bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relationship between mental health and its impact on family’s aggressive students boys and girls
Authors: Rezaei A. , Ahmadi Gatab T. 
Published: May 2011

IntroductionThe main purpose of mental health, prevention of the occurrence of adversity and minor behavior disorders and health promotion, mental health is the best form.ObjectivesThis study reviews the relationship between mental health and its impact on family aggression male and female students Payam Noor University is the center of Babol.MethodsDescriptive study methods - is solidarity. Statistical Society study male and female students of Babol University of Payam Noor Centre in 89–88 school year are studying make up. Sample consisted of 100 male and female students to simple random sampling method chosen. Data collected in this study were two questionnaires: General Health Questionnaire (GHQ) and the aggression questionnaire (AQ) is. And to analyze the data and the correlation coefficient R. The T method through SPSS software was used.ResultsResults showed that families with mental health among students, male and female aggression significant relationship exists. The results also show that between family and mental health scores of aggressive students, and significant negative relationship is seen. Whatever the mental health students is more aggressive than they would be.ConclusionsThe Role of Family Mental Health Dreaming family undoubtedly provides mental health and prevents distractions behavior has a major role.
Problem solving skills of the 1st year and 4th year nursing students
Authors: Sayin Y. , Farimaz M. 
Published: May 2011

IntroductionOne of the objectives of nursing education is helping nursing students acquire the knowledge, skills, and behaviors needed to deal with various problems.ObjectivesThe study is descriptive.AimsTo determine the “problem solving skills” of the 1st-year and 4th-year students.MethodsThe study is a descriptive one. The study sample comprised a total of 153 students in their 1st-year and 4th-year in Department of Nursing, Cumhuriyet University, Turkey. The research data were collected by means of the “Personal Information Form” developed in light of the relevant literature review and the “Problem Solving Inventory” which was developed by Heppner and Peterson (1982) and tested in Turkey in 1990 by Taylan in terms of fist validity-reliability properties.ResultsOf the first year students, 84.9% lived in a nuclear family, 61.6% lived in a city, 39.5% were first-born children. Of the fourth year students, 81.0% lived in a nuclear family, 67.2% lived in a city, 37.3% were first-born children. All of the students financial needs were met by their parents. There was no difference between the total “problem solving confidence” scores of the first year students (85.942 ± 16.649) and the fourth year students (81.866 ± 19.168) (p > 0.05). According to the sub-scales of the inventory, the first year students received higher scores than the fourth year students in “problem solving confidence”, “approach-avoidance behavior” and “personal control” (p > 0.05).ConclusionsThe education received by the students did not make a difference in the development of their problem solving skills.
Pain and depression in general hospital patients
Authors: Sibitz I. , Berger P. , Freidl M. , Topitz A. , Krautgartner M. , Spiegel W. , Katschnig H. 
Published: May 2011

BackgroundSymptoms of physical pain can indicate a current depressive episode. The study aimed to assess pain symptoms among physically ill general hospital patients and to explore if pain symptoms are more prevalent among physically ill patients with a depressive episode than among those without a depressive episode.MethodsPain symptoms were assessed by a modified version of the Patient Questionnaire (Spitzer et al1). Diagnosis of a current depressive episode was made by psychiatrists with the Composite International Diagnostic Interview (CIDI; ICD-10 version2).ResultsOf the 290 patients included in the study 247 (85.2%) indicated at least one pain symptom. About a fifth of the patients suffered from a current depressive episode. Physically ill patients with depression suffered significantly more often from pain and reported significantly more often three or more symptoms of pain than those without depression.Headaches, stomach pain and chest pain were significant independent predictor variables for depression in a multiple logistic regression analysis controlled for age, gender and primary somatic diagnosis.ConclusionPatients in general hospital who suffer from pain symptoms should be checked physically and psychologically in order to detect a comorbid depressive episode.1Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, Brody D, Johnson JG. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA 1994;272:1749-56.2Wittchen, H.U., Pfister, H., 1997. DIA-X-Interviews. Manual für Screening-Verfahren und Interview; PC-Programm zur Durchführung des Interviews (Längs- und Querschnittuntersuchung); Auswertungsprogramm. Frankfurt, Swets & Zeitlinger.
Antipsychotics and lengthening QT / QTc
Authors: Tarricone L. 
Published: May 2011

Serious arrhythmias and / or sudden deaths related to the use of first-generation or typical antipsychotics have been observed for about thirty years. It is considered that the pathophysiological mechanism that causes these events may to be block the potassium and calcium channels with abnormal ventricular repolarization. The assessment of QT, QTc corrected for heart rate, is a predictor of risk for TdP. The introduction of second generation antipsychotics raised the question if these molecules can induce prolongation of the QT interval on the increased risk of arrhythmia and / or TdP. Controlled studies also argue that second-generation antipsychotics may lead to prolongation of QT / QTc. by introducing into the routine ECG and laboratory evaluations The purpose of this study is to analyze any change in ECG QTc observed in patients admitted to the SPDC, and possible correlation with antipsychotic medication.AscoltaThe ECGs of 300 patients admitted during the period January 2009/January 2010 with QTc assessment the first day and fifteen days after the treatment with second generation antipsychotics were examined. Changes were evaluated in relation to gender, age, diagnosis, antipsychotic taken in single or co-therapy QTc value divided into three classes: 440 ≤; 441 ≥ 500 ; 501≥;). There were no significant changes in QTc in relation to medication. It is believed that second-generation antipsychotics are considered safe and effective drugs at the time and that psychiatrists should pay more attention, however, by introducing into the routine ECG and laboratory evaluations.
My pregnancy was a flash of lightning! - the impact of birth of premature babies on adolescent mothers in the southeast Brazil: A clinical-qualitative study
Authors: Chvatal V.L.S. , Varga C.R.R. , Rivoredo C.R.S.F. , Turato E.R. 
Published: May 2011

IntroductionThe pregnancy and the motherhood of adolescents are complex phenomena that happen on the trajectory of life of the young persons under physical, psychological and social aspects.AimTo deepen knowledge of the emotional experiences of socially disadvantaged adolescent primiparous with premature babies.Methodqualitative-clinical. Criteria of inclusion: age group, to be primiparous with premature baby and acceptance in participating of the inquiry. The intentional sample was made up of five adolescents aged between 16 and 19. The study was carried between June/2008 to October/2009. Semi-directed interviews based on the trigger question “Tell me about your pregnancy and your baby's birth”. The data were submitted for thematic analysis and from this the following categories emerged: 1. Late discovery of pregnancy: “Mine was a lightning pregnancy”; 2. The symbolization of the child: “It was a present for me…” discussed within a theoretical framework of reference, with special emphasis on the psychodynamic approach.ResultsOn a psychological perspective, the adolescents had presented feelings of omnipotence, unfamiliarity, shock, surprise, anger, fear, anguish and happiness at the birth of their child. They appeared to use immature, narcissistic and neurotic defence mechanisms such as denial, dissociation, acting out and idealization as well as revealing the desire to be good mothers and to engage in maternity.ConclusionThese finds can subsidize the team of health responsible for the service in neonatal intensive care units, developing attitudes more effective of support and giving emotional presence aiming to reduce the fear and anguishes resulting from the situation.
Psychological meanings of silence for Brazilian working women with urinary incontinence about their health problem: A clinical qualitative study
Authors: Higa R. , Chvatal V.L.S. , Lopes M.H.B.D.M. , Turato E.R. 
Published: May 2011

ObjectiveTo interpret the meanings of the silence from Brazilian working women about their urinary incontinence (UI).MethodA clinical-qualitative method was used with semi-directed interviews with open-ended questions. The sample consisted of eight women aged 30 to 45 from low-income brackets of the population with complaints of UI and who had never sought treatment. The resulting data was analyzed according to the thematic content analysis technique, based on psychosocial and psychodynamic approaches. The authors were aware of the polysemic character from the speeches in Human Science research.ResultsThe difficulty that women with urinary incontinence face in talking about the problem is an indication of the anxiety involved. They generally avoid discussing it due to embarrassment and from fear of being judged and misunderstood. In addition, their underprivileged social, economic and cultural situation may have aggravated their limitations in expressing their feelings. In terms of psychic processes, these women’s silence can be seen as a way for them to contain the physical symptom that their UI has brought on. Since it is so hard to express themselves in words, everything remains “unsaid,” but this silence can be interpreted as a way of expressing painful and unnameable feelings.ConclusionThe silence of Brazilian women with urinary incontinence proved to be an essential element of communication about this disorder and was as important as the words they uttered. Their silence evidenced the pain and anxiety they experienced, and it emerged as an adaptive psychosocial mechanism.
Psychological meanings of the body and sexuality reported by Brazilian working women with urinary incontinence: A clinical qualitative study
Authors: Higa R. , Cordeiro S.N. , Santos S.N. , Lopes M.H.B.D.M. , Turato E.R. 
Published: May 2011

AimTo discuss meanings associated with the body and experiences of sexuality reported by Brazilian women with urinary incontinence.MethodClinical-qualitative method was used with semi-directed interviews with open-ended questions. The sample consisted of eight women aged 30 to 45 from low-income brackets of a population with complaints of UI and who had never sought treatment. Resulting data was analyzed according to the thematic content analysis, based on psychodynamic approaches. The researchers paid attention to the emic perspective, that is, the insider’s point of view or the reasons for certain interviewees’ customs/beliefs.ResultsWomen's experiences of living with UI are presented in two categories:(1) A body that is damaged: They report their current body image is one that is marked by a lack of physical and emotional control, worn by time and motherhood, which has resulted in the feeling of growing old prematurely.(2) An interrupted sexuality: They desire a sexually active life, but UI results in a constant state of unsatisfied desire, since they experience incontinence as something that inhibits sexual pleasure. They experience sexual intercourse as a means to satisfy their partner, but do not derive pleasure from intercourse themselves.ConclusionsWomen with UI - young and within their reproductive period - have reported life experiences that indicated feeling powerless, with a sense of rejection of their body. They exhibited a sense of loss in terms of inability to experience orgasm due to urinary loss, as well as feeling secondary to the satisfaction of their partner.
Emotional aspects of transiting HIV-infected adolescents to an adult health care in the southeast Brazil: A new challenge
Authors: Machado D.M. , Succi R.C.M. , Galano E. , Turato E.R. 
Published: May 2011

IntroductionAdolescents who was born with HIV, usually followed by paediatricians, present new challenges to health care teams during transition to adult medical care.ObjectiveTo discuss the emotional meanings of transitioning this group to adult health care.MethodClinical-qualitative approach with preliminary interviews conducted with eight HIV-infected adolescents followed at Federal University of São Paulo, Brazil. The data were processed through Qualitative Content Analysis and discussed based on theoretical psychodynamic frameworks.ResultsThe emergent themes were feelings of loss, risk of rupture of solid ties and unpreparedness to changes perceived as threatening. The transition to adult health care points to the need for developing patient self-care: “... I have to take more responsibility, I’m not ready, I’m still a teenager.” They also mentioned concerns in moving away from their paediatricians, “here is like a family. I feel like they care about me ... they are not just doctors... kind of teacher... mother, you know, “If I have to leave, I’ll cry... “Is there a place where the paediatricians could follow us until 30 years?” On the other hand, there were testimonies showing compliance or interest in changing, it's normal, I’m older, I have to stay right there”, “I’m the oldest ... it's weird to be among children.”ConclusionsAlthough adolescents understand the need of transition of health care, they manifest several difficulties. Individualized transitioning plans and increasing interaction between paediatric and adult HIV care providers could better address the needs of this unique population.
Psychological experiences related by cistectomized and/or prostatectomized outpatients in the southeast Brazil facing their leading condition in the family structure: A clinical-qualitative study
Authors: Trigo L.A.M.C. , Magdaleno R. , Ferreira U. , Turato E.R. 
Published: May 2011

IntroductionThe bladder and prostate cancer have similar invasive treatments, which imply in psychological alterations for the patient. They face changes in their way of life, have their male fragility exposed and they still charge themselves as the provider role in their families.Objectives/aimsTo discussemotional meanings related to cistectomized and/or prostatectomized outpatients who exercise the leading condition in their family structure.MethodClinical-qualitative with semi-directed interviews with open-ended questions and using saturation sampling closed with 9 married patients between 40 and 77 years old. Interviews were recorded and transcribed for later psychological interpretation.ResultsIt is emerged five topics as patients’ biggest concerning on postoperative:(1) Ego and Probe: There is a physiological and psychological discomfort about using a probe. They are afraid of what people will think, affecting their self-esteem and making them feel incapable;(2) Lack of Bladder Control: They reported “moral decay” and prefer being away of their day-to-day activities instead of using a diaper and deal with limitations;(3) Sexuality: The most important topic. There is an important loss of sexual practice and frustration. There is a connection between fear of being impotent and development of new ways to find pleasure and sexual satisfaction;(4) Relationship: Marriages were not shaken by the situation and intimacy increased; and(5) Escape of Reality: They said they had “lived life” as a way not to feel private about everything they had lost.ConclusionIt is important to have a bigger emotional and psychosocial support for these patient’s postoperative.
Psychological meanings of life experiences during postpartum depression as reported by outpatients seen at a university hospital in the Southeast Brazil: A clinical-qualitative study
Authors: Bastos S.C.R. , Pereira B.G. , Turato E.R. 
Published: May 2011

BackgroundThe object of this study have covered the psychological and sociocultural experience in context of depression occurred in postpartum period. The research assumes that pregnant women have the expectation that the motherhood is one of the most important moments of their lives and thus need to feel happy in face of childbirth, while women who had postpartum depression can experience feelings of anxiety and guilt. In addiction, there could be limitations on the child care and support or false sense of support felt by these women in relation to her partners, relatives, doctors, nurses and others.PurposeThe aim was to discuss what the perceptions and points of view brought by the women about this health problem represent or represented, emotionally and socio-culturally.MethodWe used the clinical-qualitative method, employing the technique of semi-directed interview with open-ended questions and we close the sample using the theoretical saturation of information, were sought on issues that could support better ways of managing such patients by health professionals. The researchers paid attention to the emic perspective, that is, the insider’s point of view or the reasons for certain interviewees’ customs/beliefs.ResultsIn processing the data through both qualitative content analysis and free-floating readings, it emerged the following discussion categories:(1) the escape the feeling of guilt brought by the difficulty of caring for the child;(2) how to deal with family support upon arrival in the home;(3) to learn to manage the strong sadness;(4) the need for baby care.
Acyclovir-induced psychosis with manic symptoms after treating adult chickenpox
Authors: Vázquez Caubet J.C. , Bautista Garrido O. , Marín Mayor M. , Sanz Fuentenebro J. 
Published: May 2011

BackgroundVaricella Zoster Virus infection is quite a common condition overseas, for which Acyclovir seems to specifically help reducing the duration and severity of its symptoms.Some central nervous system side-effects have been described while receiving treatment with Acyclovir or one of its analogs Ganciclovir and Valacyclovir, and eventually psychiatric disturbances between them.ObjectivesWe report the case of an Acyclovir-induced psychosis with manic symptoms in a 22 years-old woman with no previous psychiatric history.MethodThe patient presented with irritable mood and grandiose delusions 72 hours after starting oral Acyclovir for a chickenpox infection coursing with diseminated rash.ResultThe patient was admitted to the psychiatric unit 2 weeks after stopping treatment, albeit symptoms persisted. She was treated with Olanzapine in first place with modest improvement and Haloperidol in second place, finally recovering her previous mental state with no residual symptoms.DiscussionThere is a significant body of evidence warning about neuropsychiatric disturbances as a side-effect of treatment with Acyclovir and its analogs, specially when using intravenous administration, or in a renal failure condition. Although uncommon, psychosis with manic symptoms in young and healthy patients should be kept in mind in order to recognise it and offer best support.
Improving transfer from secondary to primary care: An audit of discharge letters from psychiatric outpatient clinic
Authors: Ahmed U. , Carmody E. 
Published: May 2011

AimsThe discharge letter plays a crucial role in continuity of care from secondary to primary care. We found no existing study of outpatient discharge letters, including Mental Retardation services. New Ways of Working for psychiatrists has encouraged the discharge of stable outpatients to primary care in order to provide a responsive, flexible service. This study set standards for discharge communication and identified areas for improvement.MethodologyThis was a retrospective random audit of 30 service users discharged from a psychiatric outpatient clinic. Standards were set with consultant psychiatrists and general practioners. Data was collected from the service users’ last two clinic letters using a pre-developed audit tool and compared the current practice with the standards identified.ResultsStandards for status and future planning were largely achieved with reference to current mental state (97%), current medication (90%), other LD professionals involved (95%), advice and how to re-refer (90%).Standards for historical factors were partially achieved; including summary of contact with services (70%), summary (57%) and evaluation (67%) of treatments received. Some standards were not achieved; including requesting view of primary care prior to discharge (27%), statement of capacity (23%), risk factors (23%) and relapse indicators (27%).ConclusionThe audit showed areas of good practice and areas for improvement. Results were disseminated to MDT's and a template developed for outpatient discharge letters. A re-audit has commenced to ensure progress in this important information-sharing process and to enhance the delivery of safe and effective health care.
Investigation of mental retardation etiology in romanian children using clinical, cytogenetic and array-CGH diagnostic techniques
Authors: Budisteanu M. , Arghir A. , Chirieac S.M. , Tutulan-Cunita A. , Burloiu C. , Iliescu C. , Craiu D. , Barca D. , Budisteanu B. , Minciu I. , Magureanu S. , Lungeanu A. 
Published: May 2011

IntroductionMental retardation (MR) is the most common developmental disability, affecting 2–3% of the general population. A major challenge in both clinical practice and research in the field of MR is to identify the underlying causes: genetic, chromosomal and environmental factors that have an influence on a person's development and behavior.ObjectiveWe present the results of our study regarding genetic abnormalities associated with mental retardation in children.MethodsA total of 180 children were studied using a diagnostic protocol based on dysmorphologic and clinical assessment. A disease, familial and personal history were noted. All patients were evaluated by clinical and paraclinical exams (including dysmorphological features, psychological tests, neurological features, neuroimagistic studies). Genetic investigations included a karyotype with GTG banding, FISH and array-CGH.ResultsA specific causes for the mental handicap was identified in 80 children (44%).These included a chromosomal abnormality in 32 cases (17%), microdeletion syndromes in 25 children (14%), recognizable syndromes in 23 (13%). Array CGH identified a 22q11 deletion in a girl with unusual phenotype for DiGeorge syndrome, a Xp21 duplication in a girl with severe phenotype (including sever mental retardation, epilepsy, dysmorphic features, genital anomalies, glaucoma, dental anomalies), and a 4p14 deletion in a girl with moderate mental retardation, dysmorphic features, diparesis, congenital heard malformation.ConclusionsWhile clinical diagnosis and conventional techniques form the mainstay of investigation of children with mental retardation, array CGH proved important diagnostic tool. Acknowledgments: National Research Program PN II, Project 42–130, CAPACITATI 29/2007–2009 Project; CNCSIS, Project 1203