bluuebunny/crossref_metadata_2025_split huggingface dataset:
1946 – Profile Of Care At a Medical School Emergency Department In 2001 And 2011 Related To Drugs Use And Abuse - Marilia/ Sp Brazil
Authors: Sartori N.R. , Jesus A.R. , Oshiiwa M. , Mansano N.D.S. , Ramos A.C.R. , Tegana C. , Cardoso M.F. , Hiromoto E.E.S. , Neves Barbosa R.W. , Servilha R.M. 
Published: July 2013

There is a significant increase in the use of multiple drugs. The use and abuse is a current and alarming phenomenon. The use of this substance is a challenge to public health.ObjectivesTo describe the epidemiology and clinical care of the emergency department by use of licit and illicit drugs in 2001 and 2011. Compare if there was a change in profile over the past 10 years.MethodologyEpidemiological descriptive study. We analyzed 1982 medical records in 2001 and 2465 in 2011. The study was approved by the Ethics Committee.ResultsRegarding sex, remained unchanged; the male is responsible for most of the medical care. Regarding age, there was no change over the last ten years, being individuals between 20-39 years old the highest rate of attendance. As the etiologic profile, there has been a change over the last 10 years. In 2001 the diagnosis of ICD-10-F10 (Mental and behavioral disorders due to use of alcohol) was predominant. In 2011 the ICD-10 and ICD-10-F19 (mental disorder and behavior due to multiple drug use and use of other psychoactive substances). As for the number of attendances, in 2001 there was a large concentration in the first quarter, while in 2011 it was better distributed throughout the year. There was an increase in the number of visits in 2011 compared to 2001.ConclusionWe believe educational and preventive actions are necessary to minimize the increase in drug use. It is also necessary to have measures to reduce damage.
1959 – Neuregulin-1 Gene Polymorphism With Respect To Cognitive Functioning In Schizophrenia
Authors: Frydecka D. , Beszlej A. , Czerski P.M. , Kapelski P. , Karabon L. , Kiejna A. , Misiak B. , Pawlak-Adamska E. , Zagdanska M. , Hauser J. 
Published: July 2013

BackgroundNeuregulin-1 (NRG1) may be an important factor in pathogenesis of schizophrenia due to its role in neurodevelopmental processes: myelination, neurotransmitter receptor expression and synaptic plasticity. NRG1 has been also implied to play role in cognitive impairments, which are considered to be endophenotypes of schizophrenia, i.e. subclinical, heritable and independent of clinical state traits associated with genetic susceptibility. Surprisingly, a recent meta-analysis (Dickinson, 2007) demonstrated that reliable and easy to administer Digit Symbol Coding Task (DSCT) discriminate people with schizophrenia from comparison individuals better than the more widely studied neuropsychological instruments.PurposeThe study was carried out to investigate the association of a polymorphisms of the NRG1 gene (rs62510682) and schizophrenia with respect to performance on DSCT.Material and methodsWe included 103 patients diagnosed with schizophrenia according to ICD-10 criteria and 578 controls in our study. The patients were evaluated for lifetime psychotic symptomatology using the Operational Criteria for Psychotic Illness (OPCRIT) checklist. DSCT was administered to 80 patients.ResultsThe polymorphisms were in HWE both in the cases’ and controls’ groups. In single marker analysis, we did not find an association for the SNP tested. However; we have found that T allel carriers (TT and/or GT genotype) performed worse than G allel carriers (p=0.4) suggesting weaker cognitive processing efficiency.ConclusionOur data do not support the role of the NRG1 gene polymorphism (rs62510682) in the predisposition to schizophrenia; however, the studied SNP might be considered to be a risk factor for cognitive impairment in schizophrenia.
1967 – Rapid Tranquillisation For Agitation And Aggression: Characteristics And Monitoring Of Intramuscular Use In a General Adult Acute Inpatient Population
Authors: Talukdar R. , Lekka N.P. 
Published: July 2013

AimsIntramuscular (IM) medication may be considered as part of an appropriate plan to treat safely patients who are at immediate risk of violence. We aimed to assess the characteristics and monitoring of IM medication use in an inpatient population, in the context of the Sheffield Rapid Tranquillisation (RT) protocol, based on the National Institute for Clinical Excellence (NICE) guidelines.MethodThe population studied included 639 discharges from four acute inpatient wards in Sheffield, U.K., from April 2011 to April 2012. Thirty patients who had been administered IM RT were identified. Demographics, Mental Health Act (MHA) status, diagnosis, non-pharmacological interventions and monitoring procedures were recorded.ResultsPatients were female on 20(66.7%), White British on 14(46.7%), and under the MHA on 29(96.7%) occasions respectively. Diagnoses most frequently recorded were Schizophrenia 7(23.3%), Bipolar Disorder-Mania 7(23.3%) and Acute and Transient Psychosis 5(16.7%). Verbal de-escalation was used on 8(26.7%), oral medication was repetitively offered on 23(76.7%), a doctor was contacted on 14(46.7%), and the patient was restrained on 22(73.3%) and secluded on 13(43.3%) occasions respectively. Physical observations (blood pressure, pulse, temperature, oxygen saturation, level of consciousness and respiratory rate) were monitored and recorded on 13(43.3%) cases only, and only 3(10%) and 6(20%) had a pre-treatment and post-treatment ECG respectively.ConclusionsIM RT was used on a small percentage of general adult inpatients, almost all detained, mainly with Schizophrenia, Bipolar Disorder-Mania and Acute & Transient Psychosis. Better implementation of the monitoring protocol is needed to improve the quality of care of acutely disturbed patients.
1970 – The Role Of Physical Training In Management Of Endocrine Modulation, Depresion And Sexual Function In Elderly Men
Authors: Revnic F.G. , Prada G.I.I. , Pena C.M. , Prada S.P. , Revnic C.R.S. 
Published: July 2013

IntroductionWith rapidly grouwning geriatric population and with the improvement in quality of life, sexuality is becaming an increasingly aspect of aging.ObjectiveInvestigation of of the role of physical training program of moderate intensity on amelioration of depression and sexual function in elderly men. Our study has been done on 42 patients aged 60-82years old.: 21 active (groupA) and 21 sedentary (group B) admited in Rehabilitation Clinique for different osteo-articular and postraumatic pathologies.Standard physical exercise program (F.Revnic, N.Teleki GERIATRIA, vol.XIV, nr.1 2002) has been applied for 24 weeks. hTSH,T3,T4,HGH,Testosteron and Cortisol have been evaluated before and after training with1234 DELFIA Research Spectrofluorimeter using Eu+ labbeled kits purchased from Pharmacia.The results have been processed with a Multicalc program.Results70% patients from group A were euthyroid, HGH,Testosteron and Cortisol were in normal range, with a positive atitude towards sexual life. 56% sedentary patients of group B presented hTSH values >6I.U/ml corresponding to hypothyroidism with elevated levels of Cortisol and low levels of HGH and Testosteron. They exhibited anxiety with the following symptoms: irritability, exagerated fear for the future, tiredness, difficulty in communication, sleep disorders and a negative atitude towards sex. After training, a decrease in Cortisol and an increase in Testosteron and HGH in group B has been recorded with a positive consequence upon affectivity (interest in sex). Physical training with its multiple aspects (cognitive, mental and socio-afective) had a great impact upon reorganisation of hypothalamo-pituitary-thyroid-adrenal-gonadal axis in elderly men connected with changes in many effector hormones secretion with a positive impact upon emotional well being, mental health and an increase in desire for sexual life.
1977 – The Fatigue Impact Scale For Daily Use In Patients With Viral Hepatitis
Authors: Pettersen K.M. , Morais-de-Jesus M. , Daltro-Oliveira R. , Dias A. , Miranda-Scippa A. , Quarantini L. 
Published: July 2013

IntroductionFatigue is an important clinical finding in Hepatitis Virus Chronic Infection. However, the absence of scales to measure fatigue, translated and validated for Brazilian Portuguese, prevents access to information essential to clarify specific clinical conditions in this population.Objective/aimsTo determine the psychometric properties of the Fatigue Impact Scale for Daily Use (D-FIS), in Brazilian Portuguese, in patients with hepatitis C virus (HCV) and hepatitis B virus (HBV) chronic infection.MethodIn this cross-sectional study, the authors evaluated the D-FIS in 101 outpatients, followed at the reference hospital.ResultsRelevant psychometric D-FIS results were: floor effect proved to be 1%; skewness was 0.46; item homogeneity was 0.59 and SEM (SD = 8.51) was 2.4. The Cronbach's alpha was 0.920 and item-total correlation yielded coefficients ranging from 0.65 (item 1) to 0.85 (item 3). In a linear regression model, fatigue and depression influenced the self-report quality of life.ConclusionThis study concludes that the Fatigue Scale for Daily use in Brazilian Portuguese can be considered as a useful tool to verify the presence of fatigue in patients with hepatitis viruses B and C.
1981 – Psychogenic Excoriations: a Case Report
Authors: Carvalho J. , Freitas D. , Silva L. , Morgado P. , Azenha S. 
Published: July 2013

IntroductionPsychogenic excoriations are also called neurotic excoriations, dermatillomania or skin picking syndrome. Psychogenic excoriations are lesions caused by scratching, picking, lancing, rubbing or squeezing, usually, in areas that patient can easily reach (face, upper back and upper and lower extremities). They are initiated because an urge to excoriate an irregularity of the skin or by a disturbing sensation in the skin. The classic lesions are characterized by clean, linear erosions, scabs and scars that can be hypopigmented or hyperpigmented and are usually similar in size and shape. Association with psychiatric comorbidities are common, particularly mood and anxiety disorders. It is estimated to occur in 2% of dermatology clinic patients and is associated with functional impairment, medical complications (e.g. infection) or substantial distress. Psychotropic medications (e.g. SSRIs) and appropriate counseling can be effective treatments.Objectives/aimsThe purpose of the poster is to highlight the existence and characteristics of psychogenic excoriations. Acondition that can be chronic, causes significant impairment and is believed to be common but unreported.MethodsHere we report the case of a 27 year-old woman, with a 10 years history of self-inflicted excoriations, associated to high anxiety levels, treated with an SSRI with good response.Conclusions/resultsAlthough it does not appear as a diagnostic category in DSM- IV, psycogenic excoriations is indeed a treatable condition that, isolated or associated with psychiatric comorbidity can cause marked distress, impairment and psychological suffering.
1985 – Mental Heath Service Evaluation In Poland - Development Of Methodology
Authors: Cialkowska-Kuzminska M. , Kasprzak M. , Kiejna A. 
Published: July 2013

IntroductionThe past decades has shed new light on the key factors affected mental health service in different country. There is huge need to evaluate mental health service in Poland, but until now we have not any algorithm concerning this matter.ObjectivesTo develop a methodology for the assessment and review of the mental health service in Poland.AimsTo identify the key factors for quality of mental health services, to test the unique methodology to evaluation of Polish mental health service, to develop the specific recommendations.MethodsThe research includes: I phase - identification of key factors for quality in mental health services, II phase - testing the methodology, III phase - development of recommendations and dissemination.Three-steps analysis of key factors which have a strong impact on quality of mental health services:1)literature review of relevant analysis, research and policy,2)Delphi exercise with national experts,3)external experts consultations.The phase II covers piloting and testing the evaluation methodology.Development of recommendations is based on research findings and experts consultations.ResultsThe main result of quality and quantity analyses constitutes a set of key factors for quality of mental health service in Poland. The project is supposed to change the paradigm at Polish evaluation strategy in area of mental health service.ConclusionsIn the light of Polish National Mental Health Program (established in Dec 2010) the results may have a great impact on reforms in Polish mental health service.
1988 – Looking After Anorexia Nervosa: An Inovative Way Of Caring
Authors: Dor-Nedonsel E. , Battista M. , Serpa-Rouede A. , Chanson P.-Y. , Askenazy F. 
Published: July 2013

IntroductionConventional treatment programs of anorexia nervosa are successful in the restoration of body weight; however, recidivism is common and the rate of relapse is high. For twenty years, The Child and Adolescent Psychiatric Department of the University of Nice used to offer a standard treatment based on psychotherapy for both in/out-patients suffering from anorexia nervosa.ObjectiveProgressively, we have developed an innovative pattern of care based on the psychopathologic hypothesis of troubles in early integration of perceptive functions. This way of caring constitute a form of therapy to fight anorectic symptoms by the re-appropriation of feelings and the affective reminders linked to them.MethodsWe have created 4 therapeutic workshops. Three of them use sensorial stimuli: olfactory, tactile-kinesthetic and auditory. The fourth one is a discussion group. We propose all adolescents to try these workshops in addition to the normal care program.ResultsWe note two principal effects of this innovative way of caring: the reduction of the number and the duration of hospitalizations and the improvement of therapeutic alliance.ConclusionThe scientific assessment of the impact of this sensory way of caring on the BMI, on the therapeutic alliance and on the hedonic faculties over 2 years is being. And the results should objectify our clinical findings.The use of sensory pathways and their relationship to memory traces and emotions helps the lifting of denial, the sagging of cleavages and reduces pain following the necessary weight regain in the institutional treatment of adolescent anorexia nervosa.
1990 – Mental Health And Work Of Professionals Of The Family Health Strategy In a City Of Bahia, Brazil
Authors: Andrade-Nascimento M. , Barbosa G.B. , Correia A.K.S. , Mota-Oliveira L.M. , Martins D.F. , Nascimento Sobrinho C.L. 
Published: July 2013

IntroductionFew studies have reported the complexity of the tasks performed by professionals of the Family Health Strategy in Brazil.Objectives/aimsDescribe the sociodemographics, work conditions, minor psychiatric disorders (MPD) and CAGE positivity of physicians, nurses and dentists employed by the FHS in Feira de Santana (Bahia, Brazil).MethodsCross-sectional, epidemiological study using standard questionnaires (SRQ-20 and CAGE) to collect anonymous information on the sociodemographics profile, work conditions, mental health and alcohol consumption of physicians, nurses and dentists working for the FHS. The data were analyzed with SPSS software.ResultsThe overall prevalence of MPD was 16.0% (physicians=17.4%, nurses=15.5%, dentists=15.2%). The prevalence of alcoholism was 5.0% among physicians and 7.7% among dentists. The features “female gender”, “young adult”, “married”, “affiliated with a cooperative”, “long work week” and “more than one job” predominated in the sample.ConclusionsThe prevalence of MPD and CAGE positivity was smaller in our sample than in other, similar studies.
1991 – Burnout Syndrome In Nurses Specialists Rehabilitation
Authors: Albuquerque C. , Martins R. , Alves V. , Cruz C. 
Published: July 2013

IntroductionCurrently, studies taking into account the incidence of burnout in Nurses Rehabilitation Specialists (NRS) are scarce, a fact which reinforces the need for further investigations in order to be able to understand the real impact of this syndrome in this professional category. This study aimed to determine the occurrence of burnout in NSR and determine whether there is any relationship between the different domains of burnout and sociodemographic aspects, and psychosocial work.MethodsWe conducted a cross-sectional, quantitative and analytical, which was attended by 117 NSR carrying out functions in various health institutions Portuguese's, aged between 27 and 57 years. To measure the variables used the following instruments: Scale MBI-GS, General Labor Satisfaction Scale, Scale My Health Locus of Control Scale and Levenson's Global Self-Esteem Scale for adults.ResultsWith regard to levels of burnout in NSR conclude that men have higher rates in the dimensions “physical and emotional exhaustion” and “cynicism” compared to women with an average ranking of 11,89 vs 11,57 and 9,56 vs 9,48, respectively; the dimension “professional effectiveness” are women who are more prone to burnout, with an average ranking of 31,20 vs 30,11. The data reveal that there are significant influences of variable working “time professional in the art.” Are obtained also for any significant influences of the psychosocial variables: locus control and self-esteem.ConclusionThe evidence found in this study invite us to prepare and reflect on new strategies of intervention training and information aimed at promoting labor welfare of these subjects.
1999 – Continuation (C-ECT) And Maintenance (m-ect) Electroconvulsive Therapy As An Alternative Treatment To Pharmacotherapy: a Review
Authors: Verdura E.J. , Marín M. , Ballesteros D. , Ramos I. , Sanz-Fuentenebro J. 
Published: July 2013

IntroductionECT has demonstrated to be an effective and safe biological treatment that can be considered as an alternative to pharmacotherapy, especially for treating severe, resistant and recurrent, affective, psychotic and catatonic symptoms. CECT refers to the one that is started after acute treatment and lasts for a maximum period of 6 months with the objective of preventing relapse. M-ECT is the one that is started once C-ECT has ended with the aim of preventing recurrences. The aim of this study was to explore the evidence for using C-ECT and M-ECT as an alternative to pharmacotherapy.MethodsWe performed a search in MEDLINE, PubMed and Cochrane, from 1950 until the present to identify articles in which C-ECT and M-ECT were used as alternative treatments to pharmacotherapy.ResultsC-ECT and M-ECT have demonstrated to be an effective and safe alternative to pharmacotherapy in Unipolar Depression, Bipolar Disorder and Schizophrenia, especially in the prevention of relapse and recurrences. It reduces number and days of hospitalization. In combination with pharmacotherapy, it increases effectiveness of pharmacological treatment. It does not affect cognitive functioning.ConclusionsC-ECT and M-ECT should be considered as an alternative to pharmacotherapy in the treatment of affective and psychotic, severe, resistant and recurrent symptoms. It is an effective and safe treatment, which prevents relapse and recurrences in severe mental illness, reducing hospitalization rates and health costs.
2008 – Agenesis Of Corpus Callosum And Psychosis - Review And Case Description
Authors: Pinheiro J. 
Published: July 2013

IntroductionAgenesis of the corpus callosum is a congenital anomaly consisting of a failure in the development of the transverse fibers of white matter that connect the two cerebral hemispheres. It may be partial or complete and is often associated with learning disabilities and epilepsy. More recently, a link was established between agenesis of the corpus callosum and several neuropsychiatric disorders, including psychotic phenomena.MethodsCase report and literature review using PUBMED.Results and conclusionThe authors describe the case of a 43 year old patient with no previous psychiatric history that presented with behavioral problems and persecutory delusions. CT scan and MRI showed partial agenesis of the corpus callosum. Neuropsychological investigation revealed mild mental retardation. EEG was normal. The literature review allowed the authors to conclude that, although there are only a few cases reported, there is an established connection between agenesis of the corpus callosum and the onset of psychotic symptoms. This connection can be explained by the fact that corpus callosum is an important structure not only in allowing communication but also in regulating the activity established between the two hemispheres. In this case, a regulation loss could predispose to psychosis.
2011 – Determinants Of Disruptive Behavior In Portuguese Adolescents
Authors: Albuquerque C. , Norberto C. , Campos S. 
Published: July 2013

IntroductionStudies of adolescents in the field of school disruption and its determinants are still scarce, which reinforces the need for further investigations. In this assumption, the present study's main objective was to know the effect of context variables sociodemographic, family, school and in the different domains of psychosocial school disruption.MethodsWe conducted a cross-sectional quantitative study, which was attended by 94 students of Secondary Education Portuguese, mostly women (59.57%) with a mean age of 17:19 years. To measure the variables used the following instruments: Family Apgar Scale, Scale School Climate, Piers-Harris Children's Self-Concept Scale and Scale Disruption professed by School Students.ResultsRegarding the effect of context variables on sociodemographic school disruption, we found that age and socioeconomic level do not get statistical significance. Variable sex exerts a significant effect, specifically on the factor 2 - “aggression colleagues” and factor 3 “school authority aggression,” where are the adolescent males to produce higher scores. The data reveal that there are also significant influences of family functionality in all factors of school disruption (p < 0.05). With regard will influence school climate, we infer that, generally, with statistical significance, the better the school climate, school less disruption manifested by adolescents. In the area of influence of self-concept, we found that there are statistically significant correlations on some dimensions of school disruption.ConclusionThe evidence found in this study invite us to prepare and reflect on new strategies that allow obtaining a better understanding, multidimensional adolescent inserted in middle school.