Acute pancreatitis is a severe disease with considerable morbidity and mortality. The incidence of acute pancreatitis is rising in Western countries.1 Gallstones and alcohol consumption are the most important risk factors. Other risk factors include hyperlipidemia, hypercalcemia and trauma. In 10-25% of the patients with acute pancreatitis, no obvious risk factors are present.2 Drugs are also associated with the event and pathogenesis of drug-induced acute pancreatitis has not been yet completely clarified.
Case-ReportA previously healthy 55-year-old woman was admitted to treatment for depression. She had quit smoking for five months and developed depressive symptoms (anhedonia, sexual im-
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DescritoresAcute pancreatitis is a severe disease with considerable morbidity and mortality. Many risk factors are causally related to acute pancreatitis. In this report, a case of acute pancreatitis with possible causal relationship with the use of a selective serotonin reuptake inhibitor, sertraline, will be discussed. After one month of treatment with sertraline, a female patient, 55 years-old, developed a severe abdominal pain and showed a serum amylase elevation. She was admitted to the hospital and the use of sertraline was interrupted. After that, the symptoms remitted and the serum amylase level returned to normal. Because of the potential severity of this disease and the widespread use of sertraline, this association should be reminded when investigating possible causes for acute pancreatitis.Case report. Acute pancreatitis. Sertraline. Selective serotonin reuptake inhibitors.
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Descritores artigo originalIntroduction: Motivation is deemed a critical component for interventions intended to change behaviors related to the use of alcohol and other drugs. The classification of patients in 'stages of change' can be a useful tool for the organization and improvement of treating programs. Methods: This study assessed the stages of change using the scales URICA and SOCRATES in patients who attended two different treating programs for alcohol dependence in a specialized medical service. We performed an analysis of the association between stages of change and demographic aspects. After three months of treatment, patients were reassessed to evaluate their outcome. Results: In the assessments using URICA, there was an association between stages of change and monthly income and age. There was no evidence that patients move across the stages of change. Using the scale SOCRATES, we found an association between stages of change and monthly income. In the reassessment, there was a significant movement across the stages of change. Conclusion: Patients who attend two different treating programs may have different motivation profiles. There was no movement congruent with the stage of change model, suggesting that patients may need more than 3 months to obtain significant changes in their motivation.
This cross-sectional study compared perceived peer drug use and actual drug use in a sample of Latin American university students.Students from nine universities in five countries (Brazil, Chile, Colombia, Honduras and Peru)
NORMAS PERCIBIDAS POR ESTUDIANTES UNIVERSITARIOS RESPECTO A SUS PARES Y EL USO DE DROGAS: ESTUDIO MULTICÉNTRICO EN CINCO PAÍSES DE AMÉRICA LATINA
NORMAS PERCEBIDAS POR ESTUDANTES UNIVERSITÁRIOS SOBRE SEUS COMPANHEIROS E USO DE DROGAS: UM ESTUDO MULTICÊNTRICO EM CINCO PAÍSES DA AMÉRICA LATINA
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