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1.
Z Kinder Jugendpsychiatr Psychother ; 46(6): 505-515, 2018 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-29688117

RESUMO

Cross-sectional data of inpatient residents of a rehabilitation center with schizophrenic psychosis diagnosis Abstract. OBJECTIVE: The objective of this study is to evaluate the level of neuropsychological functioning, quality of life, content of treatment, abnormal psychology as well as the level of functioning and medication in children and adolescents who suffer from a schizophrenia spectrum disorder, treated as rehabilitation inpatients. METHODS: Forty-two patients could be examined, therefore, the IRAOS, the WAIS-IV, the TMT-A/-B, the FBB-P (patient's version), the ILK-P, the SANS/SAPS, the BPRS, the BSCL, the GAF, the CGAS, and the CGI were used. RESULTS: Patients' average age at onset of the disorder was 14.49 years (± 2.90). The total value of IQ was 87.00 (± 15.02), the value of TMT-A was 73.05 (± 14.51), and of the TMT-B 75.62 (± 15.15). The value for the content of treatment in the summary-score of the FBB-P was 3.05 (± 0.49). The value of the total-score in ILK-P was 2.10 (± 0.70). The summary-score of the SANS was 5.00 (± 2.90) and of the SAPS 3.00 (± 2.70). The BPRS-summary-score's value was 30.70 (± 7.80), the BSCL-GSI's value was 0.90 (± 0.50). GAF and CGAS were at 48.30 (± 12.80), respectively 51.00 (± 12.30). Clozapin has been prescribed in 25.0 % of the cases as first or second neuroleptic medication. CONCLUSION: We investigated patients with VEOS and EOS living in a rehabilitation center. Usually, the course of their illness is much more severe and chronic than it is seen in a common department for child and adolescent psychiatry. Findings indicate a clear impairment in the level of neuropsychological and global functioning in contrast to rather low to moderate burden of positive/negative deficits. Satisfactory results of treatment and quality of life could be evaluated in spite of the aforementioned impairments. Medication did not conform to current guidelines, especially concerning Clozapin. Findings of the subsequent follow-up will show, if the impairment will improve under inpatient rehabilitation conditions.


Assuntos
Admissão do Paciente , Centros de Reabilitação , Esquizofrenia/reabilitação , Ajustamento Social , Adolescente , Adulto , Idade de Início , Antipsicóticos/uso terapêutico , Escalas de Graduação Psiquiátrica Breve/estatística & dados numéricos , Criança , Doença Crônica , Clozapina/uso terapêutico , Estudos Transversais , Feminino , Alemanha , Fidelidade a Diretrizes , Humanos , Masculino , Testes Neuropsicológicos/estatística & dados numéricos , Psicometria , Qualidade de Vida , Adulto Jovem
2.
Am J Bioeth ; 16(9): 40-1, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27471939

Assuntos
Teoria Ética , Humanos
3.
Sci Total Environ ; 440: 167-77, 2012 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-22963987

RESUMO

The integration of scientific knowledge about possible climate change impacts on water resources has a direct implication on the way water policies are being implemented and evolving. This is particularly true regarding various technical steps embedded into the EU Water Framework Directive river basin management planning, such as risk characterisation, monitoring, design and implementation of action programmes and evaluation of the "good status" objective achievements (in 2015). The need to incorporate climate change considerations into the implementation of EU water policy is currently discussed with a wide range of experts and stakeholders at EU level. Research trends are also on-going, striving to support policy developments and examining how scientific findings and recommendations could be best taken on board by policy-makers and water managers within the forthcoming years. This paper provides a snapshot of policy discussions about climate change in the context of the WFD river basin management planning and specific advancements of related EU-funded research projects. Perspectives for strengthening links among the scientific and policy-making communities in this area are also highlighted.

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