bluuebunny/crossref_metadata_2025_split huggingface dataset:
Memory Disorder in Persons with Asperger Syndrome
Authors: Vidojevic I. Milacic 
Published: March 2009

Aim:Asperger syndrome (AS) is a term used to mark a subgroup of autism with no delay in language or cognitive development. Research reveal language and cognitive impairments in AS (uneven profile of abilities on Wechsler intelligence scales, pragmatic deficits, receptive speech, narrow attention and difficulty in shifting attention, etc). The objective of this study is to examine episodic memory of children with AS. 12 children with AS age from 7-16 years old, 11 males, 1 female participated in the study. All children had an IQ in the normal range.Method:Buschke Selective Reminding Test was used in the present study as a measure of episodic memory suitable for the age range of the children in the study.Results:scores gained by the children with AS comparing to the scores of the normally developing children indicate deviation on the measures of recall, long term storage, consistent long term retrieval and increased number of intrusions. Only 3 subjects scored within normal limits. Information produced on immediate recall was not lost over 30-minute delay.Conclusion:results shows dominant problem in organization of stored information.
Suicidal Behaviour and it Relation to Proximal Factors
Authors: Ahmadian M. , Nezam T. Shamshiri , Badvee I. , Homayuni A. 
Published: March 2009

Introduction and aim:The main purpose of the current study was to identification proximal risk factores including stressful life events, abuse specially emotional abuse, planning, methods and availability of methods for committing suicide.Method:This study has been run in a emergency settings over a period of 1 year and data gathered from a total of 120 participants including 52 male, 68 femal who had recently attempted suicide. The mean age of the samples was 22 (SD=3.9; max=33; min=18) and the mean level of education was 11 (SD=2.3; max=16; min=7). All participants completed the short form of WHO supremiss questionnaire (42 item version).Data were analyzed using regression logestic and Chi square formula. The alpha coefficient reliability of this short form of WHO supremiss questionnaire was 0.67.Results:The results showed that the most common way to suicide (%58) was self-poisening (drug over doze with sedatives and anti depressants). The most common proximal risk factors were serious arguments with family or spouse, serious personal physical illness or hopelessness in a short period of time after an acute life event. Approximately %65 of this patients had a serious plan for suicide and Three fourth of patients had problems with their parents who neglect, over protect or abuse them.Cunclusion:The roles of different psychological stressors and vulnerability factores in attempted suicide will vary according to the time lapse from the stressor until the suicide attempt. understanding distal and proximal vulnerability factors involved in attempted suicide has important implications for both theory and practice.
HIV/Aids and Mental Illness Dual Diagnosis: Exploring Healthcare Professionals’ Perspective
Authors: Balzano R. , Guidi M. , Sepio D. , Martini L. , Puro V. , Girardi E. , Orchi N. 
Published: March 2009

Aims:A growing body of scientific literature emphasizes a strong linkage between HIV/Aids and serious mental illness. In the Italian context, specialized services for combined management of dual diagnosis are increasingly requested, and healthcare professionals (HPWs) have to face up the difficulty emerging by this new situation. To bridge these gaps, the present study aimed at studying the representations of dual diagnosis, analyzing HPWs’ experiences from their own perspectives, in order to understand their difficulty and create future good practices in healthcare services.Method:A quali-quantitative study was conducted with a multidisciplinary sample of professionals (N=91), drawn by HIV/Aids and Mental Health sites. Due to the exploratory nature of the research, data were collected from semi-structured interviews: HPWs were asked about their work experiences with HIV/Aids and Mental Illness. The interviews were fully audio-taped and verbatim transcribed. A computer-aided lexical correspondence analysis was conducted by a dedicated text-analysis software.Results:Data analysis showed out two main factorial dimensions: the first regarding the representation of the “Management of dual diagnosis within Health Services”, and the second one referring to the “categorization of HIV/Aids-Mental Illness co-morbidity”. Furthermore, four different Representational Conceptions were highlighted, corresponding to as many different ways HPWs use to represent/depict the aims of Health Service in relation to HIV/Aids-Mental Illness co-morbidity.Conclusion:This study reveals that socio-cultural meanings of dual diagnosis are not fixed; rather, they are ongoing co-constructed within the activities carried out by the HPWs involved in their specific health contexts in the exercise of their profession.
Comparative Investigation of Maternal Health and Reha of the Mothers with Low Birth Premature Bilitation Infant, and Term Infants
Authors: Dabirzadeh S. , Kermani A. , Kermani S. , Kermani A. 
Published: March 2009

Introduction:The future of a society depends on children's health. Children's growth and health is directly influenced with mother's health. This study has targeted on defining and comparison of maternal health of mother's with low birth and premature with the one of mothers with term infants.Materials and methods:This descriptive analytic study was carried out on 200 mothers with low birth and premature infants selected by target focused sampling. The date were collated related to maternal health concerning weight, age, smoking, taken drugs pre delivery weight, times of pregnancy, anxiety due to crisis and maternal health care. The data were analyzed by descriptive and inferential statistics.Results:The findings related to mothers weigh before pregnancy showed that there was not a significant difference between most of the mothers with low birth and premature infants aged between 45 to 54 weight years and mothers with term infants of birth than 105kg (P< 0/01, DF= 182). Regarding maternal health in both groups there was a significant difference between taken drugs and duration and dosage, maternal health and anxiety.And restlessness.Since mothers play a major role in care of children and their own mental health influences their children physical and mental health, health team should play close attention to mothers mental physical and social health preservation in order to enhance their children physical and mental health as well.
Gender Differences in Family Burden Experienced by Caregivers to People with Intellectual Disability
Authors: Gutiérrez-Recacha P. , Martorell A. , Pereda A. 
Published: March 2009

Background:The term ‘family burden’ has been introduced to describe the adverse consequences of life with severely disturbed psychiatric patients. Its use has been extended to people with intellectual disability (ID). Literature has established a distinction between the intensity of worry and appraisals experienced by caregivers (subjective burden) and the real amount of resources (time, money, health, etc.) spent on the care (objective burden).Aims:To compare the possible effect of gender on the burden experienced by a group of caregivers to people with ID in Spain.Methodology:179 adults with intellectual disability clients of the Carmen Pardo-Valcarce Foundation's sheltered workshop in Madrid (Spain) were asked to participate in the present study along with their main caregivers. Burden experienced by caregivers was assessed with the ECFOS-II / SOFBI-II scale (Entrevista de Carga Familiar Objetiva y Subjetiva / Objective and Subjective Family Burden Interview). The tool has been validated for people with ID. It hasan introductory section plus 8 modules which assess different domains of burden.Results:Only two modules of the scale showed significant differences depending on the gender of the user. These modules refer to the need of assistance in everyday activities and motives for concern for the caregiver (p< 0.05).Discussion:In overall terms, caregivers experience the same level of burden when caring either for a son or for a daughter with ID. However, gender differences arise when considering specific domains, showing that social stereotypes can account for a higher level of subjective burden associated to female gender.
Continuity of Care, Systems Integration and Patient Transitions: Central or Local Psychiatric Beds? The VELO-Project
Authors: Myklebust L.H.R. , Bjorbekkmo S. , Nymann A. , Molvik S. , Olstad R. , Sørgaard K. 
Published: March 2009

Background:Although scientifically controversial, continuity of care for patients with serious mental illness has long been a key-concept in the evaluation of deinstitutionalized mental health services. It is associated with systems integration, and particularly relevant in transitions from in- to outpatient status at the individual level. The theme is highlighted in a close to natural experiment that was part of the VELO-project, were two neighboring mental health service-systems diverge concerning their organization of in- and outpatient services.Aim:To investigate the significance of systems integration of inpatient and outpatient services on continuity of care for individual patients.Method:244 inpatients from the services case-registry (2005) were followed concerning their pattern of both inpatient and outpatient service use. The results were controlled for length of hospitalization, diagnosis and demographical variables.Results:Overall for inpatients, the low-integrated system shows significantly less outpatient activity than the high-integrated system. This pattern is not associated with differences in general service profile of the systems, and holds up for patients suffering from schizophrenia and anxiety, but not for affective disorders.Discussion:The results may be explained by differences in geographical and managerial organization of the two systems.Conclusion:High level of systems integration is important in reducing the risk of discontinuity of care for patients suffering from severe mental health problems. Level of integration may interact with differences in vulnerability for transitions of individual patients.
Relationship Between Developmental Problems and Family Functioning
Authors: Lopicic Z. , Perunicic I. , Djerkovic I. 
Published: March 2009

Objectives:A lot of theories point that developmental problems could be coused by many socio-psychological factors in children’s environment, especially in the family functioning. The purpose of the study is to investigate those factors.Method:The sample consisted of 60 children from a development counselling services and 90 children with no diagnosed disorders. The parents were administered: a questionnaire about socio-demographic characteristics (characteristics of family functioning in a primary family and in parents’ families; methods that parents use in upbringing and commitment of parents to the function of upbringing), GRADIR-test (measures family functionality).Results:We found statistically significant differences in family functionality between two groups of children. The characteristic of family functionality of children with developmental problems is that family relationships are more structured and emotional expression is reduced. By hierarchical regression analyses we found that statistically significant Betas that could predict developmental problems expresses a well functioning mother, aggressive, punishing father and a child with a weak impulse control.Conclusion:Our findings imply that families of children with developmental problems are well structured (rigid) and emotionally cold, fathers are aggressive and punishing and even though mothers are well functioning and shows healthy behaviour in upbringing, it seems that they don’t have as much influence as pathological patterns in family have.
Patients Satisfaction Within Community Mental Health Centres
Authors: Salčić D. , Mehmedbaić A. Bravo , Kučukalić A. 
Published: March 2009

Introduction:By the and of the war in Bosnia and Herzegovina process of psychiatric care reform has started by implementation of community mental health care concept. This way of mental health care organization is based on community mental health centres.Aim:Aim of this article is to assess the level of patients satisfaction with community mental health care provided within community mental health centers.Method:Research was conducted in three towns (Sarajevo, Zenica and Banja Luka) in Bosnia and Herzegovina in which the best possibilities for implementation of new organizational concept of care are existing. As research instrument adapted version of Patient satisfaction questionnaire within outpatient community mental health care was applied randomly with community mental health centers users.Results:In all targeted areas users of care expressed with high score their satisfaction with mental health professionals understanding for their situation and high level of trust toward mental health professionals. They were satisfied with time they spent with person who treat them, as well as with frequency of contacts with them, efficiency of therapy and efficiency of treatment in general. The level of satisfaction with the information regarding the treatment was optimal, but the lowest score for these items were registered in town Zenica.Conclusion:Results of the study, according to the level of patients satisfaction with services provided within community mental health centers, as a measure of their quality, indicates that focused community mental health centers provide services of good quality. It is neccessary to improve patients information regarding mental health disorder they are suffering from, as well as about treatment possibilities.
Correlation of Diagnosis, Risk Assessment and Involvement of a Care Co-Ordinator [CPA Status] in an English Community Mental Health Team
Authors: Agius M. , Kilsby A. , Zaman R. 
Published: March 2009

Introduction:The Care Program Approach [CPA] envisages that patients with serious mental illness who are deemed to be at risk [of self harm, harm to others, or serious deterioration of their condition] should have an appropriate assessment of needs, an appropriate care plan and should have an allocated care co-ordinator to implement the plan.We investigated whether patients with Bipolar Disorder, Schizophrenia and Depression, who had recorded risk factors did indeed have an allocated care co-ordinator in a typical English Community Mental Health Team [CMHT]. This issue is of importance in describing ‘Treatment as Usual’ in a CMHT when comparing it to newer forms of management, such as assertive outreach teams.Method:We used a database held by a CMHT in order to assess whether all patients with the above diagnoses did indeed have an appointed care coordinator.Results:The results show poor correlation between diagnosis, presence of risk factors, and the appointment of a care coordinator. Interestingly, patients with bipolar disorder appeared more likely to have a care coordinator appointed than patients with schizophrenia. Patients with depression were least likely to have a care coordinator appointed.Conclusion:Lack of resources in the CMHT may account for the results. Another issue may be that, with treatment, patients may become less risk prone, but the work of the care coordinator may not be completed, and so the care coordinator may continue to be involved, thus being unable to move to other more needy patients in the team.
Perception of Primary School Teachers About Asperger’s Syndrome
Authors: Agyapong V. , Migone M. , Marckey B. 
Published: March 2009

Objectives:To assess the knowledge and perception of primary school teachers about Asperger's Syndrome (AS).Methods:Structured questionnaires about AS were posted to 90 primary school principals for them to distribute to teachers in their schools.Results:343 completed questionnaires were returned by 54 principals giving a response rate of 60%. Of these, 49% of the teachers reported that recognition and management of emotional and behavioural disorders was covered in their undergraduate training whilst 58% said they had ever taught a child with AS. 90% said intense absorption in certain subjects was a feature of AS, 84% recognised lack of empathy and poor social interaction whilst 58%, 64% and 69.7% respectively recognised pedantic repetitive speech, clumsy or ill-coordinated movements or odd postures and poor non-verbal communication as features of AS. 71% said children with Asperger's Syndrome should be taught in mainstream classes. However, only 10.5% of the teachers believed that main stream schools in Ireland are adequately resourced to cater for children with AS. 87.2% said they saw the need for a closer collaboration between schools and psychiatric services in the management of children with AS whilst 96.2% said they would like to receive in-service training on the management of children with AS.Conclusion:Most primary school teachers recognise the features of AS and want schools to have greater collaboration with psychiatric services regarding management of AS. An in-service training for teachers on the management of AS might be of benefit to children with AS.
Alopecia Areata in United Arab Emirate Adult Men’s Locals the Pattern and Profile
Authors: Almalmi M. 
Published: March 2009

Background:Alopecia areata (AA) is a recurrent nonscarring type of hair loss that can affect any hair-bearing area. Clinically, AA can present with many different patterns. Although medically benign, AA can cause tremendous emotional and psychosocial stress in affected patients and their families.Objectives:To study the pattern of alopecia areata in UAE adult men’s locals.Patients and methods:Twenty adult men united arab emirate local patients 20 to 40 years old presented with single or multiple hairless oval smooth skin lesions in the scalp and beared area. The duration was weeks or months. Skin and hair scraping and examined with 20% potasium hydroxide (KOH) for superfacial dermatophytosis was negative. There were no septic fossi. Most of the patients suffered or complained from anixiety neurosis, emotional stress, tention and social families problems. The treated with psychosocial reasssurance and interalesional injection therapy with Trimecinilone Acetonide (TA) vials for one set and they get better.Results:The clinical data, investigations, psychosocial analysis revealed that the twenty UAE locals had alopecia areata in the scalp or in the beared area. The most cuases were psychosocial.Conclusions:Alopecia areata in UAE adult men locals is very common hair and skin disorders. The psychological and social troubles play important role in the occurance. The governmental health departments as Dubai health organization (DOH), ministry of helath, (MOH) and Abu dhabi Health Authority (HAAD) in UAE must introduce psychological, social solutions, counciling and suporting for those patients.
Sexual Health in Parkinson’s Disease
Authors: Azevedo J. , Rosas M.J. , Esteves M. , Sousa C. , Vaz R. , Garrett C. , Palha A. 
Published: March 2009

Introduction:The changes in sexual health of patients with Parkinson's disease must be a concern to the clinicians. The effects in sexual health of patients submitted to functional cirurgy is still a matter of debate.Objectives:To describe and evaluate the sexual health of patients with Parkinson's disease following deep brain stimulation (DBS) of the subthalamic nucleus (STN).Methods:Patients with Parkinson's disease bilaterally implanted for DBS of STN and those only pharmacologically treated, will be evaluated. Sexual functioning will be assessed using the international erectile function indices (IEFI) and the female sexual function indices (FSFI). Depression and anxiety will be evaluated using the Beck depression inventory and the brief symptom indices. Relations between sexual functioning and modifications in the severity of disease (Hoehn and Yahr stage), reduction in levodopa equivalent daily dosage (LEDD), age, and duration of disease will be analyzed.Results and conlusions:We expect to find positive changes in the sexual health of these patients, given the fact of the procedure improve the overall burden of the disease by reduction of medication and motor symptoms.
Internet use by Patients with Psychiatric Disorders Searching for Medical Information
Authors: Balanzá V. , Tatay A. , Cepeda S. , Merino T. , Lloret M. , Laguna L. , Calabuig R. 
Published: March 2009

Aims:Despite the increasing use of the Internet to seek medical information, little is known about the web search for mental health information among psychiatric patients. We aimed to identify the patients’ demographic and clinical characteristics that better predict the search for medical information, as well as the most consulted aspects of psychiatric disorders.Method:Over a one-month period, a consecutive series of patients followed at one Spanish hospital psychiatric outpatient clinic completed a 13-item questionnaire about their personal Internet use.Results:Among the 144 participating patients (72% women), 61% reported having ever used the Internet, with lower search rates for general health (34%) and mental health (22%) data. There were no differences by sex, but Internet use was more frequent among younger and higher-educated patients, as well as among those with eating disorders and personality disorders. Patients were most interested in diagnosis and treatment facets. A model with age (exp.β=1.05; p=.001) and high-school education (exp.β=5.55; p=.004) predicted searching for general medical information and correctly classified 75% of the sample (R2=0.3; p=0.004). Age was the only variable predicting specific search about mental health (exp.β=1.05; p=.001), and correctly classified 76% of patients (R2=0.2; p=0.001).Conclusions:The results of this one-site pilot study went in the anticipated direction and suggest that possible differences in the access to Internet according to the diagnostic group merit further research with multi-centre, larger samples.
Representation of HIV/Aids and Mental Health Co-Morbidity in Medical and Social Sciences Literature
Authors: Balzano R. , Sepio D. , Guidi M. , Puro V. , Girardi E. , Orchi N. 
Published: March 2009

Introduction:Aim of this article is to explore the ways in which, over the last 25 years, knowledge about HIV/Aids and Mental Health co-morbidity has been represented within medical and social sciences literature.Methods:The study has been conducted on the texts of 1101 published manuscripts abstracts within from 1984 to 2008, referring to 379 different journals and retrieved on PUBMED database. It was used the following database search string: ("mental health"[Title/Abstract]) or ("mental illness"[Title/Abstract]) AND (("aids"[Title/Abstract]) or ("hiv"[Title/Abstract]))). A Computer Aided Text Analysis was conducted with dedicated software: T-Lab (Lancia) using Cluster Analysis.Results:Cluster Analysis allowed to identify five different main dimensions: 1:(27,68%) Health-care Service organizational development; 2: (22,10%) Mental health as empowering precursor of infection risks. 3: (8,58%) Quality of life; 4: (19,17%). Therapies and treatments’ research; 5: (22,46%) Psychological issues, emotions and distress correlated to seropositive patients and their caregivers. Figure 1 it is a way to outline the five clusters literature trends over the time of 25 years.Conclusions:Our review could help to identify particular areas in need of change, to provide a baseline against which to assess future changes and to provide data for use in research health planning and policy analysis.