Abstract The traumatic event produces intolerable excitations to the psychic apparatus that searches to relief them through the production of symptoms. When established, patients with post-traumatic stress disorders (PTSD) and complex post-traumatic stress disorder (CPTSD) may experience flashbacks, somatizations, negative emotions about themselves, and difficulty in social contact. This work seeks to understand how the psychodynamic functioning of women victims of interpersonal and urban violence, diagnosed with these disorders, is organized, identifying traumatic experiences, ways of interpersonal relationships, conflicts and psychic structures and use of defense mechanisms, and for peculiarities that may differentiate these disorders. The qualitative transversal method was used through the content analysis of clinical interviews based on the Operationalized Psychodynamic Diagnosis (OPD-2). The sample of this study consisted of five women with PTSD and five with CPTSD. The following categories were created: reasons for seeking care, symptoms and desire for treatment, traumatic developmental events, and characteristics of the psychic functioning. Early trauma generates psychic organizations with greater disintegration. A new traumatic event destabilizes the psychic organization and intensifies symptoms. Relationships were marked by dependence and isolation. Participants with CPTSD presented tendency to disintegration related to the object relation regulation and the psychic conflict was of Individuation versus Dependence, with more primitive flaws in object representations, existential need for the other and direct discharge of impulses. Participants with PTSD had moderate to low level of object relation integration and the conflict was need to be care of versus self-sufficiency, with self-representations being fragile and with reduced capacity to manage impulses. Thus, it could be observed that OPD-2 is capable of assessing in a broad and deep way patients with traumatic disorders, in addition to identifying essential peculiarities to guide health professionals towards treatment in the search for better quality of life for patients.

Resumo Este relato de caso teve como objetivo descrever um acompanhamento de dez anos após o tratamento imediato de múltiplos traumas dentários. Uma paciente do sexo feminino de quinze anos compareceu a uma clínica privada trinta minutos após um acidente na escola. Após exames clínicos e radiográficos, o dente 21 foi diagnosticado com fratura de esmalte e fratura radicular horizontal, o dente 22 foi diagnosticado com luxação lateral, e os dentes 12, 11 e 23 foram diagnosticados com subluxação. Os dentes 21 e 22 apresentaram necrose pulpar e foram tratados endodonticamente. O dente 21 foi obturado com uma pasta composta de hidróxido de cálcio, gel de clorexidina 2% e óxido de zinco, e o dente 22 foi obturado de maneira convencional. Após acompanhamento de dez anos, os dentes 21 e 22 não apresentam reabsorção radicular ou lesão periapical, enquanto os dentes 12, 11 e 23 continuam apresentando vitalidade pulpar.

Abstract This case report aims to describe a long-term follow-up after the immediate treatment of multiple dental injuries. A 15-year-old female patient was admitted to a private clinic 30 minutes after an accident at school. After clinical and radiographic examinations, tooth 21 was diagnosed with enamel fracture and horizontal root fracture, tooth 22 was diagnosed with lateral luxation, and teeth 12, 11, and 23 were diagnosed with subluxation. Teeth 21 and 22 presented pulp necrosis resulting in root canal treatment. Moreover, tooth 21 was filled with a paste composed of calcium hydroxide, 2% chlorhexidine gel, and zinc oxide, and tooth 22 was filled conventionally. After a 10-year follow-up, her teeth 21 and 22 showed no root resorption or periapical lesion, while her teeth 12, 11, and 23 still presented pulpal vitality.

Abstract Introduction The Personality Inventory for the DSM-5 – Brief Form (PID-5-BF) – is an instrument for assessment of the five pathological personality traits from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) alternative model of personality disorders. Objectives To determine the psychometric properties of the version of the PID-5-BF translated and adapted to Brazilian Portuguese. Methods The process of translating and cross-culturally adapting the text was carried out by independent translators and the resulting version was administered to 176 patients in two hospitals in Rio Grande do Sul. The internal structure was tested by means of confirmatory factor analysis. Evidence of reliability was tested by examining the internal consistency of the scales and their convergent and concurrent validity with other methods of psychopathology. Results The five factors were replicated in the present sample with adequate indicators of fit of the data to the model. Appropriate reliability coefficients for the scales and evidence of validity were observed, indicating the clinical usefulness of the PID-5-BF in the Brazilian context. Conclusion The psychometric properties of PID-5-BF proved satisfactory in an initial sample of Brazilians.

A ocorrência de situações traumáticas, exposição à violência e características das relações parentais são fatores de risco para saúde mental. Este estudo procurou identificar as situações individuais, familiares e contextuais associadas às manifestações de problemas de saúde mental em adolescentes estudantes da região metropolitana de Porto Alegre, RS. Os instrumentos utilizados foram o Inventário de Eventos Estressores na Adolescência, Triagem da Exposição de Crianças à Violência na Comunidade, Inventário de Estilos Parentais e o Child Behavior Checklist- versão YRF. Participaram 245 adolescentes, sendo 114 (46,5%) do sexo masculino com idade média de 16,02 anos (DP=1,83). A análise dos dados realizou-se através de estatística descritiva e inferencial para estimar os determinantes do diagnóstico clínico. Situações de violência, práticas parentais negativas e eventos traumáticos associaram-se ao diagnóstico clínico. Aponta-se a necessidade de implantação de ações preventivas e de atenção em saúde mental na infância e adolescência.

The occurrence of traumatic events, exposure to violence and characteristics of parental relationship are risk factors associated to mental health. This study aimed to identify individual, family and contextual factors associated to the manifestation of mental health problems in a sample of adolescent students from the metropolitan region of the city of Porto Alegr e, RS. The instruments used were the Stressful Adolescence Events Inventory, Screening of Exposure to Community Violence, Parental Style Inventory and the Child Behavior Checklist- YRF version. Two hundred and forty five adolescents, of which 114 (46,5%) male, mean age 16,02 (DP=1,83) participated in the study. Data analysis was done through descriptive and inferential statistics to estimate the determinants of clinical diagnostics. Violence situations, negative parenting practices and traumatic events were associated to clinical diagnosis. It is appointed the need to implement preventive actions and intervention geared to child and adolescent mental health.

Este estudo teve como objetivo verificar a incidência de artigos internacionais e nacionais sobre o tema paternidade no período de 2000 a 2007 indexados nas bases de dados: LILACS, SciELO, Web of Science, MEDLINE, Redalyc. Um total de 2.205 trabalhos foi identificado, sendo analisados 353 artigos em relação ao ano de publicação, país, método e temática. Os resultados apontam para significativa produção internacional e nacional, destacando-se EUA, Inglaterra e Brasil. Verificou-se que o tema paternidade é foco importante para a compreensão das relações familiares, questão fundamental para a implantação de políticas públicas de apoio às famílias em diferentes contextos.

This study aimed to verify the incidence of national and international studies on fatherhood between 2000 and 2007 indexed in the following databases: LILACS, SciELO, Web of Science, MEDLINE, Redalyc. A total of 2205 articles were identified and 353 were analyzed regarding year of publication, country, method and thematic. Results reveal significant national and international production with the USA, England and Brazil presenting outstanding positions. It was verified that fatherhood is an important topic to understand family relations and essential issue in the implementation of public policies to support families in different contexts.

Este estudio tuvo como objetivo comprobar la ocurrencia de artículos internacionales y nacionales sobre el tema paternidad en el período de 2000 a 2007, indexados en las bases de datos: LILACS, SciELO, Web of Science, MEDLINE, Redalyc. Un total de 2205 trabajos fue identificado, siendo analizados 353 artículos en relación a lo año de publicación, país, método y temática. Los resultados apuntan para significativa producción internacional y nacional, destacándose EUA, Inglaterra y Brasil. Se ha comprobado que el tema de la paternidad es foco importante para comprensión de las relaciones familiares, cuestión fundamental para implantación de políticas públicas de apoyo a las familias en distintos contextos.

The relative growth of the fiddler crab Uca burgersi Holthuis, 1967 was analyzed in two populations from different mangroves (Ubatumirim and Cavalo rivers) in the southeastern Brazilian coast, monthly sampled from May, 2001 to April, 2002. The population from a high productivity level mangrove reaches the sexual maturity in larger sizes than the population from a less productive site. This results can be attributed to the greater amount of nutrients found in the Cavalo than in Ubatumirim mangrove.

OBJETIVOS: O transtorno de déficit de atenção/hiperatividade (TDAH) é um transtorno mental com alta prevalência em crianças e adolescentes, causando prejuízos importantes no funcionamento dos indivíduos acometidos. A presente revisão visa a orientar o psiquiatra sobre alguns dilemas clínicos e terapêuticos freqüentemente encontrados no tratamento desses pacientes. MÉTODOS: Revisão abrangente, não sistemática da literatura sobre as seguintes questões: a) diferenciação normalidade/presença do transtorno; b) importância clínica do critério de idade de início de prejuízo dos sintomas; c) a fronteira com quadros de transtorno de humor bipolar (THB); d) diretrizes terapêuticas na presença de comorbidades. RESULTADOS: São apresentadas dicas clínicas para caracterizar o diagnóstico sem aumentar significativamente a proporção de falsos positivos no grupo dos portadores do transtorno, bem como para auxiliar tanto no diagnóstico diferencial com THB quanto no manejo farmacológico do transtorno na presença de comorbidades. CONCLUSÕES: O correto diagnóstico, evitando-se critérios muito flexíveis, é fundamental para um transtorno com constructo dimensional na população, bem como a adequada utilização de medicação para um transtorno com alta prevalência de comorbidades.

OBJECTIVE: Attention-Deficit/Hyperactivity Disorder is a very prevalent disorder in children and adolescents determining important impairments in those affected. This review aims to discuss some clinical and therapeutic dilemmas found by clinical psychiatrists in the treatment of the disorder. METHODS: This is a comprehensive, non-systematic review of the literature addressing the following issues: a) differentiation normality/presence of the disorder; b) clinical relevance of the age-of-onset of impairment criterion; c) frontiers with Bipolar Disorders (BD); d) guidelines for treatment when the disorder is associated with comorbidities. RESULTS: Clinical tips are presented to make the diagnosis without significantly increasing the proportion of false-positives, as well as to help in both the differential diagnosis with BD and the pharmacological management of the disorder associated to comorbidities. CONCLUSION: The precise diagnosis, avoiding very flexible criteria, is crucial in a disorder with a dimensional construct in the population, as well as the adequate use of medication for a highly comorbid disorder.