scholarly journals The management of anorexia nervosa

1996 ◽  
Vol 2 (2) ◽  
pp. 61-68 ◽  
Author(s):  
R. L. Palmer
Keyword(s):  
Anorexia Nervosa ◽  
Late Adolescence ◽  
Systematic Research ◽  
Treatment Intervention ◽  
Treatment Trials ◽  
The Face ◽  
Life Threatening ◽  
The Right ◽  
The Way

The severity of anorexia nervosa can vary from mild to life threatening. It is sometimes transient but often chronic. Such variety of disorder requires variety of response. The clinician must choose the right treatment to offer at the right time. The literature contains plenty of advice but most of this is based upon experience and opinion rather than on systematic research and treatment trials. For the most part, this paper will be no exception. Anorexia nervosa is a disorder which is distinct from other psychiatric syndromes but is of uncertain cause. In the face of this uncertainty, treatment tends to be informed by the favoured formulation of the clinician, usually some sort of ‘multifactorial theory’. Again this paper is no exception. It will concentrate upon the management of anorexia nervosa in late adolescence and adulthood. The treatment of children requires a different approach (Lask & Bryant-Waugh, 1993). The emphasis of the paper will be upon what can go wrong as well as what may be the best interventions to offer. Often the things that go wrong have more to do with the context of treatment and the way in which it is offered rather than with the treatment intervention itself.

scholarly journals AKIVAIZDAUS TAPATUMO KERAI

2009 ◽  
Vol 6 (1-2) ◽  
pp. 84-101
Author(s):  
Nerijus Čepulis
Keyword(s):  
Phenomenological Analysis ◽  
Point Of View ◽  
The Other ◽  
Western Thought ◽  
Traditional Notion ◽  
The World ◽  
The Face ◽  
The Subject ◽  
The Right ◽  
The Way

Šiuo straipsniu siekiama permąstyti tradicinę tapatumo sąvoką. Į tapatumą Vakarų mąstymo istorijoje buvo žiūrima visų pirma ontologiniu požiūriu. Moderniųjų laikų posūkis į subjektą susitelkia į Aš kaip bet kokio tapatumo centrą, pagrindą ir gamintoją. Fenomenologinė analizė tapatumo ištakas pagilina iki Aš santykio su išore, su pasauliu, su kitybe. Tačiau kitybė, tapdama sąmonės turiniu, nėra absoliuti kitybė. Būdas, kuriuo tapatumas, įsisavindamas savinasi pasaulį ir naikina kitybę, yra reprezentacija, siekianti akivaizdumo. Reprezentacija kaip intencionalus įžvalgumas bet kokį objektą lokalizuoja sąmonės šviesoje. Šviesa ir regėjimas – tai paradigminės Vakarų mąstymo tradicijos metaforos. Straipsnyje siekiama parodyti, kodėl ir kaip šviesa bei akivaizdumas netoleruoja absoliučios kitybės. Iš akivaizdumo kerų tapatumas atsitokėti gali tik per atsakingą santykį su Kitu, tai yra etiką. Čia tapatus subjektas praranda pirmumo teisę kito asmens imperatyvo atžvilgiu. Begalybės idėja, draskydama totalų tapatumą iš vidaus, neleidžia jam nurimti ir skatina atsižvelgti į transcendenciją, į kitybę, idant ji būtų laisva nuo prievartinio tapimo egocentrinio tapatumo turiniu ir manipuliacijos auka. Atsakomybė kito žmogaus veido akivaizdoje eina pirma akivaizdaus suvokimo ir įteisina jį.Pagrindiniai žodžiai: tapatumas, akivaizdumas, kitybė, socialumas.Charms of Evident IdentityNerijus Čepulis SummaryIn this article I seek to rethink the traditional notion of identity. In the tradition of Western thought identity was viewed first and foremost from an ontological point of view. After the turn toward the subject, the I is thought of as the centre, the base and the producer of any identity. Phenomenological analysis deepens the origin of identity to the relation of the I to the world, i.e. to the alterity. Yet the alterity, by becoming the content of consciousness, is not an absolute alterity. The way, in which identity assimilates, possesses the world and annihilates alterity, is representation. Representation seeks evidence. Representation as intentional perceptivity localizes every object in the light of consciousness. Light and vision are paradigmatic metaphors of the traditional Western thought. Hence in this article I seek to show why and how light and evidence do not tolerate absolute alterity. Identity can be sobered from the charms of evidence only by responsible relation to the Other, i.e. by ethics. Here identical subject loses the right of priority in front of the imperative of the other person. Idea of infinity worries total identity from within. Infinity does not permit identity to quiet down and induces to heed transcendence and alterity. Only in this way alterity can escape the violence to become a content of egocentrical identity and the victim of manipulation. Responsibility in the face of the other person precedes evident perception and legitimates the latter.Keywords: identity, evidence, alterity, sociality.

Post-physicalism and Beyond

Dialogue ◽  
1992 ◽  
Vol 31 (4) ◽  
pp. 593-622
Author(s):  
D. Vaden House ◽  
Marvin J. McDonald
Keyword(s):  
Philosophical Literature ◽  
Reductive Physicalism ◽  
The Face ◽  
The Right ◽  
Minimal Physicalism ◽  
The Way

It is becoming a commonplace in philosophical literature that physicalism need not be reductive. Non-reductive physicalism seems on the face of it to be a contradiction in terms. Some critics have called the idea of a physicalism without reduction “cheap materialism.” It is, of course, possible to quibble about who has the right to be called a physicalist and to play a game of “more physicalist than thou.” However, it would be more fruitful to develop a non-reductive version of physicalism and show that it retains something of the heart of the physicalist tradition while abandoning the reductionist program. John Post's Faces of Existence is just such a project. Post calls his position non-reductive physicalism. It might also be called Post-physicalist, post-dualist, post-relativist, post-everything. After Post, not much remains the same. While in many ways still just a sketch, Faces of Existence does attempt to do justice both to what he takes to be the basic intuitions of physicalism while jettisoning the reductionist program. There is no attempt to prove the truth of non-reductive physicalism in this book. The primary goal is to demonstrate the logical compatibility of a minimal physicalism and a non-reductive pluralism. Along the way we get an attempt to combine realist truth and the relativity of interpretation, to defend the objectivity of values, and to demonstrate the compatibility of some kind of theism with non-reductive physicalism.

scholarly journals Management of fulminant mucormycosis of maxillary sinus and orbit with uncontrolled diabetic

2021 ◽  
pp. 15-15
Author(s):  
Aleksandar Kiralj ◽  
Benjamin Nalic ◽  
Denis Brajkovic
Keyword(s):  
Paranasal Sinuses ◽  
Maxillofacial Surgery ◽  
Surgical Debridement ◽  
Glucose Levels ◽  
Ocular Movements ◽  
The Face ◽  
Life Threatening ◽  
The Right ◽  
Trigeminal Nerves ◽  
And Control

Introduction. Mucormycosis of paranasal sinuses is a rare life-threatening opportunistic fungal disease that requires urgent treatment. The commonly involved are the immunosuppressed and immunocompetent patients. Patients are presented with facial or orbital cellulitis, necrotic palate, paresthesia of facial or trigeminal nerves and loss of vision, signs of meningitis. Radiological examinations are not sensitive in the early stages of infection. Definitive diagnosis is established by biopsy and histological examination of the necrotic tissue. Case outline. In August 2017, a 52-year-old female diabetic was admitted at Clinic for Maxillofacial surgery due to the swelling and pain in the right side of the face, headache, fever, restriction of ocular movements, purulent rhinorrhea lasting for one week. CT examination showed spreading cellulitis of the right side of the face, total right maxillary end ethmoid sinus heterogeneous occupation and osteitis of the maxillary walls. Radical surgical debridement was performed. Histopathology and microbial tests were consistent with the finding of invasive mucormycosis. Liposomal amphotericin B 5mg/kg per day for four weeks was administered and patient?s glucose levels were controlled with injectable insulin and local status significantly improved. Patient was reoperated later due to the defect of the right maxilla. Conclusion. Early diagnosis and multidisciplinary approach including microbiology, pathology, radiology, surgery, hematology, infectious disease, intensive care and pharmacology is essential. Treatment of mucormycosis of paranasal sinuses requires prompt and aggressive treatment with antifungal agents, surgical debridement and control of predisposing factors.

New Prospects—The Structure of Sea Lanes

1976 ◽  
Vol 29 (4) ◽  
pp. 350-357
Author(s):  
R. B. Richardson
Keyword(s):  
Marine Environment ◽  
Considerable Progress ◽  
New Order ◽  
Modern Life ◽  
Self Help ◽  
The Earth ◽  
Learned Societies ◽  
The Face ◽  
The Right ◽  
The Way

There has been considerable progress within the last three years in the evolution of various traffic procedures in coastal and waterway areas. Society at last seems to be awakening to the need for some order and conformity as a means of protecting the marine environment. And sea people have accepted that communications—like steam—have altered the face of the Earth. Learned societies and professional institutions have each played their part on the new frontiers of sea affairs and we have between us not been backward in promoting our ideas as to what the new order could be. We begin to acknowledge that we belong to our times.We have used the bones of Torrey Canyon and her more recent successors in the Dover, Magellan and Malacca Straits to climb out of an age of obstinate rejection into one of enlightened self-help. Modern life does not tarry with yesterday, and the headlines of past accidents are not necessarily the right titles for future remedies. But they are very useful pointers along the way. Perhaps at last we have understood the nature of the traffic question and can now begin to seek the answers with a broader base of consensus.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

The adaptation of design thinking in auditing

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Linda MEIJER-WASSENAAR ◽  
Diny VAN EST
Keyword(s):  
The Netherlands ◽  
Design Thinking ◽  
Public Organizations ◽  
Design Framework ◽  
The Right ◽  
The Way

How can a supreme audit institution (SAI) use design thinking in auditing? SAIs audit the way taxpayers’ money is collected and spent. Adding design thinking to their activities is not to be taken lightly. SAIs independently check whether public organizations have done the right things in the right way, but the organizations might not be willing to act upon a SAI’s recommendations. Can you imagine the role of design in audits? In this paper we share our experiences of some design approaches in the work of one SAI: the Netherlands Court of Audit (NCA). Design thinking needs to be adapted (Dorst, 2015a) before it can be used by SAIs such as the NCA in order to reflect their independent, autonomous status. To dive deeper into design thinking, Buchanan’s design framework (2015) and different ways of reasoning (Dorst, 2015b) are used to explore how design thinking can be adapted for audits.

Memories for the Return? Remembering the Nakba by the First Generation of Palestinian Refugees in Syria

2017 ◽  
Vol 16 (2) ◽  
pp. 177-192 ◽  
Author(s):  
Anaheed Al-Hardan
Keyword(s):  
First Generation ◽  
Palestinian Refugees ◽  
Oslo Accords ◽  
Right Of Return ◽  
Palestinian Refugee ◽  
Temporal And Spatial ◽  
The Right ◽  
Political Realities ◽  
The Way

The 1948 Nakba has, in light of the 1993 Oslo Accords and Palestinian refugee activists' mobilisation around the right of return, taken on a new-found centrality and importance in Palestinian refugee communities. Closely-related to this, members of the ‘Generation of Palestine’, the only individuals who can recollect Nakba memories, have come to be seen as the guardians of memories that are eventually to reclaim the homeland. These historical, social and political realities are deeply rooted in the ways in which the few remaining members of the generation of Palestine recollect 1948. Moreover, as members of communities that were destroyed in Palestine, and whose common and temporal and spatial frameworks were non-linearly constituted anew in Syria, one of the multiples meanings of the Nakba today can be found in the way the refugee communities perceive and define this generation.

Clinical Case: Complications after Endovascular Treatment of Intracranial Aneurysm in a Patient after Subarachnoid Hemorrhage

2020 ◽  
Vol 8 (1) ◽  
pp. 9-15
Author(s):  
Petrov Nikolay ◽  
◽  
Marinova R. ◽  
Odiseeva Ev.
Keyword(s):  
Intracranial Aneurysm ◽  
Endovascular Treatment ◽  
Clinical Case ◽  
Endovascular Coiling ◽  
Published Data ◽  
Military Medical Academy ◽  
Life Threatening ◽  
Arachnoid Hemorrhage ◽  
The Right ◽  
Brain Artery

Abstract: Intracranial aneurysm is one of the most common neurovascular complications. During the recent years the accepted treatment of enraptured cranial aneurysm is noninvasive endovascular coiling. This technique is modern but it is not without complications which can be serious and life-threatening. A clinical case of a patient admitted to the ICU of Military Medical Academy - Sofia with sub arachnoid hemorrhage is described. After a positive clinical course, the check-up magnetic resonance showed intracranial aneurism of the right carotid artery. The patient underwent angiographic endovascular treatment. Vasospasm of the middle and right brain artery and thrombosis were detected during the procedure. Attempt of thromboaspiration was made without success. This article reviews published data on broad-spectrum researches concerning complications of endovascular coiling of intracranial aneurysms and the ways to prevent and reduce them.

Comparative Views on the Right to Vote in International Law

2018 ◽  
Author(s):  
Shai Dothan
Keyword(s):  
Human Rights ◽  
International Law ◽  
National Courts ◽  
European Court ◽  
Right To Vote ◽  
The Right ◽  
Democratic Elections ◽  
The Way

There is a consensus about the existence of an international right to vote in democratic elections. Yet states disagree about the limits of this right when it comes to the case of prisoners’ disenfranchisement. Some states allow all prisoners to vote, some disenfranchise all prisoners, and others allow only some prisoners to vote. This chapter argues that national courts view the international right to vote in three fundamentally different ways: some view it as an inalienable right that cannot be taken away, some view it merely as a privilege that doesn’t belong to the citizens, and others view it as a revocable right that can be taken away under certain conditions. The differences in the way states conceive the right to vote imply that attempts by the European Court of Human Rights to follow the policies of the majority of European states by using the Emerging Consensus doctrine are problematic.

Normative Concepts

2017 ◽  
Author(s):  
Matti Eklund
Keyword(s):  
Positive Answer ◽  
Thick Concepts ◽  
Normative Concepts ◽  
The Right ◽  
The Way

What is it for a concept to be normative? Some possible answers are explored and rejected, among them that a concept is normative if it ascribes a normative property. The positive answer defended is that a concept is normative if it is in the right way associated with a normative use. Among issues discussed along the way are the nature of analyticity, and there being a notion of analyticity—what I call semantic analyticity—such that a statement can be analytic in this sense while failing to be true. Considerations regarding thick concepts and slurs are brought to bear on the issues that come up.

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