[Addiction]. / Dépendances.

The 2009 news in medicine regarding dependence confirm the bio-psycho-social field of addiction medicine and psychiatry. First a statement is made about the risk of cardiac arythmy in opioid substitution treatments. Then a review of the treatment of C hepatitis shows its importance in an addicted population. In the field of cognitive neuroscience, progress has been made in the knowledge of "craving" and of its endophenotypical components. Electronic medias related disorders are on the border of addiction: a case study is exploring this new domain. At last, recent datas are presented on the relationship between cannabis and psychosis.

Balance highly influences flexibility measured by the toe-touch test.

Flexibility evaluation is a standard assessment in clinical and in sports settings. The Toe-touch test (TTT) is a common assessment tool to evaluate posterior muscular chain flexibility, but the test procedure implies a balance demand. The objective of the study was to verify the hypothesis that the balance demand during the TTT may affect the flexibility measured by the test. Twenty healthy, active young adults participated in the present study. Toe-touch test outcome (the linear finger to toe distance), Center of Pressure (CP) and sagittal plane joint angles were compared under two balance conditions: (1) standard TTT (ST) and (2) minimised postural demand (MPD) during TTT (using a device that restrained the participant against a forward fall). Then, ST was re-tested to verify a possible effect of motor learning on TTT outcome. Compared to ST, MPD showed an improvement of 73% in test outcome, greater flexion of the ankle, greater total body flexion, and a forward displacement of the CP. Re-test of ST showed indications of motor learning with a different balance strategy compared to the first trial in the same condition. The test outcome showed significant negative correlations with CP position in ST (weak correlation), in the re-test (strong correlation) and when the conditions were combined (moderate correlation). In conclusion, TTT outcome was highly affected by balance performance. Maximum range of motion during ST was a fraction of the range obtained when balance demand was minimized.

A tessitura da construção coletiva de indicadores de saúde mental em Centros de Atenção Psicossocial / The texture of the collective construction of mental health indicators in Psychosocial Care Centers

RESUMO Os Centros de Atenção Psicossocial (Caps) são serviços comunitários que visam promover a reabilitação psicossocial para pessoas com sofrimento mental e com problemas recorrentes do consumo prejudicial de Substâncias Psicoativas (SPA). A avaliação da qualidade desses serviços pode ser medida por meio de indicadores de saúde mental, campo em desenvolvimento. Este estudo é um relato de experiência com objetivo de discorrer sobre o processo de construção de indicadores de saúde mental de um Caps Adulto e Caps Álcool e Drogas de uma região de saúde da cidade de São Paulo, realizado no período entre 2020 e 2021. Como resultado desse trabalho, foram criados coletivamente os indicadores de processo: articulação com a atenção primária e atenção à crise e o indicador específico de resultado para cada Caps: reabilitação psicossocial. A construção colaborativa proporcionou a análise e reflexão sobre o processo de trabalho, evidenciou-se a potencialidade da elaboração participativa dos indicadores de saúde mental que impactou na revisão da prática assistencial individual do trabalhador e de cada serviço. Identificouse desafios nesta construção quanto à disponibilidade de agenda, lacuna na formação dos profissionais, escassez de literatura específica e pausas no percurso devido às contingências da pandemia Covid-19.

ABSTRACT Psychosocial Care Centers (CAPS) are community services that aim to promote rehabilitation for people with mental suffering. Quality assessment can be measured through mental health indicators, a field that is under development. This study is an experience report that has the discourse objective of the process of collective construction of mental health indicators of a CAPS Adult and CAPS Alcohol and Drugs in a health region of the city of São Paulo, carried out in the period between 2020 and 2021. As a result of these, the work indicators of the process were collectively created: articulation with primary care and crisis care and the specific result indicator for each CAPS: psychosocial rehabilitation. The collaborative construction of the mental health analysis process and the reflection on the indicators-evidence of the potential of the participatory elaboration of the assistance individuals of the work and of each service. It was identified in this construction as the availability of challenges, gap in the training of professionals, course of specific literature and pauses due to the contingencies of the COVID-19 pandemic.