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Sample records for ille johannes leevi

  1. Inger og Johannes Exner

    DEFF Research Database (Denmark)

    Jensen, Thomas Bo

    Monografi om Inger og Johannes Exners arkitektur. Bogen behandler indgående Exners inspirationer samt deres teorier vedrørende kirkearkitektur og restaurering.......Monografi om Inger og Johannes Exners arkitektur. Bogen behandler indgående Exners inspirationer samt deres teorier vedrørende kirkearkitektur og restaurering....

  2. Remembering Johannes J. Duistermaat (1942-2010)

    NARCIS (Netherlands)

    van den Ban, E.P.; Kolk, J.A.C.

    2011-01-01

    On March 19, 2010, mathematics lost one of itsleading geometric analysts, Johannes Jisse Duistermaat.At age sixty-seven he passed away, after a short illness following a renewed bout of lymphomathe doctors thought they had controlled.“Hans”, as Duistermaat was universally known among friends and

  3. [Johann...] / Jacek Wijaczka

    Index Scriptorium Estoniae

    Wijaczka, Jacek

    2003-01-01

    Rets. rmt.: Ulrich Müller. Johann Lohmüller und seine livländische Chronik "Warhaftig Histori". Lüneburg : Verlag Nordostdeutsches Kulturwerk, 2001 (Schriften der Baltischen Historischen Kommission. Bd. 10)

  4. Johann Lodewyk Marais

    African Journals Online (AJOL)

    Owner

    oor die wetenskaplike prosa van Eugène N. Marais (2001) waarin hy die klinkende uit- spraak van Richard Dawkins as motto aanhaal: “A Keats and a Newton, listening to each other, might hear the galaxies sing.” Hierdie Dawkins- uitspraak verwoord myns insiens ook die essensie van Johann Lodewyk Marais se eie.

  5. Appreciating Johann M. Schepers

    Directory of Open Access Journals (Sweden)

    Freddie Crous

    2006-10-01

    Full Text Available As an expert leader in psychometrics, eminent scholar, gatekeeper, study leader and mentor, Johann M. Schepers has had a profound effect on the development of Psychology and Industrial Psychology in South Africa. By means of an appreciative inquiry the outstanding ability of this man has been highlighted in stories which resulted in a rich profile and a legacy that needs to be protected and nurtured.

  6. Johann Urbi vanatädi / Simo Meinert

    Index Scriptorium Estoniae

    Meinert, Simo

    2005-01-01

    Kanal 2 asub näitama Hollywoodi draamasarja "Mägi" ("The Mountain"), kus astub üles laulja Tarmo Urbi poeg Johann. Urbide perekondlikest suhetest räägib laulja Silvia Urb. Lisatud seriaali lühitutvustus ning loetelu J. Urbi varasematest rollidest. Sama artikkel ilma lisadeta: Teleleht nr. 22, 2005/Jun/6, lk. 7 : ill

  7. [How Johannes Brahms died].

    Science.gov (United States)

    Kerner, D

    1979-04-20

    In 1896, when he was 63 years old, Johannes Brahms, who had always been demonstrably in good health, developed an icterus of increasing intensity together with a considerable enlargement of the liver and loss of weight. Since infectious hepatitis could scarcely come into the question, from the medical point of view a neoplasm in the region of the liver as well as cirrhosis of the liver were considered. While hepatic carcinoma is a relatively rare disease in Europe even today and Brahms, on the other hand, had consumed copious quantities of concentrated alcoholic drinks during his lifetime, cirrhosis of the liver is the most probable diagnosis, especially as at the end hemorrhages from esophageal varices and the lower intestinal segments occurred.

  8. Johannes Ewald i romanhistorien

    DEFF Research Database (Denmark)

    Gjerlevsen, Simona Zetterberg

    2016-01-01

    The article undertakes an investigation of the relationship between two of Johannes Ewald’s prose works: The Story of Mr. Panthakak and an abstract from the journal The Foreigner. In so doing, the article disproves prevailing assumptions of the dating of the The Story of Mr. Panthakak as it provi...... events associated with the novel. Accordingly, this article suggest that a redating of The Story of Mr. Panthakak together with an attention to its techniques og fictionality shows that Ewald anticipates what was to become the dominating literary genre: the novel....... as it provides evidence that the story is written later than The Foreigner. This has important consequences for the view of Ewald’s authorship because The Story of Mr. Panthakak makes use of a number of fictionality techniques such as zero focalization, meta commentaries, fictive characters and unrealistic...

  9. Jakob Johannes Sederholm

    Science.gov (United States)

    Eklund, O.; Korsman, K.; Scheinin, B.

    2010-05-01

    Jakob Johannes Sederholm (1863-1934) was one of the more influential pioneers in Precambrian geology having introduced some fundamental insights and concepts which are still relevant today. Towards the end of the 19th century, he demonstrated how the principle of actualism can be applied to Precambrian terranes, while during the early part of the 20th century he undertook detailed studies on deformed magmatic rocks, both defining and interpreting the enigmatic mixed rocks now known as migmatites. He acted as the head of the Geological Survey of Finland for 40 years, which developed under his leadership into a modern progressive and versatile research organization. In addition, Sederholm also served as a diplomat with a number of international assignments, including appointments with the League of Nations in missions in Albania and a supervisory role relating to sovereignty and autonomy issues in the Åland Island. Several mountains in Greenland have been named after him and his family, and he was also appointed as honorary chief of two Indian tribes in Canada. To understand the driving forces behind a man of his kind, we focus here on Sederholm the person and some of the social and cultural background that influenced his career. This text is based on the book, published in Swedish, entitled "Jakob Johannes Sederholm, Geolog, humanist och sanningssökare" (Scheinin and Korsman, 2007), and an interview with J.J. Sederholm's granddaughter Barbro Scheinin by Eklund (2008). Other references are marked in the text. The first author is responsible for all translations from Swedish, Norwegian, German and Finnish.

  10. TRIBUTE TO JOHANNES KUIPERS

    CERN Multimedia

    2002-01-01

    Jos kept the following citation on his desk: Je vous laisse la paix, je vous donne ma paix. Que votre coeur cesse d'avoir peur ! (Jn 14,27)   Johannes Kuipers died on March 7 in his 45th year, of major injuries sustained while leaving CERN three weeks earlier. Jos held a degree in applied physics and was employed by ETH to provide the computing support of the CMS Engineering and Integration Center at Cern and of the High Energy Physics Laboratory at ETH; his contribution to the CMS and AMS projects was well recognized and appreciated. Jos was a quiet, likeable person of highest integrity with a great sense of humor. He was a hard working collaborator who enjoyed his work and who was always helpful when the vagaries of modern technique required an expert. We will remember him as the extremely helpful and very competent key person in the CMS Engineering & Integration center, in the ETH group and far beyond. He did not only keep our computer systems running but was always available to help others and par...

  11. Roosna-Alliku mõisa häärber / Karl Kolopka, Nele Rohtla, Johann Schultz

    Index Scriptorium Estoniae

    Kolopka, Karl

    2004-01-01

    12 ill.; peahoone ehitati Johann Schultzi kavandite järgi, siseinterjööri ilmestava Louis XVI stiilis stukitöö tegi Karl Kolopka, häärber restaureeriti Nele Rohtla (OÜ Mõisaprojekt) suunamisel

  12. Domagk, Prof. Gerhard Johannes Paul

    Indian Academy of Sciences (India)

    Home; Fellowship. Fellow Profile. Elected: 1965 Honorary. Domagk, Prof. Gerhard Johannes Paul Nobel Laureate (Medicine) - 1939. Date of birth: 30 October 1895. Date of death: 24 April 1964. YouTube; Twitter; Facebook; Blog. Academy News. IAS Logo. Theory Of Evolution. Posted on 23 January 2018. Joint Statement ...

  13. Johann Jacob Friedrich Wilhelm Parrot / Tõivo Sarmet

    Index Scriptorium Estoniae

    Sarmet, Tõivo

    2006-01-01

    Tartu Ülikooli rektorit Johann Jacob Friedrich Wilhelm Parrot loetakse Venemaa alpinismiajaloo alusepanijaks ja tema tähelepanuväärseimaks mägironimisalaseks teoks oli tõus Suur-Araratile 1829. aastal

  14. Academia Grata leidis otsa / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2004-01-01

    Eesti Kunstiakadeemia nõukogu otsustas lõpetada oma Pärnu Kolledzhi Academia Grata tegevuse. Sulgemise põhjustest. Gratalaste seltskond jätkab alternatiivse vabaakadeemiana - Johann Köleri nimeline Positivistlik Kunsttööstuskool

  15. Johann Friedrich Wilhelm Adolf von Baeyer

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 19; Issue 6. Johann Friedrich Wilhelm Adolf von Baeyer: A Pioneer of Synthetic Organic Chemistry. Gopalpur Nagendrappa. General Article Volume 19 Issue 6 June 2014 pp 489-522 ...

  16. Johann Georg Eisen / Indrek Jürjo

    Index Scriptorium Estoniae

    Jürjo, Indrek, 1956-2009

    1999-01-01

    Rets. rmt.: Johann Georg Eisen (1717-1779). Ausgewählte Schriften. Deutsche Volksaufklärung und Leibeigenschaft im Russischen Reich. Hrsg. von Roger Bartlett und Erich Donnert. Marburg : IHerder-Institut, 1998

  17. EtiEsE BEsluitnEming volgEns 1 johannEs

    African Journals Online (AJOL)

    ten einde dit vas te stel gaan die wyse waarop tot etiese besluitneming in die Briewe van johannes (veral 1 johannes) gekom is, ondersoek word. 1 hierdie artikel word aan hermie van Zyl opgedra uit erkenning vir sy bydrae tot ...... 1975. toward a theory of ethnic phenomena in Ethnicity and resource competition in plural ...

  18. Blindness of Johann Sebastian Bach.

    Science.gov (United States)

    Tarkkanen, Ahti

    2013-03-01

    Johann Sebastian Bach (1685-1750) was one of the greatest composers of all time. Apart from performing as a brilliant organist, he composed over 1.100 works in almost every musical genre. He was known as a hardworking, deeply Christian person, who had to support his family of 20 children and many students staying at his home. At the age of 64 years, his vision started to decline. Old biographies claim that it was the result of overstressing his vision in poor illumination. By persuasion of his friends, he had his both eyes operated by a travelling British eye surgeon. A cataract couching was performed. After surgery, Bach was totally blind and unable to play an organ, compose or direct choirs and orchestras. He was confined to bed and suffering from immense pain of the eyes and the body. He died <4 months after surgery. In this paper, as the plausible diagnosis, intractable glaucoma because of pupillary block or secondary to phacoanaphylactic endophthalmitis is suggested. © 2012 The Author. Acta Ophthalmologica © 2012 Acta Ophthalmologica Scandinavica Foundation.

  19. Johann Christoph Sturm and Gottfried Wilhelm Leibniz (German Title: Johann Christoph Sturm und Gottfried Wilhelm Leibniz)

    Science.gov (United States)

    Kratchovil, Stefan

    Johann Christian Sturm and Gottfried Wilhelm Leibniz were two well-known scholars of their time, who showed mutual attention and esteem. The history of their relation is described, based on the mutual mentions in letters and publications.

  20. The foundational tenets of Johannes Althusius' constitutionalism ...

    African Journals Online (AJOL)

    In his Politica: Politics Methodically set Forth and Illustrated with Sacred and Profane Examples published in 1603 Johannes Althusius' sets out his grand scheme of republican federalism. Soon, however, the final establishment of the territorial state and the paradigm of statism relegated grand federalism to the distant ...

  1. De ogen van Johann Sebastian Bach

    NARCIS (Netherlands)

    Zegers, R. H. C.

    2005-01-01

    Limited vision seems to have been Johann Sebastian Bach's (1685-1750) only physical problem. Myopia seems the most likely cause and he probably developed cataracts later in life. In addition to the cataracts, his worsening vision may have been due in part to some other eye problem. In 1750 Bach's

  2. 489 Johann Friedrich Wilhelm Adolf von Baeyer

    Indian Academy of Sciences (India)

    IAS Admin

    Resonance journal of science education. June 2014 Volume 19 Number 6. GENERALARTICLES. 489 Johann Friedrich Wilhelm Adolf von Baeyer. A Pioneer of Synthetic Organic Chemistry. Gopalpur Nagendrappa. 523 Causality in Classical Physics. Asrarul Haque. 538 Physiology of High-Altitude Acclimatization.

  3. Johann Wilhelm Krause 250 / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2007-01-01

    Eesti klassitsistliku arhitektuuri suurkuju ning Tartu Ülikooli arhitekti Johann Wilhelm Krause 250. sünniaastapäeva tähistati näitustega Tallinnas ja Tartus. Tartu Ülikooli raamatukogu kunstikogusse kuulub ligi 700 J. W. Krause loodud joonistust

  4. Johann Friedrich Wilhelm Adolf von Baeyer

    Indian Academy of Sciences (India)

    IAS Admin

    discovery was important for the dye industry and BASF made huge profits. In 1901, Johannes Pfleger, Chemist and Head of experimental department of Degusa Company, modified Heumann's 1890 synthesis of indigo, which greatly improved the yield. Pfleger used, in addition to sodium hydroxide in Scheme 21, potassium.

  5. [Johann van Beethoven (1776-1848)].

    Science.gov (United States)

    Eikermann, Erika

    2012-01-01

    The article about the life and achievements of the apothecary Johann van Beethoven, the younger brother of the composer Ludwig van Beethoven, depicts a vivid picture of life in the 18th, 19t century. Research on archived original documents in Bonn, Vienna and Linz on the Danube made it possible to reveal details about the relationship inside this famous family and describes the hurdles of life of a successful apothecary. In 1776 Johann van Beethoven was born as the fourth child of the Beethoven family, a family of Bonner musicians. In 1790 he began his apprenticeship to become an apothecary at the Bonner "Hofapotheke". Towards the end of 1795 he moved to join his older brothers Ludwig and Karl in Vienna. During his time there he worked as a "subject" in various Viennese pharmacies. However in 1808 he purchased the pharmacy "Zur Goldenen Krone" in Linz on the Danube. His new pharmacy flourished, supplying first the Napoleonic occupation troops, and later the Austrian Military with medicines and field dressing/bandage materials. When in 1812 he married his Housekeeper, his Brother Ludwig opposed harshly, on reasons of social status and on moral grounds. Four years later, in 1816 Johann sold the pharmacy in Linz and founded a new pharmacy in Urfahr, on the opposite bank of the Danube. In 1819 he became a squire (or landowner), when he purchased a manor estate in Gneixendorf, near Krems on the Danube. In spite of his numerous duties as an apothecary and squire, Johann was frequently resident in Vienna, supporting his brother both emotionally and pharmaceutically. At the end of his life Johann sold both his pharmacy and the Gneixendorf estate, and spent his last years as a private gentleman living a dazzling lifestyle in Vienna. He died on January 12th 1848 and was buried in Vienna's "Waldmüllerpark".

  6. Gallasovský hofmistr Johann Heinrich Dienebier (1677 - 1748)

    Czech Academy of Sciences Publication Activity Database

    Krummholz, Martin

    2011-01-01

    Roč. 6, č. 9 (2011), s. 375-395 ISSN 1802-2502 Institutional research plan: CEZ:AV0Z80330511 Keywords : Johann Heinrich Dienebier * 18th century * Johann Wenzel Gallas * baroque architecture * Prague Subject RIV: AL - Art, Architecture, Cultural Heritage

  7. Arthur Schopenhauers betydning for Johannes Jørgensens omvendelse

    DEFF Research Database (Denmark)

    Nord, Johan Christian

    2013-01-01

    Artikel om Johannes Jørgensens interesse for Arthur Schopenhauers filosofi i tiden lige op til og efter Jørgensens konversion til katolicismen......Artikel om Johannes Jørgensens interesse for Arthur Schopenhauers filosofi i tiden lige op til og efter Jørgensens konversion til katolicismen...

  8. Johannes C. Sens 1928 – 2008

    CERN Multimedia

    2009-01-01

    Johannes C. Sens working on the magnet of the first g-2 experiment in 1959. Johannes C. Sens, a physicist and engineer with a long association with CERN passed away from complications of surgery on 3 November 2008 in Nice, France. J.C. Sens, often known as "Hans", was considered one of the pioneers of the first muon g-2 experiments at CERN and an instrumental figure in the discovery of the fifth quark. Born in the Netherlands, Hans obtained a degree in engineering at the Technical University of Delft in 1953. He then enrolled at the University of Chicago and studied under Enrico Fermi. After Fermi’s passing, Hans gained his PhD working on muons with Valentin Telegdi at the University of Chicago. He came to CERN in 1958 at the same time as Leon Lederman and both worked on a study of the methods of measuring the muon g-2. In 1966, after working on various experiments with muons, Hans left CERN to join the Foundation for Fundament...

  9. Johannes Hempel a jeho spisy do roku 1945

    OpenAIRE

    Kovács, Kristián

    2008-01-01

    I am trying to summarize life and theological work of Johannes Hempel till 1945. He was interested in special topics of Ethics of ancient Israel and Questions of profetic literature. By my research I was trying to include life and work of Johannes Hempel in his era and teological schools, define his work and compare it with other Old Testament scholars of his era. With reference to political situation of contemporar Germany (NS Regime) I prefer to accent Hempel's political ideas and engagemen...

  10. Korp! Rotalia Tartu Ülikooli juubeliaastal / Johannes Pedak

    Index Scriptorium Estoniae

    Pedak, Johannes, 1908-2003

    1981-01-01

    Pealkiri on eksitav, kirjeldatakse perioodi 1931-1935. Fotodel kujutatud isikutest on nimetatud Kristjan Joost, Osvald Hindrekus, Ülo Ojamaa, Leo Wulff-Karupää, Boris Brandmann-Adila, Louis Orav, Harry Varik, Ferd. Kongo, Karl Hallik, Aleks Pals, Johannes Pedak, Endel Toiger, Aksel Tomasson, O. Pirn, Aado Toomes, Leo Kripson, Nikolai Schmidt, Heinrich Karu (Karro), Theodor Indrikson-Agur, Ilo Hõlpus, Johannes Freiwald -Priimets, Karl Anvelt, Arnold Petermann-Pedak, Leonhard Võsoberg

  11. Johannes Kepler - And the New Astronomy

    Science.gov (United States)

    Voelkel, James R.

    1999-11-01

    Johannes Kepler (1571-1630) is remembered as one of the greatest medieval astronomers in the tradition of Copernicus and Galileo, a man who made major contributions to physics, astronomy, and mathematics. Born in Germany and trained as a theologian, Kepler did not hesitate to challenge church doctrine by supporting the iconoclastic theory of a Sun-centered solar system. As Imperial Mathematician to the Holy Roman Emperor, he conducted careful observations of the night sky, which led to his discovery of the three Laws of Planetary Motion and the orbit of Mars. He also devised the Rudolphine Tables on planetary movements, and made key improvements to the telescope. Voelkel vividly describes the scientific achievements, providing enough background in physics and trigonometry so even beginners can enjoy this book. The author also gives us a captivating account of Kepler's tumultuous life, plagued by misery, disease, and fervent religious prosecution by the Catholic Church.Oxford Portraits in Science is an ongoing series of scientific biographies for young adults. Written by top scholars and writers, each biography examines the personality of its subject as well as the thought process leading to his or her discoveries. These illustrated biographies combine accessible technical information with compelling personal stories to portray the scientists whose work has shaped our understanding of the natural world.

  12. Johannes Heinrich Schultz and National Socialism.

    Science.gov (United States)

    Brunner, Jürgen; Schrempf, Matthias; Steger, Florian

    2008-01-01

    Johannes Heinrich Schultz (1884-1970) established the set of techniques known as "autogenic training." From 1936 until 1945 he worked as assistant director of the Göring Institute. His role during National Socialism has been underestimated in our opinion. We considered Schultz's academic publications and his "autobiography" from 1964. Schultz publicly advocated compulsory sterilization as well as the "annihilation of life unworthy of life" and developed a diagnostic scheme which distinguished between the neurotic/curable and the hereditary/ incurable. In fact, this classification was then employed to decide between life and death. In order to justify the "New German Psychotherapy" alongside eugenic psychiatry, Schultz carried out degrading and inhuman "treatments" of homosexual prisoners of concentration camps who were in mortal danger. This study was based on written documents. We were not able to interview contemporary witnesses. By advocating compulsory sterilization and the "annihilation of life unworthy of life" and by the abuse of homosexuals as research objects Schultz violated fundamental ethical principles of psychiatry.

  13. ["The piano trio" Robert Schumann, Clara Schumann and Johannes Brahms].

    Science.gov (United States)

    Albretsen, C S

    1998-12-10

    The relationship between the pianist and composer Clara Schumann and the composers Robert Schumann and Johannes Brahms has for a century been an interesting topic. Clara and Robert Schumann both suffered separation from their mothers during early childhood. Johannes Brahms was intensely spoiled by his mother. Robert Schumann needed a structuring wife in his adult life, while Johannes Brahms turned to be afraid of intrusive women. Robert Schumann's psychotic breakdown in February 1854 had a complex background: a hypomanic state, some marital problems, a stressful journey with musical appearances, and possibly a difficulty in differentiating between himself and his new friend Johannes Brahms. As for Clara Schumann, who lost her mother before the age of five, musical activities became her way of overcoming the difficulties of life. She was able to support Robert in his lunatic asylum and their seven children growing up in three separate towns. The chronic diseases of the sons: schizophrenia, polyarthritis and tuberculosis made a deep impression on her and her fingers and hands were periodically immobilised with severe pain. For four decades Johannes was her able "son" and Clara was his "mother", at a safe distance.

  14. Historical study: Johann Gregor Mendel 1822-1884.

    Science.gov (United States)

    Weiling, F

    1991-07-01

    The life and personality of Johann Gregor Mendel (1822-1884), the founder of scientific genetics, are reviewed against the contemporary background of his times. At the end are weighed the benefits for Mendel (as charged by Sir Ronald Fisher) to have documented his results on hand of falsified data. Mendel was born into a humble farm family in the "Kuhländchen", then a predominantly German area of Northern Moravia. On the basis of great gifts Mendel was able to begin higher studies; however, he found himself in serious financial difficulties because of his father's accident and incapacitation. His hardships engendered illness which threatened continuation and completion of his studies until he was afforded the chance of absolving successfully theological studies as an Augustinian monk in the famous chapter of St. Thomas in Altbrünn (Staré Brno). Psychosomatic indisposition made Mendel unfit for practical pastoral duties. Thus, he was directed to teach but without appropriate state certification; an attempt to pass such an examination failed. At that point he was sent to the University of Vienna for a 2-year course of studies, with emphasis on physics and botany, to prepare him for the exam. His scientific and methodologic training enabled him to plan studies of the laws of inheritance, which had begun to interest him already during his theology training, and to choose the appropriate experimental plant. In 1865, after 12 years of systematic investigations on peas, he presented his results in the famous paper "Versuche über Pflanzenhybriden." Three years after his return from Vienna he failed to attain his teaching certification a second time. Only by virtue of his exceptional qualifications did he continue to function as a Supplementary Professor of Physics and Natural History in the two lowest classes of a secondary school. In 1868 he was elected Abbot of his chapter, and freed from teaching duties, was able to pursue his many scientific interests with greater

  15. Johannes Althusius' grand federalism, the role of the Ephors and ...

    African Journals Online (AJOL)

    This article discusses the primary structures Johannes Althusius' constitutionalism, as explained in his Politica: Politics Methodically Set Forth and Illustrated with Sacred and Profane Examples published in 1603. The first of these structures and the theme that Althusius is most famous for, is his scheme of grand republican ...

  16. Aasta põllumeheks 2003 sai Johannes Valk / Mati Jakson

    Index Scriptorium Estoniae

    Jakson, Mati

    2003-01-01

    Aasta põllumehe tiitli kätteandmisest Rahvusraamatukogus, kus esines tervitussõnavõtuga ka president Arnold Rüütel. 2003. aasta põllumeheks valitud Harjumaa suurtalunik Johannes Valk andis lühiülevaate Laheotsa talu tegevusest 2003. aastal

  17. Johann Bernoulli's brachistochrone solution using Fermat's principle of least time

    Science.gov (United States)

    Erlichson, Herman

    1999-09-01

    Johann Bernoulli's brachistochrone problem is now three hundred years old. Bernoulli's solution to the problem he had proposed used the optical analogy of Fermat's least-time principle. In this analogy a light ray travels between two points in a vertical plane in a medium of continuously varying index of refraction. This solution and connected material are explored in this paper.

  18. Tšarterkool USA-s / Johannes Kiersch

    Index Scriptorium Estoniae

    Kiersch, Johannes

    2001-01-01

    24.-27. mainì 01 toimub Tallinnas EFFE 2001 (European Forum of Freedom in Education) konverents "Haridus tänases kodanikuühiskonnas." Konverentsil esineb ka Witteni Waldorf-pedagoogika Instituudi õppejõud Johannes Kiersch. Lähemalt tema artiklist USA-s populaarsust võitvate tsharterkoolide kohta, mis on riigi- ja erakooli vahevorm

  19. Los aportes de Johann Christian Reil al nacimiento de la psiquiatría

    Directory of Open Access Journals (Sweden)

    Stagnaro, Juan Carlos

    2015-12-01

    Full Text Available The Rhapsodieen by Johann Christian Reil (1759-1813, edited in 1803, gave a crucial boost to care and treatment reforms for the mentally ill in Prussia. Reil, professor at the University of Halle, maintained that the causes of human illnesses cannot be distinguished as purely mental, chemical of physical, but as the result of an essential interaction among these three domains. Also, he formulated the basis of a new specialty, which he called psychiatry; he proposed the rights of people with mental illness, denounced the effects of the social stigma affecting them, defended the creation of specialized institutions which are adequate for them, stressed the responsibility of the government and the whole society for the citizens afflicted with these disorders, and proposed psychic cure as a fundamental treatment, both for mental and somatic illnesses, at a level equivalent to pharmacological treatments and surgery.Las Rhapsodieen… de Johann Christian Reil (1759-1813, editadas en 1803, dieron un impulso decisivo para las reformas de la atención y el tratamiento de los enfermos mentales en Prusia. Reil, profesor en la Universidad de Halle, sostenía que las causas de las enfermedades humanas no se pueden distinguir entre puramente mentales, químicas o físicas, sino que resultan de una esencial interacción entre estos tres dominios. Además, formuló las bases de una nueva especialidad, a la que denominó psiquiatría, planteó los derechos de los enfermos mentales, denunció los efectos del estigma social que los afecta, defendió la creación de instituciones especializadas adecuadas para ellos, enfatizó la responsabilidad del gobierno y la sociedad toda ante los ciudadanos aquejados de esos trastornos y propuso a la cura psíquica como un tratamiento esencial, tanto para las enfermedades mentales como para las somáticas, en un plano equivalente a los tratamientos farmacológicos y a la cirugía.

  20. "Cosmomorphistic geometry" in the unconscious geometry of Johannes Kepler

    Science.gov (United States)

    Adam, Adolf

    Some mathematical aspects of the Music theory by Johannes Kepler are discussed, paying a special attention to the book "De harmonice mundi". Other scientists interested in Music theory are mentioned throughout the paper: The Pythagorean school, Klaudios Ptolemaios, Leonard Euler, Gottfried Wilhelm Leibniz, Christian von Goldbach, Hermann Ludwig Ferdinand von Helmholz, Karl Friedrich Gauss. The relation with the ancient chinese schools of cosmography has been discussed: From the the Pythagorean to the ancient Chinese schools of cosmography we find arithmo-geometrical applications of numbers which are emblematic, hold meaning or represent the essence of things, the author writes. It was Johannes Kepler who taught us this "transconstructive method" of forming classical and ancient begginings of structuralistic thinking into a system from which deductions can readily be made.

  1. Johann Baptist von Schweitzer: the queer Marx loved to hate.

    Science.gov (United States)

    Kennedy, H

    1995-01-01

    Despite his conviction on a morals charge involving a boy, the early German Social Democrat Johann Baptist von Schweitzer went on to have a successful political career. His life furnishes the context to present remarks by his political opponents Marx and Engels, which reveal their deep-seated homophobia. It is pointed out that this has been glossed over by the translations of the recently published Marx/Engels Collected Works. Some remarks on boy-love and anarchism are appended.

  2. Il formalismo estetico da Johann Friedrich Herbart a Robert Zimmermann

    OpenAIRE

    Moro, Nadia

    2014-01-01

    Concrete and abstract. Aesthetic formalism from Johann Friedrich Herbart to Robert Zimmermann. Zimmermann (1824–1898) contributes an important Ästhetik to the history of aesthetic formalism and he is a major representative of Herbartianism in Vienna. In my analysis I show, on the one hand, that he aims to delivering a systematic work, based on the insights which Herbart (1776–1841) had already provided, without treating them exhaustively. On the other hand, I argue that it is not unproblemati...

  3. 4. Passion in the Work of Johann Sebastian Bach

    Directory of Open Access Journals (Sweden)

    Medňanský Karol

    2016-03-01

    Full Text Available Passions are exceptionally important in the works of Johann Sebastian Bach. His passion compositions are based particularly on Luther’s reformation, chiefly on developmental tendency which is based on the works of Johann Walter, Hans Leo Hassler and Michael Praetorius. The most significant forerunner of J. S. Bach was Heinrich Schütz. J. S. Bach’s textual aspect is aimed at the model of passion oratorio the main representative of which was a librettist Heinrich Brockes who worked in Hamburg. The interesting fact is that before the arrival of J. S. Bach, in 1723, there was no long tradition of passions in Leipzig. They were performed there in 1721 for the first time. J. S. Bach is demonstrably the author of the two passions: St Matthew Passion BWV 244 and St John Passion BWV 245. The authorship of Johann Sebastian Bach in St. Lukas Passion BWV 246 is strongly called into question and from St Mark Passion BWV 24 only the text was preserved.

  4. "Lihtsate eestlaste ebausukombed" ja Johann Wolfgang Boecleri tagasitulek. Lisandusi kiriku, kirjanduse ja kommete ajaloole / Aivar Põldvere

    Index Scriptorium Estoniae

    Põldvere, Aivar

    2008-01-01

    Johann Wolfgang Boeckleri (Heinrich Gösekeni väimehe) värvikast elukäigust. Kas Johann Heinrich Boeckler võis olla tema onu? "Lihtsate eestlaste ebausukommete" retseptsioonist. Eeestlaste kommetest ja usust. J. W. Boeckleri sidemetest Thomas Hiärnega. Boeckleri ilmumata jäänud eestlaste ajalugu käsitlenud raamatust. Boeckleri oletatavast spioonikarjäärist, tema kõikumisest luterluse ja katoliikluse vahel. Lisa : Johann Wolfgang Boeckleri bibliograafia

  5. Johannes Hindi tütar Pille Pae : inimlik headus ei sõltu režiimist / Pille Pae ; interv. Anneli Ammas

    Index Scriptorium Estoniae

    Pae, Pille

    2006-01-01

    Desintegraatori juhi Johannes Hindi tütar Pille Pae vastab küsimustele, mis puudutavad tema isa armuandmispalve esitamist, isale toetusallkirjade kogumist, Arnold Rüütli suhteid Johannes Hindiga. Lisa: Kes oli Johannes Hint ja mis Desintegraator?

  6. Die wonders in Johannes 6 verklaar aan die hand van 'n ...

    African Journals Online (AJOL)

    Maar die Evangelie van Johannes gee self 'n aanduiding van wat die intensie van die geskrif is, te wete Johannes 20: 30-31: Jesus het nog baie ander wondertekens, wat nie in hierdie boek beskrywe is nie, voor sy dissipels gedoen. Maar hierdie wonder tekens is beskrywe sodat julle kan glo dat Jesus die Christus is, die.

  7. [Theodor Billroth and Johannes Brahms--friendship between two giants].

    Science.gov (United States)

    Teplý, I

    1989-09-01

    The study portrays the exceptional personality of Theodor Billroth and his friendship with Johannes Brahms. Billroth who laid the foundation of modern abdominal surgery by performing his pioneer operations was also an excellent musician and connoisseur of the arts. His enthusiasm for the music of Brahms and Brahms' respect for Billroth, his knowledge and musical instinct, were the basis of a mutual intensive relationship. The paper describes the productive period of a 30-year friendship of the two great men, presenting basic bibliographic data and an outline of their work.

  8. Johannes Hindi tütar Pille Pae : inimlik headus ei sõltu rezhiimist / Pille Pae ; interv. Anneli Ammas

    Index Scriptorium Estoniae

    Pae, Pille

    2006-01-01

    Desintegraatori juhi Johannes Hindi tütar Pille Pae vastab küsimustele, mis puudutavad tema isa armuandmispalve esitamist, isale toetusallkirjade kogumist ning Arnold Rüütli suhteid Johannes Hindiga. Lisa: Kes oli Johannes Hint ja mis Desintegraator?

  9. Special issue dedicated to Professor Johann M. Schepers

    Directory of Open Access Journals (Sweden)

    Gideon P De Bruin

    2006-10-01

    Full Text Available It is a great pleasure for me to have been associated with this special issue of the SA Journal of Industrial Psychology dedicated to Professor Johann M. Schepers. The purpose of the special issue is to honour Professor Schepers for his contributions to the development of Psychology and Industrial Psychology as empirical fields of study in South Africa. The contributors have worked with Professor Schepers as students or colleagues and share his academic interests. The articles reflect his areas of interest and employ analytic techniques taught and championed by him. We are grateful to Professor Schepers for his cooperation throughout this project. Thanks are due to all the contributors and referees.

  10. Оn a Poem by Johann Gottfried Gregory

    Directory of Open Access Journals (Sweden)

    Marianna V. Kaplun

    2017-12-01

    Full Text Available The article examines a little known and understudied Stuttgart poem that belongs to Johann Gottfried Gregory, Russian author of the German origin, author of the first play for the Russian court theatre and a minister of the Lutheran Church in Moscow. In 1667, while being on the diplomatic mission to Germany, Gregory leaves the autograph of the poem devoted to Russian life in the “album amicorum” of his friend, the owner of the hotel in Stuttgart Johann Allgayr. The text of the poem in German was first published by Nikolai Petrovich Likhachev in his book Friendly Aliens in the 18 th century Russia (1898. This article, for the first time, endeavors to reconstruct the history of the poem and show the evolution of Gregory’s literary style in the first phase of his work that remains obscure. The first part of the poem describes the life of the Russian people and bears on the main “encyclopedic” work of the 17 th century Russia, Description of the Journey to Muscovy written by Gregory’s contemporary, a German traveler, geographer and historian Adam Olearius. The second part of the poem is a praise to the Tsar Aleksey Mikhailovich, a genre that will be found in all Gregory’s plays written for the Russian theatre and will become integral part of the Russian court ceremonial in the last decades of the 17 th century. The poem was written under the influence of the 17 th century Baroque German poetry as represented in the work of Paul Fleming. Besides, Gregory’s Stuttgart poem is an authentic document of its time that reflects major cultural, religious, and historical events of the 17 th century, the life of the German Quarter in Moscow, and the foreigner’s vision of Muscovy under the reign of the Tsar Aleksey Mikhailovich.

  11. Johann Christian Alois Mickl. Veselá komedie (ukázka) [Překlad

    Czech Academy of Sciences Publication Activity Database

    Förster, Josef

    2014-01-01

    Roč. 25, č. 2 (2014), s. 40-43 ISSN 0862-5409 Institutional support: RVO:67985955 Keywords : Johann Christian Alois Mickl * professional touring companies * Hanswurst Hauptaktion Subject RIV: AJ - Letters, Mass-media, Audiovision

  12. Johannes Müller, Exile Memories and the Dutch Revolt: The Narrated Diaspora, 1550-1750

    Directory of Open Access Journals (Sweden)

    C.A. (Annemieke Romein

    2017-10-01

    Full Text Available Johannes Müller, Exile Memories and the Dutch Revolt: The Narrated Diaspora, 1550-1750 (Dissertation Leiden University 2014; Leiden/ Boston: Brill. 2016, 254 pp., ISBN 9789004315914.

  13. Johannes Pääsuke - mees kahe kaane vahel / Rael Artel

    Index Scriptorium Estoniae

    Artel, Rael, 1980-

    2003-01-01

    Eesti Rahva Muusemis toimunud näituse "Johannes Pääsuke. Mees kahe kaameraga. Man with Two Cameras" samanimeline kataloog, mille koostanud Jana Reidla. Kataloog sisaldab ka Jaak Lõhmuse artikli Pääsukesest kui filmimehest

  14. More than Decadence - Johannes Jørgensen's early reception of Arthur Schopenhauer

    DEFF Research Database (Denmark)

    Nord, Johan Christian

    Fremmedsproglig forskningsformidling af hovedpunkterne i artiklen "En Poet og en Religionsstifter, med hvem jeg er enig i næsten alle Ting" Indledende betragtninger over Johannes Jørgensens Schopenhauer-reception.......Fremmedsproglig forskningsformidling af hovedpunkterne i artiklen "En Poet og en Religionsstifter, med hvem jeg er enig i næsten alle Ting" Indledende betragtninger over Johannes Jørgensens Schopenhauer-reception....

  15. Are the alleged remains of Johann Sebastian Bach authentic?

    Science.gov (United States)

    Zegers, Richard H C; Maas, Mario; Koopman, A Ton G; Maat, George J R

    2009-02-16

    A skeleton alleged to be that of Johann Sebastian Bach (1685-1750) was exhumed from a graveyard in Leipzig, Germany, in 1894, but its authenticity is not established. In 1895, anatomist Wilhelm His concluded from his examination of the skeleton and reconstruction of the face that it most likely belonged to Bach. In 1949, surgeon Wolfgang Rosenthal noticed exostoses on the skeleton and on x-rays of 11 living organists and proposed a condition, Organistenkrankheit, which he interpreted as evidence that the skeleton was Bach's. However, our critical assessment of the remains analysis raises doubts: the localisation of the grave was dubious, and the methods used by His to reconstruct the face are controversial. Also, our study of the pelvic x-rays of 12 living professional organists failed to find evidence for the existence of Organistenkrankheit. We believe it is unlikely that the skeleton is that of Bach; techniques such as DNA analysis might help resolve the question but, to date, church authorities have not approved their use on the skeleton.

  16. The Discovery of Gravitational Repulsion by Johannes Droste

    Science.gov (United States)

    McGruder, Charles Hosewell; VanDerMeer, B. Wieb

    2018-01-01

    In 1687 Newton published his universal law of gravitation, which states that the gravitational force is always attractive. This law is based on our terrestrial experience with slowly moving bodies (v Einstein completed his theory of general relativity (also referred to as Einstein’s Theory of Gravitation), which is valid not just for slowly moving bodies but also for those with relativistic velocities. In 1916 Johannes Droste submitted a PhD thesis on general relativity to his advisor, H.A. Lorentz. In it he calculated the motion of a particle in what he called a “single center” and today we call the Schwarzschild field and found that highly relativistic particles experience gravitational repulsion. Thus, his thesis written in Dutch and never before translated contains the discovery of gravitational repulsion. Because of its historical importance we translate the entire section of his thesis containing the discovery of gravitational repulsion. We also translate his thesis in the hope of clearing up a major historical misconception. Namely, that David Hilbert in 1917 discovered gravitational repulsion. In fact, Hilbert rediscovered it, apparently completely independent of Droste’s work. Finally we note that one of the biggest mysteries of astrophysics is the question of how highly energetic particles in relativistic jets and cosmic rays are accelerated. It has been suggested that gravitational repulsion is the mechanism responsible for these phenomena. An historical understanding of gravitational repulsion is therefore pertinent.

  17. Das CB-Erzieherprofil: Meister Eckhart. - Michel de Montaigne. - Johann Friedrich Herbart. - Lev Nicolaevic Tolstoj. - August Hermann Francke. - Claude Adrien Helvétius. - Jean-Jacques Rousseau. - Ernst Christian Trapp. - Johann Gottlieb Fichte. - Niccolo Machiavelli

    OpenAIRE

    März, Fritz

    1991-01-01

    Das CB-Erzieherprofil: Meister Eckhart. - Michel de Montaigne. - Johann Friedrich Herbart. - Lev Nicolaevic Tolstoj. - August Hermann Francke. - Claude Adrien Helvétius. - Jean-Jacques Rousseau. - Ernst Christian Trapp. - Johann Gottlieb Fichte. - Niccolo Machiavelli. - In: Christ und Bildung. 37. 1991. S. 39, 75, 116, 151, 189, 221, 261, 295, 335, 366

  18. Johannes Lohmann : une réflexion ontologique sur le sens et sur les langues

    OpenAIRE

    O'Connell, Anne-Marie

    2016-01-01

    Johannes Lohmann : une réflexion ontologique sur le sens et sur les langues Les recherches de l'universitaire allemand Johannes Lohmann (1895-1983), linguiste, philosophe et musicologue, se situent au confluent de plusieurs disciplines. Philologue de formation, il soutint son doctorat sur la philologie des langues slaves à Berlin en 1921 et reçut son habilitation en linguistique comparée sous la direction de Wilhelm Shulze. Elle fut suivie par une seconde en 1933 à l'université de Fribourg et...

  19. Johann Sebastian Bach’s Passions: Between Drama and Lyrics

    Directory of Open Access Journals (Sweden)

    Alexander E. Makhov

    2016-09-01

    Full Text Available Johann Sebastian Bach’s Passions are considered to be a synthesis of dramatic and lyric principles. Traditional comparison of Passions with musical drama or ancient tragedy does not exhaustively express the nature of the genre because in the Passions, dramatic action coexists with a lyrical dimension where the action is not shown or narrated but turns out to be the trigger for compassion. Voices expressing compassion are designated by Bach in vague terms, as a certain “I” or “We” unidentifiable with any particular person. In the lyrical episodes of Bach’s Passions, a singing voice does not allow any identification in the terms of personality, in the same way as the speaker’s voice remains unidentifiable in the lyric poem. The “I” singing arias in Passions is the “lyrical I” (Margarete Susman in the strict sense of the term. The principle of non-identity of the voice with a person is deeply rooted in the history of liturgical Passions. In the medieval Passion, a single voice (a definite intonation, or a manner of singing could be associated with a group of characters (apostles, Jews etc., or on the contrary, a single character could be endowed with different voices. Dramatic and lyrical dimensions of Passions form a unity which is supported by certain rhetorical devices. Antanaclasis (repetition of a word but each time with a different meaning establishes thematic connections between adjacent dramatic and lyrical statements; apostrophe (address to the absent or fictional audience serves as a “shifter” that switches between the dramatic and lyrical dimensions. However, there is also an undeniable emotional tension between these two dimensions. Tragic effects of dramatic action are opposed to the lyric meditation which, paradoxically, finds joy in Jesus’ sufferings. This is why in the music of Passions, serene, idyllic, and even dancelike images sometimes emerge amidst the most tragic moments of the action. Bach

  20. The sin in the aetiological concept of Johann Christian August Heinroth (1773-1843). Part 1: Between theology and psychiatry. Heinroth's concepts of 'whose being', 'freedom', 'reason' and 'disturbance of the soul'.

    Science.gov (United States)

    Steinberg, Holger

    2004-09-01

    Throughout his work Johann Christian August Heinroth regarded sin to be the cause of mental illness. The present two-part paper investigates what exactly Heinroth understood by sin. Based on a thorough analysis of his own texts, this study shows that on the one hand Heinroth referred to sin in a Christian-Protestant sense. On the other, however, a moral-ethical code of conduct was also involved. Thus, Heinroth did not regard sin as a singular event, but rather as a life conducted in a wrong way for years or even decades, by which he meant a steady striving towards earthly, bodily satisfaction.

  1. Johannes Hindi abil Arnold Rüütli vastu / Aare Vets

    Index Scriptorium Estoniae

    Vets, Aare

    2006-01-01

    President Arnold Rüütli vastastest rünnakutest presidendivalimiste kampaanias, näitena Eesti Ekspressis ilmunud artikkel, mille järgi Arnold Rüütel on vastutav Johannes Hindi vangistamises. J. Hindi tegevusest silikaltsiidi tootmisel ja Desintegraatori direktorina, kriminaalasja algatamisest ja karistamisest Eesti NSV-s

  2. Johannes van den Berg, Constrained by Jesus' Love. An Inquiry into ...

    African Journals Online (AJOL)

    Johannes van den Berg, Constrained by Jesus' Love. An Inquiry into the Motives of the missionary Awakening in Qreat Britain in the Period between 1698 and 1815, J. H. Kok, N.V., Kampen, 1956. P.S Dreyer. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT ...

  3. Jesu, meine Freude BWV 227 van Johann Sebastian Bach : een praedicatio sonora

    NARCIS (Netherlands)

    Eikelboom, A.

    2007-01-01

    In the oeuvre of Johann Sebastian Bach the motets take only a modest position. According to Bach's early biographers he must have written many motets, but only few have been preserved. Among these motets Jesu, meine Freude BWV 227 occupies a special position. It is the only one which combines a

  4. Eesti rohelised juured : Johannes Pääsuke / Eha Järv

    Index Scriptorium Estoniae

    Järv, Eha, 1954-

    2007-01-01

    Eesti Rahva Muuseumi albumites leidub üle 1300 Johannes Pääsukese tehtud foto. 1913. a. pildistamismatkal J. Pääsukese tehtud fotodest, millest igal fotol on seda, mida nüüd nimetatakse roheliseks vaateks. Konkursil "Looduse aasta foto 2007" Suure Hundi auhinna pälvinud Anton Novozhilovi fotost "Tõotatud maa"

  5. Johann Blumberger – ein Sticker im Rudolfinischen Prag und im sächsischen Exil

    Czech Academy of Sciences Publication Activity Database

    Šroněk, Michal

    2005-01-01

    Roč. 53, č. 3 (2005), s. 285-295 ISSN 0049-5123 R&D Projects: GA ČR(CZ) GA408/05/0574 Keywords : rudolfinian Prague * embroidery * Johann Blumberger Subject RIV: AL - Art , Architecture, Cultural Heritage

  6. Johannes Lomejer (1636-1699) : From a Historian of Books to a Cultural Historian

    NARCIS (Netherlands)

    Frijhoff, W.T.M.

    2013-01-01

    This article examines the making of young Johannes Lomejer's treatise on library history De bibliothecis (1669) including the famous Chapter X in its second edition (1680) that is considered to be the f?irst comprehensive inventory on European libraries. Since this chapter has been thoroughly

  7. Mälestused minu elust / Ferdinand Johann Wiedemann ; tõlk. Kalev Jaago

    Index Scriptorium Estoniae

    Wiedemann, Ferdinand Johann

    2000-01-01

    Järg Sep/21;23;26;28;30 Oct/3;5;7;10;12;14 Ferdinand Johann Wiedemanni (1805-1887) mälestuste saksakeelne algkäsikiri aastast 1878 asub Eesti Ajaloomuuseumis Otto Greifenhageni fondis nr. 65, säilik 6. Kommentaar: Kalev Jaago

  8. Educational Theory as Topological Rhetoric: The Concepts of Pedagogy of Johann Friedrich Herbart and Friedrich Schleiermacher

    Science.gov (United States)

    Kenklies, Karsten

    2012-01-01

    The debate concerning the relation of the theory of education and the practice of education is not new. In Germany, these discussions are an integral part of the development of educational science in the eighteenth century which is closely connected to Johann Friedrich Herbart and Friedrich Schleiermacher. Their concepts illustrate different…

  9. Johannes Jessenius's Pro vindiciis contra tyrannos Oratio and the Reception of Monarchomachy in the Bohemian Lands

    Czech Academy of Sciences Publication Activity Database

    Šolcová, Kateřina

    -, 29/53 (2015), s. 137-168 ISSN 0231-5955 R&D Projects: GA ČR GB14-37038G Institutional support: RVO:67985955 Keywords : Monarchomachia * Johannes Jessenius * Political Philosophy * Reformation * Critical Edition Subject RIV: AB - History

  10. Paavst Johannes Paulus II läkitus kunstirahvale / Hendrik Lindepuu

    Index Scriptorium Estoniae

    Lindepuu, Hendrik

    1999-01-01

    Johannes Paulus II 1999. a. 4. aprilli kirjast 'Nendele, kes kirglikult ja pühendunult otsivad ilu uusi 'ilmutusi', et kinkida need maailmale kunstilise loomena'. Kunstnik kui sõnumi kuulutaja. Kas kirik vajab kunsti ja kunst kirikut.Czeslaw Milosz, Wojciech Kilar, Stefan Chwin paavsti kirjast

  11. Johannes d'Outrein (1662-1722) en zijn emblematische Schriftuitleg

    NARCIS (Netherlands)

    de Jong, H

    2013-01-01

    This is the first monograph-length study on Johannes d’Outrein (1662-1722). With the exception of several (admittedly not insignificant) publications on aspects of his theology, as well as a number of brief entries in biographical dictionaries, there is as yet no extensive description of his life

  12. Remembering Johann Gregor Mendel: a human, a Catholic priest, an Augustinian monk, and abbot.

    Science.gov (United States)

    Richter, Father Clemens

    2015-11-01

    Johann Mendel (Gregor was the name given to him only later by his Augustinian order, Fig. 1) was born on July 20, 1822 to an ethnic German family, Anton and Rosina Mendel (Fig. 2), in Heinzendorf in the Austrian Empire at the Moravian-Silesian border (now Hynčice, Czech Republic).

  13. The astronomer and the witch Johannes Kepler's fight for his mother

    CERN Document Server

    Rublack, Ulinka

    2015-01-01

    The extraordinary tale of Johannes Kepler, one of the most admired astronomers of all time, and the six long years spent defending his mother from her neighbours' accusations of witchcraft. A story which takes us to the heart of Kepler's changing world.

  14. "Mulle meeldib mängida sitapäid!" / Johann Urb ; interv. Krister Kivi

    Index Scriptorium Estoniae

    Urb, Johann

    2008-01-01

    Internet Movie Database'i kasutajate arvates on mängufilm "The Hottie and the Nottie" (2008) Paris Hiltoniga peaosas ja USAs töötava eestlasest näitleja Johann Urbi kaastegevusel läbi aegade halvim film. Näitleja ja modell endast, oma elust Los Angelesi lähedal Marina Del Rays

  15. Johannes Kinker. A Kantian Philosopher Teaching Dutch Language, Literature and Eloquence.

    NARCIS (Netherlands)

    Wal, van der M.J.

    2018-01-01

    The cosmopolitan citizen and Kantian philosopher Johannes Kinker, who had played a leading role in many institutions and societies of the northern Netherlands, held the newly founded Dutch chair in Liège for more than a decade. The present chapter addresses the questions why he accepted this post,

  16. Das Orgelbüchlein von Johann Sebastian Bach : Strukturen und innere Ordnung

    NARCIS (Netherlands)

    Pachlatko, F.M.

    2014-01-01

    The 'Little Organ Book' (O=B) is the first major cyclical work of Johann Sebastian Bach, and was probably written between 1703 and 1720. Hitherto it has been assumed that the O=B was unfinished. Of the 164 chorale titles listed in the autograph, only 46 chorales were composed. As a preliminary

  17. On Diversity, Empathy, and Community: The Relevance of Johann Gottfried Herder

    Science.gov (United States)

    Bahr, Howard M.; Durrant, Marie B.; Evans, Matthew T.; Maughan, Suzanne L.

    2008-01-01

    The writings of Johann Gottfried Herder (1744-1803) foreshadowed several of the dominant theories of sociology, social psychology, aesthetics, linguistics and literary theory. His ideas impacted generations of thinkers, but today he is uncelebrated, mostly unknown. His writings on populism, expressionism, and pluralism are relevant to contemporary…

  18. Johann Wolfgang von Goethe: arte e natureza, poesia e ciência Johann Wolfgang von Goethe: art and nature, poetry and science

    OpenAIRE

    Izabela Maria Furtado Kestler

    2006-01-01

    Este artigo apresenta a obra científica do poeta alemão Johann Wolfgang von Goethe (1749-1832), a qual engloba os campos da anatomia humana e animal, ótica, geologia, mineralogia, química, botânica, morfologia e meteorologia. Goethe considerava que na natureza e na arte vigiam as mesmas leis, conceituadas por ele como leis da polaridade e da intensificação. Sua obra poética só pode ser avaliada e interpretada à luz de sua visão da harmonia entre homem e natureza, assim como da complementarida...

  19. Ajaloo õppetunnid : õnn ja jumalik ettehooldus Johannes Schefferuse teoses "Memorabilium Sueticae gentis exemplorum liber singularis" (1671) / Kristiina Savin

    Index Scriptorium Estoniae

    Savin, Kristiina, 1973-

    2008-01-01

    Uppsala ülikooli poliitika ja kõnekunsti professori Johannes Schefferuse (1621-1679) ladina-keelsest teosest "Memorabilium Sueticae gentis exemplorum liber singularis" (Rootsi rahva mälestusväärsete näidete raamat ühes osas). Teoses esitatud uskumatutest lugudest. "Memorabilia" võtmemõisteks on voorus. Johannes Schefferuse isikust. Jumalakartlikkusest., õnnest ja edust. Ajaloost kui elu õpetajast

  20. Johannes Pääsuke filmis end Tartus kinoajalukku / Vallo Nuust

    Index Scriptorium Estoniae

    Nuust, Vallo, 1962-

    2002-01-01

    Johannes Pääsukesesest (1892-1918), kelle "Utotshkini lendamised Tartu kohal 14. ja 15. aprillil 1912" on seni teadaolevalt esimene eestlase filmitud kroonikapala ning 1914. aastal valminud "Karujaht Pärnumaal" esimene eesti mängufilm. Kinoajalugu uuriv Ilmari Karro Tartu tollasest "kinoelust", kus tähtis koht kinol "Imperial", kus tshellot mängis hilisem prantsuse avangardistlik filmirežissöör Dmitri Kirsanov (1899-1957)

  1. Tallinnas on näitus "Johannes Aavik 125" / Avo Suurvärav

    Index Scriptorium Estoniae

    Suurvärav, Avo

    2006-01-01

    8. detsembril 2005 möödus 125 aastat keeleteadlase sünnist. Johannes Aaviku Selts koostöös Tallinna Ülikooli Akadeemilise Raamatukoguga panid välja näituse ja esitlesid J. Aaviku raamatu " 20 Euroopa keelt" uustrükki. Näitust saab vaadata akadeemilise raamatukogu fuajees 17. detsembrist 2005 kuni 27. jaanuarini 2006

  2. Johann Wolfgang von Goethe: arte e natureza, poesia e ciência Johann Wolfgang von Goethe: art and nature, poetry and science

    Directory of Open Access Journals (Sweden)

    Izabela Maria Furtado Kestler

    2006-10-01

    Full Text Available Este artigo apresenta a obra científica do poeta alemão Johann Wolfgang von Goethe (1749-1832, a qual engloba os campos da anatomia humana e animal, ótica, geologia, mineralogia, química, botânica, morfologia e meteorologia. Goethe considerava que na natureza e na arte vigiam as mesmas leis, conceituadas por ele como leis da polaridade e da intensificação. Sua obra poética só pode ser avaliada e interpretada à luz de sua visão da harmonia entre homem e natureza, assim como da complementaridade entre espírito e matéria.The scientific work of German poet Johann Wolfgang von Goethe (1749-1832 encompassed the fields of human and animal anatomy, optics, geology, mineralogy, chemistry, botany, morphology, and meteorology. Goethe believed that nature and art were governed by the same laws, concepts he designated as the laws of "polarity" and "intensification." His poetic works can only be evaluated and interpreted if approached from his understanding of harmony between man and nature, and his view of the complementary relations between spirit and matter.

  3. [Johann Misch Astrophilus' book "Medicina Pauperum" in Hungarian. Copy of a lost or hidden book from 1660].

    Science.gov (United States)

    Kiss, István; Tavaszy, Mariann; Kiss, Gergely

    2011-07-03

    Doctors and pharmacies in the 15th Century only used handwritten copies of the prescription collections available in their time. At the beginning of book printing the publishing of prescription collections immediately became popular. They could be found on the pages of medical and pharmaceutical books of many various editions with different structure and origin, as the forerunner of the official pharmacopoeias. From the 16th Century onwards books with the title "Medicina Pauperum" were published which helped the educated people to tend to themselves, the household, the servants and their immediate surroundings case of an illness. The first work specifically on the topic or of genre of the "Medicina Pauperum" according to our knowledge appeared in Hungarian in the year 1660 and currently seems to survived only in fragments under the title of "Medicina Pauperum", from an unknown author. A rare incident occurred in the present days as a "book" believed to be lost for us turned up from thin air. It is a "copied" manuscript in the size of 97×139 mm attached to the ribs with hemp cord, cropped around and in an unbound state. The book known before only in fractions is now available entirety handwritten on 318 pages, distributed to seven distinct parts. The research of its origin suggests that the author lived and worked in Nagyszombat and was called Johann Misch Astrophilus. The identification of the printing office was possible thanks to the examination of the initials and the gaudily, as well as the fonts and the watermark. By these results the printing very likely occurred in the Brewer Printing Press in Lőcse. For the possibility of more extensive research and value preservation the manuscript was bounded. The facsimile edition contains the magnified and digitalized pages of the original one and is published in numbered issues.

  4. Johannes Lohmann : une réflexion ontologique sur le sens et sur les langues : La différence ontologique heideggérienne et le langage, par Johannes Lohmann

    OpenAIRE

    O'Connell, Anne-Marie

    2016-01-01

    PRÉSENTATION Johannes Lohmann : une réflexion ontologique sur le sens et sur les langues Les recherches de l'universitaire allemand Johannes Lohmann (1895-1983), linguiste, philosophe et musicologue, se situent au confluent de plusieurs disciplines. Philologue de formation, il soutint son doctorat sur la philologie des langues slaves à Berlin en 1921 et reçut son habilitation en linguistique comparée sous la direction de Wilhelm Shulze. Elle fut suivie par une seconde en 1933 à l'université d...

  5. Johannes Hint : ühe XX sajandi ausa mehe tragöödia / Holger Kaljulaid

    Index Scriptorium Estoniae

    Kaljulaid, Holger

    2006-01-01

    Desintegraatori juhi Johannes Hindi tegevusest ning temaga seotud kohtuprotsessist meedias avaldatud materjalide ja arhiividokumentide põhjal. Vt. samas väljavõtteid: Vladimir Georg Karassev-Orgusaare mõtteavaldusest 1982. aasta jaanuaris RL-i stuudios Pariisis; Johhannes Hindi sõnavõtust NSV Liidu Riikliku Plaanikomitee (Gosplan) kolleegiumil 10. II 1981 ja tema tööst "Viimaseid mõtteid inimkonnale", 1985; Aleksander Kaelase mõtteavaldusest aprillis 1955 Ameerika Hääle saates; Nikolai Baibakovi, Gosplani kunagise juhi (1965-85) 2000. a. märtsis antud intervjuust

  6. Johann Joseph on Geometrical-Optical Illusions: A Translation and Commentary.

    Science.gov (United States)

    Wade, Nicholas J; Todorović, Dejan; Phillips, David; Lingelbach, Bernd

    2017-01-01

    The term geometrical-optical illusions was coined by Johann Joseph Oppel (1815-1894) in 1855 in order to distinguish spatial distortions of size and orientation from the broader illusions of the senses. We present a translation of Oppel's article and a commentary on the material described in it. Oppel did much more than give a name to a class of visual spatial distortions. He examined a variety of figures and phenomena that were precursors of later, named illusions, and attempted to quantify and interpret them.

  7. Johann Joseph Oppel (1855) on Geometrical–Optical Illusions: A Translation and Commentary

    Science.gov (United States)

    Todorović, Dejan; Phillips, David; Lingelbach, Bernd

    2017-01-01

    The term geometrical–optical illusions was coined by Johann Joseph Oppel (1815–1894) in 1855 in order to distinguish spatial distortions of size and orientation from the broader illusions of the senses. We present a translation of Oppel’s article and a commentary on the material described in it. Oppel did much more than give a name to a class of visual spatial distortions. He examined a variety of figures and phenomena that were precursors of later, named illusions, and attempted to quantify and interpret them. PMID:28694957

  8. Knowledge and rebirth: some considerations on Johann Valentin Andreae’s “Christianopolis”

    Directory of Open Access Journals (Sweden)

    Bogdan DEZNAN

    2011-01-01

    Full Text Available Utopian writings in the seventeenth century were very often a curious combination betweenliterary fantasy and their authors’ design for an ideal social, scientific and religious order whichthey considered to be necessary and imminent. These fictional depictions were generally conceivedas necessary complements to a more ample and consistent program for a religious, scientific andsocial reform. In the following study we attempt to demonstrate just to what extent thesepreliminary considerations apply to one of Johann Valentin Andreae’s best known works,Christianopolis.

  9. [Johann Gottlob Leidenfrost (1715-1794). On the 275th anniversary of his birthday, 27 November 1990].

    Science.gov (United States)

    Kaiser, W

    1991-03-01

    The 275th anniversary of the birthday of Johann Gottlob Leidenfrost gave rise to remember life and work of this physician and university teacher. The phenomenon described by him and named after him secured the versatile Halle candidate for a doctorate and Duisburg professor in ordinary a place also in the history of physics.

  10. Selected Aspects of Hydraulic Engineering : Liber Amicorum dedicated to Johannes Theodoor Thijsse, on occasion of his retirement as professor

    NARCIS (Netherlands)

    Thijsse, J.T.; Van Douwen, A.A.

    1963-01-01

    - Biography of Johannes Theodoor Thijsse - British Hydraulic Engineering and Research - Probleme der Donau in Österreich - Évolution, depuis trente ans, de la Normalisation Internationale des Mesures de Débits en Conduite - L' Association Internationale d'Hydrologie Scientifique - Activities of

  11. The Art of History and Eighteenth-Century Information Management: Christian Gottlieb Jocher and Johann Heinrich Zedler

    Science.gov (United States)

    Cole, Richard Glenn

    2013-01-01

    In the eighteenth century there were enough printed sources and archival materials to challenge or even overwhelm historians of that day. Two productive editors of lexicons and information management were Christian Gottlieb Jocher, who taught history at the University of Leipzig and became the chief librarian at his university, and Johann Heinrich…

  12. Global Marine Science and Carlsberg - The Golden Connections of Johannes Schmidt (1877-1933) (Med dansksproget resume)

    DEFF Research Database (Denmark)

    Poulsen, Bo

    By accident, the world-famous brewery Carlsberg became a central force in global marine science during the first three decades of the 20th century. Within a core group of scientists and managers, Johannes Schmidt (1877-1933) was the key figure combining the efforts of the International Council...

  13. Johannes Miller o výzdobě Auly olomoucké univerzity v letech 1718 - 1719

    Czech Academy of Sciences Publication Activity Database

    Dolejší, Kateřina

    -, č. 294 (2007), s. 81-84 ISSN 1212-1134 R&D Projects: GA ČR GA408/03/0059 Institutional research plan: CEZ:AV0Z80330511 Keywords : Baroque wall painting * Olomouc University * Johannes Miller Subject RIV: AL - Art, Architecture, Cultural Heritage

  14. Johann Jakob Wettstein. New Sources, New Problems, and New Possibilities for Digital Research

    Directory of Open Access Journals (Sweden)

    Jan Krans

    2016-04-01

    Full Text Available Johann Jakob Wettstein (1683-1754 worked almost all his life toward the publication of his landmark 1751-52 edition of the Greek New Testament. In recent years, a large number of previously unknown sources on and by Wettstein has come to light, scattered over libraries in Europe, that provide new insights into his life and his New Testament project. This paper explores the diversity of these sources, their genres, their connections, their state of conservation and accessibility and the like. Starting from the idea that the collection offers an excellent opportunity for mapping a single scholar’s projects and international networks over time and space, it envisages a project that brings together this wealth of material. It asks what challenges and possibilities for international digital research the collection entails and formulates the desiderata concerning the necessary digital infrastructure and collaboration across traditional scholarly boundaries.

  15. The Heritage of Medieval Errors in the Latin Manuscripts of Johannes Hispalensis (John of Seville

    Directory of Open Access Journals (Sweden)

    Robinson, Maureen

    2007-06-01

    Full Text Available After the Christian reconquest of Islamic-held territory, many Arabic texts had to be translated into Latin in twelfth century Spain. Johannes Hispalensis (John of Seville knew both Arabic and Latin and worked alone, whereas others needed collaborators to complete the process. The duplication of Latin texts became popular and quickly spread. Over the following centuries, the medieval scribes involved made multiple copies of the manuscripts and during the reproduction process, many errors occurred. These contributed to confusion between the correct version of the translator's name and his identity. Consequently, Hispalensis appeared in later copies of his work with various titles such as “Master” or “Bishop”, or was coupled with a collaborator. Modern-day historians added to the complexities by creating one personality out of two diverse translators. At times, the ownership of some of the manuscripts rested solely on the names appearing in them, when only scribal errors had contributed them. An attempt is made to clarify the translations accredited to Johannes Hispalensis, working alone, and those working with collaborators.

    Después de la Reconquista, se tuvieron que traducir al latín muchos textos árabes en la España del siglo XII. La mayoría de los copistas necesitaban colaboradores para concluir el proceso, sin embargo, Johannes Hispalensis (Juan de Sevilla conocía tanto la lengua árabe como el latín, por lo que podía trabajar solo. La duplicación de textos latinos se popularizó y divulgó rápidamente. Durante los siglos siguientes, los copistas medievales hicieron múltiples copias, y durante el proceso de reproducción cometieron muchos errores que contribuyeron a la confusión entre la versión correcta del nombre del traductor y su identidad.  Por consiguiente, Hispalensis apareció en copias

  16. The composition of matter symposium honouring Johannes Geiss on the occasion of his 80th birthday

    CERN Document Server

    Gloeckler, George; Mason, G M

    2007-01-01

    This volume consists of papers developed from a joint ACE/ISSI symposium on the "Composition of Matter" honoring the occasion of Johannes Geiss's 80th birthday. The reader will find new insights into the composition of solar-system and galactic matter and fractionation processes affecting samples of this matter. These findings are based on measurements by recent space instruments, ground-based studies, and theoretical advances. The five symposium sessions reflect the areas of research presented in this book: linking primordial to solar composition, planetary samples, solar sources and fractionation processes, interstellar gas, and cosmic rays. The structure of the volume at hand largely follows the structure of the symposium. It includes almost all of the overview and invited papers and many of the contributed ones.

  17. Diarrheal Illness

    Centers for Disease Control (CDC) Podcasts

    2011-08-30

    Dr. Steve Monroe, director of CDC’s Division of High-Consequence Pathogens and Pathology, discusses diarrheal illness, its causes, and prevention.  Created: 8/30/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID).   Date Released: 8/31/2011.

  18. Das Mäzenatentum des Grafen Johann Wenzel von Gallas und seine Festivitäten in Rom 1714–1719

    Czech Academy of Sciences Publication Activity Database

    Krummholz, Martin

    2016-01-01

    Roč. 27, Oktober (2016), s. 35-53 ISSN 0940-4007 Institutional support: RVO:68378033 Keywords : Johann Wenzel of Gallas * Rome * envoy * patronage * Habsburgs * opera * festivities * Baroque Subject RIV: AL - Art, Architecture, Cultural Heritage

  19. Doctor and Hobby Astronomer in Stormy Times: The Book Legacy of Dr. Johannes Häringshauser (1603-1642)

    Science.gov (United States)

    Davison, G.

    2011-06-01

    Johannes Häringshauser (1603-1941) was born in Vienna and graduated at Padua in the faculty of medicine in 1626. He became a Hofmedicus at the court and in the field of the Thirty Years War in 1627-1630 and then a Viertelmedicus at Mistelbach in Niederoesterreich in 1630 until 1641. His purchase of books had initially concentrated on medical topics but from 1636 to 1640 he bought some ten books on astronomy, including two by Johannes Kepler and one by Michael Mästlin, Kepler's tutor at Tübingen. The fact that he acquired the books by Mästlin and Kepler so soon after Galileo's trial shows him to have been a courageous independently minded thinker with wide ranging professional and intellectual interests. In his professional medical activities he sought to balance the medical practises of Galen and Paracelsus, and in his astronomy hobby he investigated the the new arguments of Mästlin, Kepler, and Galileo.

  20. Ein tekst uttrykt i to medium - "Johannes Jensen føler seg annerledes" som lydbok og bildebok

    OpenAIRE

    Mitchell, Monica G.

    2013-01-01

    Artikkelen undersøkjer lydbokas tekstomgrep. Som ein parallell til bildebokas tekstomgrep, ikonotekst, argumenterer artikkelen for å bruke fonotekst som lydbokas tekstomgrep. Dette vert gjort ved å undersøkje lydbokas meiningsberande, semiotiske ressursar - tekst og lyd - i lys av bildebokas meiningsberande ressursar. Utgangspunktet for undersøkinga er bildeboka Johannes Jensen føler seg annerledes, og lydbokadaptasjonen av same bok. Nøkkelord: adaptasjon; ikonotekst; fonotekst; semiotisk res...

  1. ``Planetário e Teatro Digital Johannes Kepler'' and its Institutional Pedagogical Project

    Science.gov (United States)

    Faria, R. Z.; Calil, M. R.; Perez, E. R.; Kanashiro, M.; Silva, L. C. P.; Calipo, F.

    2014-10-01

    This work relates the reception of schools, started on August 2012, in the astronomic laboratory of the "Planetário e Teatro Digital Johannes Kepler", located in the "Sabina - Escola Parque do Conhecimento" in Santo André, São Paulo. The idealization of this project, authorship of Marcos Calil, PhD, consists in four apprenticeship environments disposed around the planetary dome. They make reference to the System Sun - Earth - Moon (Tellurium), Solar System, Astronautic and Stars. On Tuesdays and Wednesdays the astronomic laboratory is used by Santo André municipal schools for focused lessons, being possible on Thursdays scheduling for private and public schools. On weekends and holidays is opened for the visitors. Since the inauguration to the beginning of activities with students, the monitor team was guided and trained on contents of Astronomy and Aeronautic to execute the schools service. This is done in four stages, which are: reception, course trough the astronomic laboratory, dome session and activities closure. During the reception the acquaintance rules are passed on for a better visit. Before starting the course the monitors do a survey about the previous knowledge of the students. On the astronomic laboratory resources of the environment are used to explain the contents of Astronomy and Astronautic, always considering the age group and the curriculum developed in classroom. After the course the students watch a planetary session supporting the contents seen on the astronomic laboratory. At the end a feedback is done with the students about the subject discussed. During the visit the teachers fulfill an evaluation about the place and the service. From August 2012 to November 2012 were attended between municipal, public and private schools. From the 4932 students attended, 92% belonged to the municipal network, 5% to the private network and 3% to the public network. From the 189 evaluations done by the teachers, 97.8% were satisfied, 2.1% partially

  2. Decompression illness.

    Science.gov (United States)

    Vann, Richard D; Butler, Frank K; Mitchell, Simon J; Moon, Richard E

    2011-01-08

    Decompression illness is caused by intravascular or extravascular bubbles that are formed as a result of reduction in environmental pressure (decompression). The term covers both arterial gas embolism, in which alveolar gas or venous gas emboli (via cardiac shunts or via pulmonary vessels) are introduced into the arterial circulation, and decompression sickness, which is caused by in-situ bubble formation from dissolved inert gas. Both syndromes can occur in divers, compressed air workers, aviators, and astronauts, but arterial gas embolism also arises from iatrogenic causes unrelated to decompression. Risk of decompression illness is affected by immersion, exercise, and heat or cold. Manifestations range from itching and minor pain to neurological symptoms, cardiac collapse, and death. First-aid treatment is 100% oxygen and definitive treatment is recompression to increased pressure, breathing 100% oxygen. Adjunctive treatment, including fluid administration and prophylaxis against venous thromboembolism in paralysed patients, is also recommended. Treatment is, in most cases, effective although residual deficits can remain in serious cases, even after several recompressions. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. [Johann Sebastian Bach: life, oeuvre and his significance for the cardiology].

    Science.gov (United States)

    Trappe, H-J

    2014-12-01

    Johann Sebastian Bach was born on 1685 in Eisenach. By the time he turned 10, Bach found himself an orphan after the death of both of his parents. After working in Weimar, Arnstadt, Mühlhausen, and Köthen Bach signed a contract to become the new organist and teacher at St. Thomas Church Leipzig in 1723 and stayed there until his death. In 1749, Bach tried to fix his failing sight by having surgery the following year, but the operation ended up leaving him completely blind. Few months later, Bach suffered a stroke. He died in Leipzig on July 28, 1750. In recent years, there were some questions whether music of different styles can directly alter cardiovascular parameters, particularly by using Bach's music. In some studies it has been shown that cardiovascular parameters (blood pressure, heart rate) are influenced by music. Listening to classic music (Bach) leads to positive erffects, also music by Italian composters. In contrast, "modern" music, vocal music or songs had no positive effects on cardiovascular parameters. In addition, positive effects on cardiovascular parameters and behavioural patters have been shown in an animal study recently, by Bach's music. Recent studies showed clearly that music influences cardiovascular parameters. It is obvious that classical music (Bach) has benefitial effects, both in humans and in animals. Therefore, the music of the "Thomaskantor" will improve both, quality of life and cardiovascular health. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Johann Christian August Heinroth on sleep deprivation as a therapeutic option for depressive disorders.

    Science.gov (United States)

    Steinberg, Holger; Hegerl, Ulrich

    2014-09-01

    Partial or total therapeutic sleep deprivation leads to an immediate and far-reaching release of depressive symptoms in about 60% of patients with depressive disturbances. It is for that reason that this therapeutic option is offered and studied in many psychiatric clinics. Several papers have acclaimed the German psychiatrist Johann Christian August Heinroth (1773-1843) - the first university professor of psychiatry--as a pioneer of this therapeutic approach. However, no reference has been made specifying where in his comprehensive oeuvre he promoted this notion, nor has any analysis of the texts or passages in question been delivered. This study demonstrates that Heinroth indeed understood the existence of numerous close bidirectional relationships between mental disorders and sleep, above all, disorders of the latter. Consequently, he explicitly recommended sleep deprivation as a therapy for "melancholia," the contemporary name for depressive disorders. This finding is of apparent relevance to the history of psychiatry and sleep medicine. One should nonetheless bear in mind that the passages summarized below are scattered throughout Heinroth's famous Textbook of Psychiatry of 1818 and other works, and that Heinroth never elaborated on this issue systematically. Moreover, his statements promote the impression that they were the result of vague impressions and thoughts, and that Heinroth did not benefit from extensive experience. Yet what is important to note is that he regarded sleep deprivation as a feasible treatment option only for patients whose depression had recently been diagnosed. Copyright © 2014 Elsevier B.V. All rights reserved.

  5. Idols of the psychologist: Johannes Linschoten and the demise of phenomenological psychology in the Netherlands.

    Science.gov (United States)

    van Hezewijk, René; Stam, Henderikus J

    2008-08-01

    Before and after World War II, a loose movement within Dutch psychology solidified as a nascent phenomenological psychology. Dutch phenomenological psychologists attempted to generate an understanding of psychology that was based on Husserlian interpretations of phenomenological philosophy. This movement came to a halt in the 1960s, even though it had been exported to North America and elsewhere as "phenomenological psychology." Frequently referred to as the "Utrecht school," most of the activity of the group was centered at Utrecht University. In this article, the authors examine the role played by Johannes Linschoten in both aspects of the development of a phenomenological psychology: its rise in North America and Europe, and its institutional demise. By the time of his early death in 1964, Linschoten had cast considerable doubt on the possibilities of a purely phenomenological psychology. Nonetheless, his own empirical work, especially his 1956 dissertation published in German, can be seen to be a form of empiricism inspired by phenomenology but that clearly distanced itself from the more elitist and esoteric aspects of Dutch phenomenological psychology.

  6. Mortimer Frank, Johann Ludwig Choulant, and the history of anatomical illustration.

    Science.gov (United States)

    Feibel, Robert M

    2018-01-01

    Mortimer Frank (1874-1919) was an ophthalmologist in Chicago, Illinois. He published a number of papers on the history of medicine, and was secretary of the Chicago Society of the History of Medicine and editor of their Bulletin. His major contribution to the history of medicine relates to the history of anatomical illustration. The classic book on that subject had been published in 1852 in German by the physician and historian, Johann Ludwig Choulant (1791-1861). However, by Frank's time this text was both out dated and out of print. Frank took on the tremendous project of translating Choulant's German text into English as History and Bibliography of Anatomic Illustration in Its Relation to Anatomic Science and The Graphic Arts. He improved Choulant's text with the results of his and other scholars' research, greatly enlarging the text. Frank supplemented the original book with a biography of Choulant, essays on anatomists not considered in the original text, and an essay on the history of anatomical illustration prior to those authors discussed by Choulant. This book, now referred to as Choulant/Frank, has been reprinted several times, and is still useful as a reference in this field, though some of its research is now dated.

  7. Calvin, Augustine of Hippo and South Africa: in discussion with Johannes van Oort

    Directory of Open Access Journals (Sweden)

    J.W. Hofmeyr

    2010-07-01

    Full Text Available In this article the curtain is raised on the interesting and fascinating relation between Augustine of Hippo and John Cal- vin from Geneva, as seen through the eyes of the Dutch scholar Johannes van Oort. The influences of and links between Augustine and Calvin are immense. This has been the focus of various studies in the past. The purpose of this article is, however, not to re-invent the wheel about these relations, but rather to reflect on one of the most eminent scholars on Augustine, i.e. Van Oort’s vision on these links and to enter into a dialogue with him so as to shed some new light on this topic and on some aspects related to ecclesiology. After attention to the use of Augustine by Calvin, the focus is on the discussion with Van Oort and eventually on the relevance of this for us in South(ern Africa. It is concluded that in this era of post- modernism and relativism as well much can be learnt from both Augustine and Calvin, and especially with regard to the well- being of the church.

  8. The trace of Jewish suffering in Johannes Bobrowski’s poetry

    Directory of Open Access Journals (Sweden)

    F. Wittenberg

    2009-07-01

    Full Text Available Johannes Bobrowski (1917-1965 is a significant German modernist poet and novelist whose work directly engages the problematic question of German “Schuld” (guilt in respect of the Holocaust. Although Bobrowski’s poetry not only deals with the German-Jewish question, but with universal themes of history, memory and trauma, he is largely unknown in the Anglophone world, partly because of his isolation in communist East Germany at the time. This article seeks to trace Bobrowski’s nuanced and complex engagement with German history and his own personal implication in the genocide through a detailed analysis of his most significant “Jewish” poems. A key idea for Bobrowski was the need for memory and direct engagement with the traumatic past, as this offered the only hope for redemption. The article presents a number of original English translations of these symbolist and hermetic poems, and thereby makes Bobrowski’s writing available to a wider range of readers.

  9. Mental Illness Statistics

    Science.gov (United States)

    ... News & Events About Us Home > Health Information Share Statistics Research shows that mental illnesses are common in ... of mental illnesses, such as suicide and disability. Statistics Top ı cs Mental Illness Any Anxiety Disorder ...

  10. The Relationship of Johannes Scotus Eriugena to Tradition according to J. Brucker, W. Tennemann and T. Rixner

    Directory of Open Access Journals (Sweden)

    Natalia Strok

    2014-08-01

    Full Text Available The article explores the philosophical filiations of Johannes Scotus Eriugena (9th century established by three historians of philosophy (from the 18th and 19th centuries. J. Brucker, an Enlightenment thinker, W. Tennemann, a Kantian, and T. Rixner, a Romantic, are representatives of the period in which the history of philosophy becomes a discipline, and their works are sources for famous philosophers such as Hegel. The paper shows the extent to which the interpretive lines initiated by these authors are continued up to the contemporary period.

  11. Johannes Amos Comenius (1592-1670) and his depiction of lenses and spectacles in the first children's picture book.

    Science.gov (United States)

    Goss, David A

    2009-01-01

    Johannes Amos Comenius (1592-1670) was a Moravian clergyman, teacher, and author. He is recognized as introducing several concepts of modern education. He advanced the views that education should be appropriate to age and development levels and that teaching should make use of everyday sensory experience. One of his many books, Orbis Pictus, followed those concepts. Orbis Pictus, first published in 1657, is hailed as the first children's picture book. Among the many commonplace objects he included in the book were a mirror, spectacles, a telescope, a magnifying lens, and a burning glass.

  12. [German psychiatry in the 20th century. Life course of the psychiatrist Johannes Suckow (1896-1994)].

    Science.gov (United States)

    Lienert, M

    2000-01-01

    Johannes Suckow's biography reflects the history of German psychiatry in the first two thirds of the twentieth century in an exemplary way. Above all, he became distinctly influenced by Emil Kraepelin and Karl Bonhoeffer. During World War II he worked for a short time under Carl Schneider at a research department concerned with the "Euthanasia program". Eventually he built up the Department of Psychiatry and Neurology at the Dresden Medical School to run it for eight years. We examine Suckow's social background and motives and show why he failed to stand up for his humanistic convictions under the Nazi regime.

  13. O Lugar-Comum Arte-Natureza em Der Vollkommene Capellmeister ("O Mestre de Capela Perfeito", 1739, de Johann Mattheson

    Directory of Open Access Journals (Sweden)

    Mônica Lucas

    Full Text Available RESUMO: O mundo luterano produziu um enorme arcabouço teórico e prático para a composição, interpretação e análise musical. Entre os séculos XVII e XVIII, autores do gênero de escritos que passou a ser conhecido como musica poetica publicaram preceptivas cujas bases teórica, sistemática e terminológica eram emprestadas de retóricas e de poéticas latinas, leituras obrigatórias em todas as escolas luteranas, desde a reforma do ensino, consolidada em 1528, por Martinho Lutero e Philipp Melanchton. Neste artigo, mostraremos como o lugar comum arte-natureza é imitado, a partir de poéticas latinas, em preceptivas musicais setecentistas, em especial, Der vollkommene Capellmeister ("O mestre-de-capela perfeito", 1739, de Johann Mattheson. Abordaremos os conceitos de natureza e de arte para, em seguida, discutir a relação entre eles e o emprego da tópica arte-natureza, por Johann Mattheson, seja a partir da perspectiva do orador perfeito, seja pela tomada da natureza como modelo da arte. Discorreremos, ainda, sobre a ampliação do conceito de natureza, de modo a incluir também a imitação de autoridades e obras, além da naturalidade como objetivo da arte.

  14. ATV Engineering Support Team Safety Console Preparation for the Johannes Kepler Mission

    Science.gov (United States)

    Chase, R.; Oliefka, L.

    2010-09-01

    This paper describes the improvements to be implemented in the Safety console position of the Engineering Support Team(EST) at the Automated Transfer Vehicle(ATV) Control Centre(ATV-CC) for the upcoming ATV Johannes Kepler mission. The ATV missions to the International Space Station are monitored and controlled from the ATV-CC in Toulouse, France. The commanding of ATV is performed by the Vehicle Engineering Team(VET) in the main control room under authority of the Flight Director. The EST performs a monitoring function in a room beside the main control room. One of the EST positions is the Safety console, which is staffed by safety engineers from ESA and the industrial prime contractor, Astrium. The function of the Safety console is to check whether the hazard controls are available throughout the mission as required by the Hazard Reports approved by the ISS Safety Review Panel. Safety console preparation activities were limited prior to the first ATV mission due to schedule constraints, and the safety engineers involved have been working to improve the readiness for ATV 2. The following steps have been taken or are in process, and will be described in this paper: • review of the implementation of Operations Control Agreement Documents(OCADs) that record the way operational hazard controls are performed to meet the needs of the Hazard Reports(typically in Flight Rules and Crew Procedures), • crosscheck of operational control needs and implementations with respect to ATV's first flight observations and post flight evaluations, with a view to identifying additional, obsolete or revised operational hazard controls, • participation in the Flight Rule review and update process carried out between missions, • participation in the assessment of anomalies observed during the first ATV mission, to ensure that any impacts are addressed in the ATV 2 safety documentation, • preparation of a Safety console handbook to provide lists of important safety aspects to be

  15. Johannes-Dieter Steinert. Deportation und Zwangsarbeit. Polnische und sowjetische Kinder im nationalsozialistischen Deutschland und im besetzten Osteuropa 1939–1945.

    Directory of Open Access Journals (Sweden)

    Mark Edele

    2015-01-01

    Full Text Available Johannes-Dieter Steinert. Deportation und Zwangsarbeit. Polnische und sowjetische Kinder im nationalsozialistischen Deutschland und im besetzten Osteuropa 1939–1945. [Deportation and Forced Labour. Polish and Soviet Children in Nazi Germany and Occupied Eastern Europe 1939-1945] Essen: Klartext Verlag, 2013. 306 pp. Bibliography. Paper.

  16. Illness as Teacher: Learning from Illness

    Science.gov (United States)

    Yoo, Joanne

    2017-01-01

    This article is a conceptual exploration into the value of illness, bodies and embodied practice in teacher education. It draws on my reflections and practitioner accounts of poor health to investigate the potential to learn from illness. I position myself in this discussion as a non-tenured academic who experiences the challenges of her uncertain…

  17. Frédéric Bartczak, Johann Rage (dir. Les Pyrénées entre deux mondes

    Directory of Open Access Journals (Sweden)

    André Suchet

    2011-12-01

    Full Text Available L’ouvrage dirigé par Frédéric Bartczak et Johann Rage offre une douzaine de contributions particulièrement intéressantes au sujet des Pyrénées, prioritairement dans son versant oriental. L’importance des frontières et des reconfigurations transfrontières trouve sa place et presque la moitié des auteurs abordent la question du tourisme.Avec une remarquable élégance d’écriture, Jean-Pierre Augustin rassemble en introduction tous les éléments d’une monographie régionale sur le massif des Pyrénée...

  18. The treasure trove of yeast genera and species described by Johannes van der Walt (1925-2011).

    Science.gov (United States)

    Smith, Maudy Th; Groenewald, Marizeth

    2012-12-01

    Yeast taxonomy and systematics have in recent years been dealt with intensively primarily by a small group of individual researchers with particular expertise. Amongst these was Johannes P. van der Walt, who had a major role in shaping our current understanding of yeast biodiversity and taxonomy. Van der Walt based his taxonomic studies not only on available cultures, but also by going into the field to isolate yeasts from various substrates. This pioneering work led to the discovery of many new genera and species, which were deposited in the Centraalbureau voor Schimmelcultures (CBS) collections for future studies in taxonomy, genomics, and industrial uses. These treasures collected during more than 60 years provide an outstanding legacy to the yeast community and will continue to exist in his absence. This contribution provides a comprehensive overview of the current nomenclatural and taxonomic status of the yeast genera and species introduced by van der Walt during his career.

  19. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... Medicine's Front Line Observation Emergency Care Fact Sheet Health & Safety Tips Campaigns SUBSCRIBE Emergencies A-Z Share ... Illnesses Dr. Glenn Mitchell , Emergency physician at Mercy Health System in Chesterfield, Missouri Heat-related illness can ...

  20. Illness anxiety disorder

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001236.htm Illness anxiety disorder To use the sharing features on this page, please enable JavaScript. Illness anxiety disorder (IAD) is a preoccupation that physical symptoms are ...

  1. Studying Physically Ill Elderly.

    Science.gov (United States)

    Young, Rosalie F.; Kahana, Eva

    Research with older persons suffering from physical illness presents numerous challenges to gerontologists. Issues of conceptualization pertaining to the definition of illness, its location in the research paradigm, and the context in which illness occurs must be addressed prior to dealing with methodological problems. Access to physically ill…

  2. Homeless mentally ill or mentally ill homeless?

    Science.gov (United States)

    Cohen, C I; Thompson, K S

    1992-06-01

    Mainstream psychiatry conceptualizes people who are homeless and mentally ill as distinct from other homeless persons because it is thought that their status stems from their mental disorder and the poor implementation of deinstitutionalization. The authors believe this dichotomy is illusory. They present data indicating that recent socioeconomic and political shifts contributed greatly to homelessness among all groups, regardless of mental illness; that those with and without mental illness have similar biographical and demographic profiles; that high levels of mental distress are common to all homeless persons; and that few mentally ill homeless persons require involuntary hospitalization. This perspective suggests novel responses that de-emphasize clinical solutions and focus on empowerment, consumerism, entitlement, community-level interventions, and closer alliances with other advocates for the homeless.

  3. [Critical illness polyneuropathy and critical illness myopathy].

    Science.gov (United States)

    Grimm, A; Günther, A; Witte, O W; Axer, H

    2012-11-01

    Critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) are frequent complications in critically ill patients and both are associated with sepsis, systemic inflammatory response syndrome (SIRS) and multiorgan failure. Major signs are muscle weakness and problems of weaning from the ventilator. Both CIP and CIM lead to elongated times of ventilation, elongated hospital stay, elongated times of rehabilitation and increased mortality. Electrophysiological measurements help to detect CIP and CIM early in the course of the disease. State of the art sepsis therapy is the major target to prevent the development of CIP and CIM. Although no specific therapy of CIP and CIM has been established in the past, the diagnosis generally improves the therapeutic management (weaning from the ventilator, early physiotherapy, etc.). This review provides an overview of clinical and diagnostic features of CIP and CIM and summarizes current pathophysiological and therapeutic concepts.

  4. Serious Illnesses and Breastfeeding

    Science.gov (United States)

    ... Text Size Email Print Share Serious Illnesses and Breastfeeding Page Content Article Body For some new mothers, concerns about breastfeeding revolve less around their babies’ physical condition than ...

  5. Foodborne Germs and Illnesses

    Science.gov (United States)

    ... Español (Spanish) Recommend on Facebook Tweet Share Compartir What Causes Food Poisoning? Many different disease-causing germs can contaminate ... email address: Enter Email Address What’s this? Submit What's this? Submit Button ... of Foodborne Illness in the U.S. Food Safety is a CDC Winnable Battle Foodborne Illness ...

  6. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... this! Home » Emergency 101 Heat-Related Illnesses Dr. Glenn Mitchell , Emergency physician at Mercy Health System in Chesterfield, Missouri Heat-related illness can be caused by overexposure to the sun or any situation that involves extreme heat. Young children and the elderly are most at risk, ...

  7. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... Medicine's Front Line Observation Emergency Care Fact Sheet Health & Safety Tips Campaigns SUBSCRIBE Emergencies A-Z Share this! Home » Emergency 101 Heat-Related Illnesses Dr. Glenn Mitchell , Emergency physician at Mercy Health System in Chesterfield, Missouri Heat-related illness can ...

  8. Die stil van my verlange na God: Oor Johann Wilhelm Herrmann se verstaan van die ervaring van God (Deel II

    Directory of Open Access Journals (Sweden)

    D. P. Veldsman

    1997-08-01

    Full Text Available Quenching my thirst for God: On Johann Wilhelm Herrmann�s understanding of the experience of God (Part II This article, which is divided into two parts, focusses on the concept of the �experience of God� as understood by the German systematic theologian Wilhelm Herrmann (1846 - 1922 of Marburg in his �Der Verkehr des Christen mit Gott� (1886. The first part of the article which was published in the previous edition, explained the historical and theological context of Herrmann�s �Der Verkehr...� as well as the theological frontiers over-against which he responded in his understanding of the experience of God, characterized as a �searchfind-experience�. This second part elaborates on this �search-find-experience� by humans of God as understood by Herrmann, and indicates the influence it had on Herrmann�s two greatest pupils, namely Karl Barth and Rudolf Bultmann. It is argued that Herrmann�s understanding of the experience of God makes up the kernel of their theological vantage points, and in this respect, is critically evaluated.

  9. L’Hôpital's Analyse des infiniments petits an annotated translation with source material by Johann Bernoulli

    CERN Document Server

    Bradley, Robert E; Sandifer, C Edward

    2015-01-01

    This monograph is an annotated translation of what is considered to be the world’s first calculus textbook, originally published in French in 1696. That anonymously published textbook on differential calculus was based on lectures given to the Marquis de l’Hôpital in 1691-2 by the great Swiss mathematician, Johann Bernoulli. In the 1920s, a copy of Bernoulli’s lecture notes was discovered in a library in Basel, which presented the opportunity to compare Bernoulli’s notes, in Latin, to l’Hôpital’s text in French. The similarities are remarkable, but there is also much in l’Hôpital’s book that is original and innovative. This book offers the first English translation of Bernoulli's notes, along with the first faithful English translation of l’Hôpital’s text, complete with annotations and commentary. Additionally, a significant portion of the correspondence between l’Hôpital and Bernoulli has been included, also for the fi rst time in English translation. This translation will provide ...

  10. Homelessness and mental illness.

    Science.gov (United States)

    Scott, J

    1993-03-01

    In Great Britain 1-2 million people may be homeless. Most homeless people are men, but about 10-25% are women, of whom about half are accompanied by children. Significant mental illness is present in 30-50% of the homeless: functional psychoses predominate; acute distress and personality dysfunction are also prevalent. Co-morbidity of mental illness and substance abuse occurs in 20%, and physical morbidity rates exceed those of domiciled populations. The homeless mentally ill also have many social needs. Pathways to homelessness are complex; deinstitutionalization may be only one possible cause of the increase in the number of homeless people. There is much recent research estimating the extent of mental illness and the characteristics of selected subgroups of accessible homeless people. The evaluation of potential service solutions has received less attention. This review outlines the research, highlights current views on the definition and classification of homeless populations, and offers some guidelines on avenues which need to be explored.

  11. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... ICE” in Your Cell Phone Prepare for Disasters Communication With Your Family And Your Doctor About Your ... Dr. Glenn Mitchell , Emergency physician at Mercy Health System in Chesterfield, Missouri Heat-related illness can be ...

  12. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... Emergencies A-Z Share this! Home » Emergency 101 Heat-Related Illnesses Dr. Glenn Mitchell , Emergency physician at ... about heat cramps and heat stroke and exhaustion. Heat Cramps Symptoms include muscle spasms, usually in the ...

  13. Vaccines Stop Illness

    Science.gov (United States)

    Skip Navigation Bar Home Current Issue Past Issues Vaccines Stop Illness Past Issues / Spring 2008 Table of ... meningitis won't infect, cripple, or kill children. Vaccine Safety In light of recent questions about vaccine ...

  14. Vaccines Stop Illness

    Science.gov (United States)

    ... page please turn JavaScript on. Feature: Diseases and Vaccinations Vaccines Stop Illness Past Issues / Spring 2015 Table ... if we take away the protection given by vaccination, more and more people will be infected and ...

  15. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... illness) include flushed, hot, dry skin; fainting; a rapid, weak pulse; rapid, shallow breathing; vomiting; and increased body temperature of ... for symptoms that include cool, moist, pale skin, rapid pulse, elevated or lowered blood pressure, nausea, loss ...

  16. Giardia: Illness & Symptoms

    Science.gov (United States)

    ... Illness & Symptoms Recommend on Facebook Tweet Share Compartir Giardia trophozoites stained with trichrome. Credit: Waterborne Disease Prevention Branch, CDC Giardiasis is the most frequently diagnosed intestinal parasitic disease in the United States and among ...

  17. Cholera Illness and Symptoms

    Science.gov (United States)

    ... Search The CDC Cancel Submit Search The CDC Cholera - Vibrio cholerae infection Note: Javascript is disabled or ... message, please visit this page: About CDC.gov . Cholera General Information Illness & Symptoms Sources of Infection & Risk ...

  18. Heat Related Illnesses

    National Research Council Canada - National Science Library

    Carter, R; Cheuvront, S. N; Sawka, M. N

    2006-01-01

    .... The risk of serious heat illness can be markedly reduced by implementing a variety of countermeasures, including becoming acclimated to the heat, managing heat stress exposure, and maintaining hydration...

  19. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... for signs of heat stroke or exhaustion. Heat Stroke and Exhaustion Symptoms of early heat exhaustion symptoms ... heavy sweating; nausea; and giddiness. Symptoms of heat stroke (late stage of heat illness) include flushed, hot, ...

  20. Heat-Related Illnesses

    Science.gov (United States)

    ... I Waiting So Long? Admission to the Hospital Heroes on Medicine's Front Line Observation ... illness can be caused by overexposure to the sun or any situation that involves extreme heat. Young children and the elderly are most at risk, but ...

  1. Why did Johann Weyer write De praestigiis daemonum?: How Anti-Catholicism inspired the Landmark Plea for the Witches

    Directory of Open Access Journals (Sweden)

    Vera Hoorens

    2014-03-01

    Full Text Available Johann Weyer (1515/1516-1588’s book De praestigiis daemonum, et incantationibus ac veneficiis (On devilish delusions and on enchantments and poisonings, first published in Basel in 1563, counts as a systematic attack on witch theories and witch trials. Vera Hoorens argues that Weyer wrote it not only to defend the witches but also and, perhaps even more, as an instrument to criticise the Catholic Church. This reinterpretation solves the problems that are associated with the traditional interpretation of De praestigiis daemonum, including the variety of its contents, Weyer’s seemingly enigmatic source use, and his having written the book before and not during the increase in witch trials. The article answers a numberof questions that are raised by the reinterpretation, including those surrounding Weyer’s religious persuasion, why contemporaries and historians almost unanimously viewed De praestigiis daemonum as a treatise against witch trials, and the extent to which he truly cared about the witches. Waarom schreef Jan Wier De praestigiis daemonum? Jan Wier (1515/1516-1588’s boek De praestigiis daemonum, et incantationibus ac veneficiis (Over duivelse begoochelingen en over betoveringen en gifmengerijen, waarvan de eerste editie in 1563 in Basel verscheen, geldt als een systematische aanval op heksentheorieën en heksenprocessen. Vera Hoorens betoogt dat Wier het niet enkel schreef om de heksen te verdedigen, maar ook, en misschien nog wel meer, als een instrument voor zijn kritiek op de Katholieke Kerk. Deze herinterpretatie lost de problemen op die geassocieerd zijn met de traditionele interpretatie van De praestigiis daemonum, namelijk de verscheidenheid van zijn inhoud, Wiers schijnbaar raadselachtig bronnengebruik, en het feit dat hij zijn boek schreef voordat en niet terwijl de heksenprocessen toenamen. Dit artikel beantwoordt een aantal vragen die de voorgestelde herinterpretatie oproept, zoals wat Wiers religieuze overtuiging was

  2. "A new lachrymal gland with an excretory duct in red and fallow deer" by Johann jacob Harder (1694): English translation and historical perspective.

    Science.gov (United States)

    Hillenius, Willem J; Phillips, Darryl A; Rehorek, Susan J

    2007-01-01

    The Harderian gland is an enigmatic orbital gland that has been described for many tetrapods, although a consistent definition of this structure has remained elusive. In particular, an unambiguous distinction between the Harderian gland and the nictitans gland, which may both occur in the anterior aspect of the orbit of mammals, remains problematic. These glands were first distinguished in 1694 by Johann Jacob Harder, a Swiss physician and anatomist. To facilitate a renewed examination of the anatomical and developmental relationships of the anterior orbital glands, we review the historical context of Harder's discovery, and provide Harder's original Latin text as well as an English translation.

  3. Über die Natur und das Wesen des Geldes: Johann Heinrich von Thünens unveröffentlichter Beitrag zur Geldtheorie

    OpenAIRE

    Nellinger, Ludwig

    2009-01-01

    The economic works of Johann Heinrich von Thünen include 1,000 unpublished pages of drafts and notes on the basis of which he prepared the second volume of his famous 'Isolated State in Relation to Agriculture and Political Economy'. Thünen wrote his texts in the so-called Deutsche Kanzleischrift, a script which can be read today only by specialised historians, rarely by economists. In a first part of a research project of the Thünen-Gesellschaft e.V. 300 pages were transliterated, from which...

  4. Johann Gottlieb Walter (1734-1818) and the technical preparation of bones in an anatomical cabinet in the late eighteenth and nineteenth century.

    Science.gov (United States)

    Monza, Francesca; Badino, Paola; Licata, Marta

    2017-12-01

    This study aims to analyze Johann Gottlieb Walter's biography (1734-1818), a German physician that specialized in human anatomy, who received an award of the Göttingen Royal Academy of Sciences. Here, we describe his technique of preparing bones for educational purposes through the comparison of other widely used techniques. The article also focuses on the great historical, scientific and didactic values of the anatomical preparations. In Europe during the eighteenth century the activity of some anatomists and physiologists, who were dedicated to the realization of anatomical preparations, testified the progress of medicine in the study of the human body, fundamental knowledge for physician training.

  5. A solução para os problemas da câmara escura no Paralipomena de Johannes Kepler (1571 1630)

    OpenAIRE

    Canato, Veranice

    2008-01-01

    Com o objetivo de apresentar teorias capazes de explicar a refração da luz nos corpos celestes e de solucionar problemas nas observações de eclipses solares com câmaras escuras. Johannes Kepler (1571-1630) publicou, em 1604, o seu Ad VItellionem Paralipomena ,quibus Astronomiae pars Optica Traditvr. Esse livro vem despertando a atenção de pesquisadores em história da ciência desde as primeiras décadas do século XX e se constituiu como objeto de um polêmico debate em torno...

  6. The illness/non-illness model: hypnotherapy for physically ill patients.

    Science.gov (United States)

    Navon, Shaul

    2014-07-01

    This article proposes a focused, novel sub-set of the cognitive behavioral therapy approach to hypnotherapy for physically ill patients, based upon the illness/non-illness psychotherapeutic model for physically ill patients. The model is based on three logical rules used in differentiating illness from non-illness: duality, contradiction, and complementarity. The article discusses the use of hypnotic interventions to help physically ill and/or disabled patients distinguish between illness and non-illness in their psychotherapeutic themes and attitudes. Two case studies illustrate that patients in this special population group can be taught to learn the language of change and to use this language to overcome difficult situations. The model suggests a new clinical mode of treatment in which individuals who are physically ill and/or disabled are helped in coping with actual motifs and thoughts related to non-illness or non-disability.

  7. Heinrich Stahli ja Johannes Gutslaffi Uue Testamendi tõlke kõrvutus / An Attempt at the Comparison of the Translations of the New Testament by Heinrich Stahl und Johannes Gutslaff

    Directory of Open Access Journals (Sweden)

    Kristiina Ross

    2012-06-01

    Full Text Available The aim of the article is to compare two 17th century translations of the New Testament: the translation by Heinrich Stahl (1638 and the translation by Johannes Gutslaff (1641–1656. Relying on the model of description presented by Torop (1989 and Torop and Osimo (2010, the translations are described by three aspects (1 linguistic, (2 functional, (3 that of the translator`s position within three different time perspectives: achronic, synchronic and diachronic. Within the achronic perspective, the two translations seem to be quite different in all three aspects. In the case of Stahl´s translation, the original text was Luther´s German translation and the target language was the North-Estonian vernacular. Different parts of the Bible had probably been translated by different persons and Stahl collected them, publishing them in a volume of his church manual. Gutslaff, on the other hand, translated the text himself using the original Greek version. His target language was the South-Estonian vernacular but his work was never published. Within the diachronic perspective, the differences disappear and the two translations seem to be quite similar. From today`s point of view both tr anslations are linguistically archaic and have no functional value except as object s of scientific research. Synchronic description is the most complicated one. The article tries to put to the test the possibilities of describing old translations from the point of view of their translation method. Very few examples of the Estonian language of the 17th century have been preserved, most are translations from German written down by German pastors. In addition to that, researchers know almost nothing about the Estonian language spoken by native speaker s of the time. As a re sult of this, it is hard to evaluate the linguistic status of many constructions and idioms used by the translators. This in turn makes it difficult to evaluate the stylistic intentions of the translator

  8. Mõningaid tähelepanekuid Johannes Aaviku kirjanduslikust prantsuse-orientatsioonist ja tõlketegevuse spetsiifikast. Some Observations concerning Johannes Aavik’s French Orientation in Literature, and the Specificity of his Translation Activities

    Directory of Open Access Journals (Sweden)

    Kaia Sisask

    2012-04-01

    Full Text Available Johannes Aavik’s personal preferences in the area of French literature include several authors considered to be passé from today’s perspective: Paul Bourget, Ernest Renan, Sully Prudhomme, Joris Karl Huysmans. Though stylistic virtuosity always remains an important literary criterion for him, it is not until later in his career that Aavik turns toward more mainstream, distinguished French literature. Although in his theoretical speeches on the topic of symbolism or decadence, he seems more interested in form than in content, as a translator of poetry (the ”bouquet” of French poetry in the third Young Estonia album, he is to be commended for his great precision in matters of detail. However, even when translating Aavik often omits what he considers less important; rhymes often turn out cumbersome; likewise the musical qualities of symbolist poetry often remain in the background. Aavik’s translations of Edgar Allan Poe’s short stories have received considerable attention in the research literature. Nevertheless, knowing the predominant ”French orientation” of the Young Estonians, one should consider the mediation of their interest in Poe by Baudelaire, the first translator of Poe into French. Aavik’s command of the English language was never strong, and he admitted to Friedebert Tuglas that he compared his own translation with German and French translations. Indeed, it is evident that many sentences from Aavik’s translation of The Oval Portrait and The Cask of Amontillado more closely resemble Baudelaire’s translation than Poe’s original. These observations notwithstanding, I am reluctant to claim that Aavik was engaging in ”indirect translation”: rather, he was using Baudelaire to check himself, while often crossing and transcending what might be considered the ”proper boundaries” of translating from the original language. Even though there are contradictions in Aavik’s translation activities and theoretical

  9. Beethoven's creative illness.

    Science.gov (United States)

    Bower, H

    1989-03-01

    One phase of Beethoven's life, between his 45th and 50th year, characterized by very low creativity and overwhelming stress situations, is subjected to a psychiatric interpretation. The historical background is briefly sketched and 5 precipitating stress factors are outlined. The symptoms of his illness are described, using Beethoven's letters as source material. A brief discussion of Beethoven's musical style prior to and after his illness is based on quotations from three eminent musical scholars. A resume of Beethoven's physical and psychological disorders during his life are given and the conclusion is reached that between 1815 and 1820, Beethoven experienced a creative illness which was psychotic in type, ended in recovery and radically changed his musical creativity.

  10. On being Credibly Ill

    DEFF Research Database (Denmark)

    Mik-Meyer, Nanna

    2011-01-01

    unexplained symptoms. The study is conducted in Denmark using qualitative interviews with welfare officers and clients. The paper's focus is on how issues of gender and class intersect in the negotiation of illness among welfare officers and clients. The particular client group in question consists...... of individuals that are defined by their lack of a bio-medical diagnosis. Their ‘lack’ of identity accentuates how gender and class become central in the categorisation practices, constructing the ill person as either bio-medically sick or as a person who may be suffering but only from diffuse psychological...... problems. The paper shows that it is predominantly poorly educated women without a bio-medical diagnosis that welfare officers describe as suffering from psychological problems despite the fact that the women themselves focus on physical ailments in their illness stories. Men and better-educated women...

  11. [Mental illness and media].

    Science.gov (United States)

    Magli, Erica; Buizza, Chiara; Pioli, Rosaria

    2004-06-01

    Many knowledges on the mental disease that the community possesses are turning out of information disclosed from the media. It's common in the press to connect actions of violence and murders to the mental diseases. For this reason, the reader is induced to infer that murders and other violent actions are more frequent in people who have suffered from mentally ill, than in the general population. The mystifying impression provided by media accrues from the fact that these reports are rarely compensated from positive reports. Objective of the present study is to characterize the type of information concerning mental illness diffused from the local daily paper "Giornale di Brescia" in the year 2001. The results show that many articles connote negatively the mental disease. The journalistic sensationalism, denounced facing the speech of the prejudgment in the comparisons of the mentally ill people, seems to still remain, in the considered year of publication, one unchanging tendency.

  12. Razón anamnética, sufrimiento ajeno y teodicea: Claves de lectura, logros y límites de la obra de Johann Baptist Metz

    Directory of Open Access Journals (Sweden)

    Matías Omar Ruz

    2008-01-01

    Full Text Available El presente artículo ofrece, por una parte, un panorama genético-sistemático del conjunto de la obra de Johann Baptist Metz, por otra, brinda, mediante una mirada los más atenta posible a gran parte de su bibliografía personal y a algunos de los principales trabajos internacionales hoy existentes sobre el teólogo alemán, claves de lectura a partir del tratamiento de los principales conceptos del autor. El artículo concluye con un breve análisis de sus innegables logros y méritos y, especialmente, de sus múltiples limitaciones y preguntas abiertas, en particular las referidas a su cristología.The present article offers, on the one hand, a genetic-systematic panorama of the work of Johann Baptist Metz; it also offers some keys for reading from the analysis of the main concepts of the author, through a study of great part of its personal bibliography and of the main existing international works today on the Germán theologian. The article concludes with a brief analysis of its undeniable achievements and merits and, especially, of its limitations and open questions, particularly those concerned with his Christology.

  13. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... Dr. Glenn Mitchell , Emergency physician at Mercy Health System in Chesterfield, Missouri Heat-related illness can be caused by overexposure to the sun or any situation that involves extreme heat. Young children and the elderly are most at risk, but anyone can be affected. Here ...

  14. Foodborne Illness Retrospective

    Centers for Disease Control (CDC) Podcasts

    2015-05-07

    Dr. Paul Mead and Dr. Peter Drotman discuss the historic October 1999 article, Food-related Illness and Death in the United States.  Created: 5/7/2015 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 5/7/2015.

  15. Physical and mental illness.

    NARCIS (Netherlands)

    Schellevis, F.G.

    2004-01-01

    This chapter is concerned with the profile of symptoms, illnesses, and diseases (further referred to as 'morbidity') presented to primary care doctors. It is important to acknowledge that morbidity presented to primary care doctors is only a small part of all morbidity perceived by people in the

  16. Conceptualizing Health and Illness

    Czech Academy of Sciences Publication Activity Database

    Kouba, Petr

    2008-01-01

    Roč. 39, č. 1 (2008), s. 59-80 ISSN 0047-2662 R&D Projects: GA AV ČR(CZ) IAA900090603; GA ČR(CZ) GP401/07/P293 Institutional research plan: CEZ:AV0Z90090514 Keywords : health * illness * existence * finitude Subject RIV: AA - Philosophy ; Religion

  17. Heat-Related Illnesses

    Medline Plus

    Full Text Available ... I Waiting So Long? Admission to the Hospital Heroes on Medicine's Front Line Observation ... illness can be caused by overexposure to the sun or any situation that involves extreme heat. Young children and the elderly are most at risk, but ...

  18. Johann Sebastian Bach en zijn musici in de beide hoofdkerken te Leipzig : Een onderzoek naar hun rol, inzet en opstelling in het algemeen en naar de continuogroep en de daarin participerende instrumenten in het bijzonder

    NARCIS (Netherlands)

    Bijma, R.J.

    2017-01-01

    The study is devoted to Johann Sebastian Bach and his musicians in Leipzig’s two main churches, and to the question to which extent current opinions in musicology regarding historically-informed practice are actually correct. The core of Bach’s first Sunday choir in Leipzig consisted of the eight

  19. HIGH-ALTITUDE ILLNESS

    Directory of Open Access Journals (Sweden)

    Dwitya Elvira

    2015-05-01

    Full Text Available AbstrakHigh-altitude illness (HAI merupakan sekumpulan gejala paru dan otak yang terjadi pada orang yang baru pertama kali mendaki ke ketinggian. HAI terdiri dari acute mountain sickness (AMS, high-altitude cerebral edema (HACE dan high-altitude pulmonary edema (HAPE. Tujuan tinjauan pustaka ini adalah agar dokter dan wisatawan memahami risiko, tanda, gejala, dan pengobatan high-altitude illness. Perhatian banyak diberikan terhadap penyakit ini seiring dengan meningkatnya popularitas olahraga ekstrim (mendaki gunung tinggi, ski dan snowboarding dan adanya kemudahan serta ketersediaan perjalanan sehingga jutaan orang dapat terpapar bahaya HAI. Di Pherice, Nepal (ketinggian 4343 m, 43% pendaki mengalami gejala AMS. Pada studi yang dilakukan pada tempat wisata di resort ski Colorado, Honigman menggambarkan kejadian AMS 22% pada ketinggian 1850 m sampai 2750 m, sementara Dean menunjukkan 42% memiliki gejala pada ketinggian 3000 m. Aklimatisasi merupakan salah satu tindakan pencegahan yang dapat dilakukan sebelum pendakian, selain beberapa pengobatan seperti asetazolamid, dexamethasone, phosopodiestrase inhibitor, dan ginko biloba.Kata kunci: high-altitude illness, acute mountain sickness, edema cerebral, pulmonary edema AbstractHigh-altitude illness (HAI is symptoms of lung and brain that occurs in people who first climb to altitude. HAI includes acute mountain sickness (AMS, high-altitude cerebral edema (HACE and high altitude pulmonary edema (HAPE. The objective of this review was to understand the risks, signs, symptoms, and treatment of high-altitude illness. The attention was given to this disease due to the rising popularity of extreme sports (high mountain climbing, skiing and snowboarding and the ease and availability of the current travelling, almost each year, millions of people could be exposed to the danger of HAI. In Pherice, Nepal (altitude 4343 m, 43% of climbers have symptoms of AMS. Furthermore, in a study conducted at sites in

  20. Johann de Lange

    African Journals Online (AJOL)

    Owner

    In hierdie elfde bundel van De Lange bevestig hy sy verdiende en gekanoniseerde posisie in die Afrikaanse dig- kuns, in besonder vanweë 'n volgehoue sig- baarmaking van verhoudinge tussen mens en kosmos; mens en medemens; besit en ver- lies; broosheid/verganklikheid/verwonding teenoor herstel en heelmaking.

  1. Intro / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2006-01-01

    Kolmest projektist Tallinna Kunstihoones: 8.04.-28.05. 2006 avatud Elin Kardi, Marko Mäetamme, Marco Laimre ja Andres Tali Ühisnäitusest "Vägivald ja propaganda", selle raames 26.04.-09.05. avatud Emergency Biennale'ist, rahvusvahelisest rändnäitusest Tšetšeenia toetuseks (Tallinnas ühinesid biennaaliga Jüri Ojaver, Neeme Külm, Marco Laimre, Marko Mäetamm), 27.04. toimunud Kaasaegse Kunsti Eesti Keskuse 4. ettekannete päevast "Kunstnike moraalsed valikud kultuurikonfliktides" sarjast "Lisandusi eesti kunstiloole"

  2. Johannes Kepler on Christmas

    Science.gov (United States)

    Kemp, Martin

    2009-12-01

    Kepler's interpretation of the supernova of 1604, De Stella Nova, interwove the science of astronomy with astrology and theology in an attempt to determine the correct birthdate of Jesus, explains Martin Kemp.

  3. Eraeluline kunst / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    1998-01-01

    Briti ja eesti kunstnike ühisnäitus "Private views" Rotermanni soolalaos. Eestit esindavad Mari Koort, Anu Juurak, Annika Tonts, Kiwa, Ene-Liis Semper, Inglismaad Pam Skelton. Naiste näitus naiseks olemise vaevadest. Kuraatorid Mare Tralla ja Pam Skelton. Ilmunud ka kogumikus "Päevast päeva", lk.141-143

  4. Moskva maskid / Maris Johannes

    Index Scriptorium Estoniae

    Johannes, Maris, 1959-

    2008-01-01

    14. Venemaa riiklikust teatrifestivalist "Kuldne mask" 27. märtsist 15. aprillini Moskvas. Pikemalt auhinnatud töödest: Lev Dodini "Elu ja saatus" (Peterburi Väike Draamateater), Mindaugas Karbauskise "Lugu õnnelikust Moskvast" (Tabakovi teater Moskvas), Dmitri Krõmovi "Deemon. Vaade ülalt" (Draamakunsti kool Moskvas). Samuti ka Andrii Zholdaki lavastusest "Carmen. Exodus" ja Dmitri Krõmovi lavastusest "Lehm"

  5. Johannes Calvyn as pedagoog

    Directory of Open Access Journals (Sweden)

    S. Schoeman

    1991-01-01

    Full Text Available John Calvin as pedagogue Calvin was not only a theologian, but a competent pedagogue as well. He set a high value on education, and promoted it actively, but never systematically committed his views on it to paper. His educational views were not purely educational, but connected to a particular theological view. It is nevertheless possible to construct the broad general principles upon which his educational philosophy is based, from three sources: these are data on his educational activities in Geneva, the educational opinions that appeared in his writings, and the implications of his theological views for education.

  6. On being Credibly Ill

    DEFF Research Database (Denmark)

    Mik-Meyer, Nanna

    2011-01-01

    problems. The paper shows that it is predominantly poorly educated women without a bio-medical diagnosis that welfare officers describe as suffering from psychological problems despite the fact that the women themselves focus on physical ailments in their illness stories. Men and better-educated women...... of individuals that are defined by their lack of a bio-medical diagnosis. Their ‘lack’ of identity accentuates how gender and class become central in the categorisation practices, constructing the ill person as either bio-medically sick or as a person who may be suffering but only from diffuse psychological...... are described by the welfare officers as tired and exhausted or truly stressed after a long working life....

  7. ILL. Annual report 1976

    International Nuclear Information System (INIS)

    In 1976 the three major functions of ILL continued to be generally satisfactorily performed (provision of neutron beams at the high flux reactor, development of advanced instrumentation, establishment of a forum). The implementation of the programme of measurements approved by the Scientific Council was again given absolute priority. This report gives a survey of the state of the experimental facilities at ILL and the scientific work carried out in 1976, and of the main technical and administrative activities of the Institute Chapters correspond to the various colleges (theory, fundamental and nuclear physics, excitations, structures liquid, gases and amorphous materials, impurities, structural biology and chemistry), reactor operation and instrument support services, computing services... A second volume of this report contains more detailed descriptions of the individual experiments

  8. Illness and death literatura

    Directory of Open Access Journals (Sweden)

    Begoña CANTABRANA

    2016-04-01

    Full Text Available Patients need to transform their disease into a fiction, and their stories, once sorted out following the creative process and captured in a paper, constitute the disease literature. Illness adds countless components to literature and, in turn, literature gives back a mixture of fiction and reality which enriches and comforts. Related to disease and death of loved ones there are many books written and published with several aims (altruism, to understand the fact of being sick, as a resistance mechanism… and even for professional reasons. Besides, disease divulgation might be accompanied by beneficial effects at social level such as to normalize the illness, to assume death and to favor the patient´s role in a wide sense that includes the promotion of research development and the pressure on treatments reinforcement.

  9. Mental illness: psychiatry's phlogiston.

    Science.gov (United States)

    Szasz, T

    2001-10-01

    In physics, we use the same laws to explain why airplanes fly, and why they crash. In psychiatry, we use one set of laws to explain sane behaviour, which we attribute to reasons (choices), and another set of laws to explain insane behaviour, which we attribute to causes (diseases). God, man's idea of moral perfection, judges human deeds without distinguishing between sane persons responsible for their behaviour and insane persons deserving to be excused for their evil deeds. It is hubris to pretend that the insanity defence is compassionate, just, or scientific. Mental illness is to psychiatry as phlogiston was to chemistry. Establishing chemistry as a science of the nature of matter required the recognition of the non-existence of phlogiston. Establishing psychiatry as a science of the nature of human behaviour requires the recognition of the non-existence of mental illness.

  10. ILL. Annual report 1979. Annex

    International Nuclear Information System (INIS)

    1980-01-01

    This second volume, entitled 'Annex to the Annual Report' deals in more detail with the scientific work of the I.L.L. The scientific activity of theoreticians at the I.L.L. for 1979 is described. The experimental reports giving details on the experiments performed at the I.L.L. up to October 1, 1979 have been compiled. They are published here under their proposal number within the classification cheme in use at the I.L.L

  11. ILL Annual Report 1974

    International Nuclear Information System (INIS)

    1974-01-01

    This annual report provides a general view of the activities of the different sections of the ILL. In 1974, twenty-two different neutron spectrometers with different characteristics were available on a regular basis. Moreover, a number of special neutron sources were employed for on-line experiments. The major effort was devoted to an increase in experimental systems and to the development of new measurement techniques [fr

  12. Exercise Prevents Mental Illness

    Science.gov (United States)

    Purnomo, K. I.; Doewes, M.; Giri, M. K. W.; Setiawan, K. H.; Wibowo, I. P. A.

    2017-03-01

    Multiple current studies show that neuroinflammation may contribute to mental illness such as depression, anxiety, and mood disorder. Chronic inflammation in peripheral tissues is indicated by the increase of inflammatory marker like cytokine IL-6, TNF-α, and IL-1β. Pro-inflammatory cytokine in peripheral tissues can reach brain tissues and activate microglia and it causes neuroinflammation. Psychological stress may led peripheral and central inflammation. Activated microglia will produce pro-inflammatory cytokine, ROS, RNS, and tryptophan catabolizes. This neuroinflammation can promote metabolism changes of any neurotransmitter, such as serotonin, dopamine, and glutamate that will influence neurocircuit in the brain including basal ganglia and anterior cingulated cortex. It leads to mental illness. Exercise give contribution to reduce tissue inflammation. When muscle is contracting in an exercise, muscle will produce the secretion of cytokine like IL-6, IL-1ra, and IL-10. It will react as anti-inflammation and influence macrophage, T cell, monosit, protein Toll-Like Receptor (TLR), and then reduce neuroinflammation, characterised by the decrease of pro-inflammatory cytokine and prevent the activation of microglia in the brain. The objective of the present study is to review scientific articles in the literature related to the contribution of exercise to prevent and ease mental illness.

  13. Gymnastics - an emerging national university discipline - Johannes Lindhard's struggle to institutionalise gymnastics as a subject at the University of Copenhagen 1909-1940

    DEFF Research Database (Denmark)

    Jensen, Anders Frøslev; Bonde, Hans

    2011-01-01

    matters was transferred to the university in a way that did not undermine the political support that had made it possible to add gymnastics to the subjects taught there; and that gymnastics gained scientific authority within the university. In striving to meet these demands, he managed to write five......From 1909 to 1940 the medical professor Johannes Lindhard, struggled to establish gymnastics as a subject at the University of Copenhagen and in doing so, he faced a complex situation. He had to make sure that he did not lose his scientific integrity; that the intellectual authority in gymnastic...... of gymnastics in society. This story is studied as a case of disciplinary formation, and investigates the question of whether it supports the critical perspective of disciplines as instruments of illegitimate power or the conservative ‘providential’ claim that disciplinary science is as it ought to be....

  14. [Criminal process record Winckelmann (Triest, 1768). Comments on the criminal process dealing with the murder of Johann Joachim Winckelmann from the forensic historical and legal medicine viewpoint].

    Science.gov (United States)

    Risse, M; Weiler, G

    2001-01-01

    Johann Joachim Winckelmann, German historian of ancient art and archaeologist, was born on 9 December 1717 in Stendal, a town in Saxony-Anhalt. At the age of 50 he was murdered on 8 June 1768 in a Trieste hotel. The voluminous original record of the criminal proceedings against his murderer, Francesco Arcangeli, was presumed lost for about 150 years. A new edition in the wording of the original text appeared in 1964. This long sought historical document gives cause for forensic-historical reflections under consideration of the autopsy protocol about Winckelmann, which is likewise a historical document. A considerable change of paradigm in comparison to current autopsy protocols is observed with regard to the evaluation of injuries and the circumstances of death.

  15. O processo de digitação para violão da Ciaccona BWV 1004 de Johann Sebastian Bach

    Directory of Open Access Journals (Sweden)

    Alisson Alípio

    2010-12-01

    Full Text Available The present article deals with the process of elaborating guitar fingerings for Johann Sebastian Bach’s Ciaccona BWV 1004 (original for violin. The aim was to develop a left-hand fingering capable of reflecting the musical intentions of the performers and authors of this article. To this end, a model of analysis was established, in which the musical texture is divided and classified, based on a set of theoretical parameters (melodic, harmonic, motivic and polyphonic. By analyzing the fingerings used in transcriptions from guitarists Andrés Segovia, Abel Carlevaro, Kazuhito Yamashita and Stanley Yates, and comparing them with our own suggestions, we conclude that the performer has autonomy to challenge a fingering provided by the editor, as it reflects only the musical or technical decisions from a specific performer, and these decisions are also subjected to change.

  16. Johannes Irmscher’s Unofficial Activity for the State Security of the German Democratic Republic (translated by Polonca Zupančič

    Directory of Open Access Journals (Sweden)

    Isolde Stark

    2013-12-01

    Full Text Available Johannes Irmscher (1920–2000, a pre-war member of the NSDAP, was reputed for decades as one of the most important East German specialists in classical philology, patristics, and Byzantine studies. From 1958 onwards he also collaborated with the Communist State Security (Stasi. Documents show how he denounced his colleagues; how he steered the interest of State Security to organisations and societies studying antiquities; and how he put the international reputation of classical studies, as well as his own reputation, at the disposal of the Ministry for State Security (MfS. The study is based on a research project for the Academy of Sciences of the GDR, and was approved by the Office of the State Representative for the Documents of the Ministry for State Security (BStU.

  17. The Problem of Historical Choice in East German Literature: Johannes Bobrowski in Context of the Postwar Literature of the 1950s-1970s

    Directory of Open Access Journals (Sweden)

    Dilyara A. Salimzanova

    2017-11-01

    Full Text Available The article tells about works of the famous German writer Johannes Bobrowski (1917-1965 born 100 years ago; the world literary community celebrates his 100 anniversary as in 2017. The poetic speech of Bobrowski, difficult for perception, reflected the main perspective of his poetry: history of the people and communication of the person with the nature. Art development of history, author’s cycle of stories and two novels of the original narrative technique in the conditions of totalitarian regime and continuous censorship, in many respects predetermined development of a genre of the historical novel in literature of the East German space of the "middle" of the last century. The creativity J. Bobrowski opens the new truth about the German life and history, thereby expanding a framework of art judgment of the past country.

  18. Decompression illness - critical review

    Directory of Open Access Journals (Sweden)

    C S Mohanty

    2015-01-01

    Full Text Available Decompression illness is caused by intravascular or extravascular bubbles that are formed as a result of reduction in environmental pressure (decompression. The term covers both arterial gas embolism, in which alveolar gas or venous gas emboli (via cardiac shunts or via pulmonary vessels are introduced into the arterial circulation, and decompression sickness, which is caused by in-situ bubble formation from dissolved inert gas. Both syndromes can occur in divers, compressed air workers, aviators, and astronauts, but arterial gas embolism also arises from iatrogenic causes unrelated to decompression. Risk of decompression illness is affected by immersion, exercise, and heat or cold. Manifestations range from itching and minor pain to neurological symptoms, cardiac collapse, and death. First-aid treatment is 1 0 0 % oxygen and definitive treatment is recompression to increased pressure, breathing 1 0 0 % oxygen. Adjunctive treatment, including fluid administration and prophylaxis against venous thromboembolism in paralysed patients, is also recommended Treatment is, in most cases, effective although residual deficits can remain in serious cases, even after several recompressions.

  19. ILL Annual report 97

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    In 1997 the reactor operated for the planned 225 days and more than 750 experiments were carried out. Among the experimental highlights are 2 contrasting examples of the new types of experiments now possible using the new high-intensity diffractometer D2O: stroboscopic measurements of kinetic processes and rapid texture measurements of structural materials. Some early results from the new high-resolution gamma spectrometer in the study of nuclear structure are also presented. Another new facility is just coming into service: the 2{pi} image-plate detector LADI, optimised for Laue measurements on biological crystals. The contrast between biological experiments and for example those on superconductivity or neutron {beta}-decay, illustrates very well the range of scientific questions addressed through the use of ILL`s neutron beams. 30 brief accounts of research work achieved during this year are given, they are classified under 9 topics: polymers and colloids, chemistry and structure, biology, materials science, liquids and glasses, magnetism, strongly correlated electron systems, quantum systems, nuclear and fundamental physics. The scheduled new developments are described and a list of the publications is also given

  20. Illness Identity in Adults with a Chronic Illness.

    Science.gov (United States)

    Oris, Leen; Luyckx, Koen; Rassart, Jessica; Goubert, Liesbet; Goossens, Eva; Apers, Silke; Arat, Seher; Vandenberghe, Joris; Westhovens, René; Moons, Philip

    2018-02-21

    The present study examines the concept of illness identity, the degree to which a chronic illness is integrated into one's identity, in adults with a chronic illness by validating a new self-report questionnaire, the Illness Identity Questionnaire (IIQ). Self-report questionnaires on illness identity, psychological, and physical functioning were assessed in two samples: adults with congenital heart disease (22-78 year old; n = 276) and with multisystem connective tissue disorders (systemic lupus erythematosus or systemic sclerosis; 17-81 year old; n = 241). The IIQ could differentiate four illness identity states (i.e., engulfment, rejection, acceptance, and enrichment) in both samples, based on exploratory and confirmatory factor analysis. All four subscales proved to be reliable. Rejection and engulfment were related to maladaptive psychological and physical functioning, whereas acceptance and enrichment were related to adaptive psychological and physical functioning. The present findings underscore the importance of the concept of illness identity. The IIQ, a self-report questionnaire, is introduced to measure four different illness identity states in adults with a chronic illness.

  1. Subjective Illness theory and coping

    Directory of Open Access Journals (Sweden)

    Gessmann H.-W.

    2015-03-01

    Full Text Available The article presents a view of a problem of subjective illness theory in context of coping behavior. The article compiles the results of the latest studies of coping; discloses the way subjective illness theory affects the illness coping and patient's health; presents the study of differences in coping behaviour of patients at risk of heart attack and oncology. The article is recommended for specialists, concerned with psychological reasons of pathogenic processes and coping strategies of patients.

  2. Thyroid function during critical illness.

    Science.gov (United States)

    Economidou, Foteini; Douka, Evangelia; Tzanela, Marinella; Nanas, Serafeim; Kotanidou, Anastasia

    2011-01-01

    The metabolic support of the critically ill patient is a relatively new target of active research and little is as yet known about the effects of critical illness on metabolism. The nonthyroidal illness syndrome, also known as the low T3 syndrome or euthyroid sick syndrome, describes a condition characterized by abnormal thyroid function tests encountered in patients with acute or chronic systemic illnesses. The laboratory parameters of this syndrome include low serum levels of triiodothyronine (T3) and high levels of reverse T3, with normal or low levels of thyroxine (T4) and normal or low levels of thyroid-stimulating hormone (TSH). This condition may affect 60 to 70% of critically ill patients. The changes in serum thyroid hormone levels in the critically ill patient seem to result from alterations in the peripheral metabolism of the thyroid hormones, in TSH regulation, in the binding of thyroid hormone to transport-protein and in receptor binding and intracellular uptake. Medications also have a very important role in these alterations. Hormonal changes can be seen within the first hours of critical illness and, interestingly, these changes correlate with final outcome. Data on the beneficial effect of thyroid hormone treatment on outcome in critically ill patients are so far controversial. Thyroid function generally returns to normal as the acute illness resolves.

  3. Attributing illness to food

    DEFF Research Database (Denmark)

    Batz, M. B.; Doyle, M. P.; Morris, J. G.

    2005-01-01

    the Food Attribution Data Workshop in October 2003 to discuss the virtues and limitations of these approaches and to identify future options for collecting food attribution data in the United States. We summarize workshop discussions and identify challenges that affect progress in this critical component......Identification and prioritization of effective food safety interventions require an understanding of the relationship between food and pathogen from farm to consumption. Critical to this cause is food attribution, the capacity to attribute cases of foodborne disease to the food vehicle or other...... source responsible for illness. A wide variety of food attribution approaches and data are used around the world including the analysis of outbreak data, case-control studies, microbial subtyping and source tracking methods, and expert judgment, among others. The Food Safety Research Consortium sponsored...

  4. Illness management and recovery

    DEFF Research Database (Denmark)

    Dalum, Helle Stentoft; Waldemar, Anna Kristine; Korsbek, Lisa

    2018-01-01

    OBJECTIVE: Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms...... of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder. METHOD: The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia...... or service utilization. CONCLUSION: This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR....

  5. Attributing illness to food

    DEFF Research Database (Denmark)

    Batz, M. B.; Doyle, M. P.; Morris, J. G.

    2005-01-01

    Identification and prioritization of effective food safety interventions require an understanding of the relationship between food and pathogen from farm to consumption. Critical to this cause is food attribution, the capacity to attribute cases of foodborne disease to the food vehicle or other...... source responsible for illness. A wide variety of food attribution approaches and data are used around the world including the analysis of outbreak data, case-control studies, microbial subtyping and source tracking methods, and expert judgment, among others. The Food Safety Research Consortium sponsored...... the Food Attribution Data Workshop in October 2003 to discuss the virtues and limitations of these approaches and to identify future options for collecting food attribution data in the United States. We summarize workshop discussions and identify challenges that affect progress in this critical component...

  6. Between health and illness.

    Science.gov (United States)

    Davies, Peter G

    2007-01-01

    This essay explores the connections between health and illness, and the processes of salutogenesis, pathogenesis, and homeostasis. Written from an understanding of human embodiment and the consequences this has for our experiences of health and disease, this essay moves towards a positive definition of health, as an on-going outcome from the processes of a life lived well. "Well" here is measured in terms of wealth, relationships, coherence, fitness, and adaptability. Mencken's criticism that "Hygiene is the corruption of medicine by morality" is answered; the search for health is, in part, a moral as well as a biological enterprise. Both generative processes and remedial measures contribute to health. The patients in my consulting room usually need remedial medicine, but they would also like to flourish as human beings. Doctors should be able to provide a balance of measures towards this end.

  7. Illness narratives in cancer

    DEFF Research Database (Denmark)

    Ulrich, Anita; Evron, Lotte; Ostenfeld-Rosenthal, Ann

    2011-01-01

    Objectives: In this paper,we investigate Danish cancer patients’ narratives on spiritual beliefs and practices and the relationship these practices may have to complementary and alternative medicine (CAM). Design: Narrative inquiry is used to uncover how spiritual beliefs and practices may...... be related to CAM. The analysis is based on empirical findings from a recent PhD project. During a two-year period first author followed 32 cancer patients, family, friends and alternative practitioners through interviews, telephone conversations, treatments and in focus groups. Results: As a general pattern......, religious and spiritual issues were not extensively unfolded in participants’ illness narratives. However, these issues were significantly elaborated on in narratives by four female participants. Conclusion: We propose that for some cancer patients CAM may function, not only or primarily as a treatment...

  8. Aspects of spirituality concerning illness

    NARCIS (Netherlands)

    van Leeuwen, Rene; Tiesinga, Lucas J.; Jochemasen, Henk; Post, Doeke

    2007-01-01

    The spiritual dimension of illness, health and care may be seen as a unique aspect in addition to the physical, mental and social dimension. This contribution describes experiences of patients, nurses and hospital chaplains in relation to the spiritual aspects of being ill. Qualitative research was

  9. ILL Annual report 97

    International Nuclear Information System (INIS)

    1997-01-01

    In 1997 the reactor operated for the planned 225 days and more than 750 experiments were carried out. Among the experimental highlights are 2 contrasting examples of the new types of experiments now possible using the new high-intensity diffractometer D2O: stroboscopic measurements of kinetic processes and rapid texture measurements of structural materials. Some early results from the new high-resolution gamma spectrometer in the study of nuclear structure are also presented. Another new facility is just coming into service: the 2π image-plate detector LADI, optimised for Laue measurements on biological crystals. The contrast between biological experiments and for example those on superconductivity or neutron β-decay, illustrates very well the range of scientific questions addressed through the use of ILL's neutron beams. 30 brief accounts of research work achieved during this year are given, they are classified under 9 topics: polymers and colloids, chemistry and structure, biology, materials science, liquids and glasses, magnetism, strongly correlated electron systems, quantum systems, nuclear and fundamental physics. The scheduled new developments are described and a list of the publications is also given

  10. Z historie českého znakového jazyka — Johann Mücke a první slovníček znaků (1834 : From the History of the Czech Sign Language — Johann Mücke and the First Dictionary of Signs

    Directory of Open Access Journals (Sweden)

    Lenka Okrouhlíková

    2017-12-01

    Full Text Available The introduction of the use of Czech Sign Language was closely associated with the establishment of the first Institute for the Deaf and Dumb in Prague in 1786. Probably the oldest and also the most extensive source of sign is the book published in 1834, Unterrichte der Taubstummen in der Lautsprache nebst einigen Bemerkungen über die Geberdenzeichen der Taubstummen by director Johann Mücke (1770–1840, which contains a dictionary with the verbal description of 261 signs, divided in to the thematic groups Food and Drink, Clothing and Associated Objects, Household Fittings and Furniture, Writing Requisites and Toys, Miscellaneous frequent subjects, Animals, People, Verbs. Thanks to the preserved data of the period we can look at current signs from the diachronic perspective, identify their original motivation and trace their origin.

  11. Youth blogging and serious illness.

    Science.gov (United States)

    Nesby, Linda; Salamonsen, Anita

    2016-03-01

    In recent years, a growing number of young people who experience illness tend to blog about it. In this paper, we question whether and how illness blogs illustrate the intercommunicative aspect of blogging by bringing forth both the literary concept of the implied reader and the sociological concepts of empowerment and agency in the analysis. We argue that young people blogging about serious illness demonstrate the inherent intercommunicative potential of blogging. We also argue that youth blogging about serious illness may represent a fruitful strategy for ill young people to create meaning, stay front-stage in youth communities and build self-esteem and confidence out of chaos. Furthermore, we argue that these blogs may contribute rather unique experience-based knowledge and reflections about existential issues to other young blog readers, who may otherwise not get access to this aspect of life. Youth blogging about serious illness thereby reflects a patient group so far not very visible and through the genre youth stand out as more competent when it comes to illness and healthcare issues than what is often presumed. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  12. Disaster related heat illness

    International Nuclear Information System (INIS)

    Miyake, Yasufumi

    2012-01-01

    Explained and discussed are the outline of heat illness (HI), its raised risk and measures taken at the disaster of the Fukushima Nuclear Power Plant Accident (FNPPA; Mar. 2011). High temperature and humid environment induce HI through the fervescence and dehydration resulting in the intestinal ischemia/hypoxia and organ failure. Epidemiologic data of the heatstroke in Japan suggest its seemingly parallel incidence to seasonal hotness of the summer. HI is classified in either classical (non-exertional) or exertional heatstroke, both with severity of I (slight), II (slight symptom of the central nervous system (CNS); necessary for consultation) and III (most serious; having dysfunction of CNS, organ or coagulation). Therapy depends on the severity: I for the first aid on site, II necessary for carrying to hospital and III for hospitalization. Protection is possible by personal, neighbors' and managers' carefulness, and supply of sufficient water and minerals. Risk of HI was suddenly raised at taking measures to meet with the FNPPA. Japanese Association for Acute Medicine (JAAM) promptly organized JAAM-FNPPA Working Group to treat the emergent multiple incidents including the radiation exposure and HI as well. Exertional HI was mainly in labors wearing rather sealed closes to protect radiation to work for steps of the Accident, and which was similar to evacuees temporarily entering the evacuation area for visit to their own vacant houses. In the summer, classical HI was also a problem mainly in elderly living in the evacuation dwellings. Document of HI incidents and patients at FNPPA should be recorded for the reference to possible disaster in future. (T.T.)

  13. [Non thyroidal illnesses (NTIS)].

    Science.gov (United States)

    Luca, F; Goichot, B; Brue, T

    2010-09-01

    Abnormalities in the circulating levels of thyroid hormones, without evidence of coexisting thyroid or pituitary gland disease can be observed in all general diseases. These nonthyroidal illnesses (NTIS) are the result of complex mechanisms that combine the effect of some drugs, cytokines, nutritional and endocrine factors at all levels of the thyrotropic axis, from the hypothalamus to the cellular transporters and nuclear receptors of thyroid hormones. The patterns of NTIS depend on the underlying disease and its severity. Thirtyfive years after the initial description, the pathophysiological significance of these anomalies remains controversial. One of the dilemma of NTIS is whether the hormone responses represent an adaptive and normal, physiologic response to conserve energy and protect against hypercatabolism in case of aggression, or whether it is a maladaptive response contributing to a worsening of the disease. This debate is not just a theoretical question, because in the first case the process must be respected, in the other case a vigorous treatment to restore circulating thyroid hormone levels is justified. There have been very few clinical studies designed to address whether the substitution with thyroid hormone is advantageous, and there is at current time no permissive evidence for the use of thyroid hormone replacement in patients with NTIS. But the clinical context, the choice of the molecule or of the dose and the way of administration were not necessarily the most relevant. Theoretically, stimulation of thyreotrope axis used a continuous infusion of TRH seems to provide clinical benefit. With the expectation that randomized clinical trials will provide demonstration of NTIS treatment efficiency, the question might remain unanswered for several more years. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  14. Cost of illness and illness perceptions in patients with fibromyalgia.

    Science.gov (United States)

    Vervoort, Vera M; Vriezekolk, Johanna E; Olde Hartman, Tim C; Cats, Hans A; van Helmond, Toon; van der Laan, Willemijn H; Geenen, Rinie; van den Ende, Cornelia H

    2016-01-01

    The disease impact and economic burden of fibromyalgia (FM) are high for patients and society at large. Knowing potential determinants of economic costs may help in reducing this burden. Cognitive appraisals (perceptions) of the illness could affect costs. The present study estimated costs of illness in FM and examined the association between these costs and illness perceptions. Questionnaire data of FM severity (FIQ), illness perceptions (IPQ-R-FM), productivity losses (SF-HLQ) and health care use were collected in a cohort of patients with FM. Costs were calculated and dichotomised (median split). Univariate and hierarchic logistic regression models examined the unique association of each illness perception with 1) health care costs and 2) costs of productivity losses. Covariates were FM severity, comorbidity and other illness perceptions. 280 patients participated: 95% female, mean age 42 (SD=12) years. Annualised costs of FM per patient were €2944 for health care, and €5731 for productivity losses. In multivariate analyses, a higher disease impact (FIQ) and two of seven illness perceptions (IPQ-R-FM) were associated with high health care costs: 1) high scores on 'cyclical timeline' reflecting a fluctuating, unpredictable course and 2) low scores on 'emotional representations', thus not perceiving a connection between fibromyalgia and emotions. None of the variables was associated with productivity losses. Our study indicates that perceiving a fluctuating course and low emotional representation, which perhaps reflects somatic fixation, are associated with health care costs in FM. Future studies should examine whether targeting these illness perceptions results in reduction of costs.

  15. Parvovirus B19 and Other Illnesses

    Science.gov (United States)

    ... Cheek Rash Parvovirus B19 and Other Illnesses References Parvovirus B19 and Other Illnesses Recommend on Facebook Tweet ... disease is the most common illness caused by parvovirus B19 infection. Learn More Parvovirus B19 infection can ...

  16. Vers le Sud : le voyage de Johann Georg von Dillis à travers la France, la Suisse et l'Italie en 1806

    Directory of Open Access Journals (Sweden)

    Josenhans, Frauke

    2011-07-01

    Full Text Available Southern France, and Provence in particular, started to lure painters as early as in the 18th century, first and foremost French ones, and then increasingly foreign painters, notably the German landscapist Johann Georg von Dillis. In 1806, he undertook a journey in the South of France in the company of the Bavarian crown prince, the future Ludwig I. Dillis' journey is known from two different sources: a group of drawings known as the Voyage pittoresque dans le Midi de la France dessiné par Dillis (Staatliche Graphische Sammlung, Munich and his unpublished correspondence with his brother Ignaz Dillis. The drawings, which were ordered by the prince as a visual souvenir of his tour, reflect Ludwig's interest in Roman Antiquity and thus include numerous views of ancient monuments, such as the Maison Carrée in Nîmes, the arc de triomphe in Orange and the ruins in Saint-Rémy-de-Provence. Apart from this group there is another body of drawings, which Dillis also made during the journey, but that he chose not to include in the Voyage pittoresque. These sheets attest to the draughtsman's attentiveness and sensibility for nature more obviously than the commissioned drawings. An official commission, the Voyage pittoresque is an exceptional artistic testimony of travel in the early 19th century. It shows that Provence became attractive for artists earlier than was previously thought.

  17. [Medicine, music, friendship and prejudices: Billroth I and Billroth II, the string quartets Opus 51, N° 1 and N° 2 by Johannes Brahms].

    Science.gov (United States)

    Cabello, Felipe C

    2012-06-01

    The great German surgeon Theodor Billroth and the imaginative and creative composer Johannes Brahms had a very close friendship centered on musical activities, that lasted for more than thirty years while they lived and worked in Zurich and Vienna, during the second half of the Nineteenth Century. Billroth, besides his all-consuming medical activities, had time to be a musical enthusiast who directed orchestras, played the violin in chamber music groups, and wrote musical criticism for newspapers. The common affection between these two creative giants is documented by their abundant and effusive correspondence, by the constant requests by Brahms of Billroth's opinions regarding his compositions, and by the positive and stimulating answers that Billroth gave to these requests. Billroth opened his house for musical evenings to play Brahms chamber compositions for the first time, and Brahms dedicated his two Opus 51 string quartets Nos. 1 and 2, known in the musical milieu as Billroth I and II, to his physician friend. Unfortunately, the close bonds between these two geniuses weakened towards the end of their lives as a result of Billroth's becoming intolerant to the lack of social refinements and gruff behavior of the composer. This baffling intolerance of Billroth to his friend Brahms can be better understood after reading Billroth's writings in his book The Medical Sciences in the German Universities. A Study in the History of Civilization. There Billroth expresses strong prejudices against potential medical students of humble social origins, such as those of Brahms, coupled to a primitive anti-Semitism.

  18. ["Haemorrhoidal colic", "strong pills of stahl", and "quacks". Johann Gottwerth Müller, writer of the enlightenment, critic of medicine and his evils in letters and books].

    Science.gov (United States)

    Ritter, Alexander

    2007-01-01

    Johann Gottwerth Müller, a so called "independent author", was one of the most successful novelists in the German Enlightenment around 1800. Educated as a scholar and trained as a physician, although not a practicing physician, Müller was sick throughout his life and constantly reflects on his diseases, and on what he considered to be an insufficient "medical system" and a socially "sick" society. This outlook is revealed by his library (in 1828: about 13300 volumes, of which 254 volumes of medical publications), his correspondence and his novels. Letters he exchanged with the publisher Friedrich Nicolai (74 letters between 1777 and 1796) about private and business affairs show that Miller uses statements about his sickness in order to win sympathy, to document his sufferings as part of an "independent" writer's identity, as a metaphor for social health, and as a means for excuses and compulsions in business connections. The didactic novels serve the author's transformation of individual suffering into the perspective of an enlightened humanitarian development of the government, the society, and the medical system within the structured society of his day.

  19. Transfusion in critically ill children

    DEFF Research Database (Denmark)

    Secher, E L; Stensballe, J; Afshari, A

    2013-01-01

    Transfusion of blood products is a cornerstone in managing many critically ill children. Major improvements in blood product safety have not diminished the need for caution in transfusion practice. In this review, we aim to discuss the interplay between benefits and potential adverse effects...... evidence-based medicine. Paediatric patients have explicit physiological challenges and requirements to be addressed. Critically ill children often suffer from anaemia, have substantial iatrogenic blood loss with subsequent transfusions, and are at a higher risk of complications, often due to human errors...... of transfusion in critically ill children by including 65 papers, which were evaluated based on previously agreed selection criteria. Current practice on transfusing critically ill children is mainly founded on the basis of adult studies, common practices with cut-off values, and expert opinions, rather than...

  20. Student Attitudes Toward Mental Illness

    Science.gov (United States)

    Hare-Mustin, Rachel T.; Garvine, Richard

    1974-01-01

    Inquiry into the initial attitudes toward mental illness of students taking an abnormal psychology class indicates students' concerns and preconceptions and provides a basis for shaping the course to respond to student needs. (JH)

  1. I'll pick forgiving.

    Science.gov (United States)

    Lowenstein, Elisabeth

    2014-01-01

    In this essay, the author gives voice to turning points in her life related to infidelity, mental illness, and forgiveness. By melding poetry, prose, dream journal entries, and medical case notes, she tells the story of how she became a single parent of a young man with mental illness. This narrative constitutes a defining moment in which she reframes an unforgivable relational transgression as an unforgettable opportunity for forgiveness.

  2. Dependency in Critically Ill Patients

    Science.gov (United States)

    Yang, Rumei

    2016-01-01

    By necessity, critically ill patients admitted to intensive care units (ICUs) have a high level of dependency, which is linked to a variety of negative feelings, such as powerlessness. However, the term dependency is not well defined in the critically ill patients. The concept of “dependency” in critically ill patients was analyzed using a meta-synthesis approach. An inductive process described by Deborah Finfgeld-Connett was used to analyze the data. Overarching themes emerged that reflected critically ill patients’ experience and meaning of being in dependency were (a) antecedents: dependency in critically ill patients was a powerless and vulnerable state, triggered by a life-threatening crisis; (b) attributes: the characteristic of losing “self” was featured by dehumanization and disembodiment, which can be alleviated by a “self”-restoring process; and (c) outcomes: living with dependency and coping with dependency. The conceptual model explicated here may provide a framework for understanding dependency in critically ill patients. PMID:28462328

  3. Dependency in Critically Ill Patients

    Directory of Open Access Journals (Sweden)

    Rumei Yang

    2016-03-01

    Full Text Available By necessity, critically ill patients admitted to intensive care units (ICUs have a high level of dependency, which is linked to a variety of negative feelings, such as powerlessness. However, the term dependency is not well defined in the critically ill patients. The concept of “dependency” in critically ill patients was analyzed using a meta-synthesis approach. An inductive process described by Deborah Finfgeld-Connett was used to analyze the data. Overarching themes emerged that reflected critically ill patients’ experience and meaning of being in dependency were (a antecedents: dependency in critically ill patients was a powerless and vulnerable state, triggered by a life-threatening crisis; (b attributes: the characteristic of losing “self” was featured by dehumanization and disembodiment, which can be alleviated by a “self”-restoring process; and (c outcomes: living with dependency and coping with dependency. The conceptual model explicated here may provide a framework for understanding dependency in critically ill patients.

  4. Mental Illness, Metaphysics, Facts and Values | Megone ...

    African Journals Online (AJOL)

    A number of prominent writers on the concept of mental illness/disease are committed to accounts which involve rejecting certain plausible widely held beliefs, namely: that it is part of the meaning of illness that it is bad for its possessor, so the concept of illness is essentially evaluative; that if a person has a mental illness, ...

  5. Students′ perception about mental illness

    Directory of Open Access Journals (Sweden)

    R K Mahto

    2009-01-01

    Full Text Available Background: In developing countries like India, there are evidences that stigma associated with mental illness is increasing. As in parts of the developing world, with advancement of urbanization and rapid industrialization, people tend to react in a very peculiar and biased way when they confront a mentally ill person. Materials and Methods: The present study aimed to find out students′ opinion about mental illness. A total of 100 students (50 male and 50 female from Ranchi University were purposively recruited for the study, and the 51-item Opinion about Mental Illness (OMI Scale was administered. Results: Majority of the students were from Hindu families, of whom 42 (84% were males and 38 (68% were females. With regard to OMI scale, the item, viz., ′The law should allow a woman to divorce her husband as soon as he has been confined in mental hospital with a severe mental illness′, both male (46% and female (56% students were neutral (significant at 0.014, P < 0.05. Conclusion: Overall no significant level of difference emerged between male and female students with regard to opinion about mental illness.

  6. Psychodynamics in medically ill patients.

    Science.gov (United States)

    Nash, Sara Siris; Kent, Laura K; Muskin, Philip R

    2009-01-01

    This article explores the role of psychodynamics as it applies to the understanding and treatment of medically ill patients in the consultation-liaison psychiatry setting. It provides historical background that spans the eras from Antiquity (Hippocrates and Galen) to nineteenth-century studies of hysteria (Charcot, Janet, and Freud) and into the twentieth century (Flanders Dunbar, Alexander, Engle, and the DSM). The article then discusses the effects of personality on medical illness, treatment, and patients' ability to cope by reviewing the works of Bibring, Kahana, and others. The important contribution of attachment theory is reviewed as it pertains the patient-physician relationship and the health behavior of physically ill patients. A discussion of conversion disorder is offered as an example of psychodynamics in action. This article highlights the important impact of countertransference, especially in terms of how it relates to patients who are extremely difficult and "hateful," and explores the dynamics surrounding the topic of physician-assisted suicide, as it pertains to the understanding of a patient's request to die. Some attention is also given to the challenges surrounding the unique experience of residents learning how to treat medically ill patients on the consultation-liaison service. Ultimately, this article concludes that the use and understanding of psychodynamics and psychodynamic theory allows consultation-liaison psychiatrists the opportunity to interpret the life narratives of medically ill patients in a meaningful way that contributes importantly to treatment.

  7. Cost of illness and illness perceptions in patients with fibromyalgia

    NARCIS (Netherlands)

    Vervoort, V.M.; Vriezekolk, J.E.; Olde Hartman, T.C.; Cats, H.A.; Helmond, T. van; Laan, W.H. van der; Geenen, R.; Ende, C.H.M. van den

    2016-01-01

    OBJECTIVES: The disease impact and economic burden of fibromyalgia (FM) are high for patients and society at large. Knowing potential determinants of economic costs may help in reducing this burden. Cognitive appraisals (perceptions) of the illness could affect costs. The present study estimated

  8. A poligraphia de Johannes Trithemius: reflexões acerca das relações entre Esoterismo e política nos séculos XV e XVI

    Directory of Open Access Journals (Sweden)

    Francisco de Paula Souza de Mendonça Júnior

    2016-01-01

    Full Text Available This article discusses the role the esoteric concept of secret had in the construction of encrypted communication methods. We seek to understand the concept that the world is full of secret signs of the message left by the Creator to help His men forge the se methods of secret communication. Furthermore , this secret communication helped them become aware of the secret dimension not only of language but also of human action. Thus this paper has been written whilst discussing the opus Polygraphia , written by a German abbot, Johannes Trithemius (1462 - 1516, it also maintains a dialogue with other relevant works.

  9. A pill for every ill?

    OpenAIRE

    Buhagiar, Marc

    2015-01-01

    In the US, non-medical use of prescription drugs is second only to marijuana. Marc Buhagiar meets up with Prof. Marilyn Clark to investigate just how dangerous this problem is around Europe. Illustrations by Sonya Hallett. http://www.um.edu.mt/think/a-pill-for-every-ill/

  10. Family Therapy and Psychosomatic Illness.

    Science.gov (United States)

    Waring, Edward M.

    1980-01-01

    Reviews the use of family therapy in dealing with illnesses such as childhood diabetes, asthma, pain, and anorexia nervosa. Marital and family therapy may be effective in treating some psychosomatic problems. Family assessment is helpful in the management of all psychosomatic problems. (Author/JAC)

  11. Monitoring microcirculation in critical illness

    NARCIS (Netherlands)

    Kara, Atila; Akin, Sakir; Ince, Can

    2016-01-01

    Purpose of reviewCritical illness includes a wide range of conditions from sepsis to high-risk surgery. All these diseases are characterized by reduced tissue oxygenation. Macrohemodynamic parameters may be corrected by fluids and/or vasoactive compounds; however, the microcirculation and its

  12. Delirium in critically ill patients

    NARCIS (Netherlands)

    Slooter, A J C; Van De Leur, R R; Zaal, I J

    2017-01-01

    Delirium is common in critically ill patients and associated with increased length of stay in the intensive care unit (ICU) and long-term cognitive impairment. The pathophysiology of delirium has been explained by neuroinflammation, an aberrant stress response, neurotransmitter imbalances, and

  13. New chopper control at ILL

    Energy Technology Data Exchange (ETDEWEB)

    Descamps, F. [Institut Max von Laue - Paul Langevin (ILL), 38 - Grenoble (France)

    1997-04-01

    Proper phasing is an essential characteristic of the chopper systems used at ILL. A wide variety of choppers and selectors differing in weight, speed and bearing types are controlled by a unique electronic card performing digital adaptative filtering. The chopper regulation system is described. (author).

  14. [The alphabet of nature and the alphabet of culture in the eighteenth century. botany, diplomatics, and ethno-linguistics according to Carl von Linné, Johann Christoph Gatterer, and Christian Wilhelm Büttner : Botany, Diplomatics, and ethno-linguistics according to Carl von Linné, Johann Christoph Gatterer, and Christian Wilhelm Büttner].

    Science.gov (United States)

    Gierl, Martin

    2010-01-01

    In the middle of the eighteenth century, Carl von Linné, Johann Christoph Gatterer, and Christian Wilhelm Büttner attempted to realize the old idea of deciphering the alphabet of the world, which Francis Bacon had raised as a general postulate of science. This article describes these attempts and their interrelations. Linné used the model of the alphabet to classify plants according to the characters of this fruiting body. Gatterer, one of the leading German historians during the Enlightenment, adopted the botanical method of classification by genus and species to classify the history of scripts. He used the forms of the alphabetic characters to measure the age of manuscripts and to map the process of history as a genealogy of culture. Gatterer collaborated closely with Büttner, the first Göttingen professor of natural history. Büttner constructed a general alphabet of languages which connected the phonetics of language with the historically known alphabets. Early on, diplomatics and ethnography combined the natural order of natural history and the cultural order of the alphabet with the attempt to register development and to document development by the evolution of forms. Based on the shared model of the alphabet and on the common necessity to classify their empirical material, natural history and the description of culture were related attempts in the middle of the eighteenth century to comprehend the alphabetically organized nature and a naturally ordered culture.

  15. Apontamentos retórico-musicais no Largo do Concerto n.5, BWV 1056, de Johann Sebastian Bach Musical-rethorical notes on J. S. Bach's Largo from Concerto n.5, BWV 1056

    Directory of Open Access Journals (Sweden)

    Pablo Alberto Lanzoni

    2013-06-01

    Full Text Available O presente artigo discute a análise retórica do Largo do Concerto n.5 em Fá menor, BWV 1056 de Johann Sebastian Bach. No primeiro momento, é apresentada uma revisão dos princípios retóricos e de como eles se transportam à música. A seguir, é proposta uma análise do movimento mencionado, partindo da discussão já exposta. O exercício analítico exemplifica como os princípios retóricos estão intimamente relacionados à música do período barroco.The present article is based upon the rhetorical analysis from Johann Sebastian Bach's Largo of Concert n. 5 F minor, BWV 1056. First, a review of the rhetorical principles and how they convey themselves to the music is introduced. Next, it is presented an analysis of the mentioned movement from the discussion already exposed. The analytical exercise exemplifies how the rhetorical principles are related to the Baroque period music.

  16. On the identity of some weevil species described by Johann Christian Fabricius (1745-1808) in the Museum of Zoology of Copenhagen (Coleoptera, Cucujoidea, Curculionoidea, Tenebrionoidea).

    Science.gov (United States)

    Alonso-Zarazaga, Miguel A

    2014-01-01

    The types of thirty-two nominal weevil species described by Johann Christian Fabricius are reviewed and lecto- and paralectotypes are designated for twenty-two of them. A neotype is designated for Curculiosticticus Fabricius, 1777. Protapionvaripes (Germar, 1817) is declared a nomen protectum over Curculioflavipes Fabricius, 1775. Based on a study of syntypes, Rhinomacercurculioides Fabricius, 1781 is confirmed as a member of Mycterus (Mycteridae), Bruchusundatus Fabricius, 1787 is tentatively transferred to Erotylidae, Curculiofulvirostris Fabricius, 1787 and Anthribusroboris Fabricius, 1798 are confirmed as members of Salpingus (Salpingidae), and Brachyceruscristatus Fabricius, 1798 is transferred to Tenebrionidae. Based on lectotype designation, Curculiocaninus Fabricius, 1792 is confirmed as a synonym of Sitonalineatus (Linnaeus, 1758) and Curculioinnocuus Fabricius, 1802 as a synonym of Cneorhinusbarcelonicus (Herbst, 1797). Bruchusrufipes Fabricius, 1792 is not considered an available species name, but a later use of Bruchusrufipes Olivier, 1790. Cossonusincisus Pascoe, 1885 is reinstated as valid from synonymy under Cossonusilligeri Champion, 1909 and Cossonusvulneratus Illiger, 1805 from synonymy under Cossonuscanaliculatus (Fabricius, 1792) (a primary homonym of Curculiocanaliculatus Olivier, 1791). Cossonuscanaliculatus Fabricius, 1802 is a secondary homonym of the former and is replaced with Cossonusincisus. Salpingusfulvirostris (Fabricius, 1787) is reinstated as valid from synonymy under Salpingusplanirostris (Fabricius, 1787), a primary homonym of Curculioplanirostris Piller & Mitterpacher, 1783. The following new combinations are proposed: Brachysomuserinaceus (Fabricius, 1802) (from Curculio), Bronchusferus (Gyllenhal, 1840) (from Hipporhinus), Bronchusglandifer (Fabricius, 1792) (from Curculio), Bronchusnivosus (Sparrman, 1785) (from Curculio), Bronchussparrmani (Gyllenhal, 1833) (from Hipporhinus), Coelocephalapionatrirostre (Fabricius, 1802

  17. Adult Neurogenesis and Mental Illness

    Science.gov (United States)

    Schoenfeld, Timothy J; Cameron, Heather A

    2015-01-01

    Several lines of evidence suggest that adult neurogenesis, the production of new neurons in adulthood, may play a role in psychiatric disorders, including depression, anxiety, and schizophrenia. Medications and other treatments for mental disorders often promote the proliferation of new neurons; the time course for maturation and integration of new neurons in circuitry parallels the delayed efficacy of psychiatric therapies; adverse and beneficial experiences similarly affect development of mental illness and neurogenesis; and ablation of new neurons in adulthood alters the behavioral impact of drugs in animal models. At present, the links between adult neurogenesis and depression seem stronger than those suggesting a relationship between new neurons and anxiety or schizophrenia. Yet, even in the case of depression there is currently no direct evidence for a causative role. This article reviews the data relating adult neurogenesis to mental illness and discusses where research needs to head in the future. PMID:25178407

  18. Hinduism, marriage and mental illness.

    Science.gov (United States)

    Sharma, Indira; Pandit, Balram; Pathak, Abhishek; Sharma, Reet

    2013-01-01

    For Hindus, marriage is a sacrosanct union. It is also an important social institution. Marriages in India are between two families, rather two individuals, arranged marriages and dowry are customary. The society as well as the Indian legislation attempt to protect marriage. Indian society is predominantly patriarchal. There are stringent gender roles, with women having a passive role and husband an active dominating role. Marriage and motherhood are the primary status roles for women. When afflicted mental illness married women are discriminated against married men. In the setting of mental illness many of the social values take their ugly forms in the form of domestic violence, dowry harassment, abuse of dowry law, dowry death, separation, and divorce. Societal norms are powerful and often override the legislative provisions in real life situations.

  19. Mental illness disclosure in Chinese immigrant communities

    OpenAIRE

    Chen, Fang-pei; Ying-Chi Lai, Grace; Yang, Lawrence

    2013-01-01

    Support from social networks is imperative to mental health recovery of persons with mental illness. However, disclosing mental illness may damage a person’s participation in networks due to mental illness stigma, especially in Chinese-immigrant communities where social networks (the guanxi network) has specific social-cultural significance. This study focused on mental illness disclosure in Chinese-immigrant communities in New York City. Fifty-three Chinese psychiatric patients were recruite...

  20. Illness narratives of people who are homeless

    OpenAIRE

    H?kanson, Cecilia; ?hl?n, Joakim

    2016-01-01

    Multiple illnesses are common in all homeless populations. While most previous studies have focused on experiences of mental illness, there is a scarcity of studies about experiences of bodily illness among people who are homeless. This study aimed to explore illness narratives of people who are homeless, and how homelessness as a social context shapes the experience of multiple and/or advancing somatic conditions. The design was a qualitative single-case study, using interpretive description...

  1. Mechanisms in Chronic Multisympton Illnesses

    Science.gov (United States)

    2007-10-01

    total hip arthroplasty : an outcome measure of hip osteoarthritis? J Rheumatol 1999;26: 855–61. 3506 BINGHAM ET AL 53. Adami S, Pavelka K, Cline GA...have recruited 125 new subjects. This brings our total number of subjects for the Registry to 504. We have continued to schedule and screen...accepted with revisions . 13 Title: Mechanisms in Chronic Multisymptom Illnesses PI: Clauw *Petrou M, Harris RE, Foerster BR, Mclean SA, Sen A

  2. Stereotactic lesioning for mental illness.

    Science.gov (United States)

    Kim, M-C; Lee, T-K

    2008-01-01

    The authors report stereotactically created lesioning by radiofrequency or Cyberknife radiosurgery for patients with mental illness. Since 1993, thirty-eight patients have undergone stereotactic psychosurgery for medically intractable mental illnesses. Two patients had aggressive behavior. Twenty-five patients suffered from Obsessive-Compulsive Disorder (OCD) and ten patients had depression. Another patient suffered from atypical psychosis. Bilateral amygdalotomy and subcaudate tractotomy were done for aggressive behavior. Limbic leucotomy or anterior cingulotomy was done for OCD and subcaudate tractotomy with or without cingulotomy was done for depression. In twenty-three patients, the lesions were made by a radiofrequency (RF) lesion generator. In fifteen cases, the lesions were made with CyberKnife Radiosurgery (CKRS). The Overt Aggression Scale (OAS) declined from 8 to 2 with clinical improvement during follow up period. With long-term follow up (meaning 57 months) in 25 OCDs, the mean Yale Brown Obsessive Compulsive Score (YBOCS) declined from 34 to 13 (n = 25). The Hamilton Depression scale (HAMD) for ten patients with depression declined from 38.5 to 10.5 (n = 10). There was no operative mortality and no significant morbidity except one case with transient urinary incontinence. Authors suggest that stereotactic psychosurgery by RF and CKRS could be a safe and effective means of treating some medically intractable mental illnesses.

  3. Stereotactic lesioning for mental illness

    International Nuclear Information System (INIS)

    Kim, M.-C.; Lee, T.-K.

    2008-01-01

    The authors report stereotactically created lesioning by radiofrequency or Cyberknife radiosurgery for patients with mental illness. Since 1993, thirty-eight patients have undergone stereotactic psychosurgery for medically intractable mental illnesses. Two patients had aggressive behavior. Twenty-five patients suffered from Obsessive-Compulsive Disorder (OCD) and ten patients had depression. Another patient suffered from atypical psychosis. Bilateral amygdalotomy and subcaudate tractotomy were done for aggressive behavior. Limbic leucotomy or anterior cingulotomy was done for CCD and subcaudate tractotomy with or without cingulotomy was done for depression. In twenty-three patients, the lesions were made by a radiofrequency (RF) lesion generator. In fifteen cases, the lesions were made with Cyberknife Radiosurgery (CKRS). The Overt Aggression Scale (OAS) declined from 8 to 2 with clinical improvement during follow up period. With long-term follow up (meaning 57 months) in 25 OCDs, the mean Yale Brown Obsessive Compulsive Score (YBOCS) declined from 34 to 13 (n = 25). The Hamilton Depression scale (HAMD) for ten patients with depression declined from 38.5 to 10.5 (n = 10). There was no operative mortality and no significant morbidity except one case with transient urinary incontinence. Authors suggest that stereotactic psychosurgery by RF and CKRS could be a safe and effective means of treating some medically intractable mental illnesses. (author)

  4. Delirium in critically ill patients.

    Science.gov (United States)

    Slooter, A J C; Van De Leur, R R; Zaal, I J

    2017-01-01

    Delirium is common in critically ill patients and associated with increased length of stay in the intensive care unit (ICU) and long-term cognitive impairment. The pathophysiology of delirium has been explained by neuroinflammation, an aberrant stress response, neurotransmitter imbalances, and neuronal network alterations. Delirium develops mostly in vulnerable patients (e.g., elderly and cognitively impaired) in the throes of a critical illness. Delirium is by definition due to an underlying condition and can be identified at ICU admission using prediction models. Treatment of delirium can be improved with frequent monitoring, as early detection and subsequent treatment of the underlying condition can improve outcome. Cautious use or avoidance of benzodiazepines may reduce the likelihood of developing delirium. Nonpharmacologic strategies with early mobilization, reducing causes for sleep deprivation, and reorientation measures may be effective in the prevention of delirium. Antipsychotics are effective in treating hallucinations and agitation, but do not reduce the duration of delirium. Combined pain, agitation, and delirium protocols seem to improve the outcome of critically ill patients and may reduce delirium incidence. © 2017 Elsevier B.V. All rights reserved.

  5. Pathways to homelessness among the mentally ill.

    Science.gov (United States)

    Sullivan, G; Burnam, A; Koegel, P

    2000-10-01

    Persons with mental illness are over-represented among the homeless relative to the general population, and mental illness is most likely one of many vulnerabilities that confer risk for homelessness. This paper elucidates the pathways to homelessness for persons with mental illness by comparing and contrasting groups of mentally ill homeless persons, non-mentally ill homeless persons, and housed mentally ill persons drawn from RAND's Course of Homelessness (COH) study and the Epidemiological Catchment Area (ECA) survey. Homeless persons share childhood histories of economic and social disadvantage. The mentally ill homeless appear to have a "double dose" of disadvantage: poverty with the addition of childhood family instability and violence. Among the mentally ill homeless, those who became homeless prior to becoming mentally ill have the highest levels of disadvantage and disruption; while those who become homeless after becoming ill have an especially high prevalence of alcohol dependence. Mental illness may play a role in initiating homelessness for some, but is unlikely in and of itself to be a sufficient risk factor for homelessness. In addition to outreach and treatment programs for adult mentally ill homeless persons, emphasis should be placed on interventions with children and on addressing more pervasive causes of homelessness.

  6. Psychosocial characteristics of chronically ill child

    OpenAIRE

    Tomažič, Tjaša

    2016-01-01

    In this thesis, I would like to draw attention to the impact of long-term illness and prolonged hospitalization on the life of the ill child and his family. The effects of the illness are often overlooked and people do not receive the assistance they need to deal with it. In the theoretical part of the thesis, I define the term »long-term« illness and I pay attention to different strategies to cope with it. I indicate signs that show the presence of consequences of the long-term illness and p...

  7. Paavst Johannes Paulus II meenutades

    Index Scriptorium Estoniae

    2005-01-01

    New Yorgi Eesti Pensionäride Klubi esinaise Laine Tigase külaskäigust Vatikani 21. oktoobril 1992, kingituseks paavstile võttis ta kaasa Marie Underi luulekogu "Child of God", mis nüüd asub Vatikani raamatukogus

  8. johann@dinamus.co.za

    Directory of Open Access Journals (Sweden)

    Johann Fourie

    2013-09-01

    Full Text Available This article aims to answer the question of what belongs to the essence of the church, as God intended it to be, by identifying certain indicators of the essence of the church through a study of one of the central metaphors of the New Testament: the vine in the Gospel of John. Through structural analyses, commentary and metaphorical analyses, several indicators of unity as part of the essence of the church emerge in this metaphor. These indicators are the primacy (or authority of Christ, trinitarian balance, equality, interdependence, inclusivity, growth and unity (in diversity.

  9. Irradiation's promise: fewer foodborne illnesses?

    International Nuclear Information System (INIS)

    Roberts, T.

    1986-01-01

    Food irradiation offers a variety of potential benefits to the food supply. It can delay ripening and sprouting of fruits and vegetables, and substitute for chemical fumigants to kill insects. However, one of the most important benefits of food irradiation is its potential use for destroying microbial pathogens that enter the food supply, including the two most common disease causing bacteria: salmonella and campylobacter. Animal products are one of the primary carriers of pathogens. Food borne illnesses are on the rise, and irradiation of red meats and poultry could significantly reduce their occurrence. Food irradiation should be examined more closely to determine its possible benefits in curtailing microbial diseases

  10. Beethoven's terminal illness and death.

    Science.gov (United States)

    Mai, F M M

    2006-10-01

    There is dispute about the cause of Beethoven's death; alcoholic cirrhosis, syphilis, infectious hepatitis, lead poisoning, sarcoidosis and Whipple's disease have all been proposed. In this article all primary source documents related to Beethoven's terminal illness and death are reviewed. The documents include his letters, the report of his physician Andreas Wawruch, his Conversation Books, the autopsy report, and a new toxicological report of his hair. His terminal illness was characterised by jaundice, ascites, ankle oedema and abdominal pain. The autopsy data indicate that Beethoven had cirrhosis of the liver, and probably also renal papillary necrosis, pancreatitis and possibly diabetes mellitus. His lifestyle for at least the final decade of his life indicated that he overindulged in alcohol in the form of wine. Alcohol was by far the most common cause of cirrhosis at that period. Toxicological analysis of his hair showed that the level of lead was elevated. During the eighteenth and early nineteenth centuries, lead was added illegally to inexpensive wines to sweeten and refresh them. These findings strongly suggest that liver failure secondary to alcoholic cirrhosis, associated with terminal spontaneous bacterial peritonitis, was the cause of death. This was complicated in the end stages by renal failure. If the presence of endogenous lead was verified by analysis of Beethoven's skeletal remains, it would suggest that the lead was derived from wine that he drank. Lead poisoning may account for some of his end-of-life symptoms. There is little clinical or autopsy evidence that Beethoven suffered from syphilis.

  11. Illness Insight and Recovery: How Important is Illness Insight in Peoples’ Recovery Process?

    DEFF Research Database (Denmark)

    Korsbek, Lisa

    2013-01-01

    Topic: This account reflects on the topic of illness insight and recovery. Purpose: The purpose of the account is to clarify our understanding about the importance of illness insight in peoples’ recovery process, especially when relating the question of illness insight to the question of identity....... Sources Used:The writing is based on research literature related to illness insight and on personal recovery experiences.Conclusions and Implications for Practice: It is helpful to consider the integration of the issue of illness insight when addressing the questions and consequences of diagnosis...... in relation to the importance of illness insight in the recovery process....

  12. Mass psychogenic illness after vaccination.

    Science.gov (United States)

    Clements, C John

    2003-01-01

    When vaccines are administered to groups, the physical reactions of the recipients may be similar, causing a form of mass reaction, the mechanism for which is the same as that for mass reactions from other causes. These phenomena have been categorised as mass psychogenic illness (MPI), and have been defined as the collective occurrence of a constellation of symptoms suggestive of organic illness but without an identified cause in a group of people with shared beliefs about the cause of the symptom(s). A review of the literature shows that such outbreaks have been reported in differing cultural and environmental settings including developing and industrialised countries, in the work place, on public transport, in schools, and the military. The perceived threats have been against agents such as food poisoning, fire and toxic gases. Whatever the place or perceived threat, the response seems to be similar. The symptoms generally included headache, dizziness, weakness, and loss of consciousness. Once under way, MPIs are not easy to stop. Incidents reported in the literature show that they can quickly gather momentum and can be amplified by the press who disseminate information rapidly, escalating the events. Management of such mass events can be extremely difficult. Should the public health official in charge continue to try and determine the cause, or should this person call off the entire investigation? It is suggested here that once vaccines are identified as a probable cause of the phenomenon, a dismissive approach may actually be harmful. Unless the spokesperson has already earned a high level of trust, the public are not likely to be convinced easily that nothing was wrong with the vaccine until it has been tested. An increased awareness of MPIs on the part of organisers of future mass vaccination campaigns seems appropriate. Immunisation managers should be aware that mass immunisation campaigns could generate such mass reactions. It is therefore essential that

  13. Heat Illness in Hawai‘i

    OpenAIRE

    Gordon, Sarah

    2014-01-01

    Heat illness is a commonly encountered health problem in the Hawaiian Islands. Year round warm temperatures, proximity to the equator, and high humidity combined with a plethora of opportunities for outdoor activities put many individuals at risk. This paper will focus on the physiology, identification, and treatment of varying forms of heat illness. Severe heat illness can be life threatening. All outdoor enthusiasts should have a basic understanding of how to recognize this potentially life...

  14. Illness perceptions in patients with fibromyalgia

    OpenAIRE

    Van Ittersum, M. W.; van Wilgen, C. P.; Hilberdink, W. K. H. A.; Groothoff, J. W.; van der Schans, C. P.

    2009-01-01

    Objective: Former studies in chronic diseases showed the importance of patients' beliefs and perceptions. The Revised Illness Perception Questionnaire was developed to assess these illness perceptions. Our goal was to investigate psychometric properties of the IPQ-R for Fibromyalgia Dutch language version (IPQ-R FM-Dlv) and to describe illness perceptions of participants with FM. Methods: 196 patients completed the IPQ-R FM-Dlv. Internal consistency, domain structure and inter domain correlat...

  15. Heat Illness in Hawai‘i

    Science.gov (United States)

    2014-01-01

    Heat illness is a commonly encountered health problem in the Hawaiian Islands. Year round warm temperatures, proximity to the equator, and high humidity combined with a plethora of opportunities for outdoor activities put many individuals at risk. This paper will focus on the physiology, identification, and treatment of varying forms of heat illness. Severe heat illness can be life threatening. All outdoor enthusiasts should have a basic understanding of how to recognize this potentially life-threatening condition and employ preventive measures. We will discuss appropriate management in pre-hospital and hospital settings. Early recognition and cooling are the most crucial aspects of the management of heat illness. PMID:25478301

  16. Heat illness in Hawai'i.

    Science.gov (United States)

    Gordon, Sarah

    2014-11-01

    Heat illness is a commonly encountered health problem in the Hawaiian Islands. Year round warm temperatures, proximity to the equator, and high humidity combined with a plethora of opportunities for outdoor activities put many individuals at risk. This paper will focus on the physiology, identification, and treatment of varying forms of heat illness. Severe heat illness can be life threatening. All outdoor enthusiasts should have a basic understanding of how to recognize this potentially life-threatening condition and employ preventive measures. We will discuss appropriate management in pre-hospital and hospital settings. Early recognition and cooling are the most crucial aspects of the management of heat illness.

  17. Depression in medically ill patients.

    Science.gov (United States)

    Rackley, Sandra; Bostwick, J Michael

    2012-03-01

    In medically ill patients, given the many entities the phenotype of depression may represent, clinicians must be prepared to cast their diagnostic nets widely, not settling for the obvious but frequently incorrect choice of major depressive episode and throwing antidepressants at it willy nilly. Having chosen the correct diagnosis from among a broad differential of depression “look-alikes,” clinicians can draw upon a broad swath of treatment modalities including medications, psychotherapy, social supports, and spiritual interventions. Working as a psychiatrist in the medical arena requires the curiosity and analytic skills of a detective and the breadth of knowledge of a polymath adapting therapeutic tools from across the biopsychosociospiritual spectrum to the specific needs of the patient.

  18. Illness Uncertainty and Illness Intrusiveness as Predictors of Depressive and Anxious Symptomology in College Students with Chronic Illnesses

    Science.gov (United States)

    Mullins, Alexandria J.; Gamwell, Kaitlyn L.; Sharkey, Christina M.; Bakula, Dana M.; Tackett, Alayna P.; Suorsa, Kristina I.; Chaney, John M.; Mullins, Larry L.

    2017-01-01

    Objective: To examine predictors of psychological functioning in college students with chronic illnesses. Participants: Participants (N = 1413) included 364 students with self-reported diagnoses of asthma or allergies, 148 students with other chronic illnesses (eg, epilepsy, type 1 diabetes), and 901 healthy students. Data were collected between…

  19. Factors associated with illness perception among critically ill patients and surrogates.

    Science.gov (United States)

    Ford, Dee; Zapka, Jane; Gebregziabher, Mulugeta; Yang, Chengwu; Sterba, Katherine

    2010-07-01

    We investigated illness perceptions among critically ill patients or their surrogates in a university medical ICU using a prospective survey. We hypothesized that these would vary by demographic, personal, and clinical measures. Patients (n = 23) or their surrogates (n = 77) were recruited. The Illness Perception Questionnaire-Revised (IPQ-R) measured six domains of illness perception: timeline-acute/chronic, consequences, emotional impact, personal control, treatment efficacy, and illness comprehension. Multiple variable linear regression models were developed with IPQ-R scores as the outcomes. African Americans tended to perceive the illness as less enduring and reported more confidence in treatment efficacy (P < .01 for each). They also tended to report the illness as less serious, having less emotional impact, and having greater personal control (P = .0002 for each). Conversely, African Americans reported lower illness comprehension (P = .002). Faith/religion was associated with positive illness perceptions, including less concern regarding consequences (P = .02), less emotional impact (P = .03), and more confidence in treatment efficacy (P < .01). Lower patient quality of life (QOL) precritical illness was associated with negative perceptions, including greater concern about illness duration and consequences as well as perception of less personal control and less confidence in treatment efficacy (P < .01 for each). These variables were independently associated with illness perceptions after controlling for race, faith/religion, and survival to hospital discharge, whereas clinical measures were not. Illness perceptions among critically ill patients and surrogates are influenced by patient/surrogate factors, including race, faith, and precritical illness QOL, rather than clinical measures. Clinicians should recognize the variability in illness perceptions and the possible implications for patient/surrogate communication.

  20. Brain Immune Interactions as the Basis of Gulf War Illness: Gulf War Illness Consortium (GWIC)

    Science.gov (United States)

    2015-10-01

    priming of glial responses that cause a chronic activation loop of stronger and longer proinflammatory signaling effects between the immune system and the...AWARD NUMBER: W81XWH-13-2-0072 TITLE: Brain Immune Interactions as the Basis of Gulf War Illness: Gulf War Illness Consortium (GWIC) PRINCIPAL...4. TITLE AND SUBTITLE Brain Immune Interactions as the Basis of Gulf War Illness: Gulf War Illness Consortium (GWIC) 5a. CONTRACT NUMBER 5b. GRANT

  1. Illness narratives of people who are homeless.

    Science.gov (United States)

    Håkanson, Cecilia; Öhlén, Joakim

    2016-01-01

    Multiple illnesses are common in all homeless populations. While most previous studies have focused on experiences of mental illness, there is a scarcity of studies about experiences of bodily illness among people who are homeless. This study aimed to explore illness narratives of people who are homeless, and how homelessness as a social context shapes the experience of multiple and/or advancing somatic conditions. The design was a qualitative single-case study, using interpretive description. Data were generated through interviews, with nine participants who were homeless rough sleepers in Stockholm, Sweden, recruited while receiving care in a support home for homeless people with complex care needs. The findings revealed experiences of illness embedded in narratives about falling ill, being ill, and the future. The particularity of these illness narratives and the way that they are shaped by homelessness give rise to several observations: the necessity of a capable body for survival; chaos and profound solitude in illness and self-care management; ambiguous feelings about receiving care, transitioning from independence, and "freedom" in the streets to dependency and being institutionalized; and finally, the absence of hope and desire for recovery or a better future. The narratives are discussed from the perspective of Frank's four types of illness stories (restitution, chaos, quest, and testimony). The findings stress that to provide appropriate care and support to people who are homeless and have multiple and/or advancing somatic conditions, health care professionals need to be informed both about the individual's biography and about the circumstances under which illness and self-care takes place in the streets.

  2. Illness narratives of people who are homeless

    Science.gov (United States)

    Håkanson, Cecilia; Öhlén, Joakim

    2016-01-01

    Multiple illnesses are common in all homeless populations. While most previous studies have focused on experiences of mental illness, there is a scarcity of studies about experiences of bodily illness among people who are homeless. This study aimed to explore illness narratives of people who are homeless, and how homelessness as a social context shapes the experience of multiple and/or advancing somatic conditions. The design was a qualitative single-case study, using interpretive description. Data were generated through interviews, with nine participants who were homeless rough sleepers in Stockholm, Sweden, recruited while receiving care in a support home for homeless people with complex care needs. The findings revealed experiences of illness embedded in narratives about falling ill, being ill, and the future. The particularity of these illness narratives and the way that they are shaped by homelessness give rise to several observations: the necessity of a capable body for survival; chaos and profound solitude in illness and self-care management; ambiguous feelings about receiving care, transitioning from independence, and “freedom” in the streets to dependency and being institutionalized; and finally, the absence of hope and desire for recovery or a better future. The narratives are discussed from the perspective of Frank's four types of illness stories (restitution, chaos, quest, and testimony). The findings stress that to provide appropriate care and support to people who are homeless and have multiple and/or advancing somatic conditions, health care professionals need to be informed both about the individual's biography and about the circumstances under which illness and self-care takes place in the streets. PMID:27914194

  3. Illness narratives of people who are homeless

    Directory of Open Access Journals (Sweden)

    Cecilia Håkanson

    2016-11-01

    Full Text Available Multiple illnesses are common in all homeless populations. While most previous studies have focused on experiences of mental illness, there is a scarcity of studies about experiences of bodily illness among people who are homeless. This study aimed to explore illness narratives of people who are homeless, and how homelessness as a social context shapes the experience of multiple and/or advancing somatic conditions. The design was a qualitative single-case study, using interpretive description. Data were generated through interviews, with nine participants who were homeless rough sleepers in Stockholm, Sweden, recruited while receiving care in a support home for homeless people with complex care needs. The findings revealed experiences of illness embedded in narratives about falling ill, being ill, and the future. The particularity of these illness narratives and the way that they are shaped by homelessness give rise to several observations: the necessity of a capable body for survival; chaos and profound solitude in illness and self-care management; ambiguous feelings about receiving care, transitioning from independence, and “freedom” in the streets to dependency and being institutionalized; and finally, the absence of hope and desire for recovery or a better future. The narratives are discussed from the perspective of Frank's four types of illness stories (restitution, chaos, quest, and testimony. The findings stress that to provide appropriate care and support to people who are homeless and have multiple and/or advancing somatic conditions, health care professionals need to be informed both about the individual's biography and about the circumstances under which illness and self-care takes place in the streets.

  4. Close relationship and chronic illness : The interrelations between illness perceptions and social support

    NARCIS (Netherlands)

    Salewski, Christel; Vollmann, Manja

    2014-01-01

    The aims of this study were (1) to explore the degree of concordance/discordance between the illness perceptions of patients with a chronic illness and those of their partners, and (2) to examine the relationship between the concordance/discordance of couples’ illness perceptions and social support

  5. Growing up with an ill parent: An examination of family characteristics and parental illness features.

    Science.gov (United States)

    Stoeckel, Maggie; Weissbrod, Carol

    2015-12-01

    Existing literature suggests that the children of ill parents are vulnerable to a variety of psychosocial difficulties such as depression and anxiety. The purpose of the current study is to investigate the impact of family characteristics (parental involvement, familial support, stress experienced as a result of parental illness) and parental illness features (severity, duration, recovery status, frequency of symptoms, course) on the psychosocial functioning (depression, anxiety, life satisfaction) of late adolescents who have grown up with an ill parent but no longer live with their parents. Participants were 71 college students with a parent who experienced a chronic medical condition while they were growing up. Participants provided information regarding family characteristics, parental illness features, and the impact of parental illness. Impact of parental illness was assessed using the Impact of Illness Scale. Participants also completed measures of depression, anxiety, and life satisfaction. Participants' reported impact of parent illness was positively correlated with participant depression and anxiety. Several family characteristics and parental illness features were significantly associated with participant psychosocial functioning. In particular, lower parental involvement was correlated with greater participant depression and anxiety, as well as lower life satisfaction. These findings extend our understanding of the impact of parental illness on late adolescents' psychosocial functioning. Results could have clinical applications for psychosocial interventions in children and families coping with chronic illness. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  6. Estimates of Foodborne Illness in the United States -- Burden of Foodborne Illness: Findings

    Science.gov (United States)

    ... specifically in focusing efforts on the top known pathogens and identifying the additional causes of foodborne illness and death. CDC provides estimates for two major groups of foodborne illnesses Known foodborne pathogens — 31 pathogens known to cause foodborne illness. Many ...

  7. Illness perceptions in patients with fibromyalgia

    NARCIS (Netherlands)

    van Ittersum, M.W.; van Wilgen, C.P.; Hilberdink, W.K.; Groothoff, J.W.; van der Schans, C.P.

    2009-01-01

    OBJECTIVE: Former studies in chronic diseases showed the importance of patients' beliefs and perceptions. The Revised Illness Perception Questionnaire was developed to assess these illness perceptions. Our goal was to investigate psychometric properties of the IPQ-R for Fibromyalgia Dutch language

  8. Illness perceptions and fatigue in systemic vasculitis.

    Science.gov (United States)

    Grayson, Peter C; Amudala, Naomi A; Mcalear, Carol A; Leduc, Renée L; Shereff, Denise; Richesson, Rachel; Fraenkel, Liana; Merkel, Peter A

    2013-11-01

    To compare illness perceptions among patients with different forms of vasculitis, identify risk factors for negative illness perceptions, and determine the association between illness perceptions and fatigue. Participants were recruited from an online vasculitis registry to complete the revised Illness Perception Questionnaire (IPQ-R). The mean scores on each IPQ-R dimension were compared across different types of vasculitis. Cluster analysis and stepwise regression identified predictors of negative illness perception. Fatigue was measured using the general subscale of the Multidimensional Fatigue Inventory (MFI-20). Patient-reported measures of disease activity and IPQ-R dimensions were assessed in relation to MFI-20 scores using linear regression in sequential, additive models with model-fit comparisons. In total, 692 participants with 9 types of vasculitis completed the IPQ-R. For 6 of the 8 IPQ-R dimensions, there were no significant differences in mean scores between the different vasculitides. Scores in the identity and cyclical dimensions were significantly higher in Behçet’s disease compared with other types of vasculitis (13.5 versus 10.7 for identity and 4.0 versus 3.2 for cyclical [P IPQ-R dimensions explained an equivalent proportion of variability in fatigue scores compared with measures of disease activity. Illness perceptions are similar across different types of vasculitis, and younger age is a risk factor for negative illness perceptions. Illness perceptions explain differences in fatigue scores beyond what can be explained by measures of disease activity.

  9. Social Work Faculty and Mental Illness Stigma

    Science.gov (United States)

    Watson, Amy C.; Fulambarker, Anjali; Kondrat, David C.; Holley, Lynn C.; Kranke, Derrick; Wilkins, Brittany T.; Stromwall, Layne K.; Eack, Shaun M.

    2017-01-01

    Stigma is a significant barrier to recovery and full community inclusion for people with mental illnesses. Social work educators can play critical roles in addressing this stigma, yet little is known about their attitudes. Social work educators were surveyed about their general attitudes about people with mental illnesses, attitudes about practice…

  10. Mental Illness in the Peripartum Period

    Science.gov (United States)

    Ostler, Teresa

    2009-01-01

    Women are particularly vulnerable in the peripartum period for either developing a mental illness or suffering symptom exacerbation. These illnesses are often experienced covertly, however, and women may not seek out professional help, even though their symptoms may be seriously affecting their well-being and parenting. This article provides an…

  11. Chronic illness and poverty in The Netherlands

    NARCIS (Netherlands)

    van Agt, H. M. E.; Stronks, K.; Mackenbach, J. P.

    2000-01-01

    Background: The actual financial situation of chronically ill people is not known. Methods: A postal questionnaire was conducted among a sample of the non-institutionalised population (4,206 respondents). Results: Fourteen percent of chronically ill people were found to be poor as compared to 5% of

  12. Administrative Segregation for Mentally Ill Inmates

    Science.gov (United States)

    O'Keefe, Maureen L.

    2007-01-01

    Largely the result of prison officials needing to safely and efficiently manage a volatile inmate population, administrative segregation or supermax facilities are criticized as violating basic human needs, particularly for mentally ill inmates. The present study compared Colorado offenders with mental illness (OMIs) to nonOMIs in segregated and…

  13. Illness representations in patients with hand injury.

    LENUS (Irish Health Repository)

    Chan, Jeffrey C Y

    2009-07-01

    Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting.

  14. Nutrition, Illness, and Injury in Aquatic Sports

    NARCIS (Netherlands)

    Pyne, D.B.; Verhagen, E.A.L.M.; Mountjoy, M.

    2014-01-01

    In this review, we outline key principles for prevention of injury and illness in aquatic sports, detail the epidemiology of injury and illness in aquatic athletes at major international competitions and in training, and examine the relevant scientific evidence on nutrients for reducing the risk of

  15. Illness perceptions in patients with fibromyalgia

    NARCIS (Netherlands)

    Van Ittersum, M. W.; van Wilgen, C. P.; Hilberdink, W. K. H. A.; Groothoff, J. W.; van der Schans, C. P.

    Objective: Former studies in chronic diseases showed the importance of patients' beliefs and perceptions. The Revised Illness Perception Questionnaire was developed to assess these illness perceptions. Our goal was to investigate psychometric properties of the IPQ-R for Fibromyalgia Dutch language

  16. Mental illness among journalists: a systematic review.

    Science.gov (United States)

    Aoki, Yuta; Malcolm, Estelle; Yamaguchi, Sosei; Thornicroft, Graham; Henderson, Claire

    2013-06-01

    Mass media depictions of people with mental illness have a strong influence on public attitudes, to the extent that changes in these depictions can reduce public stigmatization of people with such illness. Journalists' mental health may influence their depiction of those with mental illness, but little is known about this. To investigate mental illness among journalists in five key areas: (1) journalists' mental health status; (2) journalists' personal attitudes towards mental illness; (3) attitudes and support journalists expect or have experienced from colleagues when they have a mental health problem; (4) effect of journalism's professional culture on the course of mental illness; and (5) effect of journalism's professional culture on mass media depictions of people with mental illness. We performed a systematic screening of MEDLINE, PsycINFO, EMBASE, Web of Science and the Cochrane Library regarding the study aims. We identified 19, 12, seven and four studies for aims 1, 2, 3, and 4, respectively. No articles were found for aim 5. The prevalence of post-traumatic stress disorder (PTSD) among journalists is higher than that among the general population. Journalists have positive personal attitudes towards mental illness, but there are perceived workplace disincentives to disclose mental health problems.

  17. Comorbid medical illness in bipolar disorder.

    Science.gov (United States)

    Forty, Liz; Ulanova, Anna; Jones, Lisa; Jones, Ian; Gordon-Smith, Katherine; Fraser, Christine; Farmer, Anne; McGuffin, Peter; Lewis, Cathryn M; Hosang, Georgina M; Rivera, Margarita; Craddock, Nick

    2014-12-01

    Individuals with a mental health disorder appear to be at increased risk of medical illness. To examine rates of medical illnesses in patients with bipolar disorder (n = 1720) and to examine the clinical course of the bipolar illness according to lifetime medical illness burden. Participants recruited within the UK were asked about the lifetime occurrence of 20 medical illnesses, interviewed using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and diagnosed according to DSM-IV criteria. We found significantly increased rates of several medical illnesses in our bipolar sample. A high medical illness burden was associated with a history of anxiety disorder, rapid cycling mood episodes, suicide attempts and mood episodes with a typically acute onset. Bipolar disorder is associated with high rates of medical illness. This comorbidity needs to be taken into account by services in order to improve outcomes for patients with bipolar disorder and also in research investigating the aetiology of affective disorder where shared biological pathways may play a role. Royal College of Psychiatrists.

  18. Clinical Pharmacology Studies in Critically Ill Children

    Science.gov (United States)

    Thakkar, Nilay; Salerno, Sara; Hornik, Christoph P.; Gonzalez, Daniel

    2016-01-01

    Developmental and physiological changes in children contribute to variation in drug disposition with age. Additionally, critically ill children suffer from various life-threatening conditions that can lead to pathophysiological alterations that further affect pharmacokinetics (PK). Some factors that can alter PK in this patient population include variability in tissue distribution caused by protein binding changes and fluid shifts, altered drug elimination due to organ dysfunction, and use of medical interventions that can affect drug disposition (e.g., extracorporeal membrane oxygenation and continuous renal replacement therapy). Performing clinical studies in critically ill children is challenging because there is large inter-subject variability in the severity and time course of organ dysfunction; some critical illnesses are rare, which can affect subject enrollment; and critically ill children usually have multiple organ failure, necessitating careful selection of a study design. As a result, drug dosing in critically ill children is often based on extrapolations from adults or non-critically ill children. Dedicated clinical studies in critically ill children are urgently needed to identify optimal dosing of drugs in this population. This review will summarize the effect of critical illness on pediatric PK, the challenges associated with performing studies in this vulnerable subpopulation, and the clinical PK studies performed to date for commonly used drugs. PMID:27585904

  19. Glucose metabolism in critically ill patients

    DEFF Research Database (Denmark)

    Nielsen, Signe Tellerup; Krogh-Madsen, Rikke; Møller, Kirsten

    2015-01-01

    glucose (BG). This is taken advantage of in the treatment of patients with T2DM, for whom GLP-1 analogs have been introduced during the recent years. Infusion of GLP-1 also lowers the BG level in critically ill patients without causing severe hypoglycemia. The T2DM and critical illness share similar...

  20. Combating the Stigma of Mental Illness. Revised.

    Science.gov (United States)

    National Inst. of Mental Health (DHHS), Rockville, MD.

    Many former mental patients see their biggest problem in resuming community life to be their inability to be accepted by other people. The National Institute of Mental Health has worked to remove the stigma associated with mental illness and research has unraveled many of the mysteries about the origins of mental illness. Deinstitutionalization,…

  1. Stigmatization of Mentally Ill Patients through Media.

    Science.gov (United States)

    Babić, Dragan; Babić, Romana; Vasilj, Ivan; Avdibegović, Esmina

    2017-12-01

    The stigmatization of mentally ill patients has negative labelling, marginalization and exclusion of people simply because they have a mental illness. Stigma has negative consequences for the individual and his family, as well as for psychiatry as a profession and the entire community. Stigma weakens the mentally ill, reinforcing a sense of alienation, which has negative consequences on the course of the illness. The media can inform the public about the treatment of mentally ill patients by conveying correct information, who can then act positively towards improving the quality of treatment. Stigma and self-stigma create a feeling of low self-esteem and fear of rejection, due to which mentally ill people avoid the media and very rarely speak publicly about their illness. The realization of information rights is very delicate and it is reflected through two opposing but substantially equivalent human rights: 1. Right to information, 2. Right to privacy. Which of the two rights will get advantage depends on the circumstances of each case and journalism ethics. The relationship of psychiatry with the media and especially the media with psychiatry must be extremely correct and professional, based on facts, and not on the pursuit of media sensationalism. The media can significantly reduce the current level of stigmatization of the mentally ill by adequate and correct reports, and thereby facilitate their role in family and society. Lack of knowledge and understanding of mental illness contributes to stigmatization. Education of patients, their families and journalists is crucial if we want to better understand people with mental illness and reduce stigma.

  2. Integrated management of childhood illness

    Directory of Open Access Journals (Sweden)

    1997-01-01

    Full Text Available Millones de defunciones en niños menores de 5 años se podrían prevenir en países en desarrollo si se aplicaran las medidas de control y los tratamientos eficaces que se usan normalmente en países desarrollados. Conscientes de la necesidad de hacer frente a las principales causas de enfermedad y muerte en la infancia (infecciones respiratorias agudas, enfermedades diarreicas, desnutrición, malaria y enfermedades prevenibles por medio de la vacunación mediante una iniciativa global, la OMS y el UNICEF han desarrollado una estrategia conocida por Atención Integrada de las Enfermedades Prevalentes de la Infancia (Integrated Management of Childhood Illness, IMCI. Sus oficinas regionales para las Américas, que son la OPS y el UNICEF-TACRO, han aceptado los objetivos y actividades descritos en el presente informe a fin de reorientar su labor y dirigirla hacia el mejoramiento del estado de salud infantil en este hemisferio.

  3. Molecular genetics in affective illness

    Energy Technology Data Exchange (ETDEWEB)

    Mendlewicz, J.; Sevy, S.; Mendelbaum, K. (Erasme Univ. Hospital, Brussels (Belgium))

    1993-01-01

    Genetic transmission in manic depressive illness (MDI) has been explored in twins, adoption, association, and linkage studies. The X-linked transmission hypothesis has been tested by using several markers on chromosome X: Xg blood group, color blindness, glucose-6-phosphate dehydrogenase (G6PD), factor IX (hemophilia B), and DNA probes such as DXS15, DXS52, F8C, ST14. The hypothesis of autosomal transmission has been tested by association studies with the O blood group located on chromosome 9, as well as linkage studies on chromosome 6 with the Human Leucocyte Antigens (HLA) haplotypes and on Chromosome 11 with DNA markers for the following genes: D2 dopamine receptor, tyrosinase, C-Harvey-Ras-A (HRAS) oncogene, insuline (ins), and tyrosine hydroxylase (TH). Although linkage studies support the hypothesis of a major locus for the transmission of MDI in the Xq27-28 region, several factors are limiting the results, and are discussed in the present review. 105 refs., 1 fig., 2 tabs.

  4. The transformative effects of illness.

    Science.gov (United States)

    Young-Mason, J; Mastrangelo, M

    1997-09-01

    In "The Soft Core" Arturo Vivante examines the bonds between a middle-aged son and his aging father. Years of habit that had solidified into accustomed but uncomfortable ways of behaving and interacting with each other are altered when the father's stroke evokes a tumultuous range of emotions in the son, leading him, in the end, to feel compassion, not just for his father but also for himself. Vivante shows the reader that illness has the ability to transform an individual who is willing to reexamine and reevaluate the meaning he or she gives to life. This process, however, is not an easy one, as it is often undertaken as in the story, when the individual fears the death of self or of a loved one. The suffering, though, can transform. The self-awareness gained leads to a more gentler way of being, and compassion results. This compassion is borne of understanding, recognition, and appreciation that the frailties of human nature exist in each of us. Recognizing and applying this to all manner of relationships in our lives is the wisdom that compassion gives to our existence.

  5. The Impact of Illness Identity on Recovery from Severe Mental Illness.

    Science.gov (United States)

    Yanos, Philip T; Roe, David; Lysaker, Paul H

    2010-04-01

    The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe mental illness and reviews relevant research. We propose that accepting a definition of oneself as mentally ill and assuming that mental illness means incompetence and inadequacy impact hope and self-esteem, which further impact suicide risk, coping, social interaction, vocational functioning, and symptom severity. Evidence supports most of the predictions made by the model. Implications for psychiatric rehabilitation services are discussed.

  6. Illness causal beliefs in Turkish immigrants.

    Science.gov (United States)

    Minas, Harry; Klimidis, Steven; Tuncer, Can

    2007-07-24

    People hold a wide variety of beliefs concerning the causes of illness. Such beliefs vary across cultures and, among immigrants, may be influenced by many factors, including level of acculturation, gender, level of education, and experience of illness and treatment. This study examines illness causal beliefs in Turkish-immigrants in Australia. Causal beliefs about somatic and mental illness were examined in a sample of 444 members of the Turkish population of Melbourne. The socio-demographic characteristics of the sample were broadly similar to those of the Melbourne Turkish community. Five issues were examined: the structure of causal beliefs; the relative frequency of natural, supernatural and metaphysical beliefs; ascription of somatic, mental, or both somatic and mental conditions to the various causes; the correlations of belief types with socio-demographic, modernizing and acculturation variables; and the relationship between causal beliefs and current illness. Principal components analysis revealed two broad factors, accounting for 58 percent of the variation in scores on illness belief scales, distinctly interpretable as natural and supernatural beliefs. Second, beliefs in natural causes were more frequent than beliefs in supernatural causes. Third, some causal beliefs were commonly linked to both somatic and mental conditions while others were regarded as more specific to either somatic or mental disorders. Last, there was a range of correlations between endorsement of belief types and factors defining heterogeneity within the community, including with demographic factors, indicators of modernizing and acculturative processes, and the current presence of illness. Results supported the classification of causal beliefs proposed by Murdock, Wilson & Frederick, with a division into natural and supernatural causes. While belief in natural causes is more common, belief in supernatural causes persists despite modernizing and acculturative influences. Different

  7. Mental illness in Disney animated films.

    Science.gov (United States)

    Lawson, Andrea; Fouts, Gregory

    2004-05-01

    To examine the prevalence of verbalizations about mental illness in the animated feature films of The Walt Disney Company (TWDC). We discuss the results within the context of children's repeated exposure to popular animated movies and their learning of labels and stereotypes associated with mental illness. We recommend further research on this topic. We coded 34 animated feature films produced by TWDC for mental illness references (for example, "crazy" or "nuts"). We developed a coding manual to systematize the content analysis, to ensure accuracy of the data, and to ascertain intercoder reliability. Most of the films (that is, 85%) contain verbal references to mental illness, with an average of 4.6 references per film. The references were mainly used to set apart and denigrate the characters to whom they referred. Twenty-one percent of the principal characters were referred to as mentally ill. We discuss the contributions and limitations of the study. The findings have implications for child viewers in terms of their potentially learning prejudicial attitudes and distancing behaviours toward individuals perceived as being mentally ill. To further verify this connection, an assessment of the incidence of Disney film exposure and attitudes toward people with a mental illness, using a sample of school-aged children, is needed.

  8. Illness Perceptions and Fatigue in Systemic Vasculitis

    Science.gov (United States)

    Grayson, Peter C.; Amudala, Naomi A.; McAlear, Carol A.; Leduc, Renée L.; Shereff, Denise; Richesson, Rachel; Fraenkel, Liana; Merkel, Peter A.

    2014-01-01

    Objective To compare illness perceptions among patients with different forms of vasculitis, identify risk factors for negative illness perceptions, and determine the association between illness perceptions and fatigue. Methods Participants were recruited from an online registry in vasculitis to complete the revised Illness Perception Questionnaire (IPQ-R). Mean scores on each IPQ-R dimension were compared across types of vasculitis. Cluster analysis and stepwise regression identified predictors of negative illness perception. Fatigue was measured using the general subscale of the Multidimensional Fatigue Inventory (MFI). Patient-reported measures of disease activity and IPQ-R dimensions were assessed in relation to MFI scores using linear regression in sequential, additive models with model-fit comparisons. Results 692 participants with 9 forms of vasculitis completed the IPQ-R. For 6 out of 8 IPQ-R dimensions, there were no significant differences in mean scores between the different vasculitides. Scores in identity and cyclical dimensions were significantly higher in Behçet’s disease compared to other types of vasculitis (13.5 vs 10.7; 4.0 vs 3.2, pvasculitis, and younger age is a risk factor for negative illness perceptions. Illness perceptions explain differences in fatigue scores beyond what can be explained by measures of disease activity. PMID:23861259

  9. Mental Illness, Healthcare, and Homelessness in Mississippi

    Directory of Open Access Journals (Sweden)

    Tamara Stewart

    2017-09-01

    Full Text Available Mental illness is prevalent among the homeless population and the rate of mentally ill homeless individuals has increased since deinstitutionalization. There is little information about homeless population mental health and access to mental healthcare. This study sought to describe the mental health status and utilization of mental healthcare services among homeless individuals in Mississippi. This is a cross-sectional study with 3,375 adults participants. There were 58% males, 42% females, 45% Caucasian, 54% African Americans, and 1% other minorities (Asian, Indian, and Pacific Islander at intake into Mississippi United to End Homelessness' (MUTEH Homeless Management Information System (HMIS program. The data was collected during the initial screening of homeless individuals. The screening documented mental illness and utilization of healthcare. Frequency tables and Chi-SQ was used to test the relationship between mental illness and utilization of mental healthcare among the homeless in Mississippi. The result of the analysis revealed that 83% of the chronically homeless individual had a mental illness, and 78% of the chronically homeless participants were not receiving mental healthcare. Mental health services were successful in connecting mentally ill homeless individuals to mental healthcare in lieu of institutionalization. However, chronically homeless mentally ill individuals struggle with obtaining appropriate care.

  10. [Carl Schirren als Gelehrter im Spannungsfeld von Wissenschaft und politischer Publizistik. 13 Beiträge zum 22. Baltischen Seminar 2010 ; Carl Schirren. Vorlesungen über livländische Geschichte. Nachschrift von Johannes Lossius] / Karsten Brügge

    Index Scriptorium Estoniae

    Brüggemann, Karsten, 1965-

    2015-01-01

    Arvustus: Carl Schirren als Gelehrter im Spannungsfeld von Wissenschaft und politischer Publizistik. 13 Beiträge zum 22. Baltischen Seminar 2010 (Baltische Seminare, 20). Hrsg. von Michael Garleff. Verlag Carl-Schirren-Gesellschaft. Lüneburg 2013; Carl Schirren. Vorlesungen über livländische Geschichte. Nachschrift von Johannes Lossius (Baltische Seminare, 20-1). Hrsg. von Carl Schirren und Wilhelm Lenz. Verlag Carl-Schirren-Gesellschaft. Lüneburg 2013

  11. Will we save the homeless mentally ill?

    Science.gov (United States)

    Lamb, H R

    1990-05-01

    Progress in alleviating the plight of the homeless mentally ill has been very slow and disappointing. After reviewing the needs of the homeless mentally ill, the author makes recommendations for immediate action. Extensive case management services should be implemented rather than simply discussed. All incompetent and/or dangerous or gravely disabled homeless mentally ill persons should be brought to hospitals, involuntarily if necessary. Cost-effective alternatives to hospitals with varying degrees of structure should be provided. Involuntary mechanisms such as conservatorship and outpatient commitment should be used when needed. The emphasis should be on timely transfer to acceptable treatment and living situations rather than waiting for the ideal.

  12. Outbreak of Mysterious Illness Among Hospital Staff

    DEFF Research Database (Denmark)

    Jacobsen, Peter; Ebbehøj, Niels Erik

    2016-01-01

    BACKGROUND: Hospitals are rarely reported as settings for mass psychogenic illness (MPI). The present report scrutinizes an outbreak of probable MPI among hospital staff, with medical intervention reinforcing the course of the illness. CASE REPORT: Four of seven staff members in an emergency...... the following 9 days, 14 possible poisoning victims were identified, 6 of whom were transferred for HBO. After hospital stays with repeated HBO treatment and examinations without identification of significant physical disease, the majority of the 10 HBO-treated victims remained symptomatic, some on prolonged....... Outbreaks of illness in a group of symptomatic victims without indication of significant physical disease should be managed by observation and limited intervention....

  13. Electrotherapy and mental illness: then and now.

    Science.gov (United States)

    Gilman, Sander L

    2008-09-01

    Today electrotherapy has reappeared as a therapy of choice for the treatment of depression and other forms of mental illness. It had de facto vanished from allopathic medicine from the 1920s to the end of the century. The debates about electrotherapy mirror the question of whether mental illness was somatic and to be treated by somatic means or psychological to be treated with psychotherapy. Sigmund Freud's move from an advocate to an opponent of electrotherapy is exemplary for a shift in attitude and the decline of electrotherapy. With the re-somaticization of mental illness over the past decades has come the reappearance of somatic therapies such as electrotherapy.

  14. ILL experimental reports and theory college activities

    International Nuclear Information System (INIS)

    1987-01-01

    This volume is the collection of reports describing experimental work performed at the I.L.L. They have been arranged by subject (from the I.L.L. classification scheme) and are published under their proposal number. (Only those reports received up to Jan. 19, 1987 have been included). In order to have connection between the theory group and the experimental activities of the I.L.L., scientific activity of theoreticians has been included in the form of a personal review of activity. For any further details, readers should contact directly individual scientists

  15. Inequality in the social consequences of illness

    DEFF Research Database (Denmark)

    Burström, B; Whitehead, M; Lindholm, C

    2000-01-01

    ) the more regulated labor market in Sweden, with the associated health and social policies, would provide greater opportunities for jobs and job security for workers with chronic illness. Analysis of data on men from the British General Household Survey and the Swedish Survey of Living Conditions, 1979...... those people with chronic illness. The study tests two opposing hypotheses: (1) the increasingly flexible, deregulated labor market in Britain would result in an increased number of new jobs, and thus better employment opportunities for unskilled workers, including those with chronic illness; (2...

  16. Toward a theory of online communication in illness: concept analysis of illness blogs.

    Science.gov (United States)

    Heilferty, Catherine McGeehin

    2009-07-01

    This paper is a report of a concept analysis of illness blogs and their relevance to nursing research on communication during illness. Blogs are being used by patients and family members to describe the experience of illness, but very little is known about this phenomenon. Seventeen English language databases and one Internet search engine were searched from 1990 to 2007 using the truncated term 'blog*'. Specific illness terms together with 'blog*', for example, blog* and diabetes; and blog* and cancer, were used to expand the search. Reports were included if they were of qualitative or quantitative research that included a definition of blogs or blogging and some identification or description of blog uses pertinent to the discipline. Specific emphasis was placed on blog use by individuals coping with illness experiences. 'Meta' writings by authors about their own blogging intentions and experiences were excluded. An illness blog is the online expression of the narrative of illness. Theoretical and operational definitions, defining attributes, uses, antecedents and consequences were developed. The literature search returned 45 works from 17 disciplines referring to the definition and uses of blogging. Support is offered from the review of literature and analysis of the concept for the development of a theory of online communication during illness. Reading and incorporating illness blogs into care will enhance patient-provider relationships. Analysis of the narratives being created online about the illness experience will contribute significantly to nursing's body of knowledge.

  17. Illness cognitions and family adjustment: psychometric properties of the Illness Cognition Questionnaire for parents of a child with cancer

    NARCIS (Netherlands)

    Sint Nicolaas, Simone M.; Schepers, Sasja A.; van den Bergh, Esther M. M.; Evers, Andrea W. M.; Hoogerbrugge, Peter M.; Grootenhuis, Martha A.; Verhaak, Christianne M.

    2016-01-01

    Illness cognitions are an important mediator between disease and psychological adjustment. This study assessed the psychometric properties of the Illness Cognition Questionnaire (ICQ), adjusted for the parents of an ill child. Participants were recruited from two multicenter studies: sample 1

  18. Illness cognitions and family adjustment: psychometric properties of the Illness Cognition Questionnaire for parents of a child with cancer

    NARCIS (Netherlands)

    Sint Nicolaas, S.M.; Schepers, S.A.; Bergh, E.M. van den; Evers, A.W.M.; Hoogerbrugge, P.M.; Grootenhuis, M.A.; Verhaak, C.M.

    2016-01-01

    PURPOSE: Illness cognitions are an important mediator between disease and psychological adjustment. This study assessed the psychometric properties of the Illness Cognition Questionnaire (ICQ), adjusted for the parents of an ill child. METHODS: Participants were recruited from two multicenter

  19. Energy Requirements in Critically Ill Patients

    Science.gov (United States)

    2018-01-01

    During the management of critical illness, optimal nutritional support is an important key for achieving positive clinical outcomes. Compared to healthy people, critically ill patients have higher energy expenditure, thereby their energy requirements and risk of malnutrition being increased. Assessing individual nutritional requirement is essential for a successful nutritional support, including the adequate energy supply. Methods to assess energy requirements include indirect calorimetry (IC) which is considered as a reference method, and the predictive equations which are commonly used due to the difficulty of using IC in certain conditions. In this study, a literature review was conducted on the energy metabolic changes in critically ill patients, and the implications for the estimation of energy requirements in this population. In addition, the issue of optimal caloric goal during nutrition support is discussed, as well as the accuracy of selected resting energy expenditure predictive equations, commonly used in critically ill patients.

  20. Barbecue Basics: Tips to Prevent Foodborne Illness

    Medline Plus

    Full Text Available ... from becoming ill,” says Marjorie Davidson, Ph.D., education team leader in FDA’s Center for Food Safety and Applied Nutrition. Wash hands. It seems basic, but not everyone ...

  1. Advanced Illness: Feeding Tubes and Ventilators

    Science.gov (United States)

    ... are here Home Advanced Illness: Feeding Tubes and Ventilators Order this publication Printer-friendly version Introduction Families ... a Family Meeting for additional help. Pneumonia and Ventilators One of the other choices a patient or ...

  2. Wound management in patients with advanced illness.

    Science.gov (United States)

    Maida, Vincent

    2013-03-01

    To emphasize that the management of wounds represents a significant component within the overall supportive and palliative care of patients with advanced illness. It is also intended to clarify the linguistics that are commonly used around patients with wounds. New paradigms for wound management, wound outcomes, and goal setting have been defined and graphically depicted. Recent studies show that wounds may be used as prognostic factors for patients with advanced illness. Data from recent studies also demonstrate that marginal levels of wound healing are possible for all wound classes affecting patients with advanced illness. When indicated, time-limited trials of wound healing strategies should be facilitated by the Wound Bed Preparation Paradigm. Wound palliation may be guided through the use of the Toronto Symptom Assessment System for Wounds (TSAS-W). Wound management must continue to evolve as a tenet within the overall supportive and palliative care of patients with advanced illness.

  3. RelaisILL instructions in English

    International Development Research Centre (IDRC) Digital Library (Canada)

    Julie Cassone

    . RelaisILL is IDRC's document delivery and interlibrary loan request and tracking system. Follow the steps below to order journal articles and books through interlibrary loan. Note: Grantees can only request articles and book chapters, which ...

  4. Physiotherapy in critically ill patients

    Directory of Open Access Journals (Sweden)

    N. Ambrosino

    2011-11-01

    Full Text Available Prolonged stay in Intensive Care Unit (ICU can cause muscle weakness, physical deconditioning, recurrent symptoms, mood alterations and poor quality of life.Physiotherapy is probably the only treatment likely to increase in the short- and long-term care of the patients admitted to these units. Recovery of physical and respiratory functions, coming off mechanical ventilation, prevention of the effects of bed-rest and improvement in the health status are the clinical objectives of a physiotherapy program in medical and surgical areas. To manage these patients, integrated programs dealing with both whole-body physical therapy and pulmonary care are needed.There is still limited scientific evidence to support such a comprehensive approach to all critically ill patients; therefore we need randomised studies with solid clinical short- and long-term outcome measures. Resumo: Uma estadia prolongada na Unidade de Cuidados Intensivos (UCI pode causar fraqueza muscular, descondicionamento físico, sintomas recorrentes, alterações de humor e má qualidade de vida.A fisioterapia é, provavelmente, o único tratamento com potencial para aumentar nos cuidados a curto e longo prazo aos pacientes internados nestas unidades. A recuperação das funções físicas e respiratórias, retirar a ventilação mecânica, prevenção de efeitos do repouso na cama e melhoria do estado de saúde são objectivos clínicos de um programa de fisioterapia nas áreas médicas e cirúrgicas. Para tratar estes pacientes, são necessários programas integrados que englobem tanto a fisioterapia global como os cuidados respiratórios necessários.A evidência científica para apoiar esta abordagem abrangente para todos os doentes críticos é ainda limitada; portanto, são necessários estudos aleatorizados com medidas de resultados a curto e longo prazo. Keywords: Rehabilitation, Mechanical ventilation, Physiotherapy, Weaning, Palavras-chave: Reabilitação, Ventilação mec

  5. Physiotherapy in critically ill patients

    Directory of Open Access Journals (Sweden)

    N. Ambrosino

    2011-11-01

    Full Text Available Prolonged stay in Intensive Care Unit (ICU can cause muscle weakness, physical deconditioning, recurrent symptoms, mood alterations and poor quality of life. Physiotherapy is probably the only treatment likely to increase in the short- and long-term care of the patients admitted to these units. Recovery of physical and respiratory functions, coming off mechanical ventilation, prevention of the effects of bed-rest and improvement in the health status are the clinical objectives of a physiotherapy program in medical and surgical areas. To manage these patients, integrated programs dealing with both whole-body physical therapy and pulmonary care are needed. There is still limited scientific evidence to support such a comprehensive approach to all critically ill patients; therefore we need randomised studies with solid clinical short- and long-term outcome measures. Resumo: Uma estadia prolongada na Unidade de Cuidados Intensivos (UCI pode causar fraqueza muscular, descondicionamento físico, sintomas recorrentes, alterações de humor e má qualidade de vida. A fisioterapia é, provavelmente, o único tratamento com potencial para aumentar nos cuida-dos a curto e longo prazo aos pacientes internados nestas unidades. A recuperação das funções físicas e respiratórias, retirar a ventilação mecânica, prevenção de efeitos do repouso na cama e melhoria do estado de saúde são objectivos clínicos de um programa de fisioterapia nas áreas médicas e cirúrgicas. Para tratar estes pacientes, são necessários programas integrados que englobem tanto a fisioterapia global como os cuidados respiratórios necessários. A evidência científica para apoiar esta abordagem abrangente para todos os doentes críticos é ainda limitada; portanto, são necessários estudos aleatorizados com medidas de resultados a curto e longo prazo. Keywords: Rehabilitation, Mechanical ventilation, Physiotherapy, Weaning, Palavras chave: Reabilitação, Ventilação mec

  6. Illness representations in patients with hand injury.

    Science.gov (United States)

    Chan, Jeffrey C Y; Ong, Joshua C Y; Avalos, Gloria; Regan, Padraic J; McCann, Jack; Groarke, AnnMarie; Kelly, John L

    2009-07-01

    Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting. The disability and severity of injury were assessed using the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and the Hand Injury Severity Score (HISS). The revised Illness Perception Questionnaire (IPQ-R) was used to explore patients' illness beliefs and perception on hand injury. Fifty seven patients were recruited over the 2 month period. The IPQ-R showed good internal reliability (Cronbach's alpha, 0.68-0.86). There was no correlation between the DASH or HISS scores and the various components of the IPQ-R scores, suggesting that illness perceptions were not influenced by the recent trauma experience. Patients with dominant hand injuries and females reported significantly higher subjective disability. Younger patients believed their injury would last for a limited duration but reported a significantly higher number of related symptoms. Overall, the cohort was optimistic about their treatment and duration of recovery (high treatment control score and low time line score). Beliefs of negative consequences, chronic/cyclical duration and low illness coherence were linked with negative emotional response. High illness identity was associated with perception of pessimistic outcome (high consequences score) and negative emotional response. The lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for

  7. Mental Illness, Healthcare, and Homelessness in Mississippi

    OpenAIRE

    Tamara Stewart

    2017-01-01

    Mental illness is prevalent among the homeless population and the rate of mentally ill homeless individuals has increased since deinstitutionalization. There is little information about homeless population mental health and access to mental healthcare. This study sought to describe the mental health status and utilization of mental healthcare services among homeless individuals in Mississippi. This is a cross-sectional study with 3,375 adults participants. There were 58% males, 42% females, 4...

  8. Electrotherapy and mental illness: then and now

    OpenAIRE

    Gilman, Sander L.

    2008-01-01

    Abstract Today electrotherapy has reappeared as a therapy of choice for the treatment of depression and other forms of mental illness. It had de facto vanished from allopathic medicine from the 1920s to the end of the century. The debates about electrotherapy mirror the question of whether mental illness was somatic and to be treated by somatic means or psychological to be treated with psychotherapy. Sigmund Freud's move from an advocate to an opponent of electrothera...

  9. Perceived Social Support among Mentally Ill Patients

    OpenAIRE

    Bandana Pokharel; Anupama Pokharel

    2014-01-01

    Introduction: Social support is the perception that one is cared for, has assistance available from significant others and its benefit is by buffering stress by influencing the ability to adjust and live with illness. Social support can uplift the quality and subjective wellbeing of people. The objective of this study was to examine the perceived social support and factors influencing it among mentally ill patients. Methods: A descriptive cross-sectional study was carried out. Ninety cas...

  10. ILL. Annex to the annual report 1976

    International Nuclear Information System (INIS)

    The first volume of the Annual Report gives a general survey of the activities in the various sections of the ILL, whereas this second volume, deals in more detail with the individual works carried out at the ILL from 1st October 1975 up to 1st October 1976. Main chapters correspond to theory, nuclear physics, excitations, magnetic and crystallographic structures, liquids and amorphous substances, imperfections, biology and chemistry. (Only those reports received up to 1st February 1977 have been included)

  11. Illness perceptions in patients with fibromyalgia.

    Science.gov (United States)

    van Ittersum, M W; van Wilgen, C P; Hilberdink, W K H A; Groothoff, J W; van der Schans, C P

    2009-01-01

    Former studies in chronic diseases showed the importance of patients' beliefs and perceptions. The Revised Illness Perception Questionnaire was developed to assess these illness perceptions. Our goal was to investigate psychometric properties of the IPQ-R for Fibromyalgia Dutch language version (IPQ-R FM-Dlv) and to describe illness perceptions of participants with FM. 196 patients completed the IPQ-R FM-Dlv. Internal consistency, domain structure and inter domain correlations were calculated and compared to the IPQ-R English language version. Scores were compared with chronic fatigue syndrome (CFS), rheumatoid arthritis (RA), and coronary heart disease (CHD). Most psychometric properties were comparable to those of the original IPQ-R. Participants showed a lack of understanding of their illness, expected their FM to be chronic and to have a lot of negative consequences on functioning. In 17 out of 24 domains significant differences were found between FM and CFS, RA, and CHD patients. The IPQ-R FM-Dlv showed acceptable psychometric properties, although some aspects need closer examination. Illness perceptions of FM patients on the Dutch questionnaire were non-comparable to CFS, RA, and CHD patients on the English questionnaire. The IPQ-R FM-Dlv can be used to assess illness perceptions of Dutch FM patients.

  12. Media and mental illness: Relevance to India

    Directory of Open Access Journals (Sweden)

    S K Padhy

    2014-01-01

    Full Text Available Media has a complex interrelationship with mental illnesses. This narrative review takes a look at the various ways in which media and mental illnesses interact. Relevant scientific literature and electronic databases were searched, including Pubmed and GoogleScholar, to identify studies, viewpoints and recommendations using keywords related to media and mental illnesses. This review discusses both the positive and the negative portrayals of mental illnesses through the media. The portrayal of mental health professionals and psychiatric treatment is also discussed. The theories explaining the relationship of how media influences the attitudes and behavior are discussed. Media has also been suggested to be a risk factor for the genesis or exacerbation of mental illnesses like eating disorders and substance use disorders. The potential use of media to understand the psychopathology and plight of those with psychiatric disorders is referred to. The manner in which media can be used as a tool for change to reduce the stigma surrounding mental illnesses is explored.

  13. [Characteristics of heat illness in older people].

    Science.gov (United States)

    Iwata, Mitsunaga; Umegaki, Hiroyuki; Kuzuya, Masafumi; Kitagawa, Yoshimi

    2008-05-01

    As summer become hotter due to rapid climate change, older people suffering from heat illness are increasing. The aim of our study was to examine the characteristics of older people who suffered from heat illness. We analyzed the 65 years or older patients admitted for acute care of Nagoya Ekisaikai Hospital via the emergency department (ED) during the summer seasons of 2006 and 2007. Demographic data, functional status, use situation of care services, climate of the onset day, use of an air conditioners, and cognitive status, length of hospital stay and disposition following their discharge were recorded. During the study period, 104 patients visited the ED because of heat illness. Twenty older patients were admitted for acute care. In hospitalized patients, the mean length of stay was 27.5+/-18.6 days. Sixty percent of patients were discharged to long-term care facilities (12/20). Sixteen patients suffered from heat illness inside their home. Most of the patients had characteristics such as living alone or with their spouses only (14/16), cognitive dysfunction (12/16), lack or no use of an air conditioner (11/16) , no use of care service (11/16) , and preserved functional status (10/16) . Many older patients suffered from heat illness in their home, and their ED visits were associated with prolonged admissions and post-discharge institutionalizations. It is important to give education to prevent heat illness in older people.

  14. [Delirium in the critically ill patient].

    Science.gov (United States)

    Pessoa, Renata Fittipaldi; Nácul, Flávio Eduardo

    2006-06-01

    Delirium is a frequent finding in the critically ill patient. Although it is associated with increased morbidity and mortality, it is often not recognized by intensive care doctors. This review will address the main issues regarding delirium in critically ill patients. Definition, incidence, mortality, risk factors, diagnosis, and treatment of delirium in the critically ill. Deliriumis defined as a disturbance of consciousness, attention, cognition and perception that occurs frequently in critically ill patients. It occurs in as many as 80% of mechanically ventilated ICU patients. Risk factors for delirium include acute systemic illnesses, older age, pre-existing cognitive impairment, sleep deprivation, and medications with anticholinergic activity. Although new assessment tools are available for rapidly and accurately measuring deliriumin critically ill patients, healthcare professionals still do not regularly monitor for this condition. In recent years, the emphasis in the approach to delirium has shifted to systematic screening and prevention. Haloperidol remains the standard treatment for delirium, but there is some evidence for the efficacy of risperidone.

  15. Beliefs regarding diet during childhood illness

    Directory of Open Access Journals (Sweden)

    Asha D Benakappa

    2012-01-01

    Full Text Available Background: Fifty percent to 70% of the burden of childhood diarrhea and respiratory infections is attributable to undernutrition. It is compounded by food restriction during illness due to false beliefs, leading to a vicious cycle of malnutrition and infection. In the long run, it decreases the child′s productivity, which is an obstacle to sustainable socioeconomic development. Objectives: To assess the dietary practices during different illnesses, to study the role of education, culture and religion in feeding an ill child and to create awareness against detrimental practices. Materials and Methods: A cross-sectional study was undertaken among 126 caregivers of ill children using an open-ended pretested questionnaire. Statistical package for social sciences software was used for data analysis. Simple proportions, percentages and Chi-square were used. Results: Caregivers believed that a child must be fed less during illness. Educational status did not play a role in maintaining beliefs, but elders and religion did. Doctors too were responsible for unwanted dietary restrictions. Media did not have an impact in spreading nutrition messages. Decreased breast feeds, initiating bottle feeds, feeding diluted milk and reducing complementary feeds during illness was widely practiced. Calorie intake during illness was very less and statistically significant. Firmly rooted beliefs about "hot" and "cold" foods lead to restriction of food available at home. Conclusions: Healthy feeding practices were few, and inappropriate ones predominant. Dietary education was overlooked. While planning community-based nutrition programs, firmly rooted beliefs should be kept in mind. Involving the elderly caregivers and mothers actively along with the health workers is the need of the hour.

  16. Beliefs regarding diet during childhood illness.

    Science.gov (United States)

    Benakappa, Asha D; Shivamurthy, Poojita

    2012-01-01

    Fifty percent to 70% of the burden of childhood diarrhea and respiratory infections is attributable to undernutrition. It is compounded by food restriction during illness due to false beliefs, leading to a vicious cycle of malnutrition and infection. In the long run, it decreases the child's productivity, which is an obstacle to sustainable socioeconomic development. To assess the dietary practices during different illnesses, to study the role of education, culture and religion in feeding an ill child and to create awareness against detrimental practices. A cross-sectional study was undertaken among 126 caregivers of ill children using an open-ended pretested questionnaire. Statistical package for social sciences software was used for data analysis. Simple proportions, percentages and Chi-square were used. Caregivers believed that a child must be fed less during illness. Educational status did not play a role in maintaining beliefs, but elders and religion did. Doctors too were responsible for unwanted dietary restrictions. Media did not have an impact in spreading nutrition messages. Decreased breast feeds, initiating bottle feeds, feeding diluted milk and reducing complementary feeds during illness was widely practiced. Calorie intake during illness was very less and statistically significant. Firmly rooted beliefs about "hot" and "cold" foods lead to restriction of food available at home. Healthy feeding practices were few, and inappropriate ones predominant. Dietary education was overlooked. While planning community-based nutrition programs, firmly rooted beliefs should be kept in mind. Involving the elderly caregivers and mothers actively along with the health workers is the need of the hour.

  17. Perceived illness intrusion among patients on hemodialysis

    International Nuclear Information System (INIS)

    Bapat, Usha; Kedlaya, Prashanth G; Gokulnath

    2009-01-01

    Dialysis therapy is extremely stressful as it interferes with all spheres of daily activities of the patients. This study is aimed at understanding the perceived illness intrusion among patients on hemodialysis (HD) and to find the association between illness intrusion and patient demo-graphics as well as duration of dialysis. A cross sectional study involving 90 patients with chronic kidney disease (CKD) stage V, on HD was performed during the period from 2005 to 2006. The subjects included were above 18 years of age, willing, stable and on dialysis for at least two months. Patients with psychiatric co-morbidity were excluded. A semi-structured interview schedule covering sociodemographics and a 13 item illness intrusion checklist covering the various aspects of life was carried out. The study patients were asked to rate the illness intrusion and the extent. The data were analyzed statistically. The mean age of the subjects was 50.28 + - 13.69 years, males were predominant (85%), 73% were married, 50% belonged to Hindu religion, 25% had pre-degree education, 25% were employed and 22% were housewives. About 40% and 38% of the study patients belonged to middle and upper socio-economic strata respectively; 86% had urban background and lived in nuclear families. The mean duration on dialysis was 24 + - 29.6 months. All the subjects reported illness intrusion to a lesser or greater extent in various areas including: health (44%), work (70%) finance (55%), diet (50%) sexual life (38%) and psychological status (25%). Illness had not intruded in areas of relationship with spouse (67%), friends (76%), family (79%), social (40%) and religious functions (72%). Statistically significant association was noted between illness intrusion and occupation (P= 0.02). (author)

  18. Perceived illness intrusion among patients on hemodialysis

    Directory of Open Access Journals (Sweden)

    Bapat Usha

    2009-01-01

    Full Text Available Dialysis therapy is extremely stressful as it interferes with all spheres of daily acti-vities of the patients. This study is aimed at understanding the perceived illness intrusion among pa-tients on hemodialysis (HD and to find the association between illness intrusion and patient demo-graphics as well as duration of dialysis. A cross sectional study involving 90 patients with chronic kidney disease (CKD stage V, on HD was performed during the period from 2005 to 2006. The subjects included were above 18 years of age, willing, stable and on dialysis for at least two months. Patients with psychiatric co-morbidity were excluded. A semi-structured interview schedule covering socio-demographics and a 13 item illness intrusion checklist covering the various aspects of life was ca-rried out. The study patients were asked to rate the illness intrusion and the extent. The data were ana-lyzed statistically. The mean age of the subjects was 50.28 ± 13.69 years, males were predominant (85%, 73% were married, 50% belonged to Hindu religion, 25% had pre-degree education, 25% were employed and 22% were housewives. About 40% and 38% of the study patients belonged to middle and upper socio-economic strata respectively; 86% had urban background and lived in nuclear fami-lies. The mean duration on dialysis was 24 ± 29.6 months. All the subjects reported illness intrusion to a lesser or greater extent in various areas including: health (44%, work (70% finance (55%, diet (50% sexual life (38% and psychological status (25%. Illness had not intruded in areas of rela-tionship with spouse (67%, friends (76%, family (79%, social (40% and religious functions (72%. Statistically significant association was noted between illness intrusion and occupation (P= 0.02.

  19. Life satisfaction post stroke : The role of illness cognitions

    NARCIS (Netherlands)

    van Mierlo, M. L.; van Heugten, C. M.; Post, M. W. M.; de Kort, P. L. M.; Visser-Meily, J. M. A.

    Objective: To describe illness cognitions two months and two years post stroke and to investigate changes in illness cognitions over time. We also examined the associations between illness cognitions and life satisfaction at two months and two years post stroke and investigated if changes in illness

  20. How the Media Cover Mental Illnesses: A Review

    Science.gov (United States)

    Ma, Zexin

    2017-01-01

    Purpose: Mental illness has become an important public health issue in society, and media are the most common sources of information about mental illnesses. Thus, it is important to review research on mental illnesses and media. The purpose of this paper is to provide a narrative review of studies on mental illnesses in the media and identifies…

  1. Life satisfaction post stroke : The role of illness cognitions

    NARCIS (Netherlands)

    van Mierlo, M. L.; van Heugten, C. M.; Post, M. W M; de Kort, P. L M; Visser-Meily, J.M.A.

    2015-01-01

    OBJECTIVE: To describe illness cognitions two months and two years post stroke and to investigate changes in illness cognitions over time. We also examined the associations between illness cognitions and life satisfaction at two months and two years post stroke and investigated if changes in illness

  2. Illness perceptions in mothers with postpartum depression.

    Science.gov (United States)

    Baines, Tineke; Wittkowski, Anja; Wieck, Angelika

    2013-07-01

    to examine perceptions of mothers experiencing postpartum depression utilising the revised Illness Perception Questionnaire (IPQ-R), to explore relationships between illness perceptions, depression severity and perceptions of maternal bonding, and to assess the psychometric properties within this population. longitudinal correlational design. North West of England, UK. 43 mothers, who screened positive for postpartum depression (mean age 29.36 years) with babies whose mean age was 4 months. participants were recruited through health services. Participants completed the IPQ-R and measures of depression severity and maternal bonding. Illness perceptions and depression severity were assessed at 2 time points, 4 weeks apart. mothers endorsed IPQ-R subscales of cyclical timeline, consequences, emotional representations, treatment and personal control. IPQ-R subscale scores and depression severity correlated significantly at Time 1. Initial IPQ-R subscale scores, however, were not associated with and accounted for little variation in depression severity at Time 2. IPQ-R identity and consequence subscales positively correlated with perceived bonding difficulties. the IPQ-R was shown to be a reliable measure of illness perceptions in mothers experiencing postpartum depression. The maternal illness perceptions endorsed in this study have implications for clinical practice. Interventions aimed at developing a more coherent understanding of depression may enhance beliefs of personal control over symptoms, reduce the number of perceived symptoms and associated emotional distress. Educating mothers regarding the benefits of interventions may be important in increasing the number of mothers accessing support for postpartum depression. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Nutrition therapy in the critically ill child.

    Science.gov (United States)

    Skillman, Heather E; Mehta, Nilesh M

    2012-04-01

    Malnutrition and obesity are prevalent in children admitted to the pediatric intensive care unit. Nutritional deterioration secondary to suboptimal nutrient delivery can adversely affect outcomes during pediatric critical illness. This review highlights the recent investigations of nutrition assessment, energy balance, indirect calorimetry, nutrition therapy, barriers to nutrient delivery, monitoring during enteral feeding, and the role of nutrition guidelines in critically ill children. Critically ill children are at high risk for energy and protein imbalance. Indirect calorimetry remains the only accurate method to assess energy requirements in this population. Intensive insulin therapy to achieve glycemic control may reduce morbidity and mortality in adults, but risks hypoglycemia in critically ill children. Early enteral nutrition improves nutrition outcomes and adherence to nutrition guidelines can overcome barriers to optimal nutrition therapy. Timely and adequate nutrition therapy is essential to improve nutrition outcomes in critically ill children. Further research is required to determine clinical outcome benefits with indirect calorimetry and enteral nutrition guidelines, and to identify optimal glucose targets.

  4. Perceived Mental Illness Stigma, Intimate Relationships, and Sexual Risk Behavior in Youth with Mental Illness

    Science.gov (United States)

    Elkington, Katherine S.; Hackler, Dusty; Walsh, Tracy A.; Latack, Jessica A.; McKinnon, Karen; Borges, Cristiane; Wright, Eric R.; Wainberg, Milton L.

    2013-01-01

    The current study examines the role of mental illness-related stigma on romantic or sexual relationships and sexual behavior among youth with mental illness (MI), including youths' experiences of stigma, the internalization of these experiences, and the behavior associated with managing stigma within romantic and sexual relationships. We conducted…

  5. Mental Illness among Us: A New Curriculum to Reduce Mental Illness Stigma among Medical Students

    Science.gov (United States)

    Aggarwal, Anuj K.; Thompson, Maxwell; Falik, Rebecca; Shaw, Amy; O'Sullivan, Patricia; Lowenstein, Daniel H.

    2013-01-01

    Objectives: Medical students have been shown to have high levels of psychological distress, including self-stigmatization and unwillingness to seek care. The authors hypothesized that a student-led curriculum involving personal mental illness experience, given during the first-year neuroscience course, and titled "Mental Illness Among Us…

  6. Adults' Explanations and Children's Understanding of Contagious Illnesses, Non-Contagious Illnesses, and Injuries

    Science.gov (United States)

    Toyama, Noriko

    2016-01-01

    The present study examined (1) whether children notice different causes for contagious illnesses, non-contagious illnesses, and injuries and (2) what information adults provide to children and to what extent this information is related to children's causal awareness. Studies 1 and 2 explored preschool teachers' and mothers' explanations of…

  7. Coping with chronic illness: the mediating role of biographic and illness-related factors.

    Science.gov (United States)

    Viney, L L; Westbrook, M T

    1982-01-01

    The aim of this research was to examine the mediating roles played by a range of biographic and illness-related factors in preferences for strategies for coping with chronic illness. Chronically-ill patients assessed their own coping strategy preference by ranking six clusters of strategies. Information was also obtained about their demographic characteristics, life styles, illness roles, the degree of their disability, their perceived handicaps and their perceived achievement of their rehabilitation goals. Multiple regression analyses of each of these six sets of variables on each coping strategy were carried out to identify patterns of association between them. (1) Preferences for action strategies were found to be associated with patient-related factors (demographic characteristics, life style and illness role). (2) Control strategies were associated with illness-related factors (illness role, degree of disability, perceived handicap and achievement of rehabilitation goals). (3) Escape strategies were ranked higher by women than by men, sex being their only significant predictor. (4) Preferences for fatalism, unlike those for action strategies, were associated with relatively low social status and relatively little interpersonal involvement or social commitment. (5) Preferences for optimism were related only to patients' perceptions of their handicaps. (6) Interpersonal coping was not found to be associated with any of this wide range of biographic illness-related factors.

  8. ACR Appropriateness Criteria on acute respiratory illness.

    Science.gov (United States)

    Washington, Lacey; Khan, Arfa; Mohammed, Tan-Lucien; Batra, Poonam V; Gurney, Jud W; Haramati, Linda B; Jeudy, Jean; Macmahon, Heber; Rozenshtein, Anna; Vydareny, Kay H; Kaiser, Larry; Raoof, Suhail

    2009-10-01

    In a patient with acute respiratory illness (cough, sputum production, chest pain, and/or dyspnea), the need for chest imaging depends on the severity of illness, age of the patient, clinical history, physical and laboratory findings, and other risk factors. Chest radiographs seem warranted when one or more of the following are present: age > or = 40; dementia; a positive physical examination; hemoptysis; associated abnormalities (leukocytosis, hypoxemia); or other risk factors, including coronary artery disease, congestive heart failure, or drug-induced acute respiratory failure. Chest CT may be warranted in complicated cases of severe pneumonia and in febrile neutropenic patients with normal or nonspecific chest radiographic findings. Literature on the indications and usefulness of radiologic studies for acute respiratory illness in different clinical settings is reviewed.

  9. Diagnostic Categories in Autobiographical Accounts of Illness.

    Science.gov (United States)

    Kelly, Michael P

    2015-01-01

    Working within frameworks drawn from the writings of Immanuel Kant, Alfred Schutz, and Kenneth Burke, this article examines the role that diagnostic categories play in autobiographical accounts of illness, with a special focus on chronic disease. Four lay diagnostic categories, each with different connections to formal medical diagnostic categories, serve as typifications to make sense of the way the lifeworld changes over the course of chronic illness. These diagnostic categories are used in conjunction with another set of typifications: lay epidemiologies, lay etiologies, lay prognostics, and lay therapeutics. Together these serve to construct and reconstruct the self at the center of the lifeworld. Embedded within the lay diagnostic categories are narratives of progression, regression, or stability, forms of typification derived from literary and storytelling genres. These narratives are developed by the self in autobiographical accounts of illness.

  10. Antithrombin III for critically ill patients

    DEFF Research Database (Denmark)

    Allingstrup, Mikkel; Wetterslev, Jørn; Ravn, Frederikke B

    2016-01-01

    Background: Critical illness is associated with uncontrolled inflammation and vascular damage which can result in multiple organ failure and death. Antithrombin III (AT III) is an anticoagulant with anti-inflammatory properties but the efficacy and any harmful effects of AT III supplementation...... in critically ill patients are unknown. This review was published in 2008 and updated in 2015.  Objectives: To examine: 1. The effect of AT III on mortality in critically ill participants. 2. The benefits and harms of AT III. We investigated complications specific and not specific to the trial intervention......, bleeding events, the effect on sepsis and disseminated intravascular coagulation (DIC) and the length of stay in the intensive care unit (ICU) and in hospital in general.  Search methods: We searched the following databases from inception to 27 August 2015: Cochrane Central Register of Controlled Trials...

  11. Nutrition, illness, and injury in aquatic sports.

    Science.gov (United States)

    Pyne, David B; Verhagen, Evert A; Mountjoy, Margo

    2014-08-01

    In this review, we outline key principles for prevention of injury and illness in aquatic sports, detail the epidemiology of injury and illness in aquatic athletes at major international competitions and in training, and examine the relevant scientific evidence on nutrients for reducing the risk of illness and injury. Aquatic athletes are encouraged to consume a well-planned diet with sufficient calories, macronutrients (particularly carbohydrate and protein), and micronutrients (particularly iron, zinc, and vitamins A, D, E, B6, and B12) to maintain health and performance. Ingesting carbohydrate via sports drinks, gels, or sports foods during prolonged training sessions is beneficial in maintaining energy availability. Studies of foods or supplements containing plant polyphenols and selected strains of probiotic species are promising, but further research is required. In terms of injury, intake of vitamin D, protein, and total caloric intake, in combination with treatment and resistance training, promotes recovery back to full health and training.

  12. Morgellons: contested illness, diagnostic compromise and medicalisation.

    Science.gov (United States)

    Fair, Brian

    2010-05-01

    The case of Morgellons illustrates how the emergence of a new medically contested illness intersected with and impacted on the diagnostic processes of an existing uncontested psychiatric condition, Delusional Parasitosis (DP). More specifically, the sociopolitical processes at play in the contested illness, Morgellons, dubiously reflect patient empowerment, as well the resilience and power of medical jurisdiction. This research offers insights into the contested illness and medicalisation literatures, and aims to bridge these two approaches towards the relationship between patient empowerment and medical authority, which I do through the notion of doctor-patient compromise. The data for this research come from a comprehensive qualitative analysis of Morgellons discourse through four key sources: the pro-Morgellons website Morgellons.org; the anti-Morgellons website Morgellonswatch.com; the popular media's portrayal of Morgellons; and the DP and Morgellons articles published in peer-reviewed medical journals, as made available on PubMed.

  13. Review of Critical Illness Myopathy and Neuropathy.

    Science.gov (United States)

    Shepherd, Starane; Batra, Ayush; Lerner, David P

    2017-01-01

    Critical illness myopathy (CIM) and neuropathy are underdiagnosed conditions within the intensive care setting and contribute to prolonged mechanical ventilation and ventilator wean failure and ultimately lead to significant morbidity and mortality. These conditions are often further subdivided into CIM, critical illness polyneuropathy (CIP), or the combination-critical illness polyneuromyopathy (CIPNM). In this review, we discuss the epidemiology and pathophysiology of CIM, CIP, and CIPNM, along with diagnostic considerations such as detailed clinical examination, electrophysiological studies, and histopathological review of muscle biopsy specimens. We also review current available treatments and prognosis. Increased awareness and early recognition of CIM, CIP, and CIPNM in the intensive care unit setting may lead to earlier treatments and rehabilitation, improving patient outcomes.

  14. Stigmatising of persons with a mental illness

    DEFF Research Database (Denmark)

    Vendsborg, Per; Nordentoft, Merete; Lindhardt, Anne

    2011-01-01

    Persons with a mental illness and their relatives experience discrimination and expect to be discriminated. The public regards them as unpredictable and dangerous and do not wish to have any relation with them neither in private nor at work. This opinion is shared by people working in health care...... or social care. The myth of dangerousness is out of proportion and the media is to blame as they most often mention persons with mental illnesses as dangerous. Many countries make a great effort to reduce stigma and this is also under planning in Denmark.......Persons with a mental illness and their relatives experience discrimination and expect to be discriminated. The public regards them as unpredictable and dangerous and do not wish to have any relation with them neither in private nor at work. This opinion is shared by people working in health care...

  15. Feelings of children when witnessing parents' illness

    Directory of Open Access Journals (Sweden)

    Julia Wakiuchi

    2016-12-01

    Full Text Available This study aimed to learn the experiences of children who witness their parents' illness due to cancer. This is a descriptive, qualitative study, with six children between 10 and 12 years of age, children of cancer patients assisted by a support institution. The data were collected from July to August 2015, based on the guiding question:    "How do you feel about your father/mother's illness?" From the analysis, two categories emerged: Recognizing the disease and the possibility of the parents 'death and, Growing as a child and living as an adult: the repercussions of parents with cancer in their children's lives, which reveal that children understand cancer and the possibility of death of their parents, being also affected by the disease. By experiencing the fears and repercussions of cancer, children need assistance by the family and health team during their parents' illness.

  16. Mental illness disclosure in Chinese immigrant communities.

    Science.gov (United States)

    Chen, Fang-Pei; Lai, Grace Ying-Chi; Yang, Lawrence

    2013-07-01

    Support from social networks is imperative to mental health recovery of persons with mental illness. However, disclosing mental illness may damage a person's participation in networks due to mental illness stigma, especially in Chinese immigrant communities where social networks (the guanxi network) have specific social-cultural significance. This study focused on mental illness disclosure in Chinese immigrant communities in New York City. Fifty-three Chinese psychiatric patients were recruited consecutively from 2 Chinese bilingual psychiatric inpatient units from 2006 to 2010. Two bilingual psychologists interviewed each participant once in a semistructured interview, including 6 questions on mental illness disclosure. Conventional content analysis was applied to conceptualize the phenomenon. Results showed that participants voluntarily disclosed to a circle of people composed primarily of family and relatives. The decisions and strategies to disclose depended on participants' consideration of 3 critical elements of social relationships. Ganqing, affection associated with relationship building, ultimately determined who had the privilege to know. Renqing, the moral code of reciprocal kindness, further influenced disclosure decisions and what participants anticipated as responses to disclosure. Lastly, concerns over preserving face (lian), a construct representing personal and familial dignity, oftentimes prohibited disclosure. Additionally, in this tight-knit network, involuntary disclosure could happen without participants' permission or knowledge. Participants commonly suffered from stigma after disclosure. However, half of our participants reported situations in which they experienced little discriminatory treatment, and some experienced support and care as a result of cultural dynamics. Recommendations for culturally sensitive practice to facilitate mental illness disclosure among Chinese immigrants were discussed. PsycINFO Database Record (c) 2013 APA, all

  17. The neurological illness of Friedrich Nietzsche.

    Science.gov (United States)

    Hemelsoet, D; Hemelsoet, K; Devreese, D

    2008-03-01

    Friedrich Nietzsche (1844-1900), one of the most profound and influential modern philosophers, suffered since his very childhood from severe migraine. At 44 he had a mental breakdown ending in a dementia with total physical dependence due to stroke. From the very beginning, Nietzsche's dementia was attributed to a neurosyphilitic infection. Recently, this tentative diagnosis has become controversial. To use historical accounts and original materials including correspondence, biographical data and medical papers to document the clinical characteristics of Nietzsche's illness and, by using this pathography, to discuss formerly proposed diagnoses and to provide and support a new diagnostic hypothesis. Original letters from Friedrich Nietzsche, descriptions by relatives and friends, and medical descriptions. Original German sources were investigated. Biographical papers published in medical journals were also consulted. Nietzsche suffered from migraine without aura which started in his childhood. In the second half of his life he suffered from a psychiatric illness with depression. During his last years, a progressive cognitive decline evolved and ended in a profound dementia with stroke. He died from pneumonia in 1900. The family history includes a possible vascular-related mental illness in his father who died from stroke at 36. Friedrich Nietzsche's disease consisted of migraine, psychiatric disturbances, cognitive decline with dementia, and stroke. Despite the prevalent opinion that neurosyphilis caused Nietzsche's illness, there is lack of evidence to support this diagnosis. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) accounts for all the signs and symptoms of Nietzsche's illness. This study adds new elements to the debate and controversy about Nietzsche's illness. We discuss former diagnoses, comment on the history of a diagnostic mistake, and integrate for the first time Nietzsche's medical problems.

  18. Doing gender, doing away with illness

    DEFF Research Database (Denmark)

    Kolling, Marie

    2012-01-01

    fieldwork conducted among men and women who are living with type 2 diabetes in conditions of urban poverty in Northeast Brazil, this article examines how the men’s illness experiences are interwoven with the changes they concomitantly experienced in their sexuality. By examining the disruptiveness...... of diabetes in the social and gendered lives of men, it is explored how diabetes challenges both the domestic and public positions of men and how they in an attempt to avoid this try to resist being ill, which leads to contradictions in their diabetes self-care with dire consequences....

  19. Illness perception in Chinese adults with epilepsy.

    Science.gov (United States)

    Ji, Haixia; Zhang, Lei; Li, Lunlan; Gong, Guiping; Cao, Zhaolun; Zhang, Jianfeng; Zhou, Nong; Wang, Yu; Tu, Houmian; Wang, Kai

    2016-12-01

    Epilepsy is among the most common neurological disorders worldwide. Understanding the patient's subjective experience plays an important role in the treatment and rehabilitation of the patient. However, few studies are concerned about the illness perception of Chinese adults with epilepsy. 117 Chinese adults with epilepsy and 87 Chinese adults with chronic liver disease completed the Chinese version of the Revised Illness Perception Questionnaire (CIPQ-R). The Chinese epilepsy patients also completed the Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ). A comparison about CIPQ-R score between the epilepsy group and chronic liver group was conducted using the independent sample t test. Partial correlation coefficients were calculated among the eight subscales of the CIPQ-R and its associated factors. Results for the CIPQ-R indicated that both the epilepsy patients and the chronic liver disease patients had a moderate belief in their personal control and treatment control over their disorder. Consistent with our hypothesis, patients with epilepsy and those with chronic liver disease perceived their respective disease similarly in terms of timeline and illness coherence. However, epilepsy patients had a higher negative emotional representations level than that we expected when compared to those of the patients suffering from chronic liver disease. Partial correlation analysis in Chinese epilepsy patients showed that the timeline acute/chronic dimension and emotional representations dimension were closely related to the other dimensions of illness perception. Moreover, the illness perception of the patients was significantly associated with social support, coping style, duration of epilepsy, seizure frequency, and the number of antiepileptic drugs. Chinese patients with epilepsy had limited understanding of the illness, and poor belief in personal control and treatment control. They had a negative emotional response to their illness

  20. Stigmatising of persons with a mental illness

    DEFF Research Database (Denmark)

    Vendsborg, Per; Nordentoft, Merete; Lindhardt, Anne

    2011-01-01

    Persons with a mental illness and their relatives experience discrimination and expect to be discriminated. The public regards them as unpredictable and dangerous and do not wish to have any relation with them neither in private nor at work. This opinion is shared by people working in health care...... or social care. The myth of dangerousness is out of proportion and the media is to blame as they most often mention persons with mental illnesses as dangerous. Many countries make a great effort to reduce stigma and this is also under planning in Denmark....

  1. Imagery, colour and illness: a review.

    Science.gov (United States)

    Carruthers, Helen R

    2011-09-01

    This paper reviews research on the role of colour and imagery in relation to illness and examines how this might improve communication between the sufferer and those treating or caring for them. It describes a method by which colour can be related to situations such as an individual's mood and how this might be used to predict response to treatment. Furthermore, it provides evidence that documenting the imagery of an illness might give insight into the patients' fears and concerns about their condition as well as helping non-sufferers to understand what they are going through.

  2. Probiotic (VSL# 3) for Gulf War Illness

    Science.gov (United States)

    2017-10-01

    Award Number: W81XWH-10-1-0593 TITLE: Probiotic (VSL#3) for Gulf War Illness PRINCIPAL INVESTIGATOR: Ashok Tuteja, M.D. M.P.H. CONTRACTING...failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO... Gulf War Illness 5b. GRANT NUMBER W81XWH-10-1-0593 5c. PROGRAM ELEMENT NUMBER 6 . AUTHOR(S) 5d. PROJECT NUMBER Ashok Tuteja, M.D. 5e. TASK NUMBER

  3. New U.S. Foodborne Illness Estimate

    Centers for Disease Control (CDC) Podcasts

    2010-12-13

    This podcast discusses CDC's report on new estimates of illnesses due to eating contaminated food in the United States. Dr. Elaine Scallan, assistant professor at the University of Colorado and former lead of the CDCs FoodNet surveillance system, shares the details from the first new comprehensive estimates of foodborne illness in the U.S. since 1999.  Created: 12/13/2010 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID); National Center for Immunization and Respiratory Diseases (NCIRD).   Date Released: 12/15/2010.

  4. Langue et „langage du geste“ : la sémiotique théâtrale comme sémiotique comparée dans la Mimik de Johann Jakob Engel (1785

    Directory of Open Access Journals (Sweden)

    Charlotte Coulombeau

    2006-05-01

    Full Text Available Le philosophe populaire berlinois Johann Jakob Engel a amorcé, à la fin du XVIII  siècle, des recherches importantes dans le domaine de la sémiotique esthétique, problématique alors presque entièrement neuve que venait de lancer le Laocoon de Lessing. A peine quelque années plus tard, l’œuvre de Engel constitue déjà un élargissement considérable de la problématique lessingienne, tout autant d’ailleurs qu’une remise en cause de certaines de ses prémisses : la sémiotique théâtrale ne peut-elle constituer une alternative à la scission sémiotique des « arts du temps » et des « arts de l’espace » ? Plus spécifiquement, l’analyse sémiotique du geste sera pour Engel l’occasion de dégager deux notions singulièrement opératoires : « peinture » et « expression » (Malerei, Ausdruck qui seront transposables dans une sémiotique esthétique générale. En effet, elles permettent à Engel est de dégager analogies fortes entre musique, poétique, gestuel, pour s’acheminer vers une sémiotique comparée dont la perspective est entièrement neuve. On en retracera les ressorts essentiels en mettant en lumière le rôle intermédiaire important dévolu d’une part au modèle rhétorique de l’éloquence,  d’autre part à la fonction métaphorique – moteurs de la transposition d’une sémiotique du langage à celle d’un « langage du geste ».Near the end of the eitheeth century, the Berliner popular philosopher Johann Jakob Engel initiated important research in the field of esthetic semiotics, then an almost entirely new area of reflexion prompted by Lessing’s Laocoon. Within just a few years, Engel’s work already constitutes a substantial broadening of the lessingian issue, as well as a questioning of certain of its premises : couldn’t theatrical semiotics offer an alternative to the semiotic split between the « arts of time » and « the arts of space ? » More specifically

  5. Visibility and invisibility in chronic illness

    NARCIS (Netherlands)

    Hoppe, S.

    2010-01-01

    Does the visibility of a condition necessarily lead to stigmatization? Is it easier to suffer from an invisible than a visible condition? And what are the consequences of living with an invisible or visible illness? In this article the author draws on the concepts of stigma and concealability to

  6. RelaisILL instructions in English

    International Development Research Centre (IDRC) Digital Library (Canada)

    Julie Cassone

    RelaisILL está integrado a las herramientas de investigación de los Servicios de Apoyo a la. Investigación del IDRC. Puede obtener acceso a este sistema directamente desde las bases de datos de investigación, en Google Scholar, o bien mediante el siguiente enlace:.

  7. Inequality in the social consequences of illness

    DEFF Research Database (Denmark)

    Burström, B; Whitehead, M; Lindholm, C

    2000-01-01

    The demand for unskilled labor has collapsed across industrialized societies, including Britain and Sweden, and rates of unemployment and economic inactivity have increased. The result is a reduction in total employment, primarily among men. These trends could be expected to hit particularly hard...... that active labor market policies and employment protection may increase the opportunities for people with chronic illness to remain in work....

  8. Illness perceptions amongst individuals with dental caries.

    Science.gov (United States)

    Mafla, A C; Villalobos-Galvis, F H; Heft, M W

    2018-03-01

    To assess individuals' perception of dental caries, in order to explain how illness representations might influence their coping with the disease. Cross-sectional questionnaire study. 520 consecutive patients (aged ≥18 years) of the General Dentistry Clinic at Universidad Cooperativa de Colombia, Pasto, Colombia who had experienced dental caries. Illness perception of dental caries was assessed using the Illness Perception Questionnaire Revised (IPQ-R). The most frequent self-reported symptoms associated with dental caries were "toothache" (56.2%), "tooth sensitivity" (53.8%) and "mild to sharp pain when eating or drinking" (51.2%). The dimensions of illness perception were related to socio-economic status (SES). Symptoms of "loose or separating teeth" and "pus in your tooth" were associated with dental caries by low SES participants, while "bleeding while brushing, flossing or eating hard food" and "mild to sharp pain when eating or drinking something sweet, hot or cold" were related more to higher SES. Perceptions of caries were related to socioeconomic status. Interventions to promote health literacy in order to improve the capacity to obtain, process and understand basic oral health information could increase an early detection of caries. Copyright© 2018 Dennis Barber Ltd.

  9. Barbecue Basics: Tips to Prevent Foodborne Illness

    Medline Plus

    Full Text Available ... from becoming ill,” says Marjorie Davidson, Ph.D., education team leader in FDA’s Center for Food Safety ... Information Safety Emergency Preparedness International Programs News & Events Training & Continuing Education Inspections & Compliance Federal, State & Local Officials ...

  10. EDITORIAL PSYCHIATRIC ILLNESS AMONG JUVENILES AND ...

    African Journals Online (AJOL)

    Kateee

    2003-06-01

    Jun 1, 2003 ... disadvantaged groups such as women and children, post traumatic disorders as a result of natural and ...... their previous experience and familiarity with questionnaire administration. They were indigenous to ..... Gambian children: Maternal perceptions of illness. Ann. Trop. Paed. 1990; 10: 45-51. 8. Usha ...

  11. Resisting the Stigma of Mental Illness

    Science.gov (United States)

    Thoits, Peggy A.

    2011-01-01

    The relationship between stigmatization and the self-regard of patients/consumers with mental disorder is negative but only moderate in strength, probably because a subset of persons with mental illness resists devaluation and discrimination by others. Resistance has seldom been discussed in the stigma and labeling literatures, and thus conditions…

  12. Burden of Illness in Hereditary Angioedema

    DEFF Research Database (Denmark)

    Bygum, Anette; Aygören-Pürsün, Emel; Beusterien, Kathleen

    2015-01-01

    The objective of the Hereditary Angioedema Burden of Illness Study in Europe was to assess the real-world experience of HAE from the patient perspective. Based on open-ended qualitative interviews with 30 patients from Spain, Germany and Denmark, 5 key themes emerged characterizing the impact...

  13. Wellness within illness: happiness in schizophrenia.

    Science.gov (United States)

    Palmer, Barton W; Martin, Averria Sirkin; Depp, Colin A; Glorioso, Danielle K; Jeste, Dilip V

    2014-10-01

    Schizophrenia is typically a chronic disorder and among the most severe forms of serious mental illnesses in terms of adverse impact on quality of life. Yet, there have been suggestions that some people with schizophrenia can experience an overall sense of happiness in their lives. We investigated happiness among 72 outpatients with non-remitted chronic schizophrenia with a mean duration of illness of 24.4 years, and 64 healthy comparison subjects (HCs). Despite continued treatment with antipsychotic medications, the individuals with schizophrenia manifested a mild to moderate level of psychopathology. People with schizophrenia reported lower mean levels of happiness than HCs, but there was substantial heterogeneity within the schizophrenia group. Level of happiness in persons with schizophrenia was significantly correlated with higher mental health-related quality of life, and several positive psychosocial factors (lower perceived stress, and higher levels of resilience, optimism, and personal mastery). However, level of happiness was not related to sociodemographic characteristics, duration of illness, severity of positive or negative symptoms, physical function, medical comorbidity, or cognitive functioning. Except for an absence of an association with resilience, the pattern of correlations of happiness with other variables seen among HCs was similar to that in individuals with schizophrenia. Although happiness may be harder to achieve in the context of a serious mental illness, it nonetheless appears to be a viable treatment goal in schizophrenia. Psychotherapies targeting positive coping factors such as resilience, optimism, and personal mastery warrant further investigation. Copyright © 2014. Published by Elsevier B.V.

  14. The Victimization of the Homeless Mentally Ill.

    Science.gov (United States)

    French, Laurence

    An indication of the failure of the mental health system in this country is reflected in the increasingly visible homeless population, many of whom suffer from some form of untreated mental illness. Public policy priorities have shifted from proactive, treatment-oriented policies to reactive, punitive institutionalization. The…

  15. Remote Intimations: Performance Art and Environmental Illness

    Science.gov (United States)

    Bottoms, Stephen; Laffin, Julie

    2012-01-01

    This article explores and documents the work of leading Midwestern performance artist Julie Laffin, in the years since she developed a serious form of environmental illness (Multiple Chemical Sensitivity). This condition has effectively rendered her housebound and unable to appear in public, so that her previous live performance practice--which…

  16. Oral hygiene care in critically ill patients

    African Journals Online (AJOL)

    2007-11-19

    Nov 19, 2007 ... residue, bacteria, and plaque; massaging the gums with a toothbrush, dental floss, or water irrigator ... an invasion of the patient's privacy.3 Oral hygiene care practices for a critically ill patient include assessment of the oral cavity, brushing the teeth, moisturising the lips and mouth and suctioning the mouth ...

  17. Communication with older, seriously ill patients.

    NARCIS (Netherlands)

    Vliet, L.M. van; Lindenberger, E.; Weert, J.C.M. van

    2015-01-01

    This article aims to provide more insight into effective communication with older people with serious illness and their surrogates/caregivers. To do so, if focusses on specific skills in three core functions of communication (i) empathic behavior, (ii) information provision and (iii) enabling

  18. About the right to be ill.

    Science.gov (United States)

    Halasz, Jacek

    2018-03-01

    The article raises the issue of 'the right to be ill', formulated by Tadeusz Kielanowski, a Polish physician and humanist. According to him, the right to health should be supplemented by the principle which would serve the protection of people with diseases or disabilities. One-sided interpretation of 'the right to health' may result in various forms of intolerance and discrimination. This paper presents what dangers Kielanowski recognized and explains why his approach was considered to be a novelty; what the idea of 'the right to be ill' is, how the need for it is substantiated. This idea is considered in the context of human rights and it constitutes a starting point for the reflection on social phenomena connected with medicine. Taking into account the changes in medical ethics and culture which have taken place in the recent decades the question has been asked-is it worth talking about the right to be ill these days? Giving positive answers to this question, the spheres and issues that have been presented can be analyzed and assessed from the perspective of the right to be ill.

  19. Annex to the ILL Annual Report 1974

    International Nuclear Information System (INIS)

    1974-01-01

    The volume deals with the scientific work carried out at ILL during 1974 using the HFR (Grenoble), cold and hot neutron sources. Theory, nuclear physics, pure crystals, crystalline and magnetic structures, liquids gases, amorphous substances, imperfections, biochemistry and physical chemistry are subject areas covered [fr

  20. Mental Health and Illness in the City

    DEFF Research Database (Denmark)

    This book highlights a broad range of issues on mental health and illness in large cities. It presents the epidemiology of mental disorders in cities, cultural issues of urban mental health care, and community care in large cities and urban slums. It also includes chapters on homelessness, crime...

  1. Tissue thyroid hormone levels in critical illness

    NARCIS (Netherlands)

    R.P. Peeters (Robin); S.D. van Geyten (Serge Der); P.J. Wouters (Pieter); V.M. Darras (Veerle); H. van Toor (Hans); E. Kaptein (Ellen); T.J. Visser (Theo); G. van den Berghe (Greet)

    2005-01-01

    textabstractContext: Pronounced alterations in serum thyroid hormone levels occur during critical illness. T3 decreases and rT3 increases, the magnitudes of which are related to the severity of disease. It is unclear whether these changes are associated with decreased tissue T3 concentrations and,

  2. Methadone analgesia in the critically ill.

    Science.gov (United States)

    Elefritz, Jessica L; Murphy, Claire V; Papadimos, Thomas J; Lyaker, Michael R

    2016-08-01

    Methadone is increasingly used as an analgesic or a bridge to weaning other analgesics and sedatives in critically ill patients. This review discusses the pharmacology of methadone, summarizes available evidence for its use in the intensive care unit setting, and makes suggestions for appropriate use and monitoring. Articles evaluating the efficacy, safety, and pharmacology of methadone were identified from a PubMed search through June 2015. References from selected articles were reviewed for additional material. Experimental and observational English-language studies that focused on the efficacy, safety, and pharmacology of methadone in critically-ill adults and children were selected. Methadone is a synthetic opioid analgesic with potential advantages over other commonly used opioids. Limited evidence from critically ill pediatric, adult, and burn populations suggests that methadone protocols may expedite weaning opiate infusions, decrease the length of mechanical ventilation, and reduce the incidence of negative outcomes such as opiate withdrawal, delirium, and over-sedation. Data from current literature supports a role for methadone analgesia in weaning opiates and potentially reducing the duration of mechanical ventilation in critically ill patients. More studies are needed to confirm these benefits and determine criteria for patient selection. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Diagnosing Febrile Illness in a Returned Traveler

    Centers for Disease Control (CDC) Podcasts

    2012-03-01

    This podcast will assist health care providers in diagnosing febrile illness in patients returning from a tropical or developing country.  Created: 3/1/2012 by National Center for Enteric, Zoonotic, and Infectious Diseases (NCEZID).   Date Released: 3/1/2012.

  4. Barbecue Basics: Tips to Prevent Foodborne Illness

    Medline Plus

    Full Text Available ... from becoming ill,” says Marjorie Davidson, Ph.D., education team leader in FDA’s Center for Food Safety ... Emergency Preparedness International Programs News & Events Training & Continuing Education Inspections & Compliance Federal, State & Local Officials Consumers Health ...

  5. Siblings and Mental Illness: Heredity vs. Environment.

    Science.gov (United States)

    Rowe, David C.; Elam, Patricia

    1987-01-01

    Siblings are far more likely to be different than alike in personality and psychopathology. Different genes and different environmental experiences can account for why one sibling becomes mentally ill and another is not affected. Environmental experiences play a much greater role in sibling differentiation than has been previously recognized.…

  6. Psychological and Spiritual Factors in Chronic Illness.

    Science.gov (United States)

    Leifer, Ron

    1996-01-01

    Asserts the importance of psychological and spiritual factors in the treatment of chronic illness. Discusses the inevitably of sickness, old age, and death, as well as the presence of the physician, patience, pain, and hope. Maintains that reflection on these qualities can benefit both the physician and patient. (MJP)

  7. Mental illness among us: a new curriculum to reduce mental illness stigma among medical students.

    Science.gov (United States)

    Aggarwal, Anuj K; Thompson, Maxwell; Falik, Rebecca; Shaw, Amy; O'Sullivan, Patricia; Lowenstein, Daniel H

    2013-11-01

    Medical students have been shown to have high levels of psychological distress, including self-stigmatization and unwillingness to seek care. The authors hypothesized that a student-led curriculum involving personal mental illness experience, given during the first-year neuroscience course, and titled "Mental Illness Among Us (MIAU)," would reduce stigma of mental illness. In 2010 and 2011, students completed voluntary pre- and post-MIAU surveys measuring attitudes regarding mental illness in relation to MIAU. Also, in 2011, the authors categorized topics mentioned in student responses to an open-ended, free-response question on the course final examination. Of 298 enrolled students, 250 submitted surveys that were matched pre- and post-intervention. Participants in the curriculum showed a significant difference in Social Distance, indicating an increased willingness to interact with individuals with mental illness, and a significant difference in the Mental Illness: Clinicians' Attitudes (MICA) score representing a stronger agreement with positive statements regarding mental illness. The non-participants' scores showed no changes in measures from pre- to post. Respondents most frequently reported that the neuroscience course prepared them to be a physician because it taught about compassion and the importance of treating the whole patient. The results indicate that participation in MIAU leads to a decrease in stigmatization of mental illness and a greater sense of compassion among UCSF medical students. This finding is consistent with previous research suggesting social and cognitive congruence among peers and peer-teachers can result in meaningful learning experiences. MIAU may represent a sustainable model to supplement current systems to promote well-being of medical trainees.

  8. Sleep quality in patients with chronic illness.

    Science.gov (United States)

    Kemple, Mary; O'Toole, Sinead; O'Toole, Conor

    2016-11-01

    To explore sleep quality in patients with chronic illness in primary care. Many people suffer from chronic illness with the numbers increasing. One common issue arises from problems that people have with their quality of sleep: a largely under-researched topic. This study exploring poor quality sleep allowed patients to describe their daily struggles with poor sleep in their own lives. This allowed the development of a deeper understanding of what it means to sleep poorly and find out how participants cope with not sleeping well. A qualitative approach enabling a deep exploration of patient's experiences of sleep quality was used. Interviews were conducted with a purposive sample of nine participants from a primary care clinic. Analysis utilised an interpretative approach. Data analysed produced four recurrent themes that were grouped into two categories. First, themes that identified the recognition by participants that 'something was wrong' were abrupt beginning and impact on their life. Second, themes that identified that the participants considered there was 'nothing wrong' were I am fine and I just carry on. Data revealed that poor quality sleep can have a profound effect on quality of life. Participants lived without good quality sleep for years. They had come to accept two seemingly irreconcilable ideas that not being able to sleep is an enduring problem with a distinct starting point, and paradoxically, this is not a problem that deserves much professional attention. Important original data were generated on the impact of poor quality sleep indicating that chronically disturbed sleep can increase the disease burden on patients with chronic illness. The results of this study suggest healthcare professionals need to understand how sleep quality issues impact on patient's experience of chronic illness. Data from this study will help nurses and other health professionals to deepen their understanding of the profound impact of poor quality sleep on patients with

  9. Mental illness in the nursing workplace: a collective autoethnography.

    Science.gov (United States)

    Kidd, Jacquie Dianne; Finlayson, Mary P

    2010-01-01

    Many nurses are burned out, exhausted and have a high intent to leave their jobs. These factors, when experienced over a period of time, are consistent with the development of mental illness. This study takes a collective autoethnographical approach to mental illness in the nursing workplace by focusing on the stories of nurses who have experienced mental illness in clinical practice. It highlights three ways in which nursing and mental illness are connected; the nurse who is vulnerable to mental illness prior to entering the profession, the nurse who develops mental illness that is independent of her work but is nevertheless impacted by it, and the nurse who develops mental illness as a result of her work and/or role. This paper explores the hyphenated lives and bullying these nurses experience, and recommends strategies that the profession, employing organisations, and individuals can adopt to reduce nurses' progression from stress to distress and mental illness.

  10. Consent to research by mentally ill children and adolescents: The ...

    African Journals Online (AJOL)

    , the Act's statutory requirements relating to the informed consent to participation in clinical research by mentally ill children and adolescents in South Africa are examined. The necessity of doing clinical research in mentally ill children and ...

  11. Preventing Heat-Related Illness or Death of Outdoor Workers

    Science.gov (United States)

    Preventing Heat-related Illness or Death of Outdoor Workers Summary Outdoor workers in agricul- ture, construction, and other industries ... a great deal of exertional and environ- mental heat stress that may lead to severe illness or ...

  12. Should we mobilise critically ill patients? A review.

    LENUS (Irish Health Repository)

    O'Connor, Enda D

    2009-12-01

    Neuromuscular weakness, a frequent complication of prolonged bed rest and critical illness, is associated with morbidity and mortality. Mobilisation physiotherapy has widespread application in patients hospitalised with non-critical illness.

  13. Victimization of the Mentally Ill: An Unintended Consequence of Deinstitutionalization.

    Science.gov (United States)

    French, Laurence

    1987-01-01

    Reviews the history of the problem of deinstitutionalization of the mentally ill to community settings, outlines characteristics of the homeless mentally ill, and discusses steps to create a more responsive clinical network to cope with the problem. (Author/KS)

  14. Melatonin Secretion Pattern in Critically Ill Patients

    DEFF Research Database (Denmark)

    Boyko, Yuliya; Holst, René; Jennum, Poul

    2017-01-01

    Critically ill patients have abnormal circadian and sleep homeostasis. This may be associated with higher morbidity and mortality. The aims of this pilot study were (1) to describe melatonin secretion in conscious critically ill mechanically ventilated patients and (2) to describe whether melatonin...... secretion and sleep patterns differed in these patients with and without remifentanil infusion. Eight patients were included. Blood-melatonin was taken every 4th hour, and polysomnography was carried out continually during a 48-hour period. American Academy of Sleep Medicine criteria were used for sleep...... scoring if sleep patterns were identified; otherwise, Watson's classification was applied. As remifentanil was periodically administered during the study, its effect on melatonin and sleep was assessed. Melatonin secretion in these patients followed a phase-delayed diurnal curve. We did not observe any...

  15. Case management with homeless mentally ill people.

    Science.gov (United States)

    Rife, J C; First, R J; Greenlee, R W; Miller, L D; Feichter, M A

    1991-02-01

    This article reports the findings of a National Institute of Mental Health (NIMH) services demonstration project that used a mobile case management team to serve homeless mentally ill clients. The project examined three issues: (1) factors associated with client engagement in case management, (2) clients' perceptions of how case management affected their quality of life, and (3) significant differences between clients who remained engaged in case management services and those who discontinued involvement. The results indicated that clients who received more frequent case management contact, had higher assessed independent living skills, were older, were less likely to be substance abusers, and had experienced fewer periods of homelessness and fewer prior psychiatric hospitalizations were more likely to remain engaged in case management services. After six months of case management, clients perceived significant improvement in their global well-being, living situation, use of leisure time, finances, and physical health. Implications for providing case management services to homeless mentally ill people are presented.

  16. Medication adherence for patients with mental illness.

    Science.gov (United States)

    Varshney, Upkar; Vetter, Ron

    2012-01-01

    Medication adherence has been studied for some time; however most research has focused on able-bodied patients or the elderly living independently. What has not been studied nearly as much is medication adherence for people with psychiatric or mental illnesses. In this paper, we present a framework that includes the specific challenges in medication adherence for patients with mental illness, algorithms and protocols for evaluating adherence, and some on-going work in developing effective solutions. The architectural framework and associated algorithms leverage the context-aware computing capabilities available on many mobile devices. The system is designed to be able to collect and offer situation-aware information on medication use and adherence for healthcare professionals and other designated persons.

  17. Fever in the critically ill medical patient.

    Science.gov (United States)

    Laupland, Kevin B

    2009-07-01

    Fever, commonly defined by a temperature of >or=38.3 degrees C (101 degrees F), occurs in approximately one half of patients admitted to intensive care units. Fever may be attributed to both infectious and noninfectious causes, and its development in critically ill adult medical patients is associated with an increased risk for death. Although it is widespread and clinically accepted practice to therapeutically lower temperature in patients with hyperthermic syndromes, patients with marked hyperpyrexia, and selected populations such as those with neurologic impairment, it is controversial whether most medical patients with moderate degrees of fever should be treated with antipyretic or direct cooling therapies. Although treatment of fever may improve patient comfort and reduce metabolic demand, fever is a normal adaptive response to infection and its suppression is potentially harmful. Clinical trials specifically comparing fever management strategies in neurologically intact critically ill medical patients are needed.

  18. The prediction of different experiences of longterm illness

    DEFF Research Database (Denmark)

    Blank, N; Diderichsen, Finn

    1996-01-01

    To analyse the role played by socioeconomic factors and self rated general health in the prediction of the reporting of severe longterm illness, and the extent to which these factors explain social class differences in the reporting of such illness.......To analyse the role played by socioeconomic factors and self rated general health in the prediction of the reporting of severe longterm illness, and the extent to which these factors explain social class differences in the reporting of such illness....

  19. 2010 Kansas City Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-06-20

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  20. 2010 Idaho National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-09-26

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  1. 2010 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-08-16

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  2. 2010 Hanford Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-10-05

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  3. 2006 Pantex Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-05-19

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  4. 2006 Savannah River Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-08-20

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  5. 2010 Pantex Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-06-29

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  6. 2010 Sandia National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-10-26

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  7. 2007 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-07-31

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  8. 2003 Nevada Test Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Illness and Injury Prevention Programs

    2007-05-23

    Annual Illness and Injury Surveillance Program report for 2003 for the Nevada Test Site. The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  9. 2010 Savannah River Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2011-09-12

    The U.S. Department of Energy's (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  10. 2006 Nevada Test Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-04-24

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  11. 2007 Hanford Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety, and Security

    2009-07-16

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  12. 2007 Idaho National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety, and Security

    2009-05-04

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  13. 2006 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-03-06

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  14. 2006 Hanford Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-05-14

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  15. 2006 Kansas City Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-06-13

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  16. 2007 Pantex Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2008-07-31

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of illness and injury surveillance activities that provide an early warning system to detect health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence, occupational injuries and illnesses, and disabilities and deaths among current workers.

  17. Curcumin Nanoparticle Therapy for Gulf War Illness

    Science.gov (United States)

    2017-10-01

    and stress. It is envisaged that improved cognitive, memory and mood function in GWI-rats with nCUR administration will occur via improvements in...biodegradable polymer nanosystems (nCUR) for alleviating cognitive, memory and mood impairments in a rat model of gulf war illness (GWI). Specific...Aim 1 studies involve quantification of the efficacy of oral administration of different doses of nCUR for improving neurogenesis and suppressing

  18. Coping with Serious Illness: A Conceptual Overview,

    Science.gov (United States)

    1980-10-01

    Egbert, Battit, Welch, et al, 1964). Uncertainty seems to be an important source of stress. People apparently prefer the predictable to the...purposes of information seeking have been suggested, for example, to reduce the uncertainty or ambiguity about the illness (Lipowski, 1969; McIntosh...energy, anorexia ), these may reflect disease states in addition to depression. Thus, it is preferable to refer specifically to the affect (see Plumb and

  19. Violence against woman: psychic and mental illness

    OpenAIRE

    Eliany Nazaré Oliveira; Maria Salete Bessa Jorge

    2012-01-01

    The reflection tries to make explicit the existing interfaces between violence and mental illness, more specifically, inwomen experiencing daily mistreatment. Violence weakens women’s mental health. Psychological consequences of abuse are even more serious than their physical effects. Abuse suffering often destroys woman’s self esteem and exposes her to much higher risk of suffering mental disorders, including depression, post-traumatic stress, tendency towards suicide and consumption of drug...

  20. Patients' opinions on outcomes following critical illness

    DEFF Research Database (Denmark)

    Nedergaard, H K; Haberlandt, T; Reichmann, P D

    2018-01-01

    BACKGROUND: Our aim was to explore which outcomes are most important to patients following ICU-discharge, and to explore whether intensive care unit (ICU)-nurses and anesthesiologists are aware of patients' priorities. METHODS: First, interviews with adult ICU-survivors were conducted until data...... lack of physical strength, fatigue, and decreased walking distance as the three most important outcomes following critical illness. Physicians had a higher focus on these physical impairments than ICU-nurses....

  1. The neutron EDM experiment at the ILL

    CERN Document Server

    Harris, P G; Pendlebury, J M; Shiers, D; Smith, K F; Grinten, M G D; Baker, C A; Green, K; Iaydjiev, P; Ivanov, S; Geltenbort, P

    2000-01-01

    The latest-generation neutron electric dipole moment (EDM) experiment has been collecting data at the ILL since 1996. It uses a 'cohabiting' atomic-mercury magnetometer to measure and compensate for the magnetic field fluctuations that were the principal source of systematic errors in previous experiments. The first results, which are soon to be published, essentially verify the existing limit on the dipole moment d sub n; however, this new measurement is clearly limited by statistical rather than systematic uncertainties.

  2. Arts Therapies and Progressive Illness: Nameless Dread

    OpenAIRE

    Waller, Diane E.

    2002-01-01

    Arts Therapies and Progressive Illness is a guide to the use of arts therapies in the treatment of patients with diseases such as Parkinson's and Alzheimer's. In the last few years arts therapies have been used in an increasingly wide range of applications with new groups of patients, such as patients in palliative care, or with learning disabilities - Diane Waller has been a driving force behind this expansion.\\ud This book covers treatment such as art therapy, dance movement therapy and mus...

  3. Mental illness-related stigma in healthcare

    OpenAIRE

    Knaak, Stephanie; Mantler, Ed; Szeto, Andrew

    2017-01-01

    Mental illness-related stigma, including that which exists in the healthcare system and among healthcare providers, creates serious barriers to access and quality care. It is also a major concern for healthcare practitioners themselves, both as a workplace culture issue and as a barrier for help seeking. This article provides an overview of the main barriers to access and quality care created by stigmatization in healthcare, a consideration of contributing factors, and a summary of Canadian-b...

  4. Probiotic (VSL 3) for Gulf War Illness

    Science.gov (United States)

    2016-10-01

    Gulf War (GW) veterans report gastroenteritis during deployment and it is a risk factor for development of irritable bowel syndrome (IBS) after...intestinal symptoms (fatigue, joint pain, insomnia, general stiffness and headache) associated with IBS. All of these symptoms are part of the Gulf War...SUBJECT TERMS Irritable bowel syndrome, probiotic, Gulf War Illness, diarrhea 16. SECURITY CLASSIFICATION OF: 17. LIMITATION 18. 19a. NAME OF

  5. The illness of Vincent van Gogh.

    Science.gov (United States)

    Blumer, Dietrich

    2002-04-01

    Vincent van Gogh (1853-1890) had an eccentric personality and unstable moods, suffered from recurrent psychotic episodes during the last 2 years of his extraordinary life, and committed suicide at the age of 37. Despite limited evidence, well over 150 physicians have ventured a perplexing variety of diagnoses of his illness. Henri Gastaut, in a study of the artist's life and medical history published in 1956, identified van Gogh's major illness during the last 2 years of his life as temporal lobe epilepsy precipitated by the use of absinthe in the presence of an early limbic lesion. In essence, Gastaut confirmed the diagnosis originally made by the French physicians who had treated van Gogh. However, van Gogh had earlier suffered two distinct episodes of reactive depression, and there are clearly bipolar aspects to his history. Both episodes of depression were followed by sustained periods of increasingly high energy and enthusiasm, first as an evangelist and then as an artist. The highlights of van Gogh's life and letters are reviewed and discussed in an effort toward better understanding of the complexity of his illness.

  6. Energy expenditure of acutely ill hospitalised patients

    Directory of Open Access Journals (Sweden)

    Gariballa Salah

    2006-03-01

    Full Text Available Abstract Objective To measure energy expenditure of acutely ill elderly patients in hospital and following discharge in the community. Design Sixty-three consecutive hospitalised acutely ill elderly patients were recruited. Eight patients were studied to assess the reliability of the Delta Tract Machine as a measure of energy expenditure; 35 patients had their energy expenditure studied in hospital on two occasions and 20 patients had their energy expenditure measured in hospital and at 6 weeks in the community Results Men had higher basal energy expenditure (BMR values compared to women however the difference was not statistically significant [Men, mean (SD 1405 (321 Kcal, women 1238 (322 kcal; mean difference (95% CI 166 kcal (-17 to 531, p = 0.075]. After adjusting for age, gender and body mass index both medication and C-reactive protein (CRP, concentrations showed significant correlation with measured energy expenditure in hospital, (r = -0.36, "p Conclusion Tissue inflammation and medications were associated with change in measured energy expenditure in acutely ill patients.

  7. Neuropsychological function in homeless mentally ill individuals.

    Science.gov (United States)

    Seidman, L J; Caplan, B B; Tolomiczenko, G S; Turner, W M; Penk, W E; Schutt, R K; Goldfinger, S M

    1997-01-01

    Because little data are available on the neuropsychological functioning of severely and persistently mentally ill (SPMI) persons who are homeless, our primary goal was to describe accurately and extensively the general neuropsychological functioning of a large group of such homeless individuals. In addition, we have sought to examine the relationship between some neuropsychological functions and demographic, illness, and clinical state measures in this population. A 5-hour neuropsychological test battery was administered to 116 SPMI homeless individuals. Neuropsychological, diagnostic, substance abuse, clinical, and psychopathology data were obtained in a standardized manner. SPMI homeless individuals were significantly impaired on a wide range of neuropsychological functions. Specific test performances were most significantly related to precursor variables (level of education and parental socioeconomic status) and state variables (level of psychosis and anticholinergic medication dose). Gender and substance abuse had significant effects limited to sustained attention. Neuropsychological performance was impaired in this sample of homeless SPMI persons. Further research, using profile analysis to directly compare groups composed of homeless persons without psychiatric illness or demographically matched persons of comparable psychiatric status who are not homeless will help clarify the role of homelessness and psychosis on neuropsychological function.

  8. The costs of repatriating an ill seafarer

    DEFF Research Database (Denmark)

    Faurby, Mads D; Jensen, Olaf C; Hjarnoe, Lulu

    2017-01-01

    Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estim......Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study...... was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria. Direct cost data were derived...... from the Danish Maritime Authority while for indirect costs estimations were applied using the friction cost approach. The average total costs of repatriation varied for the four case vignettes; AMI (98,823 EUR), Malignant hypertension (47,597 EUR), Appendicitis (58,639 EUR) and Malaria (23,792 EUR...

  9. Normalizing fibromyalgia as a chronic illness.

    Science.gov (United States)

    Clauw, Daniel J; D'Arcy, Yvonne; Gebke, Kevin; Semel, David; Pauer, Lynne; Jones, Kim D

    2018-01-01

    Fibromyalgia (FM) is a complex chronic disease that affects 3-10% of the general adult population and is principally characterized by widespread pain, and is often associated with disrupted sleep, fatigue, and comorbidities, among other symptoms. There are many gaps in our knowledge of FM, such that, compared with other chronic illnesses including diabetes, rheumatoid arthritis, and asthma, it is far behind in terms of provider understanding and therapeutic approaches. The experience that healthcare professionals (HCPs) historically gained in developing approaches to manage and treat patients with these chronic illnesses may help show how they can address similar problems in patients with FM. In this review, we examine some of the issues around the management and treatment of FM, and discuss how HCPs can implement appropriate strategies for the benefit of patients with FM. These issues include understanding that FM is a legitimate condition, the benefits of prompt diagnosis, use of non-drug and pharmacotherapies, patient and HCP education, watchful waiting, and assessing patients by FM domain so as not to focus exclusively on one symptom to the detriment of others. Developing successful approaches is of particular importance for HCPs in the primary care setting who are in the ideal position to provide long-term care for patients with FM. In this way, FM may be normalized as a chronic illness to the benefit of both patients and HCPs.

  10. Illness perspectives of Thais diagnosed with schizophrenia.

    Science.gov (United States)

    Sanseeha, Ladda; Chontawan, Ratanawadee; Sethabouppha, Hunsa; Disayavanish, Chamlong; Turale, Sue

    2009-09-01

    This study explored the perceptions of 18 people diagnosed with schizophrenia from 1-10 years to uncover how they perceived themselves and their illness. It also involved 12 family members who added their perceptions. The data were collected using in-depth interviews, reflective journaling, and observations. The data were analyzed through the lens of Heidegger's hermeneutic phenomenology. Four themes emerged: perceptions of mental illness, perceptions of the causes of illness, perceptions of discrimination, and attempting to live with schizophrenia. The findings included strong underlying cultural and spiritual beliefs, and attitudes unique to the Thai participants, including the causation of schizophrenia by supernatural powers, black magic, and bad karma stemming from past deeds. Understanding the perceptions of the participants might help health-care providers to be more sensitive to those living with schizophrenia in Thailand and elsewhere. In particular, the findings could be useful in informing psychiatric careproviders about developing better caring systems for clients diagnosed with schizophrenia. This should help the sufferers of schizophrenia to live their lives to their own satisfaction and as normally as possible.

  11. Death Education and Attitudes toward Euthanasia and Terminal Illness.

    Science.gov (United States)

    Nagi, Mostafa H.; Lazerine, Neil G.

    1982-01-01

    Analyzed attitudes of 614 Protestant and Catholic Cleveland clergy toward terminal illness and euthanasia. Clergy responses revealed that, although eager to prolong life, terminally ill patients feared prolonged illness more than death. The controversial nature of euthanasia became more apparent with clergy who had more training in death…

  12. Illness perception in eating disorders and psychosocial adaptation.

    Science.gov (United States)

    Quiles Marcos, Yolanda; Terol Cantero, Ma Carmen; Romero Escobar, Cristina; Pagán Acosta, Gonzalo

    2007-09-01

    The current study is based on the framework of the Self-Regulatory Model of Illness (SRM). The aim of this work was to examine perception of illness in eating disorder (ED) patients and investigate whether illness perception is related to psychosocial adaptation in these patients. A total of 98 female ED patients completed the specific eating disorders Spanish version of the Revised Illness Perception Questionnaire (IPQ-R) and a range of adjustment variables including the Psychosocial Adjustment to Illness Scale (PAIS) and the Hospital Anxiety and Depression Scale (HAD). ED patients reported a moderate number of physical symptoms, and perceived their illness as controllable, treatable, highly distressing, as a chronic condition and with serious consequences. Emotional representation was the most significant dimension related to emotional adjustment. Illness identity and cure dimensions were the most significant dimensions associated with psychosocial adaptation. This study shows that patients' illness perceptions are related to illness adaptation. Illness identity was associated with emotional and psychosocial adjustment, and having faith that treatment may control the illness was related to positive benefits for ED. These results suggest that a psychological intervention, which addresses patients' illness representations, may assist in their adjustment to ED. 2007 John Wiley & Sons, Ltd and Eating Disorders Association

  13. 76 FR 65321 - Gulf War Veterans' Illnesses Task Force

    Science.gov (United States)

    2011-10-20

    ... the Gulf War Veterans' Illnesses Task Force (GWVI-TF) in August 2009 to conduct a comprehensive review of VA's approach to and programs addressing 1990-1991 Gulf War Veterans' illnesses. The second Gulf... AFFAIRS Gulf War Veterans' Illnesses Task Force AGENCY: Department of Veterans Affairs (VA). ACTION...

  14. Prevalence and Socio-Demographic Correlates for Mental Illness ...

    African Journals Online (AJOL)

    Objectives: To determine the prevalence and sociodemographic correlates for mental illness among inmates at Lusaka Central Prison, Zambia. Design: Cross sectional study. Main outcome measure: Mental illness. Results: Of the 206 inmates in Lusaka, 63.1% had current mental illness. Among the factors considered in the ...

  15. Concepts, Structures, and Goals: Redefining Ill-Definedness

    Science.gov (United States)

    Lynch, Collin; Ashley, Kevin D.; Pinkwart, Niels; Aleven, Vincent

    2009-01-01

    In this paper we consider prior definitions of the terms "ill-defined domain" and "ill-defined problem". We then present alternate definitions that better support research at the intersection of Artificial Intelligence and Education. In our view both problems and domains are ill-defined when essential concepts, relations, or criteria are un- or…

  16. Attitudes of undergraduates towards mental illness: A comparison ...

    African Journals Online (AJOL)

    illness are widespread among the general public. However, little is known about the attitudes of undergraduates to mental illness. Purpose. To compare the attitudes towards mental illness among undergraduates enrolled in nursing courses v. those enrolled in Bachelor of Business Management (BBM) courses. Methods.

  17. Resolving mental illness stigma: should we seek normalcy or solidarity?

    Science.gov (United States)

    Corrigan, Patrick W

    2016-04-01

    Two approaches have emerged to deal with the stigma of mental illness: normalcy, where people with mental illness are framed as 'just like everyone else'; and solidarity, where the public agrees to stand with those with mental illness regardless of their symptoms. Pros and cons of each approach are considered. © The Royal College of Psychiatrists 2016.

  18. Life satisfaction post stroke: The role of illness cognitions.

    Science.gov (United States)

    van Mierlo, M L; van Heugten, C M; Post, Mwm; de Kort, Plm; Visser-Meily, Jma

    2015-08-01

    To describe illness cognitions two months and two years post stroke and to investigate changes in illness cognitions over time. We also examined the associations between illness cognitions and life satisfaction at two months and two years post stroke and investigated if changes in illness cognitions predicted life satisfaction two years post stroke, taking demographic and stroke-related factors and emotional symptoms into account. Prospective cohort study in which 287 patients were assessed at two months and two years post stroke. The illness cognitions helplessness (maladaptive), acceptance (adaptive) and perceiving benefits (adaptive) were measured with the Illness Cognition Questionnaire. Life satisfaction was assessed with two life satisfaction questions. Correlational and regression analyses were performed. Patients experienced both maladaptive and adaptive illness cognitions two months and two years post stroke. Only acceptance increased significantly from two months to two years post stroke (p≤0.01). Helplessness, acceptance and perceiving benefits were significantly associated with life satisfaction at two months (R2=0.42) and two years (R2=0.57) post stroke. Furthermore, illness cognitions two months post stroke and changes in illness cognitions predicted life satisfaction two years post stroke (R2=0.57). Illness cognitions and changes in illness cognitions were independently associated with life satisfaction two years post stroke. It is therefore important during rehabilitation to focus on reducing maladaptive behavior and feelings to promote life satisfaction, and on promoting adaptive illness cognitions. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. 46 CFR 153.936 - Illness, alcohol, drugs.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Illness, alcohol, drugs. 153.936 Section 153.936... § 153.936 Illness, alcohol, drugs. The master shall ensure that no person participates in cargo related operations who appears to be intoxicated by alcohol or drugs or to be so ill as to be unfit for the...

  20. "Alternative to Prison" Programs for the Mentally Ill Offender

    Science.gov (United States)

    Schaefer, Nicole J.; Stefancic, Ana

    2003-01-01

    Mentally ill offenders represent a substantial proportion of jail and prison inmates. Despite the fact that confining mentally ill offenders can and often will exacerbate their mental illness, the quality of mental health services available to them remains poor and insufficient. Up to date, only a few cities and counties have considered a more…

  1. Fathers with mental illness: implications for clinicians and health services.

    Science.gov (United States)

    Fletcher, Richard J; Maharaj, O'Neil N; Fletcher Watson, Chloe H; May, Chris; Skeates, Nigel; Gruenert, Stefan

    2013-08-05

    A significant proportion of fathers living with their natural, adopted, step or foster children experience mental illness. Psychiatric illness among fathers can have a devastating impact on children's wellbeing, and even milder forms of paternal mental illness can have serious developmental effects on children. While several pathways linking paternal mental illness with poor child outcomes have been identified, fathers' impaired parenting is an important, potentially malleable factor. Clinicians can assist fathers with mental illness and their families by proactively inquiring about children and by exploring fathering-focused psychological support.

  2. Social inequalities in the experience of illness in Sweden

    DEFF Research Database (Denmark)

    Blank, N; Diderichsen, Finn

    1996-01-01

    This paper analyses the factors involved in differences in the experience of long-term illness (severe and non-severe illness), as measured in terms of self-reported frequency and intensity of symptoms. The study has a cross-sectional design. It uses a database from the Survey of Living Conditions......-manual female workers report more severe illness, but not non-severe illness, than intermediate/higher-level non-manual working females. The observed class differences in experience of severity of illness are partly explained by the factors investigated (job demands, personal economic difficulties, smoking...

  3. Illness Among Paralympic Athletes: Epidemiology, Risk Markers, and Preventative Strategies.

    Science.gov (United States)

    Janse Van Rensburg, Dina Christina; Schwellnus, Martin; Derman, Wayne; Webborn, Nick

    2018-05-01

    Paralympic athletes have unique preexisting medical conditions that predispose them to increased risk of illness, but data are limited to studies conducted during the last 3 Paralympic Games. This article reviews the epidemiology of illness (risk, patterns, and predictors) in Paralympic athletes and provides practical guidelines for illness prevention. The incidence rate of illness (per 1000 athlete-days) in Paralympic athletes is high in Summer (10.0-13.2) and Winter (18.7) Paralympic Games. The authors propose general and specific guidelines on preventative strategies regarding illness in these athletes. Copyright © 2018 Elsevier Inc. All rights reserved.

  4. Religious Beliefs About Mental Illness Influence Social Support Preferences.

    Science.gov (United States)

    Wesselmann, Eric D; Day, Magin; Graziano, William G; Doherty, Eileen F

    2015-01-01

    Research demonstrates that social support facilitates recovery from a mental illness. Stigma negatively impacts the social support available to persons with mental illness (PWMIs). We investigated how religious beliefs about mental illness influenced the types of social support individuals would be willing to give PWMIs. Christian participants indicated their denominational affiliation and their religious beliefs about mental illness. We then asked participants to imagine a situation in which their friend had depression. Participants indicated their willingness to give secular and spiritual social support (e.g., secular: recommending medication; spiritual: recommending prayer). Christians' beliefs that mental illness results from immorality/sinfulness and that mental illnesses have spiritual causes/treatments both predicted preference for giving spiritual social support. Evangelical Christians endorsed more beliefs that mental illnesses have spiritual causes/treatments than Mainline Protestant and Roman Catholic Christians, and they endorsed more preference for giving spiritual social support than Roman Catholic Christians.

  5. Are the mentally ill homeless a distinct homeless subgroup?

    Science.gov (United States)

    North, C S; Smith, E M; Pollio, D E; Spitznagel, E L

    1996-09-01

    The question has been raised whether it is useful or meaningful to dichotomize the homeless population by mental illness - i.e., to consider the mentally ill homeless as distinct from other homeless people. The current article presents evidence from a single data set to address this question empirically. Data from a randomly sampled population of 900 homeless men and women systemically interviewed using the Diagnostic Interview Schedule were examined to determine associations of mental illness with the problems of homelessness, controlling for the presence of substance abuse in the analyses. Although a few clinically meaningful associations with mental illness were found that might suggest directions for appropriate interventions, mental illness did not differentiate individuals in many important demographic and biographic respects. Individual diagnoses did not perform much better in differentiating the homeless by mental illness. Schizophrenia and bipolar mania showed a few significant associations not identified by the "major mental illness" construct. Major depression, constituting the majority of nonsubstance Axis I disorder in the homeless, provided no association beyond that obtained with the "major mental illness" category. The data provide little support for conceptualizing homeless subgroups or homelessness in general on the basis of mental illness alone. To do so also risks neglecting the emotional distress of the majority without major mental illness and the other problems that homeless persons share regardless of psychiatric illness. While serious mental illness is overrepresented among the homeless, it represents just one of many important vulnerability factors for homelessness. Substance abuse is far more prevalent than other Axis I disorders. Media images equating homelessness with major mental illness unnecessarily stigmatize homeless people and encourage oversimplified and narrowly conceived psychiatric interventions. While continuing attention is

  6. Musculoskeletal pain illness perceptions: Factor structure of the Illness Perceptions Questionnaire-Revised

    OpenAIRE

    Nicholls, Elaine E.; Hill, Susan; Foster, Nadine E.

    2012-01-01

    Background: The Revised Illness Perceptions Questionnaire (IPQ-R) is commonly used to measure illness perceptions. We tested whether the structure of the IPQ-R was appropriate for use with primary care musculoskeletal pain patients. Methods: Confirmatory (C) and exploratory (E) factor analyses (FA) were used to test whether the structure of the IPQ-R was supported for patients with knee pain (n = 393), hand pain (n = 2113) and back pain (n = 1591). CFA was used to test whether the timeline ac...

  7. [Illness concepts of children. Validation of a modified locus of control test in illness and health].

    Science.gov (United States)

    Schmidt, A; Altmann-Herz, U

    1992-12-01

    We investigated the health and illness concepts of 53 healthy children aged 8 to 14 years using a modified illness and health locus of control scale (KKG, Lohaus and Schmitt, 1989) with the scales internal, external-p (powerful others) and external-c (chance). A comparison of the results with those on self-esteem (FSK 4-6), anxiety (CMAS-R) and hopelessness (HSC) scales showed a decrease in externality, but not an increase in internality, with increasing age and a correlation between self-confidence and a more internal locus of control. The influence of children's health locus of control on treatment compliance is discussed.

  8. Psychiatric diagnoses and psychoactive medication use among nonsurgical critically ill patients receiving mechanical ventilation

    DEFF Research Database (Denmark)

    Wunsch, Hannah; Christiansen, Christian Fynbo; Johansen, Martin B

    2014-01-01

    IMPORTANCE: The relationship between critical illness and psychiatric illness is unclear. OBJECTIVE: To assess psychiatric diagnoses and medication prescriptions before and after critical illness. DESIGN, SETTING, AND PARTICIPANTS: Population-based cohort study in Denmark of critically ill patien...

  9. Transient hypogonadotropic hypogonadism caused by critical illness.

    Science.gov (United States)

    Woolf, P D; Hamill, R W; McDonald, J V; Lee, L A; Kelly, M

    1985-03-01

    The effects of acute severe illness on pituitary-gonadal function were determined in 35 men and 19 women, including 12 who were postmenopausal. Seventeen men and 5 women had traumatic brain injury which resulted in coma. Twelve postmenopausal and 2 premenopausal women had intracranial vascular accidents. Eleven men had myocardial infarctions, while 7 men underwent elective surgery. Serial plasma samples were examined for testosterone (men), percentage of ultrafiltrable testosterone (men), estradiol (women), sex hormone-binding globulin, LH, and FSH. In men, mean testosterone levels fell by 271 +/- 72 (+/- SE), 202 +/- 63 and 195 +/- 75 ng/dl within 24 h of brain injury, myocardial infarction, or elective surgery, representing decreases of 55%, 43%, and 58%. Further declines occurred in the first and third groups to mean nadirs of 93 +/- 16 and 117 +/- 5 ng/dl, respectively. During recovery of neurological function there was no correlation between the testosterone level and the degree of neurological impairment; testosterone levels eventually returned to normal (627 +/- 77 ng/ml). The percentage of ultrafiltrable testosterone and sex hormone-binding globulin did not change in any group. Although significant decreases in mean immunoreactive LH and FSH levels were found after head trauma, and decreases in FSH were found in the men after surgery, these changes occurred after the decline in testosterone. Despite the fall in basal gonadotropin levels in the head trauma group, there were no significant differences in the gonadotropin responses to GnRH (100 micrograms) in 4 patients during their acute illness or recovery. LH, FSH, and estradiol levels in the premenopausal women were significantly lower on the second day of brain injury (LH, 10.3 +/- 4.7 vs. 3.5 +/- 0.6 mIU/ml; FSH, 3.8 +/- 1.9 vs. 1.4 +/- 0.8 mIU/ml, estradiol, 200 +/- 41 vs. 102 +/- 16 pg/ml) and remained suppressed for 7 days. Gonadotropin levels also fell in the postmenopausal women within 24 h

  10. Mental Health and Illness in the City

    DEFF Research Database (Denmark)

    This book highlights a broad range of issues on mental health and illness in large cities. It presents the epidemiology of mental disorders in cities, cultural issues of urban mental health care, and community care in large cities and urban slums. It also includes chapters on homelessness, crime...... and racism - problems that are increasingly prevalent in many cities world wide. Finally, it looks at the increasing challenges of mental disorders in rapidly growing cities. The book is aimed at an international audience and includes contributions from clinicians and researchers worldwide....

  11. Gulf War Illness Inflammation Reduction Trial

    Science.gov (United States)

    2017-10-01

    clinical trial were published in the online journal PLOS ONE (6) on June 23,2016. http://journals.plos.org/plosone/ article ?id=10.1371/journal.pone...there have been 15,149 views and 480 downloads of the paper. That puts us in the top 1% most downloaded for all PLOS ONE research articles published in...www.npr.org/2013/03/22/175054277/ scientists -search-for-gulf-war-illness-answers www.research.va.gov/currents/0716-1.cfm http

  12. Numerical Regularization of Ill-Posed Problems.

    Science.gov (United States)

    1980-07-09

    a 073 CINCINNATI UNIV O DEPT OF MATHENATICAL SCIENCES P/S ll1 NUMERICAL REGULARIZATION OF ILL-POSEO PROBLENS(U) JULso C 0 GROTSCH AFOSR-9 -OO9...regularization and projection methods, Proc. Annual Conference of the Association of Computing Machinery (1973), 415-419. [7) A. Sard, Approximations based on...solving incorreitly posed problems, U.S.S.R. Computational Math. and Math. Phys. 14(1974), 24-33. 4 I, I 11 4. L. J. Lardy, A series representation of

  13. Appropriate antibiotic therapy in critically ill patients

    Directory of Open Access Journals (Sweden)

    Filippo Pieralli

    2016-12-01

    Full Text Available Severe sepsis and septic shock are leading causes of morbidity and mortality in critically ill patients in and outside Intensive Care Units. Early hemodynamic and respiratory support, along with prompt appropriate antimicrobial therapy and source control of the infectious process are cornerstone management strategies to improve survival. Antimicrobial therapy should be as much appropriate as possible, since inappropriate initial antimicrobial therapy is associated with poorer outcome in different clinical settings. When prescribing antibiotic therapy, drug’s characteristics, along with dosing, pharmacokinetics, and pharmacodynamic properties related to the drug and to the clinical scenario should be well kept in mind in order to achieve maximal success.

  14. Research using ultracold neutrons at the ILL

    International Nuclear Information System (INIS)

    Steyerl, A.

    1990-01-01

    In this talk I will make no effort to give an exhaustive, detailed description of the well-published results of recent work with ultracold neutrons (UCN) at the ILL. Instead, there will be a biased selection of some topics in which author happens to be most interested, though in some cases as a spectator from a considerable distance than as an actor. The selection includes the recent lifetime experiment using a Fomblin-coated bottle, the continuing search for an electric dipole moment of the neutron and some ideas on high precision neutron optics experiments

  15. Illness denial questionnaire for patients and caregivers

    Directory of Open Access Journals (Sweden)

    Rossi Ferrario S

    2017-03-01

    Full Text Available Silvia Rossi Ferrario,1 Ines Giorgi,2 Paola Baiardi,3 Laura Giuntoli,4 Gianluigi Balestroni,1 Paola Cerutti,1 Marina Manera,2 Paola Gabanelli,2 Valentina Solara,5 Roberta Fornara,6 Michela Luisetti,1 Pierangela Omarini,1 Giovanna Omarini,1 Giulio Vidotto4 1Psychology Unit, Istituti Clinici Scientifici Maugeri SpA SB, Veruno, NO, Italy; 2Psychology Unit, 3Scientific Direction, Istituti Clinici Scientifici Maugeri SpA SB, Pavia, Italy; 4Department of General Psychology, University of Padova, Padova, Italy; 5Department of Neurology, ALS Centre, “Maggiore della Carita`” University Hospital, Novara, Italy; 6Psychology Unit, SS Trinità Hospital, Borgomanero, NO, Italy Purpose: Interest in assessing denial is still present, despite the criticisms concerning its definition and measurement. We tried to develop a questionnaire (Illness Denial Questionnaire, IDQ assessing patients’ and caregivers’ denial in relation to their illness/disturbance. Patients and methods: After a preliminary study, a final version of 24 dichotomous items (true/false was selected. We hypothesized a theoretical model with three dimensions: denial of negative emotions, resistance to change, and conscious avoidance, the first two composing the actual Denial and the last representing an independent component of the illness denial behavior. The IDQ was administered to 400 subjects (219 patients and 181 caregivers together with the Anxiety–Depression Questionnaire – Reduced form (AD-R, in order to assess concurrent validity. Confirmatory factor analysis (CFA, internal consistency indices (Cronbach’s α and McDonald’s ω, and test–retest analysis were performed. Results: CFA and internal consistency indices (Cronbach’s α: 0.87–0.96 indicated a clear and meaningful three-factor structure of IDQ, for both patients and caregivers. Further analyses showed good concurrent validity, with Denial and its subscale negatively associated with anxiety and depression and

  16. Community Perceptions of Mental Illness in Jharkhand, India.

    Science.gov (United States)

    Sangeeta, S J; Mathew, K J

    2017-09-01

    Understanding and perceptions about mental illness vary among individuals based on their experience with the illness or their contact with the people affected by it. These may be further influenced by the individuals' sociocultural background. This study aimed to understand the differences in the beliefs about, understanding of, and explanations for mental illness between different population groups of Jharkhand, India. During July 2014 to February 2016, we recruited the following 3 groups of individuals aged between 18 and 60 years: individuals with mental illness (group 1, n = 240), relatives of individuals with mental illness (group 2, n = 240), and the general public (group 3, n = 240). Qualitative and quantitative findings were combined in this study, and participants were asked about their beliefs about, understanding of, and explanations about mental illness. Individuals with mental illness and their relatives shared similar beliefs whereas the general public held a different opinion in various domains. There were significant differences among all groups in their understanding of various aspects of mental illnesses including the definition, causes, signs and symptoms, treatment, and outcomes. Individuals' perception towards different aspects of mental illness varies, despite they are sharing the same sociocultural milieu. Differences in beliefs, understanding, and explanations may lead to conflicts in treatment goals and expectations, and hamper the intervention strategies that promote mental health and patient care. Focused strategies to develop uniformity in beliefs and explanations about various aspects of mental illness may help to develop collaboration with different community groups that may in turn help in developing effective interventions and treatment.

  17. Birds of ill omen in Slavic beliefs

    Directory of Open Access Journals (Sweden)

    Aksić Nina V.

    2015-01-01

    Full Text Available This paper deals with birds of ill omen and beliefs related to their cries and calls. According to the presence of the ill omen attribute, these birds are sorted into three groups. The paper describes various divination types according to the calls of so-called unclean birds, as well as various prophecies, i.e. their ominous „weight“, on the basis of numerous examples from the Slavic cultural sphere, with additional, more recent examples from the Serbian space. The final remarks are related to four segments: the type of the listed birds’ bad omen (death, disease / year of famine, fire, bad weather; prophecy of evil or merely information, i.e. warning about a possible bad event; the manner of the bird’s prophecy or report of misfortune (a call, a manner of flight etc.; existence of undesirable actions related to certain birds (actions that could result in negative consequences for the person who performs them. [Projekat Ministarstva nauke Republike Srbije, br. 47016: Interdisciplinarno istraživanje kulturnog i jezičkog nasleđa Srbije i izrada multimedijalnog internet portala „Pojmovnik srpske kulture

  18. Picturing Illness: History, Poetics, and Graphic Medicine

    Directory of Open Access Journals (Sweden)

    Raghavi Ravi Kasthuri

    2015-05-01

    Full Text Available Comics have often been treated as a juvenile and sub-literary art form; however, taking cues from the new-found cultural acceptance of comics, particularly with the publication of Art Spiegelman’s Maus (1986, Chris Ware’s Jimmy Corrigan: The Smartest Kid on Earth (2000, and Alison Bechdel’s Fun Home: A Family Tragedy (2006, there have emerged, over the past decade, a new breed of comics dealing with the patient/caregivers’ experiences, perspectives and identities. Christened as graphic medicine, these illness narratives use comics as a medium to address wide ranging disease/illness related issues. The present review examines the following issues: What is graphic medicine? Is there a tangible relationship between underground comics and graphic medicine? If so, can we regard underground comics as historical precedent to graphic medicine? What are the uses of comics in medicine? Broadly put, drawing examples from various graphic medical narratives, the paper seeks to trace the history and poetics of graphic medicine.

  19. Motherhood in women with serious mental illness.

    Science.gov (United States)

    Benders-Hadi, Nikole; Barber, Mary; Alexander, Mary Jane

    2013-03-01

    This study aimed to determine the prevalence of motherhood among inpatient females at a large state psychiatric hospital in suburban New York, as well as develop an understanding of the characteristics and needs of this unique population. Data on motherhood status was gathered from October 2010 through April 2011 via medical records. Data on custody status, frequency of contacts with children, and effect of mental illness on parenting was assessed through patient surveys and focus groups. 38.5 % of female inpatients were found to be mothers, almost half of whom reported at least weekly contact with children despite their inpatient status. The majority of identified mothers reported having maintained custody of their minor children and expressed great pride at being primary caretakers for their children, yet also emphasized the challenging effects of stigma associated with mental illness and parenting. A significant proportion of women at this psychiatric hospital were found to be mothers. Although acknowledged by some clinicians at the individual level, motherhood appears to remain a forgotten role systemically. Determining motherhood status and recognizing the varied roles our patients have is one more way mental health providers can model and promote recovery-oriented care.

  20. Enhancement Approach in Well&Illness Tourism

    Directory of Open Access Journals (Sweden)

    Ruhet Genç

    2015-04-01

    Full Text Available The component of tourism preparatory parties is to make tourists, whether they are medical or companion, feel more comfortable and bring back home good health attached to good memories. In order to lead a satisfactory discussion primarily wellness and illness tourism concepts are properly described. After explaining their dynamics, factors which are constitutive in these kind of touristic activities, mainly tourists‟ motivations are mentioned. As being a new era of medical tourism, it is shown that facilitators are of great significance. They offer medical value tourism by eliminating too many unknowns for the tourist. Not only empathy but queries also enable highlighting the tourists‟ expectations, experiences and showing the ways of understanding their situation better. New medical hubs and the future ones have to take into account, promote consumer researches that they can advance themselves in the light of new information. The best way to develop well&illness tourism is to make tourist, patient and their companion satisfied with their activities and/or treatment.

  1. Costs of Illness Due to Endemic Cholera

    Science.gov (United States)

    Poulos, C.; Riewpaiboon, A.; Stewart, J.F.; Clemens, J.; Guh, S.; Agtini, M.; Sur, D.; Islam, Z.; Lucas, M.; Whittington, D.

    2013-01-01

    Summary Economic analyses of cholera immunization programmes require estimates of the costs of cholera. The Diseases of the Most Impoverished programme measured the public, provider, and patient costs of culture-confirmed cholera in four study sites with endemic cholera using a combination of hospital- and community-based studies. Families with culture-proven cases were surveyed at home 7 and 14 days after confirmation of illness. Public costs were measured at local health facilities using a micro-costing methodology. Hospital-based studies found that the costs of severe cholera were USD 32 and 47 in Matlab and Beira. Community-based studies in North Jakarta and Kolkata found that cholera cases cost between USD 28 and USD 206, depending on hospitalization. Patient costs of illness as a percentage of average monthly income were 21% and 65% for hospitalized cases in Kolkata and North Jakarta, respectively. This burden on families is not captured by studies that adopt a provider perspective. PMID:21554781

  2. Small nerve fiber pathology in critical illness.

    Directory of Open Access Journals (Sweden)

    Nicola Latronico

    Full Text Available BACKGROUND: Degeneration of intraepidermal nerve fibers (IENF is a hallmark of small fiber neuropathy of different etiology, whose clinical picture is dominated by neuropathic pain. It is unknown if critical illness can affect IENF. METHODS: We enrolled 14 adult neurocritical care patients with prolonged intensive care unit (ICU stay and artificial ventilation (≥ 3 days, and no previous history or risk factors for neuromuscular disease. All patients underwent neurological examination including evaluation of consciousness, sensory functions, muscle strength, nerve conduction study and needle electromyography, autonomic dysfunction using the finger wrinkling test, and skin biopsy for quantification of IENF and sweat gland innervation density during ICU stay and at follow-up visit. Development of infection, sepsis and multiple organ failure was recorded throughout the ICU stay. RESULTS: Of the 14 patients recruited, 13 (93% had infections, sepsis or multiple organ failure. All had severe and non-length dependent loss of IENF. Sweat gland innervation was reduced in all except one patient. Of the 7 patients available for follow-up visit, three complained of diffuse sensory loss and burning pain, and another three showed clinical dysautonomia. CONCLUSIONS: Small fiber pathology can develop in the acute phase of critical illness and may explain chronic sensory impairment and pain in neurocritical care survivors. Its impact on long term disability warrants further studies involving also non-neurologic critical care patients.

  3. Supporting Muslim Patients During Advanced Illness.

    Science.gov (United States)

    Boucher, Nathan A; Siddiqui, Ejaz A; Koenig, Harold G

    2017-01-01

    Religion is an important part of many patients' cultural perspectives and value systems that influence them during advanced illness and toward the end of life when they directly face mortality. Worldwide violence perpetrated by people identifying as Muslim has been a growing fear for people living in the US and elsewhere. This fear has further increased by the tense rhetoric heard from the recent US presidential campaign and the new presidential administration. For many, this includes fear of all Muslims, the second-largest religious group in the world with 1.6 billion adherents and approximately 3.5 million in the US alone. Patient-centered care requires health professionals to look past news headlines and unchecked social media so they can deliver high-quality care to all patients. This article explores areas of importance in the context of advanced illness for practitioners of Islam. These include the conditions needed for prayer, the roles of medical treatment and religious authority, the importance of modesty, the religious concordance of clinicians, the role of family in medical decision making, advance care planning, and pain and symptom management. Initial recommendations to optimize care for Muslim patients and their families, informed by the described tenets of Muslim faith, are provided for clinicians and health systems administrators. These include Islamic cultural awareness training for staff, assessment of patients and families to determine needs, health education and decision-making outreach, and community health partnerships with local Islamic institutions.

  4. Hyperglycemia and mortality in critically ill patients

    International Nuclear Information System (INIS)

    Rezvanfar, M.R.; Dalvandy, M.; Emami, A.R.; Rafiee, M.; Eshratee, B.

    2009-01-01

    To analyze the relation between serum glucose concentration and hospital outcome across the critically ill patients. A single-centre, retrospective study was performed at surgical and medical intensive care unit. Admission glucose, mean morning glucose, mean glucose, maximal glucose and time-averaged glucose levels were calculated for each patient. The time-averaged hyperglycemia was defined as the area under the curve above the upper limit of normal, divided by the total length of stay. Of 300 patients with a median stay of 16 days, the mortality rate was 32%. Mean fasting glucose was 121 mg/dl in survivors versus 160 mg/dl in non survivors (P=0.001). Mean admission glucose was 127 mg/dl in survivors versus 142 mg/dl in non survivors (0.03). Median time-averaged hyperglycemia was 4 mg/dl in survivors versus 17.5 mg/dl in non survivors (P < 0.006). The area under the receiver operator characteristic (ROC) curve was 0.59 for time-averaged glucose and 0.73 for mean fasting glucose. Whereas time-averaged hyperglycemia is a useful assessment for glucose control in critically ill patients, it has no priority to admission glucose and mean fasting glucose for outcome prediction. (author)

  5. Sex differences in illness beliefs and illness behavior in patients with suspected coronary artery disease

    NARCIS (Netherlands)

    van Tiel, D.; van Vliet, K. P.; Moerman, C. J.

    1998-01-01

    The aim of this study was to explore sex differences in illness beliefs and behavior in patients with suspected coronary artery disease (CAD). Twenty-eight patients, 16 women and 12 men, were interviewed. The results show that both men and women think of CAD as a 'men's disease' and have equal

  6. Illness perceptions in coronary heart disease: sociodemographic, illness-related, and psychosocial correlates.

    NARCIS (Netherlands)

    Aalto, A.M.; Heijmans, M.; Weinman, J.; Aro, A.R.

    2005-01-01

    OBJECTIVES: This study examined illness perceptions (IP) and their correlates in coronary heart disease (CHD). METHODS: The sample of the questionnaire study (n=3130 at baseline and n=2745 at 1-year follow-up, aged 45-74 years) was drawn from the drug reimbursement register, which covers persons

  7. Johann Friedrich Wilhelm Adolf von Baeyer

    Indian Academy of Sciences (India)

    IAS Admin

    compulsory military service in the Prussian army for a year. When he returned to his ..... Piloty had to go for compulsory military service during World War I. He was killed in. 1915 during a fight at the ..... part of the celebrations and the Chicago River flows with green water with yellow fluorescence for some time on that day.

  8. Johannes Kepler and the Rudolphine Tables

    Indian Academy of Sciences (India)

    Admin

    science in which planetary predictions typically erred by several degrees on the sky; the legacy of the Rudolphine Tables was a prediction scheme nearly 50 times more accurate. For Kepler these tables were the proof of the pudding, the substantiation of his laws of planetary motion. He called them “my chief astronomical ...

  9. SOCIAL WORK WITH REFUGEES IN ZIMBABWE Johanne ...

    African Journals Online (AJOL)

    Mugumbate

    It is the responsibility of the social worker to work hand in glove with the tracing office to help locate the whereabouts of the parents. In Zimbabwe at Tongogara Refugee Camp, International Committee of the Red Cross. (ICRC) is carrying out the tracing process of parents and reunite families. Under this arrangement it is the.

  10. Eesti kunsti dessant Poolas / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2002-01-01

    Gdanskis Laznia Kunstikeskuses eesti maalikunsti, foto, videokunsti, moe- ja ehtekunsti näitus "Kauguste kahanemine". Kuraator Malgorzata Lisiewicz. Näitusekataloogi artiklid on kirjutanud M. Lisiewicz, H. Treier, M. Sobolev ja K. Kivimaa

  11. Some insights from Johann Georg Hamann

    African Journals Online (AJOL)

    2012-02-06

    Feb 6, 2012 ... large-sculled children, caring for them in a long infancy, and the fact that the brain consumes an inordinate ... communication and not relationships of power exercise – for in such relationships, both parties would be, and .... an auditory signal or a written sign? And is language, after all we have said, not a ...

  12. Prantsuse kunstnikud asustasid vana tehase / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2002-01-01

    Prantsuse kunstnike (Delphine Reist, Laurent Faulon, Sebastien Perroud) ja viiuldaja Mathieu Werchowsky Tallinnas valminud installatsiooninäitus "Neli laulu Siivile" vanas Kalinini tehasehoones 7.-12. juunini

  13. Dmitri Krõmovi valem / Maris Johannes

    Index Scriptorium Estoniae

    Johannes, Maris, 1959-

    2011-01-01

    Dmitri Krõmovi lavastuste ("Söör Vantes. Donki Hot", "Kaelkirjaku surm", "Katerina uned", "Oksjon", "Oopus nr. 7") retrospektiiv rahvusvahelisel festivalil "Talveöö unenägu" 27.-31. XII Tallinna Linnateatris

  14. Moskva kunstibiennaal reaktsiooni teenistuses? / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2007-01-01

    Moskva II rahvusvahelisest nüüdiskunsti biennaalist. Näitustest "Sotsart. Poliitiline kunst Venemaal" (kuraator Andrei Jerofejev), "Sotsart. Poliitiline kunst Hiinas" (kuraator Xin Don Chen), "Mõtlev realism" (kuraator Jekaterina Djegot) ja "Mina usun" (kuraator Oleg Kulik)

  15. Kerkivad monumendid iseseisvunud Eestis / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2010-01-01

    Vabadusmonumendid ärkamisaegses mälumaastikus. Vabadusmonumendid ideoloogilises kasvatustöös. Rahvusliku massikunsti sünd. Erinevad esitajad, sama laul. Üleriigilise memoriaali esimesed eskiisid

  16. Sovetski zapad is coming back / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2009-01-01

    Tallinna Kunstihoone 75. aastapäeva tähistav ja selle kogusid tutvustav näitus "Kollektsioon : valitud teosed I". Eksponeeritud maalikunst, juveliirikunst, graafika ja skulptuur. Kujundaja Leonhard Lapin, kuraator Harry Liivrand. Kunstihoone kogu kujunemisest

  17. John Smithi kaks palet / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2003-01-01

    Näitus "John Smith. Marko ja Kaido" Tallinna Kunstihoones. Kaido Ole ja Marko Mäetamm esindavad rühmitusena "John Smith" Eestit 2003. a. Veneetsia biennaalil. Ilmunud ka kogumikus "Päevast päeva", lk. 90-96

  18. Püha viha / Maris Johannes

    Index Scriptorium Estoniae

    Johannes, Maris, 1959-

    2008-01-01

    Eestlasele kõige tüüpilisemast emotsioonist - viha.Võimalusest minevikuga leppida on sellest rääkida, selles kontekstis kahest lavastusest - Tom Stoppardi "Rock'n' roll" Endla teatris ja Wojciech Tomczyki "Nürnberg" VAT Teatris

  19. Talveöö uned / Maris Johannes

    Index Scriptorium Estoniae

    Johannes, Maris, 1959-

    2007-01-01

    Lühidalt meeldejäävast teatrifestivalil "Talveöö unenägu 2006", etendustest: "Söör Vantes. Donki Hot" - lavastaja Dmitri Krõmov, Ghana tantsuansambli Kusum Gboo tantsusetendus "Somu", jaapanlase Issei Ogata monoetendus "Linnaelu kataloog", islandi "Saja-aastane maja" Fru Emilia Teatri esituses ja Tallinna Linnateatri "Rätsep"

  20. Johannes Kepler and the Rudolphine Tables

    Indian Academy of Sciences (India)

    Admin

    He had neglected to show Tycho's heirs the title page before it was printed, and they objected to wording implying that he had to correct his mentor's data. The second printing (left) was hastily prepared at Prague, but Kepler found the typography so bad he had the third one (right) printed at Ulm, presumably at his expense.

  1. Kassikullatud mausoleum kadunud aja ideoloogiale / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2004-01-01

    Ilja ja Emilia Kabakovi ning Raul Meel'i ühisnäitus Tallinna Kunstihoones. Kabakovid on toonud Kunstihoone suurde saali korduse 1993. a. Frankfurdis esmaesitatud installatsiooniideest "Tühi muuseum". Totaalse installatsiooni meistrist Ilja Kabakovist

  2. Vedel ärkamisaeg internetis / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    1999-01-01

    Interstanding 3, näitus, konverents "Ülalpool piire", ettekanded. Graham Harwood interneti infotüranniast ja bioaktiivset kunsti viljelev Eduardo Kac saabuvast "kunstikavatsuslike olendite ajastust"

  3. Elav monument : [luuletused] / Johannes Vares-Barbarus

    Index Scriptorium Estoniae

    Barbarus, Johannes, pseud., 1890-1946

    1998-01-01

    Sisu: Elav monument ; Multiplitseerit hommik ; Hall reisikiri ; Põrsad ; Värssjutt surijast tütarlapsest ; Tulipunkt ; Ämblik koob võrku... ; Luule klassivõitlus ; Nurgakivi panek ; Maja tellingutes ; Vana tuulik ; Värss rajus ; Dionysos ; Klassika ; Pürgimus ; Leningrad kevadõites ; Jälle kodupinnal ; Ühe kaotuse puhul

  4. The Foundational Tenets of Johannes Althusius' Constitutionalism

    African Journals Online (AJOL)

    MJM Venter

    2017-11-02

    Nov 2, 2017 ... state as a centralised power apparatus maintaining the public peace among antagonistic individuals .... Geesteswet 462-480. 13. This was dominant in the thinking of Rousseau and exponents of other trends of ...... Interestingly, in typical medieval fashion, Bodin's sovereign is still not as powerful as that of ...

  5. Kes lavastas Suure Paugu? / Maris Johannes

    Index Scriptorium Estoniae

    Johannes, Maris, 1959-

    2007-01-01

    Eest Muusika päevade raames Tallinna tollilaos etendunud Stephen Hawkingi raamatu "A Brief History of Time" ("Aja lühilugu") ainelisest multimeedialavastusest "Õnne valem", Von Krahli teatrile ja NYYD Ensemble'ile originaalmuusika autor Gavin Bryars, autor ja lavastaja Peeter Jalakas

  6. Johannes 6 en die heilige Nagmaal

    Directory of Open Access Journals (Sweden)

    L. Floor

    1990-03-01

    Full Text Available John 6 and holy Communion. It is often observed that the Gospel of John, in its account of the passion week, does not give attention to the Lord's Supper. John definitely does recount a final, special, climactic supper of Jesus with his disciples (John 13:21 ff. But what he fails to mention is the institution of the bread and cup which relate to the body and blood of Christ. Already in chapter 6 John had presented what clearly seems to be an interpretation of the bread and the cup in connection with the Lord’s Supper. In a long, interpretative discourse Jesus speaks about eating his flesh and drinking his blood. The heart of that interpretative discourse is that the believer is to eat and drink Jesus Himself. This is stated quite crassly in materialistic terms. The metaphor of eating his flesh and drinking his blood is however used by Jesus to explain the mystery of a continuing communion with Him as the crucified and resurrected Lord.

  7. Homme avatakse Veneetsia biennaal / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2005-01-01

    51. kunstibiennaalist Veneetsias. Eestit esindab fotograaf Mark Raidpere isikunäitus "Isolaator". Kuraatorinäitusi on kaks. Kuraatorid Maria de Coral ja Roza Martinez Hispaaniast. Biennaali Kuldlõvi antakse elutöö eest Barbara Krugerile

  8. Johannes Calvyn as pedagoog | Schoeman | HTS Teologiese ...

    African Journals Online (AJOL)

    John Calvin as pedagogue Calvin was not only a theologian, but a competent pedagogue as well. He set a high value on education, and promoted it actively, but never systematically committed his views on it to paper. His educational views were not purely educational, but connected to a particular theological view.

  9. Major Mental Illness in Those Who Sexually Abuse.

    Science.gov (United States)

    Moulden, Heather M; Marshall, Liam E

    2017-11-09

    There is evidence showing an increasing prevalence of mental illness in those in conflict with the law. However, there are many factors affecting the detection, treatment, and management of criminals who are mentally ill. Sex offenders with major mental illness present many challenges to those providing treatment and management services. For example, it is important to consider whether sexually offensive behavior is the cause of criminal behavior or whether it is reflective of an antisocial orientation. Recent evidence suggests it may help better understand and inform risk assessment and management. This paper will review the literature on mental illness among sexual offenders, present a typology to aid in the assessment, treatment, and management of sexual offender with mental illness, and highlight important considerations when providing treatment to sexual offenders with mental illness.

  10. 2008 Idaho National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2010-11-23

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  11. 2009 Hanford Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2010-12-01

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  12. 2008 Kansas City Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-09-22

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  13. 2009 Argonne National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2010-08-19

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  14. 2009 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2010-11-24

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  15. 2007 Savannah River Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-05-05

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  16. 2009 Pantex Plant Annual Illness and Injury Surveillance

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2010-12-15

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  17. 2008 Savannah River Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-09-29

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  18. 2008 Sandia National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-09-17

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  19. Responding to the needs of the homeless mentally ill.

    OpenAIRE

    Frazier, S H

    1985-01-01

    The homeless mentally ill represent a pivotal and urgent challenge to the mental health field in the 1980s. Those homeless who have extended histories of psychiatric hospitalization stand as harsh reminders of the failures of deinstitutionalization, while young mentally ill homeless adults who never have been treated as inpatients testify to the gaps and unrealized promises of community-based care under deinstitutionalization. Homelessness and mental illness are social and clinical problems, ...

  20. 2008 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-12-10

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  1. 2008 Nevada Test Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-10-05

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  2. Experiencing stigma as a nurse with mental illness.

    Science.gov (United States)

    Peterson, A L

    2017-06-01

    WHAT IS KNOWN ON THE SUBJECT?: Stigma involves connecting individuals with a particular label to negative characteristics; this is based not on the stigmatized condition itself, but cultural reactions to it. Stigma exists towards nurses with mental illness. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper offers a first-person account of experiencing stigma as a nurse with a mental illness. This paper incorporates the existing literature to offer a broader cultural perspective on the experiences of a nurse with a mental illness. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nurses are likely to encounter a nurse with a mental illness at some point in their practice. Nurses' reactions towards colleagues with mental illness can have significant implications for those colleague(s)' wellbeing. Nurses with mental illness will have to navigate their person and professional journey while giving consideration to the attitudes of their nursing peers and leaders. Limited research has been done on the stigma faced by nurses with mental illness from their nursing peers. Mental illness is not generally considered acceptable within the context of nursing culture, so when nurses do experience mental illness, their experiences in a professional context may be influenced by stereotypes, particularly those relating to dangerousness. Using autoethnography as a research method, the author examines her own subjective experiences of stigma as a nurse with a mental illness, and draws upon existing literature on stigma, deviance and the phenomenon of mental illness in nurses to analyse broader cultural implications for nursing. Assessment of suitability to return to work arises throughout the narratives, and consideration is given to the way that risk assessment by nursing leaders is impacted by negative stereotypes that surround mental illness. © 2017 John Wiley & Sons Ltd.

  3. 2007 Kansas City Plant Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-07-13

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  4. 2007 Nevada Test Site Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-06-30

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  5. 2007 Sandia National Laboratory Annual Illness and Injury Surveillance Report

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Health, Office of Health and Safety, Office of Illness and Injury Prevention Programs

    2009-02-04

    The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The Illness and Injury Surveillance Program monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  6. Nutrition support and the chronic critical illness syndrome.

    Science.gov (United States)

    Hollander, Jason M; Mechanick, Jeffrey I

    2006-12-01

    Critical illness can be viewed as consisting of 4 distinct stages: (1) acute critical illness (ACI), (2) prolonged acute critical illness, (3) chronic critical illness, and (4) recovery. ACI represents the evolutionarily programmed response to a stressor. In ACI, substrate is shunted away from anabolism and toward vital organ support and inflammatory proteins. Nutrition support in this stage is unproven and may ultimately prove detrimental. As critical illness progresses, there is no evolutionary precedent, and man owes his life to modern critical care medicine. It is at this point that nutrition and metabolic support become integral to the care of the patient. This paper (1) delineates and develops the 4 stages of critical illness using current evidence, clinical experience, and new hypotheses; (2) defines the chronic critical illness syndrome (CCIS); and (3) details an approach to the metabolic and nutrition support of the chronically critically ill patient using the metabolic model of critical illness as a guide. It is our hope that this clinical model can generate testable hypotheses that can improve the outcome of this unique population of patients.

  7. Management of chronic illness: voices of rural women.

    Science.gov (United States)

    Sullivan, Therese; Weinert, Clarann; Cudney, Shirley

    2003-12-01

    The prevalence and cost of chronic illness globally and in the United States of America continue to escalate and the day-to-day management of these conditions presents a major challenge. The burden of chronic illness disproportionately affects vulnerable populations such as women and those living in rural areas. To add to the knowledge base of illness management by chronically ill rural women through examining their individual perceptions of the illness experience. The Women to Women project provided a nursing research-based computer intervention model for conducting support groups, providing health education, and fostering self-care, via personal computers and evaluated its effect on the women's psychosocial health. Fatigue and pain were the major physical symptoms that impacted the women's quality of life, with depression and stress being the primary emotions they experienced. The characteristics of humour, hope, and courage were key in their successful adaptation to living with chronic illness. The women's voices relate how they manage their illness responses and adaptation mechanisms. The data provide nurses with information to heighten their sensitivity to clients' day-to-day needs and experiences. It will assist them in their designing and planning of interventions that will enable clients to adapt and to have the best quality of life possible within the limitations of their chronic illnesses. The data are also important to nurses involved in rural research and theory development concerning self-management and adaptation to chronic illnesses.

  8. Insight and illness perception in Mexican patients with psychosis.

    Science.gov (United States)

    Gómez-de-Regil, Lizzette

    2015-03-01

    Insight and illness perception are two concepts of interest in the study of factors related to clinical outcome in patients with psychosis. Insight implies a risk of emotional distress for the patient. Illness perceptions, regardless of their accuracy, might be favorable or not to illness. Literature provides evidence of significant correlates of these factors with clinical outcome, but they are rarely included in a single study. 1) assessing insight and illness perception in a sample of Mexican patients who have experienced psychosis and, 2) analyzing how insight and illness perception relate to each other and how they relate to clinical status (i.e., positive, negative, and general psychopathology, depression, and anxiety). Sixty-one participants (55.7% females) were recruited from a public psychiatric hospital; insight and illness perceptions were assessed with the SUMD and the Brief-IPQ, respectively. Clinical status was assessed with the PANSS, CDS and BAI scales. Participants showed good insight, favorable illness perceptions for the cognitive and comprehension dimensions, but unfavorable for the emotional dimension. Clinical status of sample was characterized by mild symptoms. Poor insight related to positive symptoms and general psychopathology. Cognitive and emotional perceptions of illness were significantly associated to most clinical status parameters, whereas comprehension showed no significant results. The study not only replicates the significant association on insight and illness perception with clinical outcome, but shows how their patterns of interactions are different, reinforcing the idea that they are two distinct factors worthy of being habitually acknowledged in research and clinical practice.

  9. Social support, health, and illness: a complicated relationship

    National Research Council Canada - National Science Library

    Roy, R

    2011-01-01

    .... A useful resource for clinical practitioners and researchers, Social Support, Health, and Illness addresses the effects of intimate support on a wide variety of medical and psychiatric conditions...

  10. Anemia and Blood Transfusions in Critically Ill Patients

    Directory of Open Access Journals (Sweden)

    M. Kamran Athar

    2012-01-01

    Full Text Available Anemia is common in critically ill patients. As a consequence packed red blood cell (PRBC transfusions are frequent in the critically ill. Over the past two decades a growing body of literature has emerged, linking PRBC transfusion to infections, immunosuppression, organ dysfunction, and a higher mortality rate. However, despite growing evidence that risk of PRBC transfusion outweighs its benefit, significant numbers of critically ill patients still receive PRBC transfusion during their intensive care unit (ICU stay. In this paper, we summarize the current literature concerning the impact of anemia on outcomes in critically ill patients and the potential complications of PRBC transfusions.

  11. Allergic to life: Psychological factors in environmental illness

    Energy Technology Data Exchange (ETDEWEB)

    Simon, G.E.; Katon, W.J.; Sparks, P.J. (Robert Wood Johnson Clinical Scholars Program, Seattle, WA (USA))

    1990-07-01

    Environmental illness is an increasingly frequent and medically unexplained syndrome of allergy to common environmental agents. A recent outbreak of chemical-induced illness allowed study of psychological factors in environmental illness. Thirty-seven symptomatic plastics workers completed structured diagnostic interviews and self-report measures of somatization and psychopathology. The 13 subjects who developed environmental illness scored higher on all measures than those who did not. The greatest differences were in prior history of anxiety or depressive disorder (54% versus 4%) and number of medically unexplained physical symptoms before exposure (6.2 versus 2.9). These findings suggest that psychological vulnerability strongly influences chemical sensitivity following chemical exposure.

  12. Impact of childhood chronic illnesses on siblings: a literature review.

    LENUS (Irish Health Repository)

    O' Brien, Irene

    2012-02-01

    BACKGROUND: Childhood illness can have a significant impact on families, particularly on the ill child\\'s siblings. There is a dearth of published literature focusing on the needs of siblings of ill children. AIM: This literature review aims to provide an overview of the current healthcare literature in relation to the impact of childhood chronic illness or disability on siblings. METHOD: A literature review was undertaken by searching the databases CINAHL, PsycINFO, ProQuest and Cochrane Library for relevant articles in English using the search terms: \\'siblings\\

  13. Sexual Intimacy, Mental Illness, and Homelessness.

    Science.gov (United States)

    Ecker, John; Cherner, Rebecca; Rae, Jennifer; Czechowski, Konrad

    2018-03-01

    The current article reviews the literature on sexuality among individuals with a severe mental illness (SMI) who have experienced homelessness, a topic that has received little attention in the research literature, particularly from a community psychology perspective. The review begins with a synthesis of the literature on SMI and sexuality, followed by a review of the available literature on SMI, homelessness, and sexuality. It concludes with an interpretation of the findings using community psychology values and principles. The findings highlight the importance of intimate relationships to recovery for many individuals with an SMI who have experienced homelessness. Policy implications for homeless shelters and housing interventions are discussed. © Society for Community Research and Action 2017.

  14. Mass Shootings, Mental Illness, and Gun Control.

    Science.gov (United States)

    Philpott-Jones, Sean

    2018-03-01

    In the wake of the Stoneman Douglas School shooting, Republican and Democratic leaders-like the American electorate they represent-remain sharply divided in their responses to gun violence. They are united in their condemnation of these mass shootings, but they disagree about whether stricter or looser gun control laws are the answer. Those on the right side of the political aisle suggest that the issue is one of mental illness rather than gun control. Conversely, those who are more liberal or progressive in their political learnings are quick to condemn attempts to reframe the issue of mass shootings as a mental health problem. Both sides are wrong. Mass shootings are indeed partially a mental health problem, albeit one poorly addressed by our current laws and policies. But the solution to mass shootings also needs to consider strategies that may reduce gun violence in general. © 2018 The Hastings Center.

  15. ILL2020 Vision - Posters and Abstracts

    International Nuclear Information System (INIS)

    Baker, M.L.; Bocian, A.; Bousige, C.; Cermak, P.; Cooper, J.F.K.; Cronenberg, G.; Ford, S.; Hennig, M.; Jones, A.O.F.; Knoll, W.; Leung, K.; Mourigal, M.; Sigrist, M.S.; Trapp, M.; Wang, Weiwei; Martinez Pena, J.L.; Ruegg, C.; Bramwell, S.; Klotz, S.; Fragneto, G.; Fouquet, P.; Nesvizhevsky, V.V.; Harrison, A.; Andersen, K.; Lelievre-Berna, E.; Schober, H.; Enderle, M.; Jobic, H.; Wilson, C.C.; Teschner, D.; Bourges, P.; Braden, M.; McMorrow, D.; Snogerup Linse, S.; Podjarny, A.; Richardson, J.; Schurtenberger, P.; Farago, B.; Pfrang, C.; Simpson, G.; Plonka-Spehr, C.; Nuttall, W.J.; Chapon, L.C.; Koza, M.M.; Withers, P.J.; Zabel, H.; Lyonnard, S.; Morineau, D.; Salmon, P.S.; Johnson, M.; Forsyth, T.; Wagner, R.

    2011-01-01

    The aim of the Millennium Programme is to maintain and develop the ILL's instrument suite as the world reference, as well as to upgrade our support facilities and basic neutron technologies so that they continue to satisfy changing demands from the user community. This document gathers the abstracts of the poster session and the paper abstracts. The posters present the latest achievements in the application of neutrons diffraction for instance to the dynamics of molecules or the study of magnetism. The topics of the papers is more about the need for new equipment than about research topics. The proposals for new or upgraded equipment includes neutron spin-echo spectrometers, multimodal diffractometers, time-of-flight spectrometers, small angle neutron spectrometers, and high magnetic field devices for spectroscopy

  16. Selenium supplementation for critically ill adults

    DEFF Research Database (Denmark)

    Allingstrup, Mikkel; Afshari, Arash

    2015-01-01

    supplementation and number of infections, duration of mechanical ventilation, length of intensive care unit stay and length of hospital stay. SEARCH METHODS: In this update, we searched the current issue of the Cochrane Central Register of Controlled Trials, the Cochrane Library (2014, Issue 5); MEDLINE (Ovid SP...... developing infections (pyrexia, respiratory infections or meningitis) with no obvious benefit (RR 0.60, 95% CI 0.36 to 1.02, 685 participants, very low quality of evidence).Our analyses showed no effect of selenium or ebselen on adverse events (Selenium: RR 1.03, 95% Cl 0.85 to 1.24; six trials, 925...... was originally published in 2004 updated in 2007 and again 2015. OBJECTIVES: The primary objective was to examine the effect of nutrition supplemented with selenium or ebselen on mortality in critically ill patients.The secondary objective was to examine the relationship between selenium or ebselen...

  17. in Critically Ill Patients: Success and Limits

    Directory of Open Access Journals (Sweden)

    Filippo Mariano

    2011-01-01

    Full Text Available Citrate anticoagulation has risen in interest so it is now a real alternative to heparin in the ICUs practice. Citrate provides a regional anticoagulation virtually restricted to extracorporeal circuit, where it acts by chelating ionized calcium. This issue is particularly true in patients ongoing CRRT, when the “continuous” systemic anticoagulation treatment is per se a relevant risk of bleeding. When compared with heparin most of studies with citrate reported a longer circuit survival, a lower rate of bleeding complications, and transfused packed red cell requirements. As anticoagulant for CRRT, the infusion of citrate is prolonged and it could potentially have some adverse effects. When citrate is metabolized to bicarbonate, metabolic alkalosis may occur, or for impaired metabolism citrate accumulation leads to acidosis. However, large studies with dedicated machines have indeed demonstrated that citrate anticoagulation is well tolerated, safe, and an easy to handle even in septic shock critically ill patients.

  18. Air Transportation of Critically Ill Patients

    Directory of Open Access Journals (Sweden)

    E. P. Rodionov

    2008-01-01

    Full Text Available During the Napoleonic wars, balloon evacuation of the wounded was the first to be made in the history when Paris was being defended. In the USA, casualty helicopters are being used in 20% of cases on evacuating the victims from the accident scene and in 80% during interhospital transportation. Russia also shows an ambiguous approach to employing air medical service — from the wide use of air transportation in the country’s regions that are difficult of access to its almost complete refusal in the regions with the well-developed transportation system. Long-distance transportation of critically ill patients by chartered or commercial planes is the reality of our time. In each region, continuing specialized teams of qualified medical workers who have a good knowledge of altitude pathophysiology and handle the obligatorily certified equipment should be created on the basis of large-scale medical centers.

  19. Acquired respiratory failure in critically ill patients.

    Science.gov (United States)

    Pourmand, R

    1995-01-01

    With increasing survival rates from acute medical or surgical emergencies a new form of peripheral neuropathy, CIP, has been recognized. CIP can be seen only in patients who are considered to be critically ill; therefore, it invariably occurs in the ICU. Typically, initial symptoms begin with transient (hours to a few days) septic encephalopathy followed by generalized weakness, manifested in weaning failure, limb weakness and hyporeflexia. Diagnosis is confirmed by an EMG. CIP should be considered in any elderly patient with sepsis and prolonged respiratory muscle weakness. Prognosis is poor in severe cases, in which the EMG also shows severe axonal degeneration. In milder forms, fair to good recovery is expected within weeks. Management includes treatment of sepsis, normalization of failing organ function, physical therapy and proper nutrition.

  20. Nutritional Assessment in Critically Ill Patients

    Directory of Open Access Journals (Sweden)

    Najmeh Hejazi

    2016-05-01

    Full Text Available Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patients’ nutritional status was assessed using subjective global assessment (SGA, anthropometric measurements, biochemical indices, and body composition indicators. Diet prescription and intake was also evaluated. Results: Malnutrition prevalence significantly increased on the day of discharge (58.62% compared to the day of admission (28.8% according to SGA (P<0.001. The patients’ weight, mid-upper-arm circumference, mid-arm muscle circumference, triceps skinfold thickness, and calf circumference decreased significantly as well (P<0.001. Lean mass weight and body cell mass also decreased significantly (P<0.001. Biochemical indices showed no notable changes except for magnesium, which decreased significantly (P=0.013. A negative significant correlation was observed between malnutrition on discharge day and anthropometric measurements. Positive and significant correlations were observed between the number of days without enteral feeding, days delayed from ICU admission to the commencement of enteral feeding, and the length of ICU stay and malnutrition on discharge day. Energy and protein intakes were significantly less than the prescribed diet (26.26% and 26.48%, respectively. Conclusion: Malnutrition on discharge day increased in the patients in the ICU according to SGA. Anthropometric measurements were better predictors of the nutritional outcome of our critically ill patients than were biochemical tests.

  1. Predictors of agitation in critically ill adults.

    Science.gov (United States)

    Burk, Ruth S; Grap, Mary Jo; Munro, Cindy L; Schubert, Christine M; Sessler, Curtis N

    2014-09-01

    Agitation in critically ill adults is a frequent complication of hospitalization and results in multiple adverse outcomes. Potential causes of agitation are numerous; however, data on factors predictive of agitation are limited. To identify predictors of agitation by examining demographic and clinical characteristics of critically ill patients. A medical record review was performed. Documentation of agitation was indicated by scores on the Richmond Agitation-Sedation Scale or the use of an agitation keyword. Records of 200 patients from 1 medical and 1 surgical intensive care unit were used for the study. Risk factors were determined for 2 points in time: admission to the intensive care unit and within 24 hours before the first episode of agitation. Data on baseline demographics, preadmission risk factors, and clinical data were collected and were evaluated by using logistic multivariable regression to determine predictors of agitation. Predictors of agitation on admission to intensive care were history of use of illicit substances, height, respiratory and central nervous system subscores on the Sequential Organ Failure Assessment, and use of restraints. Predictors of agitation within 24 hours before the onset of agitation were history of psychiatric diagnosis, height, score on the Sequential Organ Failure Assessment, ratio of Pao2 to fraction of inspired oxygen less than 200, serum pH, percentage of hours with restraints, percentage of hours of mechanical ventilation, pain, and presence of genitourinary catheters. Predictors of agitation on admission and within 24 hours before the onset of agitation were primarily clinical variables. ©2014 American Association of Critical-Care Nurses.

  2. Loucuras da fome Hunger and mental illness

    Directory of Open Access Journals (Sweden)

    Lêda Maria de Vargas Rebello

    1998-07-01

    Full Text Available Com base em uma reportagem publicada recentemente sobre a tríade seca/fome/doença mental, cuja idéia central é a de que a miséria decorrente possa estar provocando distúrbios comportamentais na população nordestina atingida, buscamos refletir sobre o que essa suposta 'loucura' poderia estar representando para esse grupo de pessoas. Procuramos fazer uma leitura que envolvesse várias disciplinas e que ultrapassasse as explicações meramente causais, levando em conta que os transtornos relatados teriam significação a partir da articulação de elementos cognitivos, afetivos e experienciais, calcados nas relações sociais e culturais dos indivíduos. Nessa perspectiva, o discurso vai assumindo outras interpretações, mostrando que a enfermidade é um processo singular de construção.Based on a recently-published article on the triad of drought, hunger, and mental illness, in which the main idea is that destitution may be leading to behavioral disorders in the drought-plagued population of the Brazilian Northeast, we reflect on what this so-called "madness" may represent for this group of people. We attempt to analyze the issue from various disciplinary perspectives, going beyond merely causal explanations and taking into account that the reported disorders entail meanings following the articulation of cognitive, affective, and experiential elements founded on the social and cultural relations of individuals. From this point of view, the respective discourse assumes other interpretations, showing that illness is a singular process of construction.

  3. Postnatal mental illness: a transcultural perspective.

    Science.gov (United States)

    Kumar, R

    1994-11-01

    The three main conditions that are associated with childbirth are the maternity blues, postnatal depression and post-partum psychosis. The prevalence of the blues, which are mild, transient and very common disturbances of postnatal mood, does not appear in a major way to be related to environmental, social or cultural factors. Postnatal depression, which has a predominantly psychosocial etiology, surprisingly does not appear to vary in incidence across different cultures in the few studies reported that permit direct comparisons. There is also no good evidence for or against the theory that postnatal depression is partly the consequence of the customs and rituals that traditionally mark the transition to parenthood being stripped away in developed Western societies. However, the lack of relevant research and limitations of method severely restrict any conclusions that can be drawn. There is much firmer evidence for a consistent incidence of post-partum psychosis across cultural and ethnic divides; this observation, together with clinical data and historical evidence of an unchanging incidence rate during the past 150 years, points to a primarily endogenous etiology for the psychoses, which may be triggered by the physiology of childbirth. The transcultural approach to postnatal psychiatric disorders provides a unique opportunity not only to test hypotheses about social and cultural contributions to the etiology of psychotic and non-psychotic reactions to childbirth, but also an opportunity to study the ways in which social factors can influence the evolution of psychopathology. It is also possible that in some cultures the family and social milieu may play a major part in buffering infants from the adverse effects of maternal postnatal illness, but the evidence is anecdotal. Systematic research across cultures will lead to better recognition of maternal illness as well as to better prevention and management.

  4. Optimizing antimicrobial therapy in critically ill patients

    Directory of Open Access Journals (Sweden)

    Vitrat V

    2014-10-01

    Full Text Available Virginie Vitrat,1 Serge Hautefeuille,2 Cécile Janssen,1 David Bougon,2 Michel Sirodot,2 Leonardo Pagani1,3 1Antimicrobial Stewardship Program, Infectious Diseases Unit, 2Intensive Care Unit, Annecy-Genevois Hospital Center (CHANGE, Annecy, France; 3Infectious Diseases Unit, Bolzano Central Hospital, Bolzano, Italy Abstract: Critically ill patients with infection in the intensive care unit (ICU would certainly benefit from timely bacterial identification and effective antimicrobial treatment. Diagnostic techniques have clearly improved in the last years and allow earlier identification of bacterial strains in some cases, but these techniques are still quite expensive and not readily available in all institutions. Moreover, the ever increasing rates of resistance to antimicrobials, especially in Gram-negative pathogens, are threatening the outcome for such patients because of the lack of effective medical treatment; ICU physicians are therefore resorting to combination therapies to overcome resistance, with the direct consequence of promoting further resistance. A more appropriate use of available antimicrobials in the ICU should be pursued, and adjustments in doses and dosing through pharmacokinetics and pharmacodynamics have recently shown promising results in improving outcomes and reducing antimicrobial resistance. The aim of multidisciplinary antimicrobial stewardship programs is to improve antimicrobial prescription, and in this review we analyze the available experiences of such programs carried out in ICUs, with emphasis on results, challenges, and pitfalls. Any effective intervention aimed at improving antibiotic usage in ICUs must be brought about at the present time; otherwise, we will face the challenge of intractable infections in critically ill patients in the near future. Keywords: ICU, antimicrobial therapies, antimicrobial stewardship, pharmacokinetics, pharmacodynamics, antimicrobial resistance, early diagnosis

  5. The burden of illness of rheumatoid arthritis.

    Science.gov (United States)

    Boonen, Annelies; Severens, Johan L

    2011-03-01

    It is necessary to understand the full burden of illness of a disease before the value of interventions can be assessed. Rheumatoid arthritis (RA) has an impact on a variety of stakeholders, including patients, healthcare systems, and society as a whole. This overview discusses the societal and patient perspectives, distinguishing several domains of impact. Epidemiology is important from a societal perspective, as it affects the total impact on health and costs related to RA and influences healthcare organization priorities. Co-morbidities, such as cardiovascular disease, are important factors contributing to the impact of RA. The impact on health is, naturally, relevant to both patients and society as a whole, and is summarized by health-related quality-of-life measures from the point of view of the patient and by utilities from the societal perspective. Similarly, work participation is important for both patients and society. Withdrawal from the labor force and short- and long-term sick leave are extensively studied in RA and lead to substantial productivity costs at the societal level and to income loss for patients. In addition, the recent concept of presenteeism, which reflects the problems that patients experience while at work, is considered. Finally, the costs of illness of RA are summarized. Societal costs are mainly driven by the costs of drug treatment and inpatient care, including surgery. Patient and family costs are mainly driven by the need for formal and informal care. Overall, RA has a significant impact on the health of and costs to patients and society, suggesting that effective interventions to reduce the impact are of value.

  6. Rhabdomyolysis in Critically Ill Surgical Patients.

    Science.gov (United States)

    Kuzmanovska, Biljana; Cvetkovska, Emilija; Kuzmanovski, Igor; Jankulovski, Nikola; Shosholcheva, Mirjana; Kartalov, Andrijan; Spirovska, Tatjana

    2016-07-27

    Rhabdomyolysis is a syndrome of injury of skeletal muscles associated with myoglobinuria, muscle weakness, electrolyte imbalance and often, acute kidney injury as severe complication. of this study is to detect the incidence of rhabdomyolysis in critically ill patients in the surgical intensive care unit (ICU), and to raise awareness of this medical condition and its treatment among the clinicians. A retrospective review of all surgical and trauma patients admitted to surgical ICU of the University Surgical Clinic "Mother Teresa" in Skopje, Macedonia, from January 1 st till December 31 st 2015 was performed. Patients medical records were screened for available serum creatine kinase (CK) with levels > 200 U/l, presence of myoglobin in the serum in levels > 80 ng/ml, or if they had a clinical diagnosis of rhabdomyolysis by an attending doctor. Descriptive statistical methods were used to analyze the collected data. Out of totally 1084 patients hospitalized in the ICU, 93 were diagnosed with rhabdomyolysis during the course of one year. 82(88%) patients were trauma patients, while 11(12%) were surgical non trauma patients. 7(7.5%) patients diagnosed with rhabdomyolysis developed acute kidney injury (AKI) that required dialysis. Average values of serum myoglobin levels were 230 ng/ml, with highest values of > 5000 ng/ml. Patients who developed AKI had serum myoglobin levels above 2000 ng/ml. Average values of serum CK levels were 400 U/l, with highest value of 21600 U/l. Patients who developed AKI had serum CK levels above 3000 U/l. Regular monitoring and early detection of elevated serum CK and myoglobin levels in critically ill surgical and trauma patients is recommended in order to recognize and treat rhabdomyolysis in timely manner and thus prevent development of AKI.

  7. Witchcraft and Biopsychosocial Causes of Mental Illness: Attitudes and Beliefs About Mental Illness Among Health Professionals in Five Countries.

    Science.gov (United States)

    Stefanovics, Elina A; He, Hongbo; Cavalcanti, Maria; Neto, Helio; Ofori-Atta, Angelo; Leddy, Meaghan; Ighodaro, Adesuwa; Rosenheck, Robert

    2016-03-01

    This study examines the intercorrelation of measures reflecting beliefs about and attitudes toward people with mental illness in a sample of health professionals (N = 902) from five countries: Brazil, China, Ghana, Nigeria, and the United States, and, more specifically, the association of beliefs in supernatural as contrasted with biopsychosocial causes of mental illness. Factor analysis of a 43-item questionnaire identified four factors favoring a) socializing with people with mental illness; b) normalizing their roles in society; c) belief in supernatural causes of mental illness (e.g., witchcraft, curses); and d) belief in biopsychosocial causes of mental illness. Unexpectedly, a hypothesized negative association between belief in supernatural and biopsychosocial causation of mental illness was not found. Belief in the biopsychosocial causation was weakly associated with less stigmatized attitudes towards socializing and normalized roles.

  8. Lateral positioning for critically ill adult patients.

    Science.gov (United States)

    Hewitt, Nicky; Bucknall, Tracey; Faraone, Nardene M

    2016-05-12

    Critically ill patients require regular body position changes to minimize the adverse effects of bed rest, inactivity and immobilization. However, uncertainty surrounds the effectiveness of lateral positioning for improving pulmonary gas exchange, aiding drainage of tracheobronchial secretions and preventing morbidity. In addition, it is unclear whether the perceived risk levied by respiratory and haemodynamic instability upon turning critically ill patients outweighs the respiratory benefits of side-to-side rotation. Thus, lack of certainty may contribute to variation in positioning practice and equivocal patient outcomes. To evaluate effects of the lateral position compared with other body positions on patient outcomes (mortality, morbidity and clinical adverse events) in critically ill adult patients. (Clinical adverse events include hypoxaemia, hypotension, low oxygen delivery and global indicators of impaired tissue oxygenation.) We examined single use of the lateral position (i.e. on the right or left side) and repeat use of the lateral position (i.e. lateral positioning) within a positioning schedule. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 5), MEDLINE (1950 to 23 May 2015), the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (1937 to 23 May 2015), the Allied and Complementary Medicine Database (AMED) (1984 to 23 May 2015), Latin American Caribbean Health Sciences Literature (LILACS) (1901 to 23 May 2015), Web of Science (1945 to 23 May 2015), Index to Theses in Great Britain and Ireland (1950 to 23 May 2015), Trove (2009 to 23 May 2015; previously Australasian Digital Theses Program (1997 to December 2008)) and Proquest Dissertations and Theses (2009 to 23 May 2015; previously Proquest Digital Dissertations (1980 to 23 May 2015)). We handsearched the reference lists of potentially relevant reports and two nursing journals. We included randomized and quasi-randomized trials examining effects of

  9. Illness representations, coping, and illness outcomes in people with cancer: a systematic review and meta-analysis.

    Science.gov (United States)

    Richardson, Emma M; Schüz, Natalie; Sanderson, Kristy; Scott, Jennifer L; Schüz, Benjamin

    2017-06-01

    Cancer is associated with negative health and emotional outcomes in those affected by it, suggesting the need to better understand the psychosocial determinants of illness outcomes and coping. The common sense model is the leading psychological model of self-regulation in the face of illness and assumes that subjective illness representations explain how people attempt to cope with illness. This systematic review and meta-analysis examines the associations of the common sense model's illness representation dimensions with health and coping outcomes in people with cancer. A systematic literature search located 54 studies fulfilling the inclusion criteria, with 38 providing sufficient data for meta-analysis. A narrative review of the remaining studies was also conducted. Random-effects models revealed small to moderate effect sizes (Fisher Z) for the relations between illness representations and coping behaviors (in particular between control perceptions, problem-focused coping, and cognitive reappraisal) and moderate to large effect sizes between illness representations and illness outcomes (in particular between identity, consequences, emotional representations, and psychological distress). The narrative review of studies with insufficient data provided similar results. The results indicate how illness representations relate to illness outcomes in people with cancer. However, more high-quality studies are needed to examine causal effects of illness representations on coping and outcomes. High heterogeneity indicates potential moderators of the relationships between illness representations and health and coping outcomes, including diagnostic, prognostic, and treatment-related variables. This review can inform the design of interventions to improve coping strategies and mental health outcomes in people with cancer. Copyright © 2016 John Wiley & Sons, Ltd.

  10. Illness perceptions in Greek patients with cancer: a validation of the Revised-Illness Perception Questionnaire.

    Science.gov (United States)

    Giannousi, Zoe; Manaras, Irene; Georgoulias, Vassilis; Samonis, George

    2010-01-01

    The Revised-Illness Perception Questionnaire (IPQ-R) assesses illness perceptions according to Leventhal's self-regulatory model. The aim of this paper is to present findings on the reliability and validity of the IPQ-R in a population of Greek cancer patients. A total of 206 patients completed a Greek translation of the IPQ-R and the Greek version of the Beck Depression Inventory (BDI). The scale's reliability was investigated by examining its internal consistency (Cronbach's alpha) and its test-retest reliability. Structural validity was examined through factor analyses. Predictive validity was tested by regressing BDI scores on IPQ subscale scores. Inter-relationships between IPQ-R dimensions were also examined by computing Pearson's Correlation Coefficients. Cronbach's alpha showed satisfactory internal consistency for the IPQ-R subscales. Paired samples' t-test showed good test-retest reliability. Factor analysis of the IPQ-R items revealed that the Greek version reflects the structure of the original with the only difference being that the 'Consequences' and 'Emotional Representations' subscales loaded on one factor. Factor analysis of the causal dimension items revealed a different structure of Causal Representations than that of the original questionnaire yielding three main factors: Psychological Attributions, Behavioral, and External Factors. Multiple regression analyses showed that Consequences, Emotional Representations, Illness Identity, and Psychological Attributions were the best predictors for depression. Translation of the IPQ-R has good reliability and similar structure to that of the original. Difficulties to confirm the structure of Causal Representations may represent cultural differences in understanding illness causation. (c) 2009 John Wiley & Sons, Ltd.

  11. Musculoskeletal pain illness perceptions: factor structure of the Illness Perceptions Questionnaire-Revised.

    Science.gov (United States)

    Nicholls, Elaine E; Hill, Susan; Foster, Nadine E

    2013-01-01

    The Revised Illness Perceptions Questionnaire (IPQ-R) is commonly used to measure illness perceptions. We tested whether the structure of the IPQ-R was appropriate for use with primary care musculoskeletal pain patients. Confirmatory (C) and exploratory (E) factor analyses (FA) were used to test whether the structure of the IPQ-R was supported for patients with knee pain (n = 393), hand pain (n = 2113) and back pain (n = 1591). CFA was used to test whether the timeline acute/chronic, timeline cyclical, consequences, personal control, treatment control, illness coherence and emotional representation dimensions of the IPQ-R were distinct; EFA was used to explore potential structure for patients' views on the cause of their condition. Goodness-of-fit indices for the CFA were below our criteria for good model fit. Removal of six items from the model improved model fit, but our criteria for good model fit was still not achieved. An interpretable factor solution could not be determined for the causal items on the questionnaire. Our data show limited evidence that the seven dimensions of the IPQ-R are distinct. A clear structure for the causal items was not determined. Further work is needed to develop the IPQ-R for use with primary care musculoskeletal pain patients.

  12. Gender Differences in Anxiety Disorders: Prevalence, Course of Illness, Comorbidity and Burden of Illness

    Science.gov (United States)

    McLean, Carmen P.; Asnaani, Anu; Litz, Brett T.; Hofmann, Stefan G.

    2011-01-01

    Women have consistently higher prevalence rates of anxiety disorders, but less is known about how gender affects age of onset, chronicity, comorbidity, and burden of illness. Gender differences in DSM-IV anxiety disorders were examined in a large sample of adults (N = 20,013) in the United States using data from the Collaborative Psychiatric Epidemiology Studies (CPES). The lifetime and 12-month male:female prevalence ratios of any anxiety disorder were 1:1.7 and 1:1.79, respectively. Women had higher rates of lifetime diagnosis for each of the anxiety disorders examined, except for social anxiety disorder which showed no gender difference in prevalence. No gender differences were observed in the age of onset and chronicity of the illness. However, women with a lifetime diagnosis of an anxiety disorder were more likely than men to also be diagnosed with another anxiety disorder, bulimia nervosa, and major depressive disorder. Furthermore, anxiety disorders were associated with a greater illness burden in women than in men, particularly among European American women and to some extend also among Hispanic women. These results suggest that anxiety disorders are not only more prevalent but also more disabling in women than in men. PMID:21439576

  13. Older men and older women remand prisoners: mental illness, physical illness, offending patterns and needs.

    Science.gov (United States)

    Davoren, Mary; Fitzpatrick, Mary; Caddow, Fintan; Caddow, Martin; O'Neill, Conor; O'Neill, Helen; Kennedy, Harry G

    2015-05-01

    Older prisoners are the fastest growing group of prisoners in most countries. They have high rates of physical and psychiatric co-morbidity, compared to community dwelling older persons and also compared with other prisoner groups. Very high rates of mental illness have been found in remand (pre-trial) prisoners when compared with other prisoner groups; however to date there have been no studies examining older male and female remand prisoners. A retrospective chart review was conducted of all remands, to a male and a female prison, over a six and half-year period. Demographic data were collected pertaining to psychiatric and medical diagnoses and seriousness of offending. We found rising numbers of older prisoners amongst male remand prisoners. Older remand prisoners had very high rates of affective disorder and alcohol misuse. They had rates of psychotic illnesses and deliberate self-harm comparable to younger remand prisoners. High rates of vulnerability were found among older prisoners and older prisoners had a greater need for general medical and psychiatric services than younger prisoners. We also found comparable offending patterns with younger prisoners and high rates of sexual offending among the older male prisoner group. Given the ageing population of many countries it is likely the numbers of older prisoners will continue to grow and given their high levels of both physical and psychiatric illness this will have implications for future service delivery.

  14. 24 mars 2016 - Le Président de la Confédération suisse, Monsieur Johann Schneider-Ammann signe le livre d'or avec la Directrice générale du CERN Fabiola Gianotti.

    CERN Multimedia

    Brice, Maximilien

    2016-01-01

    Le Président de la Confédération suisse, Monsieur Johann Schneider-Ammann signe le livre d'or avec la Directrice générale du CERN Fabiola Gianotti. De g. à d.: F. Eder, Délégué aux Relations avec les Etats-hôtes; F. Bordry, Directeur des accélérateurs et de la technologie; S. E. M. l'Ambassadeur Fasel, Représentant permanent de la Suisse auprès de l’Office des Nations Unies et des autres organisations internationales à Genève; M. Steinacher, Directeur des finances et des ressources humaines et P. Pardo, Conseiller, Mission permanente de la Suisse auprès de l’Office des Nations Unies et des autres organisations internationales à Genève.

  15. The pattern of paediatric respiratory illnesses admitted in Ebonyi ...

    African Journals Online (AJOL)

    Background: Reports from the developed nations reveal respiratory tract infections as the leading cause of childhood hospital admissions. Children may be admitted for a variety of respiratory illnesses. Data on the spectrum of pediatric respiratory illnesses admitted in the hospital is scarce. Aim: To determine the pattern of ...

  16. Gender differentials in the perception of mental illness among the ...

    African Journals Online (AJOL)

    The study revealed that there were significant differences between men and women in the perception of mental illness. Stigmatisation and gender discrimination among People Living with Mental Illness (PLWMI) should be eradicated through government actions, advocacy and education. Keywords: Gender differentials ...

  17. 77 FR 18307 - Gulf War Veterans' Illnesses Task Force Report

    Science.gov (United States)

    2012-03-27

    ... addressing 1990-1991 Gulf War Veterans' illnesses. The GWVI-TF published its first annual report in September... AFFAIRS Gulf War Veterans' Illnesses Task Force Report AGENCY: Department of Veterans Affairs. ACTION: Notice. SUMMARY: The Secretary Department of Veterans Affairs (VA) established the Gulf War Veterans...

  18. Global Assessment of Functioning Among The Mentally-ill Out ...

    African Journals Online (AJOL)

    Background: Success in the treatment of the mentally-ill is suggested by patient's level of functioning. This study is to determine the highest overall level of functioning among the mentally-ill patients on follow-up at the University of Benin Teaching Hospital. Methods: Patients were picked consecutively as they presented at ...

  19. Illness perceptions and medication adherence in adolescents with ...

    African Journals Online (AJOL)

    They completed self-report questionnaires about their demographic and medical data, their illness perception using the Illness Perception Questionnaire-Revised (IPQ-R) and their medication adherence using the Medication Adherence Report Scale-5 (MARS5). The outcome of the analysis using the Pearson Product ...

  20. Human Rights That Influence The Mentally Ill Patient In South ...

    African Journals Online (AJOL)

    Invariably the mentally ill person encounters rejectionand humiliation that are in some way tantamount to a "second illness." The combination either disrupts or puts beyond reach the usual personal and social life stages of marriage, family life, raising children, sexual relationships, the choice of treatment, affordable housing, ...