bluuebunny/crossref_metadata_2025_split huggingface dataset:
Constructing a hospital post-stroke depression management protocol by studying the management of post-stroke depression in a hospital setting
Authors: Ghoshal N. , Sett A. 
Published: February 2022

IntroductionA stroke is a potentially debilitating event which can render the victim unable to perform many tasks and functions, significantly decreasing their quality of life. This, in addition to emotional/mental changes post-stroke, can lead to a phenomenon known as “post stroke depression” (PSD), characterised by persistent low mood following a stroke.ObjectivesThis study aims to amalgamate recommendations based on national guidelines and previous literature, in addition to an original inpatient study of stroke patients within a hospital, to construct a standardised protocol of the management of PSD in the hospital setting.Methods248 patients who had been treated for stroke within a hospital were analysed using hospital notes to assess for incidence of PSD, in-hospital management, and outpatient follow-up. In addition a literature search was conducted and national guidelines were consulted to develop a PSD management protocol.
Figure 1: Post stroke depression management protocol.ResultsWhile 8% (20/248) of stroke patients experienced low mood immediately post stroke, 45% (9/20) of these patients did not receive any therapy or drug treatment, 80% (16/20) did not receive any outpatient monitoring of their mood and 100% of patients received no outpatient monitoring of newly commenced antidepressants.ConclusionsUsing the results and literature search, a PSD management protocol, encompassing both appropriate in-hospital therapy and robust outpatient monitoring, was developed (Figure 1). We hope that through this, hospital care of PSD can be improved and optimised, in order for victims of PSD to receive the best possible, evidence-based care available to treat this potentially devastating condition.DisclosureNo significant relationships.
Anxiety-depressive disorders in patients with dysarthria against the background of organic brain damage
Authors: Mudrenko I. , Kolenko O. 
Published: February 2022

IntroductionThe presence of acquired speech disorders of varying evidence can cause maladjustment and job loss. Often there is no adequate psychological and psychotherapeutic assistance for these patients, which hinders the process of recovery and reintegration into the social environment.ObjectivesTo study the level of anxiety and depression in patients with dysarthria who have undergone various types of cerebrovascular accidents. To give practical recommendations regarding the correction of these conditions.MethodsTo assess the level of anxiety and depression, the Hospital Anxiety and Depression Scale (HADS) was used as the most convenient for application in clinical practice.ResultsThe study involved 42 people in the age group 45-60 years old with the consequences of cerebrovascular accident in the form of various types of dysarthria and without severe movement disorders. All participants had a university degree and a confirmed stroke of anamnesis. According to the data obtained, 45% of patients had symptoms of depression, 52% – anxiety. It should be clarified that specific weight of men with manifestations of depression and anxiety was higher (65% and 56%, respectively). The beginning of active antidepressant therapy in a hospital setting showed a positive subjective effect from such influences – in 38% of patients.ConclusionsThe use of modern methods for assessing the level of anxiety and depression in patients with speech disorders should become an obligatory stage of diagnostic measures. Psychological assistance and pharmacological correction not only helps patients to adapt to new social conditions, but also promotes prevention the progression of depressive manifestations.DisclosureNo significant relationships.
Tiktok, a vehicle for Pro-Ana and Pro-Mia content boosted by the COVID-19 pandemic
Authors: Jordan G. Lladó , García M.D.C. Díaz , Esteban P. Sánchez , Martín A. Santos , Sánchez P. Mediavilla , Cubo M. Jiménez , Cano M. Miguel , Del Barrio J.A. Gómez , Ayesa-Arriola R. 
Published: February 2022

IntroductionINTRODUCTION TikTok is a social network (SN) that allows users to share short videos about different issues. Since the COVID-19 lockdown, there has been an increase in Pro-Ana and Pro-Mia videos in this specific SN.ObjectivesOBJECTIVES To know the main characteristics about Pro-Ana and Pro-Mia contents among TikTok users.MethodsMETHODS A search was carried out using uncontrolled language with the term “TCA” (ED in English). The study included only Pro-Ana and Pro-Mia resources in Spanish. Resources under the category “recovery” were excluded. A random sample of 16 TikTok was used, since it is enough to estimate, with a confidence of 95% and an accuracy of +/- 20 percentage units, a population percentage that is expected to be around 20%. The studied variables were images, type of resources, “challenges” and misspelled words.ResultsRESULTS In the sample, 68.75% of the profiles were created upon confinement, 56.25% had more than 500 followers and 68.75% had more than 3000 “likes”. 43.75% included more than 30% of ED advocacy content, 18.75% promoted challenges and 37.5% used misspelled words to avoid SN censorship.ConclusionsCONCLUSIONS There has been a remarkable increase in ED-related content as a result of lockdown. In turn, the increasing number of users who are part of TikTok reveals that this is a SN that can be associated with ED advocacy.DisclosureNo significant relationships.
Focus group interview as a research method in the development of the e-learning in suicide prevention for students in poland
Authors: Pawelec R. , Kwiatkowska A. 
Published: February 2022

Project ELLIPSE (E-LifeLong Learning in Prevention of Suicide in Europe) was developed in response to need for preventive suicide programs. It was noticed that it is important for academic teachers and students, especially those who teach and study in the fields of medicine, nursing, psychology, sociology or those related to the media. The goal is creating an e-learning platform for students and teachers on suicide prevention along with a textbook and a free self-help application. For this purpose the milestone was the conducting of the focus group interviews in Poland. Participants were recruited from the above mentioned groups (students and professionals). The objectives of this part of the project were among others: raising awareness of the problem of suicide and prevention, giving good examples on suicide prevention in working life, preparation of a program proposal for e-learning content. Students interest in the problems of suicidology was high and they comes optimistic to the idea of prevention, they want to know especially about how to help somebody, how to talk and not to harm people and something more in their future profession. Only theoretical approach will be not enough for them, the rules of how to NOT react, will not be interesting because they know something about it. They showed a knowledge of basic concepts, extensive and multi-context knowledge of causes and warning signals and great understanding for suicides of all ages. However, they themselves were uncertain how to help such a person, and showed poor recognition of institutional help.DisclosureNo significant relationships.
French experiences with the online courses on suicidal behaviour, their main features, requests of participants and the opportunities to foster suicide prevention
Authors: Lopez-Castroman J. , Olie E. 
Published: February 2022

There is a high demand for specific training on the understanding and management of suicidal behaviors. We will present a summary of a massive open online course that was launched in France in 2018 for the first time. The structure of the program was simple: 5 modules presented on a weekly basis, each module contained several short videos with direct training, interviews or discussion. The MOOC offered as well other ressources such as access to a forum during the course, an updated bibliography and vocabulary for each module and an evaluation at the end of the modules. In the first year, the number of registered candidates for the course was very high (>10000) and more than a quarter completed the course (>2500), with participants from 82 countries. The quality of exchanges with the students was very high. The results of this ongoing experience provides interesting insights on how to improve access and motivation to specific training in the field of suicidal behavior for participants from very different backgrounds.DisclosureNo significant relationships.
Self reported experience of sexual abuse among children in their homes in Ilorin Nigeria
Authors: Oladosu A. , Abiodun O. , Tunde-Ayinmode M. 
Published: February 2022

IntroductionThe sexual abuse of children is well documented in literature. Data on it from Nigeria is rather sparse. The current study examines the prevalence and pattern of sexual abuse with a view to increasing our understanding of it.ObjectivesTo determine the prevalence and pattern of sexual abuse of children at home in Ilorin Nigeria.MethodsA cross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers child abuse in its several forms including sexual abuse. Prevalence of sexual abuse was computed.ResultsOver a third (586) of participants experienced some form of sexual abuse in the last year. Table 1: prevalence and pattern of sexual abuse at homeSexual Abuse* (n=586)FrequencyPercentageTalked to you in a sexual way42071.7Touched private parts33356.8Showed pornography14925.4Made you look at private parts13623.2Tried to have sex with you (unwilling)6110.4Made a sex video of you--ConclusionsSexual abuse of children occurs commonly in Ilorin Nigeria. There is a need for further research towards understnding it determinants towards strengthening systems of safeguarding children against it.DisclosureNo significant relationships.
Association between IL-17, IL-23 with neurocognitive scales in patients with Alzheimer’s disease
Authors: Mudrenko I. , Chyniak O. 
Published: February 2022

IntroductionAlzheimer’s disease (AD) is a degenerative brain disease and the most common cause of dementia. Evidence suggests that various cytokines, including interleukins (IL) IL-6, IL-10, IL-12 are actively involved in the pathogenesis of AD. The role of IL-17 and IL-23 is less clear.ObjectivesTo investigate the correlations between IL-17, IL-23, and neurocognitive scales in patients with Alzheimer’s disease.MethodsThe study included 45 patients: 15 patients with Alzheimer’s disease and 30 patients without cognitive deficit (control group). Clinical and psychometrical methods were used: Mini Mental State Examination (MMSE) scale; Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB), Alzheimer Disease Assessment Scale-cognitive (ADAS ̶ cog). Serum levels of cytokines of IL-17 and IL-23 were analyzed by sandwich ELISA on “Chem Well 2900” immunoanalyzer (Awareness Technology, USA).ResultsA significantly positive correlation was observed between IL-17 and IL-23 for all AD patients (r =0.723, p=0.002). A significant inverse correlation was observed between serum concentration of IL-17 and MoCA score (r=˗1.0, р≤.0001) and IL-23 and MMSE score (r=˗0.553, р=0.032) in all AD patients. However, no other significant correlations were found between IL-17 and the scores MMSE, FAB, ADAS ̶ cog and between IL-23 and the scores MoCA, FAB and ADAS ̶ cog.ConclusionsProinflammatory cytokines (such as IL-17 and IL-23) have been associated with cognitive impairment. However, the complicated relationships of the two cytokines with the pathogenesis of AD need to be further investigated in the future.DisclosureNo significant relationships.
Protective role of lipoic acid in the prevention of oxidative stress caused by cadmium in the vascular endothelium of rats
Authors: Mirkovic J. Jovanovic , Alexopoulos C. , Jurinjak Z. , Jerkan M. , Medojevic N. 
Published: February 2022

IntroductionAcute and chronic exposure to cadmium (Cd), due to its increased use and application in the industry, can result in the development of atherosclerosis, the occurrence of cardiomyopathy, cerebrovascular stroke, as well as carcinogenesis in some organs. The target for cadmium action is thought to be the vascular endothelium.ObjectivesThe aim of this study is to investigate the occurrence of oxidative stress on blood vessel endothelium induced by subacute administration of cadmium, as well as the protective power of alpha-lipoic acid (α-LA) supplementation on the Wistar strain albino rat model system.MethodsAfter anesthesia of rats in the vivarium of the Scientific Research Center for Biomedicine, Faculty of Medicine in Niš, blood was collected by cardiac puncture and sent to the Clinic of Nephrology, Clinical Center in Niš, Serbia for determination of hematological parameters.ResultsAccording to the results of this study, it can be seen that the number of granulocytes is reduced due to cadmium intoxication, which is probably induced by the migration of neutrophils into tissues. The number of lymphocytes was increased due to subacute cadmium intoxication compared to the control group of animals. The positive efficacy of α-LA supplements in combating the adverse effects of cadmium on blood vessels is also confirmed.ConclusionsCadmium administration is thought to cause a systemic inflammatory reaction due to the formation of free radicals in the blood vessel endothelium. Administration of α-LA supplement confirms that it can be used as an antioxidant in the clinical management of many diseases and also in cadmium intoxication.DisclosureNo significant relationships.
The psychiatric phenotype of 15q11.2-q13.3 duplications
Authors: Budisteanu M. , Papuc S. , Erbescu A. , Andrei E. , Streata I. , Cucu M. , Iliescu C. , Anghelescu C. , Ioana D. , Ioana M. , Rad F. , Arghir A. 
Published: February 2022

Introduction15q11.2-q13.3 region is prone to genomic rearrangements leading to both deletions and duplications. A wide spectrum of neuropsychiatric conditions, such as developmental delay/intellectual disability (DD/ID), autism, attention-deficit hyperactivity disorder, schizophrenia, epilepsy was reported in association with genomic imbalances of this region.ObjectivesIn this paper we report on 9 children carrying 15q11.2-q13.3 duplications.MethodsSeven boys and two girls, aged 15 months to 15 years, were included in the study. Genomic investigations were carried out by array-based comparative genomic hybridization (Agilent Technologies). In all patients the psychomotor development, dysmorphic features, neuroimaging and EEG anomalies were assessed. Psychologic and psychiatric evaluation was performed with specific tests.ResultsThe size of the duplications ranged from 9.65 Mb to 0.38 Mb. All patients presented speech delay. Autistic behavior and muscular hypotonia were detected in 8 out of 9 patients, DD/ID in 6. Two children presented epileptic seizures, in addition 4 other children had EEG anomalies. Facial dysmorphic features were observed in 5 patients. Neuroimaging studies showed anomalies in 4 children. The smallest region of overlap in our patient group harbors CHRNA7 gene, a candidate for the behavioral abnormalities.Conclusions15q duplications encompassing CHRNA7 gene were associated with different neuropsychiatric features in our patients. Our results further support the association of 15q duplications with neuropsychiatric phenotypes, with clinical heterogeneity and variable severity, which is yet to be explained. Acknowledgment: The research leading to these results has received funding from the EEA RO NO Grant 2014-2021, the project contract No 6/2019.DisclosureNo significant relationships.
Self-compassion, optimism and shame in childhood trauma among 18-25 years old individuals
Authors: Dalkılınç G. , Gültekin S. , Güloğlu B. 
Published: February 2022

IntroductionChildhood trauma has a negative impact on mental health of individuals. Self-compassion involves being open to painful and troubling feelings, approaching them in a caring and loving way, accepting negative experiences as a part of human life. Optimism is an individual’s belief that everything will be better in the future despite the difficulties and obstacles of life. Shame is the feeling that occurs when an inadequacy or inappropriate behavior is noticed.ObjectivesThe aim of this study was to investigate the effects of childhood trauma on self-compassion, optimism, and shame.MethodsChildhood Trauma Scale, Self-Compassion Scale, Life Orientation Test and Shame Scale were administered to 384 individuals (304 Female and 80 Male). Their age range was between 18 and 25, with the mean of 21.26.ResultsThe findings of MANOVA indicated that a significant main effect of gender on emotional abuse and sexual abuse however there was no main effect of gender on physical abuse, physical neglect, emotional neglect, and excessive protection. Women were exposed to emotional and sexual abuse more than men. MANOVA that was applied to the scores of CTQ revealed a significant overall main effect of self-compassion and optimism whereas there was no main effect of shame.ConclusionsWhile self-compassion and optimism are the protective factors for the traumatized individuals, shame is the risk factor.DisclosureNo significant relationships.
Inside out: Taking inpatient care home
Authors: Cunha C. , Valido R. , Machado E. 
Published: February 2022

IntroductionHome hospitalization is an alternative to conventional hospitalization in several areas of medicine. In Portugal, we are now starting to think about its implementation in Psychiatry, given the positive experience of its use in other countries.ObjectivesUnderstand the advantages and disadvantages of a home hospitalization model and its logistical and clinical framework in an integrated community-focused care model.MethodsWe performed a literature review using Pubmed databases and UpToDate on home hospitalization, inpatient care and community-focused care modelResultsWe have found reports of centers with experience in home hospitalization in Psychiatry, but there is still a notable lack of studies in this area. There is a discrepancy between the care needs of patients and the existence of community services for the treatment of mental illness. Home hospitalization is considered when there is partial remission of the symptomatology that motivated the hospitalization. Albeit demanding inclusion criteria limit eligible patients, there are several advantages with this hospitalization model: 1) it favors agility in the transition from hospital to home, with direct observation of contextual factors that may influence psychiatric decompensation, 2) integrates the patient in his natural environment, promoting his autonomy,; 3) allows psychoeducation of the family; 3) guarantees the continuity of the therapeutic process initiated in the hospital, 4) optimizes resources and cost-effectiveness, 5) prevents relapses and the “revolving-door “phenomenon.ConclusionsWe have found that a model of home hospitalization is a valuable element that should be included in an integrated system of psychiatric care.DisclosureNo significant relationships.
A review of effective interventions to improve emotional risk factors of anxiety, stress, depression in infertile and infertile patients undergoing treatment with assisted reproductive techniques
Authors: Salarian N. , Hamzehgardeshi Z. , Shahhosseini Z. 
Published: February 2022

IntroductionInfertility is associated with Several negative reaction and emotional problemsObjectivesReview of effective interventions for improving emotional risk factors In infertile and infertile patients undergoing treatmentMethodsA comprehensive narrative review of the studies was conducted. Databases such as Web of Science, Science Direct, Cochrane Library, Scopus, PubMed, including Medline, Clinical key, SID, MAGIRAN were retrieved from August 10 to December 8, 2020, with no time limit. After reviewing the abstract and the full text of the articles in terms of compliance with the purpose of the study, finally, 32 articles were selected for writing. The methodological quality of the articles was assessed based on Cochrane Risk of BiasResultsInterventions were divided into two subgroups of mind-body, and web-based CBT. mind-body interventions generally shows the anxiety,stress and depression reduction and Possible improvement in pregnancy rate But most of these programs require extensive financial resources The results of web based, showed that using online CBT approach can greatly reduce stress and anxiety, due to increased use of internet, non collaborative,cheap and private treatment of web based interventions, this method can be used as a way along with other treatments to reduce these negative reactionsConclusionsAccording to the present study CBT methods, application and Internet-based interventions can be used as appropriate counseling methods in reducing stress, anxiety and improving pregnancy outcomes in infertile patients. This information can be used as a proper source to select appropriate counseling methods for health care providers, midwives and treatment staff involved in infertility patientsDisclosureNo significant relationships.
Therapeutic relationship in mental health nursing: A scoping review
Authors: Laranjeira C. 
Published: February 2022

IntroductionIn mental health nursing, the therapeutic relationship is central to the care process, since the restoration of the balance of the person in mental suffering relies on significant interpersonal relationships.ObjectivesThis scoping review aims to map which personal qualities of the nurse favor the therapeutic relationship in mental health nursing.MethodsA question was formulated according to the PICo method: What are the nurse’s personal qualities that benefit the therapeutic relationship with the patient in mental health settings? For the selection of studies were used the following databases: Cochrane Database of Systematic Reviews; CINAHL; MEDLINE. A survey was carried out, with the following Boolean conjugation (nurse AND patient) and (personal AND qualities) and (mental AND health) and (therapeutic relation OR relation*). The limit applied to this research was the full text.ResultsA total of 12 studies were analyzed. These are predominantly qualitative with different methodological approaches. The nurse’s personal attributes or qualities imply not making judgments, be patient, be open and genuine. It was also evidenced the importance of the professional and personal dimensions in the therapeutic relationship.ConclusionsIn all studies, it was clear that the therapeutic relationship is influenced by attributes of the professional dimension that are linked, mainly, with the theoretical domain, technical knowledge and by attributes of the personal dimension that are related with the professional’s personal qualities or characteristics. The strategies used for the development of the therapeutic relationship imply the involvement of the person nurse, using this to elements of the personal and social sphere.DisclosureNo significant relationships.