bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychotherapeutic and psychologic care in cases of treatment patients which survived extraordinary situations: fare in night-club in perm and suffered from explosions in moscow’ subway
Authors: Frantsuzov V.N. , Prokudin V.N. 
Published: May 2011

Since 1997 in City Clinical Hospital №36 in Moscow acted the Department of Psychotherapy (DP). Psychotherapeutists and psychologists of DP contantly took place part in joint (together with internists) therapy the patients suffering from different extraordinary situations. So, 06.12.09 by airplanes of Minisry of Extraordinary Situations from Perm in Burn-Center of CCH №36 were delivered 12 patients. For our regret 3 patients died in the first days no come to consciousness. The others 9 patients have received intensive and long (22–97 bed-days) therapy in BC due to: burns from flame I-II-III-IV degree, 6–77% surface of body. Psychiatric diagnosis were: acute reaction on stress F43.0, posttraumatic stress-syndrom F43.1, disorder of adaptation F43.2 with/or not short depressive reaction 43.20 and also organic emotional labile (asthenic) disorder F06.6, organic disorder of personality F07.0, others organic disorders of personality and behavior F07.8. In result of therapy these patients by combustilogists and other internists with psychotherapeutists and psychologists (different kind of psychotherapy and psychocorrection) we received distinct improvement of somatopsychical state.In the morning 23.03.10 after explosions in two Moscow’ subway stations in CCH №36 were admitted 12 patients with diagnosis: mine-explosive, skeleton, burn and baro- traumas with concussions of brain, fractures of bones, termo-ingalation defeats and others. Psychiatric diagnosis: F43.0, F43.1, F 43.2, F 43. 20, F 06.6, F 07.0 F07.8 and also postcommotional syndrom F07.2. Rational and autogenic psychotherapy and psychological correction in all these patients added by Phenazepam and Azaphen resulted to improvement of somatopsychical state and quality of life.
Quality of life in the west of iran: a cross-sectional descriptive and analytic study
Authors: Shams Alizadeh N. , Rezaei F. , Mohsenpour B. , Ghaderi E. 
Published: May 2011

IntroductionQuality of life is an important factor in evaluating health and therapeutic problems; therefore quality of life evaluation is an important issue in medical articles. The present study investigates quality of life in 15–64 years old subjects in Kurdistan province.AimsDetermining factors impacting quality of life in Iran.ObjectivesThe present study investigates quality of life in 15–64 years old subjects in Kurdistan province.MethodsThis is a cross-sectional descriptive and analytic study. The target population was 15 to 64 years old population in Iran. 700 individuals participated in this study. The information gathered with Euro His questionnaire. The data was then analyzed by using independent t test and multiple regression.ResultsSubjects included 352 males (50.4%) and 346 females (49.6%). Quality of life mean score in all subjects was 28.18 (± 4.6). The mean score in men and women were 28.78 and 27.57 respectively. Asthma, smoking, female sex, residency in urban and low income had negative effect on quality of life in multiple regression (R2 = 0.151) but age, diabetes, hypertension and sport activity didn’t have any effect on quality of life after adjustment for other variables.ConclusionQuality of life score in women was lower than men. It is thus necessary to examine effective factors on decreased quality of life in women and making plans to eliminate the negative factors. According to the results, low income, smoking, residency in urban and asthma have adverse effects on quality of life. These factors should thus be considered in health programs.
The relationship between 2D:4D ratio and systemizing and empathy quotients in parents of people with autism spectrum disorders
Authors: Romero-Martínez Á. , Sariñana-González P. , Roa Natividad J.M. , Sanchis-Calatayud M.V. , De Andrés-García S. , González-Bono E. , Moya-Albiol L. 
Published: May 2011

IntroductionInterdigital 2D:4D ratio has been considered as an indicator of prenatal exposure to androgens, entailing then a smaller ratio more androgenisation. Although it has been related to systemizing and empathy dimensions in the general population, it has never been studied in parents of people with Autism Spectrum Disorders (ASDs).Objectives and aimsTo analyse the relationship between the 2D:4D ratio and these psychological variables in this population.MethodsThe sample was composed by parents of both genders of people with (n = 46) or without (n = 42) ASDs. The ratio was calculated as the mean of 3 measurements of each hand evaluated by 3 different researchers. Psychological dimensions were evaluated by means of the Systemizing and Empathy Quotients (SQ and EQ, respectively).ResultsParents of ASDs persons showed lower scores in the EQ than controls, being these differences replicated only in men. No differences between groups for the 2D:4D ratio were found. Nevertheless, regression analyses indicated that in parents of ASDs a higher 2D:4D left ratio predicted a higher EQ. This result was also observed in men but not in women. In any case, the model was not significant in the control group.ConclusionsParents of ASDs persons showed lower EQ than controls, being this quotient predicted by the left 2D:4D ratio only in the former. When analysing in each gender, these results are only obtained in men. Among other parameters, the D2:D4 ratio (especially the left hand one) could be considered a valid indicator of the ASDs parent's idiosyncrasy.
Acute and transient psychotic disorder in Latvia: Dynamic changes of diagnosis and clinical features of first-episode
Authors: Rusaka M. , Rancans E. 
Published: May 2011

BackgroundAcute and transient psychotic disorder (ATPD; F23, ICD-10) have been described as acute psychosis with brief onset, polymorphous symptomatology and rapid resolution. ATPD is not very well studied disorder and it has not been studied in Latvia up to now.Methods and materialsRetrospective chart review study of all first time hospitalised patients fulfilling ICD-10 criteria for ATPD treated at the Riga Centre of Psychiatry and Addiction Disorders, Latvia during a 3-year period. Patients were assessed using standardised instruments during 4.1 years follow-up period.ResultsDuring a 3-year period 294 patients were first time hospitalized with ATPD. Over an average of 4.1 years follow-up period 62% (182) of patients were not rehospitalised. In the subgroup of rehospitalised patients diagnosis in 71% (80) of them later changed to schizophrenia. Comparing ATPD subgroups we found that the percentage of patients “with schizophrenic symptoms” (F23.1) was higher 55% (161). ATPD “without schizophrenic symptoms” (F23.0) diagnosis was more frequent for “pure” ATPD patients 79% (38), than for ATPD, which later developed into schizophrenia (p < 0.001). Clinical features like affective disturbance was present in 25%, anxiety 58% and hallucinations in 53% of patients, who later developed schizophrenia and only in 24% with “pure” ATPD (p < 0.001).ConclusionsMore than half of the patients were hospitalized once during follow-up period. In subgroup of rehospitalised patients most common diagnostic change was to schizophrenia. Further prospective research on the topic is warranted to understand evaluation of the diagnosis in ICD-10 and possible changes in ICD-11.
A study gauging perceived social support and loneliness with life satisfaction among students of golestan university of medical sciences
Authors: Shahini N. , Shahini I. , Asayesh H. 
Published: May 2011

IntroductionSocial humans are embedded with a variety of relationships. Satisfactory social support is crucial for having physical and psychological well being.AimThe purpose of the present study was to find empirical support for the connections between perceived social support and loneliness with life satisfaction.Material & methods226 students of Golestan University of Medical Sciences (in Northern Iran) participated in the study. They were assessed using demographic questions, Multidimensional scale of Perceived Social Support, Life Satisfaction Scale, and Loneliness Scale. Using SPSS (16) and Pearson correlation test, linear regression the data were analyzed.Findings120 male and 104 female students filled the questionnaires. 91 percents of the students were single and also 95 percents were residents of university dormitories. There was a significant relationship between life satisfaction with loneliness in the subjects (p < 0.05). The higher social support from the family and friends was also correlated with more life satisfaction and less loneliness (p < 0.05). Linear regression showed a significant correlation among social support, life satisfaction with loneliness.ConclusionFindings suggest that, in general, appropriate social support can reduce loneliness and increase life satisfaction. It is also one of the well being predictors. Therefore the universities should provide strategies to facilitate social support from family and the significant others. The empowerment of the students using teaching social communication skills may be helpful as well. The results were discussed within the context of findings from the studies conducted in eastern and western cultures.
Patient centred teaching: is it effective in teaching psychiatry to medical students?
Authors: Sharma J. , Manarkattu M. , Dave S. 
Published: May 2011

Aimsof this 2-staged study were to assess knowledge gain of medical students following an individual episode of patient-centred teaching. Participant satisfaction was also assessed.BackgroundThe education of medical students is an important role for trained medics using adabtable teaching methods, appropriate to the demands of students and medical universities. Delivery of patient-centred teaching in UK is ad-hoc, minimal and not standardised. However, medical education still tends to be delivered in the in-patient environment, where there is little supervision and students often have to identify patients on their own. Paucity exists in the evidence of whether bedside teaching assists in knowledge gain.MethodIn Derby, a Patient-centred clinic was developed in 2008. We conducted a pre-intervention/post-intervention comparison study to measure the knowledge gained during a teaching session. Participants were medical students from University of Nottingham, and in-patients at the Unit. Following this, standards were set and assessing questions were changed to multiple choice style questions in January 2010.Resultsshow that there is an immediate knowledge gain, of an average of 22%. Students are satisfied with this method of teaching and patients have felt that their input has been valued. The second part of the study has confirmed these findings.ConclusionsThe study demonstrates usefulness of patient-centred education in improving clinical knowledge. Adoption of this form of teaching will benefit not only medical students in their psychiatry placement in Derby, but also the wider medical student population. This method can also be implemented in other acute medical specialties.
Audit on the documentation of patients medication in the letters from psychiatrists to the generalpractitioners
Authors: Sharma N. , George M. , Owen B. 
Published: May 2011

IntroductionClinical correspondence between general practitioners and specialists remains fundamental to the process of referral from primary care and transmission of management advice from consultants.Discrepancies over medication records for patients with mental illness living in community were highlighted by a previous audit and recommendation for improvement were accepted and implemented by the trust.AimsAn audit of the documentation of patient's medications in the Psychiatric clinic letters compared to the general practitioners records was done two years back and several recommendations were made to improve the communication.The aim of this study was to examine if the recommendations from the previous audit was implemented and if the quality of communication about medication conveyed by the Psychiatrist to the General Practitioner improved.MethodsLatest Psychiatric clinic letter of 50 patients were randomly selected from the computer database and they were checked against the latest GP records.The expectation is that the Psychiatric and GP records would correspond 100%.ResultsThis re-audit revealed most of the recommendations from the previous audit were implemented and as a result of that, the numbers of errors were reduced. However there were still significant errors detected including wrong medication, omission and incorrect dosage, schedule and frequency.
ADHD and driving
Authors: Strohbeck-Kuehner P. 
Published: May 2011

People with ADHD are more often found to be involved in automobile accidents as well as attained a higher number of driving violations as compared with the statistical norm. The main reasons which might cause these differences are: attention deficit due to distractions, impulsive actions, as well as the elevated co-morbidity with alcohol and drugs. ADHD should be considered and reviewed as an influential factor of driver fitness. By treating ADHD with certain stimulatory medications very successful results have been obtained. These results include a better ability to adapt to traffic situations, avoiding accidents as well as following traffic regulations.In an own study, we compared 27 untreated clinical referred adults with ADHD with 27 controls matched by age and gender. Nineteen of the ADHD-subjects performed a test battery to assess driving related cognitive measures and were reassessed after at least six weeks of treatment with methylphenidate (n = 9) or after a six week medication free period (n = 10). We found, that the ADHD subjects were more often fined and registered by traffic authorities and were more frequently involved in traffic accidents. Methylphenidate treatment resulted in improved performance, e.g. better visu-motor coordination, improved visual orientation and sustained attention, compared to baseline and the untreated control group.
A narrative literature review on the applications of medical laboratory tests in the clinical practice of psychiatry: general areas and specific considerations
Authors: Tabibian S.H. , Malekian A. 
Published: May 2011

IntroductionLaboratory medical tests have different applications in the field of psychiatry. Some lab tests are done for psychiatric inpatients and outpatients as a routine basic assessment. These tests may be important for diagnosing or ruling out some possible organic causes of psychiatric symptoms and/or co morbidities, or as comparative basic data for further evaluation of some important psychotropic medications effects and/or side effects. Some other important areas of lab tests applications are monitoring serum levels of some psychotropic drugs for evaluation of patient's compliance/noncompliance to drug, for establishing and maintaining effective therapeutic blood levels of medications, for assessment of the etiology of non-responsiveness to pharmacotherapy as well as several other clinical implications.MethodsThrough an extensive and comprehensive literature review in this non-systematic review study, authors have classified the application of laboratory tests in the psychiatry practice from several aspects.ResultsLaboratory tests were classified regarding different aspects like the frequency of prescription by psychiatrists, cost-effectiveness of some routine assessments, legal obligation and claims issues, follow up considerations, psychotropic drugs false/real interactions with some laboratory tests and some false positive /negative laboratory results with great importance in the psychiatry practice as well as several other issues.DiscussionBoth psychiatrists and laboratory practitioners need to have some basic information about each other’s field of practice, concerns and needs. This review presents a more clear sense of the interactions and necessary co-operations between psychiatrists and medical laboratory professionals.
Inclusion of an alcoholic Rehabilitation Unit in a general psychiatric inpatient service
Authors: Teixeira J. , Casquinha P. 
Published: May 2011

IntroductionPatients with psychiatric disorders are admitted to psychiatric units for evaluation and treatment in the acute phase of illness.AimsTo perform a descriptive analysis of psychiatric hospitalization characteristics before (phase1) and after (phase2) the inclusion of the Rehabilitation Unit for Alcoholic Patients (RUAP).MethodsA retrospective study with clinical and statistical data analysis of patients admitted to a general Psychiatric Hospital twelve months before and after the inclusion of RUAP.ResultsThe sample had 741 patients (376 males, 365 females). Hospitalization characteristics data is presented in table1.[Hospitalization characteristics of phase 1 and 2]ConclusionSample demographic characteristics were similar in both phases. Although mood disorders were the more prevalent diagnosis, after inclusion of RUAP, Alcoholic Dependence Syndrome became the most frequently assigned diagnosis. It is also relevant the higher mean occupancy rate and the higher number of patients admitted to the service. Patients social characteristics in phase 1 and 2 need further investigation.
The examination of the observation forms for the risky patients in the psychiatry clinics comprehensively and quantitatively in terms of nursing problem areas
Authors: Tün H. , Oflaz F. , Bozkurt A. 
Published: May 2011

AimThe goal of the study is to determine the problems that the nurses tend to look and to constitute a common language in the acute care unit.MethodIn the study, document analysis method was used. The observation forms filled by both nurses and physicians for the risky patients were examined. For the examination and categorization, a coding chart containing the problems in both forms was used. Risky patient assessment form of thirty two patients (filled by the physician) and three hundred fifty five nurse observation forms used for same patients were included into the study.ResultsThe mean of days in which observations recorded by the nurse were 15.29 ± 6.98 (min.4-max.29). The risky patient form was filled by the physician generally in the day that the patient was hospitalized. The majority of the patients for which observation form was filled had psychotic disorders. It has been seen that “self-care deficit” (70.7%) was mostly marked and, “eating the meal” (74.1%), “anxious facial expression” (44.5%) and “sleeping at night” (52.7%) were tagged mostly in nurse's form. In the physician's form, aggression and agitation was mostly marked (63.1%).ConclusionThe problems declared in the nurse observation form are rather concerned with the daily life activities not including sufficient information in terms of the risk creating characteristics. It has been concluded that the changes should be assessed quickly and clearly. The observation forms do not provide practical information about the course of the disease although these are kept daily.
A typology of patients’ relatives with conversive and/or dissociative disorder built from the relationship established with these patients in the southeast Brazil: A clinical-qualitative study
Authors: Vianna F.C. , Böttcher-Luiz F. , Turato E.R. 
Published: May 2011

IntroductionHysteria is manifested by physical (conversion disorder) and/or psychical symptoms (dissociative disorder), without changes in organic basis, given that they are symbolic manifestations of repressed conflicts that return from the Unconscious. Due to frequent childish and theatrical character that accompanies those events, hysterical patients often mobilize negative attitudes and feelings in peoples of their conviviality.Aimto discuss the psychological meanings of living with such patients.MethodClinical-qualitative method.ResultsA typology of relatives emerged from the interviews: the ambivalent, by one side relate well with the patients wanting to take care of them and showing, by the other side that they feel emotionally overloaded, considering the remoteness; the promoter who seek to save the patient from experiences unpleasant and situations likely to produce emotional crises, thus, are more likely to be the target of the action of the patient, the responsible who wish to leave the patients, but do not because they think nobody will care of them, which would worsen the health condition of these patients.ConclusionAs the hysterical patient has clinical manifestations in order to attract attention to themselves and to manipulate the people around them so that they act in their favour, the attitude of the relative can be both stimulating and repressing of those behaviours, possibly interfering in the clinic evolution of the patients. It is, therefore, important that the doctors and nurses know the relationship between caregivers and patients, in order to instruct them on how to better act with those patients.
The viennese psychiatric intensive care unit - diagnostic distribution
Authors: Winkler D. , Naderi-Heiden A. , Strnad A. , Winkler-Pjrek E. , Scharfetter J. , Kasper S. , Frey R. 
Published: May 2011

BackgroundPsychiatric intensive care is supposed to offer treatment and to hold patients with psychiatric illness, if they pose a threat to themselves or to others.MethodsA chart review was performed including 100 consecutive inpatients (52% females, age: 45.7 ± 17.8 years) treated at the Viennese psychiatric intensive care unit (PICU) in the years 2008 and 2009. Clinical key features and the distribution of mental disorders (according to ICD-10) in these patients are reported here.ResultsThe mean duration of stay was 18.9 ± 14.8 days. 52% of patients were admitted involuntarily. 18% suffered from organic mental disorder (12% from delirium), 20% were diagnosed with mental disorders due to psychoactive substance use (9% alcohol dependency, 6% benzodiazepine dependency, 5% multiple drug use), 16% had a diagnosis of schizophrenia, 10% of schizoaffective disorder and 5% of transient psychotic disorder. 20% suffered from recurrent depressive disorder, 15% from bipolar affective disorder and 3% from a single depressive episode. 8% fulfilled diagnostic criteria of a neurotic, stress-related or somatoform disorder. 12% had eating disorders, 9% had personality disorders and 1% was diagnosed with mental retardation. Only 15% of patients had a first episode of psychiatric illness. 4% were admitted after an accident and 21% after a suicide attempt (45% poisoning, 25% jumping from height, 20% cutting/piercing with sharp object, 5% vehicular impact, 5% self-immolation).ConclusionsAll major psychiatric diagnoses can be found at the Viennese PICU, either if patients are in a life-threatening condition, or if additional somatic illnesses require intensive care management.