In hemodialysis patients malnutrition-inflammation syndrome, evaluated by biochemical laboratory analysis and through bioimpedance spectroscopy, was associated to impaired quality of life and with an increased risk of mortality. The present study goal was to investigate, in a cross-sectional analysis, performed in 122 hemodialysis patients, the association between biochemical parameters and bioimpedance-derived measurements the association of undernutrition with quality of life and illness perception. The results showed that our cohort perceived an impaired quality of life and illness perception and that these psychometric evaluation was associated with malnutrition markers.

Antipsychotics are widely used in treatment of elderly related psychiatric disorders such as delirium, organic hallucinosis. The long-term uses of such drugs are related with increased risks. The objective of this study is to determine efficiency of small doses of antipsychotics in relieving target symptoms and monitoring short-term use in patients diagnosed with dementia receiving palliative care. The study was conducted in a clinical department for palliative care reserved for patients with severe dementia over a period of 1 year. The study sample comprised 56 patients, 31 of which received antipsychotics. Measures used included Mini-Mental State Exam (MMSE), Neuropsychiatric Inventory Nursing Home Version (NPI-NH), Fall-Risk (FR) Scale, patient records, medication records and fall incidents. We found a significant improvement on NPI-NH Scale (p<0.05) for patients that received antipsychotics and had psychosis, agitation, aggressiveness in accordance with clinical observations. There were no significant changes for MMSE (p=0.56) or FR Scale (p=0.87). Small doses of antipsychotics have a beneficial impact in treating psychosis and agitation with aggressive behavior in patients with Dementia receiving palliative care. The study showed that the use of antipsychotic medication doesn't correlate with increased cognitive degradation or fall risk. The particularities of these cases need to be further explored. 80/Bulletin of Integrative Psychiatry New Series  December 2019  Year XXV  No. 4 (83)

Background: Psychosis is a common and functionally disruptive symptom of many psychiatric, neurodevelopmental, neurologic, and medical conditions and an important target of evaluation and treatment in neurologic and psychiatric practice. Objective: The purpose of this paper is to outline the importance of the evolution of depression, psychosis and mania among adolescents, and to provide a general perspective upon the impact of these disorders on the lives of these young patients and their families. This papers also aims to emphasize the fact that trauma can really affect one's emotional stability, and can be considered a trigger factor for different types of psychiatric conditions. Methods: We present the clinical case of a 17-year old female patient, hospitalized in emergency for psychomotor agitation, aggressive behavior, dromomania, autolytic ideation. Data on the clinical manifestation, trigger factors, treatment and evolution are discussed. Conclusions: When it comes to treating adolescents, whether it is depression, anxiety or other psychiatric disorders, treatment should be prescribed with caution, because the symptomatology is not very clearly defined. This polymorphism can offer a higher level of difficulty when it comes to establishing the right diagnosis.

No abstract