bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-340-Title: comparing of psychiatric co- morbidity disorders in primary school students with adhd subtypes (attention deficit, hyperactivity, combined) in academic year of 2009–2010 in arak-iran
Authors: Salehi B. , Ebrahimi S. , Moradi S.M. 
Published: May 2011

IntroductionADHD is one of the most prevalent psychiatric disorders in children.ObjectiveADHD have co-morbidity with many other psychiatric disorders.AimsAim of this study was Comparing of prevalence of three subtypes of ADHD with psychiatric Co- morbidity in primary school students of Arak-Iran.MethodsThis study was a descriptive analytic, cross- sectional one, which carried on 2000 (960 girls and 1040 boys)primary school students in 1st state of Arak in academic year of 2009–2010, which screened by Intelligence Raiven scale and 48 Canner’s questionnaire (parents and teachers)and if there were existed of any subtypes of ADHD, we have done K-SADS-E questionnaire(Schedule for Affective disorder and Schizophrenia -epidemiological version)for them, then data were analyzed by using descriptive- statistical methods and Logistic- regression for obtaining R. R.Results2.3, 3.5 and 2.7 percent of children have one of the subtypes of ADHD. The findings showed that prevalence of hyperactivity and attention deficit subtypes decreased while combined type increased by increasing age. The prevalence of two subtypes of hyperactivity and attention deficit in boys and girls were not significantly different but combined type was significantly different. Finally, there were differences between ADHD subtypes and Co morbidity of psychiatric disorders such as conduct, depressive,enuresis, tic, schizophrenia, oppositional, obsessive- compulsive, manic and social phobia, but these differences were not significant between girls and boys.ConclusionsPrevalence of subtypes of the ADHD were different between age and gender but there were not significant differences between Co morbidity of ADHD subtypes and psychiatric disorders.
P01-344-Violence from the perspective of adolescent participants in a health promotion and education group
Authors: Scherer Z.A.P. , Abrahão E.S. , Abrahão-Curvo P. , Scherer E.A. ,   GREIVI – Grupo de Estudos Interdisciplinar Sobre Violência
Published: May 2011

IntroductionAdolescent violence represents a severe public health problem. Adolescents between 10 and 19 years old can get involved in violent acts as victims as well as perpetrators.ObjectiveGet to know the senses and meanings attributed to violence from the perspective of adolescent participants in a health promotion and education group.AimsEnhance the understanding of the adolescent violence phenomenon.MethodA qualitative and descriptive experience report was carried out at the Child and Adolescent Care Center in the interior of São Paulo State – Brazil. The 15 study subjects participated in weekly group meetings taking between one and two hours, during which the brainstorming creativity technique was used.ResultsAccording to the adolescent participants, violence means everything that causes pain, suffering and is related with physical aggressions, discussions, rape, scolding and humiliation, pedophilia and violent movies on television. They denoted special concern with physical violence between couples and siblings and with songs that defile mainly the feminine image.ConclusionGroup activities that allow adolescents to reflect can enhance a more critical awareness of themes like violence. They can also stimulate the search for actions to improve the reality these subjects are inserted in.
P01-349-Female adolescents ‘health-information needs: a qualitative study
Authors: Shahhosseini Z. , Simbar M. , Ramezankhani A. 
Published: May 2011

IntroductionAlthough much has been written about the health status of adolescents, little is known about adolescents’ perception of their own educational health needs. The purpose of this article is to describe the educational health needs of female adolescents to plan support services.MethodsThis qualitative study was conducted in Mazandaran province, a province in the north of Iran. 67 female adolescents between 12–19 years of age participated in 8 focus group discussion. Inaddittion, semi structured interviews were done with 11 key informants including:5 parents,3 teachers and school counselors,2 obstetricians and one midwife. Participants were selected based on purposeful sampling and with maximum variety. All tape-recorded data was fully transcribed and thematic analysis was done.ResultsFindngs of this research around the adolescents’ health-information needs emphasized on 5 overarching themes including necessary for education, need for appropriate content, need for suitable methods, need for suitable sources and appropriate age for education.ConclusionThe results show that promotion of female adolescents’ knowledges about reproductive health and life skills is one of the most important health needs of them. Education of this issues via parents, schools and health care providers could promote the health status of adolescents.
Autism and violence
Authors: Touhami M. , Ouriaghli F. , Manoudi F. , Asri F. 
Published: May 2011

IntroductionAutism is a disorder of the overall development and early onset before the age of 3 years, characterized by a deviant functioning and / or delayed in three areas: social interaction, verbal and nonverbal behavior.The child may be aggressive, either to himself or to others. Communication difficulties hamper the social control of the aggression that is often disproportionate and can frighten the family.In this work we are interested in the management of aggression for the autistic children.Aimsidentify ways of managing aggressive behavior for autistic childrenMethodself-administered questionnaires provided to educators, psychologists, psychomotor therapists, working at Mohamed VI national center for handicapped people.Results43.3% of our sample exhibits behavioral problems which are « auto ou hétéroagressifs. We noted a male predominance. Precipitating factors were identified in 30% of cases and are mainly represented by the situations of failure and the changes in the environment of the autistic child. The management of aggressive behavior is based on several methods including the use of medications and behavioral approach.ConclusionThe behavioral disorders are common among autistic children and are a major problem that families face. The aggressive management of the crisis is often difficult, and management remains uncodified.
From metabolism to psychiatric symptoms: Psychosis as a manifestation of acute intermittent porphyria
Authors: Bautista Garrido O. , Vázquez Caubet J.C. , Serván Rendón-Luna B. , Sáiz González M.D. , González Vives S. 
Published: May 2011

Psychiatric symptoms may represent the main feature of some metabolic diseases. Acute intermittent porphyria (AIP) is the most common of the four forms of neuroporphyria. This is an heterogeneous group of hereditary illnesses with common alterations along the heme biosynthesis pathway. AIP mimics a variety of disorders, and it difficults a correct diagnosis. We report a case of confirmed diagnosis of AIP in a 19-years-old woman who was admitted to hospital due to a sudden acute psychosis. We have done also a complete bibliographic research about this illness and its relation to psychiatric symptoms.In this case the differential diagnosis included schizophrenia and substance-induced psychosis. However, the presence of abnormal abdominal pain, port-wine color urine, sensory loss and muscular weakness gave us the clue for investigate AIP. Moreover, some anamnestic details about the use of anticonceptive pills, drug abuse and starvation increased our suspicion. Given the fact that the patient and her sister were both adopted, no family history was available.The main laboratory findings supporting the diagnosis of AIP were a decrease in porphobilinogen deaminase (PBGD) activity in erythrocytes concomitantly with the detection of IVS7 (+33) G>T mutation of this enzyme’s gene.Despite the prevalence of AIP is not high around Mediterranean countries, this possibility should be kept in mind in order to elucidate the origins of a not so low number of acute psychotic episodes. They can be effectively and specifically treated, as well as easily prevented by controlling porphirinogenic factors.
The importance of some life events to depresion of patients with cardio- surgery intervention (aorto-coronary bypass)
Authors: Damjanovik L. , Mitrev Z. , Ristova Dimova T. 
Published: May 2011

IntroductionThe cardiovascular desease is the great reason for mortality of the patiens. The comorbidity with the depression have a great influence of the incidence, morbidity and mortality. Some live events make the depression efects worse for the patient who take cardio-surgery treatment.Aimsis to find the importance of some life events to depression of the patients with cardio-surgery intervention.MethodsIn this study there was 30 patients, hospitalised at Cardiosugery Hospital Filip II, Skopje for cardio-surgery intervention (aorto-coronary by pass), 38–79 age, both male and female. These psychiatric instuments were used:Hamilton depression scale (HAMD), (17 itema scale with max score 52 and minimal score 0) and Scale for living stres factors of Holms and Rahe.ResultsThe average score of depression preoperation on HAMD scale is 16.77 ± 8.05, and the postoperation score were incresed to 21,25 and is high statistical significance (p < 0.01).The some events like death of member of the family, the illness, a big finansical changes significantly increace the depression (p < 0.01), but a newborn in the family, the holidays significantly decrese the depression on the participants (p < 0.05).ConclusionsMultidisciplinary approach with the team of psyciatrists, psychologist of patient with cardiovascular desease make the despression efects small and the patients have good recovery.
Psychosomatic diseases and depression with general practice physicists
Authors: Ilic N. 
Published: May 2011

The psychosomatic diseases belong to the group of the most spread disorders in the contemporary medical practice. Answer to the question--what is the spread of those disorders and depression with general practice physicists, we have looked for by means of a research performed in February 2008 in the Health Centers Nis and “Vozdovac”-Belgrade. As the research instruments, we have used an anonymous questionnaire about the psychosomatic diseases and depressivity self-estimation scale (ZUNG). Those papers were filled by 36 of physicists and general practitioners, male and female, aged 30-55 years. The thirteen of the total 36 polled doctors (36.11%) were found to be affected by psychosomatic diseases. Ten doctors suffer from hypertension (76.92%), two of them has ulcer (15.38%) and one doctor have diabetes (7.69%). Two of them are found not to be depressive (15.38%),three ones are depressive in remission (23.07%), four doctors are depressive with other disorders (30.76%),and four of them need depression medical treatment (30.76).The depression in total number of polled doctors (36) is distributed as follows:Four without depression (11.11%), eight with depression in remission (22.22%), eighteen with depression followed by other disorders (50%) and six of pooled showed depression that needs medical treatment (16.66%).In the polled group, that offered psychosomatic illness, there is one third with depression that need medical treatment (30.76%)-this is two-times more (in percents) than of those in the total number of polled doctors (16.66%).
Delirium in hospitalized patients: A descriptive and retrospective study in the Clinical University Hospital of Valladolid
Authors: Sánchez Lorenzo I. , López Saracho I. , Ledo Rubio A. , Gómez Pizarro D. 
Published: May 2011

IntroductionThe syndrome confusional acute (SCA) is one of the most frequent mental disorders in patients hospitalized by medical diseases. It is characterized by acute onset symptoms fluctuating course, impaired attention, unorganized thinking, and altered level of conciousness. Though it is considered to be a reversible disease, often it is a sign of future deterioration of the cognitive functions.ObjectiveTo determine delirium prevalence and risk factors in a cohort of hospitalized patients. To know the characteristics of this population and the psychopharmaceuticals used.MethodologyA descritptive and retrospective study was conducted, based on the review of 2642 medical records of hospitalized patients in the Clinical University Hospital of Valladolid between July, 2007 and February, 2010.Results893 (33,8%) presented delirium. 63,3% were men and 36,7% were women. The mean of age was 77 years. Turned out as significant predictive factors with highest percentages: cardiovascular disease (18,3%), traumophaty (15,1%). The principal motive of consultation was surgical pathology (48,1%). 30% presented cognitive deterioration also. They were medicated with tiaprizal (75%), olanzapina (24%), quetiapina (22,5%) and other medications.ConclusionsThe SCA is a frequent syndrome and has a negative impact on morbidity, as well as in resource use. It is possible to identify risk patients. The SCA can be the form of presentation of a physical serious disease or appear as a serious complication of a disease or of treatment. The treatment must divide in three principal aspects: prevention, treatment of the causal disease and symptomatic treatment of the delirium.
Medical consultations in psychiatric inpatients
Authors: Serván Rendón-Luna B. , Morón Nozaleda M.D. , Trebbau López H. , Machín Vázquez-Illá M. , Reyes Molón L. , Fernández Aurrecoechea J. , Marco Martínez J. 
Published: May 2011

IntroductionPsychiatric illnesses have a high prevalence in the general population. Psychiatric illnesses affect the way other medical processes develop: age of onset, distribution by gender, type an evolution, and the training of the psychiatrists in caring for them.ObjetivesTo describe the characteristics and the medical problems of patients who have been consulted by an Internal Medicine Liaison Unit while hospitalized in the Psychiatric Unit of a third level hospital. Comparison of the general profile of these patients and their consultations with that done to patients hospitalizad in the rest of the hospital.MethodsDescriptive retrospective study from September 2007 to May 2010. Use of a centralized database created with of all the administrative and clinical details regarding the consultation. A p ≤ 0.05 has statistical significance.Results648 patients were identified (40,7% men). Mean age 52.4 years. Mean stay 3 days. 34,4% were solved in one visit. Mortality rate 0,3%. 94,1% of discharges were due to recovery, the rest were transfered to another service.Distribution by major diagnostic groups: infectious 16,2%, cardiorespiratory 15,4%, mental illness 12,9%, metabolic 10,4%, tumoral 8,5%, digestive 8,2%, not defined 8,2%, hematologic 5%, others 15,2%.ConclusionsThe psychiatric patient is clearly younger and the female gender is slightly higher (59,3%) than in the control group. In this group the infectious and cardiorespiratoty illnesses predominate. The percentage of psychiatric consultations (34,1%; 648) over our global (1906) is impressive since the number of psychiatric inpatients is not proportional to this number.
Anxiety in patients before coronary angiography
Authors: Tel H. , Yazıcı Sayın Y. , Yılmaz M. , Tel H. , Güneş P. 
Published: May 2011

IntroductionCoronary Angiography (CA) allows life saving diagnosis and treatment methods. However, because of its being an invasive intervention, it causes patient to live through fear and anxiety due to the process.ObjectiveThe present study was carried as a descriptive study in order to determine the anxiety condition in patients before coronary angiography.Method296 patients to be subjected to the coronary angiography were included in the study. The research data gathered with individual information form and State Trait Anxiety Inventory of Spielberger.FindingsIt was found that the anxiety points of the patients changed between 28 and 55 and the average anxiety score was 41.22 + 6.16. It was determined that the anxiety scores were high in the patients with a body mass index of 25 and above, using cigarette, having another chronic disease, previously diagnosed with heart disease, having someone in his/her family who has heart disease story, not being introduced to the angiography team before the operation, having angiography story, having angiography complication story and not having health insurance.ResultsIt was found that patients lived through anxiety either at small or medium levels before coronary angiography. It is needed that the anxieties of the patients should be determined before the angiography and the approaches to decrease anxiety should be applied, the patients should be introduced to the angiography team before the operation.
The management of depression in oncology: State of play
Authors: Touhami M. , Ouriagli F. , Manoudi F. , Asri F. 
Published: May 2011

IntroductionMany authors insist on the psychiatric accompaniment of patients in oncology. Today in developed countries, the role of psychiatrists has become a necessity in the context of a multidisciplinary working (psychiatrists, oncologists, radiotherapists…) The work of psychiatrists became necessary because of the prevalence of cancer and because of the development of therapeutic methods and specificity of the disease itself.The objective of this workThe authors of this work focus on the current state of accompaniment and the role of psychiatrists in the care of patients regarding the structures of Oncology Nursing.Materials and methodsThe study was conducted at the National Institute of Oncology (INO) People interviewed: 50 doctors practicing in the INO.Information was collected prospectively from a self-administered questionnaire completed by physiciansResults40% of psychiatric manifestations appear after the diagnosis of cancer, 61% of oncologists reassure patients considering the symptoms as normal, 11.1% prescribe psychotropic especially anxiolytics.ConclusionThe specificity of cancer requires the presence of psychiatrists in the service of cancerology
Association between albumin and social cognition in attention-deficit-hyperactivity-disorder (ADHD)
Authors: Grabemann M. , Zimmermann M. , Mette C. , Kraemer M. , Abdel-Hamid M. , Zepf F. , Wiltfang J. , Kis B. , Uekermann J. 
Published: May 2011

IntroductionAlbumin is a protein which serves as a transporter for a variety of metabolites and as a storage for a lot of substances. Although albumin cannot pass the blood-brain-barrier and thus influence the CNS directly, a negative relation between cognitive impairment and serum albumin level has been observed in studies of normal and pathological aging.The aim of the present study was to investigate the association between albumin and social cognition in ADHD.Method20 adult patients with ADHD and 20 healthy controls participated in a double-blind within subjects crossover study. Participants completed the Moral-Judgment-Test, Tuebingen Affect Battery, the Movie for the Assessment of Social Cognition (MASC) and Cambridge Behaviour Scale (EQ). In addition, ADHD symptoms were assessed by the Wender Utah Rating Scale (WURS-K) and ADHD Self Rating Scale. Serum albumin levels were determined after blood withdrawal.ResultsIn the patient group serum albumin levels were negatively associated with ADHD pathology measured by WURS-K. In addition, a low level of albumin was related with poorer performance in theory of mind, moral judgment competence and affective prosody tasks.ConclusionsThe results suggest that albumin is related to social cognition in younger patients with ADHD. This is, to the knowledge of the authors, the first investigation, in which the association between albumin and cognition has been investigated in ADHD. Thus the findings of the present study need replication and the neural mechanisms have to be explored in future studies. Further studies are needed to exclude a possible medication effect.
Two faces of rem sleep in normal and psychopathological development
Authors: Kirov R. , Uebel H. , Albrecht B. , Banaschewski T. , Rothenberger A. ,   Sleep in Child Psychiatric Disorders
Published: May 2011

IntroductionWe have previously found an increased rapid eye movement (REM) sleep in children with attention-deficit/hyperactivity disorder (ADHD).ObjectivesTo further investigate sleep characteristics in children with ADHD and their association with cognitive and neurobehavioral functions.AimsWe asked whether and how REM sleep might have been associated with cognitive ability and neurobehavioral functions in children with ADHD compared with healthy children.MethodsTwenty-three children with ADHD and 21 healthy controls underwent a two-night polysomnography and completed a number of standardized tests for cognitive and neurobehavioral functioning.ResultsCompared with controls, ADHD children exhibited a greater amount of REM sleep. In the ADHD group, the increased amount of REM sleep correlated positively with psychopathological scores (inattention) and negatively with performance intelligence quotient (IQ) (Fig. 1).Fig. 1[Kirov et al_Figure 1]In contrast, in the healthy controls, the REM sleep amount correlated positively with performance IQ and negatively with psychopathological scores (inattention) (Fig. 2).Fig. 2[Kirov et al_Figure 2]ConclusionsWe conclude that REM sleep may have a bi-directional role in cognition and neurobehavioral functioning during childhood depending on the presence or absence of psychopathology.
Neurocognitive outcome after cognitive remediation in a 6-year-old girl with a history of perinatal stroke
Authors: Matos-Pires A. , Cardoso-Pereira N. 
Published: May 2011

Perinatal Stroke involves an often poorly understood neurocognitive events affecting the fetus and the new born with a potential for serious intellectual outcome.Our aim is to present a case study on the issue of neurocognitive defects on domains such as intellectual performance, attention and vigilance, executive functioning, visual perception, speed of processing, verbal learning and memory, and working memory on a 6 year old girl with perinatal arterial ischemic stroke.
A diminished serotonin level influences the performance in a modified AX-continuous performance task in adult ADHD
Authors: Mette C. , Grabemann M. , Zimmermann M. , Kraemer M. , Zepf F. , Suchan B. , Wiltfang J. , Kis B. , Uekermann J. 
Published: May 2011

IntroductionAttention deficit disorder (ADHD) is a psychiatric disorder, which is characterized by deficits of executive functions (EF) and impulsivity. Whereas a variety of studies on the involvement of the dopaminergic system in ADHD exists, the impact of the serotonergic system to EF in ADHD in adults is underinvestigated.AimsTo ascertain the effects of rapid tryptophan depletion (RTD) and the resultant reduction of the central nervous levels of serotonin on the EF of male adult patients with ADHD.Methods20 ADHD patients and 20 healthy controls completed the RTD test on one day and a placebo on another day in a double-blind within subject crossover design.- In addition, the subtest alertness of the TAP and a modified Version of the Continuous performance test (AX-CPT) with three stimulus conditions (AX, AY, BX) were administered.ResultsStatistical analysis revealed significant shorter reaction times, more errors and more omission errors in the ADHD group in the AX-CPT. The omissions error rate increased in both groups in the RTD condition but not in the placebo condition. Statistical analyses did not yield any significant differences between groups in the subtest alertness and no significant interaction of group and effect of the RTD condition could be observed.ConclusionsIn addition to higher impulsivity of patients with ADHD as reflected by shorter reaction times and higher error rates, the results of the present study imply an involvement of the serotonergic system as reflected by RTD in sustained and selective attention.