Existential counselling for people with autism spectrum disorder precongress ...Dilemma consultancy
Limit situations in autism: aloneness, alienation, lack of autonomy. How can a counsellor help a person with ASD to tackle them--and what can we learn from people with an ASD
Etiology of schizophrenia. taniya thomas. msc 1stTaniya Thomas
its is about the various theories explaining the cause(aetiology) of schizophrenia. this includes biological theories, social theories and cognitive theories
Running head: RESEARCH PROPOSAL1
RESEARCH PROPOSAL5
Research Proposal
Jamie Bass
Composition II Comment by Spencer Ellsworth: Actually Comment by Jamie Bass:
ENG102 A02
Instructor: Ellsworth
February 16, 2016
WORKING THESIS
Suicide has negatively affected the society, and unless there are mitigation strategies to curb this menace, it will continue to take the lives of many people in the society.Comment by Spencer Ellsworth: This is a good subject, but the thesis needs a little work. “Mitigation” is really generalized. Maybe more like “early intervention and general support are needed to help
EXPLANATION
Suicide is the act of human beings voluntarily taking their lives. Research has shown that it has always been caused by a sense of despair or hopelessness. All these issues may be induced by mental illness which may include Bipolar disorder or even depression. Suicide has been traumatizing and shameful to the bereaved families and many people in the society have always viewed it as a cowardice cowardly way of taking one’s life. Many suicidal persons have been haunted by their thoughts. I in many cases this is depicted as a very personal process (Goldsmith, Pellmar, Kleinman & Bunney, 2002).Comment by Spencer Ellsworh: Citations for this. Also, maybe consider that it is often an outgrowth of chronic disease or chronic pain.
In this paper, it is very much possible to look at what suicide is and the risk factors associated with suicide. It is also recommended in the research paper to dwell on mental disorder and substance abuse as risk factors that contribute to suicide as well as medical conditions and psychosocial states. The media and how it depicts suicide is also very important to research on as well as the rational suicide is a controversial statement in this topic. We will have the chance to look at the suicide methods and pathophysiology which is very important to note. After all these, prevention will be a key topic to note which involves screening for mental illness. It will also be possible to research on epidemiology, social and culture based on legislation and religious views and all about philosophy, advocacy, locations and some notable cases of suicide.Comment by Spencer Ellsworh: Fairly awkward sentence.Comment by Spencer Ellsworh: To make a good argumentation paper, you’ll have to focus on where intervention is failing right now, and how intervention can work more effectively. It’ll make for a great paper, but it’ll involve some legwork with current practices and funding of mental health intervention by federal and state governments.
SUB POINTS
Many people in the society are very much scared of taking away their lives and they are actually left to wonder how one can voluntarily manage to be suicidal. Some may be caused by illnesses with some visible symptoms and various ways to mitigate this act is by careful observation of these people. People in high risk of committing suicide often have mood disorders and .
Running head AUTISM 1AUTISM 3Autism.docxjoellemurphey
Running head: AUTISM 1
AUTISM 3
Autism
Author Note
Autism
Introduction
Etiology involves the study of the causes of diseases, the cause or origin of a disease. Also involves the study of causation and any causes, caution, or causality. The etiologic classification of a disease based on the cause, when known. This classification is important and useful in the consideration of biotic disease. The disease is classified as staphylococcal, rickettsial, or fungal. This condition affects specific cells in the body because they aim at a single point. Pathogenesis is the mechanism through which the cause operates to produce the pathological and clinical manifestations. Autism spectrum disorder (ASD) refers to a group of complex neurodevelopment disorders characterized by repetitive and characteristic patterns of behavior and difficulties with social communication and interaction. The symptoms are present from early childhood and affect daily functioning. Autism is a lifelong development disability that affects how a person communicates with, and relates to, other people. Also affects how they make sense of the world around them. The term “spectrum” refers to the wide range of symptoms, skills, and levels of disability in functioning that can occur in people with ASD. Some children and adults with ASD are fully able to perform all activities of daily living while others require substantial support to perform basic activities. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5, published in 2013) includes Asperger syndrome, childhood disintegrative disorder, and pervasive developmental disorders not otherwise specified (PDD-NOS) as part of ASD rather than as separate disorders. A diagnosis of ASD includes an assessment of intellectual disability and language impairment. It is a spectrum condition; all people with autism share certain difficulties that affect them in different ways. Some people with autism lead an independent life and many have accompanying difficulties. (http://www.ninds.nih.gov)
Specific cells, tissues and organs affected by Autism
The Lymphoblastic cell lines are continuously diving cells from the blood lymphocytes. These cell lines have been accepted to be the tool of examining the consequences of the genetic mutations. The cells are affected hence the blood circulation in the brain is widely hindered. This process leads to the development of disorders hence affecting the flow of blood in the body efficiently. This largely affects the brain since the cells are available in the brain. The pathologic condition hence creates the disorder in the brain hampering its function and proper operation of the brain. It therefore adversely affects the brain and the overall flow of blood. This leads to the development of deficiency in the brain because of lack of proper operation (Fiala et al., 2002).
Organ system function affected by Autism
Autism affects the social interaction and verbal communic ...
How should we judge the value of different therapies? Clearly some work better in the short haul, particularly focussing on symptom relief, and some are better at the long haul, where the changes that are might be expected are more secular. Much less is known about what such secular changes are although it has been suggested that they are schemata rather than thoughts, deeper levels of the personality, personality disorders, emotional dispositions, unconscious forces, factors that affect well-being or life-satisfaction in contract to happiness, moods and not emotions, or relationship styles rather than specific relationships.
The lack of clearly specified long haul outcomes means that the effectiveness of psychotherapy over the long term remains difficult to evaluate. In the short-term, using symptom scores as an outcome, most accepted psychotherapy methods produce the same gains although methods that make symptoms their first focus produce these changes more quickly.
The Joze Jancar memorial lecture on Neurodevelopmental psychiatry given at the 2012 Annual residential conference of the Faculty of Intellectual Disability of the Royal College of Psychiatrists
DSM5 focusses more on nonverbal communication in autism spectrum disorder diagnosis, but does not specify what it is about nonverbal communication that is affected. In this presentation, I explain the reflexive nature of nonverbal communication, and why I call this the 'interbrain'. I also provide another explanation for dysempathy in ASD: the inability to recall empathic feelings
Psychotherapeutic approaches to helping adults with intellectual disability a...Dilemma consultancy
DSM-5 is likely to provide a dimensional approach to ASD with two main dimensions: social communication disorder, and repetitiveness. ID/ language impairment adds a further dimension. I shall start my talk with a consideration of how a psychotherapeutic orientation can be relevant to these neurodevelopmental dimensions as well as associated neurodevelopmental disorders, particularly ADHD. However, the main value of a psychotherapeutic approach is in relation to the emotional difficulties associated with ASD and ID, and I shall consider particularly the consequences of bullying, exploitation, and marginalization with special attention on the management of anxiety and of seeking to make an impact on others.
Existential counselling for people with autism spectrum disorder precongress ...Dilemma consultancy
Limit situations in autism: aloneness, alienation, lack of autonomy. How can a counsellor help a person with ASD to tackle them--and what can we learn from people with an ASD
Etiology of schizophrenia. taniya thomas. msc 1stTaniya Thomas
its is about the various theories explaining the cause(aetiology) of schizophrenia. this includes biological theories, social theories and cognitive theories
Running head: RESEARCH PROPOSAL1
RESEARCH PROPOSAL5
Research Proposal
Jamie Bass
Composition II Comment by Spencer Ellsworth: Actually Comment by Jamie Bass:
ENG102 A02
Instructor: Ellsworth
February 16, 2016
WORKING THESIS
Suicide has negatively affected the society, and unless there are mitigation strategies to curb this menace, it will continue to take the lives of many people in the society.Comment by Spencer Ellsworth: This is a good subject, but the thesis needs a little work. “Mitigation” is really generalized. Maybe more like “early intervention and general support are needed to help
EXPLANATION
Suicide is the act of human beings voluntarily taking their lives. Research has shown that it has always been caused by a sense of despair or hopelessness. All these issues may be induced by mental illness which may include Bipolar disorder or even depression. Suicide has been traumatizing and shameful to the bereaved families and many people in the society have always viewed it as a cowardice cowardly way of taking one’s life. Many suicidal persons have been haunted by their thoughts. I in many cases this is depicted as a very personal process (Goldsmith, Pellmar, Kleinman & Bunney, 2002).Comment by Spencer Ellsworh: Citations for this. Also, maybe consider that it is often an outgrowth of chronic disease or chronic pain.
In this paper, it is very much possible to look at what suicide is and the risk factors associated with suicide. It is also recommended in the research paper to dwell on mental disorder and substance abuse as risk factors that contribute to suicide as well as medical conditions and psychosocial states. The media and how it depicts suicide is also very important to research on as well as the rational suicide is a controversial statement in this topic. We will have the chance to look at the suicide methods and pathophysiology which is very important to note. After all these, prevention will be a key topic to note which involves screening for mental illness. It will also be possible to research on epidemiology, social and culture based on legislation and religious views and all about philosophy, advocacy, locations and some notable cases of suicide.Comment by Spencer Ellsworh: Fairly awkward sentence.Comment by Spencer Ellsworh: To make a good argumentation paper, you’ll have to focus on where intervention is failing right now, and how intervention can work more effectively. It’ll make for a great paper, but it’ll involve some legwork with current practices and funding of mental health intervention by federal and state governments.
SUB POINTS
Many people in the society are very much scared of taking away their lives and they are actually left to wonder how one can voluntarily manage to be suicidal. Some may be caused by illnesses with some visible symptoms and various ways to mitigate this act is by careful observation of these people. People in high risk of committing suicide often have mood disorders and .
Running head AUTISM 1AUTISM 3Autism.docxjoellemurphey
Running head: AUTISM 1
AUTISM 3
Autism
Author Note
Autism
Introduction
Etiology involves the study of the causes of diseases, the cause or origin of a disease. Also involves the study of causation and any causes, caution, or causality. The etiologic classification of a disease based on the cause, when known. This classification is important and useful in the consideration of biotic disease. The disease is classified as staphylococcal, rickettsial, or fungal. This condition affects specific cells in the body because they aim at a single point. Pathogenesis is the mechanism through which the cause operates to produce the pathological and clinical manifestations. Autism spectrum disorder (ASD) refers to a group of complex neurodevelopment disorders characterized by repetitive and characteristic patterns of behavior and difficulties with social communication and interaction. The symptoms are present from early childhood and affect daily functioning. Autism is a lifelong development disability that affects how a person communicates with, and relates to, other people. Also affects how they make sense of the world around them. The term “spectrum” refers to the wide range of symptoms, skills, and levels of disability in functioning that can occur in people with ASD. Some children and adults with ASD are fully able to perform all activities of daily living while others require substantial support to perform basic activities. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5, published in 2013) includes Asperger syndrome, childhood disintegrative disorder, and pervasive developmental disorders not otherwise specified (PDD-NOS) as part of ASD rather than as separate disorders. A diagnosis of ASD includes an assessment of intellectual disability and language impairment. It is a spectrum condition; all people with autism share certain difficulties that affect them in different ways. Some people with autism lead an independent life and many have accompanying difficulties. (http://www.ninds.nih.gov)
Specific cells, tissues and organs affected by Autism
The Lymphoblastic cell lines are continuously diving cells from the blood lymphocytes. These cell lines have been accepted to be the tool of examining the consequences of the genetic mutations. The cells are affected hence the blood circulation in the brain is widely hindered. This process leads to the development of disorders hence affecting the flow of blood in the body efficiently. This largely affects the brain since the cells are available in the brain. The pathologic condition hence creates the disorder in the brain hampering its function and proper operation of the brain. It therefore adversely affects the brain and the overall flow of blood. This leads to the development of deficiency in the brain because of lack of proper operation (Fiala et al., 2002).
Organ system function affected by Autism
Autism affects the social interaction and verbal communic ...
How should we judge the value of different therapies? Clearly some work better in the short haul, particularly focussing on symptom relief, and some are better at the long haul, where the changes that are might be expected are more secular. Much less is known about what such secular changes are although it has been suggested that they are schemata rather than thoughts, deeper levels of the personality, personality disorders, emotional dispositions, unconscious forces, factors that affect well-being or life-satisfaction in contract to happiness, moods and not emotions, or relationship styles rather than specific relationships.
The lack of clearly specified long haul outcomes means that the effectiveness of psychotherapy over the long term remains difficult to evaluate. In the short-term, using symptom scores as an outcome, most accepted psychotherapy methods produce the same gains although methods that make symptoms their first focus produce these changes more quickly.
The Joze Jancar memorial lecture on Neurodevelopmental psychiatry given at the 2012 Annual residential conference of the Faculty of Intellectual Disability of the Royal College of Psychiatrists
DSM5 focusses more on nonverbal communication in autism spectrum disorder diagnosis, but does not specify what it is about nonverbal communication that is affected. In this presentation, I explain the reflexive nature of nonverbal communication, and why I call this the 'interbrain'. I also provide another explanation for dysempathy in ASD: the inability to recall empathic feelings
Psychotherapeutic approaches to helping adults with intellectual disability a...Dilemma consultancy
DSM-5 is likely to provide a dimensional approach to ASD with two main dimensions: social communication disorder, and repetitiveness. ID/ language impairment adds a further dimension. I shall start my talk with a consideration of how a psychotherapeutic orientation can be relevant to these neurodevelopmental dimensions as well as associated neurodevelopmental disorders, particularly ADHD. However, the main value of a psychotherapeutic approach is in relation to the emotional difficulties associated with ASD and ID, and I shall consider particularly the consequences of bullying, exploitation, and marginalization with special attention on the management of anxiety and of seeking to make an impact on others.
An overview of the positive role of anxiety, and how the work of modern European philosophers can inform a unique approach to helping people face up to, and therefore work through, their fear of fear
Emmy's thoughts about the well being and happiness, and the contribution of psychotherapy to it. A presentation given to the Worcester Therapeutic Training Network in February 2010
Psychological disorder in people with Autism Spectrum DisordersDilemma consultancy
An overview of the mental health problems of people with Asperger syndrome: a workshop originally given to senior staff of the National Autistic Society
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
6. Seagulls fall asleep and wake together in the Bay of FundyBeauchamp et al. Sleeping gulls monitor the vigilance behaviour of their neighbours. Biology Letters, 2009; 5 (1): 9 DOI: 10.1098/rsbl.2008.0490
14. Ian Couzin (icouzin.princeton.edu) Short-range repulsive behaviour Intermediate range desire to align with neighbours and a long-range attraction to the group as a whole NT ASD ✔ ✔ ✖ ✔ ✖ ✔
15.
16. Neurons are linked by electrical impulses and chemicals into a network Our brains can be linked to other brains the way that one computer can be linked to another via the internet These links are the nonverbal communications that pass between us, principally consisting of imitation and of gaze following Imitation and gaze following are automatically initiated by local brain networks apparently specialized for this
17. SchurmannM, Hesse MD, Stephan KE, Saarela M, Zilles K, Hari R, et al. Yearning to yawn: the neural basis of contagious yawning. Neuroimage. [doi: DOI: 10.1016/j.neuroimage.2004.10.022]. 2005;24(4):1260-4.
23. Themes in adulthood Ryan, S,Räisänen, U "It's like you are just a spectator in this thing": Experiencing social life the [`]aspie' way. Emotion, Space and Society 2008; 1: 135-43. feeling different trying to fit in safe spaces uncommon sense
25. Contributors Aston Bullying Project Paul Naylor Jeremy Dawson Eric Emerson Laura Vazquez Sheffield survey Myles Balfe Ting Chen Mike Campbell Sheffield Bullying project Paul Naylor Jenny Wainscot Jenna Williams 15 medical students Parents, teachers, and people with Asperger syndrome Sheffield Asperger Parents Action Group
26. Project Development 23
27. Green et al compared 20 adolescent men with AS with 20 with conduct problems AS group Severely impaired practical social functioning Anxiety Obsessionaldisorders Both groups had Depression Suicidal ideation Tempers and defiance
28. Outstanding areas for concern: Sheffield survey Reduction of available support in adulthood Lack of paid work (36%, 6% of whom supported) Lack of independence 60% living with parents 21% living independently 56% thought they could be more independent with support Brookdale care conference, London
29. Emotional problems in adolescents and adults with Asperger syndrome(findings from Sheffield survey) Self-harm: thoughts 50%, actual 11% Violence: threats 83%, actual 34% Bullied 90%, 30% currently (includes adults) Majority have anxiety-related disorder
30. ‘There is a view of life which conceives that where the crowd is, there is also the truth, and that in truth itself there is need of having the crowd on its side. There is another view of life which conceives that wherever there is a crowd there is untruth, so that (to consider for a moment the extreme case), even if every individual, each for himself in private, were to be in possession of the truth, yet in case they were all to get together in a crowd - a crowd to which any decisive significance is attributed, a voting, noisy, audible crowd - untruth would at once be in evidence’ (Kierkegaard, 1846; Dedication). The viewpoint of mind 2/28/11 Modum Bad 27
31. 24 November 2009 Brookdale care conference, London “l’hommeestnélibre, et partoutilestdans les fers. J.-J. Rousseau
32. Is it better not to be so connected to the interbrain? Fewer informational viruses Understand machines in their own right not as defective people Fairness is not prejudiced by sympathy Not in chains
33. Trying to fit in Many other educational obstacles, plus emotional difficulties Brookdale care conference, London
34. Atypical Asperger syndrome Associated developmental disordersPredominantly fronto-striatal or fronto-cerebellar Dysexecutive syndrome (planning) Dyslexia (writing and spelling) Attention deficit/ hyperactivity disorder (impulsivity, executive functions, task persistence) Also links with Tourette syndrome Expressive speech and language disorder (may lead to elective mutism) Dysgraphia Dyscalculia Topographical disorientation Brookdale care conference, London
35. Atypical Asperger syndrome Primary abnormality is lack of empathy, partly due to failure of non-verbal interpretation (‘face blindness’) Ability to make relationships but not to keep them Lack of empathy may lead to antisocial behaviour, but greater problem is lack of persuasiveness and ‘social influencing power’ Picture on left from Pelphrey et al, 2002 and on right from the film, “Ripley’s game” starring Matt Damon as Ripley 24 November 2009
36. Knowing about the world using non-verbal cues Who is being shot? Terrorists or partisans?
38. Coping with a lack of identity Fads ‘Obsessive’ relationships Lack of identity in many people with ASD Adopting identity wholesale Joining charismatic groups Moving places and work Searching for identity ‘Transexualism’ ‘Aspie’ Identities off the peg Gangster Professor Teddy bear 21 Mar 08 Advances in research and management of AS
39. Atypical AS ‘Look normal’, because normal NVE. Do not seem like ‘Aspies’ Form friendships but they do not last May have many hidden learning difficulties e.g. lack of speech understanding, reduced working memory Vulnerable adults Lack of empathy leads to a lack of persuasiveness This may lead to unassertiveness or exploitation Coercive interpersonal strategies, possibly more likely if associated ADHD Drug misuse, violence, other forensic issues Impulsivity may alternate with compulsivity May seek an identity as adults, and like special interests in other people with AS, may embrace or drop one ruthlessly. Modelling on others may be even more marked
42. Implications for witness statements People with AS do see the trees for the wood And may reliably apply a correspondence theory of truth But they may not have a narrative theory Bruck, M., K. London, et al. (2007). "Autobiographical memory and suggestibility in children with autism spectrum disorder." Dev.Psychopathol.19(1): 73-95; AS McCrory, E., L. A. Henry, et al. (2007). "Eye-witness memory and suggestibility in children with Asperger syndrome. [Article]." Journal of Child Psychology & Psychiatry48(5): 482-489.. As witnesses they may correctly memorize and reports facts may not report the story of what happened, including the intentions of or provocations to the the actors This may limit the value of their evidence It may also go against them when they witness to their own defence When people with AS report intentions, one should consider external influence Questions should focus on facts and not interpretation www.existentialacademy.com 39
44. Other contributors to inconsequentiality Lack of emotional empathy Neurotypicals are united, and do not deserve empathy Uproar Can any of these factors increase lying? Lack of a shared social contract Lack of social influencing power www.existentialacademy.com 41
45. Safe spaces Bullying and exclusion at and from school begin a process of narrowing the number of safe spaces
46. Consequences of bullying Passive failure to be included Reduced use of community resources (social exclusion) Experience of being unwanted/marginalized Active rejection , blaming, scapegoating Stigma as a means of keeping threatening Other at a distance Bullying Painted Bird by Edward Gafford, inspired by the novel ‘Painted Bird’ by JerzyKosiński, itself based on what has been claimed is a fictive war-time experience of the author in Poland
47. Who bullies and why? Evidence is limited, but On behalf of a social group Bullies are highly regarded, but not popular Bullies’ in-group status may be tenuous Victims are different Victims may be more aggressive than non-victims, and are perceived, perhaps as more threatening Brookdale care conference, London
48. A particularly wide ranging tool kit Readiness to consider the most intense emotional issues and in the next moment, the most practical and cognitive ones Having a clear grasp of the individual in front of you, not just in life experience, or temperament, but in cognitive abilities Be aware of shame and shaming The limitless potential of social control by shaming Brookdale care conference, London
49.
50. Does social exclusion lead to functional movement impairment Is there a difference in the amount of physical activity of pupils with AS compared to others? Mean number of steps per hour: AS group = 902, control group = 1312 (t = -2.645, p = .027) Brookdale care conference, London
52. Where were people with AS in Sheffield? Most living at home, even above 30. Most had difficulties coping with changes in everyday environments Difficulties moving between places (for example using public transport) Most common places frequented were libraries and cinemas Brookdale care conference, London
54. Leaders pay attention to the environment Followers (‘social individuals’) pay attention to the group, and so join the group following a leader There are proportionately fewer leaders in larger migratory groups icouzin@princeton.edu
55. Is Asperger syndrome the future? Owen Thor Walker apointed to TelstraClear, who previously wrote code enabling a hacker group to steal £13.9M from bank accounts Bram Cohen, founder BitTorrent, and self diagnosed Aspie
56. THE END—thanks for listening Don’t forget slides can be found at www.dilemmaconsultancy.org
Editor's Notes
In this photo montage of actual quantum images, two laser beams coming from the bright glare in the distance transmit images of a cat-like face at two slightly different frequencies (represented by the orange and the purple colors). The twisted lines indicate that the seemingly random changes or fluctuations that occur over time in any part of the orange image are strongly interconnected or "entangled" with the fluctuations of the corresponding part in the purple image. Though false color has been added to the cats' faces, they are otherwise actual images obtained in the experiment. To create quantum images, the researchers use a simple yet powerful method known as "four-wave mixing," a technique in which incoming light waves enter a gas and interact to produce outgoing light waves. In the setup, a faint "probe" beam passes through a stencil-like "mask" with a visual pattern. Imprinted with an image, the probe beam joins an intense "pump" beam inside a cell of rubidium gas. The atoms of the gas interact with the light, absorbing energy and re-emitting an amplified version of the original image. In addition, a complementary second image is created by the light emitted by the atoms. To satisfy nature's requirement for the set of outgoing light beams to have the same energy and momentum as the set of incoming light beams, the second image comes out as an inverted, upside-down copy of the first image, rotated by 180 degrees with respect to the pump beam and at a slightly different color
News and Views: Geomicrobiology: Sediment reactions defy dogmaRedox reactions in widely spatially separated layers of marine sediments are coupled to each other. This suggests that bacteria mediate the flow of electrons between the layers — an idea that would previously have been dismissed.Kenneth H. Nealsondoi:10.1038/4631033aFull Text | PDF (1,451K)Letter: Electric currents couple spatially separated biogeochemical processes in marine sedimentLars Peter Nielsen, Nils Risgaard-Petersen, HenrikFossing, Peter Bondo Christensen & MikioSayamadoi:10.1038/nature08790First paragraph | Full Text | PDF (244K)
Lev Vygotsky with daughter: inner speech guides action. Inner speech is one way of understanding theory of mind: what a person would say if they were there. May be particularly absent in ADHD
People with ASD tend to see trees for wood, and may be more field independent