Teaching Psychological Medicine on Hospital Rounds: A Liaison Experiment

1978 ◽  
Vol 8 (4) ◽  
pp. 325-334 ◽  
Author(s):  
Ralph N. Zabarenko ◽  
Lucy M. Zabarenko

An unusual version of liaison psychiatry is described in which the object of the liaison is the practicing physician in the hospital setting. Hospital work rounds were used as teaching rounds at frequent intervals over a relatively long time span. The paper demonstrates the usefulness and feasibility of such a project. The processes and principles of teaching psychological medicine in this way are described and exemplified.

ALQALAM ◽  
2015 ◽  
Vol 32 (1) ◽  
pp. 83
Author(s):  
Maftuh Maftuh

For many observers, Banten is well known as an area where the population has a strict religious understanding onislamic law. Colonial officials and experts in Islamic studies such as Snouck Hurgronje and GF Pijper, testified that compared to other Muslims across Java , Muslim in Banten and Cirebon were stricter in practicing Islam . The phenomenon of the social life of the religious community in Banten is necessarily formed within a very long time span. This paper traces the root of the formation of public religious understanding ojMuslim in Banten. Using a socio-historical approach, this paper then leads to the conclusion that the sultan of Banten issued policies that had a greater emphasis to the adherence to the Shari'a rather than Sufism. Religious orientation on the fiqh-oriented can explain the Islamic militancy Banten community, as witnessed by the colonial officials, and even still can be seen up to this present moment.Key words: Jslamization, Sultanate, Banten


Fossil Record ◽  
1999 ◽  
Vol 2 (1) ◽  
pp. 25-61 ◽  
Author(s):  
W.-D. Heinrich

Tendaguru is one of the most important dinosaur localities in Africa. The Tendaguru Beds have produced a diverse Late Jurassic (Kimmeridgian to Tithonian) dinosaur assemblage, including sauropods (<i>Brachiosaurus, Barosaurus, Dicraeosaurus, Janenschia</i>), theropods (e.g., <i>Elaphrosaurus, Ceratosaurus, Allosaurus</i>), and ornithischians (<i>Kentrosaurus, Dryosaurus</i>). Contrary to the well studied skeletal anatomy of the Tendaguru dinosaurs, the available taphonomic information is rather limited, and a generally accepted taphonomic model has not yet been established. Assessment of unpublished excavation sketches by the German Tendaguru expedition (1909–1913) document bone assemblages of sauropod and ornithischian dinosaurs from the Middle Saurian Bed, Upper Saurian Bed, and the Transitional Sands above the <i>Trigonia smeei</i> Bed, and shed some light on the taphonomy of the Tendaguru dinosaurs. Stages of disarticulation range from incomplete skeletons to solitary bones, and strongly argue for carcass decay and post-mortem transport prior to burial. The sauropod bone accumulations are dominated by adult individuals, and juveniles are rare or missing. The occurrence of bones in different superimposed dinosaur-bearing horizons indicates that skeletal remains were accumulated over a long time span during the Late Jurassic, and the majority of the bone accumulations are probably attritional. These accumulations are likely to have resulted from long-term bone imput due to normal mortality events caused by starvation, seasonal drought, disease, old age and weakness. The depositional environment of the Middle and Upper Saurian Bed was mainly limnic to brackish in origin, while the palaeoenvironment of the Transitional Sands was marginal marine. <br><br> Tendaguru zählt zu den bedeutendsten Dinosaurier-Lagerstätten Afrikas. Aus den Tendaguru-Schichten sind zahlreiche Skelettreste von Sauropoden (<i>Brachiosaurus, Barosaurus, Dicraeosaurus, Janenschia</i>), Theropoden (z.B. <i>Elaphrosaurus, Ceratosaurus, Allosaurus</i>) und Ornithischiern (<i>Kentrosaurus, Dryosaurus</i>) geborgen worden. Sie stammen aus der späten Jura-Zeit (Kimmeridge — Tithon). Während der Skelettbau der Tendagurusaurier gut untersucht ist, wirft die Taphonomie des Sauriervorkommens von Tendaguru noch immer Fragen auf. Unklar ist bislang, wie die enormen Anreicherungen von Dinosaurierknochen in den Tendaguru-Schichten zustandekamen. Unveröffentlichte Grabungsskizzen der Deutschen Tendaguru Expedition (1909–1913) erweitern unsere Kenntnisse über die Taphonomie der Tendagurusaurier. In den ausgewerteten Grabungsskizzen sind Knochenansammlungen von Sauropoden und Ornithischiern aus dem Mittleren und Oberen Sauriermergel sowie aus den Übergangsschichten über der <i>Trigonia smeei</i>-Schicht dokumentiert. Die Lage und der Erhaltungszustand der Funde lassen auf erheblichen Zerfall der Kadaver und post-mortalen Transport von Skelettelementen vor der Einbettung schließen. Das Vorkommen von Saurierknochen in mehreren übereinanderliegenden Profilabschnitten der Tendaguru-Schichten zeigt, daß Skelettreste während der späten Jura-Zeit über einen längeren Zeitraum hinweg akkumuliert wurden. Die Ansammlungen von Skelettresten gehen wahrscheinlich auf „normale” Sterbe-Ereignisse zurück, wie z. B. Verhungern, Verdursten, Kankheit, Altersschwäche und jahreszeitliche Dürre. Als Ablagerungsraum der Mittleren und Oberen Saurierschicht kommt ein küstennaher limnischer, zeitweise wohl auch brackischer Küstenstreifen in Betracht. Die knochenführenden Übergangsschichten unter- und oberhalb der Saurierschichten sind randlich marine Ablagerungen. <br><br> doi:<a href="http://dx.doi.org/10.1002/mmng.1999.4860020102" target="_blank">10.1002/mmng.1999.4860020102</a>


2015 ◽  
Vol 2 (2) ◽  
pp. 88-92
Author(s):  
Alex C.N. Holmes ◽  
Sophia J. Adams ◽  
Scott Hall ◽  
Mark A. Rosenthal ◽  
Katharine J. Drummond

AbstractBackgroundTumors of the central nervous system (CNS) have physical and psychological effects that commonly interact and change over time. Although well suited to addressing problems at the interface between physical and psychological medicine, the role of the consultation-liaison psychiatrist has not been previously described in the management of these patients. The purpose of this paper is to summarize the experience of psychiatry liaison attachment within a CNS tumor service and to reflect on its utility within a complex multidisciplinary environment.MethodsA retrospective file review was performed on all cases seen by a psychiatrist in a CNS tumor service over the previous 5 years. A simple thematic inductive analysis was conducted of the common problems experienced by patients and their management by the psychiatrist and within the team.ResultsFive common themes were identified: (i) facilitating adaptation to diagnosis; (ii) supporting living with lower-grade tumors; (iii) managing mental disorders; (iv) neuropsychiatric symptoms of tumor progression; and (v) grief and uncertainty in the advanced stages of illness. The capacity of the psychiatrist to understand and integrate the clinical, pathological, radiological, and treatment information, in communication with colleagues, helped address these challenges.ConclusionsPsychological challenges in CNS tumor patients have both psychological and neurological underpinnings. In our experience, the addition of a liaison psychiatrist to a CNS tumor service was efficient and effective in improving patient management and led to enhanced communication and decision-making within the team.


2020 ◽  
Vol 26 (1) ◽  
pp. 26-82
Author(s):  
Valentina I. Mordvintseva

Abstract The paper presents a comparative analysis of burial assemblages of ‘barbarian’ élites located on the territory of the Crimea between Chersonesos Taurica and the Bosporan kingdom dating from the 3rd century BC to the mid-3rd century AD. The main goal of the research is to define indications of self-identities of the Crimean non-urban societies represented by their élites and to outline their networking inside and outside the peninsula as well as their changes during four chronological periods. The research is based on the precondition that networking in the political sphere is closely connected to the exchange of symbols of power and status. In material culture, such symbols might be represented by the so-called ‘prestige objects’. Changes in the assortment of these items observed over a long time-span are helping to visualize the development of internal and external relationships of social élites.


2015 ◽  
Vol 15 (4) ◽  
pp. 583-596 ◽  
Author(s):  
Kai Tang ◽  
Michael H. Soffel ◽  
Jin-He Tao ◽  
Wen-Biao Han ◽  
Zheng-Hong Tang
Keyword(s):  

2003 ◽  
Vol 183 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Geoffrey G. Lloyd ◽  
Richard A. Mayou

Liaison psychiatry has been recognised in many countries as a special interest or sub-speciality of psychiatry concerned with the management of general hospital patients with psychological problems. However, despite increasing awareness of the emotional and behavioural aspects of illness, it has yet to achieve substantial influence within psychiatry and, more importantly, has had only modest effects on the delivery of medical care by physicians and other specialists. Recognition of its potential by planners and commissioners has been disappointing. Regrettably, in the UK and elsewhere, recent changes in the organisation of health care could hinder its development. This paper argues that in order to make substantial progress there is a compelling need to solve a fundamental obstacle – the separation between psychiatric and general medical care. This requires:(a) convincing the psychiatric profession that consultation-liaison is a distinct sub-speciality;(b) continuing efforts by liaison psychiatrists to define their special expertise and to demonstrate that their services are effective and acceptable to medical colleagues and to patients;(c) persuading those who organise health care that liaison psychiatry services need to be provided and administered as an integral component of comprehensive medical care.


Radiocarbon ◽  
2017 ◽  
Vol 59 (5) ◽  
pp. 1263-1274 ◽  
Author(s):  
Andriey P Borodovskiy ◽  
Marek Krąpiec ◽  
Łukasz Oleszczak

AbstractThis paper presents radiocarbon (14C) dating of Scythian period sites discovered in Northern Altai, Russia, in the 1990s, including large, unlooted barrow cemeteries in the Manzherok region. The results indicate that barrows attributed to the Karakoba culture may represent a long time span from the beginning of the 9th century BC until the beginning of 1st century BC, while those linked with the North Pazyryk culture generally keep within the Scythian period: from the beginning of the 5th century BC to the late 1st century AD. 14C analysis has confirmed the viability of traditional archaeological dating and the contemporaneity of barrows belonging to various cultural traditions (North Pazyryk, Karakoba), and also allowed correlating the horizons of burials to the seismic phenomena observed at the site.


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