Therapeutic skills and therapeutic expectations in the treatment of migrant individuals and their families

2021 ◽  
pp. 467-474
Author(s):  
Samuel O. Okpaku
Keyword(s):  
Outcome Expectations ◽  
Explanatory Model ◽  
Cultural Issues ◽  
Adherence To Treatment ◽  
Therapeutic Approaches ◽  
Treatment Expectations ◽  
Helping Alliance ◽  
Family Approach ◽  
Central Elements ◽  
History Of

This chapter emphasizes the need to categorize migrants into three major subgroups. This is necessary as different categories may have different needs in terms of documentation, services, and opportunities. The central elements for effective therapeutic approaches are then reviewed. These include the establishment of a helping alliance, the client’s explanatory model, adherence to treatment, and the client’s expectations of the treatment. These expectations may be divided into ‘treatment expectations’ and ‘outcome expectations’. Therapists’ skills and characteristics are also explored. It is suggested that the salient factors in psychotherapy of locals are likely to be the same for migrants, but for this latter group there is a need to be mindful of cultural issues, the history of trauma, and the need for a family approach. The chapter concludes by emphasizing that therapists pay attention to their own values in addition to the issues relating to culture.

Digitally Mediated Identity in the Cases of Two Sámi Artists

2017 ◽  
Author(s):  
Ann Werner
Keyword(s):  
Cultural Issues ◽  
Global Media ◽  
Dominant Form ◽  
Industry Studies ◽  
Media System ◽  
Internet Users ◽  
System P ◽  
Music Consumption ◽  
History Of ◽  
Streaming Services

This chapter explores identity issues in commercial streaming services, which have grown steadily in the 2010s to become the dominant form of music consumption in the Nordic countries, with about 60% of all Internet users in 2015. The chapter offers an alternative to the dominant trend in music industry studies by focusing not on the industry’s interests but instead on broader cultural issues. The chapter presents case studies of two female Sámi artists and their representations on Spotify, YouTube, MySpace, and artists’ websites, taking various aspects of the services into account, including the interface and the algorithm-based recommendations. Informed by feminist cultural studies, the argument is that the industry continues a history of reinforcing stereotypes of ethnicity, indigeneity, and femininity. Thus, commercial streaming is not only making music available to global audiences, it is also selling images of Otherness within an unequal capitalist global media system.

scholarly journals History of IgA Nephropathy Mouse Models

2021 ◽  
Vol 10 (14) ◽  
pp. 3142
Author(s):  
Batoul Wehbi ◽  
Virginie Pascal ◽  
Lina Zawil ◽  
Michel Cogné ◽  
Jean-Claude Aldigier
Keyword(s):  
Iga Nephropathy ◽  
Small Animal ◽  
Experimental Models ◽  
Murine Models ◽  
Therapeutic Approaches ◽  
Complement Components ◽  
Simple Description ◽  
Primary Glomerulonephritis ◽  
History Of ◽  
Small Animal Models

IgA nephropathy (IgAN) is the most common primary glomerulonephritis in the world. It was first described in 1968 by Jean Berger and Nicole Hinglais as the presence of intercapillary deposits of IgA. Despite this simple description, patients with IgAN may present very broad clinical features ranging from the isolated presence of IgA in the mesangium without clinical or biological manifestations to rapidly progressive kidney failure. These features are associated with a variety of histological lesions, from the discrete thickening of the mesangial matrix to diffuse cell proliferation. Immunofluorescence on IgAN kidney specimens shows the isolated presence of IgA or its inconsistent association with IgG and complement components. This clinical heterogeneity of IgAN clearly echoes its complex and multifactorial pathophysiology in humans, inviting further analyses of its various aspects through the use of experimental models. Small-animal models of IgAN provide the most pertinent strategies for studying the multifactorial aspects of IgAN pathogenesis and progression. Although only primates have the IgA1 subclass, several murine models have been developed in which various aspects of immune responses are deregulated and which are useful in the understanding of IgAN physiopathology as well as in the assessment of IgAN therapeutic approaches. In this manuscript, we review all murine IgAN models developed since 1968 and discuss their remarkable contribution to understanding the disease.

Adherence as therapeutic citizenship: impact of the history of access to antiretroviral drugs on adherence to treatment

AIDS ◽  
2007 ◽  
Vol 21 (Suppl 5) ◽  
pp. S31-S35 ◽  
Author(s):  
Vinh-Kim Nguyen ◽  
Cyriaque Yapo Ako ◽  
Pascal Niamba ◽  
Aliou Sylla ◽  
Issoufou Tiendrébéogo
Keyword(s):  
Antiretroviral Drugs ◽  
Adherence To Treatment ◽  
History Of

scholarly journals Rabies in the Critical Care Unit: Diagnostic and Therapeutic Approaches

2011 ◽  
Vol 38 (5) ◽  
pp. 689-695 ◽  
Author(s):  
Alan C. Jackson
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Virus Antigen ◽  
Rabies Vaccine ◽  
Human Rabies ◽  
Therapeutic Approaches ◽  
Rna Detection ◽  
Critical Care Units ◽  
Antiviral Therapies ◽  
History Of

ABSTRACT:Worldwide, human rabies is prevalent where there is endemic dog rabies, but the disease may present unexpectedly in critical care units when suggestive clinical features have passed. In North America transmission from bats is most common and there is often no history of a bat bite or even contact with bats. Laboratory diagnostic evaluation for rabies includes serology plus skin biopsy, cerebrospinal fluid, and saliva specimens for rabies virus antigen and/or RNA detection. Rare patients have survived rabies, and most received rabies vaccine prior to the onset of illness. Therapeutic coma (midazolam and phenobarbital), ketamine, and antiviral therapies (dubbed the "Milwaukee Protocol") were given to a rabies survivor, but this therapy was likely not directly responsible for the favorable outcome. There have been many subsequent failures of similar therapeutic approaches. There is no scientific rationale for the use of therapeutic coma in human rabies. New approaches to treating human rabies need to be developed.

Clinical and pharmacological rationale for principles of therapy for bacterial vaginosis

2021 ◽  
Vol 20 (3) ◽  
pp. 134-145
Author(s):  
N.B. Lazareva ◽  
◽  
E.V. Rebrova ◽  
A.Yu. Ryazanova ◽  
E.V. Shikh ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Metabolic Pathways ◽  
Disease Recurrence ◽  
Gardnerella Vaginalis ◽  
Adherence To Treatment ◽  
Therapeutic Approaches ◽  
New Therapeutic Approaches ◽  
Structural Differences ◽  
Single Use ◽  
Low Incidence

Metronidazole and clindamycin have been the main medications for the treatment of bacterial vaginosis (BV) for 60 years. Despite the available arsenal of therapeutic agents, the frequency of disease recurrence remains high, and therefore the search for new therapeutic approaches remains relevant. In 2017, the FDA (Food and Drug Administration, USA) approved the use of secnidazole for the treatment of BV. As a member of the 5-nitroimidazole group, secnidazole differs structurally from metronidazole and tinidazole by radical groups attached to the annular nitrogen next to the nitro group. Structural differences may explain physicochemical and biochemical differences (e.g., tissue distribution, metabolic pathways) between these agents within the same pharmacological class of 5-nitroimidazoles. Secnidazole has the longest half-life compared to other medications in this group, which can significantly increase adherence to treatment, due to the possibility of achieving a clinical effect after a single use and a low incidence of adverse drug reactions, comparable to placebo. Key words: bacterial vaginosis, gardnerella vaginalis, lactobacilli, metronidazole, secnidazole

scholarly journals Will Saudi's 2030 Vision Raise the Students’ Awareness to National Literature? Saudi Literature and Identity

2021 ◽  
Vol 15 ◽  
pp. 95-105
Author(s):  
Mubarak Altwaiji ◽  
Majed Alenezi ◽  
Sajeena Gayathrri ◽  
Ebrahim Mohammed Alwuraafi ◽  
Maryam Naif Alanazi
Keyword(s):  
National Identity ◽  
Undergraduate Students ◽  
Narrative Analysis ◽  
National Literature ◽  
Cultural Issues ◽  
Social Constructs ◽  
Northern Border ◽  
History Of ◽  
The Rich ◽  
Modern Identity

Forming national identity is placed on top of the seven aspects of High-Impact Educational Practices (HIEPs) in Northern Border University. Similarly, the concept of academic awareness to national literature has been one of the main challenges to national literature in the Middle East. Just as the strong presence of national identity in Saudi’s 2030 vision has initiated re-evaluations of how national identity is shaped, Saudi novel has similar concerns that inform social constructs of national identity through overarching themes and comprehensive representations of cultural issues. This study investigates the ways in which two Saudi novelists interrogate the intertwined issues shared by 2030 vision and national novel which address the archetypal Saudi identity: first, that the construction of modern identity requires much cultural openness with the world; second, that construction of Saudi identity needs exclusion of otherness; and third, that national identity depends on the rich history of two historical regions – Najd and Hijaz - that binds identity to a unified territory. The study focuses on how these novels give visibility to issues that are at the core of 2030 vision’s social and cultural aspect such as life style, appearance behaviours, attitudes, accepting differences and willingness to work and volunteer. Drawing on this narrative analysis, the study advocates for the utility of introducing national novel for undergraduate students to help them perceive identity as a position and support their identity enactment.

scholarly journals On the importance of materials in the Monegros colonisation settlements

ZARCH ◽  
2019 ◽  
pp. 280-291
Author(s):  
Luis Prieto Mochales
Keyword(s):  
Single Unit ◽  
Architectural Heritage ◽  
Doctoral Thesis ◽  
Research Framework ◽  
Inherent Value ◽  
Urban Heritage ◽  
Central Elements ◽  
History Of ◽  
Materials Used

Two central elements converge in the heritage values of Spain’s colonisation settlements in general and of those in the Los Monegros region in particular: the notion of the single unit and the fusion of modernity and tradition. Materials play an important role in both aspects. This analysis seeks to identify the values in the original projects that are essential in order to recognise colonisation settlements as examples of architectural and urban heritage. The premise of this analysis is that the materials used to build these towns and villages have inherent value and, as such, must be maintained and conserved. This paper forms part of a larger research framework, a doctoral thesis currently underway, in which the present conditions, degree of conservation and causes of deterioration observed in the colonisation settlements of Los Monegros are being analysed. After a series of general reflections on the architectural heritage of the materials, and after subsequent study of their current condition of the materials, guidelines are proposed for the improvement of their conservation. A series of possible criteria are also set out that can serve as a guide for any interventions to be made to the architectural heritage of these settlements, which are part of the overall history of Spain’s agrarian colonisation project.

USURPATION AND “THE SOCIAL” IN BENJAMIN CONSTANT'S COMMENTAIRE

2018 ◽  
Vol 17 (1) ◽  
pp. 55-84 ◽  
Author(s):  
GIANNA ENGLERT
Keyword(s):  
Social Issues ◽  
Political Liberalism ◽  
The Political ◽  
Modern Age ◽  
Political Implications ◽  
The Social ◽  
Central Elements ◽  
History Of ◽  
Religious Elements ◽  
Liberal Thought

As part of Benjamin Constant's academic “revival,” scholars have revisited the political and religious elements of his thought, but conclude that he remained uninterested in the nineteenth century's major social and economic questions. This article examines Constant's response to what would later become known as “the social question” in his Commentary on Filangieri's Work, and argues that his claims about poverty and its alleviation highlight central elements of his political liberalism, especially on the practice of citizenship in the modern age. By interpreting social issues through his original political lens of “usurpation,” Constant encouraged skepticism of social legislation and identified the political implications of a “disinherited” poor class. The lens of usurpation ultimately limited the scope of Constant's solutions to poverty. But his attention to social and economic issues prompts us to reexamine the category of “the social” and its uses in the history of liberal thought, particularly the place of class concerns in the French liberal tradition.

Anything but a shocking solution – the effectiveness of Cefaly® in non-migrainous headache

2017 ◽  
pp. 138-139
Author(s):  
Pedro André Kowacs ◽  
Paulo Sergio Faro Santos ◽  
Elcio Juliato Piovesan ◽  
Helio Afonso Ghizoni Teive
Keyword(s):  
Episodic Migraine ◽  
Therapeutic Approaches ◽  
Resting Tremor ◽  
Upper Trapezius ◽  
History Of ◽  
Daily Headache ◽  
The Right ◽  
Migrainous Headache ◽  
Ct And Mri

Background: The transcutaneous supraorbital nerve stimulation with the Cefaly® device has demonstrated safety and efficacy for the prevention of episodic migraine. However, there isn't description of its efficacy in other headaches. Case report: A 78-year-old man was seen because of a 55-year history of daily headache. His medical history revealed Parkinson's disease, dyslipidemia and mild cognitive impairment. Physical examination revealed bradykynesia and asymmetric resting tremor of both arms, the right more affected than the left. There was mild pain on palpation of both upper trapezius muscles adjacent to the occipital bone. Cervical spine X-ray, CT and MRI: no findings. Various therapeutic approaches were done, but without success, so it was decided to prescribe Cefaly®. At his three-month follow-up, he reported an improvement of about 80%. Conclusion: The case described here shows that Cefaly® may be effective in headaches other than migraine.

scholarly journals Voices from the Uncanny Valley

2018 ◽  
Vol 4 (1) ◽  
pp. 45-64
Author(s):  
Tiina Männistö-Funk ◽  
Tanja Sihvonen
Keyword(s):  
Historical Context ◽  
Uncanny Valley ◽  
Cultural Issues ◽  
Technological Systems ◽  
Negative Effects ◽  
Late 19Th Century ◽  
Technical Problems ◽  
Talking Heads ◽  
History Of ◽  
Gender Aspects

Abstract Voice is a powerful tool of agency - for humans and non-humans alike. In this article, we go through the long history of talking heads and statues to publicly displayed robots and fortune-tellers, as well as consumer-oriented products such as the late 19th century talking dolls of Thomas Edison. We also analyse the attempts at making speaking machines commercially successful on various occasions. In the end, we investigate how speech producing devices such as the actual digital assistants that operate our current technological systems fit into this historical context. Our focus is on the gender aspects of the artificial, posthuman voice. On the basis of our study, we conclude that the female voice and other feminine characteristics as well as the figures of exoticized and racialized ‘Others’ have been applied to draw attention away from the uncanniness and other negative effects of these artificial humans and the machinic speech they produce. Technical problems associated with the commercialization of technologically produced speech have been considerable, but cultural issues have played an equally important role.

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