Dissociative Disorders - Clinical Manifestation and Management

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J. Prasko ◽  
M. Raszka ◽  
P. Pastucha
Keyword(s):  
Therapeutic Relationship ◽  
Negative Impact ◽  
Dissociative Disorders ◽  
Traumatic Experiences ◽  
List Type ◽  
Gradual Onset ◽  
Socratic Questioning ◽  
Current Psychological ◽  
And Control ◽  
Disturbed Relationships

Dissociative disorders are heterogeneous group of mental disorders with dissociation as dominant symptoms. Dissociation is often defined as partial or total disconnection between memories of the past, awareness of identity and of immediate sensations, and control of bodily movements, often resulting from traumatic experiences, intolerable problems, or disturbed relationships. Etiopatogenezis of dissociative disorders have not exactly known yet. The process of dissociation is independently associated with several distressing conditions such as psychiatric diagnoses, somatization, current psychological distress, and past sexual and physical victimization. The disturbance may have a sudden or gradual onset and may be temporary or chronic in its course. Dissociation has a negative impact on treatment oucome. Additionaly, dissociative patients may have an insecure attachment pattern negatively affecting the therapeutic relationship. Conceptually, the course of treatment is to improve coping, maintain reality, and establish normal integrative functions. Goals:1.improve thought processes;2.maintain a sense of reality;3.improve coping skills;4.develop stress management abilities;5.increase identity integration.The treatment is possible with psychotherapy or pharmacotherapy or both. We will introduce the CBT approach. Participants will learn:•pharmacological possibilities in the treatment of dissociative disorders;•CBT model of dissociative disorders;•motivational interviewing with dissociative patient;•how to develope therapeutic relationship with dissociative patient;•conceptualization of dissociative disorder with the patient;•Socratic questioning;•working with cognitive, emotional and behavioral avoidance;•exposure technique with dissociative problems;•problem solving.Supported by the research project IGA NR 9323-3.

CHROMATOGRAPHY OF THE 17-KETOGENIC STEROIDS IN THE DIAGNOSIS AND CONTROL OF CONGENITAL ADRENAL HYPERPLASIA

1960 ◽  
Vol XXXIII (II) ◽  
pp. 230-250 ◽  
Author(s):  
Eileen E. Hill
Keyword(s):  
Congenital Adrenal Hyperplasia ◽  
List Type ◽  
Adrenal Hyperplasia ◽  
Normal Children ◽  
Paediatric Practice ◽  
The Mean ◽  
Cortisone Therapy ◽  
And Control ◽  
Clinical Problems ◽  
Stimulation Of

ABSTRACT A method for the fractionation of the urinary 17-ketogenic steroids with no oxygen grouping at C11 and those oxygenated at C11, is applied to the clinical problems of congenital adrenal hyperplasia. In normal children the mean ratio of the non-oxygenated to oxygenated steroids is 0.24. In childrern with congenital adrenal hyperplasia the ratio is 2.3. The reason for this difference in ratio is discussed. The changes in ratio found under stimulation of the adrenal gland with exogenous or endogenous corticotrophin and the suppression with cortisone therapy are studied. This test can be applied to isolated samples of urine, a major advantage in paediatric practice, and can be carried out in routine laboratories. It is found to be reliable in the diagnosis and sensitive in the control of congenital adrenal hyperplasia.

The Frustration Regulation Journal: A Reflective Framework for Educators

Relay Journal ◽  
2019 ◽  
Author(s):  
Sam Morris
Keyword(s):  
Emotion Regulation ◽  
Process Model ◽  
Negative Impact ◽  
Language Education ◽  
Short Article ◽  
Language Classroom ◽  
As Stress ◽  
And Control ◽  
Important System ◽  
Behavioural Strategies

Teachers and advisors involved in the emotional business of language education feel frustrated from time to time, and if such emotions are not managed healthily, they may lead to negative outcomes such as stress and burnout. One important system for taking control of frustration is emotion regulation, the cognitive and behavioural strategies through which individuals manage their emotions. In this short article, I define frustration and discuss its negative impact on the language classroom. I then introduce a structured reflective journaling tool, built upon Gross’s Process model of emotion regulation (Gross, 2014, 2015) which may help teachers and advisors develop greater awareness and control over experiences of frustration.

scholarly journals Potential advantages and limitations of using information fusion in media forensics—a discussion on the example of detecting face morphing attacks

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Christian Kraetzer ◽  
Andrey Makrushin ◽  
Jana Dittmann ◽  
Mario Hildebrandt
Keyword(s):  
Information Fusion ◽  
Classification Accuracy ◽  
Negative Impact ◽  
Field Application ◽  
Attack Detection ◽  
Majority Voting ◽  
Forensic Sciences ◽  
List Type ◽  
Media Forensics ◽  
Shafer Theory

AbstractInformation fusion, i.e., the combination of expert systems, has a huge potential to improve the accuracy of pattern recognition systems. During the last decades, various application fields started to use different fusion concepts extensively. The forensic sciences are still hesitant if it comes to blindly applying information fusion. Here, a potentially negative impact on the classification accuracy, if wrongly used or parameterized, as well as the increased complexity (and the inherently higher costs for plausibility validation) of fusion is in conflict with the fundamental requirements for forensics.The goals of this paper are to explain the reasons for this reluctance to accept such a potentially very beneficial technique and to illustrate the practical issues arising when applying fusion. For those practical discussions the exemplary application scenario of morphing attack detection (MAD) is selected with the goal to facilitate the understanding between the media forensics community and forensic practitioners.As general contributions, it is illustrated why the naive assumption that fusion would make the detection more reliable can fail in practice, i.e., why fusion behaves in a field application sometimes differently than in the lab. As a result, the constraints and limitations of the application of fusion are discussed and its impact to (media) forensics is reflected upon.As technical contributions, the current state of the art of MAD is expanded by: The introduction of the likelihood-based fusion and an fusion ensemble composition experiment to extend the set of methods (majority voting, sum-rule, and Dempster-Shafer Theory of evidence) used previously The direct comparison of the two evaluation scenarios “MAD in document issuing” and “MAD in identity verification” using a realistic and some less restrictive evaluation setups A thorough analysis and discussion of the detection performance issues and the reasons why fusion in a majority of the test cases discussed here leads to worse classification accuracy than the best individual classifier

Addressing the COVID-19 challenges by SMEs in the hotel industry – a Czech sustainability message for emerging economies

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Radka MacGregor Pelikanova ◽  
Eva Daniela Cvik ◽  
Robert Kenyon MacGregor
Keyword(s):  
Emerging Economies ◽  
Negative Impact ◽  
Hotel Industry ◽  
Analytical Framework ◽  
Behavioral Strategies ◽  
Content Type ◽  
Socratic Questioning ◽  
Entrepreneurial Readiness ◽  
Entrepreneurial Strategies

Purpose Emerging economies have to address positive challenges such as sustainability, digitalization, entrepreneurial readiness and planning and behavioral strategies and negative challenges, such as corruption and bureaucracy. The COVID-19 pandemic hit all economies and arguably made hotel businesses that are from less typical emerging economies, such as the Czech Small and medium-sized enterprises (SMEs), to deal with similar challenges to that of their counterparts from typical emerging economies. How do Czech hotel SMEs address the COVID-19 challenges and what sustainability message can be extracted from that with the relevance for not only businesses from emerging economies? The purpose of this paper is to explore how Czech hotel SMEs address the COVID-19 challenges and what sustainability. Design/methodology/approach A consolidated parsing of the literature, legislative and analytical framework, along with an investigative case study of 11 Czech hotel SMEs was performed, based on the questionnaire survey and semi-structured in-depth direct interviews. The holistic thematic analysis processed this fresh data and allowed Socratic questioning and glossing while addressing both research questions. Findings The performed case study reveals that typical challenges faced by entrepreneurs in emerging economies became, via COVID-19, universal challenges, these challenges are a valuable impulse for digitalization and changes of entrepreneurial strategies, but not so much for sustainability, and the omnipresent negative impact of corruption and bureaucracy. Originality/value This paper presents a pioneering study regarding the addressing COVID-19 and sustainability concerns by SMEs in a less typical emerging economy and offering a universal, partially comparative and sadly not so sustainable, message which is not just limited to emerging economies.

scholarly journals The Effect of Enterprise Risk Management (ERM) on Firm Performance: Evidence from the Diversified Industry of Sri Lanka

2018 ◽  
Vol 10 (1) ◽  
pp. 75
Author(s):  
Kingsley Karunaratne Alawattegama
Keyword(s):  
Firm Performance ◽  
Sri Lanka ◽  
Empirical Evidence ◽  
Negative Impact ◽  
Positive Impact ◽  
Enterprise Risk Management ◽  
Performance Information ◽  
Return On Equity ◽  
Enterprise Risk ◽  
And Control

The objective of this empirical study is to explore the effect of the adoption of ERM on the performance of the diversified industry of Sri Lanka. The extent of the adoption of ERM is assessed based on eight ERM functions recognized by the ERM integrated framework of the committee of sponsoring organization of the Treadway Commission and use return on equity as a proxy to measure firm performance. This study finds ERM supportive internal environment, risk-aligned objective setting, event identifications, and risk response have a positive impact on firm performance. However, none of those impacts were statistically significant. Surprisingly, empirical evidence reveals that risk assessment and control activities have a negative impact on the firm performance. Information & communication and monitoring functions indicate a significant impact on firm performance. Nevertheless, monitoring function shows a negative impact on the firm performance. The researcher believes this negative impact is attributable to the increased cost of monitoring activities that is crucial for a diversified business setup. This empirical evidence induces the researcher to conclude that, except for communication and monitoring, the adoption of ERM has no significant impact on the firm performance. These findings are contradictory with the findings of prior researchers.

Effect of feeding with bilberry fruit on the expression pattern of αCaMKII in hippocampal neurons in normal and diabetic rats

2017 ◽  
Vol 20 (2) ◽  
pp. 313-319 ◽  
Author(s):  
M. Matysek ◽  
S. Mozel ◽  
R. Szalak ◽  
A. Zacharko-Siembida ◽  
K. Obszańska ◽  
...  
Keyword(s):  
Cognitive Processes ◽  
Hippocampal Neurons ◽  
Negative Impact ◽  
Expression Patterns ◽  
Memory Loss ◽  
Diabetic Rats ◽  
Control Group ◽  
Neuroprotective Effects ◽  
The Central Nervous System ◽  
And Control

Abstract αCaMKII, widely occurring in the central nervous system, plays a significant role in cognitive processes. It is well known that diabetes is a risk factor that may trigger brain atrophy, cognitive dysfunction and finally lead to memory loss. Antioxidants richly present in bilberry fruits are believed to have significant effects on diabetes-related brain dysfunctions mainly due to their abilities to modulate neurotransmitter release that lead to reduction of the negative impact of free radicals on cognitive processes. The aim of the present research was to immunohistochemically investigate the expression patterns of αCaMKII in hippocampal neurons from non-diabetic, diabetic and diabetic rats fed with an extract of bilberry fruit. The obtained results show that in comparison to the control group, in diabetic rats hippocampal neurons immunoreactive (ir) to αCaMKII were swollen and the lengths of the neuronal fibres were reduced. Further study shows that in diabetic rats fed with bilberry fruit, αCaMKII-positive nerve fibres were significantly longer when compared to the groups of diabetic and control rats. Additionally, we observed statistically significant changes in the average larger diameter of αCaMKII-ir hippocampal neurons between groups of diabetic rats (with vs. without supplement of bilberry fruit). The results of the present work suggest that antioxidants present in bilberry fruits influence the morphology of and possibly exhibit beneficial and neuroprotective effects on hippocampal neurons during diabetes. It is likely that changes in the appearance of αCaMKII-expressed hippocampal neurons may reflect the diabetes-evoked rise in Ca2+ level in the cerebral nerve terminals. The present research extends our knowledge of preventive mechanisms for cognitive dysfunctions occurring in the brain during diabetes.

A systematic literature review of parenting behaviours exhibited by anxious people

2011 ◽  
Vol 26 (S2) ◽  
pp. 170-170 ◽  
Author(s):  
S.E. Pape ◽  
M.P. Collins
Keyword(s):  
Parental Support ◽  
Child Anxiety ◽  
List Type ◽  
Behaviour Modification ◽  
Transgenerational Transmission ◽  
Search Terms ◽  
Controlling Behaviour ◽  
And Control ◽  
Anxious Parenting ◽  
Parenting Behaviours

IntroductionResearch shows anxiety clustering within families: a greater proportion of children with anxious parents develop symptoms of anxiety than children with non-anxious parents. Anxious children often describe their parents as over-controlling and intrusive, lacking in affection and warmth, with reports of decreased parental support.Objectives(1)to identify if parenting behaviors differ between anxious and non-anxious parents,(2)to discuss if these differences in behaviors can contribute to transgenerational transmission of anxiety.AimsIdentifying whether behaviour modification could reduce familial transmission rates of anxiety.MethodA search of OvidSP Medline, Google Scholar, and PubMed was performed, covering 1999 to 2010. Search terms used were: parenting, parents, maternal, paternal, or parental; and anxiety, PTSD, OCD, panic disorder, or phobia. 14 Papers were identified.ResultsWhile most papers identified differences in parenting between anxious and control parents, the conclusions were variable. Two observed increased amounts of controlling behaviour, 5 a decrease in sensitivity, 1 witnessed exageration of behaviours, and 5 a decrease in granting of autonomy or increased protectiveness.ConclusionThe most supported differences in anxious parenting are less granting of autonomy, and lower levels of sensitivity. Whilst in isolation they cannot explain how anxiety is transmitted, and appear to be reciprocally related to child anxiety and temperament, they give grounds for further research. In particular this review identifies the need to study the above behavioral components in longitudinal studies, to observe causal effects between parent behavior and child anxiety.

scholarly journals The effects of simulated microgravity on skeletal muscle of Japanese quail: transmission electron microscopic study

2011 ◽  
Vol 80 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Katarína Holovská ◽  
Viera Almášiová ◽  
Viera Cigánková ◽  
Peter Škrobánek
Keyword(s):  
Skeletal Muscle ◽  
Japanese Quail ◽  
Structural Changes ◽  
Simulated Microgravity ◽  
Negative Impact ◽  
Electron Microscopic ◽  
Giant Mitochondria ◽  
Transmission Electron ◽  
Muscle Tissues ◽  
And Control

The aim of the present study was to investigate the effects of simulated microgravity (hypodynamia) on the structure of the skeletal muscle (m. gastrocnemius) in developing Japanese quail by transmission electron microscopy. Samples of muscle tissues from experimental (n = 28) and control (n = 28) birds were collected at day 7, 14, 28, 42 and 56 of age. The structure of m. gastrocnenmius was changed depending on hypodynamia length. The first extensive structural changes were found on day 14 of age. The mitochondria were enlarged and the spaces between the myofibrils were slightly extended compared to control. The sarcomeres were irregular and lipid droplets occurred in the sarcoplasm. Further developmental changes occurred on day 28 of age. Mitochondria fused into the giant mitochondria which frequently exceeded the length of one sarcomere. Moreover, at 42 days of age, beside the above mentioned changes, sarcoplasmic reticulum was dilated and the number of mitochondrial cristae was reduced. However, the structure of m. gastrocnemius on day 56 was less damaged compared to the damage observed on day 42 of age. Presented results indicate that the continuous stay of male Japanese quail under simulated microgravity has a negative impact on the structure of m. gastrocnemius, but also the ability of muscle tissue to cope with these specific conditions.

scholarly journals Mortality after surgery with SARS-CoV-2 infection in England: A population-wide epidemiological study

2021 ◽  
Author(s):  
T. E. F. Abbott ◽  
A. J. Fowler ◽  
T. D. Dobbs ◽  
J. Gibson ◽  
T. Shahid ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
High Mortality ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Surgical Patients ◽  
Infection Prevention And Control ◽  
List Type ◽  
Control Procedures ◽  
And Control

AbstractObjectivesTo confirm the incidence of perioperative SARS-CoV-2 infection and associated mortality after surgery.Design and settingAnalysis of routine electronic health record data from National Health Service (NHS) hospitals in England.MethodsWe extracted data from Hospital Episode Statistics in England describing adult patients undergoing surgery between 1st January 2020 and 31st October 2020. The exposure was SARS-CoV-2 infection defined by ICD-10 codes. The primary outcome measure was 90-day in-hospital mortality. Data were analysed using multivariable logistic regression adjusted for age, sex, Charlson co-morbidity index, index of multiple deprivation, presence of cancer, surgical procedure type and admission acuity. Results are presented as n (%) and odds ratios (OR) with 95% confidence intervals.ResultsWe identified 1,972,153 patients undergoing surgery of whom 11,940 (0.6%) had SARS-CoV-2. In total, 19,100 (1.0%) patients died in hospital. SARS-CoV-2 infection was associated with a much greater risk of death (SARS-CoV-2: 2,618/11,940 [21.9%] vs No SARS-CoV-2: 16,482/1,960,213 [0.8%]; OR: 5.8 [5.5 – 6.1]; p<0.001). Amongst patients undergoing elective surgery 1,030/1,374,985 (0.1%) had SARS-CoV-2 of whom 83/1,030 (8.1%) died, compared with 1,092/1,373,955 (0.1%) patients without SARS-CoV-2 (OR: 29.0 [22.5 −37.3]; p<0.001). Amongst patients undergoing emergency surgery 9,742/437,891 (2.2%) patients had SARS-CoV-2, of whom 2,466/9,742 (25.3%) died compared with 14,817/428,149 (3.5%) patients without SARS-CoV-2 (OR: 5.7 [5.4 – 6.0]; p<0.001).ConclusionsThe low incidence of SARS-CoV-2 infection in NHS surgical pathways suggests current infection prevention and control policies are highly effective. However, the high mortality amongst patients with SARS-CoV-2 suggests these precautions cannot be safely relaxed.Summary boxesWhat is already known on this topicHigh mortality rates have been reported amongst surgical patients who develop COVID-19 but we don’t know how this compares to the concurrent surgical population unaffected by COVID-19.Strict infection prevention and control procedures have substantially reduced the capacity of surgical treatment pathways in many hospitals.The very large backlog in delayed and cancelled surgical procedures is a growing public health concern.What this study addsFewer than 1 in 100 surgical patients are affected by COVID-19 in the English National Health Service.Elective surgical patients who do develop COVID-19 are 30 times more likely to die while in hospital.Infection prevention and control procedures in NHS surgical pathways are highly effective but cannot be safely relaxed.

scholarly journals Pyramid groups and firm performance: empirical evidence from Canadian corporations

2010 ◽  
Vol 7 (3) ◽  
pp. 105-123 ◽  
Author(s):  
Gloria Y. Tian
Keyword(s):  
Firm Performance ◽  
Empirical Evidence ◽  
Negative Impact ◽  
Ownership Concentration ◽  
Legal Environment ◽  
Controlling Shareholders ◽  
Value Maximization ◽  
Using Data ◽  
Control Enhancing Mechanisms ◽  
And Control

Using data of Canadian corporations in 1994 and 2003, this study analyzes whether controlling shareholders of corporate pyramid groups, with substantial divergences in ownership and control, negatively or positively impact firm performance. We find some evidence that the combination of ownership concentration and pyramidal structure would lead to inferior firm performance and valuation, but little evidence concerning tunneling within groups. We argue the robust legal environment in Canada that encourages shareholder value maximization could mitigate the negative impact of control enhancing mechanisms on minority public investors.

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