Intimacy

2016 ◽  
Author(s):  
Giovanni Stanghellini
Keyword(s):  
Aesthetic Experience ◽  
Signs And Symptoms ◽  
Clinical Situation ◽  
Clinical Encounter ◽  
Shared Understanding ◽  
Scientific Rationalism

This chapter argues that where narrativity ends, intimacy may begin. The clinical encounter is an aesthetic experience. One must dodge the scientific rationalism in order to preserve the phenomenological understanding and achieve an understanding of the meaning of a clinical situation as felt, rather than simply assessing objective signs and symptoms. The acceptance of atmospheres as clinically relevant phenomena is ultimately related to the acknowledgement of the ambiguous nature of the clinical encounter. The clinical encounter is an event suspended between the pathic and the linguistic domains of experience, an open event that invites participation, and must remain so in order to preserve the phenomenological precision. Intimacy is an atmosphere in which both partners feel a sense of connectedness and a shared understanding. It can be encapsulated in the formula ‘aloneness–togetherness’—sharing one’s own aloneness with another person. Intimacy is the meeting of two solitudes. This relatedness is transformational.

scholarly journals Jazz, Kant and Zen

2016 ◽  
Vol 4 (2) ◽  
pp. 301-316
Author(s):  
Jonathan Day
Keyword(s):  
Aesthetic Experience ◽  
Current Work ◽  
Musical Composition ◽  
Final Conclusion ◽  
Shared Understanding ◽  
Avant Garde ◽  
Compositional Practice ◽  
Compositional Approaches ◽  
Made In

Transgression and experimentation are at the heart of the musical composition with which this work begins. The compositional approaches employed developed from a consideration of Kant’s Critique of Judgement (1790) which offers a compelling explanation for the apparently bizarre “claim to objectivity” commonly made in judgements of taste. Kant’s final conclusion around the source of the claim is, for me, disappointing. This current work re-examines and extends his argument through an elision with Zen writing, and offers an alternate account. It is posited that the “claim to objectivity” operates as a linguistic marker, acknowledging the presence of experience that is trans-rational and supra-linguistic, and indicating a point/place at which language ceases to be viable. It relies on and incites an implicit shared understanding that aesthetic experience often exceeds language, and further indicates that one or more of the myriad unspeakable things are accessible nearby. This understanding is explored in relation to compositional practice, finding a powerful synergy with the writing of composers, improvisers, and avant-garde/jazz theorists. The work concludes with the suggestion that aesthetic experience and the “beautiful” may therefore signpost the ineffable, referring back to the score with which this work began.

Cyanide: critical issues in diagnosis and treatment

2007 ◽  
Vol 26 (3) ◽  
pp. 191-201 ◽  
Author(s):  
F J Baud
Keyword(s):  
Carbon Monoxide ◽  
Terrorist Attack ◽  
Carbon Monoxide Poisoning ◽  
Signs And Symptoms ◽  
Clinical Situation ◽  
Diagnosis And Treatment ◽  
Cyanide Poisoning ◽  
Rescue Workers ◽  
Fire Victims ◽  
In Fire

The concern of a terrorist attack using cyanide, as well as the gradual awareness of cyanide poisoning in fire victims, has resulted in a renewed interest in the diagnosis and treatment of cyanide poisoning. The formerly academic presentation of cyanide poisoning must be replaced by more useful knowledge, which will allow emergency physicians and rescue workers to strongly suspect cyanide poisoning at the scene. Human cyanide poisonings may result from exposure to cyanide, its salts, or cyanogenic compounds, while residential fires are the most common condition of exposure. In fire victims, recognition of the cyanide toxidrome has been hampered by the short half-life in blood and poor stability of cyanide. In contrast, carboxyhemoglobin, as a marker of carbon monoxide poisoning, is easily measured and long-lasting. No evidence supports the assumption of the arbitrary fixed lethal thresholds of 50% for carboxyhemoglobin, and 3 mg/L for cyanide, in fire victims. Preliminary data, drawn when comparing pure carbon monoxide and pure cyanide poisonings, suggest that a cyanide toxidrome can be defined considering signs and symptoms induced by cyanide and carbon monoxide, respectively. Prospective studies in fire victims may provide value in clarifying signs and symptoms related to both toxicants. Cyanide can induce a lifethreatening poisoning from which a full recovery is possible. A number of experimentally efficient antidotes to cyanide exist, whose clinical use has been hampered due to serious side effects. The availability of potentially safer antidotes unveils the possibility of their value as first-line treatment, even in a complex clinical situation, where diagnosis is rapid and presumptive.

scholarly journals Ultrasonography of the biliary tract – up to date. The importance of correlation between imaging methods and patients’ signs and symptoms.

2015 ◽  
Vol 17 (3) ◽  
pp. 383 ◽  
Author(s):  
Radu Badea ◽  
Razvan Zaro ◽  
Marcel Tantau ◽  
Liliana Chiorean
Keyword(s):  
Imaging Technique ◽  
Signs And Symptoms ◽  
Biliary Tree ◽  
Final Diagnosis ◽  
Clinical Situation ◽  
Imaging Procedures ◽  
Clinical Context ◽  
Imaging Methods ◽  
First Choice ◽  
Available Technology

Ultrasonography is generally accepted and performed as a first choice imaging technique in patients with jaundice. The method allows the discrimination between cholestatic and mechanical jaundice. The existing procedures are multiple: gray scale, Doppler, i.v. contrast enhancement, elastography, tridimensional ultrasonography, each of these with different contribu- tion to the positive and differential diagnosis regarding the nature of the jaundice. The final diagnosis is a multimodal one and the efficiency is dependent on the level of the available technology, the examiner’s experience, the degree and modality of in- tegration of the data within the clinical context, as well as on the portfolio of available imaging procedures. This review shows the main ultrasonographic methods consecrated in the evaluation of the biliary tree. It also underlines the integrated character of the procedures, as well as the necessity to correlate with other imaging methods and the clinical situation.

IMPACT OF CASE BASED LEARNING IN UNDERSTANDING PHYSIOLOGY

2021 ◽  
pp. 5-6
Author(s):  
Anupi Das ◽  
Purnima Barua ◽  
Pranabika Mahanta
Keyword(s):  
Clinical Signs ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Clinical Situation ◽  
Clinical Aspects ◽  
Innovative Teaching ◽  
Case Based Learning ◽  
Clinical Signs And Symptoms ◽  
Teaching Learning ◽  
Case Based

The knowledge of Physiology is extremely necessary for a new medical student to understand the basic functions of human body. Traditionally the entire syllabus of Physiology is completed through didactic lectures and practical sessions. In case of lecture the role of learners is passive and there is less or no interaction of the student with teacher. Case based learning is one of the innovative teaching-learning methodology which can make this subject interesting, clinically useful, and can enable the students to learn it by correlating with its clinical aspects. Cases are generally written as problems that provide the student with a background of a patient or other clinical situation. Supporting information is provided, such as latest research articles, vital signs, clinical signs and symptoms, and laboratory results. CBL allows students to develop a collaborative, team based approach to their education.

The Association among Pyoderma Gangrenosum, Ulcerative Colitis, and Hidradenitis Suppurativa and the Syndromic Hidradenitis Suppurativa Network: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Vincenzo Bettoli ◽  
Natale Schettini ◽  
Marco Libanore ◽  
Valeria Scuderi ◽  
Pierantonia Zedde ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Pyoderma Gangrenosum ◽  
Hidradenitis Suppurativa ◽  
Inflammatory Diseases ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
Clinical Situation ◽  
Cutaneous Manifestations ◽  
Gi Symptoms

Hidradenitis suppurativa (HS), together with other inflammatory diseases, is involved in a syndromic network where different combinations of signs and symptoms characterize the definition. The observation of the concurrent occurrence of HS, pyoderma gangrenosum (PG), and inflammatory bowel disease (IBD), in detail ulcerative colitis (UC), led the authors to describe a new association. The patient, a 36-year-old woman, who saw IBD as the first appearing condition, shortly followed by HS and PG, was referred because of a clinical situation quickly worsening. A severe aggravation of both GI symptoms and general systemic situation total led to total colectomy. Surprisingly, shortly after the radical surgical treatment of UC, the cutaneous manifestations of HS and PG with no specific treatment almost completely disappeared suggesting the existence of a common etiopathogenetic mechanism and possibly an inductor role of UC on the other disorders. The presentation of this case offers the opportunity to deal with the fact that the resolution of one of the associated conditions may lead to the clearance of one or more of the others. It confirms a pathogenetic link between them and the pivotal role of one of them, in this case colitis.

“Where is Dementia?” A Systematic Literature Review Exploring Neuroanatomical Aspects of Dementia

2017 ◽  
Vol 2 (15) ◽  
pp. 9-23 ◽  
Author(s):  
Chorong Oh ◽  
Leonard LaPointe
Keyword(s):  
English Language ◽  
Signs And Symptoms ◽  
Behavioral Symptoms ◽  
Journal Articles ◽  
People With Dementia ◽  
Different Types ◽  
Precise Diagnosis ◽  
Physical Changes ◽  
The Brain ◽  
Language Literature

Dementia is a condition caused by and associated with separate physical changes in the brain. The signs and symptoms of dementia are very similar across the diverse types, and it is difficult to diagnose the category by behavioral symptoms alone. Diagnostic criteria have relied on a constellation of signs and symptoms, but it is critical to understand the neuroanatomical differences among the dementias for a more precise diagnosis and subsequent management. With this regard, this review aims to explore the neuroanatomical aspects of dementia to better understand the nature of distinctive subtypes, signs, and symptoms. This is a review of English language literature published from 1996 to the present day of peer-reviewed academic and medical journal articles that report on older people with dementia. This review examines typical neuroanatomical aspects of dementia and reinforces the importance of a thorough understanding of the neuroanatomical characteristics of the different types of dementia and the differential diagnosis of them.

Klinische Langzeitergebnisse der perkutanen transluminalen Angioplastie bei Patienten mit peripherer arterieller Verschlusskrankheit

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 36-42 ◽  
Author(s):  
. Bucek ◽  
Hudak ◽  
Schnürer ◽  
Ahmadi ◽  
Wolfram ◽  
...  
Keyword(s):  
Success Rate ◽  
Clinical Stage ◽  
Ankle Brachial Index ◽  
Clinical Situation ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Term Outcome ◽  
Long Term Outcome

Background: We investigated the long-term clinical results of percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial occlusive disease (PAOD) and the influence of different parameters on the primary success rate, the rate of complications and the long-term outcome. Patients and methods: We reviewed clinical and hemodynamic follow-up data of 166 consecutive patients treated with PTA in 1987 in our department. Results: PTA improved the clinical situation in 79.4% of patients with iliac lesions and in 88.3% of patients with femoro-popliteal lesions. The clinical stage and ankle brachial index (ABI) post-interventional could be improved significantly (each P < 0,001), the same results were observed at the end of follow-up (each P < 0,001). Major complications occurred in 11 patients (6.6%). The rate of primary clinical long-term success for suprainguinal lesions was 55% and 38% after 5 and 10 years (femoro-popliteal 44% and 33%), respectively, the corresponding data for secondary clinical long-term success were 63% and 56% (60% and 55%). Older age (P = 0,017) and lower ABI pre-interventional (P = 0,019) significantly deteriorated primary clinical long-term success for suprainguinal lesions, while no factor could be identified influencing the outcome of femoro-popliteal lesions significantly. Conclusion: Besides an acceptable success rate with a low rate of severe complications, our results demonstrate favourable long-term clinical results of PTA in patients with PAOD.

Neuropsychological Deficits in the Prodromal Phase and Course of an Early-Onset Schizophrenia

2014 ◽  
Vol 42 (3) ◽  
pp. 167-176 ◽  
Author(s):  
Vanessa Puetz ◽  
Thomas Günther ◽  
Berrak Kahraman-Lanzerath ◽  
Beate Herpertz-Dahlmann ◽  
Kerstin Konrad
Keyword(s):  
Verbal Memory ◽  
Early Onset ◽  
Neuropsychological Functioning ◽  
Neuropsychological Testing ◽  
Clinical Situation ◽  
Adolescent Male ◽  
Antipsychotic Treatment ◽  
Early Onset Schizophrenia ◽  
Prodromal Phase ◽  
Illness Onset

Objectives: Although clear advances have been achieved in the study of early-onset schizophrenia (EOS), little is known to date about premorbid and prodromal neuropsychological functioning in EOS. Method: Here, we report on a case of an adolescent male with EOS who underwent neuropsychological testing before and after illness onset. Results: Marked cognitive deficits in the domains of attention, set-shifting, and verbal memory were present both pre-onset and during the course of schizophrenia, though only deficits in verbal memory persisted after illness-onset and antipsychotic treatment. Conclusion: The findings of this case study suggest that impairments in the verbal memory domain are particularly prominent symptoms of cognitive impairment in prodromal EOS and persist in the course of the disorder, which further demonstrates the difficult clinical situation of adequate schooling opportunities for adolescent patients with EOS.

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