The demand for psychiatric services as a result of the Gulf war

1991 ◽  
Vol 15 (4) ◽  
pp. 201-203
Author(s):  
Jacqueline M. Atkinson
Keyword(s):  
Medical Officer ◽  
Gulf War ◽  
Subsequent Treatment ◽  
Psychiatric Services ◽  
Military Hospital ◽  
Royal Navy ◽  
Post Traumatic Stress ◽  
Low Incidence ◽  
Set Up

Despite the brevity of the Gulf war, there is still the strong possibility that it will leave long-term problems for psychiatric services within the NHS. The low incidence of acute psychiatric problems in the Falklands conflict does not obviate long-term problems. Surgeon-Commander O'Connell of the Royal Navy, reported informally in the newspapers (Guardian, 7 May 1990) that up to 30% of the 28,000 Falklands veterans are still suffering from post-traumatic stress disorder (PTSD). Hughes (1990), medical officer with 2nd Paratroop Regiment at Goose Green, described his realisation that he had PTSD, his subsequent treatment by the NHS and transfer to a military hospital. The Royal Navy still has a counselling service, set up in 1987, but it is clear that military services cannot deal with all the current problems, let alone those to come. The advice of the Ministry of Defence is that the initial onus to recognise a problem lies with the family and that sufferers should seek treatment through their GP.

The United Nations Creates a Working Group on Arbitrary Detention

1991 ◽  
Vol 85 (4) ◽  
pp. 709-715
Author(s):  
Reed Brody
Keyword(s):  
Human Rights ◽  
United Nations ◽  
Working Group ◽  
Gulf War ◽  
Recent History ◽  
World Conference ◽  
The World ◽  
The United Nations ◽  
Set Up

The United Nations Commission on Human Rights, which met from January 28 to March 8, 1991, in the shadow of the gulf war, nevertheless completed what many observers considered its most productive session in recent history. The Commission took action on a record of nineteen country situations—creating new rapporteurs on Iraq and Iraqi-occupied Kuwait—began plans for a 1993 World Conference on Human Rights, and set up an intersessional working group to complete a draft declaration on disappearances. The most important long-term accomplishment of the Commission, however, was the creation of a five-member working group to investigate cases of arbitrary detention throughout the world.

scholarly journals Psychiatric aspects of burn

2010 ◽  
Vol 43 (S 01) ◽  
pp. S136-S142
Author(s):  
P. K. Dalal ◽  
Rahul Saha ◽  
Manu Agarwal
Keyword(s):  
Acute Pain ◽  
Allostatic Load ◽  
Stress Disorder ◽  
Acute Stress ◽  
Burn Injury ◽  
Subsequent Treatment ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Relationship

ABSTRACTBurn injuries and their subsequent treatment cause one of the most excruciating forms of pain imaginable. The psychological aspects of burn injury have been researched in different parts of the world, producing different outcomes. Studies have shown that greater levels of acute pain are associated with negative long-term psychological effects such as acute stress disorder, depression, suicidal ideation, and post-traumatic stress disorder for as long as 2 years after the initial burn injury. The concept of allostatic load is presented as a potential explanation for the relationship between acute pain and subsequent psychological outcomes. A biopsychosocial model is also presented as a means of obtaining better inpatient pain management and helping to mediate this relationship.

scholarly journals Effects of disk tillage on soil condition, crop yield and weed infestation

2011 ◽  
Vol 48 (No. 1) ◽  
pp. 20-26
Author(s):  
M. Birkás ◽  
T. Szalai ◽  
C. Gyuricza ◽  
M. Gecse ◽  
K. Bordás
Keyword(s):  
Winter Wheat ◽  
Crop Yield ◽  
Field Experiments ◽  
Soil Layer ◽  
Soil Condition ◽  
Perennial Weeds ◽  
Weed Infestation ◽  
Set Up ◽  
Different Levels

This research was instigated by the fact that during the last decade annually repeated shallow disk tillage on the same field became frequent practice in Hungary. In order to study the changes of soil condition associated with disk tillage and to assess it is consequences, long-term tillage field experiments with different levels of nutrients were set up in 1991 (A) and in 1994 (B) on Chromic Luvisol at Gödöllö. The effects of disk tillage (D) and disk tillage combined with loosening (LD) on soil condition, on yield of maize and winter wheat, and on weed infestation were examined. The evaluation of soil condition measured by cone index and bulk density indicated that use of disking annually resulted in a dense soil layer below the disking depth (diskpan-compaction). It was found, that soil condition deteriorated by diskpan-compaction decreased the yield of maize significantly by 20 and 42% (w/w), and that of wheat by 13 and 15% (w/w) when compared to soils with no diskpan-compaction. Averaged over seven years, and three fertilizer levels, the cover % of the total, grass and perennial weeds on loosened soils were 73, 69 and 65% of soils contained diskpan-compaction.

scholarly journals Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maude Bernasconi ◽  
Béatrice Eggel-Hort ◽  
Antje Horsch ◽  
Yvan Vial ◽  
Alban Denys ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Uterine Artery Embolization ◽  
Stress Disorder ◽  
Post Partum ◽  
Post Traumatic Stress ◽  
Artery Embolization ◽  
Increased Risk ◽  
Post Traumatic

AbstractThis study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.

scholarly journals ReCOV: recovery and rehabilitation during and after COVID-19 – a study protocol of a longitudinal observational study on patients, next of kin and health care staff

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
E. Rydwik ◽  
L. Anmyr ◽  
M. Regardt ◽  
A. McAllister ◽  
R. Zarenoe ◽  
...  
Keyword(s):  
Health Care ◽  
Psychosocial Support ◽  
Care Staff ◽  
Psychological Wellbeing ◽  
Health Care Staff ◽  
Post Traumatic Stress ◽  
Next Of Kin ◽  
Related Quality ◽  
Long Term Consequences

Abstract Background The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff. Methods This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts. Discussion This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.

scholarly journals Spectrum Based Power Management for Congested IoT Networks

Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2681
Author(s):  
Kedir Mamo Besher ◽  
Juan Ivan Nieto-Hipolito ◽  
Raymundo Buenrostro-Mariscal ◽  
Mohammed Zamshed Ali
Keyword(s):  
Power Management ◽  
Network Performance ◽  
Channel Allocation ◽  
Battery Life ◽  
Packet Routing ◽  
Data Packets ◽  
Increasing Demand ◽  
Iot Devices ◽  
Set Up

With constantly increasing demand in connected society Internet of Things (IoT) network is frequently becoming congested. IoT sensor devices lose more power while transmitting data through congested IoT networks. Currently, in most scenarios, the distributed IoT devices in use have no effective spectrum based power management, and have no guarantee of a long term battery life while transmitting data through congested IoT networks. This puts user information at risk, which could lead to loss of important information in communication. In this paper, we studied the extra power consumed due to retransmission of IoT data packet and bad communication channel management in a congested IoT network. We propose a spectrum based power management solution that scans channel conditions when needed and utilizes the lowest congested channel for IoT packet routing. It also effectively measured power consumed in idle, connected, paging and synchronization status of a standard IoT device in a congested IoT network. In our proposed solution, a Freescale Freedom Development Board (FREDEVPLA) is used for managing channel related parameters. While supervising the congestion level and coordinating channel allocation at the FREDEVPLA level, our system configures MAC and Physical layer of IoT devices such that it provides the outstanding power utilization based on the operating network in connected mode compared to the basic IoT standard. A model has been set up and tested using freescale launchpads. Test data show that battery life of IoT devices using proposed spectrum based power management increases by at least 30% more than non-spectrum based power management methods embedded within IoT devices itself. Finally, we compared our results with the basic IoT standard, IEEE802.15.4. Furthermore, the proposed system saves lot of memory for IoT devices, improves overall IoT network performance, and above all, decrease the risk of losing data packets in communication. The detail analysis in this paper also opens up multiple avenues for further research in future use of channel scanning by FREDEVPLA board.

Sign in / Sign up

Export Citation Format

Share Document