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Biomedical subjects

F Asioli

Publications and source records attributed to F Asioli.

6 recordsLinked to original sources
PubMed1990

Cooperation in mental health: an Italian project in Nicaragua.

The experience acquired over the last four years in developing a program of cooperation in mental health in Nicaragua is reported. The concept of 'transfer' underlying the intervention and the general framework of Nicaragua's mental health system is discussed together with the results of the cooperative work. This included organizing training for mental health workers in six teaching and supervision modules, drawing up a mental health manual for primary health care workers, and survey of patterns of care in the 15 existing psychiatric services. Besides the key aspects of general reform of the psychiatric system after the revolution, the paper focuses on differences between organization and patterns of care in urban and rural areas.

Adult↗
PubMed1987

Organization of services and pattern of psychiatric care in Nicaragua: result of a survey in 1986.

Organization of services and patterns of psychiatric care were studied in Nicaragua in 1986, 7 years after the substantial changes in health policy launched after the revolution. The overall re-organization of the system is indicated by the progressive abandoning of the mental hospital as the center of psychiatric care and the creation of 15 community-based mental health centers now functioning throughout the country. Quality of care judged through analysis of a consecutive sample of 342 patients seen by services over a month confirmed the positive orientation of the system which seemed able to deliver good care following the new perspective of "de-institutionalization". Some problems emerged to a large extent common to psychiatric care in industrialized countries looking at psychotropic drug use and at the relationship between primary health care and the psychiatric system especially when care delivered in urban and rural areas was compared.

Adolescent↗
PubMed1976

[Remarks on the nervous disturbances observed during an occupational medicine survey in workmen employed in a metal container manufacturing plant (author's transl)].

The authors report the results of a survey carried out in order to investigate psychic disturbances in subjects working in a metal container manufacturing industry. The manufacturing process is described and an attempt made to analyse the relationships among its evolution, work organisation--mainly referring to working group composition--and work division levels reached. The possible influences of noxious environmental factors on the onset of the psychic disturbances observed are examined. The obtained data are analysed and the psychic disturbances classified as: 1) anxious, 2) depressive, and 3) psychosomatic in nature; hypotheses are formulated in order to explain the higher frequency of almost all reported disturbances in female compared to male workers. Data are reported concerning psychotropic drug treatment as well as psychiatric hospitalization in the examined subjects; and their higher prevalence in comparison with the mean general population data is underlined. Finally, some remarks are made on methodology problems, and a correct setting up of the technician/homogeneous working group relationship is said to be the fundamental support for a profitable survey such as the one performed by the authors.

Anxiety↗
PubMedDate not supplied

[Electroshock (ESK) and electroconvulsive therapy (ECT)].

OBJECTIVE: To discuss the ethical and legal basis of ECT use in Italy, one year after the regulation set up by the Minister of Health. METHOD: Literature review and presentation of authors' personal opinions. RESULTS: Despite being the oldest somatic therapy still practised in psychiatry, ECT effectiveness has been systematically evaluated only during the last 20 years, and its clinical indications have become progressively restricted. Yet there are wide variations between countries and within each individual country about the extension, the modalities and the indications for its use. ECT seems to be practised mainly in large scale public psychiatric hospitals and in private clinics, but its use in systems following a community approach is very limited. Wide variations exist also with reference to the severity of regulations imposed by governments or suggested by professional associations. The extent of education and auditing by university centres varies considerably, but is generally considered unsatisfactory. There are still some reports about possible political and repressive use of ECT in some countries, especially developing ones. CONCLUSIONS: The authors consider that every national system of care should have a clear policy and clear regulations about ECT. The provisions set up by the Italian Minister of Health seem to be consistent with Italian health policies and psychiatric community care.

Electroconvulsive Therapy↗