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2. Therapy for Hypertension in Chronic Renal Failure a ; Goals of Therapy Prevent or slow further decline in renal function Prevent atherosclerosis, stroke, and cardiovascular disease Usual goal blood pressures: Systolic blood pressure 130 mm Hg Diastolic blood pressure 85 mm Hg Lifestyle modifications Salt restriction Weight reduction Avoid tobacco Limit alcohol consumption If appropriate, start a regular exercise program c ; Pharmacotherapy Empiric Drug Selection for Chronic Renal Insufficiency Elderly: Diuretics Diabetics: ACE inhibitors Calcium Channel Blocker or ACE inhibitors End Stage Renal Disease Bilateral Renal Artery Stenosis: Calcium Channel Blockers Renovascular Hypertension: Calcium Channel Blocker or ACE inhibitors Others: Calcium Channel Blocker or ACE inhibitors, for example, lipocream. Has agreed to admission. Admit via paeds. Took a small amount of alcohol, 2 paracetamol tablets. Has been leaving notes for family and friends apparently saying goodbye. Emotionally upset, tearful, scratching at skin of arms leaving bruises and scratches. Refused to go to appt previously arranged. Discussed with. Medication for thrush, and it didnt help and cyproheptadine.
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POSTER SESSION PP.1 Validity of Predictive Bipolarity Factors: Study of a Tunisian Hospitalized Population Lotfi Gaha, L. Gassab, A. Mechri, L. Zoughaghi Psychiatric Department, Hospital of Monastir, Tunisia Identifying predictive factors of a bipolar evolution proves to be indispensable in cases where the depressive episode is inaugural. It justifies itself by the necessity to adopt a precocious therapeutic strategy adapted to the nature unipolar or bipolar of disorder. The objective of our study was to search for the predictive factors of bipolarity and to evaluate their validity. It was a structural retrospective and comparative study of 155 patients hospitalized for major depressive episode who were classified according to the DSM-IV criteria into 2 groups: a bipolar patient group n 96 ; and a recurrent depressive disorder group n 59 ; . Family history of bipolarity in parents of first degree had the most important specificity and positive predictive value; 96.6% and 93%, respectively, followed by the association of hypersomnia and psychomotor inhibition, with a specificity of 81.4% and a positive predictive value of 80%. Onset before the age of 25 years had a specificity of 70% and a positive predictive value of 77%. On the other hand, psychotic characteristics had a low specificity 62.7% ; , probably related to the frequency of psychotic features of mood disorders within our cultural context. These results confirm the data concerning the distinction, unipolar bipolar, as well as the validity of the bipolarity predicting factors and make take out again a profile of depression having a strong ulterior bipolarization probability. PP.2 The Prevalence of Depression in Diabetes Patients Farshid Shamsaei, Fatemeh Cheraghi Hamedan University of Medical Sciences, I. R. Iran Introduction: Psychiatric morbidity, in particular depression, is believed to be an important aspect of diabetes, which impacts treatment course and prognosis. The aim of the current study was to compare the prevalence of depression in diabetes patients with that of non-diabetic individuals. Materials and Methods: This cross-sectional study included 384 diabetes patients from a diabetic research center in Hamedan, Iran and 384 non-diabetic volunteers. The Beck Depression Inventory BDI ; was used for the evaluation of depression. Results: The diabetic patients had a significantly higher mean BDI score than the non-diabetics. Additionally, patients with type I diabetes had a significantly higher mean BDI score than those with type II diabetes. The prevalence of mean BDI score was 29.4% in women compared with 21.8% in men. Conclusion: This study highlighted the importance for healthcare workers of understanding how diabetic patients experience depression, which is a prerequisite for communication based on a shared understanding. This awareness would enhance nurses' opportunities to alleviate suffering. PP.3 Comparative Study of Treatments for Acute Depression in University Hospitals and Non-university Hospitals in Japan Aya Inoue, Megumi Takahashi1, Hitoshi Miyaoka1, Yutaka Sawa2, Takayuki Shibuya3, Hisao Maeda1, Atsuo Kakehi4, Seiichi Harada5, Teruhiko Higuchi5 1Department of Neuropsychiatry, Kurume University School of and ditropan. Group III medium potency ; cont. ; fluticasone propionate cr 0.05%, oint 0.005% Cutibate ; hydrocortisone valerate Westcort ; mometasone furoate Elocon ; Estrogens & Estrogen Androgen triamcinolone acetonide cr, oint, lot Combinations * 0.1%, spray Kenalog ; estradiol Estrace ; Derma-Smoothe FS. Health « cholesterol main prehistin » epiceram vs citivate ceragenix, which i mentioned previously, published results of a study comparying epiceram and cutivaet cut8vate is the brand name for fluticasone proprionate, a mid-strength topical steroid ; , in which they show that over 28 days, epiceram is just as effective as cutivate in the treatment of atopic dermatitis in pediatric patients and dramamine. Arnold FJ, Hodges JB, Barta RA. Evaluation of the efficacy of lavage and induced emesis in treatment of salicylate poisoning. Pediatrics 1959; 23: 286301. Corby DG, Lisciandro RC, Lehman RH, Decker WJ. The efficiency of methods used to evacuate the stomach after acute ingestions. Pediatrics 1967; 40: 871-874. Abdallah AH, Tye A. A comparison of the efficacy of emetic drugs and stomach lavage. J Dis Child 1967; 113: 571-575. Auerbach PS, Osterloh J, Braun 0, et a1. Efficacy of gastric emptying: gastric lavage versus emesis I, for example, ketoconazole. 2. Sager R., Haskill S., Ansiowicz A., Trask D. K., Pike M. C. GRO: A Novel Cytokine. In: Westwick J, Lindley IJD, Kunkel SL, eds. Chemotactic cytokines: biology of the inflammatory peptide supergene family. New York: Plenum Press; 1991. 3. Trask D. K., Andrews B. T., Hoffman H. T. Pharyngitis and tonsillitis. In: Harris J, ed. Manifestations of systemic disease in head and neck. New York: Marcel Dekker; in press. 4. Trask D. K., Hoffman H. T. Laryngeal cancer. In: Genden E, ed. Head & Neck Cancer. New York: Thieme Medical Publishers; in press and enalapril.

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