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Introduction
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March 2015 - present
Publications
Publications (37)
We present a case of secondary (organic) DI in a patient with a history of polysubstance use, including Δ9- tetrahydrocannabinol (THC), cocaine, lysergic acid diethylamide (LSD), 3,4- methylenedioxymethamphetamine (MDMA), phencyclidine (PCP), adrenochrome, and ethanol. The patient sought emergency care for a severe cutaneous lesion in the left scap...
Somatization is the presentation of physical and somatic symptoms arising out of psychological, emotional, social, and importantly, cultural factors. The presentation of bodily symptoms in most cultures, regardless of source, constitutes an idiom of distress. In many cultures, the presentation of personal or social distress in the form of somatic c...
Introduction: The impact of public transportation on the human emotional well-being is certainly under-studied, especially in the developing countries. This study proposes and validates a questionnaire aimed to assess the emotional well-being in the context of public transportation use in Paraguay (as in any other Spanish country). Methods: We cond...
Introducción:
la salud mental de los estudiantes de medicina ha sido ampliamente investigada, demostrando que forman parte de un grupo vulnerable al desarrollo de trastornos mentales.
Objetivo:
el objetivo de esta investigación fue determinar la frecuencia de NSSI y sus factores asociados en estudiantes de medicina del Paraguay.
Metodología:
este...
Background
Positive mental health includes not only the absence of mental disorders but also the presence of subjective well-being, good coping strategies for life stress, and strategies for adapting to community life. It is well known that the COVID-19 pandemic has challenged mental health in general population worldwide. However, research has not...
Esta “Guía rápida para el reconocimiento y manejo del Delirium” resulta ser una herramienta útil para cualquier profesional de la salud, e incluso imprescindible para quienes trabajan con pacientes críticos. La realidad del Delirium es la de un cuadro transversal a la Medicina, que requiere tanto de la competencia de evaluar y detectar los cambios...
Background
Paraguay has recently experienced an exponential increase in chikungunya cases, leading to psychological distress, particularly anxiety.
Aim
To develop and validate the Chikungunya Anxiety Scale (CHIKAS).
Materials and Methods
An initial scale of 18 items was used, which was subjected to validation by expert judgment to obtain 14 items...
Background
Suicide and suicide attempts are impacting events for patients and their relatives, and these behaviors are still taboo among adults and may be even more traumatic when involving children and adolescents.
Aim
In this study we aimed to describe suicide rates among children and adolescents in Paraguay over the last decades as well as asso...
Background
The number of suicides has been increasing worldwide, year after year, becoming the fourth leading cause of death among young people between 15 and 29 years of age.
Aim
In this study, we explored the frequency and characteristics of suicides among the adult general population in Paraguay between 2004 and 2022, considering that suicide a...
Hair-pulling disorder (trichotillomania) is a disabling mental disorder. The patient’s behavior is characterized by the recurrent pulling of one’s own hair, resulting in hair loss and a marked dysfunction in various areas of daily life. Trichotillomania is a relatively common disorder with pediatric onset, often associated with significant morbidit...
The COVID-19 pandemic has had a heavy impact on daily life, leading to physical and psychosocial consequences. Nowadays, clinicians and health researchers are particularly interested in describing and facing the long-term effects of COVID-19, also known as "long-COVID syndrome". Pandemic fatigue has been defined as a cluster of demotivation, tiredn...
Background:
Irritability, as a trans dimensional symptom, is present in several mental disorders. This study investigated the psychometric properties of the Spanish version of the Brief Irritability Test (BITe).
Subjects and Methods:
The recruitment has been performed through an online survey launched through common social media (Facebook, Twitter...
Este estudio fue realizado con el objetivo de examinar e identificar la presencia de indicadores específicos de abuso sexual infantil (ASI) a través de test gráficos de niños y niñas de entre 5 y 12 años de edad, en base a los hallazgos de los 7 indicadores de Boscato. Fueron evaluados los dibujos de 40 niños y niñas con ASI y 40 niños y niñas sin...
Introduction: This study aimed to investigate the psychometric properties of the Spanish version of the International Trauma Questionnaire (ITQ). Material and Methods: An online survey was launched to recruit participants. This survey was shared via social networks (Twitter, Facebook) and messaging applications (Telegram, WhatsApp) from November 15...
Background
Although technologies (including information, e-learning, and communication) have been daily employed by University students in the last years, the COVID-19 pandemic has led to a considerable increase in their use. Technostress is a modern term referring to levels of stress caused by the prolonged exposure to technology.
Aim
The aim of...
Una madre que tiene a su primer recién nacido luego de haber intentado quedar embarazada durante 5 años y con múltiples tratamientos, otra madre que está preocupada porque siente que no sacia al recién nacido con su leche, otra que teme ahogarlo cuando lo está bañando, otra que no duerme por las noches y teme bajarlo en la cuna por miedo a que pres...
Background:
Several authors have pointed out that the use of smartphones might have an impact on mental health in general. Most of the evidences are focused on the incorrect or overblown use of smartphones, videogame or Internet, particularly focusing on related addiction problems among adolescents.
Objective:
The present study, although prelimi...
Introduction: This study investigated the psychometric properties of the Spanish version of the body vigilance scale (BVS). The recruitment has been performed through an online survey launched through common social media. Material and Methods: All subjects were older than 18 years and affected by panic disorder as a self-reported diagnosis. 367 ind...
Delusional infestation is characterized by the presence of a delusional idea in which the body, mainly the skin, is infested by small pathogens in absence of any medical evidence. Patients show self-destructive behaviors in effort to get rid of skin pathogens, generating excoriations, ulcerations, and secondary infections. Patients usually seek hel...
Background:
Alopecia Areata (AA) is an autoimmune dermatological disease that could be influenced by psychological factors as part of the pathophysiology of the illness.
Aims:
This review article aims to report on psychodermatological and psychopathological aspects involved in the etiopathogenesis and comorbidities of AA, as well as on the psych...
Introducción:
los trastornos alimentarios y de la ingestión de alimentos están asociados con importantes efectos físicos y morbilidad psicosocial, así como con un impacto negativo en la calidad de vida de las personas.
Objetivo:
determinar la proporción de pacientes con riesgo de padecer algún trastorno alimentario y de la ingestión de alimentos e...
Introducción: los trastornos alimentarios y de la ingestión de alimentos están asociados con importantes efectos físicos y morbilidad psicosocial, así como con un impacto negativo en la calidad de vida de las personas. Objetivo: determinar la proporción de pacientes con riesgo de padecer algún trastorno alimentario y de la ingestión de alimentos en...
Introduction: An increase in the prevalence of psychopathological conditions (anxiety, depression) has been noted after the onset of the COVID-19 pandemic. The constant flow of information related to
the pandemic can contribute to this fact. Objective: To determine the presence of anxiety and depressive symptoms and their relationship with news abo...
Objective:
The aim of this study is to test the psychometric properties of the Spanish validation of the Fear of COVID-19 Scale (FCV-19S) in Paraguayan population.
Methods:
Participants were recruited through an Internet-based survey. All participants whose scores in the Hospital Anxiety and Depression Scale (HADS) and The Fear Questionnaire (FQ...
The role of psychotropic drugs in Psychodermatology is still debatable, due to the quality of the evidence that supports it. There are several case reports and open trials with variable results. There is an additional difficulty in finding therapists trained in effective psychotherapy techniques, justify the need for more research on the available...
Existe considerable evidencia que sugiere que la prevalencia de los trastornos mentales a nivel mundial se encuentra en aumento. Los trastornos mentales afectan a 1 de cada 4 o cada 6 personas adultas, lo cual significa que virtualmente cada familia está directa o indirectamente afectada por una enfermedad mental. También sabemos que la mayoría de...
A pesar de que la piel y el sistema nervioso comparten un origen embriológico común, el cerebro, lugar donde asientan las funciones psicológicas, no siempre tuvo el mismo interés para la humanidad. La expansión de la Psiquiatría como disciplina, su interrelación y transversalidad con el resto de las especialidades médicas permiten el reconocimiento...
Today he started his medical residency. Today he attended his first patient. Today, all of a sudden, he was not smiling like he used to. Today he was not seen having lunch. Today he seemed isolated from the rest. Today he missed work again. Today he is being mourned.
Nothing challenges and generates more impotence in all of us than the death of a c...
Cómo citar este artículo: Melgarejo O. Estilo de vida nocturno: ¿epidemia de la falta de sueño? Medi-cina Clínica y Social. 2017;1(3):224-226. Estimado Editor, A medida que el mundo fue adquiriendo nuevas tecnologías y desarrollando nuevos aparatos electrónicos accesibles a la mayoría de las personas, éstas se fueron adaptando a ellos e in-cluyéndo...
Los trastornos depresivos son afecciones comunes y discapacitantes en todo el mundo. Presentan muchos desafíos terapéuticos, a los que se suman la gran cantidad de personas afectadas que no consultan con psiquiatras u otros profesionales de la salud o no reciben tratamiento adecuado. Asimismo, a pesar de recibir un enfoque terapéutico correcto, muc...
Introducción:
en el anexo de la 10ª edición de la Clasificación Internacional de Enfermedades de la Organización Mundial de la Salud se incluye un capítulo que trata de los factores que influyen en el estado de salud y contacto con los servicios de salud, más conocidos dentro de la práctica profesional como “Códigos Z”, debido a su prefijo para cod...
En esta presentación se describen los dominios sintomáticos del trastorno de la personalidad límite, los grupos farmacológicos con evidencia demostrada para su manejo y las recomendaciones farmacológicas realizadas por las principales guías terapéuticas.
Se pone a disposición de los estudiantes de Medicina, colegas y otros interesados, un material que viene a complementar un área importante de las Ciencias Médicas y las Ciencias Jurídicas. Este libro es el resultado del trabajo del equipo docente de la Cátedra de Medicina Legal y Deontología de la Facultad de Ciencias Médicas de la Universidad Naci...
Psychological abuse is a form of discipline used to educate but little identified yet,. The presence of emotional indicators (EIs) was analyzed, using the Human Figure Drawing Test, in children and adolescents who were victims of psychologic violence that attended the Outpatient Service of Psychiatry, and were compared with children and adolescents...
RESUMEN Los cálculos del conducto biliar principal pueden ser, se-gún su sitio de origen, primarios o secundarios. La gran mayoría corresponde a la forma secundaria. El objetivo de este trabajo es presentar un caso de litiasis coledociana, varios años después de la colecistectomía. Se trata de una paciente femenina, de 42 años de edad, con 4 días d...