Taking Care of Those Who Care: Attending Psychological Needs of Health Workers in a Hospital in Madrid (Spain) During the COVID-19 Pandemic.

PURPOSE OF REVIEW: We aim to review evidence of the psychological impact of the COVID-19 pandemic on healthcare professionals and the effects of the psychological crisis interventions and measures implemented to manage stress. RECENT FINDINGS: Mental health problems are frequently encountered in health professionals during emergencies and often prevail over the following years. Results show health professionals exhibited symptoms of depression, anxiety, emotional distress, burnout, post-traumatic stress and poor sleep quality. In response to acute responses to stress, it is crucial to provide psychoeducation, mindfulness and coping resources. These interventions can improve resilience and self-efficacy of professionals, as well as help to prevent anxiety, depression and quality of sleep. The need for intervention programmes targeting the mental health of vulnerable populations has been widely acknowledged. We described a psychological support plan designed and implemented with the aim of providing mental health care for health professionals. Such programmes should be easily accessible to professionals, preferably in their own work environments.

Vómitos cíclicos secundarios al consumo de cannabis / Cyclical hyperemesis secondary to cannabis abuse

La hiperemesis cannabinoide se caracteriza por la presentación de episodios recurrentes de náuseas y vómitos, con un patrón estereotipado, relacionados con el consumo de cannabis. Es un efecto paradójico del cannabis, que se presenta en consumidores crónicos susceptibles, tras años de exposición, con relación directa entre el consumo y su presentación, y que desaparece al cesar el consumo. Los primeros casos se describieron en 2004, y posteriormente se han reseñado otros, aunque los estudios sobre este síndrome son escasos. A continuación se presenta el caso de un varón de 25 años, consumidor crónico diario de cannabis, con náuseas y vómitos cíclicos de 7 años de evolución, que mejoran con baños muy calientes, con estudio gastroenterológico completo sin alteraciones. El consumo de cannabis (AU)

Cannabinoid hyperemesis is characterized by recurring episodes of nausea and vomiting, with a stereotyped pattern, related to cannabis consumption. This syndrome is a paradoxical reaction to cannabis that develops in susceptible chronic cannabis users after several years of exposure. There is a direct relationship between cannabis use and the onset of the hyperemesis and between cessation of cannabis use and symptom resolution. The first cases were described in 2004. Since then, several new cases have been reported, although there are few studies of this syndrome. We report a case of chronic cannabis use with nausea and cyclic vomiting for 7 years. The symptoms were relieved by hot baths. A complete gastroenterological study was performed and no alterations were found. Cannabis use and its cessation are related to the presence or absence of the symptoms (AU)

[Cyclical hyperemesis secondary to cannabis abuse]. / Vómitos cíclicos secundarios al consumo de cannabis.

Cannabinoid hyperemesis is characterized by recurring episodes of nausea and vomiting, with a stereotyped pattern, related to cannabis consumption. This syndrome is a paradoxical reaction to cannabis that develops in susceptible chronic cannabis users after several years of exposure. There is a direct relationship between cannabis use and the onset of the hyperemesis and between cessation of cannabis use and symptom resolution. The first cases were described in 2004. Since then, several new cases have been reported, although there are few studies of this syndrome. We report a case of chronic cannabis use with nausea and cyclic vomiting for 7 years. The symptoms were relieved by hot baths. A complete gastroenterological study was performed and no alterations were found. Cannabis use and its cessation are related to the presence or absence of the symptoms.

[Alcoholic jealousy: an old and current dilemma]. / Celopatía alcohólica: un antiguo y actual dilema.

The relation between alcohol and jealousy is a deeply rooted belief within the general population as well as in the medical, and particularly psychiatric, environment. Furthermore, in recent years there has been a growing interest on the forensic aspects of pathological jealousy, since they are a frequent cause of severe violence, homicide and suicide. Some authors have described a high prevalence of pathological jealousy in alcoholic patients, even awarding it a pathognomonic value in alcoholism. Nevertheless, recent studies do not completely support this relation, and draw attention to other factors. Results from the various studies contain several definitions and classifications of pathological jealousy, and although most of them highlight the prevalence of jealousy in alcoholic patients, they question its pathognomonic quality. Also, the presence of pathological jealousy in subjects with psychiatric disorders other than alcoholism is suggested, indicating the existence of predisposing and triggering factors which could explain the development of pathological jealousy. Yet, the important methodological difficulties in the published articles and the shortage of studies do not allow the confirmation of the alcoholic etiology in pathological jealousy; this is the reason why considering alcoholic jealousy as a separate entity is debatable. In this sense, the best diagnosis in these patients would be paranoid disorder combined with alcoholic dependence, hence, a dual diagnosis.