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Search Results: 1 - 10 of 613200 matches for " Jair Lício Ferreira;Kerr-Corrêa "
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Alcohol screening instruments in elderly male: a population-based survey in metropolitan S?o Paulo, Brazil
Oliveira, Janaina Barbosa de;Santos, Jair Lício Ferreira;Kerr-Corrêa, Florence;Sim?o, Maria Odete;Lima, Maria Cristina Pereira;
Revista Brasileira de Psiquiatria , 2011, DOI: 10.1590/S1516-44462011005000019
Abstract: objective: this study compares the efficacy of the audit (gold standard) with the more easily and quickly applied instruments cage, tweak, and t-ace for men aged > 60 using data from a representative stratified sample of the general population of metropolitan s?o paulo. method: the genacis questionnaire was administered to a total sample of 2,083 people aged over 18, with a response rate of 74.5%. the elderly male sample consisted of 169 men. sensitivity, specificity, positive and negative predictive values, area under the receiver operating characteristic curve, and confidence intervals were calculated for each instrument (95% ci). results: respondents were predominantly married (81.7%), had up to 11 years of education (61.3%) and a monthly per capita income of up to 300 us dollars. current abstinence rate was high (61.6%) and 38% reported being former drinkers. there were no statistically significant differences among the instruments tested; however, the tweak had a higher area under the receiver operating characteristic curve (95% ci; 0.90-0.99). conclusion: research in the general population with screening instruments is scarce, especially among the elderly. however, it can provide specific information concerning this age group and be useful in the formulation of policies and prevention strategies.
Debate sobre o artigo de Delma Pessanha Neves
Kerr-Corrêa Florence
Cadernos de Saúde Pública , 2004,
Abstract:
Complica??es psiquiátricas do uso cr?nico do álcool: síndrome de abstinência e outras doen?as psiquiátricas
Maciel, Cláudia;Kerr-Corrêa, Florence;
Revista Brasileira de Psiquiatria , 2004, DOI: 10.1590/S1516-44462004000500012
Abstract: alcohol withdrawal syndrome is an acute condition secondary to total or partial reduction of alcohol consumption, characterized by self limited signs and symptoms and different degrees of severity. it can be complicated by several clinical and/or other psychiatric related problems. the objective of this article is to review the most important psychiatric complications to alcohol withdrawal syndrome as well as other psychiatric disorders associated with alcohol dependence as wernicke korsakoff and marchiava bignami syndromes. we aim to promote early diagnosis and treatment of these conditions, minimizing morbidity and mortality associated with them.
Ajuste social em pacientes com transtorno afetivo bipolar, unipolar, distimia e depress?o dupla
Tucci, Adriana M;Kerr-Corrêa, Florence;Dalben, Ivete;
Revista Brasileira de Psiquiatria , 2001, DOI: 10.1590/S1516-44462001000200006
Abstract: objectives: international data show that affective disorders have a prevalence of 11.3% in the general population. besides that, they are responsible for social dysfunctioning and family relationship distress. the aim of this study was to assess social and family disability in affective disorder patients (bipolar and unipolar disorders, dysthymia, and double depression); and then compare the results among diagnostic groups to identify variables associated with an increased level of disability. methods: socioeconomic and demographic data as well as evolution, outcome and disease history data were collected using a specific questionnaire. to assess social disability, the disability assessment scale (das-who, 1988) was used. family relationship distress was assessed through the global assessment of relational functioning scale (garf-apa, 1994). a hundred patients who were under treatment for at least 6 months at the university outpatient clinic were studied. results/conclusions: most of the patients were females, 50 years old or more, had at least 2 years of follow-up, and low educational and socioeconomic level. there was no statistical significant differences among demographic and socioeconomic levels and different diagnostic categories. logistic regression analysis showed an important impact in social functioning due to the diagnosis and family relationship. unipolar and dysthymic patients had better outcome in social and family functioning than bipolar and double depression ones.
Ajuste social em pacientes com transtorno afetivo bipolar, unipolar, distimia e depress o dupla
Tucci Adriana M,Kerr-Corrêa Florence,Dalben Ivete
Revista Brasileira de Psiquiatria , 2001,
Abstract: OBJETIVOS: Dados internacionais mostram que os transtornos afetivos têm uma prevalência de, aproximadamente, 11,3% da popula o. Além disso, s o uma das doen as que mais geram perdas sociais e nos relacionamentos familiares. O objetivo deste trabalho foi avaliar o ajuste social e familiar de pacientes com transtornos afetivos (bipolar, unipolar, distimia e com depress o dupla), comparando o resultado entre as categorias diagnósticas, além de verificar quais variáveis est o associadas e conduzem ao pior ajuste. MéTODOS: Foram feitos a caracteriza o socioecon mica e demográfica e um levantamento dos dados de evolu o e de história da doen a por meio de um questionário elaborado para essa finalidade. Para a avalia o de ajuste social, utilizou-se a Escala de Avalia o da Incapacita o Psiquiátrica (DAS/OMS, 1998). O relacionamento familiar foi avaliado pelo Global Assessment of Relational Functioning Scale (GARF/APA, 1994). Foram estudados 100 pacientes em tratamento, por pelo menos seis meses, no Ambulatório de Psiquiatria da Faculdade de Medicina Unesp, Botucatu, SP. RESULTADOS/CONCLUS ES: Com predomínio de mulheres, a maioria dos pacientes tinha no mínimo dois anos de seguimento, idade acima de 50 anos, baixa escolaridade e nível socioecon mico baixo. N o houve diferen a estatística significativa quanto aos dados socioecon micos e demográficos. Na análise de regress o logística, o diagnóstico e o relacionamento familiar tiveram papel significativo no resultado de ajustamento social. Os pacientes unipolares e os distímicos tiveram melhores resultados no ajustamento social e no relacionamento familiar do que os bipolares e aqueles com depress o dupla.
Social disability of Brazilian mood disorder patients
Tucci, A.M.;Kerr-Corrêa, F.;Dias, R.S.;
Brazilian Journal of Medical and Biological Research , 2004, DOI: 10.1590/S0100-879X2004001100017
Abstract: mood disorders cause many social problems, often involving family relationships. few studies are available in the literature comparing patients with bipolar, unipolar, dysthymic, and double depressive disorders concerning these aspects. in the present study, demographic and disease data were collected using a specifically prepared questionnaire. social adjustment was assessed using the disability adjustment scale and family relationships were evaluated using the global assessment of relational functioning scale. one hundred patients under treatment for at least 6 months were evaluated at the psychiatric outpatient clinic of the botucatu school of medicine, unesp. most patients were women (82%) more than 50 (49%) years old with at least two years of follow-up, with little schooling (62% had less than 4 years), and of low socioeconomic level. logistic regression analysis showed that a diagnosis of unipolar disorder (p = 0.003, or = 0.075, ci = 0.014-0.403) and dysthymia (p = 0.001, or = 0.040, ci = 0.006-0.275) as well as family relationships (p = 0.002, or = 0.953, ci = 0914-0.992) played a significant role in social adjustment. unipolar and dysthymic patients presented better social adjustment than bipolar and double depressive patients (p < 0.001), results that were not due to social class. these patients, treated at a teaching hospital, may represent the severest mood disorder cases. evaluations were made knowing the diagnosis of the patients, which might also have influenced some of the results. social disabilities among mood disorder patients are very frequent and intensive.
Social disability of Brazilian mood disorder patients
Tucci A.M.,Kerr-Corrêa F.,Dias R.S.
Brazilian Journal of Medical and Biological Research , 2004,
Abstract: Mood disorders cause many social problems, often involving family relationships. Few studies are available in the literature comparing patients with bipolar, unipolar, dysthymic, and double depressive disorders concerning these aspects. In the present study, demographic and disease data were collected using a specifically prepared questionnaire. Social adjustment was assessed using the Disability Adjustment Scale and family relationships were evaluated using the Global Assessment of Relational Functioning Scale. One hundred patients under treatment for at least 6 months were evaluated at the Psychiatric Outpatient Clinic of the Botucatu School of Medicine, UNESP. Most patients were women (82%) more than 50 (49%) years old with at least two years of follow-up, with little schooling (62% had less than 4 years), and of low socioeconomic level. Logistic regression analysis showed that a diagnosis of unipolar disorder (P = 0.003, OR = 0.075, CI = 0.014-0.403) and dysthymia (P = 0.001, OR = 0.040, CI = 0.006-0.275) as well as family relationships (P = 0.002, OR = 0.953, CI = 0914-0.992) played a significant role in social adjustment. Unipolar and dysthymic patients presented better social adjustment than bipolar and double depressive patients (P < 0.001), results that were not due to social class. These patients, treated at a teaching hospital, may represent the severest mood disorder cases. Evaluations were made knowing the diagnosis of the patients, which might also have influenced some of the results. Social disabilities among mood disorder patients are very frequent and intensive.
Expectativas positivas com o uso de álcool e o beber se embriagando: diferen?as de gênero em estudo do Projeto GENACIS, S?o Paulo, Brasil
Cavariani, Mariana Braga;Oliveira, Janaina Barbosa de;Kerr-Corrêa, Florence;Lima, Maria Cristina Pereira;
Cadernos de Saúde Pública , 2012, DOI: 10.1590/S0102-311X2012000700017
Abstract: the objective was to investigate expectations towards alcohol use among men and women and the association between these expectations and binge drinking (or heavy episodic drinking). an epidemiological cross-sectional population-based household survey with a stratified probabilistic sample was conducted in greater metropolitan s?o paulo, brazil. males and females were interviewed (n = 2,083) with the genacis questionnaire (gender, alcohol, and culture: an international study). the dependent variable was binge drinking, and logistic regression models were constructed for each gender, adjusting for age, schooling, and income. all expectations, with the exception of increased ease in talking with one's partner, were associated with binge drinking. the study shows that binge drinking can be associated with expectations towards alcohol use. understanding such expectations can contribute to the design of effective polices to prevent binge drinking.
Psychiatric disorders and psychiatric consultation in a general hospital: a case- control study
Smaira, Sumaia Inaty;Kerr-Corrêa, Florence;Contel, José Onildo B;
Revista Brasileira de Psiquiatria , 2003, DOI: 10.1590/S1516-44462003000100005
Abstract: introduction: psychiatric consultation (pc) has been considered an efficient tool to develop research, to track and to give assistance benefiting patients, health professionals and the institution. however, it has not been much used in brazil. although 30 to 50% of general hospital (gh) inpatients may present a psychiatric disorder, only 1 to 12% of them are referred to assessment. the aims of this study were: to assess mental disorders in a gh; to identify which of these patients are sent to psychiatric care; to verify alleged reasons for referral to psychiatric consultation, and to examine the relationship between pc and psychiatric learning (during medical school and residence). methods: a case-control patient study was conducted (47 cases and 94 controls) to analyze in detail the following variables: socio-demographic; clinical; degree of information (about the disease and diagnostic/therapeutic procedures), and relationship between patient and health team. psychiatric diagnoses were made according to the icd-10 criteria. the self report questionnaire (srq), the cage and brief psychiatric rating scale (bprs) were used as well as a specifically designed questionnaire to collect clinical and demographic data. results: behavioral alterations, either of elation or of depression, were the main for requesting a pc ; 95.8% of the cases and 27.7% of the controls had a mental disorder. organic mental disorders and alcohol-related disorders were the most frequent diagnoses in group i (cases), while anxiety, depressive and alcohol-related disorders were predominant in group ii (controls). control group patients were better informed and more able to establish an appropriate relationship with the health team than case patients. the logistic regression showed cage-positive patients having 12.85 times greater risk of being referred to pc, followed by unemployed patients (2.44 times more pc referrals). discussion: the srq and cage were quite useful in the screening of possible
Alcoholic women and men: a comparative study of social and familial aspects and outcome
Sim?o, Maria Odete;Kerr-Corrêa, Florence;Dalben, Ivete;Smaira, Sumaia Inaty;
Revista Brasileira de Psiquiatria , 2002, DOI: 10.1590/S1516-44462002000300005
Abstract: objective: alcoholic men-women ratio has ranged from 14:1 to 2:1, suggesting that female alcoholism should be further studied. the purpose of the current study was to compare alcohol dependence severity and treatment outcome between alcoholic men and women. methods: in this longitudinal study, 114 male and 57 female alcoholics (icd-10 criteria), who started treatment between 1990 and 1994 at the botucatu medical school outpatient clinic, were retrospectively and prospectively assessed up to july 1997. semi-structured interviews were conducted and the severity of alcohol dependence was assessed (short alcohol dependence data ? sadd). results/conclusions: the results showed poorly structured families, 55.6% of women and 65.7% of men reported relationship problems and 74.1% of women and 61.1% of men reported domestic violence. when compared to men, women started abusing alcohol later in life (p=0.01) and, usually, with their husbands (p=0.00). the course of treatment did not differ between genders. regardless of gender, the main factors associated with a better response to treatment were: degree of alcohol dependence severity (mildly and moderately dependent users had 5.59-fold better chances of improvement than those severely dependent), religious practice (2.3-fold better chances of improving) and follow-up length, which was negatively associated with chance of improvement (0.68-fold less chance of improvement than those who remained under shorter treatment).
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