Influence of patient counseling on medication adherence in epileptic patientsSriramNagarajan17
This study examined the effects of patient counseling on medication adherence among 250 epileptic patients in Erode district, India over 6 months. The study found that treatment effectiveness increased to 70-85% in children and 60-75% in males and females after patient counseling. Adherence was lower in females potentially due to adverse drug effects and non-adherence. The study concluded that proper patient counseling and education are important for improving therapy for epileptic patients by enhancing communication between physicians and patients/caregivers.
Violence against women by their husband and postpartum depression finalChetkant Bhusal
The study aimed to determine the prevalence of violence against women by their husbands, postpartum depression, and the relationship between violence and depression in Nepal. The study found the incidence of postpartum depression was 19.4-22.2% and violence was 13.9-20.8%. No significant relationship was found between violence and depression, possibly due to small sample size. The study highlighted the need for further large-scale research on this topic in Nepal.
Epidemiological studies in psychiatry in IndiaSujit Kumar Kar
Epidemiological studies in psychiatry have been conducted in India for over 60 years, starting with Dr. K.C. Dube's 1961 study in Agra. Initial studies found wide variation in prevalence rates of psychiatric disorders from 9.5 to 370 per 1000 population. Landmark international studies provided more standardized approaches. However, Indian studies were inadequate to assess non-psychotic disorders. Substance use epidemiological studies included the National Household Survey and Drug Abuse Monitoring System. The National Mental Health Survey was the largest nationwide survey and found treatment gaps of 73-85% for mental disorders. Ongoing national surveys continue to inform mental healthcare in India.
A systematic review of 9 studies comparing PEG and NG tube feeding in adults with swallowing disturbances found:
1) PEG was associated with a lower risk of treatment failure, especially in patients with neurological diseases.
2) There was no significant difference in complication rates between PEG and NG tubes.
3) PEG may be associated with a decreased risk of pneumonia compared to NG tubes and longer survival time.
Neurotocism and maladaptive coping in patients with functional somatic syndro...Paul Coelho, MD
1) The study investigated neuroticism and maladaptive coping in patients with functional somatic syndromes (FSS) using data from a previous randomized controlled trial.
2) It found that patients with FSS showed higher levels of neuroticism than healthy groups. Neuroticism was linked to poorer physical health indirectly through symptom catastrophizing.
3) Treatment with cognitive-behavioral therapy (CBT) reduced symptom catastrophizing, and this partially mediated the long-term improvement in outcomes from CBT. The results support a cognitive-behavioral model of FSS.
Anxiety and depression_associated_with_urinary_incCarlos Quiroz
This study investigated the association between depression, anxiety, and urinary incontinence (UI) in a 10-year longitudinal study of over 16,000 Norwegian women. The study found that women with depression or anxiety at baseline had a higher risk of developing UI during the follow-up period, with a dose-dependent relationship between severity of symptoms and UI risk. It also found that women with UI at baseline had a higher risk of developing depression or anxiety symptoms during follow-up. This suggests depression, anxiety, and UI may influence each other bidirectionally over time.
Introduction: Migraine is a chronic disease evolving through recurrent attack; it constitutes a frequent reason of consultation in
neurology. It has a signifi cant impact that can affect all spheres of life. Thus, it is one of the most disabling primary headaches.
Objective: To evaluate the impact of migraine in population of Brazzaville
The association of HIV and psychosis has been established but there had been few research interests on the characteristics of HIV among a vagrant psychotic population during especially in resource-poor settings.
Influence of patient counseling on medication adherence in epileptic patientsSriramNagarajan17
This study examined the effects of patient counseling on medication adherence among 250 epileptic patients in Erode district, India over 6 months. The study found that treatment effectiveness increased to 70-85% in children and 60-75% in males and females after patient counseling. Adherence was lower in females potentially due to adverse drug effects and non-adherence. The study concluded that proper patient counseling and education are important for improving therapy for epileptic patients by enhancing communication between physicians and patients/caregivers.
Violence against women by their husband and postpartum depression finalChetkant Bhusal
The study aimed to determine the prevalence of violence against women by their husbands, postpartum depression, and the relationship between violence and depression in Nepal. The study found the incidence of postpartum depression was 19.4-22.2% and violence was 13.9-20.8%. No significant relationship was found between violence and depression, possibly due to small sample size. The study highlighted the need for further large-scale research on this topic in Nepal.
Epidemiological studies in psychiatry in IndiaSujit Kumar Kar
Epidemiological studies in psychiatry have been conducted in India for over 60 years, starting with Dr. K.C. Dube's 1961 study in Agra. Initial studies found wide variation in prevalence rates of psychiatric disorders from 9.5 to 370 per 1000 population. Landmark international studies provided more standardized approaches. However, Indian studies were inadequate to assess non-psychotic disorders. Substance use epidemiological studies included the National Household Survey and Drug Abuse Monitoring System. The National Mental Health Survey was the largest nationwide survey and found treatment gaps of 73-85% for mental disorders. Ongoing national surveys continue to inform mental healthcare in India.
A systematic review of 9 studies comparing PEG and NG tube feeding in adults with swallowing disturbances found:
1) PEG was associated with a lower risk of treatment failure, especially in patients with neurological diseases.
2) There was no significant difference in complication rates between PEG and NG tubes.
3) PEG may be associated with a decreased risk of pneumonia compared to NG tubes and longer survival time.
Neurotocism and maladaptive coping in patients with functional somatic syndro...Paul Coelho, MD
1) The study investigated neuroticism and maladaptive coping in patients with functional somatic syndromes (FSS) using data from a previous randomized controlled trial.
2) It found that patients with FSS showed higher levels of neuroticism than healthy groups. Neuroticism was linked to poorer physical health indirectly through symptom catastrophizing.
3) Treatment with cognitive-behavioral therapy (CBT) reduced symptom catastrophizing, and this partially mediated the long-term improvement in outcomes from CBT. The results support a cognitive-behavioral model of FSS.
Anxiety and depression_associated_with_urinary_incCarlos Quiroz
This study investigated the association between depression, anxiety, and urinary incontinence (UI) in a 10-year longitudinal study of over 16,000 Norwegian women. The study found that women with depression or anxiety at baseline had a higher risk of developing UI during the follow-up period, with a dose-dependent relationship between severity of symptoms and UI risk. It also found that women with UI at baseline had a higher risk of developing depression or anxiety symptoms during follow-up. This suggests depression, anxiety, and UI may influence each other bidirectionally over time.
Introduction: Migraine is a chronic disease evolving through recurrent attack; it constitutes a frequent reason of consultation in
neurology. It has a signifi cant impact that can affect all spheres of life. Thus, it is one of the most disabling primary headaches.
Objective: To evaluate the impact of migraine in population of Brazzaville
The association of HIV and psychosis has been established but there had been few research interests on the characteristics of HIV among a vagrant psychotic population during especially in resource-poor settings.
1) The study investigated using non-painful electrical stimulation of the skin on the arm to reduce migraine attacks. It found that nearly 2/3 of patients experienced at least a 50% reduction in pain, especially when used early in an attack.
2) 86 patients with a history of migraines participated in the study. They were divided into groups that received real or sham stimulation to the arm.
3) While the study supports using non-invasive arm stimulation to reduce migraine pain, its effectiveness for more frequent or severe migraines, or those taking preventative medications, remains unknown.
The document describes a study that compared characteristics of patients with obstructive sleep apnea (OSA) who were classified as sleepy versus non-sleepy. Sleepy patients had shorter total sleep time, less nocturnal sleep, more time awake during sleep, and reported poorer sleep quality and greater functional impairment. The results suggest behavioral factors leading to shorter and poorer sleep may contribute to greater subjective sleepiness and symptoms among OSA patients.
Depressive symptoms among student at Al-kindy college of medicine 2018-2019 r...Aseele HZ
This study examined depressive symptoms among students at Al-Kindy College of Medicine in Iraq from 2018-2019. The researchers surveyed 501 students using a depression questionnaire. The results found that 32% of students experienced some level of depression, with mild depression being most common at 23.6%. Depression was higher among female students and those in their 3rd and 6th years of study. Family problems were also associated with higher rates of depression compared to academic stress alone. The study concludes depression is a significant problem affecting around one-third of medical students, and recommends early screening and prevention programs to address student mental health issues.
This study examined the effects of craniosacral therapy (CST) on heart rate variability (HRV) in 31 patients with subjective discomforts. HRV was measured before and after a 30-minute control rest period and a 30-minute CST session on consecutive days using a mobile device. Standard deviation of heart rate intervals (SDNN) and total power (TP), indicators of autonomic nervous system activity, increased significantly after CST but not the control rest. Heart rate also decreased significantly after CST compared to rest. However, interactions between treatment and HRV changes were not fully statistically significant. The study provides preliminary evidence that CST may positively influence autonomic nervous system regulation.
This document summarizes research on using acupuncture to treat Meniere's disease. It discusses Meniere's disease and its symptoms from both Western and Traditional Chinese Medicine perspectives. A literature review found 3 studies showing acupuncture improved vertigo and dizziness associated with Meniere's disease. However, the research did not clearly show acupuncture improved hearing loss. The document discusses Meniere's disease and its treatment in the context of Yin-Yang balance and Traditional Chinese medicine patterns like dampness and wind. It concludes that while acupuncture may not treat hearing issues, it provides a feasible alternative or addition to Western treatments for controlling other Meniere's disease symptoms.
Pyridoxine supplementation led to a significant decrease in migraine attack severity, duration, and headache diary results compared to placebo, but did not significantly impact attack frequency. A double-blind randomized clinical trial of 66 migraine patients with aura found that those receiving 80 mg of pyridoxine per day experienced greater reductions in severity (-2.20 vs -1), duration (-8.30 hours vs -1.70 hours), and headache diary results (-89.70 vs -6.10) compared to the placebo group after 12 weeks. However, pyridoxine did not significantly decrease attack frequency more than placebo.
This document summarizes a study that assessed the prevalence of anxiety and depression in tuberculosis patients and its impact on their quality of life. Some key findings include:
- 37.1% of tuberculosis patients were found to have anxiety and 37.1% had depression according to the Hospital Anxiety and Depression Scale, compared to only 8.6% and 2.9% respectively in the control group.
- Quality of life parameters like perceived health, relationships, and occupational role were found to be significantly impacted in tuberculosis patients compared to healthy individuals.
- Higher levels of anxiety and depression were found in tuberculosis patients who had been undergoing treatment for less than 3 months compared to those being treated for longer durations.
This document provides information on chronic illness in adolescents including:
- Chronic illnesses are long-lasting health conditions that impact physical, mental, and social well-being. Examples include asthma, cancer, diabetes, and heart disease.
- Approximately 20-30% of adolescents in the US have a chronic illness, with 10-13% reporting substantial limitations. Depression and non-adherence to treatment plans are common issues.
- Several assessment tools are recommended to evaluate an adolescent's medical history, illness impact, depression, anxiety, quality of life, and treatment adherence.
- Suggested intervention strategies include cognitive behavioral therapy to challenge irrational thoughts and beliefs, develop coping skills, and improve treatment adherence.
This study aimed to determine the prevalence of adherence to antiretroviral therapy (ART) among 78 pediatric HIV patients in Mumbai, India over 18 months. The overall adherence was 82.1% after one year. Non-adherence was significantly associated with the caretaker's education, employment, and knowledge of medications. The most common reason for non-adherence was forgetting to take the medication (37.1% of patients). Adherent patients had significantly higher average CD4 counts after one year compared to their baseline, while non-adherent patients' CD4 counts did not change significantly.
PREVAILENCE OF MIGRIANE IN A LOW INCOME COMMUNITY OF KARACHIJing Zang
Migraine is the most common problem affecting large population, with prevalence frequency 10-12 %. This study was conducted to evaluate the prevalence of migraine in a low income community in Karachi from June-Oct, 2013. Three hundred and seven participants were involved in this study. For this purpose cross-sectional community based questionnaire was designed in accordance with the diagnostic criteria given by International Headache Society. Data collection was carried out by personal visit to patients and through clinics. It was observed that females (65.5%) are more affected from migraine then male. 32.9% housewives reported that they are suffering from migraine. This medical problem is common among youngsters (38.1%) than old citizens. Employees working in different organizations (39.7%), were found to be mostly affected from migraine then self employed persons. Majority of the migraine patients (41%) reported that they are suffering from common symptoms including: photophobia, phonophobia, nausea, vomiting etc. Dietary habits of individuals were found to be closely associated with migraine such as use of caffeine, chocolate are prominent; and their use is common among 75% patients cumulatively. It was evaluated that certain disease conditions i.e. stress (33.6%), depression (22.1%) and anxiety (18.9%) are more common among sufferers of migraine.
How to prevent acute pain developing into chronic pain,
How to treat pain without resorting to opioids
How genetics, diet, and lifestyle all influence a person’s pain and whether it will become chronic.
How patterns of gene expression predict pain
How Big data can tell us about why people transition from acute to chronic pain
Fricchione psychosomatic medicine in mental healthjasonharlow
This document discusses the global burden of mental illness and the role that psychosomatic medicine can play in addressing it, particularly in Africa. It notes that mental disorders account for 13% of the global burden of disease and reviews strategies like integrating mental health treatment into primary care. Psychosomatic medicine is well-suited to contribute through its expertise in managing co-morbid medical and psychiatric conditions and working at the interface of different medical fields. The document argues that training consultation-liaison psychiatrists could help address Africa's lack of psychiatric resources and lack of treatment for co-occurring conditions.
This study surveyed behavioral health clinicians with experience using stellate ganglion block (SGB) as an adjunct treatment for trauma-related disorders like PTSD. Of the 23 respondents, 95% would recommend SGB to colleagues. Respondents rated SGB as at least as useful as the highest rated standard PTSD interventions. SGB was seen as most helpful for reducing arousal/reactivity symptoms. The majority would refer patients for SGB at any stage of therapy, including before starting other treatments.
Frequency of migraine headaches in patients with fibromyalgiaPaul Coelho, MD
- The study evaluated the frequency of migraine headaches in a large cohort of patients with fibromyalgia using a brief migraine screening tool.
- Of the 1730 patients with fibromyalgia who completed the survey, 966 (55.8%) met the criteria for migraine headaches based on the screening tool.
- Several comorbid conditions such as depression, anxiety, chronic fatigue syndrome, and irritable bowel syndrome were found to be significantly more common in those fibromyalgia patients who also met the criteria for migraines.
The number of existing functional somatic syndromes (fs ss) is an important r...Paul Coelho, MD
The study tested the hypothesis that the number of existing functional somatic syndromes (FSSs; e.g. fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome) predicts the development of new FSSs. The study found that the incidence of a new FSS increased with the number of pre-existing (antecedent) FSSs in both cases (women with interstitial cystitis) and controls. Specifically, the risk of a new FSS was highest for individuals with 3 or more antecedent FSSs. Logistic regression showed that the number of antecedent FSSs significantly predicted new FSSs even after accounting for other risk factors. This supports the idea that FSSs are linked
This document discusses chronic diseases and proposes a framework for early detection. It begins by defining chronic diseases and listing some common types like arthritis, cancer, stroke, and heart attack. Parkinson's disease is then discussed in more detail, including its causes, symptoms, increasing rates, and challenges around early detection. The importance of early detection for Parkinson's is explained. Recent research on potential biomarkers from cerebrospinal fluid and blood is mentioned. Research from India and abroad is summarized, including studies using smartphones to assess tremors, deep learning to analyze sensor data, and quantifying finger tremors. The document concludes by emphasizing the need for more research to enable earlier detection of Parkinson's disease.
1. Several studies found that employing reflexologists in the workplace reduced sick leave and associated costs. Employees experienced less pain, stress and improved well-being.
2. Reflexology was shown to significantly reduce symptoms for various medical conditions like headaches, menstrual problems, digestive issues and diabetes. It helped reduce medication usage and sick days.
3. Multiple workplace studies showed reductions in sick leave from 25-65% after employees received regular reflexology treatments. Savings from reduced absenteeism outweighed the costs of employing a reflexologist.
Neuro-psychiatric manifestations in an adolescent: Primary manifestations of ...Dr Nikhil Gupta
A case of neuro-psychiatric manifestations (Catatonic syndrome) in a 16 years old sero-positive girl who improved on withholding anti-retrovirals, continued to have fluctuating psychotic course.
This study evaluated the effectiveness of microcurrent electrical stimulation using the Avazzia PRO-SPORTTM device to treat symptoms in children with post PANDAS episodes. Seven children received 10 treatment sessions over acupuncture points. Results showed the average intensity of symptoms decreased by 40.3% and average frequency of symptoms decreased by 34%. All children reported improvements and continued benefits when using the device during periods of stress. The study concluded microcurrent therapy safely and effectively improved PANDAS symptoms in children.
This study examined factors that influence relapse in people with mental health disorders in Indonesia, specifically in West Sumatera Province. The study found that stress of caregivers was the strongest predictor of relapse, with caregivers experiencing high stress being over 8 times more likely to experience patient relapse than low-stress caregivers. The study also found that lack of home visits from healthcare workers was associated with a higher likelihood of relapse. Improving home visit programs and supporting caregivers to reduce their stress levels could help lower relapse rates. The study was a cross-sectional analysis of 313 caregivers in West Sumatera that examined how demographic characteristics, stigma, home visits and caregiver stress related to patient relapse.
This study examined the relationship between social support and coping strategies used by 88 family caregivers of persons with schizophrenia in West Java, Indonesia. The results found that caregivers perceived moderate levels of overall social support. The most commonly used coping strategies were optimistic coping, self-reliant coping, confrontative coping, and supportant coping. There were significant positive correlations between social support and confrontative coping, optimistic coping, and supportant coping. Specifically, higher levels of perceived social support were associated with greater use of these coping strategies. In contrast, social support was negatively correlated with evasive coping and fatalistic coping.
DSM proposal for Sensory Processing Disorder. Of interest to those who want to know more in general, or know more about SPD as it compares to ASD or Misophonia.
1) The study investigated using non-painful electrical stimulation of the skin on the arm to reduce migraine attacks. It found that nearly 2/3 of patients experienced at least a 50% reduction in pain, especially when used early in an attack.
2) 86 patients with a history of migraines participated in the study. They were divided into groups that received real or sham stimulation to the arm.
3) While the study supports using non-invasive arm stimulation to reduce migraine pain, its effectiveness for more frequent or severe migraines, or those taking preventative medications, remains unknown.
The document describes a study that compared characteristics of patients with obstructive sleep apnea (OSA) who were classified as sleepy versus non-sleepy. Sleepy patients had shorter total sleep time, less nocturnal sleep, more time awake during sleep, and reported poorer sleep quality and greater functional impairment. The results suggest behavioral factors leading to shorter and poorer sleep may contribute to greater subjective sleepiness and symptoms among OSA patients.
Depressive symptoms among student at Al-kindy college of medicine 2018-2019 r...Aseele HZ
This study examined depressive symptoms among students at Al-Kindy College of Medicine in Iraq from 2018-2019. The researchers surveyed 501 students using a depression questionnaire. The results found that 32% of students experienced some level of depression, with mild depression being most common at 23.6%. Depression was higher among female students and those in their 3rd and 6th years of study. Family problems were also associated with higher rates of depression compared to academic stress alone. The study concludes depression is a significant problem affecting around one-third of medical students, and recommends early screening and prevention programs to address student mental health issues.
This study examined the effects of craniosacral therapy (CST) on heart rate variability (HRV) in 31 patients with subjective discomforts. HRV was measured before and after a 30-minute control rest period and a 30-minute CST session on consecutive days using a mobile device. Standard deviation of heart rate intervals (SDNN) and total power (TP), indicators of autonomic nervous system activity, increased significantly after CST but not the control rest. Heart rate also decreased significantly after CST compared to rest. However, interactions between treatment and HRV changes were not fully statistically significant. The study provides preliminary evidence that CST may positively influence autonomic nervous system regulation.
This document summarizes research on using acupuncture to treat Meniere's disease. It discusses Meniere's disease and its symptoms from both Western and Traditional Chinese Medicine perspectives. A literature review found 3 studies showing acupuncture improved vertigo and dizziness associated with Meniere's disease. However, the research did not clearly show acupuncture improved hearing loss. The document discusses Meniere's disease and its treatment in the context of Yin-Yang balance and Traditional Chinese medicine patterns like dampness and wind. It concludes that while acupuncture may not treat hearing issues, it provides a feasible alternative or addition to Western treatments for controlling other Meniere's disease symptoms.
Pyridoxine supplementation led to a significant decrease in migraine attack severity, duration, and headache diary results compared to placebo, but did not significantly impact attack frequency. A double-blind randomized clinical trial of 66 migraine patients with aura found that those receiving 80 mg of pyridoxine per day experienced greater reductions in severity (-2.20 vs -1), duration (-8.30 hours vs -1.70 hours), and headache diary results (-89.70 vs -6.10) compared to the placebo group after 12 weeks. However, pyridoxine did not significantly decrease attack frequency more than placebo.
This document summarizes a study that assessed the prevalence of anxiety and depression in tuberculosis patients and its impact on their quality of life. Some key findings include:
- 37.1% of tuberculosis patients were found to have anxiety and 37.1% had depression according to the Hospital Anxiety and Depression Scale, compared to only 8.6% and 2.9% respectively in the control group.
- Quality of life parameters like perceived health, relationships, and occupational role were found to be significantly impacted in tuberculosis patients compared to healthy individuals.
- Higher levels of anxiety and depression were found in tuberculosis patients who had been undergoing treatment for less than 3 months compared to those being treated for longer durations.
This document provides information on chronic illness in adolescents including:
- Chronic illnesses are long-lasting health conditions that impact physical, mental, and social well-being. Examples include asthma, cancer, diabetes, and heart disease.
- Approximately 20-30% of adolescents in the US have a chronic illness, with 10-13% reporting substantial limitations. Depression and non-adherence to treatment plans are common issues.
- Several assessment tools are recommended to evaluate an adolescent's medical history, illness impact, depression, anxiety, quality of life, and treatment adherence.
- Suggested intervention strategies include cognitive behavioral therapy to challenge irrational thoughts and beliefs, develop coping skills, and improve treatment adherence.
This study aimed to determine the prevalence of adherence to antiretroviral therapy (ART) among 78 pediatric HIV patients in Mumbai, India over 18 months. The overall adherence was 82.1% after one year. Non-adherence was significantly associated with the caretaker's education, employment, and knowledge of medications. The most common reason for non-adherence was forgetting to take the medication (37.1% of patients). Adherent patients had significantly higher average CD4 counts after one year compared to their baseline, while non-adherent patients' CD4 counts did not change significantly.
PREVAILENCE OF MIGRIANE IN A LOW INCOME COMMUNITY OF KARACHIJing Zang
Migraine is the most common problem affecting large population, with prevalence frequency 10-12 %. This study was conducted to evaluate the prevalence of migraine in a low income community in Karachi from June-Oct, 2013. Three hundred and seven participants were involved in this study. For this purpose cross-sectional community based questionnaire was designed in accordance with the diagnostic criteria given by International Headache Society. Data collection was carried out by personal visit to patients and through clinics. It was observed that females (65.5%) are more affected from migraine then male. 32.9% housewives reported that they are suffering from migraine. This medical problem is common among youngsters (38.1%) than old citizens. Employees working in different organizations (39.7%), were found to be mostly affected from migraine then self employed persons. Majority of the migraine patients (41%) reported that they are suffering from common symptoms including: photophobia, phonophobia, nausea, vomiting etc. Dietary habits of individuals were found to be closely associated with migraine such as use of caffeine, chocolate are prominent; and their use is common among 75% patients cumulatively. It was evaluated that certain disease conditions i.e. stress (33.6%), depression (22.1%) and anxiety (18.9%) are more common among sufferers of migraine.
How to prevent acute pain developing into chronic pain,
How to treat pain without resorting to opioids
How genetics, diet, and lifestyle all influence a person’s pain and whether it will become chronic.
How patterns of gene expression predict pain
How Big data can tell us about why people transition from acute to chronic pain
Fricchione psychosomatic medicine in mental healthjasonharlow
This document discusses the global burden of mental illness and the role that psychosomatic medicine can play in addressing it, particularly in Africa. It notes that mental disorders account for 13% of the global burden of disease and reviews strategies like integrating mental health treatment into primary care. Psychosomatic medicine is well-suited to contribute through its expertise in managing co-morbid medical and psychiatric conditions and working at the interface of different medical fields. The document argues that training consultation-liaison psychiatrists could help address Africa's lack of psychiatric resources and lack of treatment for co-occurring conditions.
This study surveyed behavioral health clinicians with experience using stellate ganglion block (SGB) as an adjunct treatment for trauma-related disorders like PTSD. Of the 23 respondents, 95% would recommend SGB to colleagues. Respondents rated SGB as at least as useful as the highest rated standard PTSD interventions. SGB was seen as most helpful for reducing arousal/reactivity symptoms. The majority would refer patients for SGB at any stage of therapy, including before starting other treatments.
Frequency of migraine headaches in patients with fibromyalgiaPaul Coelho, MD
- The study evaluated the frequency of migraine headaches in a large cohort of patients with fibromyalgia using a brief migraine screening tool.
- Of the 1730 patients with fibromyalgia who completed the survey, 966 (55.8%) met the criteria for migraine headaches based on the screening tool.
- Several comorbid conditions such as depression, anxiety, chronic fatigue syndrome, and irritable bowel syndrome were found to be significantly more common in those fibromyalgia patients who also met the criteria for migraines.
The number of existing functional somatic syndromes (fs ss) is an important r...Paul Coelho, MD
The study tested the hypothesis that the number of existing functional somatic syndromes (FSSs; e.g. fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome) predicts the development of new FSSs. The study found that the incidence of a new FSS increased with the number of pre-existing (antecedent) FSSs in both cases (women with interstitial cystitis) and controls. Specifically, the risk of a new FSS was highest for individuals with 3 or more antecedent FSSs. Logistic regression showed that the number of antecedent FSSs significantly predicted new FSSs even after accounting for other risk factors. This supports the idea that FSSs are linked
This document discusses chronic diseases and proposes a framework for early detection. It begins by defining chronic diseases and listing some common types like arthritis, cancer, stroke, and heart attack. Parkinson's disease is then discussed in more detail, including its causes, symptoms, increasing rates, and challenges around early detection. The importance of early detection for Parkinson's is explained. Recent research on potential biomarkers from cerebrospinal fluid and blood is mentioned. Research from India and abroad is summarized, including studies using smartphones to assess tremors, deep learning to analyze sensor data, and quantifying finger tremors. The document concludes by emphasizing the need for more research to enable earlier detection of Parkinson's disease.
1. Several studies found that employing reflexologists in the workplace reduced sick leave and associated costs. Employees experienced less pain, stress and improved well-being.
2. Reflexology was shown to significantly reduce symptoms for various medical conditions like headaches, menstrual problems, digestive issues and diabetes. It helped reduce medication usage and sick days.
3. Multiple workplace studies showed reductions in sick leave from 25-65% after employees received regular reflexology treatments. Savings from reduced absenteeism outweighed the costs of employing a reflexologist.
Neuro-psychiatric manifestations in an adolescent: Primary manifestations of ...Dr Nikhil Gupta
A case of neuro-psychiatric manifestations (Catatonic syndrome) in a 16 years old sero-positive girl who improved on withholding anti-retrovirals, continued to have fluctuating psychotic course.
This study evaluated the effectiveness of microcurrent electrical stimulation using the Avazzia PRO-SPORTTM device to treat symptoms in children with post PANDAS episodes. Seven children received 10 treatment sessions over acupuncture points. Results showed the average intensity of symptoms decreased by 40.3% and average frequency of symptoms decreased by 34%. All children reported improvements and continued benefits when using the device during periods of stress. The study concluded microcurrent therapy safely and effectively improved PANDAS symptoms in children.
This study examined factors that influence relapse in people with mental health disorders in Indonesia, specifically in West Sumatera Province. The study found that stress of caregivers was the strongest predictor of relapse, with caregivers experiencing high stress being over 8 times more likely to experience patient relapse than low-stress caregivers. The study also found that lack of home visits from healthcare workers was associated with a higher likelihood of relapse. Improving home visit programs and supporting caregivers to reduce their stress levels could help lower relapse rates. The study was a cross-sectional analysis of 313 caregivers in West Sumatera that examined how demographic characteristics, stigma, home visits and caregiver stress related to patient relapse.
This study examined the relationship between social support and coping strategies used by 88 family caregivers of persons with schizophrenia in West Java, Indonesia. The results found that caregivers perceived moderate levels of overall social support. The most commonly used coping strategies were optimistic coping, self-reliant coping, confrontative coping, and supportant coping. There were significant positive correlations between social support and confrontative coping, optimistic coping, and supportant coping. Specifically, higher levels of perceived social support were associated with greater use of these coping strategies. In contrast, social support was negatively correlated with evasive coping and fatalistic coping.
DSM proposal for Sensory Processing Disorder. Of interest to those who want to know more in general, or know more about SPD as it compares to ASD or Misophonia.
This study examined the relationship between emotional intelligence (EI) and well-being in 73 surgical residents. The study found that EI scores positively correlated with psychological well-being and negatively correlated with burnout and depression. Regression analyses controlling for demographics found that EI strongly predicted well-being, emotional exhaustion, depersonalization, and depression among residents. The study concluded that EI is a strong predictor of resident well-being, and measuring EI could help identify residents most likely to thrive while interventions to increase EI may optimize resident wellness.
This document summarizes a qualitative study examining the psychological consequences of infertility among Iranian women seeking infertility treatment. The study identified 4 main themes: 1) Cognitive reactions to infertility like mental engagement and psychological turmoil. 2) Cognitive reactions to treatment including turmoil, reduced self-esteem, and feelings of failure. 3) Emotional reactions to infertility such as fear, anxiety, loneliness, grief, and regret. 4) Emotional reactions to treatment including fear, fatigue, grief, and hopelessness. The study found Iranian infertile women face significant psychological problems from infertility and its treatment, which are often not adequately addressed in the Iranian cultural and medical context.
This qualitative study examined the unintentional induction of nocebo phenomenon (NP) through doctor-patient communication among surgeons and anesthetists. The study found that NP occurred frequently in interactions and was associated with female doctors, residents, and those with less experience (<5 years). None of the doctors were aware of the concept of NP despite acknowledging their words could impact patient well-being. The study concluded NP exists in clinical practice and awareness should be raised to avoid nocebo words and educate professionals on their negative effects.
Glenthøj et al. - 2016 - Social cognition in patients at ultra-high risk for ...Tina Dam Kristensen
This study examined social cognition, social skills, and functioning in 65 patients at ultra-high risk of developing psychosis compared to 30 healthy controls. The patients performed worse on tasks of emotion recognition and social inference compared to controls. Patients also exhibited poorer social skills. Aspects of emotion recognition and social cognition were associated with measures of social and role functioning. Negative symptoms were associated with impairments in overall functioning. The study suggests social cognitive deficits and negative symptoms influence functioning and social skills in the ultra-high risk population.
Research Methods in PsychologyThe Effectiveness of Psychodyn.docxronak56
Research Methods in Psychology
The Effectiveness of Psychodynamic Therapy on Childhood Abused Victims.
Annotate Bibliography
Nickel, R., & Egle, U. T. (2005). Influence of childhood adversities and defense styles on the 1-year follow-up of psychosomatic- psychotherapeutic inpatient treatment. Psychotherapy Research, 15(4), 483-494. doi:10.1080/10503300500091660
This study was conducted to examine childhood abused victims' quality of life before treatment, and after treatment. A multimodal psychodynamic group concept was used to treat 138 patients for an average of 80.4 days. In order, to properly develop a comparison, clinical examiners interviewed each patient before the start to their in-patient program to diagnose each individual, and have therapy goals for them. The questionnaires that were used to measure quality of life targeted the patient's social life health, general health, emotional and physical functioning. The patients were all re-assessed after one year had passed by, to examine any changes in their quality of life. It was revealed that the patients' mental quality of life had improved by more than one standard deviation. Their physical quality of life improved just less than one standard deviation.
Baker, V., & Sheldon, H. (2007). 'The Light at the End of the Tunnel': Issues of Hope and Loss in Endings with Survivors Groups. Group Analysis, 40(3), 404-416. doi:10.1177/0533316407081759
In this article, a previous study was mentioned in which childhood abuse survivors were treated for 20 sessions. The authors of this article agreed that 20 sessions of treatment for childhood abuse survivors isn't enough for them to develop a secure attachment to the group. This study explores whether childhood abuse victims can benefit from treatment by being treated for a longer period. Seven group members of ages 23-55 were treated for 52 sessions, over a period of 13 months. All of the members in this group are women, and they had all been sexually abused in their childhood by a family member. They followed a psychodynamic, time-limited closed group therapy, in which they all benefited somewhat. However, many of the members expressed anxiety of leting go, and not being able to move on after the group ended.
Foa, E. (2009). Psychodynamic Therapy for Child Trauma. Retrieved from https://www.istss.org/ISTSS_Main/media/Documents/ISTSS_g12.pdf
The authors of this article discuss the efficacy of pyshcodynamic methods on childhood abuse victims, by presenting the results of five randomized controled trials. The population involved in these randomized controled trials were : preschoolers that were exposed to domestic violance, abused infant and sexually abused girls. Three of these randomized controled trials focused on a child-parent therapy, using a relationship-based intervention. The goal to these three randomzied trials was to strengthen the parent-child relationship to lead to a long term healthy child development. Another randomized ...
This document summarizes a systematic review and meta-analysis of idiopathic sudden sensorineural hearing loss (ISSNHL) in children. The review found that the overall recovery rate for pediatric ISSNHL was 67.91%, similar to adults. A meta-analysis found no significant difference between combined systemic-intratympanic steroid therapy versus solely systemic treatment. The review was limited by the rarity of pediatric ISSNHL and heterogeneity between retrospective case studies. Larger prospective studies are still needed to determine the most effective treatment options for this condition in children.
Background: Schizophrenia is a common psychotic disorder, with a risk of about 1%, the etiology of schizophrenia unknown, one of which includes immunological disorders. Although, there are conflicting results, most studies focusing on plasma levels or the production of mitogen-stimulated cytokines. Furthermore, this study compared serum levels of TNF-α in male chronic schizophrenic patients and healthy control. Methods: This cross-sectional study was conducted on 40 male patients diagnosed with chronic schizophrenic and 40 healthy control. Severity illness was assessed with PANSS. Serum levels of TNF-α were measured by Quantikine HS Human TNF-α Immunoassay. Results: TNF-α levels were significantly higher in chronic schizophrenic (25.12±1.76) to healthy control subjects (5.49±1.69), p=0.001; p<0.05. Conclusions: This study suggests that TNF-α play a role in the immunopathogenesis of schizophrenia and behavioral changes. The relationship between schizophrenia and inflammation is supported by the production of abnormal cytokines.
Key-words- Batak male, Chronic schizophrenic, Serum TNF-α, Healthy control
The study aimed to develop a new scale called the Psychiatric Nurse Job Stressor Scale (PNJSS) to reliably and validly measure stressors among Japanese psychiatric nurses. Researchers administered a 63-item questionnaire to 302 nurses and analyzed their responses. Through statistical analysis including factor analysis, they identified a 22-item, 4-factor structure for the PNJSS measuring psychiatric nursing ability, patient attitudes, nursing attitudes, and communication. The PNJSS demonstrated good reliability and validity for evaluating psychiatric nurse job stressors in Japan.
Ephar congress poster methylphenidate adhdİsa Badur
1) The study evaluated prescriptions of controlled drugs like methylphenidate in Umraniye, Istanbul to investigate potential irrational use of methylphenidate for treating ADHD.
2) The study found that methylphenidate was prescribed in 86% of cases. Of a randomly selected sample of 48 patients prescribed methylphenidate, 80% were actually prescribed the drug.
3) The results confirm there was irrational use of methylphenidate and inadequate practices related to ADHD medication.
This document summarizes and critiques research on psychoneuroimmunology (PNI) and claims that psychological factors can influence cancer outcomes. It finds that PNI research often relies on weak study designs, ignores negative findings, and overstates small or insignificant positive results. Better designed studies find little evidence that stress influences cancer or that psychosocial interventions impact survival time. The document cautions against overinterpreting immune system changes without considering the system's complexity.
Persistent Pain and Well-beingA World Health Organization St.docxdanhaley45372
Persistent Pain and Well-being
A World Health Organization Study in Primary Care
Oye Gureje, MBBS, PhD, FWACP; Michael Von Korff, ScD;
Gregory E. Simon, MD, MPH; Richard Gater, MRCPsych
Context.— There is little information on the extent of persistent pain across cul-
tures. Even though pain is a common reason for seeking health care, information
on the frequency and impacts of persistent pain among primary care patients is in-
adequate.
Objective.— To assess the prevalence and impact of persistent pain among pri-
mary care patients.
Design and Setting.— Survey data were collected from representative samples
of primary care patients as part of the World Health Organization Collaborative
Study of Psychological Problems in General Health Care, conducted in 15 centers
in Asia, Africa, Europe, and the Americas.
Participants.— Consecutive primary care attendees between the age of major-
ity (typically 18 years) and 65 years were screened (n = 25 916) and stratified ran-
dom samples interviewed (n = 5438).
Main Outcome Measures.— Persistent pain, defined as pain present most of the
time for a period of 6 months or more during the prior year, and psychological ill-
ness were assessed by the Composite International Diagnostic Interview. Disabil-
ity was assessed by the Groningen Social Disability Schedule and by activity-
limitation days in the prior month.
Results.— Across all 15 centers, 22% of primary care patients reported persis-
tent pain, but there was wide variation in prevalence rates across centers (range,
5.5%-33.0%). Relative to patients without persistent pain, pain sufferers were more
likely to have an anxiety or depressive disorder (adjusted odds ratio [OR], 4.14; 95%
confidence interval [CI], 3.52-4.86), to experience significant activity limitations
(adjusted OR, 1.63; 95% CI, 1.41-1.89), and to have unfavorable health perceptions
(adjusted OR, 1.26; 95% CI, 1.07-1.49). The relationship between psychological
disorder and persistent pain was observed in every center, while the relationship
between disability and persistent pain was inconsistent across centers.
Conclusions.— Persistent pain was a commonly reported health problem
among primary care patients and was consistently associated with psychological
illness across centers. Large variation in frequency and the inconsistent relation-
ship between persistent pain and disability across centers suggests caution in
drawing conclusions about the role of culture in shaping responses to persistent
pain when comparisons are based on patient samples drawn from a limited num-
ber of health care settings in each culture.
JAMA. 1998;280:147-151
PAIN is one of the most common1 and
among the most personally compelling
reasons for seeking medical attention.
People seek health care for pain not only
for diagnostic evaluation and symptom
relief, but also because pain interferes
with daily activities, causes worry and
emotional distress, and undermines con-
fidence in one’s health. When .
The SAFE Study Electronic monitoring of patients with depression when dischar...Petar Zaykov
This study investigated electronic monitoring of mood, sleep, and activity in patients with depression after being discharged from inpatient care. 29 patients used a mobile app called Daybuilder to track these factors daily for 4 weeks, including some time in inpatient care, after discharge, and while receiving outpatient treatment. Preliminary results found high usability of the app with good adherence. Sleep onset times did not change significantly but offset times were delayed after discharge, associated with less mood improvement. Daily variations in mood and sleep were large. The study suggests electronic monitoring with weekly feedback focusing on sleep may help patients avoid delays that could worsen depression outcomes.
Literature ReviewA search was conducted using electronic database.docxssuser47f0be
Literature Review:
A search was conducted using electronic databases in the fields of nursing, medicine, education, psychology, and sociology. Using ProQuest Direct and EBSCO search engines, the following databases were accessed: CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE in PubMed, Ovid, and PsycINFO. The search terms were grouped in the following key concepts: (a) occupational stress in nursing, (b) stress perception in nursing, (c) occupational stressors in nursing, (d) nursing generational diversity, and (e) coping in nursing. In a commentary on patient safety in nursing practice from the Agency for Healthcare Research and Quality, Hughes and Clancy7 reported that complexity and bullying represent 2 clear examples of nurse stressors. Li and Lambert8 concluded that nurses who are more satisfied with their job are more likely to remain in the workforce and to be committed to delivering high-quality patient care. Hall9 found that healthcare professions have some unique characteristics leading to occupational stress including physical responsibility for people, potential catastrophic effects on the patient and the employee, frequent exposure to pain and suffering, and exposure to infectious diseases and potential hazardous substances. Hamaideh et al10 identified that death and dying were the strongest stressors perceived by Jordanian nurses. In this study, workload and guidance were found to be the most supportive behaviors provided to nurses facing stress followed by emotional support.10
Carver and Candela11 concluded that considering the global nursing shortage, managers should increase their knowledge of the generational diversity. It is suggested that understanding how to relate to multiple generations can lead to improved nursing work environments.11 Repar and Patton12 found that the combined effects of compassion fatigue, chronic grief, and emotional and physical exhaustion led to significant burnout and prolonged job dissatisfaction in the nursing profession. In this study, using guided sessions, a massage therapist gave 10-minute chair massages, and a visual, language, or musical artist engaged participants in imaginative and creative activities such as poetry reading, free writing, guided imagery, and listening to live music.12 The results suggest that the activities reduce some of the unpleasant, stressful, and tension-producing emotions that nurses typically experience at work, leaving them more peaceful and energized.12 Based on the findings of this review of the literature, it is recognized that stress is a major component of nursing and can be detrimental to nurse retention. In addition, most studies identified some differences that exist between the present generational nursing cohorts in terms of values and beliefs. No studies were identified reporting how work-related stress affects different generations of nurses, how the generations perceive stress, and what coping styles are used.
Study Des ...
The literature review summarizes two studies that evaluated the effectiveness of using screening tools to identify risk of postpartum depression in postpartum women. The Edinburgh Postpartum Depression Scale and Postpartum Depression Screening Scale were found to be reliable screening methods. One study found that 27% of women screened positive for depression symptoms using telephone screening 8 weeks postpartum. The other study identified that 25.6% of Turkish women screened positive for depression using the Edinburgh scale within the first postpartum year. Both studies support the conclusion that screening tools can effectively identify women at risk for developing postpartum depression when used by nurses.
Poor quality of sleep and its relationship with depression in first year medi...Alexander Decker
1. The study evaluated the relationship between sleep quality, depression, and BMI in first-year medical students in India.
2. Poor sleep quality was found in 64% of students based on PSQI scores, and 60% showed symptoms of depression based on BDI scores. There was a significant positive correlation between poor sleep quality and depressive symptoms.
3. Sleep quality and depression were highly prevalent among first-year medical students. The results suggest sleep disturbances may influence the development of depression in this population. Interventions are needed to address sleep and mental health issues in medical students.
Similar to 32nd World Congress of Internal Medicine 2014 (20)
PEDOMAN OPERASIONAL PENILAIAN ANGKA KREDIT KENAIKAN JABATAN FUNGSIONAL DOSEN ...Tenri Ashari Wanahari
Pedoman ini memberikan panduan operasional lebih rinci mengenai standar, tata cara, dan prosedur penilaian angka kredit dosen untuk kenaikan jabatan fungsional menjadi Lektor Kepala dan Guru Besar berdasarkan peraturan perundang-undangan terkait. Pedoman ini dimaksudkan untuk memfasilitasi penilaian yang konsisten di seluruh perguruan tinggi.
PANDUAN PRAKTIK KLINIS BAGI DOKTER DI FASILITAS PELAYANAN KESEHATAN PRIMERTenri Ashari Wanahari
Panduan Praktik Klinis ini memberikan pedoman penatalaksanaan klinis untuk dokter pelayanan primer di fasilitas kesehatan primer. Dokumen ini berisi lebih dari 130 penyakit dan kondisi umum serta pedoman penatalaksanaannya, disusun oleh tim ahli dari berbagai bidang untuk membantu dokter pelayanan primer dalam memberikan perawatan yang tepat. Panduan ini perlu disesuaikan dengan kondisi masing-masing pasien berdasarkan penilaian klin
Development of Dot-blot Hybridization Based on 522 bp Repetitive Sequence (R5...Tenri Ashari Wanahari
Toxoplasmosis, arising from infection by Toxoplasma gondii, is one of the most common parasitic diseases in humans and other warm-blooded animals. In humans, infections are usually asymptomatic but severe disease can occur in immunocompromized individuals and newborns. Due to the importance of the disease and in order to take suitable measures, an early diagnosis of the disease is essential, particularly for pregnant women and in industry of domestic animals. The genome of T. gondii contains repeat sequences B1 and R522 which constitute ideal targets for genome-based detection methods. The 522 base pairs repeat sequences R522 are the most promising due to the high copy number, evaluated to be 200 to 300 units within the genome. We developed a simple dot-blot hybridization based on R522 sequences. The method is simple and does not require sophisticated devices. The test of the method, using cloned R522 as target, showed that the parasite detection method was sensitive and proved to be promising for use in routine health controls as well as for the survey of Toxoplasma infections.
Key words: DIG-probe, dot blot hybridization, repeat sequences, R522, Toxoplasma gondii.
Presentasi Kasus Anastesiologi : Anastesi Umum pada Apendisitis AkutTenri Ashari Wanahari
Ringkasan dokumen tersebut adalah:
1) Dokumen tersebut membahas kasus penggunaan anestesi umum pada pria usia 30 tahun dengan diagnosis appendisitis akut yang akan menjalani operasi.
2) Anestesi umum digunakan karena operasi intra abdominal paling baik dilakukan dengan anestesi umum endotrakeal.
3) Persiapan pra-anestesi dilakukan untuk mempersiapkan pasien secara fisik dan mental serta merencan
Laporan Kasus Bedah Anak : Hernia Inguinalis Lateralis Dekstra ReponibilisTenri Ashari Wanahari
Laporan kasus bedah anak mengenai hernia inguinalis lateralis dekstra reponibilis pada anak perempuan berumur 7 bulan. Penderita mengeluhkan benjolan di lipat paha kanan yang dapat hilang timbul. Pemeriksaan fisik menunjukkan adanya benjolan ukuran 2 cm x 1 cm x 1 cm di regio inguinalis dekstra yang dapat keluar masuk. Diagnosis yang ditetapkan adalah hernia inguinalis lateralis dekstra reponibilis. Rencana t
Kasus Kecil Interna : Hematemesis Melena, Klinis Sirosis HepatisTenri Ashari Wanahari
Pasien laki-laki 56 tahun dirawat dengan keluhan hematemesis melena, sirosis hati, anemia sedang, dan dislipidemia. Pemeriksaan fisik menunjukkan pucat, ikterik, dan underweight. Pemeriksaan laboratorium menunjukkan anemia, leukositosis, dan ciri-ciri sirosis hati.
Presentasi Kasus Kecil : CKD Stage V, Hipertensi Stage 2, DM tipe 2, CHF NYHA 2
SMF Ilmu Penyakit Dalam
Universitas Sebelas Maret (UNS)/RSUD Dr. Moewardi, Solo, Indonesia
Ringkasan:
Presentasi kasus membahas delapan topik utama ilmu penyakit gigi dan mulut, yaitu anodontia, impacted teeth, maloklusi, debris, kalkulus, plaque, dental decay, dan pulpitis. Topik-topik tersebut dijelaskan definisi, etiologi, patogenesis, klasifikasi, manifestasi klinis, penegakan diagnosis, dan terapinya. Presentasi ini disampaikan oleh Tenri Ashari Wanahari untuk memenuhi kompetensi di Klinik Ilmu Penyak
Through this class you should be able to explain basic concepts in cellular and molecular biology using correct terminology, as well as develop critical thinking and problem-solving skills that can be applied to all of your studies of biology (4 weeks long).
Go to this link for enroll the course for free: https://www.coursera.org/course/introbiology
Happy learning!!
EdX Certificate: PH278x: Human Health and Global Environmental ChangeTenri Ashari Wanahari
PH278x: Human Health and Global Environmental Change is the online adaptation of material from the Harvard School of Public Health's course Human Health and Global Environmental Change.
One of the greatest challenges of our time is to address global environmental changes, such as climate change and biodiversity loss, that may harm the health of billions of people worldwide. PH278x explores global environmental changes, examining their causes as well as their health consequences, and engages students in thinking about their solutions (12 weeks long).
Go to this link to enroll the course for free: https://www.edx.org/course/harvard-university/ph278x/human-health-and-global/573
Happy Learning!!
Prospective development of rapid non-invasive Dengue virus detection method b...Tenri Ashari Wanahari
The document describes a literature review on diagnostic methods for detecting dengue infection using urine samples. 62 articles were initially identified from various databases and sources, which were narrowed down to 4 articles after removing duplicates. One article by Hirayama et al. was selected for critical appraisal after screening abstracts based on inclusion/exclusion criteria. The study evaluated a molecular-based diagnostic method for dengue using urine samples that involves isothermal amplification with multiple primers, resulting in a simple, rapid test that is highly sensitive and specific.
In this class we will cover the essentials of genomics to help you better understand your own life (know thy genome, know thyself), and how advances in biotechnology are radically changing the scientific landscape.
It begins with some of the most basic issues of genetics, such as the composition of genomes and how the information in them is processed so we can get an adult human from an egg. Then we’ll see that much of the power of genomics is in comparisons.
All are welcome to join us in this adventure. Some previous exposure to biology will enrich your experience with this course (6 weeks long).
Follow this link to enroll the course for free: https://www.coursera.org/course/genes
Happy Learning!!
The goal of this course is to provide an introduction to human physiology. The students learn to recognize and explain the basic concepts that govern each organ and organ system and their integration to maintain homeostasis, as well as some clinical aspects of failure of these systems. This human physiology course is targeted to undergraduate and graduate students with an elementary background in biology. In addition it is an ideal course in preparation for the MCAT exam. (12 weeks long)
Go to this link to enroll the course for free: https://www.coursera.org/course/humanphysio
Happy learning!!
This course is a first and friendly introduction to calculus, suitable for someone who has never seen the subject before, or for someone who has seen some calculus but wants to review the concepts and practice applying those concepts to solve problems, emphasizing engaging examples from everyday life.
Calculus is about the very large, the very small, and how things change. The surprise is that something seemingly so abstract ends up explaining the real world. Calculus plays a starring role in the biological, physical, and social sciences. (15 weeks long)
Go to this link to enroll the course for free: https://www.coursera.org/course/calc1
Happy learning!!
This document is a statement of accomplishment from Coursera recognizing that Tenri Ashari Wanahari completed an undergraduate algebra course with distinction. The course covered linear, polynomial, and rational functions including inequalities and complex numbers. The statement was signed by the lecturers from the University of California, Irvine who note that the online course does not fully reflect the on-campus curriculum.
This class prepares students for eligibility to enroll in the first semester of single variable calculus. This course is taught so that students will acquire a solid foundation in algebra and trigonometry (10 weeks long).
Go to this link to enroll the course for free: https://www.coursera.org/course/precalculus
Happy learning!!
EdX Certificate: Stat2.1x Introduction to Statistics: Descriptive StatisticsTenri Ashari Wanahari
The course is the online equivalent of Statistics 2, a 15-week introductory course taken in Berkeley by about 1,000 students each year. Stat2x is divided into three 5-week components. Stat2.1x is the first of the three. The focus of Stat2.1x is on descriptive statistics. The goal of descriptive statistics is to summarize and present numerical information in a manner that is illuminating and useful. The course will cover graphical as well as numerical summaries of data, starting with a single variable and progressing to the relation between two variables. Throughout Stat2.1x, the emphasis will be on understanding the reasoning behind the calculations and there will be no mindless memorization of formulas.
Claim of certificate: https://verify.edx.org/cert/5fc4b495eff6498e834edd6b536296d7
Go to this link to enroll the course for free: https://www.edx.org/courses/BerkeleyX/Stat2.1x/2013_Spring/about
Happy learning!!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
1. WCIM 2014
PS 0582 Psychiatry
Update Manajement Concurrent Infection Between
Dengue Virus and Salmonella and an Appropriate Di-agnosis
of Dengue Virus Infection in Some Cases Who
Had and were Being Treated in Soerya Hospital Sepan-jang
– Indonesia
Soegijanto Soegeng SOEGENG SOEGIJANTO1
Airlangga University, Indonesia1
Background: Since January 2014, Soerya Hospital has found many cases with positive
result of IgM Salmonella along with NS1 or IgM and IgG Dengue. The clinical manifes-tations
mostly were high fever, head pain, vomiting, malaise and plasma leakage. Some
of the cases had also experienced convulsion and unconsciousness. Therefore, in order
to get good management care of it the clinical phenomena should be studied carefully.
Methods: Observational study has been done since January-Maret 2014. Purposive
sampling of 30 cases of concurrent Dengue and Salmonella infection compared to 30
cases of Dengue viral infection alone. The diagnostic procedure was established based
on WHO 2011 criteria.
Results: By giving anti vomiting, anti pyretic, anti convulsion and anti biotic for Sal-monella
infection and rehydration using Ringer Acetate or Ringer Acetate and Dex-trose
5% infution D5+1/2 NS or D5+1/4 NS during 4-5 days hospitalization. The result
showed that all cases were well-recovered. There is no signifi cant different between
concurrent Dengue with Salmonela infection compared to Dengue viral infection
alone. Some cases showed to stay 1-2 days longer in hospital due to the delay of anti-biotic
treatment for Salmonella infection.
Conclusions: All cases need to get early diagnostic and treatment accurately in order
to get good result.
PS 0583 Psychiatry
Qualitative Evaluation of a Telephone-Based Cogni-tive-
Behavioral Intervention on Postnatal Depression
Fei Wan NGAI1
The University of Hong Kong, Hong Kong S.A.R.1
Background: Postnatal depression is a signifi cant public health problem which can
have detrimental effects on the well-being of the entire family. There is strong ev-idence
supporting the effectiveness of cognitive behavioral therapy on postnatal
depression. However, the benefi ts of delivering cognitive behavioral therapy via tele-phone
for postpartum women have not been well evaluated. The purpose of this study
was to explore Chinese women’s perceptions of a telephone-based cognitive-behavio-ral
intervention at early postpartum.
Methods: This study used an exploratory qualitative design. A purposeful sample of 50
fi rst-time Chinese mothers who had participated in the telephone-based cognitive-be-havioral
intervention was interviewed at 6-8 weeks postpartum. Data were analyzed
using content analysis.
Results: The fi ndings revealed that Chinese women perceived the telephone-based
cognitive-behavioral intervention to be helpful in improving their emotional control,
increasing their confi dence in the maternal role, and increasing sense of support. Sug-gestion
for improvement included extending the intervention into three months post-partum
to reinforce the management of emotion and facilitate maternal role taking.
Conclusions: The present study provides qualitative support for the effectiveness of
the telephone-based cognitive-behavioral intervention in facilitating maternal ad-aptation
during the transition to early motherhood in Hong Kong. The results of this
study give direction for the development of cultural relevant care to promote perinatal
health.
198 32nd World Congress of Internal Medicine (October 24-28, 2014)
PS 0584 Psychiatry
To What Extent Did Prevalence of Chronic Disease In-fl
uence Prevalence of Emotional Disturbance in Indo-nesia?
Tenri Ashari WANAHARI1, Basofi Ashari MAPPAKAYA1, Rizqa Febriliany PUTRI1,
Asmarani KUSUMAWATI2
Sebelas Maret University, Indonesia1, Gadjah Mada University, Indonesia2
Background: The objectives of this study were to asses the relationship and to estimate
the effect of prevalence of chronic disease on prevalence of emotional disturbance in
Indonesia, taking into account confounding infl uence of socioeconomic (SES) factor.
Methods: Data of prevalence of emotional disturbance, prevalence of seven chronic
diseases, and human development index (HDI) on each provinces (N=33) in 2007 were
collected from national database (Institute of Health and Bureau of Statistics of Indo-nesia).
The relationship and the effect of prevalence of chronic disease on prevalence of
emotional disturbance (incorporating HDI as controlled SES variable) were analyzed using
Spearman’s correlation analysis and multivariate linear regression, respectively.
Results: Prevalence of emotional disturbance were strongly correlated (p<0.001) with
prevalence of arthritis/other joint disorder (r=0.71), prevalence of heart disease (r=0.69),
and prevalence of asthma (r=0.66). It was not correlated with prevalence of cancer,
hypertension, diabetes, and stroke. After performing regression diagnostics, backward
elimination regression, and consideration of multi-collinearity, 3 out of the 8 explanatory
variables were selected into the statistical model, to predict prevalence of emotional
disturbance. The model was highly signifi cant (F=24.15, p<0.001), explaining more than
half of variability of prevalence of emotional disturbance (adj-R squared=0.69). The
model explained scenarios which estimated each additional 1% of prevalence of arthri-tis/
other joint disorder correspond to increase prevalence of emotional disturbance by
0.23%-0.53% (95% CI, p<0.001), and each additional 1% of prevalence of heart disease
correspond to increase prevalence of emotional disturbance by 0.35%-0.98% (95% CI,
p<0.001), given controlled SES factor.
Conclusions: The present ecological fi nding gives evidence to formulate hypothetical
question for further research. It might not be over interpreted in causal inference, but
equally it should not be ignored where evidence is lacking, especially in the developing
country.
PS 0585 Psychiatry
Effect of Postoperative Ambulation on the Quality of
Life in a Transtibial Amputee
Amit SARAF1
Swami Vivekanand Hospital, India1
Background: Quality of life of a transtibial (TT) amputee is not only determined by his
functional rehabilitation but also social, economical and psychological rehabilitation.
A number of studies have analyzed the infl uence of lower limb amputation on these
factors. This study analyses the effect of functional recovery on other parameters of
quality of life in a TT amputee.Methods: The present study followed 160 patients of
TT amputation. Their postoperative ambulatory status was calculated using Pinzur’s
ambulatory level. Their quality of life was determined on the basis of answers to fi ve
point questionnaire. These parameters were correlated to assess the influence of
functional recovery on quality of life.
Results: All the amputees with Pinzur’s 0-1 level of ambulation suffered loss of
income consequent to loss of job. All of them felt increased level of depression and
anxiety after amputation. 50% of them felt socially neglected. Comparatively much
less percentage of amputees with 5-6 level of ambulation suffered economic, social
and psychological crisis.
Conclusions: Postoperative ambulation level directly affects the quality of life of a
trans tibial amputee.