the presentation of mental illness in elderly persons in different cultures

... However, in Kenya, there are only 68 psychiatrists serving a population of approximately 34 million Less than half of them are involved in active clinical work, and they mainly practice in the major ... already in service, there is need for continuing medical education (CME) on mental health Thirdly, there is need for routine use of screening instruments to assist in making diagnoses The importance ... anxiety These findings call for continuing education on mental health at all levels of general and surgical facilities, and also for routine screening for mental disorders Competing interests The...

Ngày tải lên: 08/08/2014, 23:21

... had the lowest absolute numbers (21 in MHCs and 10 in non-MHCs) Other findings included that ARR increased with the year at the start of follow up (ARR 1.02, 95% 1.01-1.02, for each increment in ... and Robins have described three different types of attributable fraction in the exposed [26] In this study, the incidence density fraction of PPHs in MHCs attributable to their mental illness ... healthcare according to mental health status is getting worse over time is interesting This may be partly due to the combination of: (i) the dramatic deinstitutionalisation movement of the mental health...

Ngày tải lên: 11/08/2014, 16:20

... Gesturing to end the conversation is considered a rude insult 2.2.12 Pointing finger Pointing fingers normally mean indicating some person or some object Extending the index finger to point something ... considered as the symbol of the devil in many cultures The two pointing fingers indicate the horns of the Devil This symbol is used the University of Texas to symbolize 'the Longhorn', their university ... speaking to someone with no language in common The meanings of hand gestures in different cultures may be translated into different things Imagine a person doing a presentation without the hand...

Ngày tải lên: 08/11/2014, 23:26

... during histological examination Risk of infection is increased in Figure Punch biopsy of one papule demonstrating inflammatory infiltrate H&E-stained cross section of one papule demonstrating infiltrating ... aware of the initial injury and at times, deeply penetrating splinters cannot be visualized In these cases, unfortunately, the only indication of retained foreign material might be swelling, tenderness, ... to arrive at the diagnosis of foreign body splinters of the skin This report underscores the importance of evaluating wounds and/or lesion that penetrate the skin for the presence of foreign bodies...

Ngày tải lên: 11/08/2014, 12:20

... Principles) [6] In response to the lack of progress in meeting the minimum standards enshrined in these principles, the Institute of Psychiatry in the UK launched 'Principles to Respect', an 'Initiative ... interview, in which case we interviewed the main carer, usually the mother, father or sibling In eight of the interviews the carer and the person with mental illness were interviewed Page of 16 (page ... chaining, beating, cutting of the skin, acid burning or starvation ("fasting") in the treatment of the mentally ill and 'serve a purpose as a means of containment' The scarcity and expense of...

Ngày tải lên: 11/08/2014, 14:21

... pre-existing increased insulin resistance and dysfunction of beta cells Insulin resistance is present in the acutely ill [13,15,18,28] in different intensity, but the factors determining the extent of ... is the cut-off value in the Recommendations of the American Heart Association [35] and the trigger for initiation of insulin treatment for ICU patients recommended by the American College of ... Mediators of cytokine-induced insulin resistance in obesity and other inflammatory settings Curr Opin Clin Nutr Metab Care 2002, 5:377-383 15 Marik PE, Raghavan M: Stress-hyperglycemia, insulin and immunomodulation...

Ngày tải lên: 25/10/2012, 10:02

... with their lives and in 30% of them, lives are meaningless Be worried about the bad event in future observed in 66/5% of elderly More than 90% of them have enough free time which is spent in watching ... was meaningful Having a meaningful life and a feeling of happiness in all age groups has increased after the interventions (P= 0.00) In women aged 70 and older, Not being worried about the future, ... al: The Effectiveness of Educational… elderly Therefore, it is necessary to define ways of promoting health, nutrition and dietary allocations which has more influence in measuring the quality of...

Ngày tải lên: 14/03/2014, 20:20

... psychoeducation in the treatment of panic disorder in adults In the current review, there was insufficient evidence to indicate that any of the remaining interventions were effective Cognitive Behaviour Therapy ... the intervention and its effectiveness is calculated by comparing measures taken at baseline (the beginning of treatment) and comparing them to measures taken at the end of treatment Increasingly ... pharmacotherapy and are most effective during the maintenance phase Psychosocial interventions appear to have the greatest benefit in reducing risk of relapse and improving functioning during the maintenance...

Ngày tải lên: 02/06/2014, 09:39

... group, 37.6% in the ISF, and 40% in the Well group) Other reported reasons were pain in the extremities and headache/migraine Almost half (47.4%) of the users of narcotic pain relievers in the CFS ... 58.3% of the ISF group and 72.7% of the Well group) Other reported reasons included anxiety (or "nerves") in 24.3% of the CFS group, 20.9% of the ISF group, and 9.1% of the Well group, and Page of ... use of aspirin occurred in the Well group Use of acetaminophen-containing drugs in the CFS group (~24%) was higher than the estimated national average of 19%, while both the Well controls and the...

Ngày tải lên: 18/06/2014, 19:20

... and to check off the grey box of the first pair, the while box of the second, the grey box of the third, the white box on the fourth, etc We quantified their performance as the number of boxes checked ... mean DTC, which increased the sample size, and thus also increased the power of statistical testing The remaining pairs of bars in Fig illustrate mean DTC for the task combinations in our previous ... depends on the presence of obstacles in the walking path and/or on the need for ongoing visual observation in the non-walking task (see Introduction) To find out, we quantified ARD of each elderly...

Ngày tải lên: 19/06/2014, 08:20

... should examine and impact of these variables in influencing the QoL of Chinese caregivers with relatives suffering from mental illness 15 Competing interests The authors declare that they have ... consequence of caregiving [14] It also includes the tasks of handling the emotional needs of the mentally ill relative [2] On the other hand, the ‘subjective burden’ may be defined as the distress ... factors influencing their caring experiences, the findings generated by Li et al may not be applicable to Chinese people living in other parts of China and the world [13] Second, because the samples...

Ngày tải lên: 20/06/2014, 16:20

... group, 37.6% in the ISF, and 40% in the Well group) Other reported reasons were pain in the extremities and headache/migraine Almost half (47.4%) of the users of narcotic pain relievers in the CFS ... 58.3% of the ISF group and 72.7% of the Well group) Other reported reasons included anxiety (or "nerves") in 24.3% of the CFS group, 20.9% of the ISF group, and 9.1% of the Well group, and Page of ... use of aspirin occurred in the Well group Use of acetaminophen-containing drugs in the CFS group (~24%) was higher than the estimated national average of 19%, while both the Well controls and the...

Ngày tải lên: 20/06/2014, 16:20

... exhausted They then experience a process of grief and the acceptance of pharmacotherapy seems to coincide with the acceptance of the psychiatric diagnosis It is the final proof of what they fear They ... Table shows the results concerning the opinion of the respondents about the efficacy of different modalities of treatment Finally, Table shows the respondents' opinion on the safety of psychotropic ... may change the attitude of the parents is whether they themselves would accept medication [13,14] In the literature there are only a few reports regarding the attitudes and opinions of the general...

Ngày tải lên: 08/08/2014, 23:20

... focused on chronic care in the Netherlands Our objectives are to validate the original 34-ACIC and to reduce the number of items of the original 34-item ACIC while maintaining validity, reliability, ... lot on the part of the organization and professionals, as well Organizing and training health care providers to implement the DMP is time-consuming on the part of the project leaders and the health ... physicians (total of 142) Response rate of the baseline measurement was 63 percent: eighty-nine respondents filled in the questionnaire at T0 (consisting of the four main components of the CCM only)...

Ngày tải lên: 12/08/2014, 01:22

... score in severely septic patients with serum creatinine

Ngày tải lên: 13/08/2014, 02:24

... finished follow-up 66 died 93 discontinued follow-up started steroid treatment 193 47 IGF / IFG 33 DM 113 normoglycaemic Figure Flow diagram showing the loss of patients from initial screening ... http://ccforum.com/content/14/5/444 Page of 2207 patients admitted to medical ICU 385 with a history of DM, IFG or IGT 1822 274 died in hospital 1548 screened 443 excluded - 211 refused participation - 203 terminally ill ... terminally ill - 29 receiving corticosteroids 669 436 NORMOGLYCAEMIA HYPERGLYCAEMIA 76 excluded: - newly diagnosed DM, IGT or IFG 669 360 started follow-up 102 died 154 discontinued follow-up 15 started...

Ngày tải lên: 13/08/2014, 21:21

... the caregivers, the notion of Duty or Yuan was suggested as being instrumental in preventing negative appraisal leading to higher levels of EE, Wong (2000) found similar findings in a study of ... to test the hypotheses regarding the different variables However, the personal vulnerabilities were not included in the model as they were beyond the scope of the study, and clearly they would ... of EE, and examined the components of EE and their relation to outcome The LEE(S) therefore allows for this continuous measure of EE rather than the dichotomous high/low distinction Clearly the...

Ngày tải lên: 15/09/2015, 21:28

... or hallucinations, can affect any of the senses Hearing voices, seeing images, feeling things touching the body, having strange tastes in the mouth or smelling things that aren’t there in reality ... confusion Chapter outlines the important issues and the debates surrounding them Also included is an outline of the study and how the thesis is organised 1.1 The patients The patients in this study had ... imbalances in the brain, involving neurotransmitters such as dopamine and glutamate (Nuechterlein & Dawson, 1984) There is other evidence that there are abnormalities in brain structure of those individuals...

Ngày tải lên: 16/09/2015, 08:31

... involved further examination of the relevance of the concepts using a survey of students These two studies gave good evidence for the existence of the concepts of the LEE in Singapore and the focus ... conducted The first involved discussion of the concepts in the sub-scales of the LEE with small focus groups to determine their relevance in Singapore and to elicit any emic items The second involved ... from forming If however they already exist in the caregivers then different approaches would need to be taken Turning now to examine the extent of the influence of cultural factors in this population...

Ngày tải lên: 16/09/2015, 08:31

... explain this There are certain items within this scale which are not relevant in this population, for instance ‘Others leaving home because of the effect of the illness and The illness causing ... (one-tailed) 11.10 The interaction of the variables Path analysis was conducted to look at the interaction of the variables The hypothesized models are theoretically based using findings from the literature ... EE In the in- depth interviews, many caregivers believed that the illness was caused by the patient ‘thinking too much’ This may be reflecting the concept of ‘xiao xin yan’ which mainland Chinese...

Ngày tải lên: 16/09/2015, 08:31