scholarly journals Psychiatric aspects of diabetes mellitus

1998 ◽  
Vol 4 (3) ◽  
pp. 159-166 ◽  
Author(s):  
Peter Trigwell ◽  
Robert Peveler
Keyword(s):  
Diabetes Mellitus ◽  
Psychiatric Disorders ◽  
Psychosocial Impact ◽  
Psychological Problems ◽  
The Other ◽  
Accidental Coincidence ◽  
Clinical Problems

In 1899, Maudsley wrote:“Diabetes is a disease which often shows itself in families in which insanity prevails: whether one disease predisposes in any way to the other or not, or whether they are independent outcomes of a common neurosis, they are certainly found to run side by side, or alternately with one another more often than can be accounted for by accidental coincidence or sequence”.Recent research confirms that a range of psychological problems and psychiatric disorders are common in people with diabetes. Such problems are important not only because of the suffering caused, but also because of their impact upon the management and outcome of the diabetes itself. This article reviews the psychosocial impact of diabetes and its treatment, describes the range of psychological problems and psychiatric disorders which commonly occur in people with diabetes, and outlines the role of the psychiatrist in the recognition and management of these clinical problems.

scholarly journals Peran Faktor-faktor Psikologis terhadap Depresi pada Pasien Diabetes Mellitus Tipe 2

2014 ◽  
Vol 41 (2) ◽  
pp. 241
Author(s):  
Jenita DT Donsu ◽  
M Noor Rochman Hadjam ◽  
Ahmad Husain Asdie ◽  
Rahmat Hidayat
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Psychological Factors ◽  
Self Esteem ◽  
Mediating Effect ◽  
The Other ◽  
Negative Coefficient ◽  
Other Hand ◽  
The Relationship

Depression has strong relationship with diabetes mellitus and the aspect of psychology has influence toward the diabetes patient as control. This research aimed to find out the role of psychological factors in dealing with depression suffered by patient of DM-2 and to see the dynamics of both direct and indirect relationship of psychological factors toward the depression of DM-2 patient. The main model is a model that can bring effect of mediation between social support and depression caused by DM-2. Optimism can provide mediating effect of the relationship between social support and self-esteem. Resilience can provide mediating effect of the relationship between social support and self-esteem. Similarly, self-esteem acts as the mediator of the relationship between optimism and resilience toward the depression of DM-2 patient. The result of estimation parameter test showed the direct relationship between social support toward optimism (0.717), resilience (0.811), self-esteem (0.269) and depression (-0.210) and the direct role to depression (-0.397). The higher social support and self-esteem will cause the higher optimism and resilience. On the other hand, the role of self-esteem showed negative coefficient. On the other hand, the role of self-esteem to depression showed a negative coefficient is, the higher self-esteem will be followed by the decrease of depression in patient with DM-2. Keywords: depression, optimism, resilience, self-esteem, social support, DM-2

Cognitive Therapy of Religious Depressed Patients: Common Concepts Between Christianity and Islam

2011 ◽  
Vol 25 (3) ◽  
pp. 177-188 ◽  
Author(s):  
Sasan Vasegh
Keyword(s):  
Psychiatric Disorders ◽  
Cognitive Therapy ◽  
Religious Beliefs ◽  
The Other ◽  
Case Examples ◽  
Depressed Patients ◽  
The World ◽  
And Behaviors ◽  
Religious Thoughts

The two most prevalent religions in the world are Christianity and Islam, each having more than one billion followers. It is well known that religious beliefs, including Christian and Islamic thoughts and beliefs, affect the feelings and behaviors of religious people. Many times, the psychopathological thoughts have religious contents. On the other hand, some studies have reported faster recovery of religious anxious and depressed patients by adding religious techniques, cognitions, and behaviors to the usual psychotherapy. This article discusses several religious thoughts and beliefs common to Christianity and Islam that the author has found useful in cognitive therapy of religious depressed patients and offers three case examples to illustrate how to use them. A set of such religious thoughts and concepts has important potential implications: more effective psychotherapy of religious Christian or Muslim patients, decreasing biases towards the patients from the other religion, and designing questionnaires and manuals for assessing the role of these thoughts in treatment or prevention of psychiatric disorders.

scholarly journals Analysis of Codon 972 (Gly → Arg) Polymorphism in IRS-1 Gene in Type 2 Diabetic Population

2012 ◽  
Vol 31 (3) ◽  
pp. 234-238 ◽  
Author(s):  
Robby Kumar ◽  
Nishant Sharan
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Signalling ◽  
The Other ◽  
Diabetic Population ◽  
Major Factors ◽  
Prevalence Of Diabetes Mellitus ◽  
Pi3 Kinase Pathway ◽  
Type 2 Diabetic

Analysis of Codon 972 (Gly → Arg) Polymorphism in IRS-1 Gene in Type 2 Diabetic PopulationPolymorphism of Insulin Receptor Substrate-1, especially the GGG→AGG (Gly-Arg) substitution at codon 972, is one of the major factors leading to the development of type 2 diabetes mellitus. This defect in IRS-1 causes insulin resistance along with many other consequences. It generally impairs insulin signalling via the phosphadylinositol-3 (PI3)-Kinase pathway. In this study, the heterozygous Gly→Arg substitution at codon 972 of the IRS-1 gene was found in 2 of the 43 control Indian subjects, which is higher than normal when compared with the other population. The prevalence of the codon 972 GGG→AGG substitutions was found to be around 4.6%, which may be due to a predisposition factor. In diabetic subjects, on the other hand, 5 out of 43 showed substitution at codon 972, with a percent prevalence of 14%, establishing the role of the polymorphism of IRS-1 codon in the prevalence of diabetes mellitus.

scholarly journals Predictive Factors and the Role of Traumatic Brain Injury in Stroke.

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Entela Basha ◽  
Altin Kuqo ◽  
P. Djamandi ◽  
Jera Kruja
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Trauma ◽  
The Other ◽  
Systemic Hypertension ◽  
First Year ◽  
Trauma Type

Background: Traumatic brain injury (TBI) is the leading cause of mortality and invalidity worldwide. Objective: To explore whether traumatic brain injury may be a risk factor for subsequent stroke and to evaluate the role of other risk factors correlated with TBI and stroke. Methods: We analysed 643 patients presented in the emergency department of Trauma UHC, from 1stof June 2011 - 1st of December 2011. We evaluated the following factors: age, gender, and severity of head trauma, type of head trauma, systemic hypertension, atrial fibrillation, and diabetes mellitus. Results: During 1-year of follow upperiod 32 (4.97%) strokes occurred in TBI patients. The evaluation was done in correlation with the other risk factors taken into account in the study. Conclusions: The role of TBI is underestimated in the evaluation of stroke. This study demonstrated that during the first year after TBI, 13.53 % of patients experienced stroke. After careful statistical cor-relations with the selected co-morbidities, we found that the diagnosis of stroke was strongly related with TBI.

Plasma Levels of Protein S, Protein C, and Factor X: Effects of Sex, Hormonal State and Age

1995 ◽  
Vol 74 (05) ◽  
pp. 1271-1275 ◽  
Author(s):  
C M A Henkens ◽  
V J J Bom ◽  
W van der Schaaf ◽  
P M Pelsma ◽  
C Th Smit Sibinga ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Postmenopausal Women ◽  
Protein C ◽  
Blood Donors ◽  
Premenopausal Women ◽  
Protein S ◽  
The Other ◽  
Factor X ◽  
Normal Ranges

SummaryWe measured total and free protein S (PS), protein C (PC) and factor X (FX) in 393 healthy blood donors to assess differences in relation to sex, hormonal state and age. All measured proteins were lower in women as compared to men, as were levels in premenopausal women as compared to postmenopausal women. Multiple regression analysis showed that both age and subgroup (men, pre- and postmenopausal women) were of significance for the levels of total and free PS and PC, the subgroup effect being caused by the differences between the premenopausal women and the other groups. This indicates a role of sex-hormones, most likely estrogens, in the regulation of levels of pro- and anticoagulant factors under physiologic conditions. These differences should be taken into account in daily clinical practice and may necessitate different normal ranges for men, pre- and postmenopausal women.

On the role of the dispute between "non-possessors" and "Josephites" in the culture of Moscow's prediction

1998 ◽  
pp. 61-62
Author(s):  
N. S. Jurtueva
Keyword(s):  
The Other ◽  
Moral Transformation ◽  
15Th Century ◽  
The Future ◽  
Secular Power

In the XIV century. centripetal tendencies began to appear in the Moscow principality. Inside the Russian church, several areas were distinguished. Part of the clergy supported the specificobar form. The other understood the need for transformations in society. As a result, this led to a split in the Russian church in the 15th century for "non-possessors" and "Josephites". The former linked the fate of the future with the ideology of hesychasm and its moral transformation, while the latter sought support in alliance with a strong secular power.

From Container to Claustrum: Projective Identification in Couples

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Feldman
Keyword(s):  
Psychological Health ◽  
Projective Identification ◽  
The Self ◽  
The Other ◽  
Intimate Partners ◽  
And Control ◽  
The Relationship ◽  
As If

This paper is a contribution to the growing literature on the role of projective identification in understanding couples' dynamics. Projective identification as a defence is well suited to couples, as intimate partners provide an ideal location to deposit unwanted parts of the self. This paper illustrates how projective identification functions differently depending on the psychological health of the couple. It elucidates how healthier couples use projective identification more as a form of communication, whereas disturbed couples are inclined to employ it to invade and control the other, as captured by Meltzer's concept of "intrusive identification". These different uses of projective identification affect couples' capacities to provide what Bion called "containment". In disturbed couples, partners serve as what Meltzer termed "claustrums" whereby projections are not contained, but imprisoned or entombed in the other. Applying the concept of claustrum helps illuminate common feelings these couples express, such as feeling suffocated, stifled, trapped, held hostage, or feeling as if the relationship is killing them. Finally, this paper presents treatment challenges in working with more disturbed couples.

Thomas More's “rule” of pleasure before, after, and inUtopia

Moreana ◽  
2017 ◽  
Vol 54 (Number 207) (1) ◽  
pp. 36-56
Author(s):  
Gerard Wegemer
Keyword(s):  
Human Nature ◽  
The Other ◽  
Biblical Allusions ◽  
De Officiis

After establishing a context of More's lifelong engagement with the “calculus” of pleasure, this essay shows how the section devoted to the Utopians' pleasure philosophy is structured around five formulations of a “rule” to calculate “true and honest [honesta]” pleasure in ways that playfully imitate and echo the “rule” Cicero formulates several times in De officiis to discern one's duty when there seems to be a conflict between honestas et utilitas. When followed, the Utopian pleasure calculus shows the necessary role of societas, officii, iustitia, caritas, and the other aspects of human nature, most importantly friendship, that Cicero stresses in his rule and that he argued Epicurus ignored. Much of the irony and humor of this section depends on seeing the predominance of Ciceronian vocabulary in Raphael's unusual defense [patrocinium] of pleasure, rather than a Ciceronian defense of duty rooted in honestas. Throughout, however, this essay also shows how More goes beyond Cicero by including Augustinian and biblical allusions to suggest ways that our final end is not as Epicurus or the Stoics or Cicero claim; the language and allusions of this section point to a level of good cheer and care for neighbors and for God in ways quite different from any classical thinker.

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