bluuebunny/crossref_metadata_2025_split huggingface dataset:
604 – Experience of the Family of the Brain Dead Concerning the Influential Factors on Organ Donation (A Qualitative Study)
Authors: Hoseinrezaee H. , Zare Anari A. Mehdizadeh , Pilevarzadeh M. , Khanjani N. , Najmie Nouri F. , Ghaffarinejad A. 
Published: July 2013

Background:Brain-dead patients are considered as the most important supply source for patients in need of organ donation, and the decision making regarding donation primarily takes place by the families.Method:The phenomenology study was conducted via interviews with no predetermined and deep questions (unstructured). The data were analyzed through a phenomenological - descriptive analysis method according to Colaizzi's 9 step process.Findings:Seven male and six female subjects participated in the study. The findings were categorized into the three concepts of ‘fear and worry’, ‘unknowns’, and ‘growth and sublimation’. One of the main agents of decision making in ‘unknowns’ subcategory was lack of awareness. In the ‘fear and worry’ subcategory, subjects suffered fear and worry from the looks of the body of the deceased subsequent to donation, and some believed that the body should be intact when being buried. Comments of distant relatives and bystanders were another source of worry in the families as to the possibility of the braindead patient's recovery. As for ‘growth and sublimation’, spirituality and the feeling of spiritual recompense and reward in return for helping others, among many, was the main factor.Conclusion:The disparate experiences of families necessitate proper support in critical situations.They require assistance to become aware of unknowns of their minds and better understanding of organ donation process, and to reduce the influence of undesirable interfering thoughts and factors in the way of accepting this calamity and, as a result, the donation decision be made with more confidence and assurance.
619 – Effect of Bisphenol a and Passive Avoidance Learning on NR1 Subunit of NMDA Receptor Distribution in Hippocampus, Amygdale, Cerebellum and Prefrontal Cortex of Male Rat
Authors: Taherianfard M. , Ensannejad R. 
Published: July 2013

Bisphenol A is used in manufacture of polycarbonate plastics, epoxy resins and as nonpolymeric additive in plastics. On the other hand bisphenol A induces harmful effects on the mammalian CNS, so the aim of present study was to investigate the effect of bisphenol A and Passive avoidance learning on NR1 subunit of NMDA receptor distribution in hippocampus, amygdala, cerebellum and prefrontal cortex of male rats.Thirty male rats weighting 260- 350 g were used. Animals were divided into 3 groups: 1- Sham group (sesame oil the same volume of experimental); 2- experimental 1 (received bisphenol A 5 mg/kg/day); 3- experimental 2 (received bisphenol A 50 mg/kg/day). Bisphenol A was used by oral intake for 15 days. passive avoidance Learning and memory were performed by a shuttle-box. Distribution of NR1 subunit of NMDA receptor was investigated by immunohistochemical procedure. For determination of color difference the software of Image Analyzer were used. Data was analyzed by one ways ANOVA measuring and Tucky's test as post-hoc tests. The level of significant was P< 0.05.Data showed that bisphenol A in immunohistochemical procedure according to image analyzer program in two dose of present study significantly decreased distribution of NR1 subunit of NMDA receptor in hippocampus, amygdala, cerebellum and prefrontal cortex of male rats.According to this results bisphenol A impaired distribution of NR1 subunit of NMDA receptor in hippocampus, amygdala, cerebellum and prefrontal cortex of male rats.
620 – Acute and Transient Psychotic Disorders: Comparison
Authors: Bardenshteyn L. , Aleshkina G. , Shcherbakova I. , Beglyankin N. 
Published: July 2013

Objective:To investigate clinical dynamics of acute and transient psychotic disorders during antipsychotic therapy.Methods:35 primary inpatients of psychiatric hospital with acute and transient psychotic disorders (ICD-10, F 23) were observed for 6 months. Group 1 - 17 participants (26,7±7,1 years) with acute psychosis without schizophrenic symptoms (F 23.0). Group 2 - 18 inpatients (26,0±5,7 years) with acute psychosis including schizophrenic symptoms (F 23.1). All patients received haloperidol injections with subsequent switch to olanzapine or risperidone per os. Psychopathological dynamics was estimated on PANSS [Kay S.R. et al., 1987].Results:For the first group, the initial total PANSS score was lower (88,1±10,8) than for group 2 (123,3±7,7; p≤0,01). Duration of psychoses didn’t exceed 30 days in the first group. Longer psychotic episodes were typical to the 2nd group: ratio of the episodes lasting 6-30 days an 31-60 days was 50 to 50%. Negative symptoms, such as autism, passivity were revealed in all patients of group 2. The psychotic recurrence within 6 months after the first psychotic episode reduction occurred in 16%. Negative symptoms level estimated on PANSS in these patients was higher (26,7±4,2) than in whole group (23,7±5,6) [p≥0,05].Conclusions:The disorders diagnosed as F 23.0 and F 23.1 (ICD-10) differed in several patterns. Group 2 was characterized by stronger severity of psychotic symptoms; group 2 patients showed resistance to antipsychotic therapy. Moreover, the tendency to psychosis relapse was noticeable in cases with more strongly expressed negative symptoms after the first psychotic episode.
644 – Psychotherapy in Ukraine on the Medical Health Care Reforming
Authors: Mykhaylov B. 
Published: July 2013

The psychotherapeutic practice in Ukraine is carried out in structure specialized psychiatric, psychoneurological and somatic hospitals and polyclinics of health care services.Since independence, Ukraine still has inefficient public health care system, with its unbalanced structure of services, especially in mental health care.The basic organizational unit of the psychotherapeutic care is the cabinet of psychotherapy, which common number on 1.01.2012 year was 223, from them at the psychiatric network 134 (61%), at the somatic - 89 (that makes about 39%). The psychotherapeutic care is carried out within the limits of medical and psychological model.Thus since 1997 the speciality medical psychology and a staff of the doctor-psychologist is entered, paralleled with practice (clinical) psychologist.From now on in a medical network medical psychologists with medical (85 person) and psychological (315 person) base education in parallel work.The general deficiency of the staff is made nearby by 600 person.The basic problem are defficiency posts of psychotherapists in specialized and somatic networks according to operating specifications. The general deficiency of physical persons makes 1000 persons.Contemporary the State Programme of the medical care system reconstruction are established. The psychotherapeutic network requires immediate expansion, especially in somatic treatment-and-prophylactic hospitals and polyclinics. The staff could be taken from psychiatrists after reduction psychiatric beds which would pass a training for a new profession on corresponding faculties and chairs of psychotherapy of postgraduate education organizations.
645 – The Psychofenomenological Analisis of Psychotherapy Process in Integrative Model
Authors: Mykhaylov B. 
Published: July 2013

Different methods of psychotherapy describe. The psychic phenomena during therapy process wary pure and subjective. We presumed suggestion, transfer, cognitive, behavioral, heschtalt phenomena ets. On the another hand, not “pure”, but integrative models of psychotherapy are most effective and useful in future. The integrative model of psychotherapy need absolutely another analysis of psychic phenomena in the process of therapy integration. On the analysis of 300 psychotherapy sessions by 105 psychosomatic and neurotic patients we consider the psychotherapeutic phenomenology definition.“Normal” psychotherapeutic phenomenology (the clinical psychophenomenology) is viewed and systematized: the phenomena (“from the side) of a patient” (instrumental, sanogenic, defensive, mixed, intercurrent, auxiliary (portal, orientational, diagnostic) and other ones). Phenomena (“from the side) of the psychotherapeutist”: transpersonal phenomena, group phenomena, conformal (inductive) phenomena.The clinical phenomenology of the psychotherapy is stated too: clinical psychotherapeutic effects-syndromes and their correlate-mechanisms (correlate-patterns); a developed typology is given.The most important for the clinical practice issues of the diagnostics in the psychotherapy are raised and an idea about the psychotherapeutic diagnosis is formed for the first time. The procedure of the diagnostics (both the general psychodiagnostics and special diagnostic procedures) is set forth and commented.
646 – Psychopathological, Pathopsychological Peculiarities and Psychotherapy Correction of Suicidal Tendentious on Hypochondric Disturbances Patients
Authors: Mykhaylov B. , Kudinova O. 
Published: July 2013

The contemporary tendention is the increase of hypohondia disorder in Ukraine. We have examined 105 patients on hypochondric disorder in the clinical psychopathologic structure the depressive syndrome with suicidal behavior was identified in 46 (46%) patients. The pathopsychology examination has been provided. Depending of patients motivation trends 3 different types of suicidal behavior were defected.The psychopathological- based on pathopsychological mechanism of depressive self-evaluation.The situation conducted based on conflict psychogenic situation of person.Combined - with interference of psychopathological and situation factors.The based investigation resultates the pathogenic model of suicidal behavior on hypochondric patients was performed. The main mechanism of same behavior model is a severe asimmetry of balance of importance and availability of general exist value, which maintains a intrapersonal conflict situation. The multimodal psychocorrection model, based on suggestive, rational and cognitive-behavioral therapy was developed with high efficacy in practice application.
648 – A Model Struggle
Authors: Varela S. 
Published: July 2013

A.M.A.P., female, 20 years-old, Photography Model, natural from Covilhã - Portugal, resident at the same location.Presented 4 weeks prior to diagnosis several times in the Emergency Room (ER) with recurrent and persistent vomiting, reduction of appetite and weight loss of approximately 7 kgs within the last month.She was observed several times by Internal Medicine. Blood tests, abdominal ultrasound and upper GY endoscopy were performed and all came back negative, after which the patient was referred to Psychiatric ER.At the time of examination, patient was well groomed and dressed, awake, alert, oriented to person, place and date. No observed abnormalities in terms of posture, gait or motor movement. Eye contact was good. Rapport seemed adequate. She answered questions spontaneously, although at slow rate and speed. She denied suicidal or homicidal ideations, auditory or visual hallucinations. There was no current evidence for formal thought disorder. Judgment and insight were deemed to be adequate at the time. Overall mood was moderated depressed with clear signs of anxiety and despair when speaking about her vomiting problem. Affect was full range and appropriate. She also mentioned initial insomnia since the past 2 weeks. She started on Omeprazol 20 mg daily, Domperidone 10 mg 30 minutes prior to the meals during the 1st 2 weeks, Mirtazapine 30 mg daily and Alprazolam 0.5 mg as anxiety SOS.Patient was symptom free after 3 weeks of treatment and returned to her normal routine stabilized on Mirtazapina 30 mg daily attending Psychology and Psychiatry outpatient clinics.
649 – Desadaptive Disturbances and its Correction on Management Medial Stuff
Authors: Fedak B. , Shurma I. 
Published: July 2013

The comporative assessment of the causes and types of adaption disturbances among management stuff of the medical care system was performed by the total examination of 450 doctors. 250 of them were directors and deputy directors of city hospitals, and 200 - directors and deputy directors of country-side hospitals.The analysis of the structure of desadaptive disturbances in management medical staff was provided. 25% of all examined persons had burnout syndrome. 41% had different types of desadaptation. We described 6 types of them: asthenic, anxietydepressive, obsessive, somato-vegetatic, hypochoundryc, psychosomatic.Personal related profiles, character accentuation options, emotional and motivational state of management staff with burnout syndrome and desadaptation syndromes are detected. Social functioning features in the examined groups are researched and identified.We developed psychocorrection system for persons with the burnout syndrome and desadaptation syndromes based on an evaluation of its phenomenology and pathopsychological mechanisms of formation.Systematic approach used in this research allowed justifying principles of pathogenic psychotherapeutic correction for medical staff with burnout syndrome. Aprobation of the proposed correction has proved its high efficiency in 80% of personnel.
656 – Comorbidity of Psychiatric Disorders in Attention Deficit Hyperactivity Disorder
Authors: Sepehrmanesh Z. , Sarmast H. 
Published: July 2013

Introduction:ADHD is the pattern that includes lasting less attention or hyperactivity and impulsive behavior that is more severe than expected given the age and developmental level of the child. Recent studies were reported different prevalence of psychiatric disorders co morbidity with ADHD.Aims:This study evaluates the prevalence of psychiatric disorders comorbidity in children with ADHD admitted to Akhavan Hospital(Kashan-Iran).Method:In this cross-sectional study all children referred to child psychiatric Clinic (Akhavan Hospital 1389–1390) with diagnosis of ADHD were interviewed by child and adolescent psychiatrist for psychiatric comorbidity according to DSM-IV criteria. Data were analyzed by Chi-square and Fisher's exact tests.Results:200 children with attention deficit and hyperactivity disorder were studied. The mean age was 1.23 ± 7.35 years. 167 children (83.5%) had 5–9 years old .132(66%) were male. 107 (53.5%) had psychiatric disorder comorbidity. The highest comorbidities with attention deficit and hyperactivity disorder were OCD and then Enuresis and ODD respectively. The relation between sex, age and type of psychiatric dis comorbidity was Significant.Conclusion:Considering that the high prevalence of psychiatric disorders comorbidity such as OCD,Enuresis and ODD in childern with ADHD, Diagnosis and proper treatment of these disorders is necessary in this children. More studies is recommended for detection and proper treatment these psychiatric disorder comorbidities.
657 – Nurses' Exposure to Workplace Bullying and Ptsd Symptomology: The Protective Role of Intrapersonal Resources
Authors: Spence Laschinger H. , Nosko A. , Wong C. 
Published: July 2013

Aim:The aim of this study was to examine the relationship between nurses’ exposure to workplace bullying and PTSD symptomology and the protective role of intrapersonal resources (psychological capital).Background:Workplace bullying has serious organizational and health effects in healthcare which threaten the quality of patient care. Few studies have examined the relation of workplace bullying to serious mental health outcomes, such as PTSD. In addition, the buffering effect of intrapersonal resources to protect nurses from effects of workplace bullying has not been studied.Method:A provincial survey of hospital nurses (n = 1205) was conducted to study the relationship between workplace bullying and PTSD and whether intrapersonal resources (Psycap) influenced this relationship. Nurses completed 3 standardized measures of bullying, PTSD, and Psycap.Results:A moderated regression analysis revealed that more frequent exposure to workplace bullying was significantly related to PTSD symptomology (R2 = .38). Psycap was not a significant moderator. Bullying exposure and Psycap were significant independent predictors of PTSD symptoms (β = .52 and -.21, respectively).Conclusions:Workplace bullying appears to have a positive relationship with PTSD, a serious mental health outcome. This effect was not mitigated by Psycap, posited to be a protective against workplace stressors. This suggests that workplace bullying is a serious threat to nurses’ health requiring attention of hospital management.
659 – Facilitating Disclosure of Abuse by Reluctant Children: A Test of the Revised NICHD Protocol
Authors: Hershkowitz I. 
Published: July 2013

Introduction:Professional guidelines for forensic interviews of children have emphasized cognitive factors associated with children's memory retrieval and paid less attention to the emotional factors that may inhibit the cooperativeness of reluctant interviewees.Objectives:The current study explored whether an additional focus on rapport-building altered the dynamics of interviews with alleged victims of intra-familial abuse, and increased abuse disclosures.Methods:426 4- to 13-year-old suspected victims of intra-familial abuse were interviewed using either the NICHD Investigative Interview Standard Protocol (SP) or a Revised Protocol (RP) designed to enhance rapport between the child and interviewer.Results:Children were more likely to make valid (corroborated) allegations of abuse when the RP was employed, with variation according to age, gender and prior disclosure. Similar patterns were evident in a larger sample of 1424 which included non-corroborated cases.Subsequent analyses focusing on a subset of interviews (n=200) were designed to explore differences in the dynamics of the interviews using the SP or RP which may account for the increase of allegation rates using the RP.Methods:The interviews were coded to identify expressions of the interviewers’ support and the children's reluctance and uncooperativeness in the pre-substantive portions of the interviews.Results:As expected, RP interviews contained more supportive comments and fewer unsupportive comments. Children interviewed in this way showed reduced reluctance, with remarkably fewer expressions of resistance and denial but also fewer omissions.Conclusions:Focus on rapport-building altered the interview dynamics, rendering reluctant children more cooperative and more likely to disclose their abuse.
662 – The Effects of Teaching Brief Intervention on Attitudes of Healthcare Workers Towards Patients with Alcohol Problems in a General Hospital Setting
Authors: Lui Y.S. , Salikin Y.C. , Winslow R.M. 
Published: July 2013

The study investigates how teaching healthcare workers brief-intervention changes their attitudes. Evidence shows that negative therapeutic attitudes hinder implementation of best practice.The attitudes are measured by AAPPQ, ABS and SPATR in this randomised controlled trial. The sample was randomised into 2 arms (control and intervention) and followed up after 9 months. The intervention group consisted 2 interventions namely teaching ASSIST and distributing alcohol brochures for self-learning. Pre- and post-intervention measurements were analysed using the Student's T-test with a change of 20% taken to be statistically significant at p-value of < 0.05.The pre- and post-intervention sample comprised mainly Chinese female staff-nurses who worked less than 5 years and had no training in brief-interventions. Before intervention, the sample was neutral in their attitudes and adopted a disease model of belief towards alcohol problems. Following intervention, the sample showed positive changes in their therapeutic attitudes with the ASSIST sub-group achieving a statistically significant positive shift in both the score of Role-Adequacy and Role- Legitimacy. The sample also adopted a free-will model of belief after intervention. The ASSIST sub-group reported the greatest shift of 76.3% (p< 0.05). The ASSIST intervention sub-group became more aware about the availability of counseling materials and training programs for early-interventions.Teaching brief-interventions made positive changes to the therapeutic attitudes of healthcare workers with more robust effects from teaching ASSIST. A shift in the model of belief may indicate stigma and denial of the presence of alcohol problem and this may warrant continuous research and work in this area.
665 – Prevalence of Mental Disorder in General Physicians of Emergency Wards
Authors: Sepehrmanesh Z. , Sarmast H. 
Published: July 2013

Introduction:General physicians (GPs) have essential role in patient care and are exposed to high levels of job stress. GPs mental health affect on their functional ability and their medical management.Aims:This study was carried out to evaluate the prevalence of GPs mental health in emergency wards in kashan university of medical sciences (IRAN).Method:In this cross-sectional study, all of GPs in emergency wards include 90 subjects were studied. Survey instruments were two questionnaires:1- demographic variables and2- General Health Questionnaire (GHQ-28). Data were analyzed by using spss soft ware and chi square, fisher- exact, mann-whitney statistical tests.Results:The mean age of GPs was 36.11±5.67. 89.7% of them were married, 60.3%were male. In the study 41% GPs had mental health problem. The mean score of GHQ was 22.56±9.24.There was significant relation between mental health and age, employment situation and number of child. (p< 0.05).older physicians had better mental health than younger physicians. There was significant relation between employment situation with anxiety and somatic symptom. (p=0.017). (p=0.03) There wasn’t a significant relation between mental health and sex and marital status. (p>0.05).Conclusion:The results indicated that significant rate of GPs of emergency wards had mental disorder. Then further attention should be given to the mental health of general physicians in emergency wards by mental health providers for decreasing medical mismanage and mortality.
670 – ADHD Symptoms: Relation to Omega 3 Serum Levels before and after Supplementation
Authors: Effat S. , Mohamed N. , Hussein H. , Azzam H. , Gouda A. , Hassan H. 
Published: July 2013

Introduction:There has been a continued debate in the last decade about the possible role of polyunsaturated fatty acids especially omega-3 fatty acids in attention deficit hyperactivity disorder (ADHD) either as a causative factor - on deficiency - or as a treatment.Aim:To compare omega-3 fatty acids status in children with ADHD to normal children and to study the efficacy of high dose supplementations of fatty acids on symptoms of ADHD.Subjects & methods:40 children diagnosed with ADHD combined type and another 40 normally developing as a control group. All patients were subjected to Mini International Neuropsychiatric Interview for Children, IQ assessment,.Conners' Parent Rating Scale-Revised long version (CPRS-R-L), Vigil continuous performance test. The patients were prescribed omega-3 fatty acid supplement daily dose of 900 mg EPA and 600 mg DHA for 3 months. After end of the 3 months these children were assessed again using the Conners' parent rating scale-revised and Vigil continuous performance test.Results:Significantly lower levels of EPA and DHA in ADHD group compared to normal control inverse correlation between DHA on one side and Conner's ADHD index; inattentive subtest and total DSMIV indexed on the other side Conners’ ADHD index subscale there was a statistically significant improvement following the treatment.Conclusion:Low levels of omega 3 may contribute to the symptoms of ADHD. Supplementing omega 3 in the treatment of ADHD could be a useful add on tratment specially in cases demonstrating low serum levels.