The psychopathological diagnosis, which is crucial in the psychological-psychiatric work, is performed through tests and interviews aimed at evaluating the cognitive processes and the patients’ behavior. Feeling-thinking-communicating-acting process is particularly important, as it characterizes patients’ evolutionary phases and allows to move closer to the diagnosis.In this study, three patients with different psychological-psychiatric pathologies are described. For each case, verbal and non-verbal communication and psycho-emotional and cognitive sequence are analyzed. After this description, psychodiagnostic test results are discussed in order to highlight signs and symptoms of considered subjects.The described method allows to “explore” psychodynamic spaces hidden by psychic defenses that prevent a clear understanding of the psychic functioning and the operative plot at the intra- and inter-personal level of the subject.
{"title":"[La diagnosi psicopatologica nel lavoro psicologico-psichiatrico]","authors":"Roberto Infrasca","doi":"10.7175/cmi.v16i1.1526","DOIUrl":"https://doi.org/10.7175/cmi.v16i1.1526","url":null,"abstract":"The psychopathological diagnosis, which is crucial in the psychological-psychiatric work, is performed through tests and interviews aimed at evaluating the cognitive processes and the patients’ behavior. Feeling-thinking-communicating-acting process is particularly important, as it characterizes patients’ evolutionary phases and allows to move closer to the diagnosis.In this study, three patients with different psychological-psychiatric pathologies are described. For each case, verbal and non-verbal communication and psycho-emotional and cognitive sequence are analyzed. After this description, psychodiagnostic test results are discussed in order to highlight signs and symptoms of considered subjects.The described method allows to “explore” psychodynamic spaces hidden by psychic defenses that prevent a clear understanding of the psychic functioning and the operative plot at the intra- and inter-personal level of the subject.","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45030904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Baclofen is commonly used to treat muscular spasticity and other conditions such as pain, alcohol withdrawal, and myoclonus. It is contraindicated in chronic kidney disease. As it is eliminated predominantly by the kidneys, acute kidney injury can lead to acute baclofen overdose with central nervous system affection due to drug accumulation. Currently, there is no consensus about the treatment of baclofen intoxication.A 67-year-old woman was admitted with altered mental status and vomiting. Initially, she was unresponsive/lethargic and kept the intermittent ability of nonverbal communication gradually sliding into a comatose state with apneas. Initial neurologic and radiologic examinations ruled out a structural lesion of the central nervous system. Laboratory data showed acute kidney injury and suspected urinary tract infection with extremely high inflammation parameters. The patient had a history of multiple sclerosis and received daily oral baclofen. Baclofen-induced coma secondary to baclofen overdose caused by renal insufficiency was suspected and renal dialysis started within 24 hours. Cystoscopy and implantation of a ureteric stent were necessary because of obstructive nephropathy. During hemodialysis, the patient’s mental status steadily improved. The patient woke up and was oriented and cooperative. Both clinical and laboratory data were widely normalized within days.Diagnosis of baclofen overdose can be challenging, but adequate supportive therapy, including hemodialysis, should be considered to reduce the length of comatose state and the risk of aspiration pneumonia.
{"title":"Baclofen-Induced Coma Reversible by Dialysis in a Patient Affected by Acute Kidney Injury","authors":"O. Malle, Tadeja Urbanic Purkart, K. Amrein","doi":"10.7175/cmi.v16i1.1518","DOIUrl":"https://doi.org/10.7175/cmi.v16i1.1518","url":null,"abstract":"Baclofen is commonly used to treat muscular spasticity and other conditions such as pain, alcohol withdrawal, and myoclonus. It is contraindicated in chronic kidney disease. As it is eliminated predominantly by the kidneys, acute kidney injury can lead to acute baclofen overdose with central nervous system affection due to drug accumulation. Currently, there is no consensus about the treatment of baclofen intoxication.A 67-year-old woman was admitted with altered mental status and vomiting. Initially, she was unresponsive/lethargic and kept the intermittent ability of nonverbal communication gradually sliding into a comatose state with apneas. Initial neurologic and radiologic examinations ruled out a structural lesion of the central nervous system. Laboratory data showed acute kidney injury and suspected urinary tract infection with extremely high inflammation parameters. The patient had a history of multiple sclerosis and received daily oral baclofen. Baclofen-induced coma secondary to baclofen overdose caused by renal insufficiency was suspected and renal dialysis started within 24 hours. Cystoscopy and implantation of a ureteric stent were necessary because of obstructive nephropathy. During hemodialysis, the patient’s mental status steadily improved. The patient woke up and was oriented and cooperative. Both clinical and laboratory data were widely normalized within days.Diagnosis of baclofen overdose can be challenging, but adequate supportive therapy, including hemodialysis, should be considered to reduce the length of comatose state and the risk of aspiration pneumonia.","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45624308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Yap, Jonathan Freise, B. Bolinger, A. Alkoraishi
Cecal volvulus is a surgical emergency which is associated with the risk for bowel ischemia and perforation. Occasionally, volvulus can be caused by an internal hernia.We report the case of a 73-year-old woman with no prior surgical history who had abrupt onset abdominal pain, distension, bilious emesis, and obstipation. Computed tomographic imaging showed a twisted, dilated cecum within the lesser sac with the base of the volvulus at the foramen of Winslow and mass effect against a decompressed stomach. In the operating room, the patient underwent exploratory laparotomy, reduction of the cecal volvulus through the lesser sac, and right hemicolectomy with primary ileocolic anastomosis.Given the substantial morbidity and mortality risk if a closed loop obstruction is left untreated, it is of paramount importance to consider internal hernias as a potential cause to allow an early diagnosis and an urgent surgical treatment.
{"title":"Operative Management of Cecal Volvulus Herniating Through the Foramen of Winslow","authors":"A. Yap, Jonathan Freise, B. Bolinger, A. Alkoraishi","doi":"10.7175/cmi.v16i1.1514","DOIUrl":"https://doi.org/10.7175/cmi.v16i1.1514","url":null,"abstract":"Cecal volvulus is a surgical emergency which is associated with the risk for bowel ischemia and perforation. Occasionally, volvulus can be caused by an internal hernia.We report the case of a 73-year-old woman with no prior surgical history who had abrupt onset abdominal pain, distension, bilious emesis, and obstipation. Computed tomographic imaging showed a twisted, dilated cecum within the lesser sac with the base of the volvulus at the foramen of Winslow and mass effect against a decompressed stomach. In the operating room, the patient underwent exploratory laparotomy, reduction of the cecal volvulus through the lesser sac, and right hemicolectomy with primary ileocolic anastomosis.Given the substantial morbidity and mortality risk if a closed loop obstruction is left untreated, it is of paramount importance to consider internal hernias as a potential cause to allow an early diagnosis and an urgent surgical treatment.","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47385909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-1-47-60
N. Akatov, G. Chernovalova, S. Komarov
{"title":"Diagnostics of the maturity of the organization’s information and infrastructure mechanism in the context of ecosystem management","authors":"N. Akatov, G. Chernovalova, S. Komarov","doi":"10.22394/2304-3369-2022-1-47-60","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-1-47-60","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72605139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-3-46-59
G. Osadchaya, M. Vartanova
{"title":"Human potential of sustainable development of the Eurasian Economic Union countries: change dynamics and demographic security","authors":"G. Osadchaya, M. Vartanova","doi":"10.22394/2304-3369-2022-3-46-59","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-3-46-59","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85381431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-3-19-31
V. Levashov, N. Velikaya, I. Shushpanova
{"title":"Citizens on the “Demography” national project implementation in Russia","authors":"V. Levashov, N. Velikaya, I. Shushpanova","doi":"10.22394/2304-3369-2022-3-19-31","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-3-19-31","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78482393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-6-80-91
S. Apenko, G. Efimova
{"title":"Key success factors for the university transformation projects implementation","authors":"S. Apenko, G. Efimova","doi":"10.22394/2304-3369-2022-6-80-91","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-6-80-91","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90663559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-4-20-30
V. Kulkova, H. Youssef
{"title":"Organizational aspects of charity management in the implementation of Islamic entrepreneurship in the Russian Federation","authors":"V. Kulkova, H. Youssef","doi":"10.22394/2304-3369-2022-4-20-30","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-4-20-30","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75763947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-4-47-60
S. Koptyakova, V. Gafurova, Ya.M. Zakharova
{"title":"Improving management tools to increase the efficiency of using labor potential at the oil industry enterprises","authors":"S. Koptyakova, V. Gafurova, Ya.M. Zakharova","doi":"10.22394/2304-3369-2022-4-47-60","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-4-47-60","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74277586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.22394/2304-3369-2022-2-34-48
S. Orekhova, N. Yaroshevich
{"title":"Ecosystems and new competition: “chicken-and-egg” phenomenon","authors":"S. Orekhova, N. Yaroshevich","doi":"10.22394/2304-3369-2022-2-34-48","DOIUrl":"https://doi.org/10.22394/2304-3369-2022-2-34-48","url":null,"abstract":"","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74106894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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