Notes on the Prognosis in Mental Disease

1859 ◽  
Vol 5 (28) ◽  
pp. 257-285 ◽  
Author(s):  
C. Lockhart Robertson
Keyword(s):  
General Practice ◽  
Mental Disease ◽  
Daily Practice ◽  
Results Of Treatment ◽  
Limited Experience ◽  
Practice Of Medicine ◽  
The Many ◽  
Made In

[This paper was intended to have been read at the December Meeting of the Brighton anil Sussex Meclico-Chirurgic.il Society, of which the writer is a member. His aim was to present a brief outline of the data on which the physician basto form his prognosis in cases of mental disease, and he makes here no pretensions to add any new facts to those already familiar to the Psychologist; his object was rather to put together a few observations on this important subject which might interest his professional brethren—members of the society—engaged in the more general practice of medicine, and to serve to raise, during that evening, an interest in the probable results of treatment in his own specialty. Circumstances having arisen to prevent the communication being made in the proposed form, it is here printed in the hope of directing the attention of the members of the Association of Medical Officers of Asylums and Hospitals for the Insane to the many important questions in the general prognosis of mental disease, which their daily practice enables them to observe and to solve with a fulness and accuracy which the writer cannot hope from his own limited experience to have here attained.]

Report From a Virtual Care Task Force

2021 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
Patricia H. Folcarelli
Keyword(s):  
Patient Safety ◽  
Task Force ◽  
Daily Practice ◽  
Delivery Of Care ◽  
Safety Issues ◽  
Virtual Care ◽  
Safety Risks ◽  
Limited Experience ◽  
Practice Of Medicine ◽  
Rapid Shift

While telehealth has been available for decades, as a result of the COVID-19 pandemic, an unprecedented demand arose for the remote delivery of safe and reliable assessments and treatment recommendations via computers, smart phones, and tablets. Institutions and individual providers needed to accelerate their adoption of virtual care. This ability to provide remote evaluations has helped to protect patients and providers at this time when physical distancing is a priority. This rapid shift to telemedicine has also meant that many providers, with limited experience or training in the virtual delivery of care, were required to adapt to new and unfamiliar technologies as part of their daily practice of medicine. Institutions and individuals have recognized that this sudden and unexpected expansion of virtual care had the potential to increase patient safety risks. Given that telemedicine will remain a mainstay after the COVID-19 pandemic, it will be important to focus on quality and safety issues that are likely to arise but as yet remain to be appreciated. This chapter explores patient safety guidance.

A Handbook to Eddic Poetry: Myths and Legends of Early Scandinavia, ed. Carolyne Larrington, Judy Quinn, and Brittany Schorn. Cambridge: Cambridge University Press, 2016, xii, 413 pp., 12 b/w ill.

Mediaevistik ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 366-366
Author(s):  
Albrecht Classen
Keyword(s):  
Old Norse ◽  
Entire Volume ◽  
Cambridge University ◽  
Critical Studies ◽  
Individual Contributions ◽  
The Many ◽  
The Individual ◽  
Made In ◽  
Scandinavian Literature

Eddic poetry constitutes one of the most important genres in Old Norse or Scandinavian literature and has been studied since the earliest time of modern-day philology. The progress we have made in that field is impressive, considering the many excellent editions and translations, not to mention the countless critical studies in monographs and articles. Nevertheless, there is always a great need to revisit, to summarize, to review, and to digest the knowledge gained so far. The present handbook intends to address all those goals and does so, to spell it out right away, exceedingly well. But in contrast to traditional concepts, the individual contributions constitute fully developed critical article, each with a specialized topic elucidating it as comprehensively as possible, and concluding with a section of notes. Those are kept very brief, but the volume rounds it all off with an inclusive, comprehensive bibliography. And there is also a very useful index at the end. At the beginning, we find, following the table of contents, a list of the contributors, unfortunately without emails, a list of translations and abbreviations of the titles of Eddic poems in the Codex Regius and then elsewhere, and a very insightful and pleasant introduction by Carolyne Larrington. She briefly introduces the genre and then summarizes the essential points made by the individual authors. The entire volume is based on the Eddic Network established by the three editors in 2012, and on two workshops held at St. John’s College, Oxford in 2013 and 2014.

Evidence-based Assessment

2010 ◽  
pp. 76-98
Author(s):  
John Hunsley ◽  
Eric J. Mash
Keyword(s):  
Decision Making ◽  
Clinical Assessment ◽  
Assessment Process ◽  
Evidence Based ◽  
The Past ◽  
Specific Assessment ◽  
The Many ◽  
Selection Of ◽  
Made In

Evidence-based assessment relies on research and theory to inform the selection of constructs to be assessed for a specific assessment purpose, the methods and measures to be used in the assessment, and the manner in which the assessment process unfolds. An evidence-based approach to clinical assessment necessitates the recognition that, even when evidence-based instruments are used, the assessment process is a decision-making task in which hypotheses must be iteratively formulated and tested. In this chapter, we review (a) the progress that has been made in developing an evidence-based approach to clinical assessment in the past decade and (b) the many challenges that lie ahead if clinical assessment is to be truly evidence-based.

scholarly journals Informative value of referral letters from general practice for child and adolescent mental healthcare

2021 ◽  
Author(s):  
S. Aydin ◽  
M. R. Crone ◽  
B. M. Siebelink ◽  
M. E. Numans ◽  
R. R. J. M. Vermeiren ◽  
...  
Keyword(s):  
General Practice ◽  
Nodal Point ◽  
Mental Healthcare ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Discriminative Ability ◽  
Replication Studies ◽  
Attention Deficit Hyperactivity Disorders ◽  
Referral Letters ◽  
Made In

AbstractAlthough referral letters (RLs) form a nodal point in a patient’s care journey, little is known about their informative value in child and adolescent mental healthcare. To determine the informative value of RLs to child and adolescent psychiatry, we conducted a chart review in medical records of minors registered at specialized mental healthcare between January 2015 and December 2017 (The Netherlands). Symptoms indicated in RLs originating from general practice (N = 723) were coded and cross-tabulated with the best estimate clinical classifications made in psychiatry. Results revealed that over half of the minors in the sample were classified in concordance with at least one reason for referral. We found fair to excellent discriminative ability for indications made in RLs concerning the most common psychiatric classifications (95% CI AUC: 60.9–70.6 for anxiety disorders to 90.5–100.0 for eating disorders). Logistic regression analyses suggested no statistically significant effects of gender, age, severity or mental healthcare history, with the exception of age and attention deficit hyperactivity disorders (ADHD), as RLs better predicted ADHD with increasing age (OR = 1.14, 95% CI 1.03–1.27). Contextual problems, such as difficulties studying, problems with parents or being bullied were indicated frequently and associated with classifications in various disorder groups. To conclude, general practitioners’ RLs showed informative value, contrary to common beliefs. Replication studies are needed to reliably incorporate RLs into the diagnostic work-up.

The Technique of the Boyne Carvings

1956 ◽  
Vol 21 ◽  
pp. 156-159
Author(s):  
O. G. S. Crawford
Keyword(s):  
Presidential Address ◽  
Time And Space ◽  
East Anglia ◽  
Actual Design ◽  
The Many ◽  
To Receive ◽  
Vast Range ◽  
Made In

The prudent contributor to a Festschrift will select some subject about which he thinks he knows as much as the professor who is to receive it. That is peculiarly difficult here because of the vast range of Professor Childe's knowledge, both in time and space, far exceeding the present contributor's. This Note is offered as a grateful tribute from one of the many who have been intellectually enriched by his writings and encouraged by his devotion to scholarship. It is little more than an amplification and criticism of the Abbé Breuil's classic Presidential Address to the Prehistoric Society of East Anglia, delivered in 1934; but on the strength of observations made in August and September, 1955, I have come to different conclusions.The Abbé Breuil detected five successive techniques, all of them found on the stones of the Boyne Tombs:(1) Incised thin lines (pl. XIX, B).(2) Picked grooves left rough (pl. XVIII).(3, a) Picked grooves afterwards rubbed smooth; in this and the preceding group ‘it is invariably the line (groove) itself on which the pattern depends, which gives and is the design’.(3, b) Picked areas which ‘only define the limits of the pattern, the surface, left in relief by the cutting down of the background, constituting the actual design’ (pl. xx, B).(4) Rectilinear patterns where also the pattern is residual, consisting of raised ribs, forming triangles or lozenges, left standing by picking away the surrounding surface (pl. xx, A).

Closing Remarks

2019 ◽  
Vol 15 (S367) ◽  
pp. 515-517
Author(s):  
Debra Meloy Elmegreen
Keyword(s):  
Big Data ◽  
Education Research ◽  
Strategic Plan ◽  
Astronomy Education ◽  
The Public ◽  
The Many ◽  
Collaborative Efforts ◽  
Made In

AbstractThis symposium has highlighted key first steps made in addressing many goals of the IAU Strategic Plan for 2020–2030. Presentations on initiatives regarding education, with applications to development, outreach, equity, inclusion, big data, and heritage, are briefly summarized here. The many projects underway for the public, for students, for teachers, and for astronomers doing astronomy education research provide a foundation for future collaborative efforts, both regionally and globally.

Legislation as Vulnerability Factor

2006 ◽  
Vol 31 (1) ◽  
pp. 84-89
Author(s):  
Jorge Gavidia ◽  
Annalisa Crivellari
Keyword(s):  
Dominican Republic ◽  
Central America ◽  
Disaster Management ◽  
Good Practice ◽  
Hurricane Mitch ◽  
Normative Framework ◽  
The Many ◽  
Civil Defence ◽  
Interconnected Structure ◽  
Made In

A study conducted in Central America in 2003 shows that in the aftermath of Hurricane Mitch noticeable progress was made in introducing new legislation for disaster management, understood as covering the whole cycle from prevention, preparedness and relief, to reconstruction. The new legislation includes civil defence or disaster management laws and regulations to improve their effectiveness in responding to the threat of natural disasters. A similar situation can be observed in other countries like Cuba and the Dominican Republic. The study looks into existing urban and municipal laws, regulations and planning guidelines to assess the extent to which they respond to vulnerability reduction criteria. This paper focuses on aspects of prevention and risk reduction. An attempt was made to look into the complementarities and gaps between the two sets of regulations for disaster management and for municipal/urban management. It is found that despite the many elements of good practice included in them, the links between these instruments are weak or absent on issues ranging from planning to the actual supervision of interventions on the built environment. Thus, the main elements of the edifice were there, but they did not constitute a solid, interconnected, structure, therefore, bound to fail under the loads imposed by rapid urbanisation, speculation, emergencies and weak governance structures. Institutions are often left to fend themselves in discharging their tasks. Without a coherent normative framework, and the capacity to apply it, their work is primarily driven by institutional initiative, leading to problems of underperformance, overlaps, gaps, and non-constructive competition. Thus, the institutional setup and normative framework become important factors in increasing vulnerability, as real as a building with the wrong foundations. The article reviews the mentioned aspects drawing from the experience in Central America, Cuba and Dominican Republic.

On the Chloride Waters of Great Britain

1945 ◽  
Vol 82 (6) ◽  
pp. 267-273 ◽  
Author(s):  
W. Anderson
Keyword(s):  
Great Britain ◽  
The South ◽  
Very Old ◽  
North East ◽  
The North ◽  
Exact Position ◽  
The Many ◽  
The Village ◽  
Made In

Formerly there were several surface brine springs in the North-East Coalfield; to-day there are none. From the many accounts of their occurrence nothing has been learned of their exact position, and very little of the composition of their waters. The earliest record, made in 1684, described the Butterby spring (Todd, 1684), and then at various times during the next two centuries brine springs at Framwellgate, Lumley, Birtley, Walker, Wallsend, Hebburn, and Jarrow were noted. In particular the Birtley salt spring is often mentioned, and on the 6-in. Ordnance map, Durham No. 13, 1862 edition, it is sited to the south-east of the village. Although no record has been found there must have been either a brine spring or well at Gateshead, for the name of the present-day suburb, Saltwell, is very old, and brine springs are still active in the coal workings of that area.

scholarly journals The opportunities of social diagnostic methods’ application in modern pedagogical practice

2021 ◽  
Vol 1 (3) ◽  
pp. 38-42
Author(s):  
Liliia Kononenko ◽  
Keyword(s):  
Social Relations ◽  
Educational Institution ◽  
Daily Practice ◽  
Diagnostic Methods ◽  
Pedagogical Practice ◽  
Recent Graduates ◽  
Diagnostic Work ◽  
Social Pedagogue ◽  
Selection Of ◽  
Made In

The attempt to expand the traditional academic ideas about diagnostics in social work has been made, in particular the selection of social diagnostic methods, the purposes of their application, professional situations and focus groups in which these methods can be applied.The research determines the opportunities of application social diagnostics in pedagogical practice, to identify the optimal methods of social diagnostics and the conditions in which it is advisable to apply this type of diagnostic by professional participants of the educational process.Other methods have been proposed in addition to the classic list of social diagnostic methods, such as interlocution, interviews and surveys of all types; they are unpopular in modern social and socio-pedagogical work, but due to their accessibility, validity, ease of processing and in formativeness can be used even by recent graduates. These include a genogram, a family sociogram, as well as an eco-map, the map of social environment and the map of social contacts.The viability of applying social diagnostic methods in a teacher’s daily practice for preventing, revealing and solving social problems has been determined.During the investigation, the author concludes that social diagnostic is the most significant technique among many universal ones that a social worker/social pedagogue can use in his/her work. The optimal location for diagnostic work is an educational institution. It provides quick access to the client base with the widest range, allows you to work with clients in the system of social relations, enables diagnostic work with less motivational pressure, covers relationships with parents/families and facilitates their involvement in preventive work

scholarly journals Acceptance of mHealth among Health Professionals: A Case Study on Anesthesia Practitioners

2020 ◽  
Author(s):  
Hugo Carvalho ◽  
Michael Verdonck ◽  
Patrice Forget ◽  
Jan Poelaert
Keyword(s):  
Mobile Apps ◽  
Daily Practice ◽  
Anesthesia Care ◽  
Smartphone Apps ◽  
Belgian Society ◽  
Anonymous Questionnaire ◽  
Digital Books ◽  
Practice Of Medicine ◽  
Perioperative Monitoring

Abstract Background: mHealth, the practice of medicine aided by mobile devices is a growing market. Although the offer on Anesthesia applications (Apps) is quite prolific, representative formal assessments on the views of anesthesia practitioners on its use and potential place in daily practice is lacking. This survey aimed thus to cross-assess the Belgian anesthesia population on the use of smartphone Apps and peripherals.Methods: The survey was exclusively distributed as an online anonymous questionnaire. Sharing took place via hyperlink forwarding by the Belgian Society for Anesthesia and Reanimation (BSAR) and by the Belgian Association for Regional Anesthesia (BARA) to all registered members. The first answer took place on 5 September 2018, the last on 22 January 2019. Results: 349 answers were obtained (26.9% corresponding to trainees, 73.1% to specialists). Anesthesiologists were positively confident that Apps and peripherals could help improve anesthesia care (57.0% and 47.9%, respectively, scored 4 or 5, in a scale from 0 - 5). Trainees were significantly more confident than specialists on both mobile Apps (71.2% and 51.8%, respectively; p = 0.001) and peripherals (77.7% and 45.1%, respectively; p = 0.09).The usefulness of Apps and Peripherals was rated 1 or below (on a 0 to 5 scale), respectively, by 9.5% and 14.6% of the total surveyed population, being specialists proportionally less confident in Smartphone peripherals than trainees (p = 0.008). Mobile apps are actively used by a significantly higher proportional number of trainees (67.0% vs. 37.3%, respectively; p = 0.000001).The preferred category of mobile Apps was dose-calculating applications (39.15%), followed by digital books (21.1%) and Apps for active perioperative monitoring (20.0%).Conclusions: Belgian Anesthesia practitioners show a global positive attitude towards smartphone Apps and Peripherals, with trainees trending to be more confident than specialists.

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