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Psychiatric disorders and pain:The recurrence of a comorbidity

World Journal of Clinical Cases 2022年第27期10卷 9550-9555页

作者： gentian vyshka Department of Biomedical and Experimental Faculty of MedicineUniversity of MedicineTirana 1005Albania

Painful conditions are probably among the most frequent reasons for seeking medical advice and *** pain is a common complaint among psychiatric patients,clinicians generally separate its presence from the background mental disorder and downplay its importance,trying primarily to control the psychiatric *** a sensory modality,the presence of pain and its importance account for an impressive body of scholarly *** methodology considered sensations of all modalities in a mechanistic form,which actually sounds ***,authors have continuously been faced with the same dilemmas plaguing scholars for *** assume that a large portion of the sensory inputs might be generators of distorted perceptions,which subsequently lead to *** and visual hallucinations are incontestable *** hallucinations also exist,but pain hardly deserves such a ***,chronic pain and psychiatric comorbidity is a reality that needs *** are not effective in treating psychiatric disorders,and antipsychotics do very little,perhaps nothing,to relieve *** pharmacological approach opens one door on the horizon and closes many others,while clinicians continue to face a high prevalence of comorbid pain and mental health ***,attempts to correlate altered body schemata(as distorted as it may be,for example,in phantom limb pain) with somatic delusions can simplify all these dilemmas,and the basket of psychophysiology,in fact,might be bigger than presumed.

关键词： Pain Sensory processing Psychiatry Nervous system Sensitization

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Importance of methodological considerations in documenting psychological trauma

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World Journal of Methodology 2023年第4期13卷 166-169页

作者： gentian vyshka Fatime Elezi Tedi Mana Biomedical and Experimental Department Faculty of MedicineUniversity of MedicineTirana 1005Albania Service of Psychiatry University Hospital Center“Mother Teresa”Tirana 1005Albania

The documentation of psychological trauma is obviously a challenge to clinicians while they are diving deep into remote events related to their clients or *** potential role of psychological trauma in the early developmental stages,and even the existence of adverse childhood experiences,is important to prove,yet it is difficult to do so.A diverse range of methods have been applied,all of which presumably benchmark a big therapeutic step;however,these enthusiastic methods frequently do not last for *** hypnosis supporters,Freudian and Neo-Freudian disciples can be acute enough to enhance and uncover suppressed memories,modern psychiatry relies mostly on diversely structured *** magnetic resonance and its related subtleties might help,but the questions that remain unanswered are numerous and *** early experiences with long-term memory while identifying psychological trauma its importance for the individual’s growth trajectory;thus,it remains an intriguing issue.

关键词： Psychological trauma Adverse childhood experiences Post-traumatic stress disorder Self-reporting Hypnosis Magnetic resonance imaging

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Acute ethanol-related nervous system injuries

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Journal of Acute Disease 2019年第1期8卷 12-15页

作者： gentian vyshka Tefta Shaqiri Bujar Cakani Artan Distafa Faculty of Medicine University of Medicine in TiranaAlbania Laboratory Department German HospitalTiranaAlbania Department of Internal Diseases Elbasan District HospitalAlbania Service of Orthopedics University Trauma CenterTiranaAlbania

Acute ethanol intoxication has a diversity of clinical pictures that extend from mere euphoria to severe neurological impairment culminating in coma. Although the majority of cases have a reversible and benign course, the situation needs a careful medical monitoring. Authors describe pharmacological aspects of the acute ethanol intoxication, with organs and systems affected during the consumption of exaggerated quantities. Correlations between blood alcohol concentration and neurological symptomatology are given, and a brief discussion of the criteria for the acute intoxication is made. The fact that this occurrence has been of little attention is due not only to the reversibility of the majority of symptoms, but also because that medical research has been ever since focused more on chronic diseases related to alcohol abuse, withdrawal syndrome and recently with hangover as an independent situation. With no specific antidote actually at hand, treatment is symptom-oriented and the pharmacological armamentarium is richer when it comes to dealing with withdrawal, abstinence and other chronic complications of ethanol abuse.

关键词： Ethanol Alcohol intoxication Binge Alcohol hangover Nervous system

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Magic and forensic psychiatry:A case study and review of the literature

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World Journal of Meta-Analysis 2021年第1期9卷 45-50页

作者： gentian vyshka Sandër Simoni Biomedical and Experimental Department Faculty of MedicineUniversity of MedicineTirana 1005Albania Law and Jurisprudence Albanian School of MagistratesTirana 1005Albania

Forensic psychiatrists routinely appear in courts for crimes that have been perpetrated by mentally ill patients or when the defendant is suffering from a major psychiatric ***,committing crimes under the presumed effects of magic and witchcraft is uncommon.A variety of delusional thoughts and personality disorders have been imputed in aggressive behaviour that might culminate in *** patterns of a premeditated homicide,as well as the aberrations of the interpersonal relations,as a rule require long-term and close *** such,the family is a setting where such occurrences have been *** describe a case of first-degree murder by a woman who killed her mother-in-law after accusing her repeatedly of sorcery and *** complicated cases cannot be resolved without the help of forensic experts,whose role remains multifaceted and of particular importance.

关键词： Belief in magic Witchcraft Criminology Forensic psychiatry

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