bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anxiety for Body Symmetry and Sexual Performance in Old and Young Patients, Case Series Presentation
Authors: Christodoulou I. , Kapsimalis A. , Dounias G. , Peitsidis N. , Lahana C. , Gonezou D. 
Published: June 2017

IntroductionIt is not rare, old patients asking for better aesthetic results on multi-operated bodies causing anxiety and inconvenience. Objectives of our study is to present the emotional confrontation of patients towards surgery.MethodsWe present 4 cases of interest.ResultsA 75-year-old woman with abdominal asymmetry due to lose abdominal walls and prior operations underwent a failed operation because of her own persistence and finally was convinced to stop asking new surgery when she was told that her abdomen would never become symmetrical. A 79- year-old man, keen on parachuting, was interested to improve his sexual performance and tighten his lose skin with a re-operation on his well done hernia operation. A married man of 50-years-old with a temporary colostomy due to ruptured sigmoid colon suffering from acute diverticulitis, two months later was not at all interested in any kind of aesthetic improvement or his sexual life, and his only care was his nutrition and the avoidance of infections. A divorced man of 49-years-old, with a permanent colostomy, due to familial adenomatous polyposis and cancer occurrence on the site of his old operation (prior total colectomy in 1995), not even one time referred to sexual functioning or aesthetic problems, while his constant problem was to take care of his colostomy by himself.ConclusionsOld age does not mean loss of interest for body icon and sexuality. On the other hand middle-aged men seem to be more practical and less emotional than old patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A Delphi Study to Establish an Expert Consensus Opinion on Risk Factors for Type 2 Diabetes, and Potential Complications of Diabetes, Including Brain Health Associations
Authors: Dolan C. , Glynn R. , Lawlor B.A. 
Published: June 2017

IntroductionType 2 diabetes (T2DM) has a multifactorial aetiology, and wide-ranging potential health complications, including brain health associations.ObjectivesA number of diabetes risk factors and complications have a strong evidence base. This study will address ambiguity in the literature regarding others.AimsResults will inform development of a questionnaire for use among the public and individuals with diabetes, assessing knowledge of diabetes and brain health associations and the role of modifiable risk factors. Aiming to ultimately inform effective preventative strategies for both dementia and depression.MethodsA systematic literature review preceded this two-round modified Delphi study. Respondents rated their agreement with risk factors for T2DM, and potential complications of diabetes on an e-questionnaire.ResultsOf 46 international experts invited to participate in round-one; 14 responded (30.4%). Thirteen respondents (92.9%) completed round-two questionnaire. Consensus was pre-defined as 70% or more agreement between respondents on questionnaire items. On completion, 11/18 risk factor items for T2DM met consensus criteria however ‘depression’ did not. Of diabetes complication items, 13/16 met consensus criteria (see Table 1).ConclusionsStudy results indicate that international experts consider a number of brain health complications to be associated with diabetes. Results will be incorporated in a diabetes and brain health knowledge questionnaire for use among vulnerable populations.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Relevance of Group Devices in the Psychological Treatment of Elderly Patients
Authors: Emanuelli L. , Garcia De Andreis G. 
Published: June 2017

The work aims to demonstrate the relevance of groupal psychotherapies and think tanks in elderly patients, suffering from various psychiatric disorders. The exhibition focuses on the consideration of a structural problem of aging seen from the point of view defences and identifications, which some authors call “caracteropatización of old age”, resulting in stagnation in the development of treatments in therapeutic individual devices.The paper postulates that groupal devices are more effective in treating patients older than treating individual cutting of different theoretical clinical guidelines, as are more suited to the production of mobilizing stiffened defences and crystallized identifications, won both by various effects of the death drive, which result in specific libidinal stasis, especially expressed in the substitutive formation called by some authors “letting die”.The statement places the group devices in the Freudian model of cell tissues, herringbone in various texts of his work, but expressed in more detail in “Beyond the Pleasure Principle”, which postulates as the cause of the vital tension constellations composed of different but related cells. Communication is illustrated with clinical vignettes both therapeutic groups and think tanks, as with clinical material from patients who have received both individual treatment and group result of therapeutic work done in the Casabierta institution during the last ten years. As a conclusion and opening of new questions, the text pans across different forms of resistance indication of group psychotherapy, which rooted in many current social representations of the group and the therapeutic.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Portuguese Participation in the Actifcare (Access to Timely Formal Care in Dementia) European Study: Preliminary Results of Systematic Reviews, Qualitative and Quantitative Data
Authors: Gonçalves-Pereira M. , Marques M.J. , Balsinha C. , Reis T. , Machado A. , Bárrios H. , Alves L. , Verdelho A. , Meyer G. , Woods B. , Wimo A. , Selbaeck G. , Irving K. , Zanetti O. , Orrell M. , De Vugt M. , Verhey F. 
Published: June 2017

IntroductionIn the context of untimely access to community formal services, unmet needs of persons with dementia (PwD) and their carers may compromise their quality of life.Objectives/aimsThe Actifcare EU-JPND project (www.actifcare.eu) focuses on access to and (non) utilization of dementia formal care in eight countries (The Netherlands, Germany, United Kingdom, Sweden, Norway, Ireland, Italy, Portugal), as related to unmet needs and quality of life. Evaluations included systematic reviews, qualitative explorations, and a European cohort study (PwD in early/intermediate phases and their primary carers; n = 453 days; 1 year follow-up). Preliminary Portuguese results are presented here (FCT-JPND-HC/0001/2012).Methods(1) extensive systematic searches on access to/utilization of services; (2) focus groups of PwD, carers and health/social professionals; (3) prospective study (n = 66 days from e.g., primary care, hospital outpatient services, Alzheimer Portugal).ResultsIn Portugal, nationally representative data is scarce regarding health/social services utilization in dementia. There are important barriers to access to community services, according to users, carers and professionals, whose views not always coincide. The Portuguese cohort participants were 66 PwD (62.1% female, 77.3 ± 6.2 years, 55.5% Alzheimer's/mixed subtypes, MMSE 17.8 ± 4.8, CDR1 89.4%) and 66 carers (66.7% female, 64.9 ± 15.0 years, 56.1% spouses), with considerable unmet needs in some domains.ConclusionsAll Actifcare milestones are being reached. The consortium is now analyzing international differences in (un) timely access to services and its impact on quality of life and needs for care (e.g., formal community support is weaker in Portugal than in many European countries). National best-practice recommendations in dementia are also in preparation.Abstract submitted on behalf of the Actifcare Eu-JPND consortium.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Association Between the Use of Benzodiazepines and the Occurrence of Acute Angle-closure Glaucoma in the Elderly: A Population-based Study
Authors: Kang B. , Park M.Y. , Lee E. , Kim C. , Namkoong K. , Kim W.J. 
Published: June 2017

IntroductionAcute angle-closure glaucoma (AACG) is an ophthalmic emergency, accompanied with severe eye pain, headache, and visual changes because of acute intraocular pressure elevation. Among psychotropic drugs, several antidepressants, typical antipsychotics with strong anticholinergic effects, and topiramate have been known to increase a possibility of AACG. Benzodiazepines have been used widely in the treatment of mental and physical illnesses regardless of age or indication. Since benzodiazepines have some anticholinergic properties and affect pupillae muscles, their use could be theoretically a risk factor for AACG. However, it is unclear whether benzodiazepines actually increase the risk of AACG. To our knowledge, there was no population-based study on the risk of benzodiazepines to the occurrence of AACG.Objectives/aimsTo know whether benzodiazepines increase the risk of AACG in a geriatric population.MethodsWe will perform a case-control study using a geriatric cohort from the National Health Insurance database. Case subjects will be defined as cases diagnosed with AACG confirmed by the claim data of laser iridotomy, which is the definitive treatment of AACG. The controls, which were not diagnosed with AACG, will be matched with case subjects according to similar age, sex, and the scores of the Charlson comorbidity index.ResultsThe data handling and statistical analyses will be executed in autumn and winter 2016.ConclusionsAny preliminary findings of this study will be presented at the EPA 2017. We will discuss the importance of a pharmaco-epidemiological study in the geriatric research.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Case Report of Treatment Issues in the Management of Dementia with Parkinsonism
Authors: Manusheva N. , Bajraktarov S. , Arsova S. , Vujovic V. 
Published: June 2017

BackgroundParkinsonism as a clinical syndrome needs to be diagnosed multidisciplinary. Cognition problems and behavioural symptoms together with the neurologic symptomatology make the treatment very complicated.AimsTo emphasize the importance of effective management strategies that may extend quality of life and independence.MethodsThis is a case report of 59 year old male with complicated clinical presentation of dementia with parkinsonism last two years treated with levodopa. Admitted with symptoms of fluctuating cognition, memory problems, visual hallucinations and depression and also generalized rigidity after introduction of atypical antipsychotic. Medical history: epilepsy in the last 15 years, trauma 7 years ago. After admission he was examined clinically and the brain computed tomography (CT) and electroencephalography (EEG) were done.ResultsWe analyzed possible etiologies and differential diagnosis of presented symptoms–extrapyramidal signs, mental confusion with hallucinations which are the three most common clinical features of Parkinson's disease dementia (PDD). CT reveals diffuse cortical atrophy with encephalopathy in the white matter combined with dilatation of lateral ventricles. EEG was with theta disrhythmic activity. After consultation with neurologist the patient was given Carbamazepine for epilepsy and Levodopa/Carbidopa to control parkinsonism. Donepezil was introduced. Two weeks after admission the patient was discharged with given advice to be treated in geriatric clinic.ConclusionAfter thorough clinical examination with proper diagnostic procedures with imaging modalities we should try cholinesterase inhibitors because they might improve cognition and can be beneficial for reduction of the hallucinations and behaviour disturbances combined with proper management of the surroundings.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psychological and Physical Problems in Elderly People with Problems of Falls
Authors: Mentis M. , Gouva M. , Antoniadou E. , Mpourdoulis K. , Kesoudidou I. , Marneras C. , Panagiotopoulos E. 
Published: June 2017

IntroductionFalls of the elderly to a degree been associated with poor mental health, poor social support and poor physical health.ObjectivesTo investigate the falls of elderly people in relation to their mental and physical healthy.AimsTo compare the effects of falls in the elderly in the areas of mental and physical health.MethodsThe current study used purposive sampling compromised from 48 people that visited the emergency department at the Patras University Hospital in 2016. The inclusion criterion for participation was age (> 65 years). Data was collected using WHO's questionnaire, the WHOQUOL-BREF. Finally, data was analyzed using the test t test for independent samples.ResultsThe sample constituted by 39.6% of male and 61.4% of female. The average age of the sample was M = 75.89 years. In relation to mental health, the average of the elderly with a history of falls found M = 57.26 (SD = ± 22.87), while the other was found M = 74.45 (SD = ± 15.81). The difference between the two groups was statistically significant (P < 0.05), while physical health although again the first group found to have a smaller average (M = 56.65, SD = ± 22.13) relative to the second group (M = 63.78, SD = ± 12.59) no statistical difference was observed.DiscussionsThese results demonstrates that falls beyond the physical damage that are immediately visible can as well create significant issues in the psychological state of the elderly exacerbating anxiety, fear and social isolation, which has been associated with depression event.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Study of the Sensitivity of the Organic Psychosyndrome After One Year of the Disease
Authors: Paschalidis K. , Argitis P. , Gatsiou K. , Chatzidai C. , Dalli P.P. , Pantoulas E. , Chaviaras I. 
Published: June 2017

IntroductionThe delirium of the elderly is defined as an acute confusional state, with variation during the day, characterized by impaired consciousness, orientation, memory, thinking, attention and behavior.PurposeThe purpose of this research is to investigate whether the organic psychosyndrome of the elderly is a valid indicator of mortality after one year.MaterialIt was used material from patients with organic psychosyndrome older than 60 years, who were hospitalized in pathological clinics of the Hospital of Corfu and was diagnosed by the linker portion of the psychiatric clinic.MethodologyThe patients diagnosed with organic psychosyndrome neither suffered from a psychiatric disorder psychotic type in the past, nor previously preceded anaesthesia in the context of physical disease. For the recognition and the criteria of ICD-10 to the exclusion of another psychiatric condition, it was used the delirium rating scale method.ResultsAccording to the analysis of the data, 8% of patients died during hospitalisation, in the first 3 months after diagnosis, the 28% of the initially hospitalised patients, in 6 months the 42%, while during the year the 48% of the initial total patients died and in the next 12 months only one death was reported.ConclusionsThe analysis of the survey results shows that while the instrument psychosyndrome could be considered as a poor diagnostic marker for the first 12 months, 48% mortality, in the long run it seems to lose its prognostic value with the mortality approaching the mortality index of the hellenic statistical authority for 2015 at ages 60+ (1.2%).Disclosure of interestThe authors have not supplied their declaration of competing interest.
Stress and the Serotonergic System, Observations from Pet Imaging
Authors: Spies M. , Lanzenberger R. 
Published: June 2017

IntroductionStress response and the neuroendocrinologic factors through which it is mediated are disturbed in anxiety and in affective disorders. While acute stress is thought to result in hypothalamus-pituitary-adrenal- (HPA) axis hyperactivity (Varghese 2001), chronic stress may result in decreased HPA-response (Booji 2013). Antidepressant treatment, on the other hand, is thought to realign HPA–axis activity (Schüle 2007).On the other hand, dysregulation within the serotonergic neurotransmitter system is understood as a central moderator in the pathophysiology of affective and anxiety disorders. Serotonergic transmission both regulates- and is regulated by- glucocortocoids. Cortisol results in an increase in serotonin synthesis and release while serotonergic transmission is thought to downregulate HPA-axis activity (Lanfumey, 2008). Positron emission tomography (PET) studies have demonstrated the link between the serotonergic system and the HPA-axis in humans in vivo. For example, a negative correlation between cortisol and 5HT1A receptor levels in various brain regions has been shown (Lanzenberger, 2010). SERT expression, on the other hand, was shown using PET to be positively related to HPA-axis reactivity (Frokjaer 2013).Methodsn.a.AimsAvailable literature on interactions between the HPA-axis and the serotonergic system will be discussed with a focus on data acquired via PET studies.Resultsn.a.ConclusionsThe interaction between the serotonergic system and the HPA-axis is likely bilateral and may be understood as a neurobiological link by which stress may foster the development of depression and anxiety.Disclosure of interestM. Spies has received travel grants from AOP Orphan Pharmaceuticals AG, Janssen-Cilag Pharma Gmbh, and Eli Lilly, workshop participation from Eli Lilly, and speaker honoraria from Janssen-Cilag Pharma Gmbh. R. Lanzenberger received travel grants and conference speaker honoraria from AstraZeneca, Lundbeck A/S, Roche Austria GmbH, Dr. Willmar Schwabe GmbH & Co. KG, AOP Orphan Pharmaceuticals, and Janssen-Cilag Pharma Gmbh.
Invisible Effects of Chemotherapy
Authors: Brandão D. , Assunção T. , Almeida H. 
Published: June 2017

IntroductionChemotherapy is an essential component in the treatment and alleviation of oncological diseases. To your application are associated, as well as systemic effects, cognitive impairment in patients. These changes have received increasing attention due to the impact on quality of life of cancer survivors.ObjectivesThis study aims to evaluate the current evidence on the association between chemotherapy and cognitive impairment in cancer patients, especially in the areas affected cognitive function, possible mechanisms of action and consequences on the quality of life of these patients and the importance of identifying strategies intervention in order to minimize these effects.MethodsWe conducted a literature review from literature articles addressing this topic with use of databases: Medline and Pubmed. The following keywords were used: “chemobrain”, “cognitive dysfunction”, “chemotherapy”.ResultsAlthough some states have not found differences, several studies have shown that chemotherapy has implications cognitively. Underlying etiology remains unknown, and proposed several mechanisms to explain these changes: neurotoxicity, microvascular damage and inflamamatory response. Cognitive impairment has significant implications in the daily life of patients both personally, socially and labour. The therapeutic approach focuses on the patient and family education, coping strategies, cognitive rehabilitation and cognitive behavioural therapy.ConclusionsIt is vital to educate patients about the possibility of cognitive change as effect of chemotherapy as well as health professionals in the early identification of these changes. It is essential developing specific intervention strategies to improve the quality of life of the oncologic patient during and after treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Changes of Emotional Status and Quality of Life of Early Stomach Cancer Patients After Endoscopic Submucosal Dissection (ESD)
Authors: Lee S. , Lee H. , Oh S.T. , Jeon H.H. , Choi W.J. 
Published: June 2017

IntroductionCancer patients may encounter psychological distress, change of emotional status, and lowered quality of life. It is predicted that similar changes will be shown during the Endoscopic Submucosal Dissection (ESD) of early stomach cancer. The objective of this study is to evaluate changes of emotional status and quality of life over time depending on baseline level of psychological distress.MethodNinety-seven patients indicated with ESD who visited National Health Insurance Service Ilsan Hospital in Korea between May 2015 and June 2016 were evaluated. Psychological distress, emotional status, and quality of life were evaluated at the day before ESD. Follow-up evaluations of them were done at the day after ESD, 2 and 10 weeks later.ResultThe group with high psychological distress showed higher female ratio, more depressive and anxiety symptoms than those of the group with low psychological distress. Psychological distress was related to stress level and lowered quality of life. Repeated measures ANOVA analysis showed that significant differences of depression (MADRS), anxiety (HAM-A), level of stress (GARS), and quality of life (EORTC QLQ-C30) were sustained over time, but the decreasing tendency of the differences between the groups was also noticed.ConclusionThe study revealed that patients who feel more psychological distress may experience more depressive and anxiety symptoms, increased level of stress, and lowered quality of life. We recommend screening of patients with early stomach cancer for psychological distress before ESD, which may improve subjective life satisfaction of patients during ESD.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Preliminary Results of USA-European Field Trial on the Use of Patient-reported Measures in a Mobile Application and Potential Uses in Refugee Populations
Authors: Narrow W. , Buwalda V. , McIntyre J. 
Published: June 2017

IntroductionThe use of patient-reported outcome measures in psychiatric practices in the United States is still in its beginning phases. More research is need to determine the usefulness of such measures and the optimal methods to present them to patients and practitioners in routine care settings.ObjectivesThis presentation will describe the research plan for testing a group of patient-reported outcome measures using digital applications. Potential opportunities for use in underserved refugee populations will be presented.MethodsThe outcome measures were selected from those recommended in DSM-5 Section III, including cross-cutting symptom and disability measures. A user-friendly digital application was developed for data collection, synthesis, and presentation. The research plan has three phases: focus groups with patients and clinicians, piloting of methods, and the main study, a pragmatic trial comparing treatment outcomes using outcome measurement versus usual care.ResultsResults of the focus group sessions will be presented, along with changes made to the measures and the digital application in response to these results. Current status of the research project will be discussed.ConclusionsThe results of this research project will bring greater clarity to questions on the role of outcome measurements in improving quality of care and patient outcomes. With ever greater use of smart phones, tablets, and personal computers, digital technology has the potential to facilitate psychiatric assessment and treatment for underserved, difficult-to-reach populations such as refugees.Disclosure of interestThe authors have not supplied their declaration of competing interest.