bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post partum sexuality
Authors: Moutinho A. , Pereira A.V. , Jorge G. 
Published: May 2011

In the post partum period many changes happen to the woman, including in the sexual life. Short-term post partum sexual problems are highly prevalent. Even though all kinds of dysfunction can arise, the most frequent are hypoactive sexual desire, vaginal dryness, orgasmic dysfunction and dyspareunia.The aim of this poster is to overview six main etiological factors of the post partum sexual dysfunction: hormonal changes and breastfeeding, perineal trauma, fatigue, changes in social role, partner interaction and mood. The knowledge of these etiological factors and identification of the risk factors are important weapons in the prevention and approach to post partum sexuality by the couple and health professionals.
Emotional and physical support during labor for primiparouse women
Authors: Nasab L.H. , Shahoie R. , Zaheri F. , Ranaie F. 
Published: May 2011

BackgroundThe experience of labor varies markedly from women to Women. While medications can help women cope with the pain of labor, they usually come with side effects that women did not expect or want. There are many non medical ways to cope with the pain which has not side effect.The purpose of this study was to evaluate the effect of emotional and physical support during labor for primiparouse women.MethodIn this clinical trial study, convenience sample of 80 primiparous women who fulfilled the inclusion criteria was recruited from one hospital in Sanandaj (Center of Kurdistan provenice), Iran. They were randomly divided in Two groups (Case and Control). Data were collected from May to October 2008 using a demographic form and Visual Analoge Scale(VAS).ResultThe study revealed that emotional and physical support during labor cause women has better tolerance of pain. Furthermore, comparison pain intensity among two groups in dillatation 8 and 10 cm was statically significant (p < 0/03& p = 0/000).ConclusionEmotional and physical support during labor can be considered as a non pharmacological therapeutic method to reduce labor pain and decrease side effect of drugs. In addition, education and using of this method increases women satisfying from labor and natural delivery and to make better experience of motherhood.
Metabolic syndrome and vision impairment in postpartum psychosis
Authors: Pirtovsek Savs A. , Derganc M. , Svab V. 
Published: May 2011

IntroductionMetabolic syndrome is an important cause of morbidity among patients with severe mental illnesses. A case of a patient with postpartum psychosis where treatment with olanzapine was followed by vision impairment, metabolic syndrome, and liver dysfunction is presented.Case reportA 35-year old woman was admitted to our clinic 6 days after delivery. She was convinced that she influenced her baby through the posture of her body, and presented with some other acute psychotic symptoms. She was treated with olanzapine and a good remission of symptoms was achieved. After 2 years the treatment was discontinued and she relapsed. She was treated with olanzapine and she remitted once again. A year later she noticed visual problems. Upon ophthalmologist’s suggestion her blood was tested and the tests revealed elevated blood glucose, liver enzymes, and hyperlipidemia. Olanzapine was immediately discontinued and arypiprazole was introduced, along with oral antidiabetic and hypolipidemic therapy. After a week blood glucose dropped significantly. In the next two months all pathologic lab values were normalized. Hypolipidemic and oral antidiabetic therapy was consequently discontinued. The patient is still taking arypiprazole and she is in good remission.ConclusionIncreased awareness of risks associated with metabolic syndrome, and optimal monitoring and management are required to minimize cardiovascular and other risk factors associated with the syndrome. Antipsychotic tretment should be chosen very carefully in order to avoid the development or aggravation of metabolic syndrome. In the presented case, metabolic syndrome appeared after years of treatment with olanzapine.
The comparison of sexual function and infertility in fertile and infertile couples
Authors: Ranjbar F. , Abbasalizadeh F. , Teimory P. , Alizadeh A. 
Published: May 2011

IntroductionFertility is an important factor in life which can be disturb due to several factors.AimsThe aim of this study was to determine the relationship between infertility and sexual dysfunction.MethodsIn an analytic - descriptive study 384 fertile and 384 infertile referring women to obstetrics and gynecological clinics were studied. All these women were evaluated considering the sexual functions. Finally the results were analyzed statistically.ResultsThe age average of these women was 27.84 4.67 and 27.38 5.45 in infertile and fertile groups respectively.The sexual desire (Pv < 0.001), the sexual arousal (Pv < 0.001). The ability of reach to orgasm (Pv < 0.001) and satisfaction from intercourse was better in fertile women.ConclusionsIt was concluded that the sexual function was significantly better in fertile women.
The relationship between mammary gland permeability and the factors related to mothers and their babies
Authors: Serim B. , Ozbek A. , Ormen M. , Ergin C. , Aydın A. , Ozer E. , Ozkan H. 
Published: May 2011

IntroductionStudies have found that mothers normally have high sodium concentrations in their colostrum which shows a rapid decrease in the third day postpartum. A drop in breast milk sodium concentration is highly predictive for successful lactation.Objectives and aimsIn this study, the relationship between mammary gland permeability and the factors related to mothers and their babies were aimed to be investigated.MethodThe case group consisted of 150 consecutive healthy babies at postpartum 8–15 days. Edinburgh Postnatal Depression Scale, State and Trait Anxiety Inventory and Relationship Scale Questionnaire were applied to the mothers. Milk samples from all mothers were collected. Weights of babies at first month were recorded.ResultsIn babies with higher Na concentrations and Na/K ratio in their mothers’ milk, were found to gain less weight at the end of first month and also they were the first babies of the families included in the study. Mothers with higher concentrations of Na in their milk thought they were not appropriate to have a child, had poorer relationships with their own mothers, stated that they had no close friendships and had a past history of mental disorders at significance limits. The EPDS and STAI-I scores of mothers with elevated milk Na concentrations found to be higher.ConclusionRegarding this study's results, the risk factors causing an increase in the permeability of the mammary glands were determined as thoughts of not being suitable for motherhood, symptoms of postpartum depression and high levels of anxiety for the mothers.
Fears associated with pregnancy and childbirth among Kurdish women in Iran
Authors: Shahoei R. , Abed Saeedi Z. , Hesami K. , Khosrawi F. 
Published: May 2011

IntroductionWomen may experience a variety of fears in association with pregnancy and childbirth. Fear can cause significant problem during childbirth and post partum. Fear has been associated with more reported pain in childbirth a longer first and second stage of labor and dissatisfaction with the childbirth experience.AimsThe purpose of this study was to describe the fear and causes associated with pregnancy and childbirth among Kurdish women in Iran.MethodsTwenty-two Kurdish pregnant women in Sanandaj (the capital of Kurdistan province in the West of Iran) were interviewed during third trimester of their pregnancy. A qualitative design was chosen and grounded theory was used for data analysis.FindingsAll women expressed at least some fears associated with pregnancy and/or childbirth. Women's fears were related to baby's well-being, process and procedure during labor and childbirth, family life, criticism of husband's family, and attitudes of hospital personnel. The reasons for their fears included: previous negative experiences, knowledge, maternity environment and hospital personnel, baby gender and financial situation.ConclusionsThe findings suggest that childbirth education and health care services requiring more attention and exploration. The findings also highlight the need for a careful review of the existing labor and delivery units and procedures. Midwives need further training in how to meet and support pregnant women with fear related to pregnancy and childbirth.
Postnatal depression, mother-infant interaction and video interaction guidance
Authors: Vik K. 
Published: May 2011

IntroductionPostnatal depression as well as postnatal depressive symptoms may have detrimental effects in offspring.ObjectiveThe main objective of this study was to examine the nature of the video interaction guidance method Marte Meo offered new mothers experiencing depression or depressive symptoms.AimThe aim was to develop knowledge to be utilised in care in order to prevent sufferings for mothers, babies and their families.MethodsFifteen mothers were recruited from a health centre. They took part in Marte Meo guidance and in-depth interviews.ResultsAll mothers experienced Marte Meo in a positive manner, the main point being that they viewed their babies and/or themselves in the videos “from the outside looking in”. This seemed to be the key to facilitating reflection, a renewed sense of vitality and increased capacity for mentalisation. This viewing thus had an overall positive influence on increasing sensitive mother-child interaction and decreasing maternal depressive symptoms as well as facilitating a mentalisation process in the participating mothers, increasing their ability to reflect on their own and others state of mind and in turn recognise their babies as subjects. The results are applied in both community and specialist health services.ConclusionMarte Meo may be a helpful method and can also be administrated on a community-based level where the threshold for seeking help is a low one.
Psychological well being and perceived quality of life in subjects with obesity and in controls
Authors: Cosci F. , Bernini O. , Berrocal C. 
Published: May 2011

IntroductionObesity has been associated with low resilience and poor quality of life (QoL).ObjectivesData on psychological well being (PWB), as a measure of resilience, in obesity are lacking.AimsStudy the level of PWB and QoL among subjects with obesity.Methods28 subjects with obesity were compared with 28 healthy controls. PWB was measured by means of the PWB questionnaire according to the Ryff's construct, the health-related quality of life was assessed via the World Health Organization Quality of Life Assessment. Both scales are self-administered. Statistical analyses focused on between-groups differences. Cases and controls were matched for age and gender.ResultsCases had a statistically lower level of education and rate of current employment than controls. The two groups did not differ for lifetime diagnosis of psychiatric disorder or lifetime treatment with psychoactive drugs. However, cases had a significantly higher rate of current use of psychoactive drugs than controls. As what concerns PWB, cases had a lower total score than controls. In particular, Positive Relationship with others, Self-Acceptance, Purposes in Life, and Personal Growth were the PWB constructs significantly more impaired in cases. Similarly, cases had a worse perception of their general QoL, their physical and psychological health, their quality of social relationships and of environment.ConclusionsSubjects with obesity have a lower level of PWB and QoL than healthy controls. Since, PWB therapy may increase the individual level of PWB, thus increasing the individual resilience, subjects with obesity should be considered as possible candidates for PWB interventions.
Substance abuse prevention during carnival in Rio de Janeiro, Brazil: “No hang over band”
Authors: Jaber J. , Hoffmann E. , Hoffmann A. 
Published: May 2011

IntroductionCarnival in Rio de Janeiro is one of the biggest popular events in the world, gathering millions of people from different countries, social status, beliefs and cultures. As in other events of such magnitude, there are substance abuse problems and, consequently, medical and public order issues.ObjectivesSince 2005, the “No Hang Over Band” (“Banda Alegria sem Ressaca”) is part of the Carnival schedule and parades through Copacabana beach, enhanced by dancers, celebrities, health professionals, public authorities, politicians, patients and their families, besides many supporters who join the group.AimsThis study aims to reach a massive population with a campaign to prevent substance abuse giving information and alerts about the risks of it and, also, show professional from all around the world a way to do it.MethodsA few months before Carnival, health professionals from Jorge Jaber Clinic present lectures about prevention quoting the preparations to the parade, as they gather supporters and sponsors. The message reaches the population through flyers, clothes and media (newspapers, T.V., radio and internet) before, during and after Carnival.ResultsThe parade itself has been growing year after year, when it comes to supporters, sponsors and media exposure. Schools and other institutions have asked more often for lectures. Brazilian people have shown response to the campaign when they seek for more information and treatment.ConclusionsWith efforts from different parts of society and very little financial investment, it is possible to have real influence over a risk population even in adverse situation.
Internet for providing healthinformation and education to patients - knowledge, attitude and practice of mental health professionals in North Wales UK
Authors: Jauhari A. , Tiptur M.K. , Jauhari A. , Krishna M. 
Published: May 2011

IntroductionInternet is the fastest growing medium and more than 50 million people seek health information online1. Almost a third of internet users with history of psychiatric disorder had used the internet to seek mental health information2.MethodA survey was conducted amongst North Wales, UK mental health professionals to understand their knowledge, attitude and practice about this topic. A total of 100 questionnaires were distributed out of which 71 responses were received.ResultAbout 39% mental health professionals believed that consultation is the best way to give mental health related information to the patients. Only 5% of mental health professionals always and 46% sometimes advised patients to look at internet for mental health related information. About 50% felt that internet will increase patient's understanding of their illness and 37% felt that it will improve their compliance. Sixty percent people felt that mental health information on internet is evidence-based. About 30% of the mental health professionals thought that the use of internet by mental health patients will increase the patient's anxiety and will increase their visit to the doctor. Majority did not have enough knowledge of websites to suggest to the patients.ConclusionMost professionals thought that it is a useful concept but further awareness about evidence-based website for professionals is needed.
Deficit in speech development at the age of five years predicts alexithymia in late adolescent males
Authors: Karukivi M. , Joukamaa M. , Hautala L. , Kaleva O. , Haapasalo-Pesu K.-M. , Liuksila P.-R. , Saarijärvi S. 
Published: May 2011

ObjectiveAssessment of the etiology of alexithymia is in most studies hindered by recall bias. The aim of the present study was to assess the significance of individual developmental factors at the age of five years for alexithymia in late adolescence. By using data from a child welfare centre check-up at the age of five years, it was possible to avoid recall bias.MethodsThe sample consisted of 723 subjects, who were comprehensively examined at the age of five years at a child welfare centre where their state of health, verbal, gross motor, visuo-motor, socio-emotional, and cognitive development were assessed. In late adolescence (mean age 19 years) their alexithymic features were measured using the 20-Item Toronto Alexithymia Scale (TAS-20).ResultsIn females, none of the developmental factors remained associated with later alexithymic features in the multivariate analyses. However, in males, emphasis on the variables measuring speech development was important. In particular, a variable measuring the ability to comply with multi-part instructions was strongly related with alexithymic features in late adolescence.ConclusionThe results suggest speech development is a significant factor in the developmental process of alexithymia, at least in males. It is possible that children who have impaired language skills and therefore struggle in social situations have a higher risk of developing alexithymia. This emphasizes the need for further research, to assess how the inadequate speech development predisposes to the emergence of alexithymic features and whether it is a gender-specific phenomenon.
Stigmatization of “psychiatric label” by medical and non-medical students
Authors: Maric N.P. , Totic Poznanovic S. , Stojiljkovic D. , Pavlovic Z. , Mihaljevic M. , Jasovic-Gasic M. 
Published: May 2011

IntroductionStigmatization of a psychiatric patient is present both in general population and among health-care professionals.AimTo determine the attitudes of medical students (MS) towards a person who goes to a psychiatrist, before and after psychiatric rotation, and to compare those attitudes between medical and non-medical students.MethodsThe study included 525 MS (2nd and 6th year of studies) and 154 students of law. The study instrument was a 3-part self-reported questionnaire (socio-demographic data, Rosenberg self-esteem scale and a vignette depicting young, mentally healthy person). The experimental intervention consisted of ascribing a “psychiatric label” to only one set of vignettes. All the vignettes (with or without “psychiatric label”) were followed by 14 statements addressing acceptance of a person described by vignette as judged by social distance.ResultsWe found more stigmatizing attitudes of the MS in the final year, after psychiatric rotation. The non-medical students had similar tendency to stigmatize as MS before psychiatric rotation. A higher level of stigmatization was evident in regard to a closer relationship between a student and a hypothetic person who goes to a psychiatrist. Neither sex, nor the size of student's place of origin or average academic mark was associated with the tendency to stigmatize.ConclusionsPsychiatric education can either reinforce stigma or reduce it. Therefore, detailed analyses of educational domains which reinforce stigma should be conducted at the university level, in parallel with national initiative to fight against stigma and discrimination attached to mental health problems and those living with them.
Family and psychopathological impact of sexual abuses
Authors: Novakovic M.P. , Despotovic V. , Naskovic Z. , Novakovic R. , Stevanovic O. 
Published: May 2011

The aim of the study is family and psychopathological analysis of the sexual abuse in Bosnia and Herzegovina in the period 01. January 1999. to 31. December 2009, as well as the increase of sexual violence which is more expressed through the level of violence.MethodsExperimental group consists of n = 150 forensically processed people, who are under security measures and under treatment after the rape. The control group consists of n = 150 forensically processed people after the recidivistic property delicts. The design is a multicentric longitudinal study of the sexual abudes acts.ResultsSocio-demographic differences for the gender are highly significant: p > 0.001, and broken family, migration, and diseases in family are of lower significance. EPQ test shows differences between groups - violent: M±SD = extroversion: 15.53 ± 7.55, neuroticism: 9.10 ± 6.23, psychoticisms: 14.03 ± 5.11, Lay -scale: 10.33 ± 6.70, and recidivists: extroversion: 19. 11 ± 6.55 neuroticism: 6.55 ± 3.11, psychoticims: 9.10 ± 3.05, Lay -scale: 11.20 ± 6.60. BAI test has these significances - violent: numbness: 3.77 ± 0.77 tension: 2.05 ± 0.78 uncontrolness: 1.62 ± 0.85, and recidivists: neurosis: 1.91 ± 0.71, fear: 1.60 ± 0.85 and sweating: 1.85 ± 0.60 with significance P < 0.01. PIE in violent has increased values of destruction and aggression, and in recidivists exploration and conformism.ConclusionThe destruction score is high in violators in psychological tests, which results in the following psychopathological content: immaturity, personality disorder, post-traumatic conditions. Recommendations in the treatment of violators and recidivists also have forensic significance, except for expertise.
Suicidal and Parasuicid in Bosnia and Hercegovina
Authors: Novakovic M. , Despotovic V. , Naskovic Z. , Novakovic R. , Stevanovic O. 
Published: May 2011

The aim of the study is to analyse the impacts of the suicidal and parasuicidal behaviour in B&H in relation to transition and structures of suicidal personalities.MethodsTwo self-destructive groups were tested in B&H in the period 01. January 1999. to 31. December 2009. The test group consists of n = 150 subjects who had suicide, and control group consists of n = 150 persons with parasuicidal behaviour. We used: GDL, EPQ, HDRS and Pluchic's test in a longitudinal study.ResultsSelf-destructivity has been increasing in B&H. Socio-demographic data of the suicide are: gender = 71.11% ± 3.25 (m) 27.50% ± 3.30 (f), broken family = 35.50% ± 3.77, migration = 55.21% ± 3.20, heredity = 55.10% ± 2.11 and parasuicide: gender = 35.81% ± 4.31 (m), 27.60% ± 2.10 (f), broken family = 55.77% ± 3.90, migration = 58.60% ± 5.15, heredity = 43.50% ± 3.10. EPQ in suicide is: M ± SD-neuroticism = 17.10 ± 8.20, psychosis = 19.72 ± 7.10, and in parasuicide extroversion = 21.20 ± 5.30 and Lay -scale = 14.87 ± 4.40, and significance P < 0.01. HDRS is increased in suicide: H ± SD: depression: 3.30 ± 1.20, emotion of guilt = 3.10 ± 1.20, suicide = 5.80 ± 1.25, early insomnia = 2.20 ± 1.15, anxiety = 2.10 ± 1.15 with P < 0.01, and in parasuicide: hypochondria = 1.45 ± 1.10, depersonalization = 1.90 ± 0.70 with P < 0.01. Pluchic's test separates basic emotions, and all is gathered by matrix of discriminative function.ConclusionIn the study is proven high level of self-destruction in suicidal and parasuicidal behaviour. Suicide shows faster self-destruction and a way of suicidal end, and parasuicide slower destruction with postponing the suicidal crash. Sign of suicide and parasuicide can be found in both groups of respondents and the ways of expression are different, but definite in suicide.