Psychiatric wards in general hospitals - the opinions of psychiatrists employed there.

Objectives: The world literature is reporting economic destabilisation of psychiatric wards in general hospitals related to the new rules of financing (managed care). The aim of this paper is to analyse the literature on psychiatric wards in general hospitals, and to know the opinions of psychiatrists employed in these wards in Poland regarding organisational model and the stability of these wards.

Methods: The 18-items Likert-type questionnaire was send to 83 psychiatric wards in Poland and published on the website psychiatria.

Acute psychosis in the course of treatment of acute adrenal crisis with hydrocortisone in the patient with secondary adrenal insufficiency - a case study.

Objectives: Presentation of the risk of psychosis induced by the treatment of adrenal crisis with high doses of hydrocortisone.

Methods: A case analysis in the context of the literature.

Results: There are reported psychoses in the patients with adrenal hypofunction and hyperfunction.

Depression in Parkinson's disease: the effectiveness and risk of pharmacotherapy. Clinical review.

Parkinson's disease (PD) is a neurological disease with a heterogeneous pattern of neurological symptoms and concomitant psychiatric syndromes. These syndromes are triggered by alterations to neurotransmission that are likely common for both neurological and psychiatric symptoms. Syndromes such as depression, anxiety, or cognitive impairment can precede motor symptoms of PD and delay its diagnosis.

[The level of cortisol, DHEA, DHEA-s in plasma serum and the connection with the lipids and response to treatment in women with depression].

Unlabelled: In depression an increase, decrease, or a relative deficiency of dehydroepiandrosterone (DHEA) and the beneficial effects of its administration were observed. The correlation of low serum DHEA level and increased cardiac risk was confirmed in healthy subjects only in men (not in women). Taking into consideration the increased risk of heart disease in depression, it is interesting to investigate the level of DHEA, DHEA-S, and cortisol, as so its correlation with lipid profile, and reaction to treatment in women with depression.

[Dissociative fugue in a maternity ward patient--a case report].

Aim: To pay attention to the role of stress connected with delivery, obstetric history, as to the pathologies in the infant as predictors of dissociative disturbances in the patient of the maternity ward.

Method: The case analysis.

Case Description: The thirty-year-old woman with secondary education, married and employed had left the maternity ward with her baby unnoticed on the fourth day after giving birth.