Suicide and the Stress of Residency Training: A Case Report and Review of the Literature

1989 ◽  
Vol 64 (3) ◽  
pp. 951-959 ◽  
Author(s):  
Robert A. Kirsling ◽  
Mahendr S. Kochar

Suicide rates among physicians have been reported to be twice that of the general adult population. Few data are available, however, regarding suicide among resident physicians. A case study of the suicide of a male intern is discussed. The literature is reviewed to elucidate potential contributory factors including reported causes and manifestations of stress among resident physicians, suicide rates among physicians including house staff with considerations of sex, and common personality characteristics of physicians and medical students. Recommendations are extended which may assist in early recognition and treatment of individuals at risk of impairment and suicide.

Author(s):  
Sultan Alamrani ◽  
Shahd Rummani ◽  
Zainab Khamdan ◽  
Aisha Alharbi ◽  
Ahmad Alshahrani ◽  
...  

GIS Business ◽  
2016 ◽  
Vol 12 (4) ◽  
pp. 45-56
Author(s):  
Kingstone Mutsonziwa ◽  
Obert K. Maposa

Mobile money in Zimbabwe has extensively extended the frontiers of financial inclusion to reach millions who were earlier excluded within a relatively short space of time. The growing use of mobile phones in transferring money and making payments has significantly altered the countrys financial inclusion landscape as millions who had been hitherto excluded can now perform financial transactions in a relatively cheap, reliable and secure way. The FinScope results found out that 45% of the adult population use mobile money services. Of those using mobile money, 65% mentioned that is convenient, while 36% mentioned that it is cheap. Mobile money is accessible. These drivers are in the backdrop of few or no bank branches in rural communities as well as time and cost of accessing the bank branches. In Zimbabwe, mobile money is mostly used as a vehicle for remittances. While some people are enjoying mobile money services, it is important to mention that there are still people who are excluded from the formal financial system. The reasons why people do not use mobile money are mainly related to poverty issues. Mobile money remains a viable option to push the landscape of financial inclusion in Zimbabwe and other emerging markets where the formal financial system might not be strong.


2020 ◽  
Author(s):  
Orestis Zavlis ◽  
Myles Jones

Substantial overlap exists between schizophrenia and autism spectrum disorders, with part of that overlap hypothesised to be due to comorbid social anxiety. The current paper investigates the interactions and factor structure of these disorders at a personality trait level, through the lens of a network model. The items of the Autism Quotient (AQ), Schizotypal Personality Questionnaire Brief-Revised (SPQ-BR), and the Liebowitz Social Anxiety Scale (L-SAS) were combined and completed by 345 members of the general adult population. An Exploratory Graph Analysis (EGA) on the AQ-SPQ-BR combined inventory revealed two communities (factors), which reflected the general autism and schizotypal phenotypes. An additional EGA on all inventories validated the AQ-SPQ-BR factor structure and revealed another community, Social Anxiety (L-SAS). A Network Analysis (NA) on all inventories revealed several moderately central subscales, which collectively reflected the social-interpersonal impairments of the three disorders. The current results suggest that a combination of recent network- and traditional factor-analytic techniques may present a fruitful approach to understanding the underlying structure as well as relation of different psychopathologies.


2013 ◽  
Vol 44 (12) ◽  
pp. 2861-2864 ◽  
Author(s):  
Jennifer K. Sehn ◽  
Lindsay M. Kuroki ◽  
Margaret M. Hopeman ◽  
Ryan E. Longman ◽  
Colleen P. McNicholas ◽  
...  

2021 ◽  
Vol 8 (1) ◽  
pp. e000628
Author(s):  
Kurt Boeykens ◽  
Ivo Duysburgh

BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.


Author(s):  
Yakhya Cisse ◽  
El Hadji Cheikh Ndiaye Sy ◽  
Abdoulaye Diop ◽  
Habibou Sarr ◽  
Louncény Fatoumata Barry ◽  
...  

Heliyon ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. e06329
Author(s):  
Yihui Chen ◽  
Marcus G. Mah ◽  
Jenny G.H. Low ◽  
Eng Eong Ooi ◽  
Yvonne C.F. Su ◽  
...  

Author(s):  
Won Ju Hwang ◽  
Ji Sun Ha ◽  
Mi Jeong Kim

Background: Scoping reviews of the literature on the development and application of mental health apps based on theoretical suggestions are lacking. This study systematically examines studies on the effects and results of mental health mobile apps for the general adult population. Methods: Following PICOs (population, intervention, comparison, outcome, study design), a general form of scoping review was adopted. From January 2010 to December 2019, we selected the effects of mental health-related apps and intervention programs provided by mobile to the general adult population over the age of 18. Additionally, evaluation of methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) checklist. Results: Fourteen studies were analyzed of 1205 that were identified; duplicate and matching studies were excluded. One was a descriptive study and 13 were experimental, of which randomized control trials (RCTs) accounted for 71.4%. Four of the mobile apps were developed based on cognitive behavior theory, one based on stress theory, and one on ecological instant intervention theory. These apps included breathing training, meditation, and music therapy. Stress, depression, and anxiety decreased using these apps, and some were effective for well-being. Conclusion: With the rapid development of technology related to mental health, many mobile apps are developed, but apps based on theoretical knowledge and well-designed research are lacking. Further research and practices should be conducted to develop, test, and disseminate evidence-based mHealth for mental health promotion. RCT studies are needed to expand the application to mental health services to various populations.


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