of 105 individuals, 36 % men and 64 % women, with a mean age of 45 (range 20–65) underwent a psychiatric counselling before and 1 year after bariatric surgery. Weight loss after surgery was measured with %EWL.
Results One-way ANOVA showed significant lower %EWL at 1 year in those with a preoperative psychiatric disorder (F (1103) = 3,7696, p = 0.5). Regression analysis showed that post-operative BED (p\0.001) and anedhonia (p = 0.03) were significant and independent predictors of lower %EWL after surgery (AdjR2 .29, p\.0001).
Conclusions The presence of post-operative BED significantly predicted poorer weight loss at 1 -year follow-up. We found that the presence of anhedonia, regardless of whether the participant had
BED, significantly predicted poorer weight loss at 1 -year follow-up. Post-operative anhedonia may represent a trigger leading to the development of maladaptive eating behavior, higher consumption of palatable food, with poorer outcome in terms of weight loss or may constitute a risk factor itself
Binge eating disorder in paziente con sindrome di Klinefelter candidato a chirurgia bariatrica: case report
No full textOne-stage treatment of cholecysto-choledocholithiasis with laparoscopic colecystectomy and peroperative endoscopic sphinterectomy
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