First Encounters

Author(s):  
Christopher H. Hawkes ◽  
Kapil D. Sethi ◽  
Thomas R. Swift

This chapter describes disorders that can be diagnosed as the patient enters the consulting room by observing closely how he or she turns to close the door, walks toward you, and shakes your hand. Much information is gleaned by inspecting the face, clothes, fingernails, and jewelry or by listening to the voice or smelling the breath. From chronic conditions to congenital disorders to addictions, the competent neurologist will depend first on keen observation in the construction of a diagnosis. Neurological diagnosis requires good detective work; the good neurologists must play at being a “bedside Sherlock Holmes.”

1988 ◽  
Vol 5 (2) ◽  
pp. 239-246
Author(s):  
Mohammad A. Siddiqui

IntroductionCommunication today is increasingly seen as a process through whichthe exchange and sharing of meaning is made possible. Commtinication asa subject of scientific inquiry is not unique to the field of mass communication.Mathematicians, engineers, sociologists, psychologists, political scientists,anthropologists, and speech communicators have been taking an interest inthe study of communication. This is not surprising because communicationis the basic social process of human beings. Although communication hasgrown into a well developed field of study, Muslim scholars have rdrely hcusedon the study of communication. Thus, a brief introduction to the widely usedcommunication concepts and a framework for the study of communicationwithin the context of this paper is provided.In 1909, Charles Cooley defined communication from a sociologicalperspective as:The mechanism through which human relations exist and develop -all the symbols of mind, together with the means of conveyingthem through space and preserving them in time. It includes theexpression of the face, attitude and gesture, the tones of the voice,words, writing, printing, railways, telegraph, and whatever elsemay be the latest achievement in the conquest of space and time.In 1949, two engineers, Claude Shannon and Warren Weaver, definedcommunication in a broader sense to include all procedures:By which one mind may affect another. This, of course, involvesnot only written and oral speeches, but also music, the pictorialarts, the theater, the ballet, and, in kct, all human behavior.Harold Lasswell, a political scientist, defines communication simply as:A convenient way to describe the act of communication is to answerthe following question: Who, says what, in which channel, towhom, with what effect?S.S. Stevens, a behavioral psychologist, defines the act of communication as:Communication occurs when some environmental disturbance (thestimulus) impinges on an organism and the organism doessomething about it (makes a discriminatory response) . . . Themessage that gets no response is not a commnication.Social psychologist Theodore Newcomb assumes that:In any communication situation, at least two persons will becommunicating about a common object or topic. A major functionof communication is to enable them to maintain simultaneousorientation toward one another and toward the common object ofcommunication.Wilbur Schramm, a pioneer in American mass communication research,provides this definition:When we communicate we are trying to share information, anidea, or an attitude. Communication always requires threeelements-the source, the message, and the destination (thereceiver).


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 360-360
Author(s):  
Barbara Hodgdon ◽  
Jen Wong

Abstract Filial caregivers (e.g., individuals caring for a parent or parent-in-law) are a part of the growing number of family caregivers in midlife and late adulthood. The responsibilities that filial caregivers navigate in midlife and late adulthood may expose them to multiple types of discrimination that may decrease their physical health, though this relationship has been understudied. As numbers of family caregivers grow, it is important to examine the potential vulnerability of younger and older filial caregivers’ physical health in the context of discrimination. Informed by the life course perspective, this study compares the physical health of younger (aged 34-64) and older (aged 64-74) filial caregivers who experience discrimination. Filial caregivers (N=270; Mage=53; SD=9.37) from the Midlife in the United States (MIDUS-II) Survey reported on demographics, family caregiving, daily discrimination, self-rated physical health, and chronic conditions via questionnaires and phone interviews. Regression analyses showed no differences between younger and older adults’ self-rated physical health or average chronic conditions. However, moderation analyses revealed that younger filial caregivers who experienced greater discrimination reported poorer self-rated physical health than their older counter parts as well as younger and older filial caregivers who experienced less discrimination. Additionally, younger caregivers with greater discrimination exposure exhibited more number of chronic conditions as compared to other caregivers. The study results highlight the impact of the intersection between filial caregivers’ age and discrimination on physical health. Findings have the potential to inform programs that could promote the health of filial caregivers in the face of discrimination.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 205-205
Author(s):  
T. E. C.

No book was more sought after by families in the early decades of our country than Buchan's Domestic Medicine, which was first published in England in 1769 and passed through 19 editions during the following 50 years. Buchan described the signs, symptoms and treatment of children with croup as follows: Children are often seized very suddenly with this disease, which, if not quickly relieved, proves mortal. . . . This disease generally prevails in cold and wet seasons. It is most common upon the seacoast, and in low marshy countries. Children of a gross and lax habit are most liable to it. . . . It generally attacks children in the night, after having been much exposed to damp cold easterly winds through the day. Damp houses, wet feet, thin shoes, wet clothes, or any thing that obstructs the perspiration, may occasion the croup. It is attended with a frequent pulse, quick and laborious breathing, which is performed with a peculiar kind of croaking noise, that must be heard at a considerable distance. The voice is sharp and shrill, and the face is generally much flushed, though sometimes it is of a livid colour. When a child is seized with the above symptoms, his feet should be immediately put into warm water. He ought likewise to be bled, and to have a laxative clyster administered as soon as possible. He should be made to breathe over the steams of warm water and vinegar; or an emollient decoction, and emollient cataplasms or fomentations may be applied round his neck.


2012 ◽  
Vol 2 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Alexis K. Schaink ◽  
Kerry Kuluski ◽  
Renée F. Lyons ◽  
Martin Fortin ◽  
Alejandro R. Jadad ◽  
...  

The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditions. In many cases, there are social and psychological factors that impact treatment, health outcomes, and quality of life. This is the face of complexity. Care challenges, burden, and cost have positioned complexity as an important health issue. Complex chronic conditions are now being discussed by clinicians, researchers, and policy-makers around such issues as quantification, payment schemes, transitions, management models, clinical practice, and improved patient experience. We conducted a scoping review of the literature for definitions and descriptions of complexity. We provide an overview of complex chronic conditions, and what is known about complexity, and describe variations in how it is understood. We developed a Complexity Framework from these findings to guide our approach to understanding patient complexity. It is critical to use common vernacular and conceptualization of complexity to improve service and outcomes for patients with complex chronic conditions. Many questions still persist about how to develop this work with a health and social care lens; our framework offers a foundation to structure thinking about complex patients. Further insight into patient complexity can inform treatment models and goals of care, and identify required services and barriers to the management of complexity.


2020 ◽  
Vol 72 (4) ◽  
pp. 41-57
Author(s):  
Marek Menkiszak

In the face of a new serious crisis in Europe caused by the coronavirus pandemic, Russia has taken an ambiguous position. On the one hand, it was spreading fake news and, on the other hand, it was providing Italy with symbolic support. Russia’s immediate goal was to persuade the European Union (EU) to reduce or lift sanctions. The new situation provides a new argument to those participants of the European debate who are in favour of normalisation and even reset of relations with Russia. Among them, the voice of France is particularly clear since its President Emanuel Macron has taken up the initiative to build the ‘architecture of trust and security’ with Russia. These proposals, which are now quite vague, are based on questionable  assumptions and deepen divisions in Europe and the crisis in transatlantic relations. By rising Moscow’s hopes for some form of (geo)political bargain, they in fact encourage Russia to continue its aggressive policy towards its European neighbours. An alternative approach based on several principles is needed in the debate on EU policy towards Russia: developing all five Mogherini’s points; maintaining sanctions against Russia until the reasons for their introduction cease to exist; symmetry of commitments and benefits related to limited cooperation with Russia; inviolability of key interests, security and sovereignty of EU and NATO member and partner states; and balancing the dialogue with the Russian authorities by supporting Russian civil society. Europe can survive without Russia but Russia cannot survive without Europe, which is why European policy needs consistency and strategic patience.


2021 ◽  
Vol 77 (2) ◽  
Author(s):  
Johann-Albrecht Meylahn

It has been argued that most countries that had been exposed to European colonialism have inherited a Western Christianity thanks to the mission societies from Europe and North America. In such colonial and post-colonial (countries where the political administration is no longer in European hands, but the effects of colonialism are still in place) contexts, together with Western contexts facing the ever-growing impact of migrants coming from the previous colonies, there is a need to reflect on the possibility of what a non-colonial liturgy, rather than a decolonial or postcolonial liturgy, would look like. For many, postcolonial or decolonial liturgies are those that specifically create spaces for the voice of a particular identified other. The other is identified and categorised as a particular voice from the margins, or a specific voice from the borders, or the voices of particular identified previously silenced voices from, for example, the indigenous backyards. A question that this context raises is as follows: Is consciously creating such social justice spaces – that is determined spaces by identifying particular voices that someone or a specific group decides to need to be heard and even making these particular voiceless (previously voiceless) voices central to any worship experience – really that different to the colonial liturgies of the past? To give voice to another voice, is maybe only a change of voice, which certainly has tremendous historical value, but is it truly a transformation? Such a determined ethical space is certainly a step towards greater multiculturalism and can therefore be interpreted as a celebration of greater diversity and inclusivity in the dominant ontology. Yet, this ontology remains policed, either by the state-maintaining police or by the moral (social justice) police.Contribution: In this article, a non-colonial liturgy will be sought that goes beyond the binary of the dominant voice and the voice of the other, as the voice of the other too often becomes the voice of a particular identified and thus determined victim – in other words, beyond the binary of master and slave, perpetrator and victim, good and evil, and justice and injustice, as these binaries hardly ever bring about transformation, but only a change in the face of master and the face of the slave, yet remaining in the same policed ontology.


1990 ◽  
Vol 28 (23) ◽  
pp. 92.4-92

Hydrocortisone (Section 13.4) is available over the counter but is sold to the public only for certain limited indications, namely allergic contact dermatitis, irritant dermatitis and insect bite reactions. Pharmacists may not supply hydrocortisone preparations for chronic conditions, such as eczema, or for use on the face, anogenital region, broken or infected skin (Drug Ther Bull 1987; 14: 53).


Author(s):  
Christopher H. Hawkes ◽  
Kapil D. Sethi ◽  
Thomas R. Swift

This chapter describes disorders that can be diagnosed as the patient enters the consulting room, and how the patient turns to close the door, walks toward the clinician and shakes the clinician’s hand. Much information is gleaned by inspecting the face, clothes, fingernails, and jewelry or listening to the voice and smelling the breath. The clinician works as a bedside Sherlock Holmes. Some of the symptoms addressed in this chapter include hypersalivation, Horner's syndrome, and macroglossia. Individual disorders described include idiopathic intracranial hypertension, neurofibromatosis type 1, Sturge-Weber syndrome, Waardenburg syndrome, Vogt Harada Koyanagi syndrome, Fabry’s disease, fragile X syndrome, relapsing polychondritis, myasthenia gravis, Ehlers Danlos Syndrome type IV, Carney complex, cocaine and meth addiction, and ankylosing spondylitis, among others.


Rural History ◽  
2009 ◽  
Vol 20 (1) ◽  
pp. 31-49 ◽  
Author(s):  
PETER D. JONES

AbstractThis paper examines the issue of pauper agency under the old poor law. It relies on an examination of the ‘voice’ of paupers as it appears in a hitherto neglected source, pauper letters. The ‘face-to-face’ nature of poor relief has often been commented upon by historians, yet despite an ongoing historical preoccupation with all aspects of its administration, the question of how paupers actually interacted with, let alone were able to influence, the provision of that relief remains largely unexamined. Concentrating on requests for, or involving the issue of, clothing, this paper argues that paupers not only demonstrated a keen awareness of the imperatives underpinning relief policy in the locality, but also utilised aspects of many long-standing and powerful cultural discourses to strengthen their case for clothing relief.


2019 ◽  
pp. 176-185
Author(s):  
Nadiia Koloshuk

Reflections of the outstanding scholar-Slavicist Yuriy Shevelov about his paradoxical experience of ethnic- identification, on the background of this problem as a general human and fundamental one, have a lot of weight. The escape of a young Ukrainian scientist from occupied Kharkiv to the West was driven by conscious aspirations to self-fulfillment and freedom. The path from Ukraine to Europe, and later to America, saved him from war and physical destruction, which threatened not only him but also a significant part of his people. Thinking of this path as salvation, he soberly and quite tolerably showed the environment of the Ukrainian and foreign intellectuals. He was a close acquaintance with them in pre- war and occupied Kharkiv and Lviv, in the German DP camps for Ukrainian refugees, in the research centers of Western Europe, and later in the United States. Openness and sincerity, as well as the scale of experience and depiction, the depth and self-criticism of comprehension of his own experience, make the book of Yu. Shevelov particularly valuable in the Ukrainian culture of the twentieth century. Yu. Shevelov rightly considered the reason for a special hatred on the part of representatives of the “Russian world” (in particular, in the face of the Russian emigrant Roman Jakobson and Ukrainian traitor Ivan Bilodid) their desire to destroy in his person a representative of an independent Ukrainian culture, a qualified researcher of its history and language, capable of advancing and advocating scientific ideas, those contradicted their Russification desires, which formed in the minds of the representatives of the scientific community of the western world non-penetrating barriers to the penetration of the voice of the stateless Ukrainian ethnic group. He called a complete defeat the result of his confrontation with the “Russian world” in the western scientific world. However, based on the fact that his labor is now in demand, and those who want to affirm the “Russian world” in the West and in Ukraine were already diminished, we can assert: his efforts have not gone in vain. Identification is that complex of ideas, which is made up in human heads, and here the truth goes up over the lie.


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