Facultad de Ciencias de la Salud

Due to the significant functional repercussions suffered by patients with dual disorder, we must evaluate which ones can benefit from intensive rehabilitative therapies in medium-stay psychiatric units. This was a retrospective study of patient medical records which intended to analyze sociodemographic and clinical variables and parameters related to the hospitalization and discharge of patients admitted to the Medium-Stay Unit (MSU) at the Castellón Provincial Hospital Consortium over 2 years (2017 and 2018), according to the presence or absence of dual disorders in these patients. Patients with a dual disorder represented 55.2% of the hospitalized patients. A higher proportion of them were male, were relatively younger, and had an earlier onset of mental illness, fewer associated medical pathologies, and shorter hospital admission times to the Short-Term Hospitalization Unit than those who did not present a dual disorder. A diagnosis on the schizophrenia spectrum with cannabis use or polyconsumption was the most common diagnosis; 98.2% of all the patients responded adequately to admission to the MSU. This work highlighted the need for higher doses of depot paliperidone in patients with dual disorders.

The movement restrictions put in place as a result of the COVID-19 pandemic required modification of the population’s usual routines, including those of the most vulnerable groups such as patients with schizophrenia. This was a retrospective observational study. We used an online survey to collect information on patient adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener questionnaire), physical exercise (International Physical Activity Questionnaire Short Form), and tobacco consumption and levels of anxiety and depression (Hospital Anxiety and Depression Scale) before and during the movement restrictions. A total of 102 people with schizophrenia participated in this study. During the COVID-19 pandemic lockdown the participants significantly increased the number of minutes spent sitting per day (z = 􀀀6.73; p < 0.001), decreased the time they spent walking (z = 􀀀6.32; p < 0.001), and increased their tobacco consumption (X2 = 156.90; p < 0.001). These results were also accompanied by a significant increase in their reported levels of anxiety (z = 􀀀7.45; p < 0.001) and depression (z = 􀀀7.03, p < 0.001). No significant differences in patient diets during the pandemic compared to before the movement restrictions were reported. These results suggest the need to implement specific programs to improve lifestyle and reduce anxiety and depression during possible future pandemic situations.

The characteristics of mental disorders, as well as deficiencies in their treatment, must be properly defined. This was a prospective, longitudinal, observational study, in which all men referred to a penitentiary psychiatric consultation of three penitentiary centers in Spain were invited to participate. Those who consented to participation (1328) were interviewed at the baseline timepoint and at intervals for up to 3 years. The presence of mental disorders was high: 68.2% had a cluster B personality disorder, 14% had an affective and/or anxiety disorders, 13% had schizophrenia, and over 80% had a dual disorder. Polypharmacy was the norm. Moreover, the health care received in prison did not match that provided in the community in terms of quantity and quality. These results should help to facilitate the design of mental healthcare provision for prisoners, focusing on both the most frequent patient profiles and equality of care.

La tuberculosis gastrointestinal es una patología poco frecuente y de difícil diagnóstico que se encuentraasociada a diversos factores sociales y económicos, así como al estado de salud de quien la padece. Laafectación gastrointestinal de la tuberculosis tiene una baja incidencia, siendo el sexto lugar de mayorcompromiso. Los signos y síntomas que manifiesta el paciente no son específicos y con frecuencia sucedeque el médico sospecha y enfoca primero otras patologías que tienen una mayor prevalencia. Se presentaun caso clínico en el que se destacan las sospechas diagnósticas que se plantearon en el transcurso de laenfermedad hasta llegar a un diagnóstico de tuberculosis intestinal. / Gastrointestinal tuberculosis is an infrequent pathology and difficult to diagnose, which is associatedwith various social and economic factors, as well as the state of health of those who suffer from it.Gastrointestinal involvement of tuberculosis has a low incidence, being the sixth place with the highestinvolvement. The signs and symptoms that the patient manifests are not specific, and it often happensthat the doctor suspects and focuses first on other pathologies that have a higher prevalence. A clinicalcase is presented, highlighting the diagnostic suspicions that arose during the disease course until adiagnosis of intestinal tuberculosis was reached.