bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-01 - Patterns of Management of 1st. Episode Psychoses in a City Mental Hospital in Kolkata
Authors: Acharya A. 
Published: June 2010

Introduction1st episode psychoses are a common attendance in a city mental hopital, like Calcutta Pavlov Hospital in Calcutta & they constituse approximately 35-40% of new OPD registration in a day. These data is derived from the OPD register during the period 1st Jan 08-30th june09. The average new consultation in this opd is around 38 patients/day, and old repeat consultations usually around 300 case.ObjectivesManagement style usually practiced in this hospital is detailed here with the proportion of different management & their type as diagonosed on the 1st day.AimsHere this presntation of style in a devoloping country with meagre facities may be assesed & compared with those in other countries in Europe.Methods1st episode psychosis in new OPD attended cases are 12-14/day.They constitutes BPMD, hypomania 40%,Schizoprenia 30%, delusional disorders10%,Brief psychotic Disorder 8%,Pshyotic behavioral disurbances 5% and other non-specified psychoses 6-7%.50-55% of 1st episode recieve drug only and after 7 days follow up return 80-90% become calm and tranquile with majority of their positive sypmtoms like delutions, hallucination losing sharpness. In 1/3rd no. of cases, mainly with violent, aggressive or refusal to medication inj. preparations are used. Previousely 1-2 cases were given ECT treatment, but that is stopped after Govt. banned ECT in OPD setting. Inj. commonly used are Inj. haloperidol, Promethazine HCl, and lorezepam in agrresives, Inj Olanjapine in negative or positive scizophrenic group, followed by Inj. Clopixol(zupixol)aquaphase follwed by depot.ResultsInjection in 1st 2-3 days makes the compliance better and quick.Conclusions1sd episode management is the key in sucsess of psychosisas a whole.
P02-03 - The Impact of Alcohol on Admissions to an Irish Psychiatric Hospital - a Retrospective Survey
Authors: Doherty A.M. , Ajueze P. , Lyster G. 
Published: June 2010

ObjectivesAlcohol use and related harm is a growing problem in Ireland with far-reaching consequences for health services generally. Areas which are most affected include accident and emergency departments and psychiatric hospitals or units. The purpose of this paper is to examine the role of alcohol in psychiatric admissions to an Irish psychiatric hospitalMethodsThe inpatient records for all patients admitted over a one year period were examined retrospectively. All 378 patients admitted within that time were included and their admission records were examined manually for age, gender, diagnosis of psychiatric illness, co-morbid alcohol abuse, and the role of alcohol in precipitating the admission. Data were analysed using the Statistical Package for Social Sciences, version 11.5.Results21.7% of admissions had alcohol dependency syndrome and it is the primary diagnosis in 10.1%. Alcohol was a factor in the admission of 29.1% of patients. Of the 110 patients in this category, 42 did not have a primary diagnosis of alcohol dependency syndrome, i.e. 61.8% had a primary diagnosis of a psychiatric illness other than alcohol dependency syndrome.ConclusionsAlcohol is a factor in a large proportion of psychiatric admissions. It has been associated with poor compliance, exacerbation of symptoms and relapse. It is important to recognise the role of alcohol in psychiatry morbidity, both as a primary diagnosis (alcohol dependency syndrome), and also where the primary diagnosis is another psychiatric illness.
P02-06 - Decision Making Capacity in Patients Admitted to a Psychiatric Emergency Service: a Field Trial
Authors: De Fruyt J. , Axters M. , Haspeslagh M. , Demyttenaere K. 
Published: June 2010

IntroductionPsychiatric emergency services (PES) are a main entry for patients with acute mental disorders. Most of them are voluntarily treated and a shared decision making model is implicitly used. Not much is known about decision making capacity (DMC) of patients and the utility of a shared decision making model in PES.ObjectivesTo assess neuropsychological abilities of DMC in a convenience sample of patients admitted to a PES.MethodsPatients were assessed when discharged from the PES. A DSM-IV-TR diagnosis was generated. Neuropsychological abilities were assessed by the Trail Making Test (TMT), Stroop Colour-Word Test (SCWT) and the Mini-Mental State Examination (MMSE). MMSE was used a general assessment of cognitive functioning, TMT and SCWT as a more specific assessment of executive functioning. Patients with marked agitation, no cooperation or withdrawal symptoms were excluded.Results47 patients were assessed. Most prevalent primary diagnoses were depressive disorder (11), adjustment disorder (8) and substance abuse/dependence (17). MMSE scores were normal in 87% of patients. SCWT and TMT differential scores were below the 20th percentile in 57% and 61% of patients respectively.ConclusionsCognitive functioning in patients, admitted to a PES, seems impaired when assessed by the TMT and SCWT. When replicated in further trials (larger study population, use of more extensive assessment of different components of DMC, careful consideration of ecological validity of these assessments), the implicit idea of a shared decision making model of care should be questioned.
P02-08 - Mental Health Crisis Resolution and Home Treatment Teams: a Qualitative Evaluation
Authors: Ferguson B. , Middleton H. , Shaw R. , Collier R. , Purser A. ,   Crisis Resolution and Home Treatment Study Group, East Midlands Mental Health Research Hub, UK
Published: June 2010

ObjectiveTo understand those factors which facilitate or hinder resolution of Mental Health Crises in order to inform future development of Crisis Resolution and Home Treatment (CRHT) Teams.Method & DesignQualitative Interview study conducted by service users trained in research techniques. Home based interviews were conducted with 36 randomly selected patients who had used the services of one of nine CRHT teams across the East Midlands, United Kingdom, which serves a catchment population of 1.2 million people during a two week census period in October 2007.ResultsParticipants reported different levels of satisfaction with the treatment and professional responses they received. We identified three themes leading to successful resolution of mental health crises: being enabled to feel safe, to feel accepted and to feel understood. Participants did not identify specific treatment interventions such as medication or formal psychotherapy as important contributors to recovery. Unhelpful experiences included professional responses which resulted in participants feeling misunderstood or ignored, unsafe, vulnerable or anxious, or that they were being judged.ConclusionThe quality of relationship between the patient and members of the CRHT team is critical to any therapeutic effect. Therapeutic effect is optimum when it is based upon an adult to adult relationship which can provide a holding function allowing the service user to feel safe, accepted and understood while the crisis resolves. These findings have important implications for commissioning and managing such teams, and theoretical implications for medical practice morewidely.
P02-10 - An Assessment of the Crisis Resolution Home Treatment Teams in Two Neighbourhood Districts in Birmingham, United Kingdom
Authors: Hoseyni Moosa H. , Qureshi M. , Ukpong M. , Singh V. 
Published: June 2010

ObjectivesThe Crisis Resolution Home Treatment team (CRHT) provides comprehensive care and support to individuals experiencing acute mental health difficulties in the community. It offers a same day assessment and provides an alternative to hospital admission by providing intensive intervention in the community. In case of hospitalisation, the CRHT can assist in minimising inpatient stay.Handsworth and Ladywood are two major residential areas in Birmingham with high level deprivation and a population of approximately 9000. The study reviews the completeness and efficacy of CRHT intervention.MethodsThe study retrospectively examined 100 consecutive referred case notes during June and July 2008. That period was about four months prior to the start of the study which provided enough time for the completion of a home care episode. Data was gathered and assessed statistically.Results62% of referrals were assessed on the same day and 27% within one day of referrals. 11% of referrals were new to psychiatric services. Referrals were from Accident and Emergency (32%), Community Mental Health Teams (22%) and general practitioners (8%). There were three and two assessors in 60% and 100% of cases respectively. A doctor was always present for all the assessments. Eighty-three percent of the referrers were notified of the assessment outcome the same day and 14% the following day.ConclusionsThe CRHT provides an effective care to psychiatric patients with acute needs. The organised nature of this service reduces hospitalisation and ensures that needs of patients experiencing acute mental health difficulties are met in the community.
P02-11 - Psychiatric Emergencies in Children: Demographic and Clinical Care in a University Hospital
Authors: Jacintho A.C.d.Á. , Santos A. , Salán T.M. , Celeri E.H.R.V. , Banzato C.E.M. , Dalgalarrondo P. ,   Child and Adolescent Psychiatry Study Group
Published: June 2010

ObjectivesTo analyze, for all the pediatric consultations in 2008 in the emergency ward of the Pediatric Hospital of the University of Campinas, the clinical and demographic profile of the consultations in which there was a possible psychiatric diagnosis.MethodsReview of all forms of consultations for children enrolled in the unit during 2008, selecting those with the possibility of a psychiatric diagnosis.ResultsOf 21,811 consultations in 2008, 95(0.43%) included psychiatric complaints - 60(63.2%) girls and 35(36.8%) boys, aged 1-13 years(9±0.4). 70(73.7%) were white, 18(18.9%) mixed and 7(7.4%) black. A psychiatric evaluation was called for in 39(41.0%) cases. In 35(36.8%) sexual abuse was suspected. Other forms of violence were reported in 8(8.4%) cases. There were 6(6.31%) suicide attempts, 10(10.5%) cases of extreme agitation, 14(14.7%) consultations for extreme anxiety/dissociative symptoms, 5(5.3%) for depressive symptoms and 4(4.2%) for a psychotic condition. Twenty(21.1%) children were already using psychotropic drugs at the time of evaluation and in 29(30.5%) evaluations there were subsequent psychiatric interventions, with drug prescriptions in 11(37.9%). Nine(9.5%) children had clinical/pediatric conditions.ConclusionsChildren may need psychiatric care in emergency situations for various conditions. Despite the small percentage among the total number of pediatric emergency consultations, psychiatric evaluation, when necessary, can be useful and have an impact on diagnostic and therapeutic procedures. The plight of these children can be intense, demanding prompt and effective action. A psychiatrist can provide assistance that may help the pediatrician in the management of severe pathological conditions that affect the mental lives of children.
P02-15 - Emergency Pshychiatric Treatment in an Emergency General Hospital
Authors: Pyrkov P. 
Published: June 2010

ObjectivesWe have studied the treatment modes and therapies of patients with acute psychotic disorders, in a general hospital for 1600 beds.MethodsClinicopshycopathologic, clinicotherapeutic, and statistical.Results1982 patients, 18-92 years of age, 64% of them males, have been examined.All the patients have been primary admitted with acute somatic disorders:insult - 18%,skull injury - 21%,myocardial infarction - 23%,exogenic poisoning - 31%,parasuicides -4%,operations on the thoracic organs - 3%.The mental disorders diagnosed were following:amnesic syndrome, organic - F04 - 29%,depression - F43.20 - 5%,organic hallucinosis - F06.0 - 12%,organic delirium - F05 - 33%,psychotic disorder - or drug induced - F1 - 21%.ConclusionAfter psychiatric examination by an attending psychiatrist, the patients have been moved to the resuscitation department where they have been treated up to their recovery.None of the patients has been moved to the mental hospital.
P02-16 - E.R. Admissions of Immigrants Presenting with Psychiatric Symptoms: a Retrospective Study in Eastern Piedmont
Authors: Zeppegno P. , Lavatelli L. , Parafioriti A. , Probo M. , Ressico F. , Antona M. , Torre E. 
Published: June 2010

ObjectivesThe immigrant population in Italy is currently increasing, particularly, foreigners in East Piedmont raised by 16,8 % last year. We aim to compare immigrant and Italian patients’ Emergency Room (ER) admissions due to psychiatric symptoms.ResultsOf the 658 admissions we observed, 13.1 % of ER contacts concerned immigrants mostly coming from Russia, Albania, Morocco and Romania, consistently with migration streams in East Piedmont. Compared to the Italians, immigrant patients were younger (35.70; SD = 10.56 versus 44.78; SD = 16.57) and more frequently admitted for alcohol and substance abuse/withdrawal. Italians had a higher probability of having a psychiatric history including previous hospitalizations and contacts with Mental Health Services (OR = 2.60; CI 95 %: 1.64-4.12). The presence of social/relational problems associated with admission was significantly lower among the Italians (OR = 0.55; CI 95 %: 0.35-0.88).ConclusionsPreliminary data suggest that ER utilisation by immigrants may represent their main way to primary health care. Monitoring ER contacts may provide relevant information for the development of culturally sensitive Mental Health Services.MethodsWe considered Italian and immigrant patients with psychiatric symptoms who were admitted to the ER Department of Novara during a period of 13 months. We compared sociodemographic (gender, age, education, occupational history, marital status, living circumstances) clinical-anamnestic (history of psychiatric illness, presentation symptoms, previous contacts with Substance Abuse/Mental Health Services, social/relational problems) and admission (type of admission, intervention and discharge) characteristics of the two groups (Italians versus immigrants).
P02-21 - Physical Comorbidity in Hospitalized Patients in a University Affliated Mental Hospital in Bolu-Turkey
Authors: Arisoy O. , Kilic B. , Akyildiz K. , Boztas M.H. , Guney E. , Sercan M. 
Published: June 2010

ObjectiveSevere mental disorders as bipolar disorder and schizophrenia often co-occur with chronic medical illnesses, especially cardiovascular disease and diabetes. Our aim was to estimate the prevalence of physical health problems in hospitalized patients and to determine the sociodemographic and clinical factors associated with physical comorbidity.MethodThe medical records of all inpatients followed up between September 2007 and September 2009 were reviewed retrospectively.Results144 patients were evaluted of which 59 (%41) had schizophrenia, 31(%21.5) had bipolar disorder and 54 (%37.5) had other disorders. 43 (%29.9) patients had at least one medical illness, hypertension being the most common (%30) followed by thyroid disorders (%16) and diabetes mellitus (%11). Diabetes Mellitus was detected only in bipolar patients (p=0.005). Females were affected more than males regarding physical comorbidity (p=0.009). Patients with physical comorbidity were older (42.9 vs 35.54 yrs) and had a longer duration of illness (16.2 vs 10.0 yrs). Their hemoglobin levels were lower, blood glucose, urea, thyroid stimulating hormone levels were higher than the patients with no physical illness and the differences were all statistically significant (p=0.05). There was no difference regarding length of hospital stay, drug compliance, previous neuroleptic use, family history for medical and mental illness.Conclusions: Although it is generally accepted that many physical conditions have been associated with serious mental disorders, the exact nature of the relationship between them is still unclear. Further research is required to identify medical comorbidity risk factors in order to improve the physical health of these patients.
P02-23 - Ratings of Therapeutic Boundary Excursions Differ with Culture: an Application of Rasch Analysis in Psychiatry
Authors: Bener A. , Ghuloum S. 
Published: June 2010

BackgroundBoundary violations and boundary crossings have been constantly ignored in clinical settings due to its sensitive nature. Recent studies have identified several number of boundaries identified through quantitative and qualitative research. Large instruments have been developed for detecing boundary excursions in clinical settings. Rasch modeling offers a ground-breaking method for validating such large instruments.AimThe aim of this study is to introduce Rasch analysis features that enable to study large instruments like clinical boundary excursion questionnaire in a psychiatry setting.MethodsAn 88 item boundary excursion questionnaire was administered among 50 subjects during the period Jan-May 2008. Eligibility criteria for subjects included physicians, nurses and healthcare staff working in Psychiatry department at Rumeilah Hospital. Data was analysed using the Winsteps software.ResultsThe boundary excursion questionnaire showed high reliability. The instrument also showed high unidimensional construct according to rasch analysis with only few items violating the criterion for unidimensionality.ConclusionRasch analysis provides signigicant amount of information to researchers regarding the presence of invariance and mesearurement of separation of items which are otherwise not detected in traditional analysis. The advantages of the using rasch map given large number of items are further discussed.
P02-25 - The Epidemiology of Depression and Suicidal Behaviour - Pilot's Study
Authors: Breznoscakova D. , Dragasek J. 
Published: June 2010

IntroductionDepression seems to be an important clinical risk factor for the prediction of suicide attempts, similar to risk factors such as substance use disorders and borderline personality disorder. All of these factors share the same diathesis for increased impulsivity and suicidal ideation, which could explain comorbidity and suicidal behaviour (Pezawas L et al., 2002). Insufficient treatment of depression is one of the most important causes of suicide (Althaus D et al., 2007).The aim of study-The occur of suicidal behaviour (thoughts or attempts) - with focus on type of depressive disorder, age, gender, treatment and changes in the frequency of suicidal behaviour compared to a baseline-The number of suicidal behaviour (thoughts or attempts) during depressionPatients and methods-Outpatient's files with depression from all Slovakia regions during 3 months in comparison with past-Depressive disorder, n = 2570 (female 1800, male = 770) (DSM-IV), average age = 49 years-3090 questionnaires from 200 psychiatristsResults-Every third patient with depression - suicidal thoughts and every tenth patient-suicidal attempt (male more as female, NF)-We observed the most frequent suicidal behaviour in patients with depression: 41 - 60 years (21 - 20 years)-It was interesting: decreasing of consumption of hypnotics - decreasing of suicidal behaviour (SF), increasing of consumption of antidepressants - decreasing of suicidal behaviour (NF)
P02-29 - Outpatient Utilization of Benzodiazepines in Serbia
Authors: Divac N. , Dunjic Kostic B. , Prostran M. 
Published: June 2010

The increasing benzodiazepines utilization in Serbia has been described at the close of the XX century.Benzodiazepines have addictive potential and are often a subject of abuse and misuse. Therefore, their use must be followed very closely in every society.The aim of this study is to analyse the utilization of benzodiazepines in Serbia after the year of 2000.This is a retrospective study (2000-2007) in which defined daily dose methodology is used. Drug use is expressed as number of defined daily doses/1000 inhabitants/day (DID). Tha data are obtained from the reports of the Medicines and Medical Devices Agency of Serbia. Statistics was performed using Pearson's linear correlation.Total utilization of benzodiazepines significantly increased during the period of the study.Benzodiazepine20002001200220032004200520062007|r;pDiazepam33.5026.7031.9029.6049.6242.9342.0644 13r=0-729; |p<0.05*Lorazepam2.403.504.608.6011.8211.6414.8322.60r=0.960; p<001**Bromazepam2.704.606.508.2033.4627.8220.1428.05r=0.815; p<0.05*Alprazolam1.902.103.804.2010.257.4213.2611.97r=0,926; p<0,01Midazolam15.4011.1011.107.902.322.492.733.78r=-0,900; p<0.01**Others0.000.001.101.358.642.155.236.64not availableTotal55.9048.0059.0059.85109.4294.4598.15117.17r=0.875; p<0.01**[Utilization of benzodiazepines in Serbia 2000-2007] The most prominent wass the increase of the use of lorazepam, bromazepam and diazepam.There is a trend toward increasing benzodiazepines utilization in Serbia, which is in collision with the worldwide trends. Guidelines must be developed and implemented on all health care levels to promote more rational presribing of benzodiazepines.
P02-33 - General Psychiatry Consultation: an Experience
Authors: Ferreira P. , Martins A. , Silva A. 
Published: June 2010

The outpatient consultation assumes a role of extreme importance in any Department of Psychiatry and Mental Health. The activities developed in the consultation are based on the promotion of patient's empowerment and the maintenance of balance and integration individual/environment.The authors propose to analyze and characterize a sample of patients treated in a General Psychiatry Consultation at Hospital de São João, Oporto, Portugal, in order to improve the quality of the provided service.It was selected a sample of 168 patients consulted between October 2008 and September 2009, having the authors proceeded to the correlation of variables as gender, age, diagnosis, follow-up in consultation, affluence to the Psychiatry's Emergency Service and number of hospitalizations at the Psychiatry's Department in the last three years.The selected sample is majorly composed by women above the 30 years old. Compared to the patients with neurotic, anxious, affective and personality disorders, the ones with psychotic disturbances require a more regular follow-up in consultation and a superior need of hospitalizations. Curiously, the patients with personality disturbances are the ones who occur to the Psychiatry's Emergency Service more frequently.
P02-37 - Factors Related to a Higher Risk of Readmission in Psychotic Patients. A Retrospective Study
Authors: Reyes-Nadal M.E. , Escobar-Fernandez J.L. 
Published: June 2010

IntroductionIn 1984 the Psychiatric Andalusian Reform began, with the objective of replacing the institutionalization manicomial system with an alternative model of integrated network of services, based on the community. This carried a dramatic reduction of inpatient beds and subsequent increase in pressure on available beds in hospitalisation units, as well as the appearance of a higher risk of readmission.AimsThe purpose of this retrospective study is to identify clinical and demographic variables that correlated with readmission in our Psychiatry Unit, over a two year period (from January 2006 to December 2008).MethodsData were abstracted from medical records for retrospective analysis. Repeat users were defined as those individuals receiving two or more inpatient admissions to our Psychiatry Unit during the study period. Statistical comparisons were made between repeat and single admission groups to identify variables predictive of rehospitalization, such as age, gender, diagnosis, comorbidity of mood and personality disorders, alcohol dependence / abuse, number of previous admissions, number of compulsory admissions, length of admission and treatment among others.ResultsMost important predictors for readmissions included age, previous psychiatric admission, alcohol and illegal substance dependence / abuse, comorbidity of personality disorder and early drop-out of treatment.ConclusionsOur results indicated that there are several factors involved in a higher risk of readmission in our Psychiatry Unit. By identifying predictors of readmission and intervening appropriately, unnecessary readmission may be prevented.