bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-170 - Opinions of Italian Residents in Psychiatry on Their Training Course
Authors: Giacco D. , Luciano M. , Volpe U. , Fiorillo A. 
Published: June 2010

ObjectivesTo assess trainees’ opinions on the quality of provided educational programs, as recently pointed out in several European countries.MethodsThe opinions of 198 Italian trainees in psychiatry on their training and their future career were assessed by means of the Questionnaire on Training in Psychiatry (QTP).ResultsRecruited trainees were predominantly female (68%), with a mean age of 30.0 (± 3.0) years. Thirty-seven percent of them chose psychiatry because “it has always been a dream”, 20% by chance and 17% because they felt “keen on it”. Seventy-seven percent of residents interviewed would make the same choice again if they could turn back time.Seventy percent of the respondents were “globally satisfied” with their training, especially in clinical psychiatry, psychopathology and psychopharmacology. Residents reported that training in psychotherapy, in psychiatric rehabilitation and in forensic psychiatry were the most neglected areas in their specialization course. Only 9% of them participated in exchange programs, finding them useful for their professional life and experience.ConclusionsThese results show that Italian psychiatric trainees are globally satisfied with the quality of their training. However, they feel that the training course in some neglected areas, such as psychotherapy, rehabilitation and forensic psychiatry, should be improved, and that exchange programs in other countries should be promoted.
P02-172 - How well Prepared is a Psychiatric Ward for Dealing with a Medical Emergency?
Authors: Gordon C. , Graham J. 
Published: June 2010

ObjectivesGeographical separation of psychiatric units from general hospitals may significantly delay provision of optimal treatment for patients in a medical emergency. Following a ‘near miss’ event, we explored how well equipped our unit is for managing such cases. Our objectives were: To explore how confident staff are in dealing with medical emergencies1.To measure staff confidence levels in emergency care procedures2.To evaluate staff orientation by exploring how well staff could locate key equipmentMethodsDistribution of a questionnaire survey asking respondents to rate their confidence in various emergency skills, for example maintaining an airway. Staff were also asked to rate their confidence in being able to locate emergency equipment and medication when necessary. In addition, suggestions for improvement in provision of any aspect of emergency care were sought.Following this, data collation was performed by various members of the multi-disciplinary team with scrutiny of current practice. Areas of change include layout of emergency trolley, revision of staff induction to emergency equipment and provision of easily accessible protocols for common medical emergencies. Following these changes, the questionnaire will be re-distributed and the datasets compared.ResultsWe anticipate that the survey will be completed by February 2010ConclusionsThis investigation will provide very useful, practical data on how well prepared for an emergency a typical psychiatric ward and staff are for providing immediate emergency care. This will have implications for induction and staff training policy, to ensure patient safety and provision of appropriate medical treatment.
P02-177 - Serotonin Syndrom - a Case Report
Authors: Aljukić N. , Hasanović M. , Bećirović E. , Sutović A. 
Published: June 2010

Serotonin syndrome is a potentially deadly reaction that occurs as a result of: therapeutic use of medicament, as a consequence of drugs’ interaction or intentional overdosing with medicaments that influence on the serotonin metabolism.In this paper the authors presented brief theoretical consideration of etiological causes for clinical onset of serotonin syndrome, clinical features of serotonin syndrome and difficulties in discovering the same in clinical practice. Furthermore, diagnostic criteria, differential diagnoses, treatment and prevention of serotonin syndrome were presented.Authors presented the case report of female inpatient treated in Psychiatry Clinic in Tuzla University Clinical Centre, whose state of somatic deterioration understood originally within the clinical features of basic diseases. Correspondingly, the dose of pro-serotoninergic antidepressant was increased. Subsequently, and timely recognition of serotonin syndrome, and therapeutic corrections of medication, were of great importance in the course of patients’ recovery.
P02-185 - Healthy Siblings of Children with Cancer: the Forgotten Givers
Authors: Karampela K. , Hatira P. , Damigos D. 
Published: June 2010

ObjectivesTo understand how healthy siblings visualize and represent health and disease as conditions affecting them and others in their family. Furthermore, to evaluate the emotional settings following health and disease for healthy siblings, the reasons lead to illness and what could be done to avoid that path. Additionally, this study aims to investigate the parameters that interfere with the physical and emotional living of healthy siblings and finally to access their subjective knowledge on disease and in particular, cancer.MethodsFourteen healthy children, aged between 7 and 14, siblings to children diagnosed and receiving treatment for leukemia (acute lymphoblastic & myelogenous leukemia), nephroblastoma (Wilms’ tumor), lymphoma, rhabdomyosarcoma, where evaluated according to the Hatira's Projective Technique.ResultsAnalyzing the interviews lead to different kind of responses; some positive but mainly negative ones. The negative reactions addressed emotional instability, rejection, separation, siblings’ rivalry, the medical treatment itself and the fear of death, while positive reactions concerned self-awareness, sensitization, earlier maturing and increased family coherence after the crisis.ConclusionThe physical relationship between siblings is a special kind of human relationship that can outrun time and crises, even outgrowing in some cases the relationship between parents and their children. On the other hand, it is simultaneously a very fragile and vulnerable relationship, since traumatic experiences such as those arising from childhood cancer interfere with the mental and emotional growing of the healthy brother or sister, causing confusion to the body, mind and soul.
P02-187 - Iranian Nursing Students' Experiences in Psychiatric Unit
Authors: Karimollahi M. 
Published: June 2010

AimAn exploratory study was conducted with the aim of discovering and describing experiences of nursing students during clinical placement in a psychiatric unit in an Iranian hospital.MethodThis hermeneutic phenomenological study was carried out in a psychiatric unit of an educational hospital in Iran. Data were produced with 13 participants using in-depth interviews to detain their full experiences in psychiatric unit. Analysis rooted in the Diekelmann manner facilitated data interpretation and clarification of frequent themes.FindingsFour correlated themes - Anxiety, Maturation, Routine learning and Enthusiasm were recognized in the data.ConclusionThese results present exclusive insight for scheduling and applying fitting clinical Education in Iran, especially in psychiatric units. The exploration and description of experiences of the nursing students will help nurse educators plan clinical learning opportunities in such a way that they are less stressful, thus ensuring that nursing students are equipped to utilize themselves as therapeutic instruments.
P02-190 - High Level of TV Viewing is Associated with Silent Inflammation
Authors: Korkeila J. , Markkula J. , Korhonen P. 
Published: June 2010

AimsMental disorders are associated with many harmful health behaviors such as smoking, abuse of alcohol or drugs, physical inactivity and overweight. Abdominal obesity has been positively associated with depressive symptoms independent of general obesity (BMI). Adult obesity has been associated with depression, especially in women. Recent evidence implies that causal link goes from depression to obesity. This study set out to investigate the relationship between depression, sleepiness, health behavior, BMI and inflammation.Material & methodsThe study based on a cardiovascular risk sample drawn from the participants of a population survey, (aged 45-70) which was carried out in in southwestern Finland. The subjects filled in several internationally known questionnaires: STAI-S (state-anxiety), BDI (depression), EQH5 and RAND-36 (health-related quality of life), Berlin, ESS and PSQI (sleep disorders), smoking and generic measures on health behavior (e.g. physical exercise, time spent watching TV and using PC, intake of calories and fat). Blood samples were drawn from the subjects to measure among other things hsCRP (n=1318).ResultsWe found a statistically highly significant correlation between BMI and hCRP (r=0.22, p< 0.001). Total daily minutes watching TV correlated with hsCRP (0.12, p< 0.001). Partial correlation between total minutes spent watching television and hsCRP while adjusting for depression or BMI did not render it the correlation insignificant not diminish its size.ConclusionsHigh level of TV use was associated with silent inflammation despite BMI. Heavy use of TV may be an indicator of harmfully increased stress levels.
P02-192 - Increase of Prefrontal Cortex Blood Flow During the Performance of the Original Version Trail Making Test
Authors: Kubo M. 
Published: June 2010

ObjectivesWe measured oxyHb and totalHb in the prefrontal cortex during the performance of original version TMT by multichannel NIRS using sensitive for detecting changes of oxyHb and totalHb.MethodsSixteen healthy student volunteers performed four different screens of TMT-A, and then two different screens of TMT-B.ResultsOxyHb increased while in the prefrontal cortex during the performance of TMT-A and TMT-B. The changes were prominent during the TMT performed at first. OxyHb significantly increased in the right lateral prefrontal cortex during TMT-A while it significantly increased in the bilateral prefrontal cortices during TMT-B.The results suggest that blood flow increases in the prefrontal cortex during the performance of TMT, and that the bilateral prefrontal cortices are involved in the performance of the original version TMT.ConclusionWe showed an increase of oxyHb during the performance of TMT in the prefrontal cortex. The increase of oxyHb was more prominent in TMT-B than in TMT-A.The present study suggests that the simultaneous use of the paper version TMT and multichannel NIRS may provide evidence to disclose neuronal mechanisms related to cognitive functions.
P02-196 - Case Report: Behaviour Alteration with Brain Iron Accumulation
Authors: Lazaro M. , Echeverria N. , Rodriguez J.R. , De La Torre F. , Escribano S. , Bango J.I. 
Published: June 2010

ObjectivesTo analyze psychiatric symptoms in relation to a case of Hallervorden-Spatz disease (neurodegeneration with brain iron accumulation (NBIA) or pantothenate kinase-associated neurodegeneration - familial brain degeneration with iron deposition in brain).MethodsPubmed revision on behaviour alteration and its relation to brain iron accumulation. Review of patient medical records, including image studies.ResultsA 52-year-old female with diagnosis of mental retardation and psychosis was treated and followed since 1999. Severe behaviour alteration motivated hospital admission in 2009. Over the last two years, the patient had developed progressive dementia, choreoathetosis, mutism, ideomotor apraxia, urinary and fecal incontinence, and corticospinal signs.A brain MRI (2008) revealed iron deposits in basal ganglia, hypointensity with an area of central hyperintensity (“eye-of-the-tiger”-sign) in both globus pallidi on T2. Based on clinical and MRI findings a diagnosis of Hallervorden Spatz Disease was made.Classic form of the disease is characterized by early onset and rapid progression, culminating in early death. Atypical disease, as in our case report, has a later onset and more slowly progressive course.Systemic chelating agents have not proved beneficial. Treatment remains symptomatic. Our patient has experienced a favourable response to low-dose trazodone and quetiapine.ConclusionsAt times, behavioral changes may predate neurologic manifestations, whereas at other times disturbances in mental status and physical functioning may coexist. Among patients with NBIA, those with atypical disease are much more likely to have psychiatric symptoms with cognitive decline. These features present in our case report usually make a difficult and late diagnosis and treatment.
P02-197 - A Link Between Romantic Attachment and Dimensions of Jealousy
Authors: Marazziti D. , Consoli G. , Albanese F. , Catena Dell’Osso M. , Baroni S. 
Published: June 2010

ObjectiveJealousy and attachment share some characteristics: both can be interpreted as dynamics aimed at maintaining the subjects/partners together, appear to be triggered by the separation from the attachment figure/partner, involve the same basic emotions, such as fear, anger, sadness, and, finally, both they elicit a sense of safety when the other is close and responsive, or the opposite when he or she is distant. Some studies showed that differences in attachment styles seem to influence both the frequency and the patterns of jealousy expression. However, jealousy is a quite heterogeneous phenomenon, even within the normality domain, and it would be more valuable to ascertain the impact of attachment styles on specific jealousy features. The present study explored the possible relationships between romantic attachment and jealousy in 100 healthy subjects.MethodsThe romantic attachment and jealousy were evaluated by means of, respectively, the “Experiences in Close Relationships” questionnaire (ECR), and the “Questionario della Gelosia” (QUEGE).ResultsThe ECR anxiety scale was related to all QUEGE dimensions, while the ECR avoidance scale to the self-esteem, fear of loss and suspiciousness dimensions. Individuals with the preoccupied, fearful-avoidant or dismissing attachment styles showed higher scores than secure subjects at all QUEGE dimensions, while dismissing individuals had lower scores at all dimensions.ConclusionsTaken together, these findings suggest that the two phenomena, attachment and jealousy, are intertwined.
P02-200 - The Beginning of Dual Pathology Psychiatric Inpatient Care Section (UPD)
Authors: Martinez Martinez C. , Gómez Martínez R. , Ortega García M.D. , Díez Garrido L. , Salazar Li C. , Alonso de la Torre M.A. , Rodríguez Campos A. , Rodríguez Carretero G. , Martínez Manjarrés J.D. , Blanco del Valle P. , Agúndez Modino A. 
Published: June 2010

IntroductionUPD is a regional referral hospital psychiatric care unit, endowed with multidisciplinary equipment. It provides care to people with light/moderate/severe intellectual incapacity coexisting with mental disease and/or severe behavioral disorders. It offers attention to patients who need a protected therapeutical environment for correcting behavior disorders. It was opened in September 2008.ObjectivesDescription of:therapeutic goals, inclusion/exclusion criteria, admission protocol and psychotherapeutic/pharmacological interventions.Analysis of inpatients's sociodemographic/clinical characteristics and preliminary assessment of therapy goals.MethodologyRetrospective study(13-month) of patients admitted to UPD of Leon Hospital from its inception to date. Data are collected from medical histories.Results47 referrals have been received,5 of them have been rejected not to fulfill criteria. We’ve 16 patients on waiting list.32 incomes have been realized and 22 discharges have occurred.19 of the incomes correspond to Mild,6 to Moderate,6 to Severe and 1 to Profound mental Retardation.Regarding co-morbidity:22 patients presented serious behavioral disorder. From this group, 2 met criteria for autistic disorder, 5 had schizophrenia or unspecific psychotic disorders, 5 presented Personality Disorder and one ADHD.10 patients did’nt present any important behavioral disturbance. From this group 2 were diagnosed with OCD,3 presented problems due to Alcohol and Substance-related Disorders,3 had Psychotic Disorders, one met criteria for Impulse Control Disorder and one presented Mood Disorder.Before admission, 12 patients resided in specific handicappeds center, 5 intermittently at selected centers and in family, and 15 lived with family.ConclusionsPsychotherapeutic intervention and treatment were useful in most cases. It was particularly helpful in treatment of behavioral disturbances. Now we must determine effectiveness in maintenance of improvement when they return to their community.
P02-201 - Safety of the Electroconvulsive Therapy-Paliperidone Combination
Authors: Masdrakis V. , Tzanoulinos G. , Markatou M. , Florakis A. , Konstantakopoulos G. , Papadimitriou G. , Oulis P. 
Published: June 2010

ObjectivesPatients with psychotic or mood disorders often undergo electroconvulsive therapy (ECT) while receiving antipsychotic and/or other pharmacological agents. Paliperidone (PLP) -a benzisoxazole derivative and the principal active metabolite of risperidone- is a second-generation antipsychotic which has been developed in an osmotic controlled-release oral-delivery system. Thus the peak-through fluctuations of its concentration in plasma are minimized, with consequently decreased incidence of side-effects. To the best of our knowledge, there are, as yet, no reports on the safety of ECT-PLP co-administration.MethodsNine female inpatients suffering from affective disorders (N=7) or schizophrenia (N=2) underwent ECT while receiving PLP (3-12 mg/d). Patients’ regimen included other psychotropic medications as well (mainly antidepressants and/or antipsychotics). All patients were monitored closely for recovery time, post-ictal delirium, cardiological and EEG status for at least one hour after each ECT session. In addition to their clinical evaluation, patients’ cognitive -especially memory- functioning was regularly assessed by the Mini Mental State Examination. Overall, patients underwent 83 sessions of bilateral ECT.ResultsECT-PLP combination was well tolerated and even in cases where cognitive side-effects were of moderate severity (three cases; all were also receiving venlafaxine), they were transient.ConclusionsAlthough anecdotal and thus in need of replication in well-designed large studies, our preliminary findings suggest that ECT and PLP can be safely combined whenever both indicated.
P02-206 - Multiple Deep Brain Stimulation Targets for Refractory Obsessive Compulsive Disorders
Authors: Moura A. , Cif L. , Gonzalez Martinez V. , Capdevielle D. , Ionita A. , Biolsi B. , Courtet P. , Boulenger J.P. , Coubes P. 
Published: June 2010

Obsessive compulsive-disorder (OCD) is a group of highly debilitating condition characterized by intrusive troubling thoughts, repetitive, compulsive behaviors or mental rituals. A notable percentage of patients are refractory to pharmacological treatment and cognitive behaviour therapy. Increasing attention has been paid to the efficacy of Deep Brain Stimulation (DBS) therapies in alleviating pharmacoresistant psychiatric disorders including OCD.ObjectivesThe aim of this prospective study was to determine the efficacy of DBS using several targets in a pharmacoresistant OCD population with heterogeneous symptoms.MethodsFive patients (3 males) have been included in the study. Patients were classified according to their prominent features as follows: contamination/cleaning, symmetry/checking, exactness/counting and forbidden thoughts.The entire surgical procedure was performed under general anaesthesia. Direct targeting based on stereotactic MRI without microelectrode recordings was done. A combination of two of the following targets was simultaneously implanted for all patients: subthalamic nucleus, accumbens nucleus and bed nucleus of stria terminalis, limbic globus pallidus internus.Patients were assessed pre-and postoperatively using the Yale-Brown Obsessive Compulsive Scale.ResultsMean age at surgery was of 42.6±12.68 years. Mean follow-up with DBS was of 21±14.88 months.Mean preoperative Y-BOCS scores was 31.6±2.70 and of 11±7.97 (p=0,057, Wilcoxon signed Rank test).ConclusionSubthalamic nucleus and accumbens nucleus targets seem to be comparable in alleviating several subtypes of compulsions (checking, cleaning, counting) as well as obsessions. Further investigations are required to assess the role of limbic globus pallidus in improving pharmacoresitant OCD. Implanted system was well accepted without triggering new obsessions.
P02-207 - Continuous Performance Test in Iranian Patients Undergoing Hemodialysis
Authors: Najafi M. 
Published: June 2010

ObjectiveMemory and concentration may be affected by hemodialysis in end-stage renal disease. In this study, changes in cognitive function parameters such as attention, impulsiveness, and reaction time were measured and evaluated in the Iranian hemodialysing patients.MethodsIn this analytic observational study, cognitive function of 38 hemodialysis patients was measured before and after hemodialysis sessions using Conners’ continuous performance test.ResultsMean age of patients was 37.97 ± 12.58 years. There wasn’t any significant difference between numbers of matches successfully recognized, number of Miss Faire and mean of reaction time of those matches successfully recognized before and after hemodialysis. There weren’t any differences between history of hemodialysis and number of matches successfully, matches missed and mean reaction time of matches. Educational level of patients was significant effect on number of Miss Faire during hemodialysis.ConclusionsIt has been concluded that hemodialysis did not have any significant impact on the cognitive function. However, this hypothesis needs to be checked and confirmed by careful selection of patients and other cognitive function tests.
P02-215 - Influence of Climatic Factors on Mortality of Psychiatric Patients
Authors: Popovic V. , Popovic I. 
Published: June 2010

Influence of climatic factors on human’s mental health was research in a lot of studies in the world last years. The aim of this study is identifying a relationship between various climatic factors and the mortality of psychiatric patients in Specialized psychiatric hospital ‘Gornja Toponica’ - Nis, Serbia.MethodologyData for our study we used from computer database in our Hospital. We analyzed one-year period. Climatic data we used from Meteorological station in Nis: temperature, pressure, moisture, wind, cloudiness and precipitation (rain, snow). We compared climatic factors in days when patients died and climatic factors in days without deaths in our hospital.ResultsThere were 108 died psychiatric patients during the year, average 2 per week. In 11 days there were two or three deaths. 270 days were without deaths. Minimum deaths were in spring (April and May: 4 per month), and maximum were in winter (December and January: 12 per month). Average age of died patients were 70 years old. After analyzing of climatic factors we concluded that quickly changes of weather conditions have a large influence on mortality of psychiatric patients, and only value of climatic factors don't have influence on mortality.