bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-355 - Elderly Chronic Mental ill Patients in Community Residence Units
Authors: Iliopoulou L. , Fotiadou A. , Koutras V. 
Published: June 2010

ObjectivesThe study intends to present the problems of elderly patients living in community residences, and the difficulties of staff and other residents. Solutions are also suggested.MethodsWithin the attempt of dwindling big psychiatric hospitals in Greece, and removing social and professional exclusion of patients, long-term supportive living units were established in 2001 by the General Hospital of Ioannina. Eleven patients were selected from the Psychiatric Hospital of Corfu, according to their functionality, medication compliance, and ability to take care of themselves. During the eight years of the unit's operation, four patients were forwarded in a supported flat where living is more independent. However, five psychotic patients, aged over 65, displayed new physical health problems, and deterioration of preexisting problems (epilepsy, chronic respiratory disease, kidney cancer). New disorders included hypertension, metabolic syndrome, hurt diseases, etc. The patient who suffered from respiratory disease died, an epileptic returned to the psychiatric hostel after 3 years in the protected flat, and the patient with the kidney cancer moved in a unit with more staff support.ResultsDifficulties faced by elderly influenced hostel's operation and younger patients, and preoccupied stuff, depriving time from creative activities with patients. Furthermore, residents’ strain for physical health problems increased.ConclusionsTo secure regular operation of supported living units, a network of complementary units is necessary, which will forward to high supported units elderly patients who face serious health problems, or are not up to the everyday activities of the unit they live in.
P01-363 - Drug Treatment of Mild Cognitive Impairment
Authors: Martínez de Velasco Soriano R. , Benítez Cerezo E. , Erausquin Sierra C. , Gobernado Ferrando I. , De la Serna De Pedro I. 
Published: June 2010

IntroductionDementia is an acquired syndrome of organic nature, characterized by permanent impairment of memory and other intellectual functions, often associated with psychological and behavioral symptoms without impairment of consciousness. There are psychopathological manifestations.There are different subtypes of dementia. To determine a mild cognitive impairment, the average score of Minimental scale test must be between 21 and 26.Clinical evidenceIt has been shown that patients with cognitive impairment have a decreased activity of acetylcholine and increased activity of glutamate. Therefore there is a decline in cognitive ability with significant memory impairment and increased aurousal. There is an impairment of cognitive function to perceive, process and use information, which contributes, along with the intelligence, plan and solve problems, learn from the experience, plan tasks and predict results.HypothesisFor this postulate two fundamental ways in the treatment by use of cholinesterase inhibitors using memantine that blocks NMDA receptors.ConclusionsHowever in mild cognitive impairment there is no evidence that these treatments improve patient outcome. Therefore we start treatment with cholinesterase inhibitors when Minimental score between 14 and 24. We'll use cholinesterase inhibitors in combination with memantine when the Minimental score between 10 and 14. We will use only memantine when the score between 3-14. It has been shown that only 30% of mild cognitive impairment progress to dementia. It is important to consider the use of these treatments because it is'nt shown a clear benefit in mild cognitive impairment and have side effects.
P01-364 - A Pet Therapy Intervention on Elderly Inpatients: an Epidemiological Study
Authors: Moretti F. , Bernabei V. , Marchetti L. , Bonafede R. , Forlani C. , De Ronchi D. , Atti A.R. 
Published: June 2010

ObjectivesThe aim of the present study is to evaluate the effects of Pet Therapy intervention on cognitive function, mood and perceived quality of life on elderly subjects (mean age 84.7 years; 95.2% women) living in a nursing home.MethodsParticipants were 21 subjects affected by mental illness including dementia, depression and psychosis (diagnosis based on the International Statistical Classification of Disease - ICD-10). The Mini-Mental State Examination (MMSE) and the 15-items Geriatric Depression Scale (GDS) were administered to ten persons (pet-group) and eleven subjects (control-group) together with a self-perceived quality of life questionnaire. The pet-group underwent a dog-assisted educational intervention lasting 90 minutes, once a week for six weeks. MMSE and GDS mean scores were compared between and within groups by Student's t-test.ResultsThe mean age ± standard deviation of the overall sample was 84.7±9.9 years. Mean schooling level was 4.0±3.4 years. Dementia was the most frequent diagnosis (47.6%), followed by psychosis (33.3%) and depression (19.0%). Both pet-group and control-group improved on GDS and MMSE. Within the pet-group, GDS symptoms decreased by 50% (from 5.9 to 2.7, p=0.013), whereas mean MMSE score increased by 4.5 (p=0.060). The between group comparison showed positive effect of Pet intervention on GDS (p=0.070). Furthermore, most of the participants reported an improvement of their perceived quality of life.ConclusionsAccording to the most recent literature, our findings suggest that Pet Therapy program can be efficient in improving depressive symptoms and cognitive function in residents of long-term care facilities with mental illness.
P01-366 - Psychiatric Syndromes and Disorders in Older Population
Authors: Arandjelovic D. , Misic P. , Serafimovic S. , Petrovic M. 
Published: June 2010

Involution old age limit is related to general health, cultural and economic living conditions.Two stages of old age are currently recognized: early old age (65 to 75 years) and over 75 years - late old age period.Old age period is the third life cycle period in which aging of the brain and eventual pathological changes with respective organic psychopathological onsets are finalized.In many countries, number of the population over 65 years of age increases. The same applies for our country.Term of psychic disorders includes miscellaneous psychic conditions, pathologic in terms of symptom intensity, personality and social behavior changes, and reflects on social life of the ill individual and its family.Psychiatric syndromes and disorders in older population Rogina divides into two groups:-disorders of emotional reacting and behavior, without manifestations of other organic brain or physical disorders and-alternations caused by primary brain pathology, clinically presented as organic brain psycho-syndrome with different intensity and different pathogenesis etymology (cardiovascular, cerebro-vascular, neoplastic, metabolic, etc.)A combination of physical illness and mental disorder is the most common cause of the first hospitalization in older age.
P01-371 - Shorter Time Until Nursing Home Admission in Lewy Body Dementias as Compared to Alzheimer's Dementia
Authors: Rongve A. , Nilsen O.B. , Ballard C. , Aarsland D. 
Published: June 2010

BackgroundTime until nursing home admission (NHA) in different types of dementia is not known. Few studies in Alzheimer's disease (AD) have been reported previously and focused on demographic, socioeconomic, behavioral and psychiatric symptoms as predictors for NHA.MethodWe use data from the Norwegian DEMVEST-cohort to calculate time until NHA applying Kaplan-Meier survival analysis comparing the Lewy body dementias (LBD) (Dementia with Lewy Bodies (DLB) and Parkinson's Disease Dementia (PDD)) to non-LBD patients. Associated factors were studied with a Cox proportional hazard model.Results190 cases with the same degree of mild dementia at baseline were followed for on average 880 ± 397 days 95% CI (823, 937), 56 (29.5%) individuals were placed in a nursing home during follow up and mean time until institutionalization was 1204 days 95% CI(1130, 1279) for all included, 987 days 95% CI (823, 1151) for LBD patients and 1263 days 95% CI (1184, 1342) for non-LBD patients. p=0.007 (Log-Rank test) Chi-square= 7.330 df=1. Mean time until NHA for DLB patients is 985days 95%CI (801, 1169) and for AD patients 1264days 95% CI (1180, 1347) p=0.013 (Log-Rank test) Chi square=6.194 df=1After controlling for age and duration at baseline we find that having a LBD diagnosis (DLB or PDD) increases the risk for nursing home placement during follow-up, hazard ratio =1.9 95%CI (1.1, 3.4) p= 0.030.ConclusionWe find that a LBD diagnosis significantly shortens time until NHP controlling for age and duration at baseline compared to non-LBD patients.
P01-386 - Alpha Rhythm Frequency in Diagnostic of Alzheimer Disease
Authors: Dokukina V. , Misiuk N. , Dakukina T. 
Published: June 2010

ObjectivesDigital EEG pattern specific for Alzheimer disease has not studied yet.MethodsResting EEG (16 channels) was recorded by the use of “Brainscan” system in 150 persons: 50 healthy 20-55 year old volunteers, 50 healthy 55-75 year old volunteers, 50 patients with mild Alzheimer. Alpha rhythm frequency was checked after Furie's reversal transformation in periodmetric analysis for single “pure” alpha rhythm (8-13.5 Hz).ResultsSignificant distinction between a healthy subjects and Alzheimer patients has proved to be changed spatial - frequency alpha rhythm structure. High-frequency alpha rhythm is dominant in the occipital zone and low - in the frontal one of healthy subjects. Alzheimer patients show the opposite relationship. This phenomenon named the “inversion” can be revealed only by mean of digital EEG, visually - no, because the difference between frontal and occipital mean frequency may be less than 0.01 Hz.The inversion discovered in 90% of Alzheimer patients, while among healthy persons of 20-55 years - in 2%, among healthy persons elder 55 - 7%.CT investigation has not revealed any occipital or frontal lobe pathology. Therefore alpha inversion is stipulated by violations of thalamic rhythm generator's function. Inversion mean EEG quality decline and determined by disharmony between thalamic and anterior alpha generators.ConclusionFor Alzheimer disease inversion may be considered as diagnostic sign revealing organic brain damage. Future studies should evaluate it's clinical usefulness in early differential diagnosis, disease staging and therapy monitoring.
P02-12 - Gender and Diagnostic Profiles of Life Events Among Patients Consecutively Admitted to a General Hospital After Attempted Suicide
Authors: Nrugham L. , Mehlum L. 
Published: June 2010

ObjectiveTo examine associations between gender and diagnostic profiles of life events among patients admitted to a general hospital after attempted suicide.Materials and methodsParticipants (n = 86) were patients consecutively admitted to a general hospital emergency care unit over the inclusion period of 26 months after an act of attempted suicide. They were interviewed within 2 days using the EPSIS protocol, the MINI and SCID-II interviews and a range of scales measuring life events (Brugha's scale) and alcohol abuse (AUDIT). Logistic regression was used in data analyses. Results are given in Odds Ratios with 95% Confidence Intervals.ResultsMen reported more unemployment, [23.5(2.8-197.6)], loss of work, [4.7(1.2-17.3)], serious economic problems, [2.7(1.1-6.8)], problems with police and presented in court, [8.6(2.2-30.3)]. Major depression (MD) was associated with the separation from spouse due to interpersonal conflict [3.6(1.1-11.7)], however, when adjusted for gender, it tended towards significance only in men and was non-significant for women. Comorbidity of MD with anxiety disorders, alcohol abuse or borderline personality disorders were not associated with any specific life event.ConclusionsIrrespective of diagnostic profile, life events related to legal problems and loss of job/work and marriage were significant for men who were admitted to a general hospital after a suicide attempt, irrespective of diagnostic profile.
P02-14 - Anxiety as a Core Symptom of Acute Stress Reaction in Disaster Suffered Persons
Authors: Nasrullaev F. , Portnova A. 
Published: June 2010

Acute stress reaction (ASR) is remarkable for variability displays in which basis of main symptom of ASR -- anxiety.AimRevealing of clinical features of anxiety in victims of disaster for definition of the treatment and forecast.MethodsClinical, psychological testing, statistical. Clinical features of anxiety are investigated at 471 victims of disaster -- were staying in hostages (women -- of 68,4%, men -- of 31,6%) in the age of 18-60 years. Diagnostics of ASR was carried out according to diagnostic criteria МКБ-10.ResultsClinical variants of anxiety are allocated within the framework of ASR with: vegetative symptoms - 34,2%; asthenia - 52 (11,0%); emotional instability - 9,5%; somatoform symptoms - 8,7%; phobia - 11,3%; depressive symptoms - 17,0%; apathy - 3,1%); the others - 8,1%. On behavioural features with: hyperknezia - 60,9%; hypoknezia - 22,7%; mixed condition -- 16,3%. On current: undulant - 59,9%; constant - 30,8%; attack - 9,3%. After 1 year of dynamics of a mental condition has revealed formation of PTSD at 40,1% of injured, adjustment disorder at 24,2% anxiety disorder - at 18,7%, at 17,0% - recovery.ConclusionThe least favorable forecast was marked at hostages with prevalence of somatoform symptoms (р≤0,001), emotional instability (р≤0,001) and apathy (р≤0,05). Favorable forecast -- at persons with vegetative (р≤0,05) and depressive symptoms (р≤0,05).
P02-19 - Patterns of Patiens Attending in 2 Rural Indian Clinics in One Day
Authors: Acharya A. 
Published: June 2010

IntroductionPsychiatric morbidity of a community could be assesed by a community survey as to the incidence & prevalance of different disorders in a particuler period. A more scientific approach is for a cohort study for a long period of a geographic population.ObjectivesAnother simpler way to get a ready hand account of approximate prevelance&incidence of disorders could be viewed by analysing a clinics attendance patterns of psychiatric patients.Ofcourse it focuces on the tip of an iceberg.AimsA quick sample survey of prevelance & incidence of disorders those are being brought in that particuler day.MethodsHere is analysis of this authors 105 cases, those were examined & treated in 2 rural clinics of a district Midnapore those are even 75 k.ms & 60 k.ms from the capitol city of Calcutta.72 cases in one clinic in morning session lasting from 6a.m-1-15 p.m & 33 cases in afternoon session in another clinic from 2.30p.m-6.30 p.m on 15th of november 2009 on a sunday.ResultsAge group range varies from 5 years-78 years with a maximum no. in the age group of 21-55years range.Affective disorders predominately,depressive disorder inBPMD,MDD,Anxiety disorders, schizophrenia,Hypomanic psase in BPMD &Behavioral disorders associated with Mental retardation/low intilligence &other mental retardation,Hysteria,Senile dementia Of alzhiemers,vasculer &mixed are most diagnostic presentation.Students & youth with tension headache associated with anxiety disorders were in sizable number.Women patients in depression were mostly presented with pain in lower extremeties.Conclusion105 patients visited in one winter sunday with depressive patients in top is concluded.
P02-24 - Prevalence of Child and Adolescent Psychiatric Disorders in Santiago, Chile: a Community Epidemiological Study
Authors: Vicente B. , de la Barra F. , Saldivia S. , Rioseco P. , Melipillan R. 
Published: June 2010

ObjectivesTo determine the prevalence of DSM-IV psychiatric disorders in a representative sample of children and adolescents living in Santiago, Chile, as part of a national sample.Methodsubjects from 4 to 18 years of age were selected in an aleatory stratified multistage fashion. As part of a national sample, 10 counties in Santiago were selected, then blocks, homes and the child or adolescent to be interviewed. Psychology graduate students applied the Spanish computer version of DISC-IV, as well as a questionnaire on family risk factors, socioeconomic index and service use.Resultsa sample of 792 children and adolescents was evaluated, obtaining 76.7% of participation. Using the most stringent impairment algorithm, the prevalence for any psychiatric disorders was 25.4%, being 20.7% in boys and 30.3% in girls, mainly explained by anxious and affective disorders. Prevalence was higher in the 4-11 years of age than in the 12-18 (31.9% and 18.2% respectively). This difference was mainly accounted for by disruptive disorders. Prevalence of anxious disorders was the highest, but less associated with impairment, while most of the children and adolescents with affective disorders were impaired.Conclusionsprevalence of psychiatric disorders in Santiago is high in this age group, and this study will be used for improving mental health services.
P02-28 - More addict Because Parkinsonian?
Authors: de Chazeron I. , Durif F. , Chereau-Boudet I. , Perriot J. , Ouchchane L. , Llorca P.-M. 
Published: June 2010

ObjectivesEvidence has been accumulating for association between PD and addiction in case report, retrospective and epidemiological study but generally focused on only one substance/behaviour and without taking any comparison group. The central question is PD patients are they prone to addictive behaviours more than general population do?MethodsA cross-sectional, self questionnaire-based study was undertaken. The self-report (AUDIT, Fagerström, TDAS, SOGS…) explored addictions with substance (alcohol, tobacco…) or without (gambling, sex) in PD patients and healthy controls, mood disorders were also evaluated.ResultsAfter screening full filed questionnaire and appropriate age- and sex-matched controls, we obtained 115 patients and controls. Dopamine dysregulation syndrome (DDS) is described in the total PD patients population (n=139).We found a higher prevalence of smokers and positive for harmful drinking or alcohol dependence in the control group than in PD patients (2.6% smokers, 6.4% for alcohol). There is more over no significant differences between the two groups concerning gamblers prevalence. Pathologic hypersexuality prevalence is 1.8% in PD group (no case in controls) and 11.5% for DDS. Anxiety disorders in PD patients with DDS are more frequent than in PD patients without and 3 patients develop another addiction besides DDS.ConclusionsCompared with general population and against all expectations HS and PG prevalence seems not to differ. However, the DDS seems to be a frequent syndrome which draws our attention to better screen this problem, especially taking into account the fact that anxiety appears to be closely link to it.
P02-31 - Prescription of Antidepressants in the Land of the Happiness: Associate Variables
Authors: Madueño A. , Ruiz M. , Péculo J.A. , Rodriguez F. , Fuentes J.M. , de Lara L. ,   Andalusian Health Mental Working Group, Spain
Published: June 2010

IntroductionIn Andalucia (Spain), exist a high prescription of antidepressants, joined to an elevated variability in the choice of it.ObjetivesTo describe associated variables with the prescription of antidepressants in Andalucia. To determinate percentage of depresive disorder in antidepressants users.Study designObservational, descriptiveStudy scopePrimary Health Care, with Health Centers of Andalusian Community participating.Subjects od the studyPatients older than 18 years old, users of antidepressants. The inclusion in the study will require informed consent by the patient.Variables to measureSociodemographics; Familiars and Personals precedents of mental disorders; number and duration of episodes in which it has taken antidepressants; Hamilton anxiety-depression index; Beck‘s depression index; Diagnosis of depressive disorder or another with need of antidepressant treatment; Comorbility ; Origin of the presciption. Variables in relation with the prescriptor will be mesurement.Sample sizeIt is calculated by accepting a signification level of 95%, and a percentage of depresive disorder over antidepressants users unknowed (p = q = 50%). A sample size of 770 patients is estimated, including losses.ResultsDeterminations will be carried out through descriptive statistics; frequency distribution, dispersion and central tendency measurements. A measurement of possible associations between variables through contrast of hypothesis test will also be calculated. So, Pearson's chi-square test for qualitatives variables and analysis of variance (ANOVA) for quantitatives. The study will be finished studig association between potentials variables existing in antidepressants users and depression diagnosis through model of binary logistic regression.
P02-32 - Profile of Severe Psychiatric Disorders in Mancha Centro Mental Health Area
Authors: Martinez Sanchez A.B. , Rodriguez Pereira C. , Villero Luque S. , Posik S. , Ortega García D. 
Published: June 2010

IntroductionPresent study shows the socio-demographic and clinical profile of patients with severe mental illness in Mancha Centro health area. Furthermore, it is a descriptive approach to the current state of clinical assistance in the area.MethodsSocio-demographic and clinical variables were collected in a sample of 55 patients, 37 men and 18 women with severe mental illness, treated at the Mancha Centro Mental Health Centre. Using SPSS.15, analysis of qualitative and quantitative variables was made.ResultsAverage age was 39, 25 years +/− 8, 82; 72, 7% lived with their families and 85, 5% had the support of relatives. Main diagnosis were: psychotic disorder (81,2%) with high proportion of schizoaffective disorder; mood disorders (9,1%), personality disorders (5,5%) and OCD (3,6%). In the last two years, 25, 5% was admitted in a medium-stay psychiatric unit, 15% in a short- time stay psychiatric unit and, in the last six months, 4% came to emergency service. Patients with higher number of admissions and emergency consultations were those with schizophrenia and schizoaffective disorder. The average time of follow up was 10 years (+/− 6, 84), every 49, 45 days (+/− 19,1). 80% receive group therapy, 85,5% family intervention and 54,5% cognitive rehabilitation.ConclusionsWe found a profile of young man with significant family support, low number of admissions and emergency consultations. Results could be in relation to: geographical dispersion, emergency access difficulties and protective socio-cultural factors. Better knowledge about needs would allow a better assistance in the future.
P02-35 - Incidence and Correlates of Delirium in a West African Mental Health Clinic
Authors: Ola B. , Crabb J. , Krishnadas R. , Erinfolami R. , Olagunju B. 
Published: June 2010

ObjectiveTo determine the incidence of delirium in those patients presenting to a psychiatric clinic in Nigeria and to examine if any demographic or clinical variables were correlated with this diagnosis.AimsTo determine the incidence and correlates of delirium in patients referred to a psychiatric clinic in NigeriaMethodA prospective survey design. 264 consecutive new referrals to a psychiatric clinic in Nigeria were assessed for the presence of delirium using a standardised diagnostic scale. Data was analysed for normality and appropriate statistical test employed to examine the relationships between the presence of delirium and demographic and clinical variables.Results18.2% of individuals presenting to the mental health clinics had delirium. No demographic variable was significant regarding the presence or absence of delirium. With regards to clinical variables duration of current symptoms, referral source, and the presence of co-morbid physical illness were significantly associated with the presence of delirium. Most delirium was due to infections. Nearly all patients with delirium were prescribed psychotropic medication (95.2%) and most attributed their symptoms to a spiritual cause.Conclusion(s)Delirium presents more commonly to psychiatry services in the less developed world compared to the West. Development efforts should focus on recognition and management of delirium to improve outcomes and maximise resources.