Demographics And Complaints Of University Students Who Sought Help At A Campus Mental Health Service Between 1987 And 2004.

Client characterization is an important step in evaluating the services offered by campus counseling and mental health centers and in their further planning and development. The objectives here were to describe reported complaints and demographics among students who sought counseling/mental healthcare at a Brazilian campus mental health service over a 17-year period and to compare these characteristics with those of the general university student body. Retrospective study at the Psychological and Psychiatric Service for Students (SAPPE), Universidade Estadual de Campinas (Unicamp). The participants were all of the 2,194 students who sought counseling/mental health care at SAPPE from 1987 to 2004. Information was obtained from clients clinical charts. Unicamps database was consulted for general information on its students. The findings indicated overrepresentation, among the clients, of undergraduates, female students, students from Brazilian states other than São Paulo, students living in the campus residence hall and those whose main source of income was a scholarship grant. We also found overrepresentation of Humanities and Arts students among the clients. The most frequently reported complaints were difficulties in interpersonal relationships, family conflicts and poor academic performance. Course level (undergraduate or postgraduate), study field, living in a university residential facility and reliance on a scholarship grant were found to influence the behavior of seeking mental health counseling among Brazilian university students in this study. Course level was found to influence the pattern of complaints reported at first contact with the mental health service.12658-6

Desempenho acadêmico de alunos que se submeteram a tratamento psiquiátrico no serviço de saúde mental para estudantes de uma universidade brasileira

University students are generally at the typical age of onset of mental disorders that may affect their academic performance. We aimed to characterize the university students attended by psychiatrists at the students’ mental health service (SAPPE) and to compare their academic performance with that of non-patient students. Cross-sectional study based on review of medical files and survey of academic data at a Brazilian public university. Files of 1,237 students attended by psychiatrists at SAPPE from 2004 to 2011 were reviewed. Their academic performance coefficient (APC) and status as of July 2015 were compared to those of a control group of 2,579 non-patient students matched by gender, course and year of enrolment. 37% of the patients had had psychiatric treatment and 4.5% had made suicide attempts before being attended at SAPPE. Depression (39.1%) and anxiety disorders/phobias (33.2%) were the most frequent diagnoses. Severe mental disorders such as psychotic disorders (3.7%) and bipolar disorder (1.9%) were less frequent. Compared with non-patients, the mean APC among the undergraduate patients was slightly lower (0.63; standard deviation, SD: 0.26; versus 0.64; SD: 0.28; P = 0.025), but their course completion rates were higher and course abandonment rates were lower. Regarding postgraduate students, patients and non-patients had similar completion rates, but patients had greater incidence of discharge for poor performance and lower dropout rates. Despite the inclusion of socially vulnerable people with severe mental disorders, the group of patients had similar academic performance, and in some aspects better, than, that of non-patients.13512328Estudantes universitários geralmente estão na faixa etária típica do início de transtornos mentais que podem afetar seu desempenho acadêmico. Tivemos como objetivos caracterizar os estudantes atendidos por psiquiatras em serviço universitário de saúde mental para alunos (SAPPE) e comparar seu desempenho acadêmico com o de alunos não pacientes. Estudo transversal baseado em revisão de prontuários e levantamento de dados acadêmicos em uma universidade pública brasileira. Prontuários de 1.237 estudantes assistidos por psiquiatras do SAPPE entre 2004 e 2011 foram revisados. Seu coeficiente de rendimento (CR) e status acadêmicos em julho de 2015 foram levantados e comparados aos de um grupo de controle com 2.579 alunos não pacientes, pareados por sexo, curso e ano de matrícula. 37% dos pacientes tiveram acompanhamento psiquiátrico e 4,5% fizeram tentativas de suicídio prévios ao atendimento pelo serviço. Os diagnósticos mais frequentes foram depressão (39,1%) e transtornos fóbico-ansiosos (33,2%). Transtornos mentais graves, como o psicótico (3,7%) e o bipolar (1,9%), foram menos frequentes. Entre os pacientes dos cursos de graduação, o CR médio foi levemente inferior (0,63; desvio padrão, DP: 0,26; versus 0,64; DP: 0,28; P = 0,025) que o de não pacientes, mas suas taxas de conclusão do curso foram maiores e as de evasão, menores. Na pós-graduação, as taxas de conclusão foram semelhantes, mas pacientes tiveram maior frequência de desligamento por baixo desempenho acadêmico e menor de desistência. Mesmo incluindo pessoas socialmente vulneráveis e com transtornos mentais graves, o grupo de pacientes teve desempenho acadêmico semelhante e, em alguns aspectos melhor, do que o de não pacientes

Plasma rico em plaquetas: mecanismo de ação, produção e indicações de uso - Revisão de literatura

O plasma rico em plaquetas (PRP) é um produto biológico produzido a partir de um processo de centrifugação de sangue autólogo, permitindo a extração de um plasma com uma concentração de três a cinco vezes maior de plaquetas em relação a sua quantidade no sangue basal. Muitas pesquisas desenvolvidas nas mais diversas áreas da Medicina, especialmente em odontologia, ortopedia e cirurgia reconstrutiva têm sugerido que o produto potencializa o processo de cicatrização tecidual no local aonde o mesmo é aplicado, por meio da liberação de mediadores biológicos denominados fatores de crescimento. Acredita-se que os fatores de crescimento, entre eles o fator de crescimento derivado das plaquetas, fator de crescimento transformador ?, fator de crescimento epitelial e fator de crescimento vascular endotelial, sejam capazes de estimular vários processos biológicos envolvidos na recuperação tecidual como a mitose, diferenciação celular, quimiotaxia, síntese de matriz e angiogênese. Diante das informações descritas, e com o intuito de divulgar e difundir o uso do PRP na medicina veterinária, tendo em vista que seu emprego ainda não é uma prática comum, objetivou-se realizar uma revisão de literatura sobre o produto, descrevendo sobre a sua ação no tecido alvo, indicações de uso, processo de produção e os resultados obtidos em alguns estudos já realizados

Pre or perioperative period: when is the best time to produce platelet-rich plasma in dogs?

When evaluating published studies on the production of platelet-rich plasma (PRP), it is possible to observe that there is no consensus on when blood should be collected and processed. Some perform blood collection before surgery, prior to the administration of drugs, fluids, or any surgical trauma, while others collect blood during the perioperative period. The present objective was to determine the best moment for PRP production based on the platelet count. Blood samples were collected from 20 healthy female dogs at two distinct moments: before surgery, prior to anesthesia and fluid therapy (M0), and later, in the operation room, after administration of the anesthetics and intravenous fluids (M1). To obtain PRP, blood was centrifuged at 1200 rpm for ten minutes, then at 1600 rpm for ten minutes. Results showed that the blood collected at M1 had a 29% decrease in platelet count compared to M0 (highly significant statistical difference). It is recommended that blood collection, which is an essential step for producing platelet-rich plasma, shall be done during the pre-operative period.Published studies about production of platelet-rich plasma (PRP), demonstrate differences related to the moment in when blood should be collected and processed. Blood collection could be performed before surgery, prior to the administration of drugs, fluids, or any surgical trauma, while others collect blood during the perioperative period. The present objective was to determine if blood collection and processing in the pre or perioperative periods would result in different platelet concentrations, and consequently, what period is recommended to prepare a best PRP. Blood samples were obtained from 20 healthy female dogs at two distinct moments: before surgery, prior to the administration of drugs and fluids (M0), and later, in the operation room, after administration of anesthetics and intravenous fluids (M1). To obtain PRP, blood was centrifuged at 1200 rpm for ten minutes, then at 1600 rpm for ten minutes. Results showed that blood collected at M1 had a 29% decrease in platelet count compared to M0 (highly significant statistical difference), what interferes directly in PRP quality, and therefore, it is concluded that blood collection and PRP processing should be realized at M0

Síndrome de Allgrove e amiotrofia: uma associação rara

A Síndrome de Allgrove é uma doença rara hereditária, causada por mutações no gene AAAS, que possui uma tríade clássica de sintomas caracterizada por alacrimia, acalasia e insuficiência adrenal. Além da tríade, sinais neurológicos como disfunção autonômica, microcefalia, disfunção cognitiva ou demência leve, doença do neurônio motor/amiotrofia e outros podem ser mencionados em até 70% dos casos. Nessa perspectiva, o objetivo desse trabalho é a realização de um estudo observacional e exploratório sobre os artigos publicados nos últimos 5 anos sobre associação rara entre a síndrome de allgrove e amiotrofia, uma vez que essa é uma comorbidade rara da síndrome. Dos 140 resultados obtidos na pesquisa, apenas 9 abordaram de forma objetiva sobre o tema, sendo utilizados na confecção do estudo. Segundo a literatura, a amiotrofia é uma comorbidade rara da síndrome de Allgrove, que possui grande relevância devido ao seu curso rápido e progressivo

Long-term thermal sensitivity of Earth’s tropical forests

The sensitivity of tropical forest carbon to climate is a key uncertainty in predicting global climate change. Although short-term drying and warming are known to affect forests, it is unknown if such effects translate into long-term responses. Here, we analyze 590 permanent plots measured across the tropics to derive the equilibrium climate controls on forest carbon. Maximum temperature is the most important predictor of aboveground biomass (−9.1 megagrams of carbon per hectare per degree Celsius), primarily by reducing woody productivity, and has a greater impact per °C in the hottest forests (>32.2°C). Our results nevertheless reveal greater thermal resilience than observations of short-term variation imply. To realize the long-term climate adaptation potential of tropical forests requires both protecting them and stabilizing Earth’s climate

A global experiment on motivating social distancing during the COVID-19 pandemic

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. On the other hand, the autonomy-supportive message lowered feelings of defiance compared with the controlling message, but the controlling message did not differ from receiving no message at all. Unexpectedly, messages did not influence autonomous motivation (a highly internalized form of motivation relying on one’s core values) or behavioral intentions. Results supported hypothesized associations between people’s existing autonomous and controlled motivations and self-reported behavioral intentions to engage in social distancing. Controlled motivation was associated with more defiance and less long-term behavioral intention to engage in social distancing, whereas autonomous motivation was associated with less defiance and more short- and long-term intentions to social distance. Overall, this work highlights the potential harm of using shaming and pressuring language in public health communication, with implications for the current and future global health challenges