scholarly journals To heal or not to heal, physician, that is the question

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Kernan Thomas Manion
Keyword(s):  
Mental Illness ◽  
Due Process ◽  
Professional Help ◽  
Fitness For Duty ◽  
The Past ◽  
Full Compliance ◽  
Seeking Help ◽  
The Subject ◽  
Regulatory Powers

Physicians experience mental illness, substance abuse and burnout at comparable to considerably higher rates than the general population. However, they face great risk if they acknowledge on licensing and credentialing application queries the fact of their seeking help or that they have sought such in the past. Physicians also risk allegation of having such disorders, especially by any of three major regulatory powers which have authority over their professional licenses. These entities can mandate so-called Psychological Fitness- For-Duty Evaluations (PFFDE) by non-neutral evaluators and then compel acceptance of their findings and immediate and full compliance with their recommendations, doing so in an environment devoid of due process and with no discernible recourse for the subject physician. This article strives to highlight this previously unrecognized peril and encourage further exploration of these concerns and undertaking of collaborative measures to ensure that physicians can obtain professional help when needed without causing career jeopardy while also honoring the valid quality of care and patient safety concerns of the prevailing regulatory entities.

Stigma and its impact on help-seeking for mental disorders: what do we know?

2008 ◽  
Vol 17 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Georg Schomerus ◽  
Matthias C. Angermeyer
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Help Seeking ◽  
Public Attitudes ◽  
Population Based ◽  
Professional Help ◽  
Promising Target ◽  
Individual Discrimination ◽  
Stigma Of Mental Illness ◽  
Seeking Help

SummaryAims – Many people suffering from serious mental illness do not seek appropriate medical help. The stigma of mental illness has often been considered a potential cause for reluctance in seeking help. We review recent evidence on this topic. Methods – Narrative review of the recent literature on stigma and helpseeking for psychiatric disorders. Results – There is proof of a particular stigma attached to seeking help for a mental problem. Anticipated individual discrimination and discrimination qua self-stigmatisation are associated with a reduced readiness to seek professional help for mental disorders. Intervention studies show that destigmatisation may lead to increased readiness to seek professional help, but other aspects like knowledge about mental diseases seem to be at least as important. The belief that seeking help for a mental health problem is actually helpful has been shown to be at the core of help-seeking intentions and thus offers a promising target for information programmes. Population based time-trend studies show that public attitudes towards help-seeking have improved over the last decade. Discussion – The relationship between help-seeking intentions and actual help-seeking needs further exploration. While many studies have been able to relate attitudes to intentions, predicting actual help-seeking has proved more difficult.Declaration of Interest: None.

scholarly journals Revitalization of prefabricated housing. Implementation of European solutions to Polish conditions

2014 ◽  
Vol 13 (3) ◽  
pp. 341-348 ◽  
Author(s):  
Magdalena Szpytma
Keyword(s):  
Ownership Structure ◽  
Western Europe ◽  
Current Issue ◽  
Housing Situation ◽  
Housing Shortage ◽  
The Past ◽  
The Subject ◽  
Poor Infrastructure ◽  
Complete Solutions

The problem regeneration of prefabricated housing in Poland is invariably the current issue. Due to a housing shortage, the demand for apartments in pre-fab housing is still high. Western Europe has begun to struggle with this problem much earlier and has a large experience in the subject of revitalization. However, the context of socio - economic development in Poland, different from the Western European, makes the transfer of complete solutions revitalization impossible . Presented examples show different strategies used in the past and now in Europe (housing revitalization Bijlmer in Amsterdam and building in Halle - Neustadt). They were based on the demolition to a lesser or greater extent. The difficult housing situation in Poland, related to the lack of sufficient amount of housing, poor infrastructure of social housing and complicated housing ownership structure of the buildings, mostly excludes demolition. However, the quality of prefabricated housing living could be significantly improved, without the need for demolition, as evidenced by the spectacular example of the revitalization of the Parisian skyscraper Tour Bois le Prêtre.

scholarly journals DISPLAYING THE POLYTEMBRALITY OF THE ORCHESTRA OF UKRAINIAN FOLK INSTRUMENTS WHEN ARRANGED FOR ACCORDION "UKRAINIAN FANTASY" YAROSLAV OLEKSIV

2021 ◽  
Author(s):  
Oleksiv Halyna Vasylivna
Keyword(s):  
Characteristic Feature ◽  
Chamber Ensemble ◽  
Deep Understanding ◽  
Original Compositions ◽  
Combined Analysis ◽  
The Past ◽  
The Subject ◽  
The Right ◽  
Favorable Conditions

Over the past decade, the arsenal of original compositions for the accordion has considerably expanded, but a significant place among the performing repertoire is the genre of translation of works from the repertoire of other instruments, ensembles or orchestras for the accordion. Since the translation of the orchestral repertoire with account of the timbre features of the accordion, has not yet become the subject of musicology research, the task is to elucidation of the main principles of this genre. The combined analysis of translations and executive-methodical recommendations become the basis for a deep understanding of the ideological conception, stylistic features and rethinking of the timbre transformations, and therefore the quality of the performance of the work itself.Translation works for the accordion from the repertoire of the Ukrainian folk instruments orchestra has favorable conditions for many parameters, as demonstrated by Y. Oleksiv "Ukrainian fantasy". The timbre specificity - the existence of a large number of different instrumental groups and voices in the orchestra is successfully transmitted in the accordion translation due to a number of timbre registers of the instrument, the diversity of which allows the most complete transfer of orchestral coloration. The author takes into account the slight difference in the sound of the right and left keyboards of the accordion and demonstrates it in an advantageous applying for translation, creating the effect of a multi-timbre "dialogue". The techniques of playing on the accordion fully reproduce the dynamic gradations of the orchestral sound, as the characteristic feature of such orchestra is a chamber. The author simulates the techniques of sound formation and the specifics of various orchestral instruments. The bandura pinch, the overtones dulcimer "echo", the reed pipe glissando, the violin detache and the articulation variety of instrumental composition of the orchestra composer transmits using a detail palette. Perfect constructive features of the accordion allow you to successfully adapt the multi-layer orchestra texture. In the accordion translations of orchestral compositions, the epic and poetics of folk melodies are transmitted as clearly as possible. This work is aimed at deeper understanding of the content and expressiveness of translated works by the performers. The research can be an impetus for transmissions and their research on the repertoire of the chamber ensemble for the accordion, as well as the translation of pieces for the accordion.

Boundary Conditions

2018 ◽  
Author(s):  
Sauro Succi
Keyword(s):  
Boundary Conditions ◽  
Crucial Role ◽  
Fluid Dynamic ◽  
Fluid Flows ◽  
Dynamic Simulations ◽  
The Past ◽  
Surrounding Environment ◽  
The Subject ◽  
The Difference

The actual dynamics of fluid flows is highly dependent on the surrounding environment, whose influence is mathematically described through the prescription of suitable boundary conditions. Boundary conditions play a crucial role, as they select solutions which are compatible with external constraints. Accounting for these constraints may be comparatively simple for idealized geometries but for general ones it represents a delicate (and sometimes nerve-probing!) task. In fact, the treatment of the boundary conditions often makes the difference in the quality of fluid dynamic simulations. This chapter illustrates the most common ways to impose boundary conditions to LB flows. The subject is very technical and has grown considerably for the past decade, which means that this chapter can only serve as a guiding introduction to the vast and still growing original literature.

scholarly journals Seeking help for sexual difficulties: findings from a study with older adults in four European countries

2019 ◽  
Vol 17 (2) ◽  
pp. 185-195 ◽  
Author(s):  
Sharron Hinchliff ◽  
Ana Alexandra Carvalheira ◽  
Aleksandar Štulhofer ◽  
Erick Janssen ◽  
Gert Martin Hald ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Help Seeking ◽  
Well Being ◽  
Care Physician ◽  
Professional Help ◽  
The Past ◽  
Multivariable Regression ◽  
Seeking Help ◽  
Sexual Difficulty

Abstract Sexual well-being is an important part of life for many people aged 60 and older. However, older adults often face barriers to seeking and receiving help for sexual difficulties. This study used data from a probability survey (n = 3820) on sexuality and ageing to examine help-seeking in 60–75-year-olds in Norway, Denmark, Belgium, and Portugal. More men (12.2%) than women (6.8%) had sought professional help for a sexual difficulty in the past 5 years. The main reason for help-seeking was that sex was important to the participant and/or their relationship. The main source of professional help was the primary care physician. Of those who had sought professional help, 48% were satisfied or very satisfied with the help received, 31.6% were neither satisfied nor dissatisfied, and 20.4% were dissatisfied or very dissatisfied. Others had sought help from informal sources, particularly partners, friends, or websites. The main reasons for not seeking professional help included not being distressed by the symptoms, and thinking that the difficulty would clear up on its own. Multivariable regression analysis revealed that significant correlates of seeking professional help for women and men were level of distress about the sexual difficulty. With regard to women, those who were married, and/or from Portugal were more likely to have sought help. And regarding men, those who attended religious services were more likely to have sought professional help. These results have important implications for healthcare and can be used to inform the development and delivery of services for older adults who experience sexual difficulties.

Eastern and western Christendom in late antiquity: a parting of the way

1976 ◽  
Vol 13 ◽  
pp. 1-24 ◽  
Author(s):  
Peter Brown
Keyword(s):  
Late Antiquity ◽  
Late Antique ◽  
Time And Space ◽  
Ecclesiastical History ◽  
The Past ◽  
The Subject ◽  
Short Span ◽  
The Universe ◽  
Vast Range

I must begin with the words of the clergyman: ‘My short sermon for today is divided into three parts. One: God. Two: Man. Three: The Universe.’ It will be impossible to do justice to the subject in hand in the short span of one lecture. This is not only because of the vast range of time and space involved in any consideration of the parting of the ways between eastern and western Christianity in the late antique period. To embark on such a theme involves holding up for scrutiny the very nature of ecclesiastical history. For what we have to deal with is not merely what happened in the relations between east and west, but why what happened happened as it did. Once the ecclesiastical historian asks why, he will find himself sooner or later forced to grapple with the whole quality of men’s lives in the past—that is, with how they lived the full twenty-four hours of the day, not only in their books, but in their churches, not only in their churches, but in the most intimate and most monotonous rhythms of their life.

Recovery heroes from the past: Charles Dickens (1859:2003): “it was the best of times it was the worst of times”

2018 ◽  
Vol 22 (2) ◽  
pp. 78-84
Author(s):  
Gail Longworth ◽  
Jerome Carson
Keyword(s):  
Mental Illness ◽  
Charles Dickens ◽  
Design Methodology ◽  
Mental Health Problems ◽  
Historical Record ◽  
Content Type ◽  
The Past ◽  
Personal Resilience ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of the novelist Charles Dickens. Design/methodology/approach Several biographies and articles about the life of Charles Dickens were examined, to see if there was evidence that he experienced mental health problems. Findings While Dickens has been acclaimed for his ability to authentically portray the living conditions of the poor in the nineteenth-century Britain, there is comparatively little historical record of the fact that he may have experienced bipolar disorder. This paper suggests that he displayed many of the characteristic symptoms of bipolar. Research limitations/implications The story of Dickens’ own childhood is an amazing example of personal resilience. It no doubt enhanced the quality of his writing, but it may also have “sown the seeds” of a later mental illness. Practical implications So much attention has been focused on the colourful characters from Dickens’ novels, but little on the problems of the man himself. Social implications The story of Charles Dickens is as fascinating as any of the fictional characters he created, if not even more intriguing. His story confirms the link between writers, creativity and mood disorders. Originality/value Given the huge attention and worldwide acclaim paid to the books of Charles Dickens, which have inspired numerous films as well as musicals, it is surprising how little attention has been paid to the author himself and his struggles with mental illness.

Big Business in African Studies

1987 ◽  
Vol 28 (1) ◽  
pp. 119-140 ◽  
Author(s):  
A. G. Hopkins
Keyword(s):  
Social Consequences ◽  
The Past ◽  
Official Policy ◽  
History Of ◽  
The Subject ◽  
The Relationship ◽  
Point Of Departure ◽  
Quality Of Research ◽  
Source Materials

This article surveys research into the business history of Africa completed during the past decade, taking as a point of departure the author's previous essays, ‘Imperial business in Africa’, in this Journal (XVII, (1976), 29–48 and 291–305), and using as a point of reference the published proceedings of two conferences held in Paris and London in 1981 and 1983. It is apparent that knowledge of indigenous and expatriate business in the nineteenth and twentieth centuries has expanded considerably during the past ten years, and also that the studies produced by specialists on Africa have particular strengths: they remain integrated with other branches of history; they have illuminated the relationship between business enterprise and official policy; and they have been concerned to explore the wider social consequences of business activities and to relate historical research to current development issues. The literature reveals some characteristic weaknesses too, quite apart from limitations of source materials: the market for knowledge remains imperfect, and specialists often fail to incorporate work which is available; and their analysis is frequently limited by a reluctance to make use of theories of the firm and of accounting techniques. An explanation of these characteristics is offered, and it is concluded that once the present deficiencies have been recognized they can be overcome, and that the quality of research will improve still further as the subject continues to grow during the next decade.

scholarly journals The activities of the second and third Orbán governments in the first hundred days

2020 ◽  
Vol 32 (4) ◽  
pp. 114-125
Author(s):  
Ádám Nyerges
Keyword(s):  
Decision Making ◽  
Political System ◽  
The Political ◽  
Political Environment ◽  
The Past ◽  
Qualified Majority ◽  
Government Work ◽  
The Subject ◽  
Similarities And Differences

The subject of the present study is an examination of the activities of two governments with a two-thirds parliamentary majority. For the past 10 years, it has been these governments with two closed cycles of government that have had the authority to structurally transform the Hungarian political system without the involvement of the opposition. The study will also present the measures taken over the first hundred days, as well as, to a lesser extent, the political environment of each government and the predestined goals. The summary also highlights some similarities and differences in the speed and quality of government work and its decision-making, which requires a qualified majority.

Components of the Economic Burden of Serious Mental Illness in the US

US Neurology ◽  
2009 ◽  
Vol 05 (01) ◽  
pp. 10 ◽  
Author(s):  
Thomas R Insel ◽  
Michael Schoenbaum ◽  
Philip S Wang ◽  
◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Health Treatment ◽  
Cost Effective ◽  
Health Treatment ◽  
Effective Strategies ◽  
The Past ◽  
The Us

Mental disorders impose considerable socioeconomic costs due to their episodic/chronic nature, their relatively early ages at onset, and the highly disabling nature of inadequately treated mental illness. Despite substantial increases in the volume of mental health treatment for disorders in the past two decades, particularly pharmacotherapies, the level of morbidity and mortality from these disorders does not appear to have changed substantially over this period. Improving outcomes will require the development and use of more efficacious treatments for mental disorders. Likewise, implementation of cost-effective strategies to improve the quality of existing care for these disabling conditions is required.

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