bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evolution of the affective state of a cohort of people suffering from long covid and associated factors
Authors: Oliván-Blázquez B. , León-Herrera S. , Samper-Pardo M. , Méndez-López F. , Aguilar-Latorre A. , Martinez-Perrochan M. 
Published: August 2023

IntroductionLong COVID patients have experienced a decline in their quality of life caused, in part but not wholly, by its negative emotional impact. Some of the most prevalent mental symptoms presented by Long COVID patients are anxiety, depression and sleep disorders.ObjectivesThe objective of this study is to increase understanding of the affective state of people diagnosed with Long COVID, the evolution and associated factors.MethodsLongitudinal study of three months of duration. The study population was 100 post-COVID-19 patients aged 18 years or older (80 women and 20 men). The main variable was the affective state through the Hospital Anxiety and Depression Scale (HADS) questionnaire. The rest of the collected variables were: Socio-demographic variables, number of residual symptoms, cognitive functioning using the Montreal Cognitive Assessment (MoCA), physical functioning variable measured by Sit to Stand Test and Sleep quality through the Insomnia Severity Index (ISI). A statistical analysis comparing baseline and 3months follow up measures were performed, using a Student T for related samples statistical. A lineal regression analysing associated factors to a reduction in HADS score was also performed. Ethics approval was granted by the Clinical Research Ethics Committee of Aragón (PI21/139 and PI21/454).ResultsAt baseline the score in anxiety, depression and total score were 9,10 (SD: 4,67), 8,25 (SD: 4,51) and 17,35 (SD: 8,43) respectively, and 74% of the participants were considered cases. At three months, there is a slightly decrease but not significative in the score of HADS, both in anxiety, depression and total score (pvalue 0,465; 0,236; and 0,216 respectively). 64,4% of the participants had a positive diagnosis of depression/anxiety. About the rest of the variables there were also a slight decrease but without being significant There was not a predictive model that explained the decrease in the HADS score.ConclusionsThe evolution of the people suffering long covid is very slow along the time, and also the affective state.Disclosure of InterestNone Declared
Assessing the surge capacity of hospitals in Ugandan health care systems in managing the COVID-19 pandemic
Authors: Jephthah D. , Ddumba I. 
Published: August 2023

IntroductionThe increasing cases of COVID-19 poses a threat on the over strained health care systems, especially in developing countries. Health care systems might need a surge to accommodate the ever increasing number of COVID1-19 cases. Hence, we assessed the Ugandan healthcare systems’ capacity to accommodate the surge in the increased caseloads, which might need admission and critical care due to COVID-19.ObjectivesUnderstanding the health systems capacity to accomadate the surge in increase caseload of COVID-19MethodsWe assumed that 2% of the Uganda population get symptomatic infections by COVID-19 based on modelled estimates of Uganda and ascertained the healthcare systems surge capacity for COVID-19 under three transmission curves scenarios; 6, 12 and 18 months. We estimated four measures for hospital surge capacity; ICU bed surge capacity, ICU bed tipping point, hospital bed capacity and hospital bed tipping point. Estimates were made for national level and 132 district local government.ResultsThe capacity of Ugandan health care system to accommodate the increasing numbers of cases due to COVID-19 is hindered by the lack of oxygen. Only 9 in 20 (46%) of hospital beds had oxygen supply. The hospital bed surge capacity varied across districts. Under the 12 months transmission scenario, the proportion of hospital with available beds, that would accommodate COVID-19 cases varied from 4% in Karomoja district, to 84% in Kampala district. The Ugandan healthcare systems faces a critical gap in ICU beds and ventilator capacity. Only 48 out of 132 districts had at least 1 ICU unit. An additional 2,247 bed and 2,756 ventilators (12 months transmission curve) will be needed to accommodate the caseloads due to COVID-19.ConclusionsThe capacity for Ugandan healthcare systems to manage to manage the COVID-19 caseloads is minimal. There need to address the sub-national variations in bed surge capacity, ICU units and ventilators within the Ugandan healthcare system.Disclosure of InterestNone Declared
Subjective memory disorders and psychological distress in post COVID 19
Authors: Halouani N. , Gdoura D. , Bouattour O. , Chamseddine A. , Moussa N. , Ellouze S. , Aloulou J. 
Published: August 2023

IntroductionIn addition to psychological distress in patients with COVID 19, neurological and neurocognitive manifestations, such as memory impairment, are increasingly reported. Screening for cognitive impairment is therefore crucial.ObjectivesIdentify cognitive impairment inpost COVID19.MethodsThis is a descriptive and analytical cross-sectional study that took place during the period from 1 st March 15 th May 2021 with 154 patients who were hospitalized at the COVID19 unit at Hedi Chaker Hospital Sfax. The psychometric evaluation, done by telephone, was performed using the &quot;Hospital Anxiety and Depression Scale&quot; for the screening of anxiety-depressive disorders, the &quot;Impact of Event Scale-Revised&quot; for the screening of post-traumatic stress disorder, the Insomnia Severity Index for the evaluation of sleep, the &quot;The Prospective and Retrospective Memory Questionnaire&quot; scale and the Mac Nair questionnaire for the evaluation of subjective memory.ResultsThe mean age was 66.62 ± 13.34 years. Male patients represented 60.4% of the population. The prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively. For the assessment of subjective memory, the mean total score of the PRMQ was 27.72 ± 7.71, with that of prospective and retrospective memory 15.41 ± 4.44 and 12.16 ± 3.73 respectively. According to the Mac Nair scale, 18.8% of patients had memory impairment (Mac Nair score &gt;15). Anxious patients showed more memory impairment. Depressed patients had the most impaired scores for total memory (p= 0.03) and retrospective memory (p= 0.022). Patients with post-traumatic stress disorder had more memory impairment (p=0.021).ConclusionsPsychological distress is multifactorial in its etiology. The medium and long term management of COVID+ patients must therefore be multidisciplinary.Disclosure of InterestNone Declared
Vaccination against SARSCoV-19 among psychiatric patients at the central Greek hospital
Authors: Anagnostaki M. E. , Anagnostaki I. , Papaspiropouloou G.-E. 
Published: August 2023

IntroductionVaccination against SARSCov-19 all over Europe reached over 80% of adult population confronting the pandemic burden on National Health Systems. On the contrary large parts of population remained unvaccinated. These groups are mainly individuals with poor socioeconomic status and psychiatric patientsObjectivesto determine the ratio of fully vaccinated patients among the hospitalized and outpatient of Psychiatric Hospital of Attika. The reason of vaccination avoidance recorded by the clinicianMethodsThe study has done retrospectively and included 2583 psychiatric patients who are hospitalized or are visiting the Outpatient clinic. A concise questionnaire was formed to record the main reason of avoidance (Denial/Medical Issues/ Loss of follow up/ other)Results520 out of 2583 (21%) remained not fully vaccinated throughout the pandemic and denial by the patient was the main reason (55%). The reasons recorded at the patient’s file by the physician are shown at table 1.
Table 1main reasons of vaccine avoidance.Denial55%Medical contraindications15%Loss of follow up26%other4%ConclusionsPsychiatric patients belong to a high probability group for vaccine avoidance. In our study the frequency of unvaccinated psychiatric patients found greater than healthy population and the main reason is patient decision not to consent. Loss of information, distrust, inadequate social help are causes of poor decision making and consequent low quality health servicesDisclosure of InterestNone Declared
Spatial typologies in psychiatric facilities
Authors: Kirch J. 
Published: August 2023

AbstractA psychiatric facility represents a temporary home for its patients. Multiple studies have provided ample evidence that the built environment has the potential to support patients in their recovery process, in part by offering a homely surrounding. If their environment also succeeds in creating a therapeutic milieu in which the patients’ needs for protection, security, privacy, and orientation are met, the contribution of these surroundings can be even more significant. For example, clear, comprehensible building structures help patients to find their way around the new environment and further provide a feeling of security. To fulfill this goal, planners should pay special attention to the access zones and semi-public spaces in these types of buildings, as psychiatric patients often spend a lot of time there. Corridors should provide high spatial quality with daylight areas and places to sit down.Based on an analysis of more than 30 psychiatric facilities in Germany, three spatial typologies were identified within which the factors listed above have been explored.Firstly, the “Pavilion type”: square or slightly rectangular pavilion structures, generally with courtyards enclosed on four sides and multiple additions. This typology is found very often, especially on new build sites. The Pavilion type allows a useful combination of room functions and good lighting of all spaces. Secondly, the “L- or T-shaped type”: Linked L- or T-shaped, often appearing as comb-like buildings. These structures are particularly successful in integrating with the surrounding landscape. Thirdly, the “Block type”: Closed, block-like single-floor and two-floor typologies of different lengths. However, these building structures are increasingly rare as they often appear out of human scale and result in long, monotonous corridors.In building design it is crucial to consider the triad of “architecture/interior design/ and landscape design” and to emphasize the specifics of the site. Each of these typologies offer different opportunities to achieve this goal; yet, only when a unique atmosphere is created – one in which everyone feels accepted and is seen as an individual – can patients, staff and visitors feel the comfort and support of a successful homely environment.Disclosure of InterestNone Declared
Patience and its relationship to Stress Tolerance in the medical system in Bethlehem Governorate during the Corona pandemic
Authors: Al-Arja N. S. 
Published: August 2023

IntroductionThe COVID-19 pandemic has set unprecedented demand on the medical system globally. Palestine was one of the Arab countries affectedObjectivesThe present study aims to identify the relationship between patience and Stress Tolerance in the medical system in Bethlehem Governorate during the Corona pandemic, as well as to identify the impact of several demographic variables on it.MethodsDescriptive method were used. Appropriate statistical analyses were conducted using (SPSS). A random sample of 160 workers of the medical staff completed the Patience Scale and Coping Processes Scale questionnaire.Results: showed there is a significant positive effect for patience on stress tolerance and there were statistically significant differences in the level of patience in favor of males and single workers. It was also found that there is no difference in the specific duties of a health care worker and no variance of statistical evidence was found in the level of patience due to work with Covid patients but there were differences in stress tolerance in favor of those who do not work with Covid patients.There is a significance in the level of stress tolerance in favor of the National Center in regard to bearing pressure.There was a negative correlation with statistical significance between stress tolerance and age. The nature of stress changes with age, from episodic to chronic, which in turn affects appraisal and coping processesConclusionsThis study, which was conducted on a sample of Palestinian medical workers in the Bethlehem area, showed that at the beginning of the pandemic, the medical system in Palestine was not ready to handle Covid 19, and had no precautions to prevent the disease. In spite of that, the doctors and nurses who were undergoing psychological pressure were able to stand at the front line and face the outbreak of the Corona virus.Disclosure of InterestNone Declared
Relationship between life quality and emotional status among patients living with HIV
during the second wave of the COVID-19 pandemic in Russia
Authors: Titova V. V. , Rozhdestvenskiy V. I. , Gorkovaya I. A. , Ivanov D. O. , Aleksandrovich Y. S. 
Published: August 2023

Introduction
Different areas of life quality are associated with emotional status. In pandemic
conditions, the index of life quality may contribute to emotional stability. However,
HIV-infected patients are at risk for affective disorders and are often characterized by a
low life rate.

Objectives
The study aimed to examine the relationship between life quality and emotional status
among HIV-infected patients during the second wave of the pandemic.

Methods
Data were collected between February and July 2021 using a Google form we developed.
Fifty-nine HIV-positive patients participated in the study. We used the WHOQOL-BREF to
examine the quality of life and the DASS-21 to determine depression, anxiety, and stress
levels. Both questionnaires were adapted for use in Russia.

Results
We found that 64 % of the respondents had no symptoms of depression, 61 % of the
patients reported no anxiety, and 71 % had no detectable stress. We found that physical and
psychological well-being was associated with depression (rxy = -0.318, p
< 0.05) and anxiety (rxy = -0.308, p < 0.05), microsocial support
was associated with depression (rxy = -0.430, p < 0.01) and anxiety
(rxy = -0.330, p < 0.05), social well-being with depression
(rxy = -0.375, p < 0.01), anxiety (rxy =
-0.448, p < 0.01) and stress (rxy = -0.362, p < 0.01).

Conclusions
During the second pandemic wave, the social well-being was most strongly associated
with emotional well-being among patients living with HIV. This indicates that different types
of social support are essential for this group of patients. Therefore, state authorities
should pay special attention to the social welfare of this group of patients.

Disclosure of Interest
None Declared
Second Generation Long-Acting Injectable Antipsychotics in Africa: About a Case
Authors: Galvañ J. , Nguepy-Keubo F. R. 
Published: August 2023

Introduction
Schizophrenia affects people worldwide. In Europe, the advantages of second-generation and long-acting injectable antipsychotics (SG-LAIs) are known and used, supported by scientific evidence. However, somewhere there is limited evidence on this topic.ObjectivesHighlight the improvements in antipsychotic treatment and raise awareness of the scar between Europe and Africa, showing the results of the evidence with a case of cooperation with Cameroon.MethodsAbout a case of a 42-year-old Cameroonian woman with 25 years of schizophrenia, treated with first-generation antipsychotic polypharmacy (APP) oral and depot, with several psychotic relapses, disorganized behaviors, motor and cognitive impairment and isolation (telemedicine consultation received through a NGO platform).A search on PubMed was performed, selecting two systematic reviews including “antipsychotic” AND “Africa”, one systematic review for SGAs and four reviews for LAIs.ResultsSeven articles were reviewed, finding that APP use is highly prevalent in Africa with a lack of research on this, SGAs show an improved safety and tolerability profile and LAIs are among the most effective treatments in psychiatry improving adherence and overall patient outcomes.In our case, we recommend progressively adjusting treatment to SG-LAI monotherapy, visiting the patient six months later in Cameroon, observing sustained stability of positive symptoms with an improvement of negative symptoms and good adherence and tolerability to treatment without extrapyramidal effects.ConclusionsOur case is an example of the evidence that supports the improvement that SG-LAIs represent in psychiatric treatment and how international cooperation can help bridge the gap between Africa and Europe. Nevertheless, more research is needed to build bridges.Disclosure of InterestNone Declared
Environmental manipulation and stimulation of atypical children trough art therapy
Authors: Hosu L.-M. 
Published: August 2023

IntroductionThe accumulated experience, both with typical and atypical children, led to the desire for an easier integration into the collective.Detecting and encouraging the skills of the atypical child, with the help of combined arts techniques and environmental stimulation, supports their’s integration into the comunity.ObjectivesBeneficiaries-Centered Art therapy, with the aim of identifying and developing outstanding skills, trough environmental manipulation and combined arts techniquesMethods
The environmental manipulation method is used in the art therapy session trough artistic installations and colorful fabrics. Trough chromatics and textures are generated different contexts and atmospheres sense, through which the atypical child comes to accept and discover that environment. Through the manipulation of artistic installations, gross motor skills are also required, having to produce large movements with the whole body, in order to shape the elements in the environment.Costume making as a transitional phase in the adaptation of the beneficiary to the previously created environment independently or together with the art therapist, consists in harmonizing the beneficiary with the environment. These stages are achieved through mixed techniques of artistic work, painting, decorating, modeling, collage, weaving and binding techniques.Results
By practicing these methods during the art therapy sessions, the beneficiaries increased their self-esteem through the achievements they had and discovered and improved their outstanding skills: fine and gross motor skills, color sense, visual thinking, hand-eye coordination; improved and developed both verbal and non-verbal communication between beneficiary - art therapist and beneficiary - beneficiary, in the case of group sessionsImage:Image 2:Image 3:ConclusionsThe role of the artist/Art-therapist can be to identify and encourage the creative potential of the beneficiaries by making both individual and team artworks; to support social integration through art and to value the outstanding skills of the beneficiaries.Disclosure of InterestNone Declared
Craig Driver & Ross Warren (architects) will present examples of an innovative waymaking (wayfinding) concept from a current development in Norwich, UK
Authors: Warren R. D. 
Published: August 2023

AbstractA new interpretation of the normalised “Wayfinding” design task offers the opportunity to become an important element of the larger clinical and architectural project for a new “core” expansion of a large regional psychiatric hospital in the South-East of the UK. We call this new approach Waymaking, as it goes beyond signage, leveraging our deep-set knowledge and understanding of the entire project at all scales.Waymaking at the Rivers Centre for Mental Health (Rivers) begins with the exploration of movement narratives into and around its larger site. It turns a classic design task into a design opportunity on all scales, starting with an urban design and planning perspective, through to the architectural and landscape design decisions outside of the building and into the specific on-ward atmospheres in a manner integrated with the detail interior design decisions of colour, built-in-furniture and others.Rivers has been carefully composed out of existing structures as well as smaller new-build and extension buildings. These are all set within a large, sloping site of noteworthy natural beauty. As such, Rivers can well be understood as a hillside village or campus of health - rather than as a traditional “hospital.” As a health village, Rivers provides spatial sequencing as the landscape design directly introduces a series of smaller, more human scale spaces built and natural all of which together aid in orientation and identity across the site. This will help support the daily use of the buildings by all stakeholders.This strategy has been “baked-in“ to the architectural design as well, strategically distributed retreat/recovery spaces allow for space for de-escalation or relaxation. These can be found in the form of regular niches in the hallways and “porch” entrance spaces, usually with built-in benches and bespoke lighting elements. In addition to creating orientation affordances, these also provide opportunities for neurodivergent persons (ie. ASD, learning disabilities, etc.) to better understand and master independent movement around the Centre.Disclosure of InterestNone Declared
Migration, perceived discrimination and the development of psychosis
Authors: Barata V. , Bastos J. , Cativo C. , Gonçalves P. 
Published: August 2023

IntroductionMigration is a rapidly growing phenomenon in European countries and its association with psychotic disorders is a public health concern. Psychosis is more prevalent among migrants, which suggests that adverse social experiences play an important role in its pathogenesis. Throughout the migration process, migrants are exposed to several social disadvantages, including in the post-immigration context, where perceived discrimination appears to be an important stressor. In fact, the highest incidence rates of psychosis occur in the most discriminated populations, namely migrants with darker skin complexion, particularly when living in low-ethnic-density neighborhoods, where both discrimination and social isolation are more prominent.ObjectivesTo conduct an updated review about the association between migration, perceived discrimination and psychosis, aiming to better understand the mechanisms involved.MethodsNarrative literature review using the keywords “migration”; “psychosis”; “discrimination”; “racism” on PubMed database, in conjunction with presentation of a clinical case concerning a patient from Guinea-Bissau, admitted to our hospital in the context of first-episode psychosis (FEP), with onset months after completing the Mediterranean migration route to Europe.ResultsLiterature suggests that experiences of racism and social exclusion contribute to feelings of imminent danger, fear and general anxiety, which may develop into paranoid ideas of ubiquitous persecution. Furthermore, intense social defeat experiences, common in migrants, are associated with more distressing forms of delusional content, with delusions of psychological persecution being more common. However, there is also evidence that migrants with FEP have better occupational and social functioning profiles compared to natives, suggesting that, in these patients, there is a higher burden of social-environmental risk factors, with the onset of psychosis occurring only when this burden overcomes a higher threshold. Our patient fits this description. After completing his migratory route and while living in an Italian refugee camp, he described suffering experiences of severe discrimination. Real or not, these experiences escalated to become delusional ideas of persecution involving European governments, thought to seek for his humiliation. Despite the presence of psychotic symptoms, this patient was able to maintain a reasonable level of functioning during years, up to his psychiatric admission.ConclusionsGiven the notorious effect of perceived discrimination and racism on the increased risk of psychosis in immigrants, it is urgent to adopt policies that promote the social protection of these vulnerable groups, namely through enhancing their integration in the host countries.Disclosure of InterestNone Declared