bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary seed dispersal by a sigmodontine rodent assemblage in a Peruvian montane forest
Authors: Sahley Catherine Teresa , Cervantes Klauss , Salas Edith , Paredes Diego , Pacheco Victor , Alonso Alfonso 
Published: March 2016

Abstract:We examined quantity and quality components of primary seed dispersal for an assemblage of sigmodontine rodents in a high-elevation montane tropical forest in Peru. We collected faecal samples from 134 individuals belonging to seven rodent species from the subfamily Sigmodontinae (Cricetidae) over a 2-y period. We conducted seed viability tests for seeds found in faecal samples. We identified seeds from eight plant families (Bromeliaceae, Annonaceae, Brassicaceae, Ericaceae, Melastomatacae, Myrtaceae, Rosaceae, Solanaceae), nine genera and 13 morphospecies. The most abundant seeds belonged toGaultheriasp. 1 (46% of total) andMiconiasp. 1 (31% of total), while the most viable seeds belonged toGreigiasp. (84% viability) andGuatteriasp. (80% viability). We utilized relative rodent abundance, seed species diversity, seed abundance and seed viability per rodent species to calculate an index of rodent disperser effectiveness, and found thatThomasomys kalinowskiiwas the most effective disperser, followed byAkodon torques,Calomys sorellus,Thomasomys oreas,Oligoryzomys andinusandMicroryzomys minutus. Plant genera dispersed by sigmodontine rodents overlapped more with bird- and terrestrial-mammal-dispersed plants than with bat-dispersed plants. Future neotropical seed dispersal studies should consider small rodents as potential seed-dispersers, especially in tropical habitats where small-seeded, berry-forming shrubs and trees are present.
Gene flow and fine-scale spatial genetic structure inCabralea canjerana(Meliaceae), a common tree species from the Brazilian Atlantic forest
Authors: Melo Arthur Tavares de Oliveira , Franceschinelli Edivani Villaron 
Published: March 2016

Abstract:The Atlantic forest is the biome most severely affected by deforestation in Brazil.Cabralea canjeranaspp.canjeranais a dioecious tree species with widespread distribution in the Neotropical region. This species is considered a model to ascertain population ecology parameters for endangered plant species from the Atlantic forest. Fine-scale spatial genetic structure and pollen-mediated gene flow are crucial information in landscape genetics and evolutionary ecology. A total of 192 adults and 121 offspring were sampled in sevenC. canjeranapopulations in the Southern Minas Gerais State, Brazil, to assess whether pollen-mediated gene flow is able to prevent spatial genetic structure within and among Atlantic forest fragments. Several molecular ecology parameters were estimated using microsatellite loci. High levels of genetic diversity (HE= 0.732) and moderate population structure (θ = 0.133) were recorded. No significant association between kinship and spatial distance amongst individuals within each population (Sp = 0.000109) was detected. Current pollen-mediated gene flow occurs mainly within forest fragments, probably due to short-distance flights of the pollinator ofC. canjerana, and also the forest fragmentation may have restricted flight distance. The high levels of genetic differentiation found amongst the seven sites sampled demonstrated how habitat fragmentation affects the gene flow process in natural areas.
Differences in activity patterns of the Neotropical otter Lontra longicaudis between rivers of two Brazilian ecoregions
Authors: Rheingantz Marcelo Lopes , Leuchtenberger Caroline , Zucco Carlos André , Fernandez Fernando A.S. 
Published: March 2016

Abstract:Circadian use of time is an important, but often neglected, part of an animal's niche. We compared the activity patterns of the Neotropical otter Lontra longicaudis in two different areas in Brazil using camera traps placed at the entrance of holts. We obtained 58 independent photos in the Atlantic Forest (273 camera trap-days) and 46 photos in Pantanal (300 camera trap-days). We observed different kernel density probabilities on these two areas (45.6% and 14.1% overlap between the 95% and 50% density isopleths respectively). We observed the plasticity in Neotropical otter activity behaviour with different activity patterns in the two areas. In the Pantanal, the Neotropical otter selected daylight (Ivlev = 0.23) and avoided night (Ivlev = −0.44), while in the Atlantic Forest it selected dawn (Ivlev = 0.24) and night (Ivlev = 0.14), avoiding daylight (Ivlev = −0.33). We believe that this pattern can be due to human activity or shifts in prey activity.
Electroconvulsive therapy, capacity and the law in Ireland
Authors: Dunne Ross , Kavanagh Adam , McLoughlin Declan M 
Published: March 2016

AbstractThe Mental Health Act (MHA) 2001 has major implications for treating patients with electroconvulsive therapy (ECT), especially as those referred for treatment are among the most severely ill and often lose capacity. Under the MHA 2001, a person may only be treated without consent if they are an involuntary patient. However, there is no provision in the Act for treating voluntary inpatients whose mental state has deteriorated but who do not seek to leave hospital. Such people may lack capacity to make treatment decisions but be passively compliant.The Wards of Court system is currently the only legal recourse but has been criticised by the Law Reform Commission and is unwieldy. Further legislation governing treatment of people lacking capacity to consent to ECT or withhold consent is required to protect and advance treatment of all concerned.
Non-attendance at new appointments at St James's Child Guidance Clinic
Authors: Skokauskas Norbert , Moran Tom , Buckley Sarah 
Published: March 2016

AbstractObjective:This study aimed to examine non-attendance rates at new appointments at St James's Child Guidance Clinic.Method:The sample consisted of all new referrals to St. James's Child Guidance Clinic in one calendar year (2004). Data was collected retrospectively from an electronic patient information system (Pinpoint), the new patient-referral logbook, referral letters, the appointment diary, and from clinical records.Results:There were 260 new referrals to St James's Child Guidance Clinic in 2004. Out of the 260 children and adolescents granted a new appointment, 34 (13.07%) who failed to keep their appointment were identified. All patients granted an urgent appointment did attend.Conclusions:Non-attendance rates at new assessment in St James's Child Guidance Clinic were slightly lower than those reported in other studies. The implemented evidence-based strategies to reduce non-attendance rates could explain the relatively low non-attendance rate at new assessment.
Consultant psychiatrists' experiences and attitudes following the introduction of the Mental Health Act 2001: a national survey
Authors: O'Donoghue Brian , Moran Paul 
Published: March 2016

AbstractObjective: This study explored the attitudes and experiences of consultant psychiatrists regarding the Mental Health Act 2001.Method: A postal survey was distributed to all consultant psychiatrists (n=238) in the Republic of Ireland. All specialties were included except Child and Adolescent Psychiatry.Results: A response rate of 70% was achieved. Care of involuntarily admitted patients has improved according to 32%, but 48% found that the care of voluntary patients has deteriorated. Sixty-nine per cent of consultant psychiatrists acknowledge that involuntarily admitted patients are being changed to voluntary early to avoid a tribunal, and 21 % believe it occurs in over 40% of cases. Fourteen per cent of consultant psychiatrists have re-admitted a patient involuntarily immediately after a tribunal revoked the original Involuntary Order. Junior doctors' training by consultant psychiatrists has been reduced in 57% of placements as a result of the increased demands of the MHA 2001. Eighty-seven per cent report an increase in their on call service workload but only 23% report a sufficient increase in the number of consultants within their service. While 78% agree that patients should not be admitted involuntarily solely on the grounds that the person is suffering from a personality disorder, 58% feel that there is a risk in such patients not being involuntarily admitted in situations in which it is clinically necessary. Fifty-six per cent feel that there is a similar risk in patients with a diagnosis of substance misuse.Conclusion: Resources required to implement the Mental Health Act 2001 have not been sufficient leading to poorer quality of service and negatively affecting NCHDs training.
The Suicide Risk Assessment and Management Manual (S-RAMM) Validation Study 1
Authors: Ijaz Atif , Papaconstantinou Alexia , O'Neill Helen , Kennedy Harry G 
Published: March 2016

AbstractObjective:There are validated tools for structured professional judgement of risk of violence, but few for risk of suicide. The Suicide Risk Assessment and Management Manual (S-RAMM) is a new structured professional judgement tool closely modelled on the HCR-20. This is the first validation study for the S-RAMM. We measured inter-rater reliability, internal consistency, concurrent validity with another validated risk instrument (HCR-20) and with a measure of psychopathology (PANSS). We tested whether the tool could distinguish between groups of patients clinically assessed as at varying levels of risk of suicide or self harm.Method:Two researchers jointly interviewed 25 current in-patients for inter-rater reliability (Cohen's kappa) and internal consistency (Cronbach's alpha) and interviewed 81 of 83 current in-patients to assess whether the mean scores for different wards were significantly different (using ANOVA). Two other researchers made independent ratings of the HCR-20 and PANSS.Results:Inter-rater reliability was acceptable for all items (Cohen's kappa >0.5 for all but three items) and all sub-scale and total scores (Spearman correlations all >0.8). Internal consistency was high, (Cronbach's alpha all sub-scales >0.6). Scores stratified significantly with high scores for admission and intensive care units and progressively lower scores in rehabilitation and predischarge units. The HCR-20 historical and S-RAMM background scores did not correlate but the dynamic sub-scales correlated significantly. PANSS scores also correlated significantly with S-RAMM scores.Conclusion:The S-RAMM has better than minimum acceptable characteristics for use as a clinical or research tool. Prospective studies of sensitivity and specificity are now required.
Psycho-education of families in relation to their siblings' psychiatric illness
Authors: Hussain Ijaz , Delaney Warner Mary , Hallahan Brian 
Published: March 2016

AbstractObjectives:The aim of this study was to determine the extent of knowledge that family members of intellectually disabled individuals had in relation to their siblings' psychiatric illness. All siblings lived in residential intellectually disabled housing.Method:We evaluated on three occasions (before providing information about their sibling's psychiatric illness and treatment, and one and six months after providing this information) the families' understanding of their siblings' psychiatric illness.Results:Initially families had a poor knowledge of their siblings' psychiatric illness and treatment, but this improved markedly after information was provided by a medical practitioner. This was a short-term effect, as at six months, families understanding had disimproved although not to pre-consultation levels.Conclusions:The provision of information to family members pertaining to their siblings' psychiatric diagnosis and treatment should be incorporated into the routine treatment of intellectually disabled individuals with a psychiatric illness.
Comparison of referrals from primary and secondary care to CMHT psychologists
Authors: Curtis Louise , Byrne Michael 
Published: March 2016

AbstractObjectives:To explore whether (direct) referrals from GPs to two Community Mental Health Team (CMHT) clinical psychologists differed from those received from both ‘Psychiatric’ (eg. consultant psychiatrists) and ‘Other’ sources.Method:The two psychologists retrospectively examined and coded the case files of all clients who attended them during a 12-month period. The six measures used were diagnostic prevalence and groups, co-morbidity, chronicity, previous hospital admission and CMHT contact Separate cross-tabulations and chi squared tests were conducted for the various dependent variables to profile differences across the three referral sources.Results:There was no difference in prevalence of Axis I disorders, co-morbidity and chronicity of disorders between ‘GP’ and ‘Psychiatric’ referrals to the two CMHT psychologists. However, although low in number, there were more eating and psychotic disorders among the ‘Psychiatric’ referrals, and more of these referrals had previous hospital admission and CMHT contact.Conclusions:‘GP’ referrals were similar to ‘Psychiatric’ referrals on some measures but differed on others. Hence, as to whether an ‘open access’ model of (direct) referral to CMHT clinical psychologists lowers the clinical threshold for referrals depends on which measures are deemed most critical. Consistently applying a composite index of referral ‘severity’ could prevent the former.
Childbirth-related post-traumatic stress disorder and its treatment
Authors: Mangaoang Maeve 
Published: March 2016

AbstractThe phenomenon of childbirth-related post-traumatic stress disorder (PTSD) has become more widely recognised in recent years following changes in 1994 to the DSM criteria regarding how a traumatic event was defined. Emerging literature has predominately focused on prevalence rates and risk factors associated with this condition and on the use of debriefing techniques as an attempt to reduce or prevent the development of postnatal PTSD. However, little is known about the efficacy of psychological interventions that have been used to treat PTSD among postnatal women. This review summarises the limited evidence supporting the use of such treatments and discusses the significant challenges in developing and implementing psychological interventions for childbirth-related PTSD.
Status epilepticus, electroconvulsive therapy and malignant melanoma
Authors: Kaufman Kenneth R , Olsavsky Aviva 
Published: March 2016

AbstractStatus epilepticus (SE), both convulsive and nonconvulsive, is a rare adverse effect of electroconvulsive therapy (ECT). This case report describes SE post-ECT associated with central nervous system (CNS) metastatic melanoma and reviews pertinent literature. The authors recommend that when CNS pathology is suspected, pre-ECT neurology consultation, neuroimaging, and EEG all may be indicated. This is especially important for patients with histories of primary cancers, such as melanoma, that metastasise to the brain.
The Suicide Risk Assessment and Management Manual (S-RAMM) Validation Study II
Authors: Fagan John , Ijaz Atif , Papaconstantinou Alexia , Lynch Aideen , O'Neill Helen , Kennedy Harry G 
Published: March 2016

AbstractObjectives:Structured professional judgement is now the most widely accepted approach to clinical risk assessment and risk management. The Suicide Risk Assessment and Management Manual (S-RAMM) is a new structured professional judgement tool closely modelled on the HCR-20. This is the first prospective validation study for this instrument.Methods:Two post-membership registrars jointly interviewed 81 of 83 current inpatients to rate the S-RAMM. Two assistant psychologists independently rated the HCR-20, GAF and PANSS. All incidents of self-harm, attempted suicide, suicide and violence to others were collated from hospital reporting of critical incidents over the next six months supplemented by examination of other records.Results:For combined self-harm and suicide outcomes, the S-RAMM total score using the receiver operating characteristic had an area under the curve AUC=0.89, (95% CI 0.79 to 0.99). The S-RAMM performed as well for the prediction of self-harm and suicide as the HCR-20 did for violence, and better than measures of mental state (PANSS total score) and global function (GAF).Conclusions:The S-RAMM has better than minimum acceptable characteristics for use as a clinical or research tool for suicide risk assessment, and performs almost as well as the HCR-20 does for violence. Further prospective studies are now required, in other populations.
‘Recovery’ - towards integration into an Irish community mental health team
Authors: McFarland John , Street Paula , Crowe Mullins Esther , Jeffers Anne 
Published: March 2016

AbstractObjectives:We aimed to further our understanding of the concept of recovery by analysing comments made in small group discussions that occurred on a planning Away Day held by a community mental health team along-side service users and carers, which had recovery as its theme. The purpose of this was to reshape the structure and workings of the team.Method:Five small groups, of approximately 10 individuals each, comprised of service-users, carers, representatives from voluntary organisations and mental health professionals were asked to discuss three questions related to Recovery.Results:The commentary reflected previous qualitative research on the philosophy of recovery. Issues that were raised included defining wellness as independent to illness, constructive risk taking, the importance of social factors, medication issues and the importance of self-management and optimism. The comments subsequently went on to shape community mental health team service delivery.Conclusion:Discussion and reflection between mental health professionals, service users and carers can lead to a change in attitude and practice in a well-resourced, fully multi-disciplinary community mental health team, within which both the biological and non-biological aspects of mental illness are accepted. The result has been an introduction of service changes which have helped develop a team that is more accessible and increasingly collaborative.
Recognition and management of Asperger's syndrome: perceptions of primary school teachers
Authors: Agyapong Vincent , Migone Maria , Crosson Charles , Mackey Bernadette 
Published: March 2016

AbstractBackground: Most children who have Asperger's Syndrome (AS) are not identified until early school age, when social difficulties with other children become evident. Consequently, primary school teachers have an important role to play both in the recognition and management of the condition.Objectives: Our study sought to examine the perception of primary school teachers regarding the recognition and management of AS.Methods: A structured questionnaire on the recognition and management of AS was circulated to all 90 primary school principals in the Fingal County of Dublin for them to copy and distribute to teachers in their schools for completion. Self-addressed envelopes were provided to each principal for the return of completed questionnaires.Results: Three hundred and forty-three completed questionnaires were returned by 54 out of the 90 school principals. Fifty-eight per cent of respondents reported that they had ever taught a child with the condition and 49% reported that recognition and management of emotional and behavioural disorders was covered in their undergraduate training. Some 78.4% said that they would recognise the symptoms of AS in a child, with those who had training on the recognition and management of emotional and behavioural disorders being more likely to report that they would recognise such symptoms while 71.1% said children with AS should be taught in mainstream classes. However, 77.3% did not think mainstream schools are presently adequately resourced to cater for children with AS. Some 96.2% said they would like to receive in-service training from the Child and Adolescent Mental Health Services on the detection and management of children with AS.Conclusion: There is a need for formal in-service training for all primary school teachers in the recognition and management of children with Pervasive Developmental Disorders (PDD). The recognition and management of children with PDD should also be included in the curriculum of all undergraduate teacher training institutions in Ireland.
Reducing the revolving door phenomenon
Authors: Daly Antoinette , Tedstone Doherty Donna , Walsh Dermot 
Published: March 2016

AbstractObjectives: De-institutionalisation and the expansion of community services have resulted in a reduction in the number of inpatient admissions in Ireland having fallen by 31% between 1986 and 2006. However, despite this, readmissions continue to account for over 70% of all admissions. The policy document A Vision for Change identified many shortcomings in the current model of provision of mental health services, making recommendations for the future development of community-based services with emphasis on outreach components such as homecare, crisis intervention and assertive outreach approaches. These recommendations are reviewed in relation to readmissions and the impact they may have on reducing the revolving door phenomenon.Method: Three main intervention programmes essential to the delivery of an effective community-based service outlined and recommended by A Vision for Change, along with other pertinent factors, are discussed in relation to how they might reduce readmissions in Ireland. A series of Pearson correlations between Irish inpatient admissions rates and rates of outpatient attendances and provision of community mental health services are carried out and examined to explain possible relationships between increasing/decreasing admission rates and provision/attendances at community services. International literature is reviewed to determine the effectiveness of these intervention programmes in reducing admissions and readmissions and their relevance to the Irish situation is discussed.Conclusions: Whilst A Vision for Change goes a long way towards advocating a more person-centred, recovery oriented and integrated model of service delivery, it is apparent from the consistently high proportion of readmissions in Ireland that there are still many shortcomings in service provision. The availability of specialised community-based programmes of care is as yet relatively uncommon in Ireland and uneven in geographical distribution. A considerable improvement in their provision, quantitatively and qualitatively, is required to impact on the revolving door phenomenon. In addition a re-configuration of existing catchment populations is required if they are to be successfully introduced and expanded.
Cannabis and hyperemesis
Authors: Harris Ella , McDonagh Michael , Kennedy Noel 
Published: March 2016

AbstractThe adverse effects of marijuana are well documented, as well as its positive therapeutic uses. Cannabis has traditionally been associated with an antiemetic action following acute ingestion and synthetic cannabinoids have an established use as antiemetics for chemotherapy induced nausea. However, there has been limited recognition of chronic cannabis use as a cause of cyclic vomiting syndrome. Cannabinoid hyperemesis was first identified by Allen er al in 2004. Compulsive bathing was also described as part of the clinical picture. This same syndrome has been confirmed a number of times in the medical literature in the interim. The condition has, to our knowledge, never been reported, in a psychiatric patient.