scholarly journals “Perrotta Psychotherapeutic Protocol for Disorders of the Neurotic Area” (PPP-DNA): Proposal of protocol, profiles and clinical applications. Research

2021 ◽  
pp. 010-018
Author(s):  
Perrotta Giulio

Purpose: This research addresses the topic of anxiety, phobic and obsessive disorders. In this research, the theme is addressed to the psychopathological investigation of personalities, according to the PICI-2TA model (Perrotta Integrative Clinical Interviews, version 2-TA), the PAD-Q (Perrotta Affective Dependency Questionnaire), the PSM (Perrotta Sexual Matrix), the PDM-Q (Perrotta Defence Mechanisms Questionnaire) and the PHEM model (Perrotta Human Emotions Model), in order to design a direct and functional psychotherapeutic protocol to manage the psychopathological process in the shortest time possible, according to the principles of efficiency, effectiveness and economy, trying to reduce the symptomatology until the total regression by the fifth-tenth session. Methods: Clinical interview and administration of the PICI-2, the PAD-Q, the PSM, and the PDM-Q. Results: In the male group, aged 18-36 years, there were 8 people, of whom 6 (75%) reacted to the total resolution of the neurotic symptomatology described between the fifth and ninth sessions, while only 2 (25%) said they felt their neurotic symptoms had subsided. In the male group, aged 37-54 years, there are 5 people, of whom 4 (80%) reacted to the total resolution of neurotic symptomatology described between the fifth and ninth sessions. In the male group, aged 55-72 years, there were 6 people, of whom 4 (66.6%) reacted to the total resolution of neurotic symptoms described between the ninth and tenth sessions. In the female group, aged 18-36 years, there were 22 people, of whom 18 (82%) reacted to the total resolution of neurotic symptoms described between the fifth and ninth sessions. In the female group, aged 37-54 years, there were 13 people, of whom 9 (69.2%) reacted to the total resolution of neurotic symptoms described between the fifth and ninth session. In the female group, aged 55-72 years, there were 11 people, of whom 8 (72.7%) reacted to the total resolution of neurotic symptoms described between the fifth and ninth sessions. Conclusions: The research showed that the PPP-DNA protocol, for neurotic disorders, was effective in the total population sample for 74.36%, for the fractionated male population sample for 73.86% and for the fractionated female population sample for 74.86%, with resistance to change identified in adverse conditions of family, environmental, socio-cultural and temporal type (of duration of neurotic symptomatology), however able to promote an attenuation of the symptomatology suffered by at least 50%.

2019 ◽  
Vol 32 (1) ◽  
pp. 33-38
Author(s):  
Marija Trpkova-Nestorovska

The past decade was a period that was characterized by massive migration flows in European Union countries, a situation like none other before. Different migration flows contributed to inflow of working force from conflict areas of the Middle East, countries from the Western Balkans, and also migration within the European Union. While immigration is dominant, emigration also has large impact in the migration flow in the EU. The purpose of this paper is to determine the main factors that contribute to emigration in the 28 EU countries. The panel regression model with random effects is used where seven factors were examined in order to determine their influence on the emigration. Macroeconomic determinants include GDP per capita and unemployment rate, demographic factors include total population, young male population and young female population and other factors include level of corruption and enrollment in tertiary education. Analysis includes 28 EU countries, while the analyzed period is 1999-2017 (19 periods), and the total number is 560 observations. The results confirm that emigration is driven by unemployment rate, total population, young male and young female population. When the unemployment rate increases, the emigration also increases, which is logical. If the national labor market cannot provide vacancies for the increasing supply of work force, the next option would be emigration in another country due to eligible working positions. Population, as demographic factor, also influences emigration. The bigger the population, the larger emigration is expected. Also, young female and male population have statistically significant effect on the emigration, yet the direction of the relationship is different. Increase in young male population can contribute to increase in emigration. On the other side, increase in young female population reduces the number of emigrants. From the results it would seem that demographic factors dominate over macroeconomic and other factors. Policy makers in the countries with accentuated emigration component should be concerned that young male population is leaving, and this labor force is or soon will become deficitary. Also, unemployment is another issue that should be addressed. National governments should create policies that contribute to increased economic growth that produces vacancies. Otherwise, the high unemployment rate would soon drain the country out of its working source. Other factors such as level of corruption, GDP per capita and enrollment in tertiary education seem not to have statistically significant impact on emigration in the countries of the European Union.


2018 ◽  
Vol 11 (02) ◽  
pp. 85-87
Author(s):  
Durga Pokharel ◽  
J Shrestha ◽  
Mamata KC ◽  
M Thapa ◽  
N Ranabhat ◽  
...  

Community diagnosis is defined as a comprehensive assessment of the state of an entire community in relation to its social, economic, physical and biological environment. It is a process of examining the patterns of disease or health status in the community in order to promote health, prevent disease and manage health services for the community people.  As per the curriculum of Tribhuwan University, B.Sc. Nursing first year, we were provided an opportunity to fulfill the practicum of community health nursing in the assigned area Shanti Tole and Teentara Tole, Pokhara, Lekhnath, Ritthepani-27 from 18th June to 14th July 2017. Total population of Ritthepani was 4529, male population was 2100 and female population was 2429. Each of the 13 students was assigned with 10 different families for community diagnosis in order to promote the health of the individual, family and community. The main objective of community diagnosis was to find out the health related aspects and to provide preventive, promotive, curative and rehabilitative services to the individual and the community as a whole. All the findings were presented among the key members of the community. On survey, total population of 130 houses was found 565, among them 296 were male population and 269 were female population. Sanitation of the community was inappropriate. People were not using the health facilities effectively so they were found suffering from different kinds of diseases most commonly gastritis. The common health seeking practice was going to governmental hospital and traditional healers.


2017 ◽  
Vol 10 (1) ◽  
pp. 63-65
Author(s):  
Anju Lammichane ◽  
A Devkota ◽  
B Thakuri ◽  
D Sahl ◽  
K Magar

Community diagnosis is defined as the pattern of disease in a community described in terms of the important factors which influence the pattern -King Maurice ed (1982). It is based on collection and interpretation of the relevant data such as age, sex, population distribution by social groups, vital statistics and incidence and prevalence of important diseases of the area. As per the curriculum of Tribhuvan University, B.Sc Nursing 1st year, we were provided an opportunity to fulfill the practicum of community health nursing in the city of seven lakes of Rithepani-2, Lekhnath, Kaski from July 17th to Aug 11th 2016. Total population of Rithepani ward no 2 was 4529, male population was 2100 and female population was 2429 respectively. Each of the five students was assigned with ten different families for community diagnosis in order to promote the health of the individual, family and community. The main objective of community diagnosis was to find out the health related aspects and to provide preventive, promotive curative and rehabilitative services to the individual and community as a whole.All the findings were presented among the key members of the community. On survey total population of 50 houses was found 239, among them 126 were male population and 113 were female population. Sanitation of the community was found appropriate. Moreover immunization services among under five children was adequate. Likewise, antenatal, intranatal and postnatal care was found appropriate and effective in all the houses. This signifies that people are utilizing the all health services in an appropriate manner.Journal of Gandaki Medical College Vol. 10, No. 1, 2017, Page: 63-65


2020 ◽  
Vol 08 (11) ◽  
pp. 5115-5120
Author(s):  
Usha K S ◽  
Gurdip Singh

Obesity has reached epidemic proportions in the recent years. Modern lifestyle and dietary habits often take the blame for its rise. Obesity acts as a risk factor for many non-communicable diseases like diabetes mellitus, cardiovascular diseases, cancer, hypertension. Obesity is also outcome of many changes in the body. One of the causes of obesity in female population is menopause. Since menopause brings along with it a plethora of ailments, obesity is treated as any other lifestyle disorder. There is a need to study Sthoulya (obesity) through the aetiological factor mentioned by Charaka as Javoparodha or explained by Chakrapani as Jaroparodha- early onset of old age. There is an urgent need to treat obesity from the per-spective of menopause. Menopause can occur at any age from 45-55 years. But the aftereffects of meno-pause may persist well into the age of 65-70 years. In the next decade there will be a rise in the geriatric population by 56% in the world. In India geriatric population will be 12.5% of the total population. Ac-cording to the national census of 2011in India, there are 53 million females in the elderly population com-pared to the male population of 51 million. The female geriatric population may have a completely differ-ent set of ailments compared to that of male geriatric population. Hence Sthoulya due to menopause should be considered a separate disease entity and the management should be that of hormonal rehabilitation than just replacement.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Urban Alehagen ◽  
Levar Shamoun ◽  
Dick Wågsäter

Abstract Background Cardiovascular diseases are still the major cause of death in the Western world, with different outcomes between the two genders. Efforts to identify those at risk are therefore given priority in the handling of health resources. Thrombospondins (TSP) are extracellular matrix proteins associated with cardiovascular diseases. The aim of this study was to investigate variations in single nucleotide polymorphisms (SNPs) of TSP-1 and plasma expression, and associations with mortality from a gender perspective. Methods A population of 470 community-living persons were invited to participate. The participants were followed for 7.9 years and underwent a clinical examination and blood sampling. SNP analyses of TSP-1 rs1478604 and rs2228262 using allelic discrimination and plasma measurement of TSP-1 using ELISA were performed, Results During the follow-up period, 135 (28.7%) all-cause and 83 (17.7%) cardiovascular deaths were registered. In the female population, the A/A genotype of rs2228262 and the T/T genotype of rs1478604 exhibited significantly more cardiovascular deaths compared with the A/G and G/G, or the T/C and C/C genotypes amalgamated (rs2228262: 13.7% vs 2.0%; Χ2:5.29; P = 0.02; rs1478604:17.7% vs 4.7%; Χ2:9.50; P = 0.002). Applied in a risk evaluation, the A/A, or T/T genotypes exhibited an increased risk of cardiovascular mortality (rs2228262: HR: 7.1; 95%CI 1.11–45.8; P = 0.04; rs1478604: HR: 3.18; 95%CI 1.35–7.50; p = 0.008). No differences among the three genotypes could be seen in the male group. Conclusion In this study the female group having the A/A genotype of rs2228262, or the T/T genotype of rs1478604 of TSP-1 exhibited higher cardiovascular mortality after a follow-up of almost 8 years. No corresponding genotype differences could be found in the male group. Genotype evaluations should be considered as one of the options to identify individuals at risk. However, this study should be regarded as hypothesis-generating, and more research in the field is needed.


2020 ◽  
Vol 5 (2) ◽  
pp. 13-21
Author(s):  
Yuhanah Yuhanah ◽  
Bangu Bangu

Menarche specifically refers to a woman's first menstruation during early adolescence (puerperal period) where the body growth (growth spurt) is very fast accompanied by hormonal changes that dramatically impact on increasing levels of reproductive function and all sexual maturation in the transition period, resulting in psychological changes, anxious children and symptoms of laziness to do something, especially in learning when the age of 10-14 years, the growth of sexual drive is a trigger for adolescent reproductive health problems is quite serious, making adolescents vulnerable to disease (STDs, HIV-AIDS) and teenage pregnancy great opportunity to have an abortion and narcotics. Adolescents in Indonesia number around 66.3 million people out of a total population of 258.7 million and one in four residents are teenagers. Southeast Sulawesi health profile data in 2017 the number of female population aged 10-14 years was 136,834 people (19.28%) while in Kolaka Regency, the female group aged 10-14 years amounted to 12,020 people (20.92%) of the total population of 251,520 souls. The purpose of this study was to analyze the relationship of knowledge and attitudes towards readiness to face menarche through a cross-sectional approach with the chi-square test. The research was carried out in February until May 2019 with the object of the research being female students of class V and VI at SDN 4 Kolakaasi Latambaga District, Kolaka with 50 respondents with a purposive sampling technique. The research results obtained that there was no relationship between knowledge and readiness of students facing menarche with a value of P = 0.46> a = 0.05 and there was no relationship between attitudes and student readiness in dealing with menarche with a value of P = 1,000> a = 0.05.


Author(s):  
Michael Joshua Landau

Acoustical properties of speech have been shown to be related to mental states such as remission and depression. The objective of this project was to relate the energy in frequency bands with the severity of the mental state using the Beck Depression Inventory (BDI). Recorded speech was obtained from male and female subjects with mental states of remission, depression, and suicidal risk. These subjects had recorded automated and spontaneous speech samples. Multiple regression analysis was used to relate the independent energy band ratio variables with the dependent BDI scores, and thus allow the determination of equitable BDI scores for future patients. For the male group, the square of the 3rd energy band and the cross-product of the 2nd and 3rd energy band were prominent in both the reading and interviewed groups. Therefore the equation with the 2nd lowest Akaike Information Criterion (AIC) score was chosen for the reading male group, and the 1st lowest AIC score was chosen for the interviewed male group. For the female group, the square and cross-product of the 1st and 2nd energy bands were prominent in both the reading and interviewed groups. Therefore the 2nd lowest AIC score was chosen for the reading female group, and the 1st lowest AIC score was chosen for the interviewed female group. The clinician could thus determine the patient’s mood or state of mind by comparing the estimated BDI score with the ranges of total BDI scores: remitted 0 – 20, depressed 15 – 38, suicidal 38 – 46. Keywords: speech, mental states, power spectra, multiple regression, information theoretic criterion


2016 ◽  
Vol 2 (1) ◽  
pp. 153
Author(s):  
Tomescu Cezar Laurentiu ◽  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Brezeanu Dragos ◽  
Aneta Tomescu

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.


2013 ◽  
Vol 01 (01) ◽  
pp. 001-003
Author(s):  
Aruna Singh ◽  
Nymphea Pandit ◽  
Monica Sharma

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.


Author(s):  
Misaki Nakamoto ◽  
Takatoshi Nakagawa ◽  
Masahiko Murata ◽  
Motohiro Okada

To explore impact of enhancing social advancement of females in Japan, this study determined the effects of the dual-income household rate on suicide mortalities disaggregated by attributes of gender, age, and motives between 2009 and 2017 in Japan. This study analysed impact of dual-income household rate, other household-related factors (savings, liabilities and yearly incomes per household, minors and elderly rate per household), and social/employment factors (complete unemployment rate, employment rate, temporary male and female employment rates and certification rate of long-term care insurance) on suicide mortalities disaggregated by attributes of gender, age, and motives using hierarchical linear-regression model. Dual-income household rate was significantly/negatively related to suicide mortality of the working-age female population, but significantly/positively related to that of the elderly female population. Suicide mortalities of the working-age male population and the elderly male population were significantly/positively related to dual-income household rate. Male suicide mortalities caused by family-, health-, economy- and employment-related motives were significantly/positively related to dual-income household rate; however, the dual-income household rate was significantly/positively related to female suicide mortalities caused by family-, health-, economy- and school-related motives, but significantly/negatively related to suicide mortalities caused by romance-related motives. Dual-income households suppress social-isolation and develop economical/psychological independence of females, leading to reduced suicide mortality in working-age females. However, elderly and school-age populations, who are supported by the working-age female, suffer from isolation. Working-age males also suffer from inability to adapt from the traditional concept of work–life and work–family balances to the novel work–family balance concept adapted to dual-income households. These results suggest occurrence of new social/family problems in the 21st century due to vulnerability of traditional Japanese culture and life–working–family balance concepts as well as novel sociofamilial disturbances induced by declining birth rate and ageing population in Japan.


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