Studies of adolescents in the field of school disruption and its determinants are still scarce, which reinforces the need for further investigations. In this assumption, the present study's main objective was to know the effect of context variables sociodemographic, family, school and in the different domains of psychosocial school disruption.

We conducted a cross-sectional quantitative study, which was attended by 94 students of Secondary Education Portuguese, mostly women (59.57%) with a mean age of 17:19 years. To measure the variables used the following instruments: Family Apgar Scale, Scale School Climate, Piers-Harris Children's Self-Concept Scale and Scale Disruption professed by School Students.

Regarding the effect of context variables on sociodemographic school disruption, we found that age and socioeconomic level do not get statistical significance. Variable sex exerts a significant effect, specifically on the factor 2 - “aggression colleagues” and factor 3 “school authority aggression,” where are the adolescent males to produce higher scores. The data reveal that there are also significant influences of family functionality in all factors of school disruption (p < 0.05). With regard will influence school climate, we infer that, generally, with statistical significance, the better the school climate, school less disruption manifested by adolescents. In the area of influence of self-concept, we found that there are statistically significant correlations on some dimensions of school disruption.

The evidence found in this study invite us to prepare and reflect on new strategies that allow obtaining a better understanding, multidimensional adolescent inserted in middle school.

Anxiety disorders are abnormal states in which the most noticeable features are mental and physical symptoms of anxiety. They are of the most common psychiatric disorders in the general population with the lifetime prevalence approaching a 21%.

The evidence based medicine lacks research on patients’ experience of medication for psychiatric disorders, especially of medication for anxiety disorders.

This research involves patients referred to secondary care because of their anxiety symptoms and diagnosed as suffering with anxiety disorders.

To illuminate the subjective experiences of patients diagnosed with anxiety disorders and their experience of taking medication. Therefore qualitative methodology was appropriate.

All the potential participants in two Mental Health Trusts in the UK were informed about the research from their consultant psychiatrist or care coordinator if different, and provided with an information sheet. In depth interviews were used to explore patients experiences and phenomenological approach to analyse the data.

The patients we interviewed presented with a range of anxiety disorders. There were participants that suffered from generalized anxiety disorder, others with panic disorder, obsessive compulsive disorder, agoraphobia or social phobia. Furthermore, the pharmacological treatment they were receiving varied. The overall treatment varied as treatment with medication was combined with any talking therapy or other support.

In this presentation we share some of our patients’ feelings and thoughts about living with an anxiety disorder, their attitudes about the chosen treatment, their subjective perceptions about their medication and their perceptions around the effectiveness of such a treatment.

It is well known that impulsivity and stress are risk factors for the development of addictive disorders, and more specifically alcohol dependence. Impulsivity has two dimensions: behavioural inhibition and delay of reward. The Fear- Conditioning paradigm of the Startle response (SR), which refers to the potentiation of the startle amplitude after the exposure to aversive stimulus, can be used as a stress test. The aim of this study was to explore the correlation between impulsivity laboratory tasks and the Fear-Conditioning (FC) paradigm of the SR as risk factors for the development of alcohol dependence.

The sample included 40 abstinent alcoholic men, who met DSM-IV criteria for Alcohol Dependence and had been abstinent for at least one month. Impulsivity was assessed using two laboratory tests: Stop-Signal Task (SST) and Differential Reinforcement for Low-Rate Responding (DRL6). The FC paradigm of the SR was used as a stress test. Patients were compared to 40 matched controls.

We found a positive correlation between SST tasks and the FC paradigm of the SR (p < 0,05) and a negative correlation between the DRL6 tasks and the FC paradigm of the SR (p < 0,05) in the patient's group. This significant correlation was not found in controls.

Impulsivity and stress are significantly correlated in alcohol dependent patients. This means that while healthy subjects cope with stress, alcohol dependent patients react with higher impulsivity when they are exposed to stress situations and this could lead them to drink alcohol to relieve anxiety and depressive symptoms.

Adolescence and early adulthood are the most vulnerable period of life for exposure to traumatic experiences (70% of their deaths are due to external causes). The Post Traumatic Stress Disorder (PTSD) is characterized by dysfunctional symptoms that cause distress or social, academic and occupational impairment, and results from exposure to a traumatic stressor. There is no consensus in the literature about why some individuals experience PTSD after traumatic events and not others. The aim of this multicentre study is to describe clinical and socio-demographic characteristics and academic performance in college student's population in the Northeast of Brazil, identifying traumatic experiences exposure patterns, and investigating the impulsivity's influence in the development of PTSD, as well as the impact of early traumatic experiences in vulnerability or resilience in this population.

2282 subjects completed the protocol between April and July 2011 in a sample census of seven (public and private) college institutions in three metropolitan regions of the Brazilian Northeast, aiming to cover different academic areas (exact, biological, humanities /arts). All students aged 18 or older, enrolled and attending to the first and last theoretical period were eligible, and accessed by previously trained researchers. The self applied protocol consisted of socio-demographic questionnaire and validated scales of: Impulsivity (BIS-11), PTSD (PCL-C) and Trauma History Questionnaire (THQ). Data were entered into SPSS 15.0. Prevalence Ratio and Logistic Regression technique will be used to analyze the association between dependent and independent variables of the study, that was approved by Bahia and Paraiba's ethics committees.

Patients with head and neck cancer have to cope with the uncertainty about the evolution of their disease, the need to change risky behaviours as alcohol and nicotine dependence, and even with the mutilation and dysfunction resulting from treatments. Literature shows that these patients suffer from psychiatric comorbidity and high levels of distress with little response to their psycho-social needs. Moreover, alcoholism, smoking and personality disorders are probably risk factors for the onset and development of cancer.

We propose a research project to determine the prevalence of psychiatric morbidity in patients with head and neck cancer hospitalized in a regional oncology center, and to what extent the psychiatric morbidity predisposes to medical and surgical complications during inpatient treatment.

We collected socio-demographic variables, clinical variables related to the oncological disease and psychopathological and cognitive variables. For the last ones, the following instruments were used: Mini Mental State Examination (MMSE), Brief Symptom Inventory (BSI), and CAGE as a screening test for alcohol consumption. Results were analyzed using the Statistical Package for the Social Sciences - SPSS (19th version).

Our preliminary results are in accordance with the available literature, showing high levels of psychopathology in patients with cancer of the head and neck, with associated medical complications during inpatient treatment. These findings stress the need of routine psychiatric assessment in this particular population.

Minors Mental Disorders (MDM) is a term created to describe symptoms such as insomnia, fatigue, irritability, forgetfulness, difficulty concentrating, and somatic complaints.

This study aimed to estimate the prevalence of MDM in São Francisco do Conde (SFC), Bahia.

We conducted a cross-sectional study by randomly selecting 456 individuals aged over 18 years, registered at the Family Health Program of CFS. The data were collected through home visits in the period from October to December 2010. The subjects answered a questionnaire containing the “Self-Report Questionnaire” (SRQ-20), the demographics and lifestyles. The SRQ-20 is composed of 20 questions, four about physical symptoms and sixteen on psycho emotional symptoms. The answers are “yes” or “no” and attributed, respectively, values of “1” and “0”. The cutoff suggested for identifying DPM was seven or more positive responses. The project was approved by a Research Ethics Committee registered the CONEP.

The results showed a prevalence of 37.7% of MDM. Among males the prevalence was 17.6% and in females was 47.5%, this result was statistically significant.

The results showed a high prevalence of psychological distress in this population, especially among females. The results stimulate the continuity of the actions of health surveillance carried out in the city.

Persons receiving care in forensic settings face unique challenges. Long hospital stay combined with other factors such as reduced physical activity, unhealthy diets, smoking, serious mental illness, antipsychotic medications, all add up to increase their risk of acquiring metabolic syndrome, thereby increasing morbidity and mortality.

Practice of monitoring for metabolic effects of an atypical antipsychotic- Clozapine was audited with the Maudsley Guideline as standard in 2 medium secure wards with 25 patients. It was conducted in 2011.

We checked whether blood lipids and body weight were monitored at baseline, at 3 months and then yearly; whether blood glucose and blood pressure were checked at baseline, at 4–6 months and then yearly.

Various sources of information were used including: paper medical records, electronic clinical entries, physical observation charts, medication prescription charts, Clozapine charts and acute hospital laboratory results

24 patients (96%) were on antipsychotic medication. Of these, 23 patients were on atypicals. Of the latter, 8 persons were on Clozapine. No patient on Clozapine achieved a 100% monitoring on indices. Baseline monitoring for cholesterol, weight, blood glucose and blood pressure were 88%, 50%, 75% and 88% respectively. At midterm they were 50%, 100%, 38%, and 25% respectively. There were variable compliance with other indices at stipulated times. Lack of supporting infrastructure to facilitate compliance was identified.

There was a need to adhere to existing guidelines which were also embodied in Trust policy to help manage metabolic syndrome.

The Eye Movement Reprocessing and Desensitization (EMDR) is an evidence based intervention in the treatment of psycho-traumatized individuals. Its effectiveness has been validated by extensive research. It outlines in particular an EMDR Humanitarian Assistance Training Programme that took place in Sarajevo University Clinical Centre after the Tuzla University Clinical Centre, Department of Psychiatry, in Bosnia-Herzegovina (BH) in response to 1992-1995 war, in helping to train mental health workers in EMDR to enable them to treat psychological trauma symptoms of war survivors.

Authors described educational process considering the history of idea and its realization through training levels and process of supervision which was provided from the Humanitarian Assistance Program (HAP) of UK &Ireland with non profit, humanitarian approach in sharing skills of EMDR to mental health therapists in BH.

Highly dedicated internationally approved trainers from HAP UK & Ireland provided completed EMDR training for 33 recruited trainees of different professional background from different BH health institutions from different cities and entities in BH. To be accredited EMDR therapists all trainees are obliged to practice EMDR therapy with clients under the supervision process of HAP UK & Ireland supervisors. Because of physical distance between supervisors and trainees, supervision is organized via Skype Internet technology.

Training of Bosnia-Herzegovina mental health workers to effectively use EMDR with enthusiastic help of EMDR trainers from HAP UK&Ireland is continued through the next training organized in Sarajevo and it will increase psychotherapy capacities in postwar BH.

Supersensitivity psychosis is a drug-induced phenomenon which consists of psychotic relapse occurring upon decrease or withdrawal of antipsychotics. This phenomenon has been described with many antipsychotics. We report the case of supersensitivity psychosis associated with decreasing doses of aripiprazole in a Tunisian patient.

Mr. M. is a 26-year old Tunisian male with a diagnosis of bipolar disorder (DSM IV). He was diagnosed at the age of 17. For the last 2 years, his condition was stable with lithium 250 mg/day, valproic acid 500 mg/day and aripiprazole 15 mg/day. The patient had a good adherence to this regimen and could go to work and study. During that period he only had some depressive relapses. He never had psychotic symptoms. He decided himself to stop taking aripiprazole. The withdrawal was abrupt. Two days later, he began to experience auditory and visual hallucinations and persecutory delusion he never experienced before. He was hospitalized and he was put again on aripiprazole with increased doses to 20 mg/day. One week later his symptoms had improved significantly, he was experiencing less hallucinations. Two weeks later all the psychotic symptoms disappeared.

This case illustrates the concept of supersensitivity psychosis. This concept refers to the proposal that chronic administration of dopamine-blocking agents increases sensitivity of dopamine receptors in the mesolimbic or mesocortical system. These dopamine-blocking agents over-react to normal levels of dopamine after drug discontinuation or reduction, thus producing psychotic symptoms, analogous to the proposed mechanism of tardive dyskinesia.

Study of influence of depression on assessment of cardiovascular risk in IHD patients with components of metabolic syndrome (MS).

Among 376 IHD patients (59,1±10,3 years) 72,9% had AH, 40,2% DM of type 2 or disturbance of tolerance to glucose (DTG), 45,9% obesity, 42,2% dyslipidemia (DLP). Methods of investigation were as follows: clinicalpsychopathological, experimental-psychological, HADS, MADRS.

Depressive disorders have been diagnosed in 109 IHD patients (29%) of cardiologic institution. 79,8% had affective disorders, 20,2% mixed anxiety-depressive reaction, organic depressive disorder. There were more often factors of cardiovascular risk and components of MS: frequency of AH (83,2% vs. 66,3%; p = 0,016), DM of type 2 and DTG (46,8% vs. 37,5%; p = 0,048), obesity (30,7 ± 3,9 vs. 29,5 ± 4,5; p = 0,015), abdominal obesity (100,0 ± 10,7 vs. 92,0 ± 9,6 cm; p = 0,02), DLP (42,2% vs. 31,1%; p = 0,04); TCh (6,03 ± 1,19 vs. 5,72 ± 1,31 mmol/l; p = 0,033); Ch-LPHD (0,83 ± 0,18 vs. 0,94 ± 0,29 mmol/l; p = 0,0015). We have noticed increase of cases of instable angina (16,5% vs. 8,2%; p = 0,02), post-infarction cardiosclerosis (41,3% vs. 39,3%; p = 0,043), surgical revascularization of myocardium (22,9% vs. 15,4%; p = 0,041), need for nitrates (23,4 ± 2,8 vs. 17,6 ± 2,9 tablets/week; p = 0,00001), invalidization (44% vs. 23,2%; p = 0,00001). During intake of antidepressants (SSRIs) higher scores according to depression rating scales remained by month 6 of psychotropic therapy.

High frequency of association of factors of cardiovascular risk and components of MS in IHD patients with depressive disorders significantly exceeds indices in group without depression. Metabolic disturbances (DM of type 2, DTG, DLP), revealed in 65,1% of IHD patients with depression, decrease efficacy of antidepressant therapy.

Pediatric oncological patients undergoing radiotherapy require immobilization.

This study investigated the drugs administered and vital signs of these patients.

Our study included 38 patients with mean age 29.40 ± 3.94 months, weight mean 14.64 ± 0.55 kg, height 90.47 ± 14.71 cm undergoing anesthesia for radiotherapy immobilization purpose.

All patients received sevoflurane 8% for induction and anesthesia maintenance and procedure period was 32.62 ± 2.41 minutes.

Measured vital signs before anesthesia were: systolic arterial pressure 101.38 ± 2.05, diastolic arterial pressure 53.28 ± 1.80, heart rate 116.14 ± 1.80, respiratory rate 23.12 ± 0.93 and body temperature 36.01 ± 0.19.

Vital signs after anesthesia were: systolic arterial pressure 96.00 ± 2.02, diastolic arterial pressure 49.20 ± 2.88, heart rate 111.63 ± 2.80, respiratory rate 23.51 ± 1.10, body temperature 36.43 ± 0.82 and oxygen saturation 97.74% ± 1.00.

Emergence agitation related to the use of sevoflurane was observed in 84.21% (32) patients.

Either propofol 0.5 - 4.4 mg/kg or nalbuphine 0.1-0.15 mg/kg or fentanyl 2-3.6 mg/kg controlled agitation after sevoflurane in 43.75% (14) patients.

Flumazenil 0.02 mg/kg given to 5.26% (2) patients and haloperidol 1.44 mg/kg administered to 10.53% (4) and enhanced the agitation after sevoflurane.

There were no significant difference between vital signs measured before and after anesthesia with sevoflurane. Emergence agitation due to the use of sevoflurane was observed.

The use of benzodiazepines antagonist and neuroleptics should be evaluated in emergence agitation due to sevoflurane.