scholarly journals Features of Psychotherapy in Elderly Patients with Affective Disorders in the Outcome of a Pathological Reaction of Grief

2021 ◽  
Vol 29 (4) ◽  
pp. 111-126
Author(s):  
V.V. Kornilov ◽  
V.S. Sheshenin ◽  
N.A. Malkina
Keyword(s):  
Depressive Disorders ◽  
Randomized Study ◽  
Age Factors ◽  
Integrated Approach ◽  
Federal State ◽  
Factors Affecting ◽  
Aged People ◽  
History Of ◽  
Psychotherapeutic Techniques ◽  
Pathological Reaction

The relevance of the work is due to the high prevalence and insufficient degree of study of the outcomes of the pathological reaction of grief (PRG) at a late age. Approaches to the treatment of these disorders, often carried out without taking into account the age factor, are not sufficiently developed. The various psychotherapeutic techniques used in PRG are contradictory and poorly structured. Solving these problems will not only achieve good quality remissions, but also prevent endogenization and chronification of mental disorders. The appearance of a new coronavirus infection, accompanied by high mortality, makes the problem of PRG therapy particularly relevant. Objective: to study the features of psychotherapy of depression in late-aged people with a history of PRG. Design: the work is a fragment of an open non-randomized study of patients with PRG, conducted in the Department of geriatric Psychiatry of the Federal State Budgetary Institution of the National Research Center. Inpatient patients over 60 years of age were studied. The clinical-psychopathological and catamnestic methods were used. Pharmaco-and psychotherapy was used. Results: 60 patients were examined, the majority were women, the average age was 66 years, patients with a first — time depressive episode prevailed-45% and recurrent depressive disorder — 28%. The majority (97.7%) of patients had delayed symptoms of PRG. The features of personality, age factors affecting the course of the disease and the peculiarities of psychotherapy are analyzed. Conclusions: the use of an integrated approach (a combination of psychopharmacotherapy and various types of psychotherapy) to the treatment of depressive disorders in the outcome of PRG is justified.

Accounting and analysis of bankruptcies

2021 ◽  
Author(s):  
Irina Kukukina ◽  
Irina Astrahanceva
Keyword(s):  
Integrated Approach ◽  
Federal State ◽  
Educational Standards ◽  
Educational Organizations ◽  
Multiplicative Factor ◽  
Financial Condition ◽  
History Of ◽  
Analytical Services ◽  
State Educational ◽  
Crisis Managers

The textbook introduces the history of the formation of the institute of bankruptcy, conducting reorganization and liquidation procedures in a crisis, diagnosing the financial condition of an enterprise based on situational and coefficient analysis, multiplicative factor models for assessing the threat of bankruptcy, methods for assessing the value of an insolvent enterprise, as well as accounting for operations related to bankruptcy procedures. The possibilities of an integrated approach to the development of a strategy for overcoming the crisis and choosing ways to restructure a bankrupt enterprise are considered. Meets the requirements of the federal state educational standards of higher education of the latest generation. For teachers, postgraduates and students of higher educational organizations, employees of analytical services, anti-crisis managers.

Criminality Among Immigrants to the United States

2020 ◽  
pp. 161-178
Author(s):  
Eugenio M. Rothe ◽  
Andres J. Pumariega
Keyword(s):  
United States ◽  
The United States ◽  
Federal State ◽  
Border Crossings ◽  
Post Traumatic Stress ◽  
Factors Affecting ◽  
Local Justice ◽  
History Of ◽  
Post Traumatic ◽  
State And Local

The chapter on criminality among immigrants seeks to dispel the myths and to clarify the true statistics of criminality among the immigrant population in the United States. It provides a historical perspective of criminality and immigration and describes the anti-immigrant currents and rhetoric that have emerged throughout the history of the country. It describes the crime rates and socioeconomic factors that generate criminality among legal and undocumented immigrants, providing an in-depth analysis of the three principal federal, state, and local justice system U.S. government databases in order to clarify the true statistics on immigrant criminality. It discusses the variables that affect the levels of criminality, including immigration, class, and race and the statistics and factors affecting criminality among second-generation immigrants and beyond. It describes what constitutes a cultural crime and the plight of immigrants as victims, including border crossings, human trafficking, violence, and exploitation and the contribution of post-traumatic stress disorder as a cause of criminality and as a result of victimization. Ultimately, it discusses the dilemma of immigration as an issue of national security.

scholarly journals Analisis Faktor Yang Mempengaruhi Pembentukan Serumen Obsturan

2021 ◽  
Vol 1 (1) ◽  
pp. 63-74
Author(s):  
Festy Ladyani Mustofa ◽  
Tria Yune ◽  
Muslim Kasim ◽  
Ega Eryzkia
Keyword(s):  
Influence Factor ◽  
Age Factors ◽  
Observational Research ◽  
Cross Sectional ◽  
Factors Affecting ◽  
High Incidence ◽  
History Of ◽  
Cross Sectional Design ◽  
Low Educated ◽  
Methods Analytical

 ABSTRACT: ANALYSIS OF FACTORS AFFECTING THE FORMATION OF CERUMENT OBTURANS Background : Factors that influence the high incidence of obsturan serumen are widely known theoretically, but have not been studied much. This study aims to find out and prove the factors that influence the formation of obsturan serumen.  Objective: To find out what factors are the risk factors for obsturan serumen in outpatients in Polyclinic ent hospital. Pertamina Bintang Amin Bandar Lampung Methods: Analytical observational research with cross-sectional design. Samples in the form of all outpatients who visited polyclinic ENT HOSPITAL. Pertamina Bintang Amin Bandar Lampung, Dated 1 January – 1 December 2019 which meets the criteria for inclusion and excl.Results: Patients with obsturan serumen as many as 300 patients and who do not have obsturan serumen as many as 90 patients. The sexes were the most common in women with 156 respondents (51.5%) and obsturan serumen often occur in patients aged > 18 years as many as 196 respondents (59.5%)  in obsturan serumen education most occurred in low-educated patients, namely as many as 191 (61.8%) in obsturan serumen work was most common in patients working outdoors as many as 269 respondents (69%) and in ear cleaning behaviors most common in patients who frequently clean the ears as many as 180 respondents (69%) and in the history of earaches most found obsturan serumen in those who have a history of earaches as many as 188 respondents (60.3%). Conclusion : Analysis of age factors, occupation, and ear cleaning behavior affects the formation of obsturan serumen.  Keywords : Influence Factor, Serumen Obsturan. INTISARI: ANALISIS FAKTOR YANG MEMPENGARUHI PEMBENTUKAN SERUMEN OBSTURAN  Latar Belakang : Faktor-faktor yang mempengaruhi tingginya insidensi serumen obsturan sudah banyak diketahui secara teoritis, tapi belum banyak diteliti. Penelitian ini bertujuan untuk mengetahui dan membuktikan faktor-faktor yang berpengaruh terhadap pembentukan serumen obsturan.Tujuan Penelitian: Untuk mengetahui faktor apa saja yang menjadi faktor risiko terjadinya serumen obsturan pada pasien rawat jalan di Poliklinik THT RS.Pertamina Bintang Amin Bandar LampungMetode Penelitian: Penelitian observasional analitik dengan desain cross-sectional. Sampel berupa semua pasien rawat jalan yang berkunjung ke poliklinik THT RS.Pertamina Bintang Amin Bandar Lampung, Ngawi tanggal 1 January – 1 Desember 2019 yang memenuhi kriteria inklusi dan eksklusi dengan metode consecutive sampling. Sampel diambil melalui Rekam Medik.Hasil Penelitian: Pasien dengan serumen obsturan sebanyak 300 pasien dan yang tidak terdapat serumen obsturan sebanyak 90 pasien. Jenis kelamin yang paling banyak terdapat serumen obsturan pada perempuan 156 responden (51,5%) dan serumen obsturan sering terjadi pada pasien berusia >18 tahun sebanyak 196 responden (59,5%)  pada pendidikan serumen obsturan  paling banyak terjadi pada pasien yang berpendidikan rendah yaitu sebanyak 191 (61,8%) pada pekerjaan serumen obsturan paling banyak terjadi pada pasien yang bekerja di luar ruangan sebanyak 269 responden (69%) dan pada perilaku membersihkan telinga paling banyak terjadi pada pasien yang sering membersihkan telinga sebanyak 180 responden (69%) dan pada riwayat sakit telinga paling banyak ditemukannya serumen obsturan  pada yang memiliki riwayat sakit telinga sebanyak 188 responden (60,3%).Kesimpulan : Analisis faktor usia,pekerjaan, dan perilaku membersihkan telinga mempengaruhi pembentukan serumen obsturan. Kata Kunci: Faktor Pengaruh, Serumen Obsturan.

Manual therapy and visual color-impulse therapy in the rehabilitation of patients with piriformis syndrome

2020 ◽  
pp. 95-101
Author(s):  
V. A. Frolov ◽  
M. S. Akopyan
Keyword(s):  
Manual Therapy ◽  
Muscle Tone ◽  
Randomized Study ◽  
Integrated Approach ◽  
Medical Rehabilitation ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Group I ◽  
Combined Use ◽  
Visual Color

Introduction. Piriformis syndrome (PS) is a condition accompanied by tension of the piriformis muscle and followed then by compression of the sciatic nerve passing through the piriformis muscle. According to statistics, PS occurs in 6–35 % of patients with lower back pain. Practitioners still face difficulties in treating patients with PS, and it necessitates the searching of new therapy methods and assessment of their compatibility.The goal of research — to study the clinical efficacy of the combined use of manual therapy and visual colorimpulse therapy in patients with piriformis syndrome.Materials and methods. A prospective, controlled, randomized study was conducted in 2019 at the Department of Sports Medicine and Medical Rehabilitation of I. M. Sechenov First Moscow Medical State University. In accordance with the inclusion criteria, 40 patients participated in the study. All participants, depending on the used treatment methodology, were divided by the method of simple randomization using envelopes into two equal groups. In the main group (group I), an integrated approach to treatment was tested: manual therapy in combination with visual color-impulse therapy (CIT); and in the other group (group II) only manual therapy was used.Results. The combined use of manual therapy and CIT in patients with piriformis syndrome leads to a significantly more pronounced decrease in the pain degree and normalization of impaired muscle tone. Also, an integrated approach helps to eliminate existing angiospastic disorders of the lower extremities.Conclusion. The study shows a clear positive dynamics in the integrated use of manual therapy methods in combination with visual color-impulse therapy in the treatment of patients with piriformis syndrome. It is planned to continue the study and assess the possibilities of using the combined technique in different groups of patients (athletes, pregnant women) with this syndrome. 

Profiles of Psychosocial and Clinical Functioning in Adolescence and Risk for Later Depression

2019 ◽  
Author(s):  
Thomas M Olino ◽  
Daniel Klein ◽  
John Seeley
Keyword(s):  
Psychosocial Functioning ◽  
Adolescent Depression ◽  
Depressive Disorders ◽  
Self Report ◽  
Initial Assessment ◽  
Predictive Utility ◽  
Regression Methods ◽  
History Of ◽  
History Of Depression

Background: Most studies examining predictors of onset of depression focus on variable centered regression methods that focus on effects of multiple predictors. In contrast, person-centered approaches develop profiles of factors and these profiles can be examined as predictors of onset. Here, we developed profiles of adolescent psychosocial and clinical functioning among adolescents without a history of major depression. Methods: Data come from a subsample of participants from the Oregon Adolescent Depression Project who completed self-report measures of functioning in adolescence and completed diagnostic and self-report measures at follow-up assessments up to approximately 15 years after baseline. Results: We identified four profiles of psychosocial and clinical functioning: Thriving; Average Functioning; Externalizing Vulnerability and Family Stress; and Internalizing Vulnerability at the baseline assessment of participants without a history of depression at the initial assessment in mid- adolescence. Classes differed in the likelihood of onset and course of depressive disorders, experience of later anxiety and substance use disorders, and psychosocial functioning in adulthood. Moreover, the predictive utility of these classes was maintained when controlling for multiple other established risk factors for depressive disorders. Conclusions: This work highlights the utility of examining multiple factors simultaneously to understand risk for depression.

An overview of Osmotic Drug Delivery System: An update review

2017 ◽  
Vol 6 (7) ◽  
pp. 5426 ◽  
Author(s):  
Hiren J. Patel ◽  
Vaishnavi P. Parikh
Keyword(s):  
Drug Delivery ◽  
Drug Delivery Systems ◽  
Life Cycle Management ◽  
Delivery Systems ◽  
Osmotic Pump ◽  
Factors Affecting ◽  
Advantages And Disadvantages ◽  
New Chemical Entities ◽  
History Of ◽  
Novel Drug

The pharmaceutical industry has faced several marked challenges in order to bring new chemical entities (NCEs) into the market over the past few decades. Various novel drug delivery approaches have been used as a part of life cycle management from which Osmotic drug delivery systems look the most promising one. After discussing the history of osmotic pump development, this article looks at the principles, advantages and disadvantages of osmotic drug delivery systems. Then, the basic components of osmotic pump and factors affecting the design of oral osmotic drug delivery systems are discussed in detail. In the later part of the manuscript, various types of osmotic pumps available in the market and evaluation methods for osmotic drug delivery systems are discussed in detail.

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

2021 ◽  
pp. 112067212110053
Author(s):  
Moustafa Salamah ◽  
Ashraf Mahrous Eid ◽  
Hani Albialy ◽  
Sherif Sharaf EL Deen
Keyword(s):  
Randomized Study ◽  
Early Postoperative Period ◽  
Polyglactin 910 ◽  
Exclusion Criteria ◽  
Congenital Ptosis ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Over Time

Purpose: To compare the efficacy of two different suture types in levator plication for correction of congenital ptosis. Subjects and methods: Prospective comparative interventional randomized study involving 42 eyes of 42 patients aged more than 6 years with congenital ptosis and good levator action. The exclusion criteria were as follows: bilateral ptosis, history of previous surgery, fair or poor levator action, and associated other ocular diseases. Patients were randomized into group A, in which double-armed 5/0 polyester Ethibond were used, and group B, in which double-armed 5/0 Coated Vicryl® (polyglactin 910) suture material we used. Outcomes including eyelid height and stability of eyelid height over time were compared with follow-up data. The MRD was 4.05 ± 0.36 mm and 3.95 ± 0.34 after 1 week for both groups A and B, respectively. At the end of study follow up period (24 weeks), the MRD was 3.60 ± 0.42 mm in group A, and 2.52 ± 0.85 mm in group B. Conclusion: No difference in eyelid height between two groups in early postoperative period, but the postoperative eyelid height was more stable over time in the 5/0 polyester Ethibond group (group A) than in the 5/0 Coated Vicryl® (polyglactin 910) group (group B).

Factors affecting progression to permanent atrial fibrillation in an unselected population of patients with non-permanent form of atrial fibrillation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V.L Malavasi ◽  
E Fantecchi ◽  
V Tordoni ◽  
L Melara ◽  
A Barbieri ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cox Regression ◽  
Area Under The Curve ◽  
Roc Curves ◽  
Factors Affecting ◽  
Cox Proportional Hazard ◽  
Significant Difference ◽  
History Of ◽  
Unselected Population ◽  
Cox Proportional Hazard Regression

Abstract Background Natural history of atrial fibrillation (AF) shows a progression of arrhythmia from non-permanent to permanent AF. Permanent AF was found associated with a worse prognosis than non-permanent one. Aim To assess the factors associated with progression to permanent AF in an unselected population of AF patients with non-permanent AF. Methods In this prospective study we enrolled in- as well as out-patients with non-permanent AF and age ≥18 years, with at least one episode of ECG-documented AF within 1 year. The patients were followed-up at 1 month and every 6 months thereafter. Results Out of 523 patients, 314 (60%) were in non-permanent AF (80 [25.5%] paroxysmal AF, 165 [52.5%] persistent AF, 69 [2%] first diagnosed AF), mostly male (188, 59.9%), median age 71 years (IQ range 62–77), median CHA2DS2VASc 3 (1–4), median HATCH score 1 (1–2). After a median follow-up of 701 (IQ range 437–902) days, 66 patients (21%) showed permanent AF. CHA2DS2VASc and HATCH scores were incrementally associated to progression to permanent AF (CHA2DS2VASc χ2 p=0.001; HATCH χ2 p=0.017; p for trend CHA2DS2VASc <0.001, HATCH p=0.001). At multivariable Cox proportional hazard regression the following variables were significantly associated with AF progression: age (hazard ratio [HR] 1.041; 95% CI: 1.004–1.079; p=0.028), at least moderate left atrial (LA) enlargement (>42 ml/m2) (HR 2.092; 95% CI: 1.132–3.866; p=0.018), antiarrhythmics drugs after the enrollment (HR 0.087; 95% CI: 0.011–0.662; p=0.018), EHRA score >2 (HR 0.351; 95% CI: 0.158–0.779; p=0.010) and Valvular HD (HR 2.161; 95% CI: 1.057–4.420; p=0.035). Adding LA dilation to HATCH score (HATCH-LA) and assigning 2 points based on multivariable Cox regression, HATCH-LA was statistically better in ROC curves in prediction of AF progression vs HATCH score (area under the curve 0.695 vs 0.636; DeLong p=0.0225). Survival-free curves on freedom from permanent AF using as discriminator HATCH-LA score ≤2 vs >2 led to a statistically significant difference (χ2=16.080 p<0.001), but the same was not found for HATCH score (χ2 =3.099; p=0.078). Conclusions In patients without permanent AF, progression of AF was independentely related to age, LA dilation, AF symptoms severity, antiarrhythmic drugs and Valvular HD. HATCH score predicted AF progression and adding to it LA dilation (at least moderate) improved patients stratification for the risk of evolution to permanent AF. Funding Acknowledgement Type of funding source: None

scholarly journals Factors Affecting Thanatosis in the Braconid Parasitoid Wasp Heterospilus prosopidis

Insects ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 48
Author(s):  
Mio Amemiya ◽  
Kôji Sasakawa
Keyword(s):  
Life History ◽  
Antipredator Behavior ◽  
Parasitoid Wasp ◽  
Ecological Perspective ◽  
Background Color ◽  
Factors Affecting ◽  
Death Feigning ◽  
Heterospilus Prosopidis ◽  
History Of

Thanatosis, also called death feigning, is often an antipredator behavior. In insects, it has been reported from species of various orders, but knowledge of this behavior in Hymenoptera is insufficient. This study examined the effects of sex, age (0 or 2 days old), temperature (18 or 25 °C), and background color (white, green, or brown) on thanatosis in the braconid parasitoid wasp Heterospilus prosopidis. Thanatosis was more frequent in 0-d-old individuals and in females at 18 °C. The duration of thanatosis was longer in females, but this effect of sex was weaker at 18 °C and in 0-d-old individuals. The background color affected neither the frequency nor duration. These results were compared with reports for other insects and predictions based on the life history of this species, and are discussed from an ecological perspective.

The Mae on Project: Using Acupuncture for Symptom Relief and Improved Quality of Life for People Living with Hiv and Aids in Rural Thailand

2010 ◽  
Vol 28 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Laura Louie ◽  
Nopporn Pathanapornpandh ◽  
Unchalee Pultajuk ◽  
Robert Kaplan ◽  
Ian Hodgson ◽  
...  
Keyword(s):  
Symptom Relief ◽  
Cost Effective ◽  
Integrated Approach ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Preliminary Evaluation ◽  
Related Symptom ◽  
History Of ◽  
Living With Hiv

Acupuncture in combination with antiretroviral therapies is a potentially useful treatment for HIV-related symptom relief in resource-poor settings. Traditional Chinese medicine has a long history of being used to enhance immune function. In the setting of HIV, Chinese traditional medicine allows for symptom treatment without adding extra medications to a complex drug regime. This paper provides details of a project at Mae On Hospital in rural northern Thailand where allopathic/conventional treatments are used in tandem with acupuncture. A preliminary evaluation of the project suggests that an integrated approach to symptom relief is viewed positively by respondents receiving acupuncture, though further studies are required to confirm the association between acupuncture and symptom relief. The project also demonstrates the feasibility of developing a cost-effective acupuncture programme using local healthcare staff.

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