scholarly journals Types of psychological reactions in patients with lower-extremity amputations

2006 ◽  
Vol 59 (3-4) ◽  
pp. 149-154 ◽  
Author(s):  
Nedeljko Platisa ◽  
Gordana Devecerski
Keyword(s):  
Lower Extremity ◽  
Minnesota Multiphasic Personality Inventory ◽  
Adjustment Disorder ◽  
Stressful Events ◽  
Medical Rehabilitation ◽  
Psychological Reactions ◽  
Novi Sad ◽  
Somatic Stress ◽  
Rehabilitation Clinic ◽  
Adaptive Reactions

The aim of this study was to establish types of psychological reactions and conditions in patients with lower-extremity amputations. Apart from using psychological interviews, detection was performed using psychometric tests: Minnesota Multiphasic Personality Inventory and Beck Depression Inventory. Psychometric parameters were analyzed in a group of 20 examinees treated at the Medical Rehabilitation Clinic in Novi Sad. Out of the whole sample. 45% of patients presented with adaptive reactions to amputation and consequent disability, whereas 55% presented with maladaptive responses. The registered psychopathological symptoms included nosologic categories: reaction to stressful events and adjustment disorder (predominantly affecting other emotions: mixed disorder of conduct and emotions: prolonged depressive reaction) and dysthymia. When working with lower-extremity amputees, apart from adaptive, nonpathological forms of behavior, one also encounters maladaptive responses with predomination of mood disorders due to severe somatic stress. .

scholarly journals Development of the city hospital in Novi Sad - part II

2019 ◽  
Vol 72 (7-8) ◽  
pp. 251-256
Author(s):  
Dusanka Dobanovacki ◽  
Nada Vuckovic ◽  
Radmila Gudovic ◽  
Vladimir Sakac ◽  
Milanka Tatic ◽  
...  
Keyword(s):  
Medical Rehabilitation ◽  
City Hospital ◽  
Financial Difficulties ◽  
Gynecology And Obstetrics ◽  
Clinical Center ◽  
Bed Capacity ◽  
1960S And 1970S ◽  
The 1960S ◽  
Novi Sad ◽  
Rehabilitation Clinic

At the end of the Second World War, the General State Hospital had seven departments, the same facilities, and the same bed capacity as in the pre-war period. In the newly formed state of Yugoslavia, intensive growth and modernization of the hospital began, despite the great financial difficulties. The hospital became the Main Provincial Hospital and new departments and services were established. Mainly during the 1960s and 1970s, ten new surgery departments were established, which later became independent clinics. The surgery departments occupied pavilions 1, 2, 3 and 4. Complex and contemporary abdominal and thoracic surgeries were performed. The Department of Internal Diseases became the Clinic of Internal Diseases and in 1964 it was moved to a newly equipped four-story building. The Clinic of Gynecology and Obstetrics was founded and it was moved into a modern, purpose-built facility with a 230 bed capacity for adult patients and 105 for newborns. Rapid progress has also been made in the development of the Clinic of Infectious Diseases, Clinic of Eye Diseases, Clinic of Ear, Nose and Throat Diseases, Neurology and Psychiatry Clinics, Clinic of Dermatovenereology Diseases, Medical Rehabilitation Clinic - as well as a modern laboratory, X-ray, blood transfusion, and polyclinic services. After the establishment of the Faculty of Medicine and the Clinical Center of Vojvodina, this large tertiary medical institution is the source of pride for Novi Sad. Founded 110 years ago, the hospital is still dedicated to providing better healthcare for patients.

scholarly journals Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Menachem Ben-Ezra ◽  
Wai Kai Hou ◽  
Robin Goodwin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Odds Ratio ◽  
Adjustment Disorder ◽  
Elevated Risk ◽  
Stressful Events ◽  
Cross Sectional ◽  
Cross Sectional Studies ◽  
The Uk

Background To assess the prevalence of elevated risk of serious mental illness and probable ICD-11 adjustment disorder in the UK population at two time points during COVID-19, and their association with COVID-19-related stressful events. Aims To check the dose–response model for stress between the number of COVID-19-related stressful events and mental health indices. Method We conducted two cross-sectional studies, using internet survey samples across the UK (N = 1293 for study 1; N = 1073 for study 2). Samples used internet panel surveys during March–April 2020 and 3 months later (June 2020), and used random stratified samples. Studies assessed prevalence of serious risk of mental illness and probable ICD-11 adjustment disorder. Results Elevated risk of serious mental illness was found among those with COVID-19-related social life or occupationally stressful events (study 1). Elevated risk of serious mental illness and probable ICD-11 adjustment disorder was evident among those reporting COVID-19-related stressful events (personal health problems and caregiving; study 2). Cumulative COVID-19-related stressful events were associated with elevated risk of serious mental illness in study 1 (odds ratio 1.65; 95% CI 1.03–2.64; P = 0.037), and with both elevated risk of serious mental illness (odds ratio 2.19; 95% CI 1.15–4.15; P = 0.017) and probable ICD-11 adjustment disorder (odds ratio 2.45; 95% CI 1.27–4.72; P = 0.007) in study 2. Conclusions Psychiatrists should be aware that COVID-19-related stressful events can lead to serious psychological problems. Mental health professionals need to pay particular attention to patients who report cumulative COVID-19-related stressful events, and consider them for mental health assessment and treatment.

Characteristics of The Patients with Low Back Pain in The Medical Rehabilitation Clinic, Dr. Ramelan Naval Hospital Surabaya

2019 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Lena Wijayaningrum ◽  
Herin Setianingsih ◽  
Agustin Silfi Rahayu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Medical Records ◽  
Medical Rehabilitation ◽  
Low Back ◽  
Know How ◽  
Surrounding Areas ◽  
Rehabilitation Clinic ◽  
Naval Hospital ◽  
Diabetes Melitus

<p><span>Background : </span><span>The total number of visits of patients with complaints of low back pain in the Medical Rehabilitation Subdepartment of dr. Ramelan Naval Hospital Surabaya from January to November 2018 was 38.7% of all visits. Low back pain is a symptom, not a disease, which is defined as pain between the edge of the ribs and the gluteus fold which can be caused by a variety of causes. It is important to know how the characteristics of LBP sufferers.</span></p><p><span>Material and Methods :</span><span> This study was a descriptive study, Medical records from the LBP population in July to September 2018 are used, at the Dr. Ramelan Hospital RSAL Medical Rehabilitation Clinic, with sample criteria: There are main symptoms of pain or other unpleasant feelings in the lower spine and surrounding areas. <span>Results :</span> 152 data were analyzed from July to September 2018, patients with pain complaints were (86.84%). The data obtained showed patients with hypertensive comorbidities 30, Diabetes Mellitus 26, and Osteoarthritis 20.</span></p><p><a name="0.1__GoBack"></a><span>Conclusion :</span><span> Characteristics of patients diagnosed with Low Back Pain (LBP) at the RSAL Medical Rehabilitation Clinic Dr. Ramelan Surabaya is aged 51-60 years, many suffer from women, 80 percent complain of pain, accompanied by hypertensive comorbidities, Diabetes Melitus and Osteoarthritis.</span></p><p> </p><p><span>Keywords </span><span>: Low back pain (LBP), pain, comorbidities</span></p>

Adjustment disorder or adaptive adjustment?

2020 ◽  
pp. 1-2
Author(s):  
Patricia Casey
Keyword(s):  
Stress Responses ◽  
Adjustment Disorder ◽  
Stressful Events ◽  
Adaptive Adjustment

SUMMARY The differentiation of pathological stress responses from responses that are appropriate and adaptive is a challenge with little to guide the clinician. This refreshment considers adjustment disorder and possible approaches to distinguishing those who have the disorder from those who are responding ‘normally’ to stressful events.

scholarly journals Online Adaptive PID Control for a Multi-Joint Lower Extremity Exoskeleton System Using Improved Particle Swarm Optimization

Machines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 21
Author(s):  
Jiaqi Liu ◽  
Hongbin Fang ◽  
Jian Xu
Keyword(s):  
Particle Swarm Optimization ◽  
Adaptive Control ◽  
Lower Extremity ◽  
Pid Controller ◽  
Particle Swarm ◽  
Pso Algorithm ◽  
Medical Rehabilitation ◽  
Practical Case ◽  
Tracking Accuracy ◽  
Swarm Optimization

Robotic exoskeletons have great potential in the medical rehabilitation and augmentation of human performance in a variety of tasks. Proposing effective and adaptive control strategies is one of the most challenging issues for exoskeleton systems to work interactively with the user in dynamic environments and variable tasks. This research, therefore, aims to advance the state of the art of the exoskeleton adaptive control by integrating the excellent search capability of metaheuristic algorithms with the PID feedback mechanism. Specifically, this paper proposes an online adaptive PID controller for a multi-joint lower extremity exoskeleton system by making use of the particle swarm optimization (PSO) algorithm. Significant improvements, including a ‘leaving and re-searching mechanism’, are introduced into the PSO algorithm for better and faster update of the solution and to prevent premature convergence. In this research, a 9-DOF lower extremity exoskeleton with seven controllable joints is adopted as a test-bench, whose first-principle dynamic model is developed, which includes as many uncertain factors as possible for generality, including human–exoskeleton interactions, environmental forces, and joint unilateral constraint forces. Based upon this, to illustrate the effectiveness of the proposed controller, the human–exoskeleton coupled system is simulated in four characteristic scenarios, in which the following factors are considered: exoskeleton parameter perturbations, human effects, walking terrain switches, and walking speed variations. The results indicate that the proposed controller is superior to the standard PSO algorithm and the conventional PID controller in achieving rapid convergence, suppressing the undesired chattering of PID gains, adaptively adjusting PID coefficients when internal or external disturbances are encountered, and improving tracking accuracy in both position and velocity. We also demonstrate that the proposed controller could be used to switch the working mode of the exoskeleton for either performance or an energy-saving consideration. Overall, aiming at a multi-joint lower extremity exoskeleton system, this research proposes a PSO-based online adaptive PID controller that can be easily implemented in applications. Through rich and practical case studies, the excellent anti-interference capability and environment/task adaptivity of the controller are exemplified.

scholarly journals Kejadian Pasien drop out dari Rencana Pelayanan Rehabilitasi Medik Rumkital di RSAL Dr. Ramelan

2021 ◽  
Vol 18 (2) ◽  
pp. 216
Author(s):  
LENA WIJAYANINGRUM ◽  
HERIN SETIANINGSIH ◽  
SETIYONO SETIYONO
Keyword(s):  
Key Words ◽  
Medical Record ◽  
Drop Out ◽  
Medical Rehabilitation ◽  
Rehabilitation Services ◽  
Patient Visit ◽  
Descriptive Research ◽  
Number Of Patients ◽  
Rehabilitation Clinic

<div class="WordSection1"><p><strong>Background </strong>: The high number of patient visits to medical rehabilitation clinic, from January to June 2018 is 13.772 patients, the number of patients from July to December 2018 is 11.142 patients, and the number of patients from januari to july 2019 is 13.781 patients.Therefore it is important to know the continuity of service, as planned by medical rehabilitation specialist.</p><p><strong>Methode </strong>: Descriptive research with population was obtained in medical record for duration 1 December 2019 to 29 February 2020 in the medical rehabilitation clinic of Dr Ramelan Surabaya</p><p><strong>Result</strong> : Patient visits that dropped out in 3 months were 795 patients (less than 10 visit in 3 months ). Patient visits that did not drop out in 3 months were 194 patients more than or equal to 10 visits in 3 months</p><p><strong>Conclusion </strong>: The incidence of patient drop out for planned rehabilitation services is 80,3842%. So the incidence of patient drop-out for planned rehabilitation services is not meeting the standards.</p><p> </p><p><strong>Key words </strong>: Drop Out, Patient Visit, medical rehabilitation clinic</p></div>

Psychiatric evaluation of maladaptive male conscripts in a division of the republic of korean army: about the green camp participants

2011 ◽  
Vol 26 (S2) ◽  
pp. 159-159
Author(s):  
S.-H. Kang
Keyword(s):  
Educational Level ◽  
Military Service ◽  
Minnesota Multiphasic Personality Inventory ◽  
Psychiatric Treatment ◽  
Adjustment Disorder ◽  
Psychological Characteristics ◽  
Psychiatric Evaluation ◽  
The Difference ◽  
The Republic ◽  
Study Participants

ObjectivesIn this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korea Army.MethodsStudy participants were 110 male conscripts who participated in the Green camp, a kind of group psychotherapy for maladaptive soldiers. All the participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoin the army. We analyzed the difference between these two groups in terms of demographic features, psychiatric diagnosis, and the Minnesota Multiphasic Personality Inventory (MMPI) subscores.ResultsCompared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p = 0.041) and higher rate in psychiatric treatment prior to enlistment (p = 0.011). Among the 106 study subjects, 63 (59.4%) and 23(21.7%) were diagnosed as personality disorder and adjustment disorder, respectively. Soldiers who left military service were diagnosed more frequently as mood disorder (p = 0.001) and schizophrenia (p = 0.014), respectively, than those who rejoined their units. The MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p = 0.028) and schizophrenia (p = 0.039) scales than those of soldiers who rejoined their units.ConclusionMost of the maladaptive soldiers were diagnosed as mental disorder. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the army.

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