bluuebunny/crossref_metadata_2025_split huggingface dataset:
501 – Documenting the Decision Making Process for Initiation of Pharmacological Venous Thromboembolism Prophylaxis/treatment for Psychiatric Inpatients
Authors: Al-Taiar H. 
Published: July 2013

Introduction:This audit forms part of a wider project looking at the effective identification and management of risk of thromboembolism on psychiatric wards.The risk of thromboembolism for psychiatric patients has been recognised as a major cause of physical co morbidity.Methods:Thirty eight Patients were prescribed pharmaclogic venous thromboembolism prophylaxis in the last 2 years. We looked at the following points:Indication for venous thromboembolism prophylaxis or treatment.Documentation of the decision for initiation of treatment.Results:The indications were:Prophylaxis of venous thromboembolism in patients who sustained lower limb/pelvic fractures.The second most common cause was that patients were already on VTE prophylaxis even before admission to our psychiatric wards.The use of Low Molecular Weight Heparin that was initiated or suggested by the psychiatric team in six inpatients (16%). In sixteen inpatients (42%) the decision was made by another medical professionals (GP, Medical team, DVT clinic etc) whose recommendation was subsequently followed.In the 42% of cases there was no clear documentation regarding the decision to start venous thromboembolism prophylaxis. We set our goals at 100% and we have seen adequate documentation in only 20% of cases.Discussion:Proper documentation of decision making to start venous thromboembolism prophylaxis/treatment is required ain all cases.Recommendations:More explicit explanation of the indication and decision to start venous thromboembolism prophylaxis is required.To repeat this audit six to nine months after the introduction of the local trust policy that included robust assessment of Thromboembolic risk.
522 – Dependence on Alcohol among Seniors Treated in Mental Hospital Kromeriz, Czech Republic - Comparative Study of Prevalence between Years 2001 and 2011
Authors: Luzny J. , Bican V. , Honzak F. , Vyrostkova O. , Blazkova M. , Indrakova A. , Pospisilova I. 
Published: July 2013

Introduction:Dependence on alcohol is no more tabu in senior population. Prevalence of dependence on alcohol in this population ranges from 3–12% according different authors.Objectives, aims:To compare the prevalence of dependence on alcohol among seniors admitted to treatment in Mental hospital Kromeriz (Czech republic) between years 2001 and 2011.Methods:Retrospective analysis of medical records from years 2001 and 2011.Results:In year 2001 dependence on alcohol was detected in 2.8% admission psychiatric diagnoses, in year 2011 dependence on alcohol was detected 6.8% admission psychiatric diagnoses. Gender played no role in increase of prevalence.Conclusion:We detected 2-times increase in prevalence of dependence on alcohol between years 2001 and 2011 in seniors hospitalized in Mental hospital Kromeriz.
524 – Karnofsky Index and Apache II Score in Severe Dementia
Authors: Luzny J. , Vyrostkova O. , Blazkova M. , Indrakova A. , Pospisilova I. 
Published: July 2013

Introduction:Karnofsky score is used in oncology and APACHE II score in critical care to estimate prognosis of patients with severe health conditions. In psychogeriatric palliative care such indicators are still missing althought it can be usefull to have such instrument.Objectives, aims:To determine whether Karnofsky score and APACHE II score can be also used in psychogeriatry.Methods:Prospective study done in 2011 in psychogeriatric wards, Mental hospital Kromeriz. Karnofsky score and APACHE II score were measured in patients with severe dementia (MMSE bellow 6) at the beginning of the hospitalisation. Lethality was prospectively followed in relation to Karnofsky score and APACHE II score.Results:Correlation between Karnofsky score, APACHE II and lethality in patients with severe dementia was strong (r = 0.64 for Karnofsky score, r = 0.72).Conclusion:Both Karnofsky score and APACHE II score can be used in psychogeriatry as well to estimate prognosis in patients with severe dementia.
526 – Prevalence of Depression among Health Care's of Intensive Care Units
Authors: Khajavikhan J. , Peyman H. , Yaghoubi M. , Zarei M. , Yaghoubi M. 
Published: July 2013

Introduction:Depression is the most prevalent psychiatric disease that affects 15% of men and 25% of women in general population. It is reported that depression has higher tolls between the staff of the Intensive Care Units (ICUs) and Operation Rooms (ORs) due to their occupational circumstances.Objectives:To evaluate the status of depression among health care's of intensive care unitsAims:The present study examines the prevalence of depression in the staff members of ICUs and ORs in the Ilam province of Iran.Methods:In this cross-sectional study, 48 random staff members from hospitals’ ICUs and ORs in Ilam province (western Iran) were evaluated. The data was collected using the standard Beck questionnaire and analyzed by SPSS software (ver. 17.0).Results:The mean age of samples was 31.86 with standard deviation of 7.95. More than half (52.1%) of participant's study were male. 50% of the them were married, 10.4% smoking, and 29.2% exercising regularly. The mean Depression score in the study was 33.6 with the standard deviation of 8.0. According to beck questionnaire, 66.7% of participants show signs of major depression. Prevalence of depression was higher in women, married, smoker, and those that having sedentary lifestyle. However, this difference was not significant (P>0.05).Conclusions:The prevalence of depression among participants study is significantly higher than the general population. We expect that decreasing the agreed total number of work hours, providing educational resources to improve their lifestyle, as well as holding consulting therapy groups in the hospitals are recommended.
539 – The Impact of Combat Psychic Trauma on Sexuality
Authors: Kolov S. , Ostapenko A. 
Published: July 2013

Objectives:Combatants with PTSD demonstrate a considerable change of personal characteristics but changes related to sexuality are barely studied though this area determines adaption to microsocium, helps establish emotional relationships and so on. Correlations between combat-related PTSD symptoms and sexuality are indistinct.Method:We studied interrelation between sexuality as a central I-function and PTSD symptoms using ISTA test and The Mississippi Scale within the group consisting of 682 male combatants among which 149 respondents had expressed PTSD symptoms and 533 men had subclinical symptoms.Results:Sexuality in combatants with PTSD was characterized by rising destructive manifestations, deficit of constructive forms and constancy of deficiency. The group with subclinical PTSD symptoms showed insignificant rise in destructive activity compensated by increase of constructive components of sexuality while its deficiency components demonstrated considerable fall.Conclusions:Combatants displayed malfunction in sexual sphere characterized by resort to abnormal and unaccepted norms, such sexual activity is often offensive both to partners and combatants and can result in sexual abuse. Personal disposition to establish relationships and derive enjoyment from intercourse is damaged at different levels and sometimes is retarded. These abnormalities are conditioned by intensity of manifested PTSD symptoms and may be part of other combat-related PTSD symptoms, such as impulsivity, aggression and others. Low values of PTSD indicate that combatants are apt to reduced prohibitions in sexual activity and moderate tendency to sexual abuse, but these trends are hypercompensated by an ability to establish mature sensual relationships and by understanding needs at different levels.
542 – Stigmatization, Personality Disorders and Adolescence
Authors: Magallón-Neri E. , Forns M. , Canalda G. , De la Fuente J.E. 
Published: July 2013

The presence of comorbid personality pathology with other psychiatric disorders, imposes a worse prognosis in the development of therapeutic intervention. Additionally, this construct is usually related to stigma effect in clinical settings. Information about this effect, associated with psychiatric disorders in adolescence, is limited and little recognized.Hypothesis:The clinical diagnosis of personality disorder in adolescence tends to be conservative and unspecific.Objective:To examine the prevalence of personality disorder, and the involvement of stigma effect in adolescents with Axis I psychiatric disorders.Method:A sample of 100 patients with psychiatric disorders (M = 15.8, SD = 0.9 years, range 15-17, 70% women), were assessed and diagnosed for personality disorders in a mental health public centre.Results:The prevalence of PD identified by clinicians (12%), differs from the prevalence identified by the semi-structured interview (34–37%) showing a greater number (p < .001) of people affected. In the present sample most of the cases identified by clinicians are related to personality disorders (PD) not otherwise specified, while with the implementation of semi-structured interviews, most of the sample met criteria for Cluster B PDs. Additionally, 11% of the sample has dimensional pathological features (probable PD) without complying categorically the criteria for a full PD.Conclusions:In clinical settings, a considerable proportion of adolescents with psychopathology meet features for PD, although few of them have a confirmed clinical diagnosis. Considerations about impact of the stigma are discussed.
559 – Study of Relationship between Stress Level and Application of Defensive Mechanisms in Female High School Students in Roshtkhar
Authors: Pourakbaran E. 
Published: July 2013

Defined as following: A process through which any organism responds to someIntroduction:Everyone experiences stress during the lifetime, a process. Stress is environmental and psychologicalphenomena, that is, stressful stimulus threatening or endangering it, is called stress.Methodology:To select respondents, first, three schools were selected, and then some samples were selected randomly out of them. Sampling was done in three schools, out of which three classes (first, second, third) were selected; so, out of each school, 24 subjects (8 from first grade, 8 from second grade, 8 from third grade) were selected, so that, the sample, totally, consisted of 72 subjects.Results:The highest score is related to anxiety (X-45) and the lowest score is elated to rational justification. The highest average ( =30.2) was related to anxiety and the lowest average (( = 3) was related to esteem.Conclusion:To sum up, out of the all variables of defensive mechanisms only simulation, offering excuses, are related meaningfully with regression and fantasy with regression, and rational justification with certainty level 1- and the other variables of defensive mechanism are not meaningful.
570 – Cognitive Therapy in Schizophrenia: Clinical Applications in Institutionalized Patients
Authors: Jemar G.N. , Ninci R.J. , Jemar J.B. 
Published: July 2013

To propose a theoretical framework, with bases and foundations, about the implementation and results of cognitive theory in Schizophrenia from observation and clinical application in a hospital inpatient neuropsychiatric.We propose a theoretical framework, with bases, about the implementation and results of cognitive theory in Schizophrenia. Are described in patients under treatment, his condition at the beginning, during and after a while the same, assessing the progress and results. Titrate cognitive theory as a useful therapeutic alternative in this type of process, as a tool of organization of thought and behavior in individuals with these disorders.Schizophrenia is a set of mental disorders that are characterized by the loss of continuity of partnerships, of affection, attention and will, ambivalence and autism. Cognitive theory explains the emotional and behavioral responses as a result of the thoughts, beliefs and interpretations. This model is approached as an inpatient in a Hospital Neuropsychiatric Monovalent, considering all the factors that influence their development (environment, concomitant treatments, possibilities of social inclusion).Some patients improve much of his ability, interpersonal, and manage to keep certain work activities. During the course of the observation, in more than an acute symptomatic, get calm your anxiety and adapt their behavior to their beliefs and understanding sensoperceptive sonproducto manifestations of sensory perception disorders, and may question their perception about distorting reality.Conclusions:Cognitive theory is a model applicable to schizophrenia, in some of its symptoms and stages, since it achieves a better understanding and organization of thoughts and belief system.
571 – Gender and Workplace Difference in Coping Strategies among Iranian Nurses
Authors: Golestan Gahromi F. , Sayehmiri K. , Peyman H. 
Published: July 2013

Background:Assessing coping strategies of nurses had an important role in determination of needed and solving the problems of nurses and clients.Objectives:To evaluate difference coping strategies according to gender and workplace in nurses.Aims:The current study aimed to determine the effective factors on coping strategies among Iranian nurses in 2011.Methods:In a descriptive-analytic study, 158 nurses with category sampling were assessed. The instrument for collecting data was a Lazarus and Folkman coping strategies standard questionnaire. All data were analyzed with SPSS software version 20 and using Nonparametric test such as Mann-whiney, Kruskal-wallis and Pearson correlation.Results:More than one-third of participants (41.1%) were male and 11.3% worked in Emergency Department. There was a significant association between Gender and workplace with some used coping strategies of studied nurses (P< 0.05). There was a significant correlation between some subclass of coping strategies. There were a significant relationship between Self- Controlling, Accepting Responsibility, Escape-Avoidance, Plan full Problem Solving, Positive Reappraisal and Seeking Social Support coping with workplace of nurses (p< 0.01).Conclusions:Gender and Workplace are the associated factors on coping strategies in Iranian nurses.
572 – The Frequency of Agoraphobia and the Comorbidity of Major Depressive Disorder in Panic Disorder
Authors: Taher D.H. 
Published: July 2013

Panic disorder (PD) is a common disabling psychiatric disturbance that has a considerable impact on the quality of life. This study was done to estimate the frequency of agoraphobia and the comorbidity of major depressive disorder (MDD) in PD, with the related sex difference.A cross sectional descriptive study, was done on patients consulted a private psychiatric clinic for features of PD, in Erbil city from August 2009 to August 2010. A convenient sample of 118 patients, 73 females and 45 males, having PD with or without agoraphobia were taken after giving their informed verbal consent. All patients were checked for the presence of MDD. The diagnoses were done clinically, and then checked according to the diagnostic and statistical manual of mental disorders, 4th edition, text revision (DSM-IV-TR).Results:Mean age of PD with or without agoraphobia was 31.1 years. Female to male ratio was 1.6/1. Mean age at onset was 26.3 years. Mean duration of illness was 4.4 years. Patients having PD without Agoraphobia were 81.4%, while having PD with agoraphobia were 18.6% in which the males (20%) affected more than females (17.8%). The comorbidity rate of MDD (mild to severe degree) in PD was 61%, & it was higher for males (68.9%) than females (57.5%).Conclusion:The majority of patients with PD in our sample, they already got comorbidity with MDD, so it is important for an early detection and management of PD to reduce the complications and functional impairment.
597 – Prevalence of ADHD and ODD: A National Survey in Thailand 2012
Authors: Visanuyothin T. , Wachiradilok P. , Pavasuthiapaisit C. 
Published: July 2013

Objectives:To obtain the estimates of the national prevalence of ADHD and ODD of Thai children.Methods:The study was used three-stage stratified sampling to represent most population of each level. 7,118 Thai students graded 1-5 in primary school were recruited in the study and were screened by the SNAP-IV Thai version with the sensitivity 82%. The subjects, whose scores were positive for any subtypes of ADHD or ODD, were interviewed by child and adolescent psychiatrists using DSM-IV criteria. The percentage and 95% Confidence Intervals were used to represent the results.Results:521 subjects and 200 subjects were diagnosed ADHD and ODD, making a national prevalence of Thai students equals 8.1% (95%CI=7.5-8.7). The prevalencein boy 12% (95%CI=10.9-13.0) was substantially higher than girl 4.2% (95%CI=3.6-4.9), the ratio was 3:1. Considering the difference in regions were found southern region was highest at 11.7% (95%CI=10.0-13.4) and northern region was lowest prevalence equals 5.1% (95%CI=4.0-6.2). The prevalence of ADHD with comorbidity of ODD was 2.1% (95%CI=0.8-2.4). Prevalence of ODD was 3.1% (95%CI=2.7-3.5), which was found highest 5.5% (95%CI=3.7-7.2) in Bangkok.Conclusion:ADHD prevalence in Thailand is higher, thus an early intervention to prevent the mental health problems and loss of quality population is needed. The health services and education system require changes in attitudes and development of resources. All who care for children including families, schools, communities, health care agencies, the government, and children themselves are required to participate and develop the solution and programs in community.
606 – Clinical Characteristics of Patients with Suicide Attempts in Emergency Hospital
Authors: Pashkovskiy V.E. , Prokopovich G.A. , Sofronov A.G. , Egorov A.Y. 
Published: July 2013

Introduction:Suicidal rating Russia is one of the highest in the world. Only few publications are devoted to psychopathological characteristics of suicide subjects in emergency hospital.Objectives:Clinical characteristics of emergency hospital patients with suicide attempts were studied.Methods:Interview together with specially elaborated formalized card were used. Patients were diagnosed up to ICD-10 criteria. 970 patients (320 male, 650 female; mean age - 40±16) hospitalized to I.I. Dzhanelidze Institute of Emergency Medical Care (St. Petersburg) in 2011 due to the suicide attempt were investigated.Results:The majority of patients were diagnosed as anxiety disorders (35,5%) and substance use disorders (SUD) (30,8%). Affective disorders (F30-F39) were diagnosed in 90 (9,3%), and schizophrenia in 4,1% cases. Self-poisoning was found the absolutely preponderant (87,1%) suicide mode. Chemical substances were used in 3,7%, psychoactive drugs in 2,1%, other medical products in 81,3%. Blood alcohol level higher than 1 ‰ was found in 45,2% patients. Suicidal patients have demonstrated low psychosocial level. Fulltime employment and permanent income was only in 20,8%. The first hospital care was carried out by resuscitators, surgeons, toxicologists, etc. After their recommendations patients were consulted by psychiatrist or psychotherapist.Outcomes:70,2% were discharged, in 13,6% out-patient psychiatrist supervision was recommended, 10,4% were transferred to psychiatric hospital, 5,8% died.Conclusions:The majority of suicidal patients in emergency hospital have anxiety disorders or SUD and used self-poisoning mode. Alcohol as a provoking factor was found in nearly half of subjects.
611 – An Open-label,prospective Study to Evaluate Social Function and Overall Improvement from Paliperidone ER in Thai Schizophrenia Patients
Authors: Charnsil C. , Vongpanich S. 
Published: July 2013

Objectives:- To evaluate social function and overall improvement of paliperidone ER treatment in Thai schizophrenia patient.- To collect the safety data of Paliperidone ER.Methods:Patients were at least 18 years old and had been diagnosed with schizophrenia according to DSM-IV criteria. Patients were unsatisfied with previous treatment and had been previously or currently on oral atypical antipsychotics. Eligible patients were initiated on a dose of paliperidone ER (3, 6, 9, 12 mg/day) based on tolerability of previous medication. Flexible maintenance dosing during the 10 week study duration was allowed for all participants based on individual tolerability. The primary outcome is social function, determined by Personal and Social Performance Scale (PSP). Patients were also rated for overall severity of illness using Clinical and Global Impressions-Severity (CGI-S) scale.Results:In total, 40 patients were enrolled. The statistical significant improvements from baseline in PSP total score were observed at all time points. An improvement of greater than or equal to 1 category (classified as a10-point interval) on PSP scale is considered as clinical relevant response. Improvement in CGI-S were observed at endpoint (p< 0.001). The mean reduction ± SD at endpoint was for 0.8 ± 1.04 (95% CI 0.48-1.16). The most commonly reported adverse events (3 5% of patients) were daytime drowsiness (15%) and headache (15%). Three subjects (7.5%) discontinued due to adverse events.Conclusion:This study suggests that paliperidone ER is well tolerated in schizophrenic patient. Paliperidone ER showed improvement in schizophrenic symptom control and social functioning.
612 – Audit of Referrals to the Tertiary Affective Disorders Service in Newcastle
Authors: Adekunte O. , McAllister-Williams H.R. 
Published: July 2013

NHS Specialist Services are commissioned by Regional Specialist Commissioners in accordance with the Specialised Services National Definitions Set (SSNDS). This sets out general and specific criteria defining the nature of patients who are viewed as appropriate for referral.The Regional Affective Disorder Service (RADS) in Newcastle is commissioned under such arrangements - SSNDS definition 22 (Mental Health), section 6 (complex and/or treatment refractory disorders). The aim of this audit is to assess the appropriateness of referrals to RADS based on SSNDS criteria. http://www.specialisedservices.nhs.uk/info/nhs-specialisedservices.This is a retrospective study: The referral and initial assessment letters of patients referred into RADS between January 2011and July 2011 were reviewed and scored against the criteria. We collected data on whether patients definitely, partially or didn’t meet the criteria. We also collected data on whether patients were referred from primary or secondary care and if they were a health care professional.67 referrals were audited. 25% definitely met criteria (15 of them with bipolar disorder), 18% partially met criteria (11 unipolar) and 57% did not meet criteria. The reason for only partially meeting criteria was due commonly to meeting the pharmacological, but not psychotherapy criteria or not meeting the pharmacological criteria in details. Of those not meeting criteria, 8 were health care professionals being seen out of area, 2 from GPs for diagnosis clarification, 6 have a non-affective disorder diagnosis and 17 meet the general criteria but it was less clear that they met specific criteria. 5 did not meet either general or specific criteria.