Type D personality is a trait comprising of negative affectivity and social inhibition. The study focuses on the exact
summarization of this personality for obtaining the objectives.Type d personality is having many clinical
complications associated with it and it can cause all system related disease states. Development of such trait will result to poor health
status, poor compliance, impaired cognition and improper medication adherence. This article depicts the overview on type D
personality and suggests the need to perform research to generate epidemiological data and developing further strategies to overcome
complications of type D personality. There is again a necessity to aware people about this kind.
There has been considerable controversy regarding the level of criminal responsibility in people diagnosed with Borderline Personality Disorder (BPD), with positions ranging from their having full responsibility to little or none. This paper defends the notion that BPD patients are morally---and legally responsible for any criminal acts they commit. Following Louis Charland and Carl Elliot, I argue that BPD is primarily a defect of character rather than a disease per se although “disease” cannot be totally eliminated as a factor for understanding the disorder. As such, the BPD person, all else being equal, knows right from wrong and has free choice regarding criminal behavior, and should therefore be held responsible for such behavior.
There has been considerable controversy regarding the level of criminal responsibility in people diagnosed with Borderline Personality Disorder (BPD), with positions ranging from their having full responsibility to little or none. This paper defends the notion that BPD patients are morally---and legally responsible for any criminal acts they commit. Following Louis Charland and Carl Elliot, I argue that BPD is primarily a defect of character rather than a disease per se although “disease” cannot be totally eliminated as a factor for understanding the disorder. As such, the BPD person, all else being equal, knows right from wrong and has free choice regarding criminal behavior, and should therefore be held responsible for such behavior.
Health Psychology Psychological Adjustment to the Disease, Disability and Lossijtsrd
This article discusses the psychological adjustment of adults to severe or incurable diseases or other loss. The stress that results from a diagnosis of illness or loss depends on many factors, such as the beliefs of each individual and the social context. Considering the diversity of human perceptions, feelings and behaviors, it was considered important for the present study to include a theory of stress and treatment related to physical illness. At the center of attention are end stage individuals, not their organic problems but mainly their psychological state and that of their families. Reference is then made to the loss of loved one and the period of mourning. As regards the disease response, there is a difference between the immediate reaction to loss, what we call mourning, and the adaptation to a new way of life without the loved one. Finally, the role of therapeutic communication between patients and their families and mental health professionals, as well as the need to maintain psychological balance, is also described. Agathi Argyriadi | Alexandros Argyriadis ""Health Psychology: Psychological Adjustment to the Disease, Disability and Loss"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23200.pdf
Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/psychology/23200/health-psychology-psychological-adjustment-to-the-disease-disability-and-loss/agathi-argyriadi
The Effects of Trauma on Health Care Utilizationandreacamden
This webinar will discuss the effects of childhood trauma on health care utilization and chronic illness. Susan Lax is an Advanced Practice Nurse with a dual degree in psychiatry/mental health nursing and primary care nursing from the Institute of Health Professions at Massachusetts General Hospital. She is certified in Trauma Studies by the Trauma Center at JRI, trained by Bessel van der Kolk and his colleagues. She has completed trainings in Sensorimotor Psychotherapy, a mindfulness approach to treating trauma disorders. In all, she has completed more than 300 hours of training in the treatment of acute and developmental trauma. In 2010 Susan was awarded a leadership in nursing award for her success incorporating a trauma treatment as she worked in acute, residential, and community settings in the Greater Boston Area, including on a PACT team.
With reference to relevant research, critically examine the application of psychological theory in relation to the psychological needs and clinical experience of one clinically relevant client group
it is a presentation on the crisis intervention model proposed by Lydia Rapoport. the slides contains information on crisis and the model of intervention proposed by Rapoport
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. During this session we explore the characteristics of crisis, steps to take in an acute crisis and why some events trigger a crisis for some people, but not others.
Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
Pandangan Ilmu Kedokteran Jiwa pada KESURUPAN Andri Andri
Kasus Kesurupan di Indonesia banyak dikaitkan dengan budaya. Presentasi ini mencoba melihat masalah kesurupan lebih kepada sudut pandang ilmiah. Presentasi ini disampaikan di Fakultas Psikologi Univ Mercubuana pada tanggal 23 Mei 2015
AQUÍ QUEREMOS COMPARTIR ESTE ARTICULO QUE, AUNQUE ESTÁ EN INGLÉS, SOLO TENEMOS QUE SUBIRLO AL TRADUCTOR DE GOOGLE Y ¡LISTO! ESTARÁ A NUESTRA DISPOSICIÓN. ES A CERCA DEL TRASTORNO DE IDENTIDAD DISOCIATIVO.
ESPERAMOS QUE LES SEA DE AYUDA. GRACIAS.
NOTA: EL AUTOR DEL ARTICULO Y DEMÁS DETALLES BIBLIOGRÁFICOS SE ENCUENTRAN EN LA PORTADA O AL FINALIZAR EL DOCUMENTO.
Health Psychology Psychological Adjustment to the Disease, Disability and Lossijtsrd
This article discusses the psychological adjustment of adults to severe or incurable diseases or other loss. The stress that results from a diagnosis of illness or loss depends on many factors, such as the beliefs of each individual and the social context. Considering the diversity of human perceptions, feelings and behaviors, it was considered important for the present study to include a theory of stress and treatment related to physical illness. At the center of attention are end stage individuals, not their organic problems but mainly their psychological state and that of their families. Reference is then made to the loss of loved one and the period of mourning. As regards the disease response, there is a difference between the immediate reaction to loss, what we call mourning, and the adaptation to a new way of life without the loved one. Finally, the role of therapeutic communication between patients and their families and mental health professionals, as well as the need to maintain psychological balance, is also described. Agathi Argyriadi | Alexandros Argyriadis ""Health Psychology: Psychological Adjustment to the Disease, Disability and Loss"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23200.pdf
Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/psychology/23200/health-psychology-psychological-adjustment-to-the-disease-disability-and-loss/agathi-argyriadi
The Effects of Trauma on Health Care Utilizationandreacamden
This webinar will discuss the effects of childhood trauma on health care utilization and chronic illness. Susan Lax is an Advanced Practice Nurse with a dual degree in psychiatry/mental health nursing and primary care nursing from the Institute of Health Professions at Massachusetts General Hospital. She is certified in Trauma Studies by the Trauma Center at JRI, trained by Bessel van der Kolk and his colleagues. She has completed trainings in Sensorimotor Psychotherapy, a mindfulness approach to treating trauma disorders. In all, she has completed more than 300 hours of training in the treatment of acute and developmental trauma. In 2010 Susan was awarded a leadership in nursing award for her success incorporating a trauma treatment as she worked in acute, residential, and community settings in the Greater Boston Area, including on a PACT team.
With reference to relevant research, critically examine the application of psychological theory in relation to the psychological needs and clinical experience of one clinically relevant client group
it is a presentation on the crisis intervention model proposed by Lydia Rapoport. the slides contains information on crisis and the model of intervention proposed by Rapoport
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. During this session we explore the characteristics of crisis, steps to take in an acute crisis and why some events trigger a crisis for some people, but not others.
Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
Pandangan Ilmu Kedokteran Jiwa pada KESURUPAN Andri Andri
Kasus Kesurupan di Indonesia banyak dikaitkan dengan budaya. Presentasi ini mencoba melihat masalah kesurupan lebih kepada sudut pandang ilmiah. Presentasi ini disampaikan di Fakultas Psikologi Univ Mercubuana pada tanggal 23 Mei 2015
AQUÍ QUEREMOS COMPARTIR ESTE ARTICULO QUE, AUNQUE ESTÁ EN INGLÉS, SOLO TENEMOS QUE SUBIRLO AL TRADUCTOR DE GOOGLE Y ¡LISTO! ESTARÁ A NUESTRA DISPOSICIÓN. ES A CERCA DEL TRASTORNO DE IDENTIDAD DISOCIATIVO.
ESPERAMOS QUE LES SEA DE AYUDA. GRACIAS.
NOTA: EL AUTOR DEL ARTICULO Y DEMÁS DETALLES BIBLIOGRÁFICOS SE ENCUENTRAN EN LA PORTADA O AL FINALIZAR EL DOCUMENTO.
Assessing and managing risk for violence among juveniles is an important forensic task. Clinical judgement is never sufficient for this important job. This presentation outlines methods of assessing and managing risk of violence among young people.
Week 4 6446 Therapeutic Approaches for Disruptive Behaviors ladonnacamplin
Week 4 6446 Therapeutic Approaches for Disruptive Behaviors
You must use the Readings here
· Boyatzis, C. J., & Junn, E. N. (2016).
Annual editions: Child growth and development
(22nd ed.). McGraw-Hill Education.
o Louis, C.S. “Certain Television Fare Can Help Ease Aggression in Young Children, Study Finds” (p. 83)
· Klein, B., Damiani-Taraba, G., Koster, A., Campbell, J., & Scholz, C. (2015). Diagnosing attention-deficit hyperactivity disorder (ADHD) in children involved with child protection services: are current diagnostic guidelines acceptable for vulnerable populations?.
Child: care, health and development
,
41
(2), 178-185.
· Powers, C. J., & Bierman, K. L. (2013). The multifaceted impact of peer relations on aggressive-disruptive behavior in early elementary school.
Developmental Psychology
,
49
(6), 1174– 1186.
·
Document:
DSM-5 Bridge Document: Disruptive Behaviors (PDF)
· Boyatzis, C. J., & Junn, E. N. (2016).
Annual editions: Child growth and development
(22nd ed.). McGraw-Hill Education.
o Lahey, J. “Why Parents Need to Let Their Children Fail” (p. 112)
o Smith, B. L., “The Case Against Spanking: Physical Discipline Is Slowly Declining as Some Studies Reveal Lasting Harms for Children” (p. 105)
· Cochran, J. L., Cochran, N. H., Nordling, W. J., McAdam, A., & Miller, D. T. (2010). Two case studies of child-centered play therapy for children referred with highly disruptive behavior.
International Journal of Play Therapy
,
19
(3), 130–143.
· Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence- based psychosocial treatments for children and adolescents with disruptive behavior.
Journal of Clinical Child and Adolescent Psychology
,
37
(1), 215–237.
· Pardini, D. A., Frick, P. J., & Moffitt, T. E. (2010). Building an evidence base for DSM-5 conceptualizations of oppositional defiant disorder and conduct disorder: Introduction to the special section.
Journal of Abnormal Psychology
,
119
(4), 683–688.
Media
· Laureate Education (Producer). (2014c).
Disruptive behaviors
[Video file]. Baltimore, MD: Author.
· Laureate Education (Producer). (2014d).
Disruptive behaviors: Part one
[Interactive media]. Baltimore, MD: Author.
· Laureate Education (Producer). (2014e).
Disruptive behaviors: Part two
[Interactive media]. Baltimore, MD: Author.
Disruptive Behaviors In the DSM-IV,
attention deficit and disruptive behaviors were grouped as a category within the classifications of disorders usually first diagnosed in infancy, childhood, and adolescence. Though it is true that these disorders are generally first diagnosed during these stages, the classifications of these disorders has been reconceptualized to reflect their similarities in manifestation, as well as considerations for the impact on social functioning. ADHD, for example, is grouped in the DSM-5 with neurodevelopmental disorders; research has supported a strong biol ...
FINANCIAL ANALYSIS REPORT 2
Decision Tree: Personality Disorders
Frank Jones
Sam’s University
Nurs 3333: PMHNP Role IV
Dr. Joe Mark
October 20 , 2010
Running head: DECISION TREE 1
DECISION TREE 6
Decision Tree: Personality Disorders
As described by the American Psychiatric Association (APA) (2013), ‘‘personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment’’. There are different types of personality disorders classified into three clusters. Cluster A individuals are described as the odd or eccentric, cluster B as the dramatic, emotional, or erratic and cluster C as the anxious or fearful. The purpose of this paper is to discuss the case study of a young woman with personality disorder. This paper will explore threes decisions relating to differential diagnosis, psychotherapy and psychopharmacology based on the presented clinical manifestations.
Decision One
The clinical manifestation presented in the case study are indicative of more than one personality disorder, specifically borderline personality disorder (BPD) and antisocial personality disorder (ASPD). Patients exhibits a fear of abandonment which aligns with BPD. The patient mentioned an interpersonal relationship involvement which she exhibited idolization for the man of her interest, and now is devaluing the man. This is also evident in BPD as outlined by diagnostic criteria set forth by the APA (2013).
My diagnosis for this patient is ASPD, because the client exhibits clinical manifestations of ASPD than BPD. One of the reasons that led me to the diagnosis of ASPD is the client’s lack of remorse. The client stole from a friend, instead of being sorry, client’s blames friend instead. Client exhibits lack of respect for social norm and failure to comply with the law as evidenced by more than one record of arrest. The client fails to upholding financial obligation and is deceitful. Client shows irresponsibility evidenced by inability to keep a job. These presentations are evident in clients with ASPD as outlined in the DSM-5.
The two personality disorders which are classified as cluster B personality disorders by the APA (2013) have clinical manifestations which overlap, thus needs to be ruled out as differential diagnoses for each other. As described on the DSM-5 diagnostic criteria, BPD and ASD have similar features of impulsivity, aggression and manipulative behaviors, which client exhibits in the case study. The differing manifes ...
Personality Disordet#T h is C h s p te r b e g i n s .docxkarlhennesey
Personality
Disordet#
T h is C h s p te r b e g i n s with a general definition of personaliiy disorder that applies
to each of the 10 specific personality disorders. A personality disorder is an enduring pattern
of inner experience and behavior that deviates markedly from the expectations of the in
dividual's culture, is pervasive and inflexible, has an onset in adolescence or early adult
hood, is stable over time, and leads to distress or impairment.
With any ongoing review process, especially one of this complexity, different view
points emerge, and an effort was made to accommodate them. Thus, personality disorders
are included in both Sections II and III. The material in Section II represents an update of
text associated with the same criteria found in DSM-IV-TR, whereas Section III includes
the proposed research model for personality disorder diagnosis and conceptualization de
veloped by the DSM-5 Personality and Personality Disorders Work Group. As this field
evolves, it is hoped that both versions will serve clinical practice and research initiatives,
respectively.
The following personality disorders are included in this chapter.
• Paranoid personality disorder is a pattern of distrust and suspiciousness such that oth
ers' motives are interpreted as malevolent.
• Schizoid personality disorder is a pattern of detachment from social relationships and
a restricted range of emotional expression.
• Schizotypal personality disorder is a pattern of acute discomfort in close relationships,
cognitive or perceptual distortions, and eccentricities of behavior.
• Antisocial personality disorder is a pattern of disregard for, and violation of, the rights
of others.
• Borderline personality disorder is a pattern of instability in interpersonal relation
ships, self-image, and affects, and marked impulsivity.
• Histrionic personality disorder is a pattern of excessive emotionality and attention
seeking.
• Narcissistic personality disorder is a pattern of grandiosity, need for admiration, and
lack of empathy.
• Avoidant personality disorder is a pattern of social inhibition, feelings of inadequacy,
and hypersensitivity to negative evaluation.
• Dependent personality disorder is a pattern of submissive and clinging behavior re
lated to an excessive need to be taken care of.
• Obsessive-compulsive personality disorder is a pattern of preoccupation with order
liness, perfectionism, and control.
• Personality change due to another medical condition is a persistent personality dis
turbance that is judged to be due to the direct physiological effects of a medical condi
tion (e.g., frontal lobe lesion).
• Other specified personality disorder and unspecified personality disorder is a cate
gory provided for two situations: 1) the individual's personality pattern meets the gen
eral criteria for a personality disorder, and traits of several different personality
disorders are present, but the criteria for any specific ...
Quality Of Life, Spirituality and Social Support among Caregivers of Cancer P...iosrjce
Caregiving can be both rewarding and challenging. Literature suggests that family caregivers may
experience increased symptoms of psychological and social malfunctioning. However, it may also provide one
with opportunities to renew relationships or feel connected to a higher power. The current study is an attempt to
investigate how caregiving influences a person’s general wellbeing. The sample consisted of 25 caregivers of
cancer patients and 25 appropriately matched control.World Health Organization- QOL (1991),
Multidimensional Scale of Perceived Social Support by Zimet, et al (1988) and Spiritual Perspective Scale by
Reed (1986) were used to asses QOL, Social support and spirituality respectively. The obtained data was
analyzed in SPSS using independent sample t-test. Results indicated a significant difference between Caregivers
and the control group on QOL, spirituality and social support.
HEALTH CARE MANAGEMENTUNIT I Part IV JOURNAL Instruct.docxpooleavelina
HEALTH CARE MANAGEMENT
UNIT I Part IV JOURNAL Instruction:
You are the newly appointed compliance officer for a major medical center in Chicago. One key objective of your compliance plan is to create a secure and effective reporting process so that you can avoid qui tam lawsuits against your hospital. Your goal is to have zero qui tam lawsuits during your tenure as compliance officer. What steps will you take to avoid such lawsuits against your facility?
Your journal entry must be at least 200 words. No references or citations are necessary. SIMPLE SHEET / NO HEAD RUNNING / NOTHING JUST 200 WORDS _____________________________________________________________________________ DO NOT MIXED Part I & PART II. There are two different assignments. Posted separated.
_____________________________________________________________________________
UNIT I Part IV Instructions
You have just been hired as a compliance officer for your healthcare organization, and you have discovered that the food services department of the organization is not in compliance with state food safety regulations for healthcare organizations. The board of directors has requested a report from you and your team that contains an outline of the issues that have been occurring within the food services department that have caused it to become noncompliant, a plan to bring the department into compliance, and a description of how you and your team plan to maintain the department’s compliance in the future.
Your report should cover the following topics:
· a description of the foodborne hazards that have occurred within the healthcare organization that have caused it to become noncompliant,
· why it is important for patient recovery that the food service department maintain food safety and become complaint with state regulations,
· the key elements of your compliance plan, and
· the importance of internal audits and project management in the creation, implementation, and maintenance of the compliance plan.
Your report should consist of at least three pages, not including a title page and reference pages. Please be sure to use APA formatting for all sources, including your textbook. You must use at least three sources, one of which can be your textbook.
Course Textbook(s)
Safian, S. C. (2014). Fundamentals of health care administration. Upper Saddle River, NJ: Pearson.
Randomized Clinical Trial of Cognitive Behavioral Social Skills Training
for Schizophrenia: Improvement in Functioning and Experiential
Negative Symptoms
Eric Granholm and Jason Holden
Veterans Affairs San Diego Healthcare System and University
of California, San Diego
Peter C. Link
Veterans Affairs San Diego Healthcare System
John R. McQuaid
Veterans Affairs San Francisco Medical Center and University of California, San Francisco
Objective: Identifying treatments to improve functioning and reduce negative symptoms in consumers
with schizophrenia is of high publ ...
The human mind, a vast and intricate realm, is
capable of extraordinary resilience and creativity.
However, it is not impervious to the challenges and
complexities of life. Within this intricate landscape,
some individuals navigate a path marked by
psychological disorders, conditions that impact
thoughts, emotions, and behaviors, often leading to
significant distress and impairment.
The science of dosage or posology (from Greek posos, how much, and logos, study) is a branch of pharmacology and therapeutics concerned with ‘treatment dosage’ and ‘dosage regimen’. Establishing optimum dosage underpins every clinical development plan for novel therapeutic candidates. Failure to select the adequate drug dose is a leading culprit for regulatory delays or denial of initial applications for new drugs and, more generally, inadequate dose selection contributes to the high attrition rate of pivotal clinical trials.
Gaseous dosage forms are packed in a container which gets released upon applying pressure. The gas inside contains therapeutically active medicaments. The containers have valve systems with continuous or limited delivery. They are used for topical application on skin and as local application into nose and mouth.
Sprays
Vaporizer
Aerosols
Nebulizer or atomizer
Inhalers
Semisolid dosage forms are neither solid nor liquid, however, they are a combination or mixture of both, and they used for both local and systemic effects. Pharmaceutical semisolid dosage forms such as creams, ointments, gels, suppositories, and paste are used for topical application. Semisolid dosage forms are intended used as drug carriers that are transported topically through the skin, buckle tissue, rectal tissue, outer ear lining nasal mucosa, urethral membrane, vagina, and cornea. The semisolid may adhere adequately before washing on the surface of the application; this helps to extend the supply of drugs on the application site.
Liquid dosage forms are effective pharmaceutical products containing a mixture of active pharmaceutical ingredients (API/Drug) and non drug components (excipients). It is a dose of a drug used as a medicine for consumption or administration. Many liquid dosage forms are used in the pharmacy, but the most commonly used are syrup, suspension, and elixirs. The general category of liquid oral doses includes a broad range of dosage forms, broadly classified as monophasic and biphasic. Whereas dosage forms in both types comprise at least one drug, monophasic forms are homogeneous and completely dissolve in liquid, whereas biphasic forms in a vehicle do not dissolve.
Dosage forms come in many types, depending on the method or route of administration. Solid dosage forms, semi-solid dosage forms, liquid dosage forms, and gaseous dosage forms are used for the diagnosis or treatment of the disease by various routes. Solid dosage forms are the most significant dosage forms in pharmaceuticals; it has one or more unit dose of medicament. The solid dosage form is the most commonly used and prescribed by doctors as compared to other dosage forms. It can be administered orally in the form of tablets, capsules, powders, etc. Of these, the tablet is one of the most commonly used oral solid dosage forms.
Dosage forms (also called unit doses) are pharmaceutical drug products in the form in which they are marketed for use, with a specific mixture of active ingredients and inactive components (excipients), in a particular configuration (such as a capsule shell, for example), and apportioned into a particular dose. For example, two products may both be amoxicillin, but one is in 500 mg capsules and another is in 250 mg chewable tablets. The term unit dose can also sometimes encompass non-reusable packaging as well (especially when each drug product is individually packaged
Pharmaceutics is the area of study concerned with the formulation,
manufacturing stability and effectiveness of pharmaceutical dosage form. In
the previous unit various communicable, non-communicable disorders were
described. In this unit we will study how the drugs are administered in the body
to be effective. Drugs are rarely used alone. They are used as a part of a
formulation with other non-drug substances. These non-drug substances or
additives serve specific function. The drugs presented in the dosage form are
given in a specific quantity i.e. dose for a specific period. These dosage forms
are available in various forms as required for a specific disease condition.
Packaging of dosage form is another important aspect as the dosage form
should not degrade during storage. A good packaging is necessary to protect
the drug component from any type of deterioration till it reaches the consumer.
Many semisynthetic derivatives of belladonna
alkaloids and a large number of synthetic compounds have been introduced with the aim of
producing more selective action on certain
functions. Most of these differ only marginally
from the natural alkaloids, but some recent ones
appear promising.
Hypertension pharmacotherapy part 2 pptPranatiChavan
First-line medications used in the treatment of hypertension include diuretics, angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs), beta-blockers, and calcium channel blockers (CCBs). Some patients will require 2 or more antihypertensive medications to achieve their BP target. As per special consideration, modified treatment is given in the presentation.
Non-pharmacological interventions help reduce the daily dose of antihypertensive medication and delay the progression from prehypertension to hypertension stage. Non-pharmacological interventions include lifestyle modifications like dietary modifications, exercise, avoiding stress, and minimizing alcohol consumption.
Heart sounds are the noises generated by the beating heart and the resultant flow of blood through it. Specifically, the sounds reflect the turbulence created when the heart valves snap shut. In cardiac auscultation, an examiner may use a stethoscope to listen for these unique and distinct sounds that provide important auditory data regarding the condition of the heart.
In healthy adults, there are two normal heart sounds, often described as a lub and a dub that occur in sequence with each heartbeat. These are the first heart sound (S1) and second heart sound (S2), produced by the closing of the atrioventricular valves and semilunar valves, respectively. In addition to these normal sounds, a variety of other sounds may be present including heart murmurs, adventitious sounds, and gallop rhythms S3 and S4.
Once a drug has gained access to the bloodstream,
it gets distributed to other tissues that initially
had no drug, concentration gradient being in the
direction of plasma to tissues. T
Absorption is the movement of the drug from its site
of administration into circulation. Not only
the fraction of the administered dose that gets
absorbed but also the rate of absorption is
important. Except when given i.v., the drug has
to cross biological membranes; absorption is
governed by the above-described principles.
Pulmonary function tests (PFTs) are noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help your healthcare provider diagnose and decide the treatment of certain lung disorders.
Complementary and Alternative Medicine in Association with Type 2 Diabetes Me...PranatiChavan
Type 2 Diabetes Mellitus is a clinical condition that is associated with energy metabolism, particularly carbohydrate and fat management in the organism. An increase in the prevalence of diabetic population and the association of decreasing patient compliance and medication adherence leads to prefer a new concept for the management of disease complications.
The use of complementary and alternative medicine (CAM) has proved to be effective for controlling diabetes.
Objectives: The purpose of this review is to perform an overview of CAM use, to emphasize its importance for managing diabetic complications and to get outfits of CAM.
Discussion: A literature survey was done by using various articles related to CAM and Diabetes mellitus. The focus was kept on
the frequency of CAM use, the methods they use, the factors related to the use of CAM, the sources of information about CAM
treatment, and the effect of the method used for disease management.
Conclusion: This review concluded that CAM therapy found to have adept at reducing blood glucose, maintaining a healthy
body, and relieving symptoms of DM. From the study, the relevance of CAM for managing Diabetic complications was verified
And the future need to perform scientific researches on CAM use was analyzed.
Clinical research is a branch of healthcare science that determines the safety and effectiveness (efficacy) of medications, devices, diagnostic products, and treatment regimens intended for human use. These may be used for prevention, treatment, diagnosis, or for relieving symptoms of a disease. here some basic terms associated with clinical research are mentioned in the presentation, which proves helpful to understand the basic knowledge about research.
Open Education Resource: Flipping the classroom with MOODLEPranatiChavan
Open Education Resource: Flipping the classroom with MOODLE
Work done as part of AICTE approved FDP on the Use of ICT in Education for Online and Blended Learning.
Present OER is licensed under the Creative Commons Attribution-Share A like 4.0 International License. You are free to use, distribute and modify it, including for commercial purposes, provided you acknowledge the source and share-alike. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/
Most oral contraceptives contain a combination of 2 types of hormones: an estrogen and a progestin. Both of these hormones are naturally found in women’s bodies. There are many different types of estrogens and progestins, and different types of pills contain different combinations, but they all work similarly. Some pills contain only progestin, sometimes called the “mini-pill.”
The two main sex hormones — estrogen and testosterone — have wide-ranging effects in the body. Produced primarily by the ovaries (estrogen) and testes (testosterone), these hormones affect not just your sexual function but also your bones, brain, and blood vessels.
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.
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
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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.
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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
1. International Journal of Science and Research (IJSR)
ISSN: 2319-7064
ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426
Volume 9 Issue 2, February 2020
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
Overview on Type D Personality
Pranati R. Chavan
Assistant Professor (Pharm D), Shivlingeshwar College of Pharmacy, Almala, Latur-413520, India
Abstract: Type D personality is a trait comprising of negative affectivity and social inhibition. Social inhibition and negative affectivity
makes individuals to self withdrawal and lack of assertiveness, and poor health compliance leading to comorbitites and psychosocial
errors. Type D works by increasing stressful condition and affecting biological markers of body. The study focuses on the exact
summarization of this personality for obtaining the objectives. It can be assessed by various scales available and can be overcome by
different strategies. Objectives: To aware people about particular kind of personality and their affect. To improve the quality of life of the
patients and To reduce the comorbid state by retarding further complications. Discussion: Type d personality is having many clinical
complications associated with it and it can cause all system related disease states. Development of such trait will result to poor health
status, poor compliance, impaired cognition and improper medication adherence. Conclusion: This article depicts the overview on type D
personality and suggests the need to perform research to generate epidemiological data and developing further strategies to overcome
complications of type D personality. There is again a necessity to aware people about this kind.
Keywords: Type D Personality, negative affectivity, social inhibition, Health, Psychology
1. Background
Personality is a aspect that consider The combination of
characteristics or qualities that form an individual's distinctive
character. There are different kinds of personalities but out of
which we are considering four main personality traits as
Type A- Self Driven, Competitive, Practical, Impatient and
Aggressive
Type B- Charismatic, Easy Going, Patient, Too Casual,
Procrastinator
Type C- Introvert, Stress Prone, Lone Workers, Stickers for
Details, Perfectionist
Type D- Distressed, Negative, Pessimistic, Depressed And
Socially Inhibited.
Among above four traits of personality this article is focused
on the fourth type that is type D personality giving a different
perspective of negative minded peoples.
2. Introduction
Type D personality is a global trait including two aspects as
Negative affectivity and Social inhibition. Negative
affectivity (NA) is consisting of negative emotions with time
and duration. High-NA individuals experience more feelings
of dysphoria, anxiety, and irritability; have a negative view of
self; and scan the world for signs of impending trouble.
Social inhibition (SI) refers to the tendency to inhibit the
expression of emotions/behaviors in social interactions to
avoid disapproval by others. High-SI individuals tend to feel
inhibited, tense, and insecure when with others.
Individuals who are high in both NA and SI have a distressed
or Type D personality, given their vulnerability to chronic
distress. Type D patients are at increased risk for a wide range
of adverse health outcomes, including mortality and
morbidity, even after invasive treatment with advanced
methodologies. They are also at risk for posttraumatic stress
and vital exhaustion. Physiological hyper reactivity, immune
activation, and inadequate response to treatment are
mechanisms that may explain this detrimental effect of Type
D.
Type D has been linked to certain negative behaviors such as
an unhealthy lifestyle, addictions, reluctance to consult or
follow medical advice, and poor treatment outcomes,
adversely affecting the clinical course of medical conditions
and treatment compliance. Co-morbid conditions and addicts
victims are at high risk for type d personality and are linked
to have poor prognosis and health compliances.
3. Objectives
The main objectives of the study is to aware people about
particular kind of personality and their affect, to improve
Quality Of Life of diseased population with reference to their
physical, psychological, social, and environmental health
dimensions, and to assess the effect of age, sex, income,
height, weight, and level of education, duration of disease, co
morbidity and treatment duration on QOL on diseased
patients.
4. Methods Assessment of Type D
Assessment of Type D can be done from various
questionnaires available for psychosomatic assessment.
Type of Scale Importance
Type D Scale-14
(DS14)
One the major and important scale is Type D
Scale-14 (DS14) which was specifically
developed to assess NA, SI, and Type D in a
reliable and standardized way that poses little
burden to respondents. Items of the DS14 were
derived from its predecessor, the DS16, but also
included new items that were developed to
enhance the assessment of NA and SI.
The five-factor
model of
personality
It is a hierarchical organization of personality
traits in terms of five basic dimensions:
Extraversion, Agreeableness, Conscientiousness,
Neuroticism, and Openness to Experience.
Global mood
scale and health
complaint scale
For Assessment of mood and health status
Cronbachs alpha
test
A statistical test used to assess the reliability and
internal consistency of DS14 scale whereas
Paper ID: SR20218224959 DOI: 10.21275/SR20218224959 1394
2. International Journal of Science and Research (IJSR)
ISSN: 2319-7064
ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426
Volume 9 Issue 2, February 2020
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
Pearsons correlation and factor analysis for
assessing validity of DS14 against NEO five
factor inventory
Different
statistical tests
Used for finding Type D trait that includes
logistic regression analysis, test retest
correlation, fisher 2 test, repeated measures
multivariate analysis of variance ( MANOVA)
with measures and time, internal validity,
construct validity, temporal stability etc
DOCCO
questionnaire
200 questions on stress, personality and lifestyle
State anxiety
scale
The STAI measures two types of anxiety – state
anxiety, or anxiety about an event, and trait
anxiety, or anxiety level as a personal
characteristic
Trait anger scale
A 57-item inventory which measures the
intensity of anger as an emotional state (State
Anger) and the disposition to experience angry
feelings as a personality trait
Millon
behavioral health
inventory
150-item self-report measure in a true-false
format, designed to examine coping styles and
personality features among persons with
physical illnesses
Beck depression
inventory
21-item, self-rated scale that evaluates key
symptoms of depression including mood,
pessimism, sense of failure, self-dissatisfaction,
guilt, punishment, self-dislike, self-accusation,
suicidal ideas, crying, irritability, social
withdrawal, indecisiveness, body image change,
work difficulty, insomnia, fatigability, loss of
appetite, weight loss, somatic preoccupation, and
loss of libido
Tellengens
multidimensional
personality
questionnaire
The questionnaire gives ratings on four broad
traits, Positive Emotional Temperament,
Negative Emotional Temperament, Constraint
and Absorption, as well as 11 primary trait
dimensions.
Somatic anxiety
questionnaire
A 14-item self-report inventory that is divided
into two 7-item scales (Cognitive and Somatic)
that appear to reflect cognitive or somatic
anxiety.
Southern
Methodist
university health
questionnaire
To assess a broader range of health problems, Its
63 items include symptoms and complaints (e.g.,
abdominal or stomach pain, sore throat), minor
illnesses (e.g., cold or flu, appendicitis), and
more serious and chronic health problems (e.g.,
diabetes, hypertension, cancer).
Pennebaker
inventory of
limbic
languidness
This 54-question self-test measures people’s
tendency to notice and report a broad array of
physical symptoms and sensations. Those with
high symptom reports tend to be more nervous,
distressed, and unhappy.
Hopkins
symptom
checklist
The HSCL is comprised of 58 items which are
representative of the symptom configurations
commonly observed among outpatients. It is
scored on five underlying symptom
dimensions—sommatization,
obsessive‐compulsive, interpersonal sensitivity,
anxiety and depression—which have been
identified in repeated factor analyses.
Positive
emotionality
scale
The Positive Emotional Experiences Scale was
developed by rephrasing the Kiefer and
Barclay's (2012) Toxic Emotional Experiences
Scale into positive emotional statements. The
aim was that it would represent three factors:
psychological recurrent positive state, social
connectedness and physical refreshed energy.
Florida shock
anxiety scale
The Florida Shock Anxiety Scale (FSAS) was
developed to measure ICD patient shock-
related anxiety.
Hospital
anxiety and
depression
scale
It is suggested that the introduction of the
scales into general hospital practice would
facilitate the large task of detection and
management of emotional disorder in patients
under investigation and treatment in medical
and surgical departments.
Patient health
questionnaire
The PHQ-9 is a multipurpose instrument for
screening, diagnosing, monitoring and
measuring the severity of depression
Minnesota
Multiphasic
personality
inventory
The Minnesota Multiphasic Personality
Inventory (MMPI) is a psychological test that
assesses personality traits and
psychopathology. It is primarily intended to
test people who are suspected of having
mental health or other clinical issues.
Zukerman
personality
mode
Alternative Five Factor Model (Zuckerman &
Kuhlman, 1993) explains
Personality structure in terms of five factors,
namely, Neuroticism-Anxiety, Activity,
Aggression-Hostility, Impulsive-Sensation
Seeking, and Sociability
5. Reasons of Type D
There are several reasons which can lead to cause Type D
Personality among which include stress, physiological over
activity, post traumatic stress, age, immune inactivation,
inadequate response to cardiac treatment, vital exhaustion,
increased risk of disease conditions like cardiovascular heart
disease, asthma, diabetes mellitus, stroke, poor compliance,
pregnancy associated emotional stres, work stress, lack of
assertiveness, self withdrawal, less talk, undiagnosed
maternal depression etc.
Stress and personality relation chart
Type D response can be formed due to abnormalities in
parameters like Extraversion, neuroticism, emotional
stability, conscientiousness, openness/intellect, agreeableness.
Extraversion is considered as individuals preferences for
social selfing. Reduction in extraversion generates aversive
social interaction and decreases threshold for activation of
ascending RAS that forms diffuse ANS arousal.
Agreeableness is an interpersonal attitudes and behavior.
Stress reduces natural killer cells. Reduction in natural killer
cells decreases cytotoxic response and down regulates
receptor function, decrease receptor density and affinity and
thus immune alteration occurs.
Paper ID: SR20218224959 DOI: 10.21275/SR20218224959 1395
3. International Journal of Science and Research (IJSR)
ISSN: 2319-7064
ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426
Volume 9 Issue 2, February 2020
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
As stress rises hypothalamus and pituitary response causes
increased release of cortisol, higher amount of cortisol lead to
affect alteration of immune response leading to rising
cholesterol and triglyceride levels. This will lead to cause
obesity and further cardiovascular conditions along with co
morbidities like diabetes, stroke, post traumatic stress
disorders and many more. It increase polypharmacy and
shows poor health and medication compliance and reduced
medication adherence. Thus it develops psychosomatic
behaviors in the patient showing social inhibition and
negative affectivity among people.
Work load among employees also one major concern to form
psychosomatic abnormalities. It increases the absenteeism,
rate of sick leaves, stressfulness, and symptoms of vital
exhaustion, increased levels of burnout and low sense of
personal accomplishment.
As age raises parameters like health status, mental status, co
morbidity rate, polypharmacy, medication adherence, patient
compliance all gets affected. Again the organ activity, body
composition gets reduced as well as neurohormonal
transmission also gets impaired. Due to psychological
disturbances and stress the release of cortisol gets increased
resulting in negative impact on psychological state of the
person.
Some other parameters like pregnancy, lack of assertiveness,
maternal depression will also affect the psychological status
of child as well as mother leading to self withdrawal and less
talk and shows social inhibition with negative thoughts.
6. Complication of Type D
Cardiovascular diseases: hypertension, myocardial
infarction, coronary artery disease, ischemic heart disease,
congestive heart failure
CNS abnormalities: Stroke, brain injury, Sleep disorders,
increased vertigo, emotional and functional response
Respiratory system: Worsening of asthma, copd,
precipitation of respiratory infections
Metabolic disorders: diabetes mellitus, thyroid diseases
Gastrointestinal diseases: gastritis, inflammatory bowel
disease, peptic ulcers, GI disturbances
Genital conditions: Increased prevalence of vulvovaginal
candidiasis
Psychiatric illnesses: Depression, obsessive compulsive
disorder, post traumatic stress disorder etc.
7. Strategies to Overcome Type D Personality
Psychotherapy – It includes counseling aids to improve
the psychological health of the patient
Lifestyle changes – To improve quality of life lifestyle
modifications are necessary.
Diet modification- Diet including green leafy vegetables
and specially including garlic, ginger, onion, tomato,
apple, dry fruits for improving psychological status of
patients.
Socialization – Creating awareness and minimizing self
withdrawal socialization is important
Exercise- Exercise cause maintained levels of cortisol and
reduces inflammatory responses as well as reduces disease
developing mechanisms and thus various exercise
recommendations may prove beneficial to minimize
complications type d.
Meditation – It is helpful to stabilize the cognitive
functions and to improve functions of body.
Music therapy – It may prove beneficial by imparting
stress relief mechanism in patients
Medications – By using suitable drug therapies also we
can reduce the ill effects and symptoms type d in patients.
8. Discussion
Type D personality is not only affecting cardiac system but it
also affects all systems of body of the human being and show
many clinical complications. Type d personality is at a risk of
wide adverse health outcomes, even after performing some
surgical interventions patient does not show improvement. It
is consisting of Negative affectivity and Social inhibition and
thus creates negative impact on mental health producing
symptoms of depression, anxiety, post traumatic stress
disorder, mental distress, passive coping, less social support
and physical health status. Type d individuals can present
characteristics like agreeableness, extraversion and
neuroticism, along with increased noncompliance and poor
health outcomes, unhealthy lifestyle, reluctance to consult or
follow medical advice. The personality can result in
worsening of health complications like coronary heart
disease, asthma, diabetes mellitus, stroke, myocardial
infarction, left ventricular ejection failure, traumatic brain
injury, increased prevalence of vulvovaginal candidiasis,
vertigo, emotional and functional domain affect, sleep apnea,
benign neoplasm, schizophrenia, hypertension, etc.
9. Conclusion
Type D personality has negative impact on lifestyle
increasing rates of medically documented comorbidity, low
subjective health rating, poor physician assessed physical
functioning poor interview rated psychological functioning
than non type d. Some factors like Agreeableness showing
interpersonal attitudes and behavior will also affect
personality traits. Stress causes transmitter release like
epinephrine, nor epinephrine leads to mobilization of natural
killer cells in circulation and upregulation of function, thus
decreased natural killer cell causes reduction of cytotoxicity
showing downregulation of receptor function, decreasing
receptor density and affinity. Extraversion is a individual
preferences for social selfing. Reduction of extraversion
causes aversive social interaction minimizing threshold for
activation of ascending reticular activating system which
diffuses ANS arousal.
10. Conflicts of Interest
The author confirms that this article content has no conflict of
interest.
Acknowledgements: Declared none.
Paper ID: SR20218224959 DOI: 10.21275/SR20218224959 1396
4. International Journal of Science and Research (IJSR)
ISSN: 2319-7064
ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426
Volume 9 Issue 2, February 2020
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
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Author Profile
Dr. Pranati R. Chavan with Pharm D as a
Qualification, completed Pharm D from Government
college of Pharmacy, Aurangabad and currently
working as a Assistant Professor in Shivlingeshwar
College of pharmacy, Almala, Latur.
Paper ID: SR20218224959 DOI: 10.21275/SR20218224959 1397