Academic literature on the topic 'Paranoia (Par)'
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Journal articles on the topic "Paranoia (Par)"
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Amirpour, Leila, Mahboubeh Dadfar, Majid Heydari Charvadeh, and Behrooz Birashk. "Reliability, Validity, and Factorial Structure of the Farsi Version of the Paranoia Checklist With Iranian Students." SAGE Open 8, no. 4 (October 2018): 215824401881712. http://dx.doi.org/10.1177/2158244018817129.
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Paranoid thought is one of the most common symptoms in psychiatric disorders. The Paranoia Checklist is a brief screening and diagnostic tool for clinical and subclinical paranoia. It has been used in research, clinical, and non-clinical settings. The Paranoia Checklist has not had its validity examined in university settings in Iran. A cross-sectional study was conducted to investigate the validation of the Farsi version of Paranoia Checklist in a randomized cluster sample of 365 Iranian volunteer college students selected from the Payame Noor University of Mashhad in Iran. They completed the Paranoia Checklist, the General Paranoia Scale, and the Symptom Checklist 90 Revised (SCL-90-R). The mean score of the Paranoia Checklist was 35.50 ( SD = 7.21). The Cronbach’s α for the Paranoia Checklist was .87, indicating high internal consistency. The Paranoia Checklist correlated .42 with the General Paranoia Scale, .38 with the SCL-90-R subscales of Anxiety (ANX), Hostility (HOS), and Paranoia Ideation (PAR), and .37 with the Interpersonal Sensitivity (INTS), denoting moderate construct and criterion-related validity. The results of the factor analysis of the Paranoia Checklist identified three factors associated with the paranoid thoughts. The Paranoia Checklist has a multidimensional structure, and adequate validity and reliability. It can be used in the non-clinical, clinical, and research settings to measure paranoia in Iran.
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Aalayi, Z., T. Ahmadi Gatab, S. Sadeghi Afjeh, and N. Mesbah. "Simple and multiple relations between just and unjust word beliefs with psychological state." European Psychiatry 26, S2 (March 2011): 864. http://dx.doi.org/10.1016/s0924-9338(11)72569-x.
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Introduction and objectivesThe main purpose of this research was to investigate the simple and multiple relations between just (general and global) and unjust word beliefs with psychological state.MethodTo this goal, 319 participants selected with the use of multi-stage random sampling method from the total population. Questionnaires which used in this research were: General Just Word Belief Scale, Unjust Word Belief Scale and SCL-90-R Scale were used. Pearson's correlation coefficient and stepwise regression analysis method.ResultsWere used the results showed that there is negative significant relation between general just world belief with obsessive -compulsive (OC), interpersonal sensitivity (INT), depression (DEP), hostility (HOS) and paranoia (PAR), (p < 0.05, p < 0.01). Also results showed that there is negative significant relation between global just word belief with obsessive compulsive and depression, (p < 0.05). Results also showed a positive significant relation between unjust word beliefs with paranoia (p < 0.05).ConclusionsThe results of the stepwise regression analysis, showed that only depression has a significant power for prediction of general just word beliefs and score of additional items in SCL-90-R have significant power for prediction of global just word belief. Results of regression analysis showed that interpersonal sensitivity (INE) and paranoia have significant power for prediction of unjust word belief. Finally the results showed that only paranoia has a significant power for prediction of unjust word belief. The implications of the results have been discussed.
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Husson, T., E. Zante, S. Guigueno, M. Rotharmel, S. Haouzir, O. Guillin, and S. Tran. "Syndrome de Capgras, un cas clinique illustrant le trouble de la reconnaissance affective." European Psychiatry 30, S2 (November 2015): S128. http://dx.doi.org/10.1016/j.eurpsy.2015.09.249.
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Le syndrome de Capras (ou illusion des sosies) est un trouble de l’identification des personnes caractérisé par la conviction délirante qu’une (ou plusieurs) personne(s) proche(s) du sujet ont été remplacées par des doubles (physiquement identiques) qui le persécutent. Il s’agit du plus fréquent des délires d’identification des personnes. Le cas princeps décrit une patiente souffrant de psychose hallucinatoire chronique. La littérature montre que ce « curieux petit syndrome » est le plus souvent associé à une schizophrénie ou à une démence. Pour certains auteurs [1], il serait d’une non reconnaissance affective d’un visage physiquement reconnu.Cas cliniqueMme M. 74 ans est hospitalisée pour une recrudescence délirante d’une paranoia évoluant depuis 40 ans. Il s’agit de sa première hospitalisation en psychiatrie. À l’admission, le diagnostic est confirmé (elle présente une conviction délirante inébranlable parfaitement systématisée, de mécanisme interprétatif, de thème persécutif de thymie congruente), ayant eu des conséquences particulièrement malheureuses dans sa vie affective, professionnelle, sociale et familiale. Il est alors mis en évidence un délire de faux semblant tout à fait évocateur d’un syndrome de Capgras. Mme M. a constaté l’apparition de sosies de son époux qu’elle ne reconnaissait pas, de sa propre personne (depuis une agression – avérée – avec vol de ses papiers d’identité), et au cours de l’hospitalisation du médecin du service qui la prenait en charge. Le cas que nous présentons ici à un double intérêt. D’une part, il est décrit associé à une Paranoïa, ce qui n’est pas habituellement décrit dans la littérature, à notre connaissance. D’autre part, il répond de façon remarquable à la modélisation d’Ellis et Young.
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Braga, Vinícius De Aquino, and Isalena Santos Carvalho. "Manifestações Paranoicas na Ausência de Psicose." Revista Subjetividades 18, no. 1 (April 30, 2018): 34. http://dx.doi.org/10.5020/23590777.rs.v18i1.6188.
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Manifestações paranoicas podem ocorrer mesmo na ausência de psicose. A proposta deste trabalho é discutir como isso é possível. Como método de trabalho, realizamos pesquisa bibliográfica, na qual recorremos a leituras e releituras de obras de Freud e de Lacan, bem como de autores contemporâneos da Psicanálise, como Charles Melman e Marcel Czermak. Para tanto, partimos da noção de Verwerfung como mecanismo atrelado à estrutura psicótica, na medida em que o Nome-do-pai pode não ser instaurado para o falante e permanecer forcluído. Bem como tratamos também da Bejahung, a simbolização primitiva. Apresentamos a constituição do Eu como propriamente paranoica, pois possui uma base rivalitária que põe em jogo uma agressividade (nem sempre) latente, que podemos apreender nas manifestações tipicamente paranoicas que um sujeito pode apresentar, mesmo que não se possa constatar uma psicose. Trata-se de um funcionamento inerente ao próprio psiquismo e decorre do fato de que nosso eu – função imaginária – é fundado sobre uma base em que nos apreendemos primeiramente no outro. Por fim, discorremos acerca do que é a paranoia e como se manifestam fenômenos paranoicos de modo a contribuir para uma escuta na clínica para além do encerramento dos funcionamentos paranoicos somente no campo da psicose. Os mecanismos imaginários constitutivos do eu não podem ser tomados isoladamente como critério para a identificação da estrutura. Podemos encontrar situações em que manifestações paranoicas ocorrem mesmo na ausência de psicose.
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Greenburgh, Anna, Vaughan Bell, and Nichola Raihani. "Paranoia and conspiracy: group cohesion increases harmful intent attribution in the Trust Game." PeerJ 7 (August 16, 2019): e7403. http://dx.doi.org/10.7717/peerj.7403.
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Current theories argue that hyper-sensitisation of social threat perception is central to paranoia. Affected people often also report misperceptions of group cohesion (conspiracy) but little is known about the cognitive mechanisms underpinning this conspiracy thinking in live interactions. In a pre-registered experimental study, we used a large-scale game theory approach (N > 1,000) to test whether the social cohesion of an opposing group affects paranoid attributions in a mixed online and lab-based sample. Participants spanning the full population distribution of paranoia played as proposers in a modified Trust Game: they were allocated a bonus and chose how much money to send to a pair of responders which was quadrupled before reaching these responders. Responders decided how much to return to the proposers through the same process. Participants played in one of two conditions: against a cohesive group who communicated and arrived at a joint decision, or a non-cohesive group who made independent decisions. After the exchange, proposers rated the extent to which the responders’ decisions were driven by (i) self-interest and (ii) intent to harm. Although the true motives are ambiguous, cohesive responders were reliably rated by participants as being more strongly motivated by intent to harm, indicating that group cohesion affects social threat perception. Highly paranoid participants attributed harmful intent more strongly overall but were equally reactive to social cohesion as other participants. This suggests that paranoia involves a generally lowered threshold for social threat detection but with an intact sensitivity for cohesion-related group characteristics.
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Berrahal, I., A. Oumaya, R. Chebbi, H. Snene, and S. Gallali. "Le délire de relation des sensitifs de Kretschmer : à propos de deux cas." European Psychiatry 28, S2 (November 2013): 52–53. http://dx.doi.org/10.1016/j.eurpsy.2013.09.137.
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ObjectifsRappeler le concept du délire de relation des sensitifs de Kretschmer.MéthodologieÉtude de cas : présenter deux vignettes cliniques avec revue de la littérature.RésultatsLe délire de relation chez les personnalités sensitives (ou paranoïa sensitive de Kretschmer) est une forme dépressive de la paranoïa qui a été décrite par Kretschmer en 1919. Il est défini par le développement progressif d’idées de persécution sur un fond prémorbide sensitif (hyperémotif et hyposthénique). On ne retrouve pas, dans les personnalités qualifiées de sensitives ou sensibles, la surestime de soi ou la quérulence qui caractérisent les autres types de personnalités paranoïaques. Par contre, on y trouve l’orgueil, sens des valeurs et de la morale, vulnérabilité et tendance à intérioriser douloureusement les échecs relationnels et affectifs qu’elles rencontrent. Le délire de Kretschmer se complique généralement d’épisodes dépressifs et anxieux à consonance hypocondriaque, ce qui met à découvert les sentiments d’incapacité et d’échec. L’évolution est aussi moins souvent chronique que dans les autres paranoïas. Toutefois, même après une évolution favorable, les signes sont susceptibles de réapparaître à l’occasion d’une nouvelle déception. Le traitement des délires de relation des sensitifs est encore discuté : pour certains, l’association antidépresseur/neuroleptique s’impose. Pour d’autres, il est légitime de tenter d’abord un traitement antidépresseur seul, il est en revanche rare qu’un traitement neuroleptique seul soit efficace, notamment sur la dimension dépressive. Devant l’appauvrissement conceptuel, nous avons choisi d’illustrer ceci à partir de deux cas cliniques.
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Brennan, Teresa. "The age of paranoia." Paragraph 14, no. 1 (March 1991): 20–45. http://dx.doi.org/10.3366/para.1991.0003.
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Nifosi, F., E. Violato, C. Pavan, L. Sifari, G. Novello, L. Guarda Nardini, D. Manfredini, M. Semenzin, L. Pavan, and M. Marini. "Psychopathology and Clinical Features in an Italian Sample of Patients with Myofascial and Temporomandibular Joint Pain: Preliminary Data." International Journal of Psychiatry in Medicine 37, no. 3 (September 2007): 283–300. http://dx.doi.org/10.2190/pm.37.3.f.
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Objective: Aim of this study was to provide data on the relationships between psychopathological variables and temporomandibular disorders (TMD). Sixty-three TMD patients were investigated using clinical and anamnestical psychiatric informations and psychopathological measures. Methods: Three groups of TMD patients were recruited according to the Research Diagnostic Criteria for TMD guidelines: a group of patients presenting myofascial pain alone (RDC/TMD axis I group I), a group with temporomandibular joint (TMJ) pain alone (RDC/TMD axis I group IIIa, IIIb), and a group presenting both myofascial and TMJ pain. Two secondary groups were identified on the basis of the presence/absence of myofascial pain. The study design provided a psychiatric interview and psychometric assessment including the Symptom Check List-90-Revised (SCL-90-R), the Hamilton Depression Rating Scale (HDRS), and the Hamilton Anxiety Rating Scale (HARS). Results: -Psychiatric evaluation: Myofascial pain patients had higher scores for personal psychiatric history and a history of more frequent psychotropic drug use. -HDRS and HARS: The sample presented scores indicating mild depressive symptoms and moderate anxiety symptoms. -SCL-90-R: The global sample showed acute levels of psychological distress as measured by the GSI score (Global Severity Index). Myofascial pain patients scored higher than TMJ pain patients in the GSI ( p = .028), PAR (paranoia; p = .015), PSY (psychoticism; p = .032), and HOS (hostility; p = .034) subscales. Conclusions: TMD patients showed elevated levels of depression, somatization, and anxiety. These characteristics did not differ significantly between patients with myofascial or TMJ pain. Other specific psychopathological dimensions, detected with SCL-90-R, appeared to be closely associated to the myofascial component.
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SIMONS, JON. "Postmodern paranoia? Pynchon and Jameson." Paragraph 23, no. 2 (July 2000): 207–21. http://dx.doi.org/10.3366/para.2000.23.2.207.
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Marder, Elissa. "Freud's Fictions: Fixation, Femininity, Photography." Paragraph 40, no. 3 (November 2017): 349–67. http://dx.doi.org/10.3366/para.2017.0239.
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This article takes off from Freud's literary use of the term ‘fixation’ to explore how female sexuality both establishes the universal foundations of Freud's metapsychology and is excluded from it via a reading of one Freud's strangest and most provocative case presentations. Like a primal word, fixation operates in contradictory fashion: it is associated both with regression and futurity, petrified immobility and contingency. Fixation is Freud's name both for the primal origin of sexuality and the very word for what shuts sexuality down. In ‘A Case of Paranoia Running Counter to the Disease’, the first case history devoted to a woman after Dora, Freud recounts his brief encounter with a woman who is brought to Freud because she is suffering from a (presumably) paranoid delusion that her would-be lover has arranged to have her photographed during their sexual engagements. On the basis of his fictionalized account of this fictive case (the woman never actually enters into treatment with him), Freud establishes a curiously suggestive link between fixation, femininity and photography, and introduces, for the first time, the notion of ‘primal phantasies’. By looking how femininity, fixation and photography come together, this article explores how and why Freud attributes quasi-photographic powers to female sexuality as a means of trying to produce a figure for unseen and un-seeable images that come from a primal and unrecoverable past.
Dissertations / Theses on the topic "Paranoia (Par)"
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Braga, Vinícius de Aquino. "A paranoia para além da psicose : a manifestação paranoica na ausência de psicose." Universidade Federal do Maranhão, 2016. http://tedebc.ufma.br:8080/jspui/handle/tede/1728.
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Every day we witness scenes of violence, intolerance and conflicts in different ways and intensities, whether on television, in the neighborhood or even inside our homes. Contemporary authors of Psychoanalysis has written about paranoid frames that can manifest even when there is no psychosis. Such frames are related to aggression that we see expressed in various ways. So, our main objective of this work show how you can be a paranoid framework in the absence of psychosis. To do so, we open the job discussing the notion of unconscious structured as a language, situating the field in which we are working and that the subject treated in the course of our exposition. Then, we used a presentation Verwerfung phenomenon to show that, although it is a mechanism usually linked to psychotic structure, is the base of own symbolic order of any speaker. We also demonstrated how the creation of an Ego is properly paranoid to have a rivalitary base that brings into play an aggressiveness (not always) latent, so that we could learn how it leaves marks that can lead a man to present typically paranoid traits, even if can not find a psychosis. This aggression is inherent in the human psyche and constitutes the extent that our Ego - imaginary function - is founded on such a basis where we first know ourselves into the other. Finally, we discuss about what is the paranoia and how manifest paranoid phenomena in order to contribute to a hearing in the clinic in addition to the closure of paranoid runs only in the field of psychosis. We were able to confirm that imaginary phenomena can not be taken alone as a criterion for the structure, and, therefore, we find situations in which paranoid manifestations occur even in the absence of psychosis. As a working method, we conducted literature search, which resorted to reading and rereading of Freud and Lacan, as well as authors who deal with the issue pertaining to the transmission line of these. With this, we aim to raise the concepts in question by promoting a dialogue between them to develop the question presented. The accuracy of the method in psychoanalysis is not in the accumulation of data, but to submit to the laws of language, in order not to us bogged in definitions closed in advance and be able to pay attention to the development of ideas as presented by the authors, as well as the progress the subject who writes.
Diariamente assistimos cenas de violência, intolerância e conflitos de diferentes modos e intensidades, seja na televisão, na vizinhança ou, ainda, dentro de nossas casas. Autores contemporâneos de Psicanálise tem escrito a respeito de quadros paranoicos que podem se manifestar mesmo quando não há psicose. Tais quadros estão relacionados à agressividade que vemos expressas nas mais diversas formas. Então, temos como principal objetivo deste trabalho apresentar como é possível haver um quadro paranoico na ausência de psicose. Para tanto, abrimos o trabalho discutindo a noção de inconsciente estruturado como linguagem, situando o campo em que estamos trabalhando e de que sujeito tratamos no decorrer de nossa exposição. Em seguida, lançamos mão de uma apresentação do fenômeno da Verwerfung para mostrar que, embora seja um mecanismo normalmente atrelado à estrutura psicótica, está à base do próprio ordenamento simbólico de qualquer falante. Demonstramos ainda como a constituição de um Eu é propriamente paranoica ao possuir uma base rivalitária que põe em jogo uma agressividade (nem sempre) latente, de modo que pudemos apreender como isso deixa marcas que podem levar um sujeito a apresentar traços tipicamente paranoicos, mesmo que não se possa constatar uma psicose. Essa agressividade é inerente ao próprio psiquismo humano e se constitui na medida em que nosso eu – função imaginária – é fundado sobre uma base tal onde nos apreendemos primeiramente no outro. Por fim, discorremos acerca do que é a paranoia e como se manifestam fenômenos paranoicos de modo a contribuir para uma escuta na clínica para além do encerramento dos funcionamentos paranoicos somente no campo da psicose. Pudemos confirmar que fenômenos imaginários não podem ser tomados isoladamente como critério para a estrutura, e, por isso mesmo, podemos encontrar situações em que manifestações paranoicas ocorrem mesmo na ausência de psicose. Como método de trabalho, realizamos pesquisa bibliográfica, em que recorremos a leituras e releituras de Freud e de Lacan, bem como de autores que versam sobre o tema que pertencem à linha de transmissão desses. Com isso, objetivamos levantar os conceitos em questão promovendo uma interlocução entre eles para desenvolver a questão apresentada. O rigor do método em Psicanálise não está no acúmulo de dados, mas em se submeter às leis da linguagem, a fim de não nos prendermos em definições fechadas a priori e podermos nos atentar ao desenvolvimento das ideias como apresentado pelos autores, bem como ao percurso do sujeito que escreve.
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Adeodato, Tereza Raquel TomÃ. "A criaÃÃo e estabilizaÃÃo na paranoia e na esquizofrenia: aportes para a clÃnica psicanalÃtica." Universidade Federal do CearÃ, 2016. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=17321.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorA partir da compreensÃo da formaÃÃo da teoria freudiana sobre as psicoses e do avanÃo teÃrico e clÃnico proposto por Lacan no contexto da clÃnica das psicoses, pretendemos, por meio da presente pesquisa, compreender a diferenciaÃÃo do processo de criaÃÃo em duas psicoses especÃficas: na paranoia e na esquizofrenia. A relaÃÃo entre criaÃÃo e estabilizaÃÃo tambÃm nos deu a oportunidade de refletirmos acerca dos possÃveis desdobramentos da observÃncia desses fatores para a direÃÃo do tratamento dessas afecÃÃes. Para isto, realizamos, em um primeiro momento, a elucidaÃÃo sobre o modo como se dà criaÃÃo no Ãmbito da psicose. Para tal, levamos em consideraÃÃo duas especificidades: a relaÃÃo da criaÃÃo com a psicose nÃo desencadeada e sua relaÃÃo com a estabilizaÃÃo na psicose desencadeada. Em seguida, procuramos aprofundar nosso estudo acerca da funÃÃo diferencial da criaÃÃo no restabelecimento de quadros clÃnicos de psicoses paranoica e esquizofrÃnica. Nesse momento, utilizamos de casos clÃnicos para fins de aprofundamento e de ilustraÃÃo de nossa investigaÃÃo, recurso metodolÃgico esse de fundamental importÃncia para a consecuÃÃo dos objetivos psicanalÃticos de nossa pesquisa. Buscamos, por fim, refletir acerca das possÃveis contribuiÃÃes dessa diferenciaÃÃo para a conduÃÃo do tratamento de ambas as psicoses. Diante disso, constatamos que compreender o papel da criaÃÃo no direcionamento da estabilizaÃÃo e no tratamento na clÃnica da psicose, bem como sua relaÃÃo com as formas de defesa singulares de cada estrutura, pode resultar esclarecedora para o tratamento das mesmas. Observamos, alÃm disso, que tal diferenÃa contribui para o avanÃo das reflexÃes sobre a posiÃÃo ocupada pelo analista na clÃnica das psicoses.
From the understanding of the formation of Freudâs theory about psychoses and theoretical and clinical advances proposed by Lacan in clinical psychoses, we intend to understand the differentiation of the creation process in two specific psychoses: paranoia and schizophrenia. The relationship between creation and stabilization will also give us the opportunity to understand possible consequences for the direction of their treatment of psychoses. In order to achieve this, we proposed at first to elucidate the establishment within the psychosis by taking into account two specific features: the relationship of creation with untriggered psychosis and its relationship with the stabilization in triggered psychosis. Then we deepen our study on the differential role of the creation in clinical cases in order to deepen and illustrate our study according to the psychoanalytic theory. Finally, we intended to weave the creative potential to conduct the treatment of both psychoses. Thus, understanding the role of creation in the treatment of psychosis and its relation to natural defense forms of each structure can potentially contribute to the conduct of the treatment, as well as to reflect on the position occupied by the analyst on the various cases of the psychotic structure.
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Adeodato, Tereza Raquel Tomé. "A criação e estabilização na paranoia e na esquizofrenia: aportes para a clínica psicanalítica." reponame:Repositório Institucional da UFC, 2016. http://www.repositorio.ufc.br/handle/riufc/18935.
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ADEODATO, Tereza Raquel Tomé. A criação e estabilização na paranoia e na esquizofrenia: aportes para a clínica psicanalítica. 2016. 111f. – Dissertação (Mestrado) – Universidade Federal do Ceará, Programa de Pós-graduação em Psicologia, Fortaleza (CE), 2016.Submitted by Márcia Araújo (marcia_m_bezerra@yahoo.com.br) on 2016-08-05T12:33:34Z No. of bitstreams: 1 2016_dis_trtadeodato.pdf: 883107 bytes, checksum: eb6437cb58e00d5887888bf2a51eb177 (MD5)
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From the understanding of the formation of Freud’s theory about psychoses and theoretical and clinical advances proposed by Lacan in clinical psychoses, we intend to understand the differentiation of the creation process in two specific psychoses: paranoia and schizophrenia. The relationship between creation and stabilization will also give us the opportunity to understand possible consequences for the direction of their treatment of psychoses. In order to achieve this, we proposed at first to elucidate the establishment within the psychosis by taking into account two specific features: the relationship of creation with untriggered psychosis and its relationship with the stabilization in triggered psychosis. Then we deepen our study on the differential role of the creation in clinical cases in order to deepen and illustrate our study according to the psychoanalytic theory. Finally, we intended to weave the creative potential to conduct the treatment of both psychoses. Thus, understanding the role of creation in the treatment of psychosis and its relation to natural defense forms of each structure can potentially contribute to the conduct of the treatment, as well as to reflect on the position occupied by the analyst on the various cases of the psychotic structure.
A partir da compreensão da formação da teoria freudiana sobre as psicoses e do avanço teórico e clínico proposto por Lacan no contexto da clínica das psicoses, pretendemos, por meio da presente pesquisa, compreender a diferenciação do processo de criação em duas psicoses específicas: na paranoia e na esquizofrenia. A relação entre criação e estabilização também nos deu a oportunidade de refletirmos acerca dos possíveis desdobramentos da observância desses fatores para a direção do tratamento dessas afecções. Para isto, realizamos, em um primeiro momento, a elucidação sobre o modo como se dá criação no âmbito da psicose. Para tal, levamos em consideração duas especificidades: a relação da criação com a psicose não desencadeada e sua relação com a estabilização na psicose desencadeada. Em seguida, procuramos aprofundar nosso estudo acerca da função diferencial da criação no restabelecimento de quadros clínicos de psicoses paranoica e esquizofrênica. Nesse momento, utilizamos de casos clínicos para fins de aprofundamento e de ilustração de nossa investigação, recurso metodológico esse de fundamental importância para a consecução dos objetivos psicanalíticos de nossa pesquisa. Buscamos, por fim, refletir acerca das possíveis contribuições dessa diferenciação para a condução do tratamento de ambas as psicoses. Diante disso, constatamos que compreender o papel da criação no direcionamento da estabilização e no tratamento na clínica da psicose, bem como sua relação com as formas de defesa singulares de cada estrutura, pode resultar esclarecedora para o tratamento das mesmas. Observamos, além disso, que tal diferença contribui para o avanço das reflexões sobre a posição ocupada pelo analista na clínica das psicoses.
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Pereira, Lilian Pena. "Avaliação econômica do uso do lago Paranoá para atividades recreacionais." reponame:Repositório Institucional da UnB, 2006. http://repositorio.unb.br/handle/10482/3336.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Tecnologia, Departamento de Engenharia Civil e Ambiental, 2006.Submitted by Érika Rayanne Carvalho (carvalho.erika@ymail.com) on 2009-10-24T14:31:01Z No. of bitstreams: 1 dissertacao LILIAN PENA PEREIRA.pdf: 6464018 bytes, checksum: 89d4c9a657d97198a5f1640d155cc58d (MD5)
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O objetivo central da pesquisa foi avaliar a expressão econômica da atividade náutica de recreação praticada em um corpo hídrico destinado a múltiplos usos, e suas respectivas relações com a qualidade da água. Para tal, utilizou-se metodologia de valoração econômica de bens e serviços ambientais, a qual permite estimar monetariamente custos e benefícios de bens e serviços ambientais, incluindo os diferentes usos da água, fornecendo insumos à tomada de decisão para uma adequada gestão dos recursos hídricos. O lago Paranoá, no Distrito Federal, foi utilizado como caso de estudo para a valoração de suas atividades recreacionais, focando-se no uso náutico. O lago Paranoá é um reservatório artificial destinado a usos múltiplos, destacando-se o uso recreacional. Em que pese apresentar, hoje, uma boa qualidade da água, existem riscos na bacia em que se insere o Lago que ameaçam a manutenção dessa qualidade e, conseqüentemente, seus diferentes usos e em especial, o recreacional. Baseando-se na literatura sobre valoração econômica, foi utilizada a técnica de Custo Viagem, recomendada para a valoração de atividades e locais recreacionais. Para aplicação do Método, foi realizada uma pesquisa de campo, entrevistando-se usuários do Lago. A pesquisa de campo serviu, também, como principal fonte de informações para caracterização desse uso do Lago e para as correlações com fatores de qualidade da água. Os resultados obtidos indicam que a atividade náutica recreacional é economicamente significativa. __________________________________________________________________________________________ ABSTRACT
The main objective of this study was to assess the economic relevance of the nautical recreational activity developed in a multiple use water body, and its corresponding relations with the water quality. This assessment was made based on an environmental economic evaluation methodology that estimates the costs and benefits of environmental goods and services, in monetary terms, including several water uses. The results of the application of the economic evaluation methodology could contribute to decision making towards a sound water resources management. The Paranoá Lake, located in the Federal District, Brazil, was used as a case study for the evaluation of recreational activities, with a focus on its nautical use. The Lake is a multiple use reservoir and the recreational use is a priority one. Despite the fact that the water quality is good at present, there are some risks in its basin that may threaten the water quality in the future, and consequently, jeopardize its multiple uses, in special, the recreational one. Based on the economic evaluation literature, the Travel Cost Method that is recommended for the evaluation of recreational sites and activities was applied. A field survey was carried out in order to get the information required by the Travel Cost Method, and also to collect information for the general characterization of the nautical use and correlations with the water quality. The obtained results indicate that the nautical recreational activity is economically significant.
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Jordan, Elaine Nunes. "Base de dados geodesicos para o Estado do Parana." reponame:Repositório Institucional da UFPR, 1999. http://hdl.handle.net/1884/43652.
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Orientadores: Silvio Rogerio Correia de Freitas, Camil GemaelDissertação (mestrado) - Universidade Federal do Paraná
Resumo: O presente trabalho visa apresentar a concepção e as fases do projeto de uma base de dados geodésicos para o Estado do Paraná, dentro de um "Geographical Information System" (GIS). Como pressupostos, serão envolvidos todos os dados e informações complementares dos levantamentos de coordenadas geodésicas horizontais e verticais, assim como das grandezas gravimétricas. A estrutura da base tem uma arquitetura que permite a qualificação dos dados, usando modelos digitais de terreno (MDT) e modelos do Geopotencial (MGP), a seletividade por níveis de acurácia e tipos de usuários.
Abstract: This work aims to present the conception and steps of a project of the Geodetic Data Base for the Paraná State, inside of a Geographical Information System (GIS). All data and complementary information of horizontal and vertical geodectic coordinates as well as gravimetric data, will be involved. The structure of base has an architecture allowing data qualification, by means the use of models like DTM and of the geopotencial, the selectivity by different accuracy levels and class o f users.
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Artur, Paulo Cesar. "Paleolineamentos na Bacia do Parana : favorabilidade para acumulações de petroleo." reponame:Repositório Institucional da UFPR, 1998. http://hdl.handle.net/1884/48857.
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Orientador: Paulo Cesar SoaresCo-orientadores: Sidnei Pires Rostirolla, Raimundo Almeida Filho
Dissertação (mestrado) - Universidade Federal do Paraná
Resumo: A importância do papel desempenhado pelas estruturas tectônicas regionais de bacias intracratônicas, durante o processo de acumulação-retenção do petróleo em trapas estruturais, vem sendo enfatizada há muito tempo por diversos autores. As relações espaciais entre feições estruturais e áreas de ocorrência de campos de petróleo são muito bem documentadas em bacias produtoras. Na Bacia do Paraná, os programas exploratórios desenvolvidos até o momento não direcionaram suas estratégias priorizando a existência das grandes estruturas lineares reconhecidas na bacia. Neste trabalho foi testado um procedimento metodológico envolvendo estudos de análise de tendência e análise geoestatística de dados de espessura, tendo como objetivo identificar paleo-estruturas e direções controladoras da sedimentação e erosão-preservação das sequências tectonossedimentares que compõem o registro preservado da Bacia do Paraná. Para isso, foram selecionados pacotes limitados por superfícies discordantes ou de máxima inundação, os quais representam as partes inferiores e superiores dos registros Devoniano, Pensilvaniano-Permiano e Triássico Inferior. Para a parte inferior foi investigada a tectônica formadora das sequências, enquanto que para a superior a tectônica modificadora. Estas seções foram deümitadas em perfis de poços para petróleo e com base na listagem de topo e base de formações, fornecidos pela Petrobrás. A análise de tendência efetuada sobre os valores de espessura permitiu reconhecer fenômenos de amplitude regional, e após sua retirada dos dados foi possível avaliar, através da análise variográfica dos resíduos, as variações de espessura não relacionadas aos trends regionais. Para cada sequência analisada foram construídos semivariogramas direcionais, possibilitando a identificação das direções de maior e menor continuidade espacial. Com isso, foram reveladas as direções estruturais ativas em intervalos distintos de tempo geológico. Os parâmetros variográficos obtidos nas modelagens dos semivariogramas de cada sequência, foram adotados nas estimativas por krigagem dos dados de resíduo, e assim, feições morfológicas foram traçadas sobre os mapas gerados. Estas feições morfoestruturais, tais como gradientes anômalos, alinhamento de flexões nas curvas, alinhamento de narizes e depressões, foram traçadas manualmente e interpretadas como paleo-estruturas e paleolineamentos ativos na época de sedimentação dos pacotes sobre discordância e de erosão dos pacotes sob discordância. Procedimentos similares foram adotados para investigar a distribuição dos corpos intrusivos concordantes em meio aos pacotes sedimentares, tendo em vista sua possível associação com sistemas de falhas profundas durante o magmatismo e, portanto, com zonas mais quentes na época de geração e migração do petróleo. Os paleolineamentos foram posteriormente comparados com feições reveladas por tratamento similar de dados gravimétricos, a fim de associá-los com estruturas do embasamento. Finalmente, as paleo-estruturas definidas nesse estudo foram comparadas com estruturas identificadas por outros autores que utilizaram diferentes métodos, entre os quais sensoriamento remoto e magnetometria. Considerando-se, a princípio, a importância do controle dos paleolineamentos nas acumulações de petróleo, foi empregado um método de quantificação de favorabilidade baseado na análise probabilística condicional, com o objetivo de investigar o poder destas estruturas como indicadoras de zonas de aümentação dos sistemas acumuladores. Os resultados sugerem que as regiões mais favoráveis da bacia para o Sistema Petrolífero Ponta Grossa-Itararé estão relacionadas a paleolineamentos com direção nordeste identificados no Devoniano e reativados até o recente. No Sistema Petrolífero Irati-Rio Bonito/Tietê as áreas mais favoráveis estão relacionadas às falhas com direção nordeste, ativas entre os períodos Triássico e Juro-Cretáceo, adicionalmente às regiões que sofreram aquecimento anômalo devido à intrusão de maiores espessuras de corpos intrusivos em meio às rochas geradoras.
Abstract: In intracratonic basins the importance o f regional structures fo r petroleum accumulationretention in structural traps has been emphasized by several authors. Structural features and their spatial relationships with oil fields in productive basins are very well documented. In the Paraná Basin strategies so fa r used fo r the exploration programs have not considered decisively the major structures. In the present study, a methodological procedure was applied in order to identify and to evaluate the history and the role o f regional structures. Trend surface and geostatistical analysis o f layer thickness data are applied to identify controlling structural directions in the sedimentation and erosion-preservation o f the tectonicsedimentary sequences. It were selected rock packages limited by unconformities or by maximum flood surfaces, which represent the lower and upper parts o f the Devonian, Pensilvanian-Permian and lower part o f Triassic ages. Forming and modifier tectonics were investigated fo r the lower and upper parts independently. The sequence boundaries were slightly modified from conventional usage, based on well logs and also from the formations top and base list, both supplied by Petrobrás. The trend surface analysis o f the thickness values allowed to recognize regional trends in the basin, and the residuals values were worked out through variographic analysis. In that way, the sequence thickness variations not related to the regional trends were studied. For each sequence residuals, directional semivariograms were built up fo r identification o f the directions o f maximum and minimum spatial continuity. With that procedure, the active structural directions were revealed fo r each interval o f geological time. The variographic parameters obtained from semivariograms modeling were adopted in kriging estimates o f the thickness residuals, and so morphologic features were contoured in the maps generated. These features, such as anomalous gradients, strike discontinuities and alignment o f noses and depressions were interpreted as tectonic structures. They were traced manually and interpreted as active paleostructures and paleolineaments, either in periods o f sedimentation fo r those packages lying over the unconformity or o f erosion o f those under unconformity. Similar procedures were adopted to investigate the distribution o f the concordant intrusive bodies which occur in the sedimentary units. They could be associated with deep faults systems during the magmatic event and, therefore, with hotter zones at the time o f petroleum generation and migration. The paleolineaments so defined in this study were compared with structures revealed by similar treatment and analysis o f gravimetric data in order to associate with basement structures. They were further compared with structures identified by other authors working with remote sensing and other different techniques. The petroleum accumulation favorability, based on the conditional probability analysis, was used fo r evaluation o f these structures as indicative o f feeding zones o f petroleum systems. The results suggest that : 1) the most favorable areas o f the Ponta Grossa-Itararé Petroleum System are those associated with northeast paleolineaments, identified in Devonian sequence and reactivated until the recent and; 2) the most favorable areas o f the Irati-Rio Bonito/Tietê Petroleum System are related to northeast faults active during the Triassic and Juro-Cretaceous periods, additionally to areas that suffered anomalous heating, due to the intrusion o f large intrusive bodies.
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Bulhões, Ronaldo. "Limites e possibilidades para expansão da cultura da soja no Parana." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/285508.
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Orientador: Rinaldo Barcia FonsecaTese (doutorado) - Universidade Estadual de Campinas, Instituto de Economia
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Resumo: Este trabalho teve como objetivo analisar como ocorreu a elevação da área cultivada com soja no Paraná, no período compreendido entre 1993/2003 e traçar um cenário para a soja paranaense até 2015. Para isso, descreveu-se o cenário internacional no que diz respeito à área, à produção, à demanda e às perspectivas futuras da soja; caracterizou-se o caminho de expansão da soja no Brasil e as perspectivas em torno do biodiesel derivado da soja; e, analisou-se o peso da soja na economia paranaense. Os resultados mostraram que a oferta mundial de soja continuará crescendo nos próximos anos, mesmo com a manutenção dos preços nos níveis atuais. O Brasil assumirá a liderança internacional em termos de área, produção e comercialização de soja e derivados. Pelo lado da demanda, a União Européia, a Índia e a China continuarão com os maiores volumes de importação. Fatores como: crescimento da população, aumento da renda per capita, elevação da demanda derivada do complexo carne como aves, suínos e bovinos e os usos industriais não tradicionais da soja como o biodiesel, serão os grandes indutores da demanda mundial. Com relação ao Paraná, os resultados mostraram que a soja é o principal produto agrícola gerador de renda e tributos do Estado, sendo que o complexo soja ocupa a primeira posição na pauta de exportações paranaenses. Com relação à evolução da área destinada ao cultivo da soja no Paraná valeram-se da redução nas áreas destinadas ao café e algodão, assim como, do deslocamento da área do milho safra normal para milho safrinha. Quanto às perspectivas para os próximos anos, as projeções feitas para o Estado do Paraná seguirão as mesmas tendências nacionais e internacionais em termos de produção, área, produtividade e demanda. No entanto, dessas projeções a maior dificuldade encontra-se na incorporação de área para o cultivo. Contudo, as possibilidades se darão em substituição às pastagens, ao milho e à agricultura de uso misto. Demonstrando que a soja continua representando um papel de suma importância para a economia paranaense e que a soja deverá reforçar sua posição no Paraná e no cenário nacional
Abstract: This study has as objective to analyze as the rise of the cultived area with soybean in the Paraná occurred, in the period from 1993 to 2003 and to trace a scene for the paranaense soybean up to 2015. For this, the international scene was described according to the area, to the production, to the demand and to the future perspectives of the soybean; the way of expansion of the soybean in Brazil and the perspectives around biodiesel derived from the soybean was characterized; and, analyzed the weight of the soybean in the paranaense economy. The results had shown that it offers world-wide of soybean will continue growing in the next years, exactly with the maintenance of the prices in the current levels. Brazil will assume the international leadership in area terms, production and commercialization of soybean and derivatives. For the side of the demand, the European Union, India and China will continue with the biggest volumes of importation. Factors as: growth of the population; increase of the per capita income; rise of the demand derived from the complex meat with birds, swines and bovines and not traditional the industrial uses of the soybean as biodiesel, will be the great inductors of the demand. With relation to the Paraná, the results had shown that the soybean is the main generating agricultural product of income and tributes of the State, being that the complex soybean occupies the first position in the guideline of exportations paranaenses. With to the evolution of the area destined to the culture of the soybean of the Paraná, the coffee and cotton had been used the reduction in the areas destined to, as well as, of the displacement of the area of the maize normal harvest for maize safrinha. In what it says respect to the perspectives for the next years, the projections made for the State of the Paraná will follow the same national and international trends in production terms, area, productivity and demand. However, of these projections the biggest difficulty meets in the incorporation of area for the culture. However, the possibilities will be given in substitution to the pastures, to the maize and the agriculture of mixing use. These facts show us that the soybean continues representing a paper of bigger importance for the paranaense economy and that, in contrast of that if it thinks, the soybean goes to strengthen its position in the Paraná and the national scene
Doutorado
Desenvolvimento Economico, Espaço e Meio Ambiente
Doutor em Economia Aplicada
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Kachba, Yslene Rocha. "Modelo para o processo de desenvolvimento de produto têxtil-vestuário em PMES." reponame:Repositório Institucional da UFSC, 2013. https://repositorio.ufsc.br/handle/123456789/107494.
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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro Tecnológico, Programa de Pós-Graduação em Engenharia de Produção, Florianópolis, 2013.Made available in DSpace on 2013-12-06T00:16:18Z (GMT). No. of bitstreams: 1 320461.pdf: 1885426 bytes, checksum: 58f6a60e95567432c75b4c26c0d15e5c (MD5) Previous issue date: 2013
A competitividade no setor têxtil brasileiro com produtos oriundos de outros países leva as pequenas e médias empresas de confecção brasileira a terem de superar constantes crises. Uma das alternativas para ultrapassar estas crises é investir no processo de desenvolvimento de produto nos artefatos de vestuário. De tal modo, a pesquisa desta tese tem como objetivo geral de propor um modelo para o processo de desenvolvimento de produto têxtil-vestuário em pequenas e médias empresas que crie o valor em todo o ciclo de vida do produto. Os procedimentos metodológicos adotados para esta pesquisa foram uma revisão bibliográfica sistemática, estudos múltiplos de casos e verificação do modelo pelos especialistas. Os estudos múltiplos de casos foram realizados em pequenas e médias empresas de confecção da região noroeste do Paraná. Este foi realizado por meio de entrevistas semiestruturadas com os diretores do setor de desenvolvimento de produto e varejistas, análise documental e observações diretas. O procedimento de verificação se constituiu através de questionários respondidos por especialistas do setor de desenvolvimento de produto de vestuário. Assim, observaram-se nos estudos múltiplos casos dificuldades de integração com stakeholders e gestão de custo do processo de desenvolvimento de produto. Na etapa de validação do modelo proposto 70% das afirmações dos especialistas eram que a etapa, fase ou atividade do modelo que estava sendo avaliada é de grande importância para realizar este processo. Como sugestão para o modelo a necessidade de mais atividades que integrem o setor de compras e produção no processo de desenvolvimento de produto. Enfim, modelo para o processo de desenvolvimento de produto têxtil-vestuário em pequenas e médias empresas que crie o valor em todo o ciclo de vida do produto tem-se mostrado um mecanismo para construir empresas mais competitivas por meio da busca do valor, principalmente para o cliente final.
Abstract : The competitiveness in the Brazilian textile sector with products from other countries leads to small and medium-sized clothing Brazil to have to overcome constant crises. An alternative to overcome these crises is to invest in the process of product development in clothing artifacts. In this way, the research of this thesis aims to propose a general model for the development process of textile and clothing in small and medium enterprises that create value throughout the life cycle of the product. The methodological procedures adopted for this research were a systematic literature review, multiple case studies and model verification by experts. Multiple studies have been performed in cases of small and medium-sized manufacturing in the northwestern region of Paraná. This was carried out through semi-structured interviews with the directors of industry product development and retail, document analysis and direct observations. The verification procedure is formed through questionnaires answered by industry experts in product development garment. Thus, there were multiple cases studies in integration difficulties with stakeholders and management cost of the process of product development. In the validation phase of the proposed model 70% of the statements of the experts was that step, phase or activity of the model that was being evaluated is of great importance to carry out this process. As a suggestion to model the need for more activities that integrate the purchasing and production process of product development. Finally, a model for the process of development of textile and clothing in small and medium enterprises that create value throughout the life cycle of the product has been shown to be a mechanism to build more competitive through the pursuit of value, especially for the end customer.
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Cunha, Sieglinde Kindl da. "Politica cientifica e tecnologica : novas trajetorias institucionais para o Estado do Parana." [s.n.], 1995. http://repositorio.unicamp.br/jspui/handle/REPOSIP/285407.
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Orientador: Otaviano Canuto Santos FilhoTese (doutorado) - Universidade Estadual de Campinas, Instituto de Economia
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Resumo: O objetivo desta tese é analisar o papel da Política Científica e Tecnológica e das instituições na estrutura de um Sistema de Inovação no Estado do Paraná. A pesquisa parte da hipótese de que a formação de núcleos de inovação em segmentos de novas tecnologias é direcionada por estratégias de Política Industrial, Científica e Tecnológica, que visam desenvolver capacidade endógena de inovação, sustentadas por novos arranjos institucionais que se definem a partir da cooperação dos agentes componentes do tripé do sistema de inovação (empresa, universidade e governo). As estruturas organizacionais de apoio ao desenvolvimento industrial paranaense, montadas ao longo das décadas de 60 e 70, já não respondiam às necessidades da nova estratégia de desenvolvimento científico e tecnológico para sustentar a formação de sistema de inovação em nível local. Assiste-se, ao longo dos anos, ao "desmonte" das instituições de apoio à industrialização e à "remontagem" de uma nova estrutura institucional, cujo principal objetivo é desenvolver um padrão de industrialização direcionado para os segmentos de novas tecnologias. A formação de núcleos de inovação no Estado do Paraná tem resultado de um novo modelo de incentivo à industrialização, cuja concepção está direcionada para o desenvolvimento de alguns segmentos das indústrias de novas tecnologias, tendo como fator de indução o conhecimento tácito e específico acumulados em nível das empresas e a base científica e tecnológica desenvolvida em instituições de pesquisas e universidades
Abstract: The main goal of this thesis is to analyse the role of scientific and technological policies and of institutions in the formation of a Innovation System for the State of Paraná. The hypothesis of this research is that the nucleus of the innovation system has stemmed from strategies of industrial, scientific and technological policies. These policies intended to develop an endogenous capacity of innovation, based on new institutional arrangements, defined by cooperation between the three segments of the inoovation system namely firms, university, and government. The institutional structures created in the 1960s and 1970s for Paraná industrial development, did not answer to the requirements of the new strategy of scientific and technological development necessary for the formation of a local system of innovation. During the 1980s the old institutions were dismantled and new ones were created. The main goal was develop a pattern of industrialization towards the new technological intensive subsectors. The formation of a nucleus of innovation in the State of Paraná resulted into a new system of incentives for a industrial sector. This strategy was based on assumpt ion that some sub-sectors of new technologies should be stimulated. The inducement mechanisms utilized were the tacit and specific knowledge accumulated by firms and the scientific and technological basis developed within universities and other research institutes
Doutorado
Doutor em Economia
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Figueroa, Calderón Rosa Isabel, Prada Estif Lenin Navarro, Calderón Rosa Isabel Figueroa, and Prada Estif Lenin Navarro. "Estudio de utilización de medicamentos antipsicóticos en combinación, para manejo de la esquizofrenia tipo paranoide en pacientes hombres del servicio de hospitalización de Psiquiatría General del hospital nacional Edgardo Rebagliati Martins." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2016. http://cybertesis.unmsm.edu.pe/handle/cybertesis/4681.
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La presente investigación, es un estudio descriptivo, retrospectivo y de corte transversal cuyo objetivo es analizar la utilización de las combinaciones de medicamentos antipsicóticos en el tratamiento de la Esquizofrenia de tipo paranoide en pacientes del Servicio de Psiquiatría General del HNERM del periodo Enero 2013 – Agosto 2013, e identificar las posibles desviaciones en su uso. Se seleccionó una muestra de 125 pacientes varones, los cuales presentaban edades de entre 18 a 78 años que fueron internados en el servicio de hospitalización de Psiquiatría General y cuya prescripción farmacológica fue de 2 o más antipsicóticos. Para este estudio, se emplearon documentos como historias clínicas, reportes de farmacia e informática, como fuentes necesarias para el análisis de información de la muestra de pacientes, así como la evaluación de las prácticas de prescripción, consumo y consecuencias del tratamiento. El estudio logró analizar características sociodemográficas, de la morbilidad y de los hábitos de prescripción en la muestra de pacientes con esquizofrenia paranoide, logró identificar las causas de los reingresos de los pacientes por recaídas. Asimismo, se logró identificar que las prescripciones en su mayoría no se basan en guías clínicas, si no en el juicio experto de los profesionales de salud y que en el 81% de las prescripciones se administran a dosis adecuadas. La risperidona es el antipsicótico consumido en mayor cantidad, de acuerdo a su DDD establecida por la OMS en la etapa de tratamiento. Entre el 70% y 90% de los pacientes reciben polifarmacia en relación a todos los pacientes hospitalizados en el servicio, en los cuales los antipsicóticos tienen buena eficacia en controlar los síntomas negativos y positivos. Los resultados de adherencia y buena respuesta al tratamiento (68% y 65% de los casos, respectivamente) se correlacionan con un adecuado esquema de prescripción y el 4,8% de pacientes ha generado reacciones adversas y 72% de los pacientes podrían desarrollar interacciones farmacológicas, que ya han sido descritas por la bibliografía científica. Palabras clave: esquizofrenia paranoide, tratamiento, antipsicóticos, utilización de medicamento--- This research is a descriptive, cross-sectional and reprospective study whose aim is to analyze the utilization of antipsychotic’s combination for treatment of paranoid schizophrenia of patients of Mental Health Eduardo Rebagliati Martins Hospital for the period January 2013 - August 2013, and identify possible deviations in use. A sample of 125 male patients was selected, which had ages between 18 to 78 years who were hospitalized in the Service of General Psychiatry. Their drug prescriptions were 2 or more antipsychotics. For this study, documents as medical records, reports and pharmacy informatics as sources of information needed to characterize the patient sample and the evaluation of prescription practices, consumption and consequences of treatment were used. The study was able to characterize paranoid schizophrenia in the population studied and also was able to identify the causes of readmissions of patients relapsing. We identified that the requirements mostly not based on clinical guidelines, but in the expert judgment of health professionals and in 81 % of prescriptions are administered on appropriate doses. The levomepromazina is the drug most commonly prescribed and the antipsychotic risperidone is consumed in greater amounts, according to the DDD established by WHO in the treatment stage. Between 70% and 90 % of patients receiving polypharmacy in relation to all patients admitted to the service, in which antipsychotics have good efficacy in controlling negative and positive symptoms. The results of adhesion and good response (68% and 65 % of cases, respectively) correlate to treatment with a suitable scheme prescription and only in 4.8% of patients have resulted in adverse reactions and 72 % of patients may develop drug interactions and has been described by the scientific literature. Key words: schizophrenia paranoid, treatment, antipsychotics, utilization of medicines
Tesis
Books on the topic "Paranoia (Par)"
1
Nelson, Blake. Paranoid Park. New York: Penguin USA, Inc., 2009.
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2
Paranoid Park. Viking Juvenile, 2006.
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Nelson, Blake. Paranoid Park. Puffin, 2008.
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Weisband, Edward. Perversity in the Performative. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190677886.003.0007.
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To study the staged performative transgressions of victims, sadistic cruelty borne by the desire on the part of perpetrators to witness the collective dying of victims, requires analytical orientations beyond those focused exclusively on motivations cast in rational or rationalizing, cognitive or purposive strategic terms. Performativity as a theoretical perspective establishes the explanatory relevance of the unconscious in appraising the dynamics of desire, shame, and sadistic cruelty among perpetrators. Various psychosocial perspectives may be adopted in this regard. Sadistic behaviors are not only cruel; they demand that the cruelty be displayed in the name of the laws of prohibition. Perpetrator behaviors in mass atrocity demonstrate the psychic elements of emotionality and fantasy, paranoia and obsession. Group dynamics in the macabresque ebb and flow in the subterranean tides of anxiety and psychic desire made manifest by reifications and sadistic hate, a central focus of study in the analysis of perpetrator performativity.
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Fischer, Nick. Antidemocracy and Authoritarianism. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252040023.003.0012.
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This chapter examines antidemocracy and paranoid authoritarianism as part of the Anticommunist Spider Web. It shows how anticommunist conspiracy theory, anticommunist propaganda, and the actions of many anticommunists encouraged the destruction of democracy and its replacement by a system of government by kinship group or tribe. It argues that the propaganda issued by the Spider Web, stressing the inherent disloyalty and degeneracy of huge sections of the community, inevitably pointed toward the restriction of American citizenship to those who truly deserved it. Anticommunism sought to restrict the franchise to people of the same ethnic background and religious and political beliefs. So even though anticommunist rhetoric emphasized the virtues of republican government and the universal basis of citizenship, it ultimately sought to legitimize an antidemocratic and even authoritarian society.
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Fischer, Nick. The Mythology of Anticommunism. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252040023.003.0011.
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This chapter examines the myth of conspiracy theory perpetuated by anticommunists as part of an elaborate propaganda. It shows how conspiracy theory was employed as a political technique of choice for opportunistic and calculating anticommunists, who inflamed and manipulated emotions to advance their cause. It considers how anticommunism found its ultimate reason for being in the notion that the United States was being subjected to unceasing subversion by an army of largely imported Bolsheviks, socialists, syndicalists, and anarchists. Anticommunist propaganda and conspiracy theory insisted that this army was being aided by an even larger number of treacherous and gullible homegrown enemies, from radicalized trade unionists and embittered African Americans to what they call unfeminine feminists, softheaded peaceniks, and eccentric freethinkers. The chapter discusses the anticommunists' conspiracy mythology by focusing on their paranoid politics, their justifications for their disavowal of communism, and their idealization of life in America.
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De Battista, Julieta, ed. Las psicosis en Freud. Editorial de la Universidad Nacional de La Plata (EDULP), 2016. http://dx.doi.org/10.35537/10915/61041.
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¿Por qué un libro sobre las psicosis en Freud? ¿Acaso no hay en Lacan una propuesta superadora? ¡Leamos a Lacan! Aprendamos sobre la forclusión del Nombre-del-Padre y los fenómenos elementales, ¡Lleguemos hasta los nudos! El entusiasmo de los estudiantes parece relegar a Freud a un antecedente de Lacan, una teoría ya superada, parte de la historia de la psicología, pero no de su presente. Sin embargo, Lacan nunca dejó de autoproclamarse "freudiano" incitando una y otra vez a una lectura minuciosa y al pie de la letra del texto de Freud, encontrando allí los puntos de la trama que podían esclarecerse con otra lectura. No era tampoco una lectura fascinada u obnubilada, Lacan no se ahorró sus tesis referidas a los obstáculos que la misma posición de Freud introdujo, aun cuando eso le valiera su excomunión de la Internacional fundada por Freud. Hereje, pero freudiano. Hereje, no religioso. La lectura de Lacan no es la de la repetición dogmática, tampoco la de los estribillos. Recupera los obstáculos a los que una posición conduce, sin por eso dejar a un lado lo que esa posición posibilitó. Entre hallazgos y obstáculos se inscribe un derrotero signado por este más allá del padre que no es sin embargo sin servirse de él. Tomamos prestado ese método de Lacan cuando proponemos una revisión de todo lo que Freud ha dicho sobre las psicosis. Localizar los hallazgos, festejar las novedades, detectar los obstáculos. Creemos con Lacan que el texto freudiano está aun poblado de adarajas1 que aguardan su lectura para abrir a nuevas reflexiones. Adarajas que abren posibilidades apenas anunciadas. El libro recupera entonces las formulaciones freudianas en sus tensiones constantes entre teoría y clínica. Parte de los sucesivos pasos que llevaron a Freud a distinguir neurosis y psicosis a partir de un criterio propio del discurso analítico: la capacidad o incapacidad de establecer transferencias. Interroga luego la particular posición del psicótico con respecto al inconsciente y los cambios de posición posibles ante el mismo en un espíritu que intenta recuperar la dinámica de fuerzas freudianas, sin cristalizarse en la estabilidad inconmovible de la estructura. Continúa revisitando el caso Schreber, intentando deslindar cuáles fueron los motivos teóricos que le dieron valor de necesidad a la hipótesis causal de la homosexualidad en la paranoia, para luego ubicar los obstáculos en las distintas formulaciones freudianas sobre los mecanismos operantes en las psicosis y su especificidad o inespecificidad.
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Morgan Wortham, Simon. Fear of the Open: Resistances of the Public Sphere. Edinburgh University Press, 2018. http://dx.doi.org/10.3366/edinburgh/9781474429603.003.0009.
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This chapter explores the theme of the ‘outside’, and the fears, desires, drives and indeed drift it seems to inspire, in order to raise the question of agoraphobia in a number of contexts. In particular, agoraphobia is not only about recoil or retreat from public spaces: surprisingly enough, an abiding fear of the ‘open’ may in fact generate the conditions of possibility for a democratically-oriented public sphere, however fragile and contradictory they may be. Agoraphobic fear of the space of the public square, whether crowded or comparatively empty, can produce inconsistent effects, provoking reactionary paranoia as well as inspiring political dissent. But if the appeal to the ‘rational ground’ of a public sphere is at least in part based upon agoraphobic, crowd-fearing impulses, its evocation of reason and duty is exceeded and resisted by a notion of Levinasian responsibility that has been described in terms of an ‘ethical agoraphobia’. If the ‘ethical agoraphobia’ of Levinasian responsibility entails a step into the ‘open’ that cannot simply be faced fearlessly, then this surely prompts critique of recent speculative materialism as in want of an object to be scared of.
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As significações do texto coletivo no processo alfabetizador de jovens e adultos do Cedep/Paranoá e Itapoã – UnB. Editora Universidade de Brasília, 2020. http://dx.doi.org/10.26512/9786558460220.
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Este livro visa contribuir para uma práxis de alfabetização de jovens e adultos desde uma perspectiva histórico-cultural marxista, adotada pelo Grupo de ensino, pesquisa e extensão em educação popular e estudos filosóficos histórico culturais (Genpex), desde seu projeto original em fins da década de 1980, no Paranoá e Itapoã. Seu foco é sobre a formação, que se prefere nomear constituição, de alfabetizadoras/es e formadoras/es de alfabetizadoras/es, na atividade pedagógica de elaboração de texto coletivo em sala de aula, como parte de um processo alfabetizador mais amplo, que se dá nas etapas de planejamento coletivo, execução do planejamento e avaliação do trabalho executado. O objetivo deste trabalho é iluminar o processo de elaboração de texto coletivo com base nas significações que alfabetizandas, alfabetizadoras, estudantes e professoras/es universitários/as constroem sobre a atividade ao nela se engajar durante um determinado tempo. Para isso, foram realizadas entrevistas com essas/es atoras/es e procedidas análises coletivas em várias rodadas de leitura e interlocução sobre os textos transcritos. Como principais achados tem-se que o texto coletivo se constitui nas relações sociais de contradição (avanços e recuos, acordos e desacordos) nos vários ambientes educativos numa perspectiva dialógica-dialética-transformadora. Sua elaboração é, ao mesmo tempo, produto e procedimento metodológico. Possibilita o dessilenciamento das alfabetizandas, alfabetizadoras, dirigentes do movimento popular, professoras, estudantes e demais atoras/es. Assim, a ampliação da compreensão sobre o texto coletivo revela as várias fases do seu movimento de constituição e de seus desdobramentos no processo alfabetizador.
Book chapters on the topic "Paranoia (Par)"
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Freeman, Daniel, and Jason Freeman. "Introduction: Or, Why Fat is a Paranoid Issue." In Paranoia. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780199237500.003.0003.
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Over the past few years, a new and deadly epidemic has stalked the land. Britain and the US, just like much of the rest of the world, are getting fat. Around 60 per cent of adults in the UK are heavier than they should be. It’s a similar story in the US, where two-thirds of adults are overweight or extremely overweight (obese). That’s a pretty shocking statistic, but we all know that keeping in shape when you’re trying to balance the demands of work and family life is tough. Who’s got time to get to the gym? Who has the energy to do more than heat up a ready meal after ten hours in the office? Besides, we all get bigger as we get older, don’t we? It’s a metabolism thing—isn’t it? But if you think the statistics for adults are alarming, wait till you find out how our kids are faring. In 2003, 27 per cent of children under 11 in England were either overweight or obese. In the US, where different methods to measure obesity are used, nearly 20 per cent of children aged 6 to 11 were classified as overweight or obese in 2004. The numbers have almost doubled in a decade. How did so many children get to be overweight before they’ve even reached the ripe old age of 11? How do you become overweight when so much of your day is taken up with charging round a playground or park, when you can’t drive, and when you’re not free—like the rest of us—to stuff your face at will with chocolate, crisps, and alcohol? The answer, of course, is a complex one. If adults are eating much less healthily than they used to, so are their kids. Instead of spending their evenings playing outside, children now have the delights of multi-channel television, computer games, and the Internet to choose from. And then there’s the fact that increasing numbers of us just won’t let our children outside on their own. Back in the mid 1970s, we were 6 years old.
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Freeman, Daniel, and Jason Freeman. "‘They Tell You Lies’: Is Paranoia Increasing?" In Paranoia. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780199237500.003.0005.
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On the evening of 15 February 1996, the 147,000 tonne tanker Sea Empress ran aground on rocks at the entrance to Milford Haven harbour in south-west Wales. (The ship’s pilot, it later emerged, had been making his first ever solo attempt at the manoeuvre.) Over the next week, 72,000 tonnes of crude oil and 360 tonnes of heavy fuel oil seeped from the wreck into the sea, contaminating 200 kilometres of the Welsh coastline, much of it part of the exceptionally beautiful and ecologically diverse Pembrokeshire Coast National Park. More than 50,000 birds were killed or injured. The devastating effects of the Sea Empress disaster weren’t confined, however, to the flora and fauna of the National Park. In the wake of the oil spill, local people found themselves experiencing a range of health problems, including headaches, nausea, and skin irritation. And yet when we look closely at these accounts, something curious emerges. The first symptoms were reported as early as the first day of the incident. But at that stage very little oil had escaped from the wrecked tanker. Whatever was causing these first headaches and feelings of nausea, it wasn’t the Sea Empress. Indeed, people living on stretches of the coast that were entirely unaffected by the spill also complained of symptoms. How do we explain physical symptoms without an obvious physical cause? In the case of the Sea Empress disaster, it’s likely that they were the direct result of anxiety. It’s an established formula. Take one catastrophe, add extensive media coverage, and watch public anxiety grow. Think back, for example, to the anthrax scares that swept the US in September and October 2001. During these weeks, letters containing anthrax spores were sent to a number of senators and media organizations. Five people died and a further seventeen were also infected. (To date, the case is still unsolved.) With anxiety in the US already ratcheted to unprecedented levels by the September 11 attacks, hundreds of people soon began reporting that they too had been the victims of anthrax poisoning, with many complaining of symptoms.
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Freeman, Daniel, and Jason Freeman. "Conclusion: Or, Enjoy the Fruit." In Paranoia. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780199237500.003.0010.
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October 1, 2007 and London is in the grip of another terrorism alert. Shoppers in Soho are sparked into panic by a strange noxious-smelling cloud. Suspecting the capital is under chemical attack, the emergency services cordon off roads and evacuate the area. Meanwhile, firefighters wearing breathing apparatus begin a three-hour search for the source of the stench. This eventually turns out to be the Thai Cottage restaurant where, until he’d been asked to leave his kitchen, chef Chalemchai Tangjariyapoon had been midway through preparing a batch of nam prik pao. ‘We only cook it once a year—it’s a spicy dip with extra hot chillies that are deliberately burned’, he said later. ‘To us it smells like burned chilli and it is slightly unusual. I can understand why people who weren’t Thai would not know what it was but it doesn’t smell like chemicals. I’m a bit confused. ...When we came back at 7.30 p.m. we saw the door had been smashed and there were fire brigade and police waiting outside. I was a bit scared but they were very nice about it.’ Should you wish to have a go at making the abovementioned Thai dip, you will need charred chillies, garlic flakes, dried shrimps, palm sugar, shrimp paste, tamarind, and vegetable oil. But then again, given Mr Tangjariyapoon’s experience, you might prefer to let the experts handle it. Provided they still dare. Because, as the staff of the Thai Cottage know only too well, right now we’re more than a little jumpy. Threats seem to loom at us from all quarters. And of course sometimes it’s right to be cautious. Lurking within the kitchen of the Thai Cottage was nothing more sinister than a superspicy savoury dip, but Londoners are well aware of the havoc terrorists can wreak. Muggers, vandals, delinquent teenagers, paedophiles, rapists, corrupt officials, malicious colleagues, gossips, spies, and blackmailers—none of these are entirely the figment of our fevered imaginations. The trick, of course, is to keep a sense of perspective, recognizing that these kinds of dangers are rare and taking that on into a calm and measured assessment of risk.
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Oldham, Joseph. "Conclusion." In Paranoid Visions. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9781784994150.003.0008.
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This conclusion surveys the history and evolution of the spy and conspiracy dramas over the preceding decades, summing up the arguments from the main chapters of the book. This is framed by discussion of some of the most recent programmes in these traditions, most notably the BBC’s return to John Le Carre with their adaptation of The Night Manager (BBC 1, 2016). It explores how these are increasingly made through complex co-production arrangements, with both the independent production sector and transatlantic co-production partners playing more dominant roles. This is linked to shift in trends back towards a ‘novelistic’ serial form, and new moral ambiguity whereby it seems increasingly difficult to distinguish the spy and conspiracy genres. It argues that this this responds to the critical agenda set American ‘quality’ television, with discourses of ‘quality’ emanating from pay-per-view threatening to supplant those associated with public service broadcasting.
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Oldham, Joseph. "The precinct is political: espionage as a public service in Spooks (BBC 1, 2002–11)." In Paranoid Visions. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9781784994150.003.0007.
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This chapter examines Spooks (BBC 1, 2002-11), procedural spy series focused on MI5. Widely understood as British television’s primary dramatic response to the ‘war on terror’, this chapter conversely traces the series’ substantial development prior to 9/11. Spooks is characterised as epitomising trends in the deregulated era of British television, commissioned as part of an investment in cutting-edge new drama to assert BBC 1’s competitiveness in the multi-channel landscape, and developed by the independent production company Kudos Film and Television. Responding to ‘openness’ drives by the real MI5, this reworked the spy series according to the tradition of the precinct drama, situating national security activities within the familiarised culture of the workplace family. This chapter argues that, through self-consciously challenging attitudes to headline issues the series demonstrated continuity with earlier radical BBC traditions, but this was tamed by its procedural format and stylised aesthetics.
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Munro, Alistair. "Persistent delusional symptoms and disorders." In New Oxford Textbook of Psychiatry, 609–28. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0082.
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Paranoia/delusional disorder is unique in psychiatry in that it is virtually a newly discovered illness, yet much of the fundamental descriptive work was done a century or more ago. This long hiatus means that most practitioners have little knowledge or experience of the disorder, and the few who are aware of it usually only see a small part of the fabric. The dermatologist treats a case of delusional parasitosis, the cosmetic surgeon has an impossible patient wth a dysmorphic delusion, the lawyer does not know what to do with a totally unreasonable litigant, the police officer has to deal with a jealous murderer or an erotomanic stalker, and the personnel officer has an employee who is convinced his fellow workers are persecuting him, etc. How can we draw all this scattered material together and add it to the psychiatric literature to make a whole cloth? The answer is largely by consciousness raising and education. Kendler, an authority in this field, has said, ‘The paranoid disorders may be the third great group of functional psychoses, along with affective disorder and schizophrenia’. If he is correct, it is imperative that we hone our diagnostic and treatment skills in order to improve the help we might offer to delusional disorder sufferers and to facilitate research which is so badly needed.
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Griep, Mark A., and Marjorie L. Mikasen. "Isomorphs of Paranoia: Chemical Arsenals." In ReAction! Oxford University Press, 2009. http://dx.doi.org/10.1093/oso/9780195326925.003.0007.
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In the United States after the September 2001 attacks, citizens were advised to protect themselves from toxic dusts by covering their windows with plastic sheeting and duct tape that could be purchased from any hardware store. One hundred years ago, terrorists would not have had ready access to today’s common chemicals to create makeshift explosives, and citizens would not have had access to plastic sheeting or duct tape to protect themselves from aerosols or gases. Chemical weapons have engendered a cloud of fear since their introduction into warfare during World War I. Recently, the large-scale use of chemicals as lethal weapons has drifted from warfare to terrorism. Chemical weapons are often equated with poison gases (either asphyxiation or nerve agents), but as can be seen in the list of movies for this chapter, they are actually the most diverse type of weapon. Some of these weapons are discussed elsewhere in the book (psychedelic agents, chapter 5; explosives, chapter 9). The chemistry in nuclear weapons movies is discussed in the commentary sections for those movies that use them. The movies in this chapter are closely linked to spy movies, which lie at the nexus of the action and thriller genres. Spy movies are appealing in part because these charming, good-looking government employees live by their wits and gut reactions to make split-second decisions that are best for the spy and the government. But a spy is only as good as the villain; otherwise, it wouldn’t be challenging or fun. So, the final ingredient for the movie choices in this chapter is that many of them refer to actual chemical weapons, which grounds them in the real world. The audience knows these weapons are dangerous and can be misused by the wrong person. Only about 70 chemical compounds have been put to use during military conflicts over the past century, and they are classified based on their effects. Asphyxiating and blistering agents were created for WWI (1914–1918); nerve agents were developed for WWII (1940–1945) but never used in that war; napalm was also created for WWII but it generated public comment only when used in the Vietnam War; nonlethal psychedelics were tested extensively during the 1950s but haven’t been documented as having been used yet; herbicides and tear gas were used tactically during the Vietnam War.
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Palmer, Barton W., Gauri N. Savla, and Thomas W. Meeks. "Schizophrenia and paranoid disorders in late life." In New Oxford Textbook of Psychiatry, 1546–50. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0200.
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Estimates of the point-prevalence of paranoia and other psychotic symptoms among persons age ⋚ 65 years have ranged from approximately 4 per cent to 6 per cent, and may be as high as 10 per cent among those age ⋚ 85 years. Although the majority of these symptoms occur as secondary psychoses in the context of Alzheimer’s disease or related dementias, the population of people with schizophrenia is ageing along with the general ‘greying’ of the industrialized world, and mental health care for older adults with schizophrenia is expected to be an increasingly important public health concern. This chapter covers clinical features, classification systems, diagnosis and differential diagnosis, epidemiology, aetiology, course and prognosis, treatment, and management.
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Patterson, Christopher B. "[Pause]." In Open World Empire, 150–54. NYU Press, 2020. http://dx.doi.org/10.18574/nyu/9781479802043.003.0005.
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This transitional chapter summarizes the arguments in part 1 of the book, seeing them as renditions of debates concerning the author, the audience, and the text. Part 1 also catered to what Eve Sedgwick calls a paranoid form of reading, one reliant upon exposing the realities behind dominant discourses of empire as the primary means to create change. Part 2, in contrast, will extend these arguments by seeing games not as utilities but as objects in the world that offer erotic experiences and nourish audiences in unexpected ways. This chapter lays the groundwork for part 2, which will attempt to show how digital games, as interactive forms of storytelling and play, measure pleasures and affects, attenuate gamers to bodily perceptions, and help perceive how power takes hold of one’s conduct, body, and frailty.
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"LAS RELACIONES PARANOIDES Y LA ORGANIZACIÓN PARANOIDE DE LA RELACIÓN:." In Apuntes para una psicopatología basada en la relación, 21–135. Herder, 2020. http://dx.doi.org/10.2307/j.ctv1bpw6fx.5.
Full textConference papers on the topic "Paranoia (Par)"
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Nunes Turquetti, Gabriela, Marcelo Peres Rocha, Márcio Maciel Cavalcanti, Henrique Llacer Roig, Welitom Rodrigues Borges, and George Sand França. "Utilização do método da eletrorresistividade para estimativa de sedimentos transportados por processos erosivos na Bacia do Lago Paranoá." In Simpósio Brasileiro de Geofísica. Sociedade Brasileira de Geofísica, 2016. http://dx.doi.org/10.22564/7simbgf2016.116.
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Ianniruberto, Marco, Amanda Almeida Rocha, Juliana Garrido Damaceno, and Kayque Bergamaschi Rodrigues Carneiro. "Aplicação Do Sonar De Varredura Lateral Para O Reconhecimento De Vestígios Da Vila Amauri No Lago Paranoá (Brasília/Df)." In IV Simpósio Brasileiro de Geofísica. European Association of Geoscientists & Engineers, 2010. http://dx.doi.org/10.3997/2214-4609-pdb.197.sbgf_2469.
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Ianniruberto, Marco, Amanda Almeida Rocha, Juliana Garrido Damaceno, and Kayque Bergamaschi Rodrigues Carneiro. "Aplicação do sonar de varredura lateral para o reconhecimento de vestígios da Vila Amauri no Lago Paranoá (Brasília-DF)." In Simpósio Brasileiro de Geofísica. Sociedade Brasileira de Geofísica, 2010. http://dx.doi.org/10.22564/4simbgf2010.114.
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Veizaj, Denada, Gjergji Islami, and Andrea Maliqari. "Albanian bunkers. Modern fortifications built in socialism." In FORTMED2020 - Defensive Architecture of the Mediterranean. Valencia: Universitat Politàcnica de València, 2020. http://dx.doi.org/10.4995/fortmed2020.2020.11492.
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During the communist regime of Enver Hoxha, Albania built nearly 200 000 bunkers as a measure of protection towards an imaginary attack from (un)known enemies of the Popular Socialist Republic. Most of these structures built in concrete are still part of the landscapes almost in every part of the territory. While the most common type is small and identified from the semi spherical shape, particular bunkers have quite large dimensions and specific features related to their function and location. During the last five years, three of the most unique modern fortifications built during socialism for the displacement of the governmental authorities in case of war, were revealed and made accessible to the public. These structures, transformed today in museums, cultural spaces or simply visitable attractions, are the symbol of an auto-referenced reality within Europe, where the paranoia produced an unusual typology of modern age fortifications. These bunkers, planned to withstand twentieth century military attacks, are extraordinary structures in terms of engineering and building features, and at the same time they represent a very valuable heritage related to the history of communism in Albania. This article aims to offer a comprehensive analysis of the fortification of the Albanian territory during the twentieth century as an overall country defence plan, while focusing on the governmental bunkers in order to understand how the ideological differences with the rest of the world created the need for protection and produced an amazing military infrastructure. The discussion on the future of these structures seems to be strongly related to the ability of recognising these modern fortifications on the Mediterranean as cultural heritage.
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Lima, B. L., L. M. S. Andrade, and P. P. T. M. Hollanda. "Padrões de Uso e Ocupação da Bacia Hidrográfica do Paranoá e Seus Impactos para o Ciclo da Água no Meio Urbano." In Encontro Latinoamericano de Edificações e Comunidades Sustentáveis. Curitiba, Paraná, Brasil: UFPR/ANTAC/UEPG, 2013. http://dx.doi.org/10.12702/978-85-89478-40-3-a076.
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Paniagua Velasco, Ana, Inés Urruticoechea García, Lucía Andrés Rodriguez, Borja Pedruzo Bagazgoitia, Maite Pereda Muñoz, and Miguel Ángel Gonzalez Torres. "Cannabis y trastorno paranoide de la personalidad. A propósito de un caso en proceso de psicoterapia." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p135.
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Motivo de Consulta: Varón de 30 años que acude al Centro de Salud Mental (CSM), derivado por su médico de atención primaria por sintomatología ansioso depresiva. Situación Funcional Basal: Natural de Extremadura, vive actualmente en Bilbao con la pareja. En el momento en el que se le evalúa para psicoterapia presenta aislamiento casi completo, excepto por las salidas diarias al puesto laboral (trabaja de encargado en una pizzería), en el cuál evita mantener relaciones con compañeros; y por la convivencia con la pareja, con la que mantiene desde hace un tiempo una relación cordial. Consumo THC a diario con finalidad ansiolítica (3-4 porros al día). Enfermedad Actual: El paciente refiere angustia y desesperanza vital acusada, principalmente a causa de su creencia de que los demás quieren aprovecharse de él y que es maltratado por la sociedad, principalmente por el sexo femenino. Tiende a categorizar a la población en buenos y malos (incluyendo en este último grupo a las mujeres y a los vascos, y definiéndolos como explotadores). Exploración psicopatológica durante la primera sesión: Abordable y parcialmente colaborador. Facies triste, aunque se esfuerza en sonreír durante la consulta. Alterna entre un contacto ocular desafiante y fijo y la evitación de la mirada. Humor depresivo y desesperanza vital. Apatía, abulia. Agresividad e ira principalmente hacia la población por la que se siente atacado. Ideas autolíticas no estructuradas. Ideas heterolíticas con la intención de "hacer justicia", sin intención de paso al acto. Consumo de THC con finalidad ansiolítica. Apetito conservado, sueño desestructurado.
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Rodríguez Turiel, Celia, Elena Lanza Quintana, Adrián Azanza Balmori, and Natalia Álvarez Alvargonzález. "ARIPIPRAZOL Y CRAVING: A PROPÓSITO DE UN CASO." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p124.
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Objetivos: Estudiar la eficacia del aripiprazol para el tratamiento del craving en los trastornos por uso de sustancias tóxicas. Material y métodos: Revisión de un caso clínico y literatura existente al respecto. Resultados y conclusiones: Se presenta un caso clínico de un paciente varón de 46 años, sin antecedentes medicoquirúrgicos de interés. Seguimiento por parte de Psiquiatría y Psicología Clínica desde mayo de 2017 por consumo abusivo de alcohol. Como antecedentes familiares psiquiátricos, dos hermanos con síndrome de dependencia a opiáceos y dos con diagnóstico de Esquizofrenia Paranoide. Durante los primeros meses de seguimiento se objetivó consumo asociado de cannabis (3-4 "porros"/día). Tras un año de consultas, reconoció craving y pensamientos intrusivos, egodistónicos, que relacionaba con el consumo de cannabis (recogida de latas y colillas de la calle para consumirlas), con importante repercusión afectiva. Desde el inicio se trató activamente con distintos antidepresivos hasta llegar a Sertralina 200 mg/día y antipsicóticos (Olanzapina hasta 15 mg/día, Quetiapina 100 mg/día; Clotiapina 40 mg/día y Paliperidona hasta 18 mg/día que se suspendió por afectación sexual). Asimismo, se asociaron distintos tratamientos de tipo ansiolítico. Tras varios ajustes de tratamiento psicofarmacológico, se logró mantener abstinencia alcohólica, aunque persistió el consumo de cannabis y las conductas de recogida. Hace cinco meses se inició Aripiprazol 15 mg/día, tras lo que se ha mantenido abstinente hasta el momento actual. Tras varios tratamientos antipsicóticos fallidos, el aripiprazol parece haber resultado útil para controlar el craving y la sintomatología asociada al consumo de cannabis. Según los estudios revisados, se considera una estrategia farmacológica eficaz para pacientes con patología dual. Aripiprazol lleva a cabo una modulación dopaminérgia y serotoninérgica sobre los circuitos subcorticales, que podría guardar relación con el control del craving, la impulsividad y los síntomas ansiosos relacionados.
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Baldessar Warmling, Gean Marcos. "An Analysis of Bridges Performance in Southern Brazil Highways." In IABSE Conference, Copenhagen 2018: Engineering the Past, to Meet the Needs of the Future. Zurich, Switzerland: International Association for Bridge and Structural Engineering (IABSE), 2018. http://dx.doi.org/10.2749/copenhagen.2018.330.
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This paper presents the basic concepts of a Bridge Management System that can create a meaningful conservation and maintenance programs for the Brazilian Highway Public system. The methodology, based on a deterministic procedure aims to create a list of priorities towards a future program of maintenance of bridges. This document presents the introduction of a method that includes the content of the analysis. The application of the proposed procedure allowed the analysis of a batch of 308 bridges in the highways systems that cross the states of Parana and Santa Catarina, in the southern part of Brazil. The model considers several aspects that regulate the conditions of those bridges, considering traffic characteristics and maintenance history. The results bring the possibility to relate the actual condition of the structures within the performance that one expects the highway system to provide for the user. In order to complete the analysis, this paper presents a general classification of the bridges, by their performance, creating a very meaningful list of priorities to guide any maintenance program.
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Álvarez Navares, Ana I., M. Angeles Garzón de Paz, Jesús A. Monforte Porto, M. Teresa Pastor Hidalgo, Nerea Gonzalez García, Nerea M. Casado Espada, Patricia López Landeiro, et al. "PATOLOGÍA DUAL Y ARIPIPRAZOL SUSPENSIÓN INYECTABLE DE LIBERACIÓN PROLONGADA." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p119.
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DESCRIPCIÓN DE OBJETIVOS: El Aripiprazol es un antipsicótico que en su presentación en forma de inyectable intramuscular de liberación prolongada (ILP) se administra una vez al mes como inyección única. La Patología Dual representa la comorbilidad entre la presencia de enfermedad mental y trastornos relacionados con consumo de sustancias. El objetivo del presente trabajo es describir el perfil de los pacientes ingresados en la Unidad de Patología Dual del Hospital de Salamanca, a los que se les pautó por vez primera Aripiprazol ILP. MÉTODOS Y MATERIALES: Estudio descriptivo, observacional, retrospectivo de una muestra de 51 pacientes a los que se prescribió Aripiprazol ILP. Se describen variables sociodemográficas, clínicas y relacionadas con el tratamiento. La muestra es de 51 pacientes, 38 hombres y 13 mujeres con una edad media de 28 años. RESULTADOS Y CONCLUSIONES: Los diagnósticos según DSM-5 fueron Esquizofrenia: 12 casos, Trastorno Bipolar I: 8, Trastorno del espectro de la esquizofrenia NE: 11, Trastorno Psicótico inducido por sustancias: 14, Trastorno Esquizoafectivo: 3 y Trastorno de la personalidad: 3 (límite: 2, paranoide: 1). La droga principal de consumo era Cannabis: 23, Cocaína: 16, Alcohol: 7, Opiáceos: 4 y Anfetaminas: 1. La dosis media de Aripiprazol inyectable fue 400 mg. No se registraron reacciones adversas ni interacciones farmacológicas. Con la experiencia recogida en esta muestra se puede concluir que Aripiprazol ILP además de por su eficacia para tratar síntomas psicóticos y afectivos, puede ser una opción adecuada en estos pacientes consumidores de tóxicos.
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Martín Villarroel, Cristina, Javier Domínguez Cutanda, and Laura Carpio García. "Un dúo dinámico: tiroides y cannabis en relación a Psicosis. A propósito de un caso." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p108.
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1.Objetivos. Ante un primer episodio psicótico (PEP) con consumo de tóxicos, solemos asociar ambos como única relación causal, obviando otros posibles factores etiológicos confusores que llevan al infradiagnóstico. A partir del siguiente caso, planteamos el estudio del diagnóstico diferencial de un PEP con consumo de tóxicos, en el seno de un hipotiroidismo severo. 2.Material-Métodos.Varón de 40 años, consumidor de cannabis desde hace 25 años, sin antecedentes psiquiátricos, hipertenso y tiroidectomizado hace 11 años por neoplasia tiroidea, con tratamiento hormonal sustitutivo y buen control hasta última consulta; acude a Urgencias verbalizando clínica delirante de corte paranoide, con angustia psicótica y alteraciones conductuales asociadas. Se ingresa haciendo despistaje orgánico, objetivándose hipotiroidismo severo por abandono reciente de tratamiento (TSH:71.424μUI/ml, T4:0.510ng/dl), pancreatitis y hepatitis tóxicas (secundarias a miopatía hipotiroidea por rabdomiolisis). Tras administración de levotiroxina 200mcg y neurolépticos (Aripiprazol 10mg y Quetiapina 50mg), remitió completamente la sintomatología psicótica, normalizándose parcialmente los parámetros analíticos. A partir de este caso, realizamos una búsqueda bibliográfica en Pubmed y Trip-database sobre clínica psicótica secundaria a hipotiroidismo, asociada o no a consumo concomitante de tóxicos. 3.Resultados-Conclusiones. Es bien conocida la asociación entre trastornos psicóticos y consumo de tóxicos, especialmente THC (44.8%), encontrándose estudios que relacionan los tóxicos como factor desencadenante, o como forma de automedicación para calmar la sintomatología psicótica. Por otra parte, y a raíz del caso presentado, hemos encontrado relación entre psicosis e hipotiroidismo, pues se conocía patología psiquiátrica relacionada (42.82% trastorno de ansiedad generalizada, 11.4% trastorno somatomorfo, 5.7% depresión), pero muy pocos casos asociados a sintomatología psicótica, 2.8% (“locura mixedematosa”). El tratamiento indicado consiste en una combinación de levotiroxina y neurolépticos, ambos necesarios pero no suficientes para la resolución. Como conclusión, debemos considerar el hipotiroidismo como posible causa o factor agravante ante todo PEP, especialmente en casos resistentes, independientemente del consumo de tóxicos añadido.