bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing the risk of venous thromboembolism in psychiatric in-patients
Authors: Ellis N. , Quraishy M. , Grubb C.M. , Fitch S. , Harrison J. 
Published: June 2017

IntroductionVenous thromboembolism (VTE) is a potentially fatal condition. Hospital-associated VTE leads to more than 25,000 deaths per year in the UK. Therefore identification of at-risk patients is crucial. Psychiatric in-patients have unique factors which may affect their risk of VTE (antipsychotic prescription, restraint) however there are currently no UK guidelines which specifically address VTE risk in this population.ObjectivesWe assessed VTE risk among psychiatric inpatients in Cardiff and Vale university health board, Wales, UK, and whether proformas currently provided for VTE risk assessment were being completed.MethodsAll acute adult in-patient and old age psychiatric wards were assessed by a team of medical students and a junior doctor over three days. We used the UK department of health VTE risk assessment tool which was adapted to include factors specific for psychiatric patients. We also assessed if there were concerns about prescribing VTE prophylaxis (compression stockings or anticoagulants), because of a history of self-harm or ligature use.ResultsOf the 145 patients included, 0% had a completed VTE risk assessment form. We found 38.6% to be at an increased risk of VTE and there were concerns about prescribing VTE prophylaxis in 31% of patients.ConclusionsOur findings suggest that VTE risk assessment is not being carried out on psychiatric wards. Staff education is needed to improve awareness of VTE. Specific guidance for this population is needed due to the presence of unique risk factors in psychiatric in-patients and concerns regarding VTE prophylaxis.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Sensation seeking and religious orientation: Correlation study
Authors: Hatam S. , Baranovich D. Lea , Shahbazi-Fard M. 
Published: June 2017

IntroductionReligious orientation is a tendency to religious thoughts and performances, which contain the attitudes, beliefs and religious practices. Sensation seeking is a personality trait whereby seeking new feelings and experiences, innovative, complex and intense desire for taking physical and social risks.AimThe purpose of the study is to predict the religious orientation based on emotional intelligence.MethodThe current study utilized Alport's religious orientation questionnaire and Zukerman's sensation seeking questionnaire and applied the correlation method that provides an illustration of anticipating religious orientation. Of all the population of one university in IRAN, 116 participations were selected by using a multistage random sampling method.ResultThe finding indicates that based on the emotional intelligence and its components, religious orientation is predictable.ConclusionIt is found that a significant positive correlation holds for emotional intelligence with external religious orientation. In addition, it is showed that a significant negative correlation holds for emotional intelligence with internal religious orientation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Perfectionism is related with academic stress in medical student
Authors: Kim C. , Seockhoon C. , Suyeon L. , Soyoun Y. , Boram P. 
Published: June 2017

ObjectiveEspecially medical students set high academic standard, and try hard to achieve because they are requested to studying medicine perfectly. Multidimensional perfectionism scale (MPS) is used to measure perfectionism in medical student. The purpose of the present study was to investigate the relationships between stress and various factors including perfectionism.MethodsWe enrolled 159 medical students from University of Ulsan college of Medicine. We used the Medical Stress scale (MSS), the Multidimensional Perfectionism Scale(MPS), the patient health questionnaire-9(PHQ-9), the academic motivation scale (AMS), the insomnia severity scale(ISS), and The revised neo personality inventory.ResultTo analyze data, we used Pearson's correlation and logistic regression analysis. In the first step- Pearson's correlation analysis, a motivation, PHQ-9, ISI, perfectionism and neuroticism traits of NEO-PI significantly correlated with stress level (P < 0.001). In the second step, logistic regression analysis indicated that students who feel high level of academic stress (MSS score ≥ 28) are also related to a motivation, insomnia, perfectionism and neuroticism traits of NEO-PI (R2 = 0.389, P < 0.05).ConclusionStudent who tend to be perfect feel more academic stress. The high level of stress related to insomnia and a motivation in medical student. Moreover, personality trait also can influences their psychological stress level.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Community behavioral health care linkages for youth
Authors: Leukefeld C. , Tilson M. , McNees-Winston E. , Seaver R. , Dickson M. 
Published: June 2017

Introduction and objectivebehavioral health (BH) agencies have care linkages for youth including juvenile justice (JJ). However, there are few studies on youth care linkages. This study focuses on six sites with the objective of examining BH and JJ staff perceptions about information exchange on screening, assessment and treatment.MethodsWe developed an index to quantify BH and JJ staff perceptions of information exchange on youth screening, assessment and treatment. After Informed Consent, staff rated past year interactions from agree to disagree on a 7-point Likert scale. Chi-squares and T-tests were used.ResultsAll 64 staff consented 17 (26.5%) BH staff and 47 (73.5%) JJ staff. Significant differences included BH staff were more likely to be licensed (P < .001) and had a masters degree or higher (P = < .01). Professional experience ranged from 9.8 to 15.8 years. However, there were no statistically significant differences. BH staff was somewhat higher from 5.7 for “shared assessment results” to 6.8 for “been easy to talk to” while JJ staff were from 5.1 for “shared screening results” to 6.1 for “treated youth with respect”.ConclusionsThis pilot study found high rates of staffs agreement including ease of talking and listening, sharing screenings and assessments information, and helping begin, continue, and complete treatment. This high agreement was not expected with confidentiality restrictions and traditions. Future studies should target care linkages including letters of agreement, case conferences, and guidelines.The study is supported by the National Institutes of Health.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Comparison of noise effects to state anxiety levels of patients and nurses
Authors: Akgun B. Mala. , Akgün M. 
Published: June 2017

IntroductionAn quiet environment is comfortable and peaceful. Also, healthy and safety environment is a human right. But, exposure to noise may cause negative effects on psychology and performance. Also, it is a problem in public hospitals, because, noise is an important issue for both nurses and patients.ObjectivesThe study was designed to determine decibel levels on the hospital's four unified clinics and compare noise effects to state anxiety levels of patients and nurses.MethodsInformation Form, Spielberger State-Trait Anxiety Inventory (STAI) were applied to participating 40 patients and 14 nurses. A measurement of the sound level of unified clinics was performed for two days in the morning and after lunch for two days.ResultsThe range of minimum to maximum decibel levels was significantly greater in nurses’ station (38.66 dB versus 82.48 dB) than patient rooms (24.61 dB versus 74.2 dB) (P < .05). 25 patients and 14 nurses stated that there was noise in the clinic. 19 patients and 10 nurses expressed that it caused a headache. The state anxiety levels were 39.29 ± 5.61 for nurses and 45.4 ± 4.86 for patients. The state anxiety level of patients were 44.83 ± 3.86 in 1. Clinic, 48.8 ± 4.37 in 2. Clinic, 43.82 ± 4.9 in 3. clinic, 44 ± 5.57 in 4. Clinic.ConclusionsWe should reduce the noise level to reduce the level of state anxiety. This study describes one reason to reduce peak noise levels on unified clinics. Standards applied across studies to measure and characterize acoustic environments are urgently needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Sex differences in psychiatric inpatients: Demographics, psychiatric diagnoses and medical comorbidities
Authors: Oliveira P. , Coroa M. , Madeira N. , Santos V. 
Published: June 2017

ObjectivesThere are few published studies on the relationship between gender and psychiatric disorders. We assessed sex differences in a sample of first-admission psychiatric inpatients to identify possible risk factors and targets for sex-tailored treatment interventions.MethodsA retrospective study of admissions to the psychiatry department, Coimbra hospital Universitary Centre, Portugal, in 2015 was accomplished (n = 924). The two groups were compared for demographic features, psychiatric diagnoses and medical comorbidities.ResultsMale patients were significantly younger (age average = 47.7 vs. 53.3). Differences in employment, educational, and marital statuses were found between male and female psychiatric patients. Having a degree was a protective factor for males, whereas it was a risk factor for females. Being divorced and single were both risk factors for medical co-morbidity in females. A higher proportion of men among patients hospitalized for schizophrenia (14.9 vs. 5.5%) or substance use disorder (10.3 vs. 2.1%) and a higher proportion of women among those admitted for affective disorders (43.3 vs. 25.9%), including bipolar disorder (13.4 vs. 9.0%), were found. No significant differences in duration of hospitalization between the two groups (22.8 in male vs. 22.2 days in female)ConclusionsThe differences between the two groups of inpatients were very pronounced. A better understanding of these differences may help to establish more effective treatment strategies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Who are the Europeans admitted to psychiatric hospital in Tunisia?
Authors: Ouali U. , Ben Neticha K. , Jomli R. , Ouertani A. , Nacef F. 
Published: June 2017

IntroductionA large number of foreign travellers and expatriates visits or lives in Tunisia.ObjectivesTo explore socio-demographic, clinical and therapeutic characteristics of European patients admitted to psychiatric care in Tunisia.MethodsThis is a retrospective, descriptive study on all European patients admitted to Razi psychiatric university hospital, which is situated at the outskirts of the capital Tunis, between 2000 and 2015.ResultsA total of 44 Europeans was admitted. Most frequent nationalities were: French and Germans (19 and 16 patients). The stay in Tunisia was mainly due to pathologic travel (17 subjects) and tourism (13 subjects). In total, 25 patients travelled without being accompanied. Average age was 51.3 years with extremes from 16 to 78 years. A history of psychiatric disorder was found in 15 patients, of whom almost all had stopped treatment. A majority (19 patients) was diagnosed with bipolar I disorder, and 8 patients suffered from schizophrenia. Average duration of hospitalization was 19 days. A total of, 22 patients were repatriated for medical reasons. Major difficulties during hospitalization were the language barrier, difficulties to contact family members or former treating psychiatrists for further information on the patient and his medical history, and the lack of insurance covering repatriation for medical reasons.ConclusionPsycho-education and early action on the precipitating factors could help to prevent psychiatric illness or relapse in these patients. Furthermore, attention of public authorities should be drawn to incomplete insurance coverage in many psychiatric patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Hyperinsulinism as evidence of munchausen syndrome by proxy: A case report
Authors: Khouadja S. , Younes S. , Fathallah S. , Soussia R. Ben , Zarrouk L. , Nasr M. 
Published: June 2017

IntroductionHyperinsulinism is one of the most important causes of hypoglycemia. Rarely, drug toxicity can be a reason. In the context of Munchausen syndrome by proxy (MSBP), toxicity usually occurs in children due to drug administration by a parent or caregiver.Methodswe report a case of a 2-year-old girl with hyperinsulinaemic hypoglycaemia due to insulin injections by her mother.Case reportMrs. W. is a 28-year-old mother of three children. In her medical history, she was diagnosed with gestational diabetes and treated briefly with insulin. She was hospitalized several times for hypoglycemia and she was diagnosed with factitious disorder. Lately, her youngest daughter aged 2 years old was hospitalized in the pediatric department for repeated unexplained loss of consciousness. The hospitalization lasted 2 months with recurrence of severe hypoglycemia. A full metabolic screen revealed no abnormalities. The mood of the mother appeared quite discordant with the situation. Strict monitoring of maternal behavior showed that the mother gives insulin injections to her daughter. She denied deliberately injecting insulin, and then she accused the health workers. She was referred to our psychiatric department and we diagnosed the MSBP.ConclusionMSBP should be considered particularly in patients who have been evaluated by more than one hospital and have discordant test results.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Personality Traits and Specialty Choice Among Oman Medical Specialty Board Residents
Authors: Al Alawi M. , Al Sinawi H. , Al Huseini S. 
Published: June 2017

IntroductionUnderstanding factors that determine the choice of a specialty among junior doctors are crucial for career counseling and candidates selection. Most studies focused on working hours, income and other lifestyle factors. However, few studies have explored the role of personality traits of the doctors in influencing specialty choice.AimsTo examine the relation between personality traits and specialty choice among residents at Oman Medical Specialty Board (OMSB).MethodologyResidents from different specialties were invited to participate in this study by completing Eysenck Personality Questionnaire – Revised (EPQ-R) and Behavioral Inhibition System (BIS) & Behavioral Activation System (BAS) scale.ResultsA total of 255 residents participated in the study (M = 40%, F = 60%). Surgical residents scored significantly higher on the Psychoticism sub-scale (P-value, 0.002) and the Behavioral Activation System (BAS) scale compared to nonsurgical residents (P-value, 0.05). On the other hand, medical residents scored higher in Behavioral Inhibition System sub-scale suggesting a tendency towards avoidance of anxiety-provoking situation (P = 0.023). Concerning neuroticism trait, psychiatrists had the lowest score indicating more emotional stability. Residents from diagnostic specialties score the highest in BAS–Fun seeking with a difference reaching the level of statistical significance.ConclusionThe findings of this study suggest a possible correlation between career choice and personality traits. Therefore, adapting a well-constructed, efficient and standardized selection approach is of great importance. A reasonable framework for conceptualizing specialty choice would be recognizing one's own personality traits along with exploring social and technical factors related to a particular specialty.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Suffering of the Spouses of Narcissistic Perverts: About Two Cases
Authors: Ben Saadi S. , Moula O. , Zerriaa O. , Chebli S. , Ghachem R. 
Published: June 2017

IntroductionThe narcissistic perversion is a psychoanalytical term resulting from the association of 2 Freudian notions: perversion and narcissism. The concept of narcissistic pervert has no clinical validity. The companions of the narcissistic perverts undergo moral suffering, often unknown by their entourage.ObjectivesWe suggest studying the trajectory of life of two wives of narcissistic perverts.AimsEmphasize the peculiarities of the narcissistic perverse personality.MethodsWe are going to postpone 2 clinical cases of spouses of narcissistic perverts.ResultsCase 1: Mrs. A., 60-year-old, divorced once. Mother of a girl. She met her current husband during the marriage of her daughter. At the beginning of their common life, Mr. M. was loving and in the small care with his wife. After three months of the marriage, Mrs. A. reported the change of character of her husband who became aggressive, decreasing her and taking her away from her family. He seized all her goods. She is actually getting a divorce.Case 2: Mrs. R., 27-year-old, married Mr. C. after 9 months of knowledge. At the beginning of their marriage, they had a good agreement. Forced to stay at home to take care only of domestic spots, she reported a real-life experience of neglect and emotional carelessness, she felt belittled and isolated. At present engaged in a divorce procedure after been physically assaulted threatened with death.Both women consulted for depression.ConclusionThe narcissistic perversion is a personality problem which affects as well the person involved but especially his entourage. When you are in connection with a narcissistic pervert, even after leaving him, you never recover from it.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Shame and Guilt in Mental Disorders - Diagnostics and Treatment
Authors: Madeira L. 
Published: June 2017

Guilt and shame are important human emotions, which have been studied by several different disciplines. Seminal and recent inputs in Psychology (particularly Psychoanalysis) and Psychiatry are briefly reviewed including cross-cultural considerations and developmental psychology studies on these emotions. Yet this keynote focuses in the phenomenology and epistemology of guilt and shame as complex emotions. This includes considering that guilt is experienced in two moments (decompressed into a moment of negligence and another of guilt) while shame only in one moment (prolonged in a “frozen now”). All the inputs have suggested an operationalization of epistemic and phenomenic differences considering their context, formal object, particular object and action tendency. Lastly it refers to the relation of these experiences with psychopathology and nosology concerning their adaptive and maladaptive nature, their relation with empathy as well as their presence in several disorders such as anxious, depressive and obsessive compulsive sorts.Disclosure of interestThe author has not supplied his declaration of competing interest.
Personality Traits of Participants of Local Armed Conflicts in the Remote Post-combat Period
Authors: Epanchintseva E. , Kazennyh T.V. , Rudnitsky V.A. , Ivanova A.A. 
Published: June 2017

IntroductionThe problem of the psycho-injuring influence of military operations and accidents on mentality of the person is relevant and significant that is connected with existence of emergency situations, local wars and the international conflicts.Material and methodsWe examined group of patients of participants of local armed conflicts (69 people) in the remote post-combat period (not less than 15 years). Most examined persons were older than 40 years (92%). Duration of stay in conditions of military operations made 6–7 months in 42.0%, 12 months and more – in 43.0%; 15.0% participated in official journeys. Clinical, clinical-physiological, experimental-psychological examination was carried out.ResultsDuring experimental-psychological examination reorganization of the pre-morbid personality which was expressed in increase in its structure of specific weight of pathocharacterological disorders both as a result of acuteness of qualities of character inherent in patients, and emergence of new forms of personal reaction was revealed. In communication sharpness, maximalism of judgments, rough behavior was typical in combatants. In some cases, we observed existence of permanent mood disorders in the form of a combination of intense affects of melancholy and rage. Behavioural disturbances were expressed to rough demonstration of affect of anger and rage as a proneness to conflict, with jamming on negatively colored experiences, tendency to destructive actions up to criminal acts, abuse of alcohol took place. In some patients, the desire to return back to a situation of military operations was revealed. In the circle of the family, they showed hostility, aggression, and intolerance.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Borderline Personality Programme in a Rural Area: The Value of a Therapy
Authors: Marin Olalla M. , Perez Ramirez B. , Vidal Lopez A.M. , Martinez Martinez B. , Maldonado Lozano R. 
Published: June 2017

IntroductionAn increased incidence of personality disorders (TP) in general, and borderline personality (BP) is currently a significant health problem because of the complexity of the clinic, the difficulty for early diagnosis, often unsatisfactory response to available treatments and the lack of clear proposals on multidisciplinary therapeutic interventions. In more serious cases, people with TP generate a high level of self and family suffering, as well as a high care burden that does not have a proportional impact on the quality of life of those affected and their families.AimEstablish a stable functional organization of professional and organizational resources of the Mental Health Unit of the North of Almeria that ensuring comprehensive care for people with borderline personality disorder and their families.MethodsThe program was structured:– elemental: BP census, individual sessions with optional nurse reference;– advanced individual: BP census, individual sessions, Nurse reference;– advanced individual and group: BP census, Individual sessions, Nurse reference and Therapeutic Group Hospital Mental Health Day weekly applying dialectical behaviour therapy.ResultsThe census of patients with borderline personality disorder was established in 30 people, 20 of them participating in two editions of therapeutic group. Fifty weekly sessions were carried out continuously, except holiday periods. A multidisciplinary team (nurse and two psychiatrists) were involved. The results indicate that there was an improvement in the quality of life of patients. It had been reduced hospitalisations, emergency assistance, and more than 60% of them got a job after that.Disclosure of interestThe authors have not supplied their declaration of competing interest.