Psychiatr Pol
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Comparative Study
[Patients' opinions on services provided in psychiatric and neurological wards--a comparison].
To compare patients' opinions about services in psychiatric and neurological wards in the years 2005 and 2007. ⋯ Staff friendliness plays a very important role during the hospitalisation. Both groups indicate dimensions requiring improvement: access to information, form of contact with staff, emotional support. The resultsindicate a contrast between the system of support on psychiatric wards and lack of this on the neurological ones. The neurological wards can use psychiatric ward positive experience regarding patients' emotional support received from nurses and the building staff patients relationship based on ideas of the therapeutic community. The changes in medical care between 2005 and 2007 had no effect on the quality of services in both kinds of wards. Progress of quality in psychiatric and neurological wards requires structural changes in medical care.
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Panic disorder often has a chronic course and is comorbid with depression. Many different psychological factors may have impact on both chronicity and comorbidity. ⋯ It is possible that psychological problems affect duration and severity of PD.
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Ketamine is a rapid-acting anaesthetic agent which has been used for over 40 years. It is an antagonist of N-methyl-D-aspartate (NMDA) receptors and agonist of mu and sigma opiate receptors. Ketamine acts through inhibition of sensory parts in the brain and stimulation of the limbic system and optic thalamus. ⋯ Diazepam, carbamazepine and vitamins was used during treatment. The patient was motivated to stop using ketamine. This case and the described symptoms were compared with others articles.
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The Statue changing the Code of Civil Procedure enforced interchangeable calling of psychiatrist or neurologist as a medical expert for proceedings concerning the incapacitated which aroused objection from psychiatrists because of separate competencies for these specialists and the expectations on the professional code relating to the field of knowledge and competency of a psychiatrist. The purpose of this article is to raise awareness of physicians of both specialisations and lawyers. The preceding legal regulations: art. 553 of the Civil Code without any doubt state that, the person to be incapacitated has to be examined by one or more forensic psychiatrists. Till now, the content of art. 554 par. 1 of Code of Civil Procedure did not mention specialisation in any way, which leaves doubt that it refers to a psychiatry expert. Currently, the person whom the application for legal incapacitation involves, has to be examined by a psychiatry or neurology expert, as well as psychologist (553 par. 1), while par. 2 determines in details the scope of assessment, which should be in a forensic opinion, and doubtlessly they are in competency of the psychiatrist, similarly as moving a proposal of necessity of observation. ⋯ 1. The psychiatry expert and if need be, a psychologist expert should provide an opinion during proceedings concerning incapacity. 2. Proposal for the necessity of forensic observation should be moved by 2 psychiatry experts. 3. Henceforth, until this legal regulations is amended, the neurologist has a right to deny taking on the expert function due to a necessity to express an opinion in a specialisation overstepping his/her competence. 4. The term "mental deficiency" should be changed to "mental retardation" in force with ICD-10.
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The author examined psychiatrically a group of 75 patients suffering from severe panic disorder. The special interest of the study was the careful analysis of the time, context and content of different psychological traumas that the patients had throughout their lives. ⋯ It is possible, that psychological trauma affects the development, course and severity of panic disorder.