bluuebunny/crossref_metadata_2025_split huggingface dataset:
Young Psychiatrists’ Network. Between Past and Future
Authors: Kanellopoulos A. , Psaras R. , Kokras N. 
Published: May 2016

The Young Psychiatrists’ Network (YPN) is a rapidly growing network of Early Career Psychiatrists (till 40 years of age or 5 years since completion of specialty – unless otherwise specified in home country) and Psychiatric trainees.Its aims include, global development of psychiatry through close collaboration of YPs worldwide, expanding knowledge and sharing experiences, and facilitating the evolution of YPs from different parts of the world and improvement of their knowledge, skills and abilities.From 30th September – 4th October the 5th YPN Meeting was held in Porto Heli in Greece. It was the biggest Young Psychiatrists Meeting ever held with more than 150 participants from 42 world countries and it was an absolute success. The state of the art scientific program included plenary lectures by renowned psychiatrists such as Prof. Nik. Bouras and Prof. Martin Prince, symposiums and workshops.In conjunction with the 5th YPN Meeting from 27–30 September, a leadership course directed by Prof. N. Sartorius and Prof. K.H. Wittchen was held in Athens with the participation of 16 participants from 11 world countries.The next meeting will be in Italy on September 2016.Future plans include research collaboration, regional meetings and promoting the best possible work and educational conditions for young psychiatrists from all over the world.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A Brief Survey Of The Impact Of Restructuring Of Clinical Placement And Education Delivery For Medical Students In 5 Boroughs Partnership Nhs Foundation Trust
Authors: Kumar S. , Baldwin A. 
Published: May 2016

IntroductionIn the United Kingdom, a drive has been initiated to duly attract and recruit medical student into career psychiatry. However, most medical students attending university find the psychiatry lacks structure and organised model in teaching delivery.As a result, many medical students put off earlier on in their studies by psychiatry.AimWe wanted to test the above hypothesis with the introduction of structure by allocating de-centralised teaching and hands on clinical experience for medical students.MethodThe collective survey tool is devised to reflect the needs of medical students with de-centralised teaching separate but to complement university studies. This included introduction of induction package, set out syllabus, structured learning sessions. The results of the feedback from the medical students were collated and the results are discussed.DiscussionThe results indicate the success of the decentralized and borough based teaching, with improved interest in psychiatry and higher attendance rate. The feedback has been positive, and efforts of the tutors have been appreciated. Whether this will translate into higher recruitment rate number is to be seen.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Japanese Society of Psychiatry and Neurology Fellowship – Reflections of Participation from European Early Career Psychiatrists
Authors: Ryland H. , Scheeres K. 
Published: May 2016

IntroductionThe Japanese Society of Psychiatry and Neurology (JSPN) fellowship is a long-running programme to support early career psychiatrists from around the world to attend the society's annual conference in Japan.ObjectivesTo inform early career psychiatrists of the nature of the fellowship, disseminate learning from the experience and to encourage applications to the scheme.MethodsEach member organisation of the World Psychiatric Association can nominate up to two early career psychiatrists for consideration by the fellowship committee. Applicants must submit an abstract in one of two themes, describing how services are designed in their country. Twelve early career psychiatrists are selected to participate in the programme each year.ResultsIn 2015, fellows were drawn from ten countries across three continents. The fellowship programme involved several components, including the opportunity to present the nature of psychiatric services in our home nations in dedicated seminars with other international fellows. This provided an excellent platform to compare and contrast different national approaches in key areas. Each seminar was co-chaired by an eminent psychiatrist and an early career psychiatrist from Japan, increasing the possibilities for professional exchange and mentoring.The Japanese Young Psychiatrists’ Organisation arranged a number of activities for the fellows including a guided tour of a local psychiatric facility. This enabled fellows to gain a deeper understanding of psychiatric practice in Japan, through informal discussions and interaction with clinicians.ConclusionsThe JSPN fellowship is an effective mechanism for fostering improved relations and understanding between early career psychiatrists across the world.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Educating To Legality. a Tool To Prevent Crimes of Psychiatric Patients
Authors: Zangrando A. , Babici F. , Pascolo-Fabrici E. , Riolo A. 
Published: May 2016

IntroductionBe a citizen means having rights but also duties and be subject to laws. Educating to legality is essential for mutual respect in the community, for the rules of social life and to exercise own rights of citizenship. A psychiatric patient can commit crimes because of mental disorders but also in absence of psycopathological problem. When a patient commits an offence, it is correct to know whether he was due and if he is actually a danger to society. The law do not allow ignorance but what patients really know about the law is not clear.ObjectiveIn this study, we want to investigate the legal knowledge in citizens with mental disorders. Moreover, we want to build pathways to increase compliance with the law.MethodsWe collected a cohort of 10 offenders and asked them if they were interested in an educational course on legality. We interviewed a sample of patients at risk of breaking the Penal code to assess their basic knowledge.ResultsThe reasons to undertake an educational program on compliance with the law were higher for offenders, maybe for fear of damaging sanctions. Those at risk of being sued for their behavior seemed to have more background than other group.ConclusionsIt is essential to develop educational programs about crime prevention within the psychiatric field through training courses that increase the knowledge and awareness of effects of the Penal code. Moreover, citizens with mental disorders at risk of crimes should be supported by specific interventions aimed to social ethics.Disclosure of interestThe authors have not supplied their declaration of competing interest.
“Flakka”: an Emerging Trend Or a Mass Media Phenomenon? Presence of alpha-pvp in Samples Submitted To a Drug Checking Facility
Authors: Grifell M. , Quintana P. , Torrens M. , Palma a. , Galindo L. , Ventura M. , fornís I. , Gil C. , Caudevilla F. , Farré M. 
Published: May 2016

IntroductionNew psychoactive substances (NPS) are drugs that have recently become available, are not worldwide regulated, and often intend to mimic the effect of controlled drugs. α-Pyrrolidinopentiophenone ( alpha-PVP) is a potent stimulant cathinone that is thought to act inhibiting dopamine and noradrenaline reuptake. It has been associated with hallucinations, psychosis and death.ObjectivesTo explore the presence of alpha-PVP from the samples handled to, and analyzed by energy control.To determine whether it is a new trend in recreational settings.Methodsall samples presented to energy control were analyzed.Samples in which alpha-PVP was detected using Gas Chromatography-Mass Spectrometry were selected for study.a Google trend analysis was also performed to asses the media impact of alpha-PVP.ResultsFrom a total of 20,062 samples, 33 contained alpha-PVP (0.16%). The samples containing alpha-PVP were mostly sold as such (40%) despite a significant proportion being sold as MDM a (15%). Google trend analysis showed an abrupt increase of alpha-PVP searches in 2015 reaching 50% of the MDM a-ones.ConclusionOur results suggest presence of alpha-PVP in the drug market may be increasing, especially as adulterant of other drugs. Severe side effects might be even more serious considering that a significant proportion of users may ignore which substance they are actually using. However, the total amount of alpha-PVP analyzed remains small, and does not support the alarming reports published in media.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Frequent attendance: a Clinical and Epidemiological Study
Authors: López-Romeo S. , Ledesma-Iparraguirre G. 
Published: May 2016

BackgroundFrequent attenders (F a) are patients who attend a health care facility repeatedly. The frequency of frequent attendance at emergencies department has been defined as 4 or more attendances/annum. F a are few in number but they produce a high number of attendances.aimsTo determine prevalence of F a, mean attendances/year generated by F a and frequency of visits by months.Methodsa retrospective study was performed on psychiatry's emergency department database from January until December 2013. F a was defined as those with ≥ 4 attendances at emergency services in a year.Prevalence of F a, attendances’ prevalence, diagnosis’ prevalence, Mean attendances generated by F a and frequency of visits by months were analysed.Resultsamong 4824 attendances we found 181 F as (5.98%). Men represented 50.80% and women 49.20%. F a presented a mean of 6.33 attendances/year, while non-F a presented a mean of 1.29 attendances/year.in accordance with frequency of visits by months, it was observed that number of attendances was increased in april and May, in both F a and non-F a.ConclusionPrevalence of F a was 5.98%, F a generated a 23.74% of attendances. Most prevalent F a’ diagnoses were: anxiety disorder, personality disorder non-specified and schizophrenia.F a at emergency department contributes to overcrowd them. for this reason, it is important to take into account these results to develop new strategies to improve F a’ attention and prevent its occurrence.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Patients’ Characteristics Related with Risk of Being Restrained in acute Psychiatric Hospital in Romania
Authors: Mihai a. , Crainic M. , Mocan M. , alexiev I. , Sărmăan a.P. , Mihai a. 
Published: May 2016

Seclusion and restraining in acute psychiatry wards is used when patients tend to harm themselves, other patients or staff members. Seclusion and restraining decision-making is a complex process based on risk of aggressivity, patient's diagnosis, history of violent incidents, staff experience, hospital internal regulations and national mental health law.The aim of this study is to evidentiate the patients’ characteristics, which could be predisposed to restraining procedure in acute psychiatric setting in Romania.Material and methodThis is a two years retrospective study conducted on a total of 1000 patients (56.9 females, 43.1 males) randomly selected, admitted in acute psychiatric hospital. From these on 100 patients restraining techniques were applied.Results and discussionsOut of the restrained patients male, younger usually suffering of personality disorder were more frequent restrained. Statistical analysis of restrained group characteristics comparing with larger group of the total patients admitted showed no significant differences between these two groups. Regressive analysis on different clusters found a higher risk to be restrained for patients with agitation and recurrent depressive disorder, male, from urban area. This study draws attention to the importance of a good study design and proper methodology.ConclusionThe factors which influence the risk of being restrained in acute psychiatric setting are more related with behavior characteristics than diagnosis or demographical items.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Prevalence of The Burnout Syndrome among Population Examined at The Psychiatric Emergency Department for attempted Suicide
Authors: Perju E. , Gallois E. 
Published: May 2016

IntroductionThe intention of this study is to show the frequency of the burnout syndrome among the population seen at psychiatric ER for the most severe complication of the burnout, the suicide attempt.Objective(a) To demonstrate the frequency of burnout among the population examined at psychiatric ER for suicide attempt.(b) To establish a correlation between the frequency of burnout and:– the socio-demographic characteristics;– the psychiatric follow-up;– the type of personality found.MethodsDescriptive study on a sample of 92 patients examined at psychiatric ER between 01/02/2014 and 01/06/2014 after a suicide attempt, seen by a single doctor. The patients received the Maslach Burnout inventory (MBI).ResultsThe frequency of burnout among the population consulted for suicide attempts is 8.7%. The limitations of this study were: the use of MBI questionnaire only by one doctor and a collection of data carried on a certain period of time.I managed to characterize the population seen after the suicide attempt induced by the burnout: 88% women; 25% foreign population working in a context with many responsibilities; the predominance of obsessive personality – 50%, followed by anxious personality type – 25%; the suicide attempt was done by a population without psychiatric history and without psychiatric follow-up – 75%; the studied population is divided between patients working in a high responsibility environment – 36% and patients working in the social or the public environment – 63%.Eighty-eight percent of patients were brought in after their first suicide attempt.ConclusionDespite the fact that until now a unanimous definition has not been formulated on the CIM-10, the burnout syndrome is one of the most popular disorders.The problematic is real, considering that this syndrome, which starts with a psychological distress, can escalade to a self-aggressive behaviour.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Case Report of Autointoxication with Nutmeg Committed By a Suicide attempter
Authors: Petrykiv S. , de Jonge L. , Michielsen P. , arts M. 
Published: May 2016

Introductionautointoxication with nutmeg in an emergency setting is a rare, but potentially a life-threatening event. Despite the low incidence of ‘tentamen suicidii’ (TS) with nutmeg, this substance is cheap and readily available. Early recognition of a suicide attempt with nutmeg poisoning can be extremely difficult, especially when nobody witnessed the nutmeg intake. Worldwide there are only a few cases reporting TS with nutmeg.ObjectivesTo present a case of TS with nutmeg committed by a suicide attempter.aimsTo review available literature on TS with nutmeg.Methodsa case report is presented and discussed, followed by a literature review.ResultsFive published cases of suicide attempts with nutmeg were found while searching through PUBMED and Embase. Our case describes a 57-year-old female, diagnosed with borderline personality disorder, who has been admitted to the emergency department in a state of agitation, diminished cognition, respiratory difficulties and hemodynamic instability. Electrocardiography showed a fast sinus arrhythmia with no uschemic or hypertropic changes. Blood sampling, serum and urine toxicology did not reveal any abnormalities. in view of the complexity of her condition, she admitted to have taken a large dose of nutmeg. The patient was kept for observation, offered reassurance, and rehydratation.ConclusionThe presentation of inexplicable clinical state accomplished by disturbances of central nervous, respiratory and hemodynamic systems in the population of patients with attempting suicide should alert the physician to the rare but probably underreported possibility of nutmeg autointoxication.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Inhaled Loxapine for The Treatment of agitation in Borderline Personality Disorder
Authors: Puente R. , Rabito  alcon M.F. , Garcìa Jorge S. , Dolengevich Segal H. , Benítez  alonso M. , Gómez- arnau Ramírez J. , Garrido Beltrán a. , Rodríguez Quirós J. , Unzeta Conde B. , Pecero García O. , Correas Lauffer J. 
Published: May 2016

Introductioninhaled loxapine has shown efficiency in the treatment of the mild-moderate agitation syndrome of schyzophrenia and mania patients. Its rapid response and calming effect non-sedative allow to hypothesize reasonable efficiency and tolerability in borderline personality disorder diagnosed patients.aimsanalyze the efficiency and tolerability of inhaled loxapine as a pharmacological approach in the treatment of agitation in borderline personality disorder (BPD) clinical diagnosed patients.Materials and methodan application was administered for every agitation episode in BPD patients treated with inhaled loxapine in the emergency room or the psychiatric ward, which included B aRS and CGI-S scales for the evaluation of each episode and its severity, before and after its use. Other secondary measures of efficiency were taken into account, such as requirement of physical restrain.Resultsin the majority of evaluated episodes inhaled loxapine decreased notably initial B aRS and CGI-S values and no serious clinical side effects attributable to this medication were observed.Conclusionin our sample, inhaled loxapine was efficiency and well tolerated pharmacological intervention for agitation in BPD patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Motives And Behaviors of Medical Students (mis)using Prescription Stimulants
Authors: Fond G. , Berna F. , Domenech P. 
Published: May 2016

AimsTo estimate the prevalence of psychostimulant use in French medical undergraduate and postgraduate students, associated consumption behaviors and motives.DesignA population-based cross-sectional study using a self-administered online survey.ParticipantsA total of 1718 French students and physicians (mean age 26.84 ± 7.19 years, 37.1% male).MeasurementsSelf-reported lifetime use, motives, socio-demographic and academic features for other the counter (OTC), medically prescribed (MPP), and Illicit (IP) psychostimulant users.FindingsLifetime prevalence of psychostimulant use was 33% (29.7% for OTC, 6.7% for MPP and 5.2% for IP). OTC consumption mainly aimed at increasing wakefulness during competitive exams preparation and internship. OTC consumption was twice more frequent among users of other psychostimulants (MPP and/or IP). Most of OTC consumers began their consumption during exam preparation. Corticoids were the most frequently consumed MPP (4.5%) before methylphenidate and modafinil (1.5% and 0.8%, respectively). Unlike corticoids, methylphenidate and modafinil prescriptions are tightly regulated in France. Motives for MPP consumption were increased academic performance/concentration–memory and wakefulness. in that respect, restrictions on methylphenidate and modafinil prescriptions seem to be effective at limiting misuse. Corticoids were mostly consumed by interns seeking for wakefulness. Overall, 5.2% of the subjects consumed at least once IP, mostly cocaine and amphetamine derivatives. They sought euphoria and/or novelty.ConclusionsPsychostimulant use is common among French undergraduate students, interns and postgraduate physicians. The type of drug used seems to depend mainly on product availability. increased rates of corticoids consumption for wakefulness purposes suggest another potential public health problem, as corticoids may have severe side effects.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Knowledge of Patients’ Voting Rights Amongst Mental Health Professionals Working in The London Borough of Westminster During The 2015 Uk General Election
Authors: MacLaren T. , Townell J. , Shanmugham S. , Argent V. , De Ridder L. , Venkataraman A. , Clarke M. , Khwaja M. 
Published: May 2016

IntroductionBeing able to participate in elections and to vote are important components of social inclusion; empowering people with mental illness to have a voice.It is important that mental health professionals understand the voting rights of adults with mental illness in order to be able to provide appropriate advice and support.ObjectivesTo explore knowledge of the voting rights of adults living with mental illness amongst mental health professionals working in both community and inpatient settings in Westminster, London.AimsTo understand the level of knowledge amongst mental health professionals regarding the voting rights of patients with mental illness in order to identify unmet training needs.MethodsA survey, in the form of a staff quiz was undertaken in all community and inpatient teams prior to the May 2015 general election. All multidisciplinary team members were included.Resultsin total, 211 surveys were completed. Ninety-eight percent of staff correctly identified that being a psychiatric inpatient does not change an individual's right to vote. Less than 50% of the staff members demonstrated correct understanding of the rights of patients detained under forensic sections, and the rights of the homeless to vote.ConclusionsIt is encouraging that knowledge of voting rights amongst staff appeared higher in our survey than in some published surveys. However, despite the development of a Trust Voting Rights Policy and Educational Film prior to the 2015 general election further staff education, particularly the rights of those detained under forensic sections or who are homeless, is required.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Mapping vulnerability to bipolar disorders
Authors: Raposo M.R. , Piqueras M.D. , Martínez I. , Galdámez A.L. , Gil A. , Murcia J.B. , Belmar A. , Rodríguez A. , Manzur P. , Bello I. , Bravo S. , Ivanov V. , García C.J. 
Published: May 2016

IntroductionAlthough early interventions in individuals with bipolar disorder may reduce the associated personal and economic burden, the neurobiologic markers of enhanced risk are unknown.ObjectivesThe objective of this paper is to analyze the existence of neurobiological abnormalities in individuals with genetic risk for developing bipolar disorder (HR)Material and methodsA literature search was performed in the available scientific literature on the subject study object, by searching MEDLINE.ResultsThere were 37 studies included in this systematic review. The overall sample for the systematic review included 1258 controls and 996 HR individuals. No significant differences were detected between HR individuals and controls in the selected ROIs (regions of interest): striatum, amygdala, hippocampus, pituitary and frontal lobe. The HR group showed increased grey matter volume compared with patients with established bipolar disorder. The HR individuals showed increased neural response in the left superior frontal gyrus, medial frontal gyrus and left insula compared with controls. The overall results found no significant differences between individuals at high genetic risk and controls since the magnitude of the association as corresponds to an OR < 1.5 (low association)ConclusionThere is accumulating evidence for the existence of neurobiologic abnormalities in individuals at genetic risk for bipolar disorder at various scales of investigation. The etiopathogenesis of bipolar disorder will be better elucidated by future imaging studies investigating larger and more homogeneous samples and using longitudinal designs to dissect neurobiologic abnormalities that are underlying traits of the illness from those related to psychopathologic states, such as episodes of mood exacerbation or pharmacologic treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.