Summary: Atypical chest pain is a common clinical problem in both primary and specialist care. This paper discusses its presentation, emphasis being given to the accompanying psychological symptoms. Primary care and cardiological management are taken in to account, special attention being paid, to psychological treatment and its evaluation.

Summary: Administrative aspects of Psychiatric Consultation-Liaison at a General Hospital (C-L) are discussed based on the examination of an empirically verifiable fact wich occurs among us: psychiatrist have not shown any interest in this important branch of specialty and C-L has had a low "birth rate" among new practitionares and a high "mortatlity rate" among veteran practitioners. In Porto Alegre since 1980's we have been practicing psychiatry increasingly integrated with General Medicine, and we have major centers of professional training effectively functioning in general hospitals; Despite this the practice of C-L is nor greatly value, and has a very minor place in the dedication of profissionals who are already specialized. The specialized bibliography is reviewend seekink reasons to explain this situation. Severak difficulties in C-L activity that may cause burn-out among consuntants are described. On the other hand several advantage wich could be offered by C-L to its practitioneres are stressed. Suggestions are made to improve working conditions offered by C-L services to render them more attractive to professionals, and a theoretical foundation for field research on the subject is proposed.    

Summary: .With the application of the phenomenological method it was possible to reach the reason why adolescents get pregnancy. Based on the studied sample we can conclude that the fact of getting pregnant is connect with the following reasons: pregnancy in adolescence is not planned, but it can be wished, information influences the use of contraceptives, expectations of greate changes associated with pregnancy, the familiar relationship can lead to the appearance of pregnancy in adolescence, the connection of pregnancy with the group of pairs.
In his turn this reasons are linked to the same number of categories, which are: the family support settles the options of the pregnant adolescent, the accptance of the pregnant adolescent by the couple with unilateral decision, pregnancy in adolescent is related to the learned cultural values, pregnancy change the maturing process, pregnancy strengthens the changes aspired by the adolescent. These reasons are influent motives, but direct reasons for the appearence of pregnancy in adolescence.

Summary: Pain, its definition and study have experienced important advances. In this article we intend to analyze  the different approaches to the sympton, its phenomenologyand adaptation behaviors related to it, as well as the endogenous systems responsible for regulating nociception, emphasizing on the importance of the hypothalamic-pituitary-adrenocortical system which makes up the analgesic response. Moreover, we have aimed at the involvement of the inmunological system (citokines, IL-1, IL-2) acting as regulators of such response.

Summary: The recent changes in the field of reproductive medicine made it even more appealing for infertile couples, but there is substancial evidence that infertility and its treatment are psychologically stressful.
In this paper, the author tries to review those psychological effects, demonstrating the need of a psychotherapeutic support to infertile couples undergoing infertility treatment.