scholarly journals Characteristics of patients in a psychiatric follow-up clinic

1990 ◽  
Vol 14 (3) ◽  
pp. 153-154 ◽  
Author(s):  
A. K. Shah ◽  
S. Lynch
Keyword(s):  
Community Psychiatry ◽  
Psychiatric Practice ◽  
The Subject

Out-patient clinics are widely used to asssess and treat patients. In psychiatric practice, out-patient clinics are used both to assess new referrals and follow up existing patients. More than three-quarters of psychiatric out-patient attendances are for follow-up (DHSS, 1984). With modern emphasis on community psychiatry, the role of out-patient clinics may become less prominent and more refined. Very little appears to have been published on the subject of psychiatric follow-up clinics.

scholarly journals Cystic renal diseases: role of ultrasound. Part II, genetic cystic renal diseases

2020 ◽  
Author(s):  
Adnan Kabaalioglu ◽  
Nesrin Gunduz ◽  
Ayse Keven ◽  
Emel Durmaz ◽  
Mine Aslan ◽  
...  
Keyword(s):  
Renal Cysts ◽  
The Other ◽  
Renal Diseases ◽  
Intravenous Contrast ◽  
Pictorial Essay ◽  
The Subject ◽  
Key Features

Kidney cysts are quite common in adults. Though small simple renal cysts in an adult over 30-40 years of age are not too unusual, however, if the same cysts are seen in a child, and especially if there are additional findings, then several diagnostic possibilities may come to mind. The role of ultrasound, together with the help of intravenous contrast agents and Doppler mode, are very critical in describing the morphologic features and follow-up of the complex or multiple and bilateral renal cysts. These sonographic signs are occasionally specific for diagnosis, but in many cases sonographic clues should be evaluated together with the other genetic and clinical data to reach diagnosis.The first part of this pictorial essay included the introduction into the subject and the classification of non-genetic cystic renal diseases. The key features for the non-genetic cystic renal diseases are illustrated. In the second part, eye-catching features of genetic cystic renal diseases are demonstrated.

Psychiatry’s ethical involvement in gender-affirming care

2018 ◽  
Vol 26 (5) ◽  
pp. 460-463 ◽  
Author(s):  
Roberto D’Angelo
Keyword(s):  
Gender Dysphoria ◽  
Poor Quality ◽  
Medline Search ◽  
Gender Reassignment ◽  
The Subject ◽  
Poor Outcomes ◽  
Physical Treatments

Objective: To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment. Method: A Medline search was performed with the subject term “transsexualism” or “gender dysphoria” and “outcome” or “follow-up” in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review. Results: Most available evidence indicating positive outcomes for gender reassignment is of poor quality. The few studies with robust methodology suggest that some patients have poor outcomes and may be at risk of suicide. Conclusion: The author raises questions about the implications for ethical treatment of transgender individuals.

scholarly journals Predicting Conversion to MS - The Role of a History Suggestive of Demyelination

2010 ◽  
Vol 37 (4) ◽  
pp. 488-491 ◽  
Author(s):  
Sarah A. Morrow ◽  
J. Alexander Fraser ◽  
David Nicolle ◽  
Marcelo Kremenchutzky
Keyword(s):  
Optic Neuritis ◽  
Chart Review ◽  
Brain Lesion ◽  
Resonance Imaging ◽  
The Past ◽  
Mcdonald Criteria ◽  
History Of ◽  
The Subject

Background:The ability to predict conversion to multiple sclerosis (MS) accurately when assessing a patient with a clinically isolated syndrome (CIS) is of paramount importance.Magnetic resonance imaging (MRI) is the best paraclinical tool currently available; however the significance of a history of an event suggestive of demyelination prior to CIS presentation has not been evaluated.Methods:Aretrospective chart review of all optic neuritis cases presenting as CIS to a single neuro-ophthalmologist in London, Ontario between 1990 to 1998 was performed. Data were collected regarding demographics, past medical history, history of present illness, and family history. Conversion to MS was determined by the McDonald criteria after ten years of follow-up. Bayesian statistics and logistic regression were used to determine the best predictors of conversion to MS from CIS.Results:One hundred and sixteen optic neuritis subjects were included in the analysis. After ten years, 42.2% had converted to MS. The best predictor of future conversion remained at least one brain lesion, disseminated in space, on MRI (sensitivity 0.90, specificity 0.75). However, if the subject additionally had a history suggestive of a demyelinating event in the past that had not been confirmed clinically, the specificity increased to 0.96. These two traits taken together had an odds ratio of 27.8 for conversion to MS in the next ten years (p<0.001).Conclusions:A history of an event suggestive of demyelination prior to presenting with optic neuritis as CIS increases the ability of the clinician to predict conversion to MS in the next ten years.

scholarly journals Disciplinary Power and the Role of the Subject at a Nineteenth-Century Danish Asylum

PhaenEx ◽  
2010 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
BJØRN HAMRE
Keyword(s):  
Nineteenth Century ◽  
The Self ◽  
Psychiatric Practice ◽  
Disciplinary Power ◽  
Pastoral Power ◽  
The Subject ◽  
Point Of Departure ◽  
The Way

This article reports on the ways in which psychiatric practice and power were constituted in a Danish asylum at the beginning of the nineteenth century. The point of departure will be a complaint by a former patient questioning the practice at the asylum in 1829. In an analysis of this narrative the study draws upon Foucauldian concepts like disciplinary power, confession, pastoral power and subjectivation. I will argue that the critique of the patient provides us with an example of the way that disciplinary power works in the case of an informal indictment of the methods and practice at an asylum. A key issue is whether the critique is not itself a part of the self-legitimation of disciplinary power.

scholarly journals The Role of the Endocrinologist in the Gender Adequacy Process and the Barriers for Adequate Transgender Health Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A796-A796
Author(s):  
Alexandra Saliba
Keyword(s):  
Health Care ◽  
Professional Training ◽  
Federal District ◽  
Specific Knowledge ◽  
Transgender People ◽  
Transgender Health ◽  
Wide Range ◽  
The Subject

Abstract The transgender universe comprises a wide range of individuals who do not identify with the gender role related to their birth sex, presenting distinct gender identities that transcend the binary concept of female and male. The follow-up of this population requires specific knowledge and training for its demands and peculiarities. Hormone therapy is a key point in the process of gender adequacy, and despite the increase in demand for specialized health services, there are still many barriers to full and free of prejudice health care. This is a descriptive and exploratory study about the characteristics of the professional training of the doctors involved in transgender health care, in particular the endocrinologist, and to enable an overview of the doctor-patient relationship and medical follow-up in the context of transsexuality in the Federal District. For this purpose, questionnaires were used for physicians: endocrinologists, family and community physicians, urologists, and psychiatrists; and transgender people residents of the Federal District. This study shows that most of the professionals involved in the process of gender adequacy, in particular the endocrinologist, do not present confidence or knowledge to accomplish it, and prejudice is still presented in a striking way in health care. In Federal District, services are not adequately structured for the care of this population, both from the perspective of doctors and transgender people. Moreover, in this sample, it was observed that the higher degree of specific knowledge in the subject increases the sensation of confidence of the professional to treat transgender people but does not correlate with the prejudice.

scholarly journals Pengembangan Media Ajar PETISI atau Pendidikan Anti-Korupsi

2018 ◽  
Vol 3 (1) ◽  
pp. 31-44
Author(s):  
Citra Nurmalita ◽  
Moh Ari Wibowo
Keyword(s):  
Subject Matter ◽  
Development Theory ◽  
Young Generation ◽  
Design Development ◽  
Campus Environment ◽  
Agents Of Change ◽  
The Subject ◽  
The Given

ABSTRAKSI: Pengembangan media ajar mata kuliah PETISI, atau Pendidikan Anti-Korupsi, berbasis visual komik diharapkan dapat membantu mahasiswa dan generasi muda untuk menjadi agen perubahan, kaderisasi, dan pengenalan tindakan korupsi yang dilakukan mahasiswa dalam keseharian melalui media gambar yang mudah dipahami. Komik juga bisa digunakan untuk berbagai tujuan, dari adanya transformasi tujuan dimana komik bisa menjadi media yang informatif dan edukatif. Penelitian ini bersifat deskriptif yang mengacu pada Teori Pengembangan dengan pendekatan 4-D, yakni: Pendefinisian atau “Define”, Perancangan atau “Design”, Pengembangan atau “Develop”, dan Penyebaran atau “Disseminate”. Aspek efektivitas penggunaan media ajar PETISI ini cukup baik dan efektif untuk mengenalkan dan mengoptimalkan peran mahasiswa dalam gerakan anti-korupsi di Pulau Madura, Jawa Timur, Indonesia. Dengan diberikan media ajar PETISI, ianya lebih memudahkan mahasiswa untuk mendiskusikan segala bentuk gerakan anti-korupsi yang dapat dilakukan di lingkungan kampus. Perlu adanya peranan yang lebih spesifik terkait dengan bidang pembelajaran pendidikan anti-korupsi itu dimasukkan pada materi mata kuliah dan komik seperti apa yang akan disampaikan. Tindak lanjut terkait dengan komik PETISI adalah perlu adanya peran dan gerakan yang lebih mengilustrasikan mahasiswa di luar kampus.KATA KUNCI: Media Ajar; Pendidikan Anti-Korupsi; Komik; Peran Mahasiswa. ABSTRACT: “Development of Educational Media on PETISI or Anti-Corruption Education”. The development of teaching media on visual comic-based of PETISI, or Anti-Corruption Education, course is expected to help students and young generation to become agents of change, regeneration, and recognition of corruption acts done by students in everyday life through an easily understood media. Comics can also be used for various purposes, from the transformation of purpose itself where comics can be an informative and educative media. This research is descriptive refers to Development Theory that is 4-D approaches include: Define, Design, Development, and Disseminate. Effectivity aspects of the use of teaching media of PETISI is quite good and effective to introduce and optimize the role of students in the anti-corruption movement in the island of Madura, East Java, Indonesia. With the given teaching media of PETISI, it is easier for students to discuss all forms of anti-corruption movement that can be done in the campus environment. The need for a more specific role related to the field of learning anti-corruption education was included in the subject matter and what’s kind of the comics will be dessiminated. Follow up related to the comic of PETISI is necessary for the role and movement that illustrate the students in the outside of campus.KEY WORD: Teaching Media; Anti-Corruption Education; Comics; Students Role.  About the Authors: Citra Nurmalita, M.Pd. dan Moh Ari Wibowo, M.Pd. adalah Dosen di STKIP PGRI (Sekolah Tinggi Keguruan dan Ilmu Pendidikan, Persatuan Guru Republik Indonesia) Sampang, Jalan Raya Torjun Indah No.122 Sampang, Pulau Madura, Provinsi Jawa Timur, Indonesia. Untuk kepentingan akademik, penulis dapat dihubungi dengan alamat e-mails: [email protected] dan [email protected] Suggested Citation: Nurmalita, Citra Moh Ari Wibowo. (2018). “Pengembangan Media Ajar PETISI atau Pendidikan Anti-Korupsi” in MIMBAR PENDIDIKAN: Jurnal Indonesia untuk Kajian Pendidikan, Volume 3(1), March, pp.31-44. Bandung, Indonesia: UPI [Indonesia University of Education] Press, ISSN 2527-3868 (print) and 2503-457X (online). Article Timeline: Accepted (November 25, 2017); Revised (January 30, 2018); and Published (March 30, 2018).

Top-Down Processing and Visual Reorientation Illusions in a Virtual Reality Environment

2004 ◽  
Vol 63 (3) ◽  
pp. 143-149 ◽  
Author(s):  
Fred W. Mast ◽  
Charles M. Oman
Keyword(s):  
Virtual Reality ◽  
Visual Processing ◽  
Line Length ◽  
Perceptual Cues ◽  
Virtual Reality Environment ◽  
Top Down ◽  
Test Conditions ◽  
The Subject ◽  
Processing Mechanisms

The role of top-down processing on the horizontal-vertical line length illusion was examined by means of an ambiguous room with dual visual verticals. In one of the test conditions, the subjects were cued to one of the two verticals and were instructed to cognitively reassign the apparent vertical to the cued orientation. When they have mentally adjusted their perception, two lines in a plus sign configuration appeared and the subjects had to evaluate which line was longer. The results showed that the line length appeared longer when it was aligned with the direction of the vertical currently perceived by the subject. This study provides a demonstration that top-down processing influences lower level visual processing mechanisms. In another test condition, the subjects had all perceptual cues available and the influence was even stronger.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

Abusive head trauma (AHT) outcome at long-term follow-up and the role of elective neurosurgical approach: A report of 22 cases

2013 ◽  
Author(s):  
Francesca Menegazzo ◽  
Melissa Rosa Rizzotto ◽  
Martina Bua ◽  
Luisa Pinello ◽  
Elisabetta Tono ◽  
...  
Keyword(s):  
Head Trauma ◽  
Abusive Head Trauma ◽  
Long Term Follow Up

The future role of the psychiatrist in Europe – a UEMS perspective

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
General Interest ◽  
Future Role ◽  
Personal Opinion ◽  
The Future ◽  
The Subject ◽  
The Many

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.

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