scholarly journals Psychopathological conditions and somatic consequences of a suicide attempt with a corrosive substance in a patient suffering from long-lasting paranoid schizophrenia - a case study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Małgorzata Romaniuk ◽  
Julita Poleszak-Szabat ◽  
Paweł Krukow
Keyword(s):  
Suicide Attempt ◽  
Negative Symptoms ◽  
Psychiatric Treatment ◽  
Paranoid Schizophrenia ◽  
Sensory Deprivation ◽  
Chemical Agent ◽  
Long Time ◽  
Psychotic Exacerbation

Abstract Background: Schizophrenia is a chronic mental illness that affects 20 million people worldwide. Patients diagnosed with paranoid schizophrenia are characterized by cognitive deficits and the so-called negative symptoms, which significantly lower their quality of life and have implications for their independence and ability to fulfill various social roles. Aim: This study aims to present the case of a 49-year-old woman who has been suffering from schizophrenia for a long time and, due to a psychotic exacerbation with delusions and auditory hallucinations in the form of ordering voices, attempted suicide by ingesting a highly corrosive chemical agent used for unblocking pipes (the so-called “mole”). Case report: The patient was admitted to the 1st Department of Psychiatry, Psychotherapy and Early Intervention of SPSK 1 in Lublin for psychiatric treatment, after being transferred from the SPSK 1 Surgery Clinic, where she was initially admitted after the suicide attempt. Discussion: The psychotic exacerbation in the patient could have resulted from sensory deprivation due to her feeling of loneliness and deep social isolation.

scholarly journals Penerapan Standar Operasional Prosedur Pada Klinik Utama Vincentius Kristus Raja Surabaya

2021 ◽  
Vol 13 (2) ◽  
pp. 146-155
Author(s):  
Jeanne Asteria Wawolangi ◽  
Anita Permatasari
Keyword(s):  
Research Study ◽  
Standard Operating Procedures ◽  
Quality Of Services ◽  
Public Health Services ◽  
Clinic Foundation ◽  
Health Clinics ◽  
Standard Operating ◽  
Long Time

Vincentius Kristus Raja (KR) Main Clinic aims to serve patients effectively and economically in an effort to improve the quality of public health services, especially in Surabaya. This type of research is descriptive qualitative in the form of a case study, to assess the implementation of standard operating procedures at the Vincentius Kristus Raja Main Clinic. Relevant data collection was carried out using questionnaires distributed to personnel related to standard operating procedures. The results of the research study according to the questionnaire indicate that the operational implementation is in accordance with the standard operating procedures that have been set based on the policies of the leadership and the Vincentius Kristus Raja Main Clinic Foundation. Compliance with standard operating procedures is very important because standard operating procedures are guidelines or references for carrying out tasks and work in accordance with their functions. The conclusions and suggestions from this study are that although compliance with standard operating procedures is adequate, the Vincentius Kristus Raja Main Clinic needs to develop and improve the quality of services, especially better communication with patients, both new patients and patients who have been on treatment for a long time at the Vincentius Kristus Raja Main Clinic. Considering that there are now many new health clinics that can be competitors for the Vincentius Kristus Raja Main Clinic, there must be a good response to this phenomenon. The emergence of these new competitors requires the Vincentius Kristus Raja Main Clinic to be able to be competitive in order to face the existing competition by improving the quality and quality of service for patients.

scholarly journals Komunitas Pedesaan di Malaysia : Masalah Dan Tantangan

2021 ◽  
Vol 3 (3) ◽  
pp. 1406-1414
Author(s):  
Teuku Afrizal
Keyword(s):  
Community Development ◽  
Successful Implementation ◽  
Community Members ◽  
Group Discussions ◽  
Long Time ◽  
The Government ◽  
The Village ◽  
Depth Interviews

Community development is an effort to improve the standard of living and quality of life of the community. The Wawasan Village Movement Program is a program that focuses on the development of rural human development towards a village that is more advanced, attractive and profitable. Even though in its implementation, community development is running smoothly and successfully. However, post-success needs to be maintained and sustainable. This article focuses on problems and challenges in the context of rural community development through the Wawasan Village Movement program. This article takes a case study in the Village of Shadow Keningau, Sabah Malaysia. Data collection was carried out through in-depth interviews, focus group discussions and observations. As well as documentation of published and unpublished materials. The article found several important facilitators who became problems and challenges after the successful implementation of the Village Movement Movement program in Keningau Shadow Village. This includes; (i) no further action from the government after the success; (ii) difficulty maintaining existing committees; (iii) idle and using assets for a long time; (iv loosening of social ties. In short, after the success of the government, it is necessary to give encouragement and encouragement to the Desa Bayangan community by making this village a model village. In addition, taking community members as facilitators in fostering other Wawasan Village Movement villages that are being fostered.

scholarly journals Koodinvaihdot ja prosodia

Virittäjä ◽  
2021 ◽  
Vol 125 (2) ◽  
Author(s):  
Mari Wiklund ◽  
Salla Kurhila
Keyword(s):  
Code Switching ◽  
Prosodic Features ◽  
Reported Speech ◽  
Telephone Conversation ◽  
Language Varieties ◽  
Long Time ◽  
Quality Of Voice ◽  
The Relationship

Koodinvaihdolla tarkoitetaan kielen tai kielimuodon vaihtumista toiseksi samassa puhetilanteessa tai tekstissä. Koodinvaihtoja on tutkittu paljon, mutta niiden prosodisten piirteiden käsittely on jäänyt lähinnä maininnan tasolle. Tämä artikkeli tarkastelee lähemmin koodinvaihtojen prosodiaa. Tavoitteena on koodinvaihtoja sisältävää keskusteluaineistoa analysoimalla valottaa prosodian osuutta koodinvaihtojen merkitysten tulkinnassa. Tutkimuksen aineistona on puolen tunnin puhelinkeskustelu, jossa Suomessa syntynyt mutta pitkään Kanadassa asunut nainen keskustelee Suomessa asuvan siskonpoikansa kanssa. Aineistossa on yhteensä 73 koodinvaihtoesiintymää, joissa keskustelun kieli vaihtuu hetkellisesti suomesta englanniksi. Menetelmällisesti tutkimus nojautuu keskustelunanalyysiin. Tutkimuksen tulokset osoittavat, että useimmiten koodinvaihtoihin liittyy sävelkorkeuden ja intensiteetin nousu. Tyypillisiä koodinvaihtotapauksia, joissa sävelkorkeus ja intensiteetti nousevat, ovat lainasanat ja referointi. Lainasanoissa nousulla ohjataan vastaanottajan huomiota ja haetaan hänen reaktiotaan sanoihin, jotka ovat olennaisia vuoron sisällön tai kertomuksen kannalta mutta joiden tunnistamisessa saattaisi olla ongelmia. Referoinnissa sen sijaan prosodiset muutokset auttavat luomaan ”toisen äänen”. Tällöin sävelkorkeuden ja intensiteetin nousemiseen voi liittyä myös värittynyt äänenlaatu. Molemmissa tapauksissa prosodinen kohosteisuus koodinvaihdossa kutsuu vastaanottajaa terästämään huomiotaan kyseisiin sanoihin tai ilmauksiin. Nousevan sävelkorkeuden lisäksi aineistossa esiintyy myös jonkin verran ympäristöä matalammalta sävelkorkeudelta ja hiljaisemmalla äänellä lausuttuja koodinvaihtoilmauksia. Tällöin koodinvaihdot ovat pikemmin vuorovaikutusta jäsentäviä ilmauksia kuin kertomuksen kannalta olennaisia sisältösanoja ja enemmän puhujalle itselleen kuin vastaanottajalle suunnattua puhetta. Prosodian vaihtelulla voidaan siis säädellä vastaanottajuuden astetta ja merkitä käytössä olevien kielten suhdetta toisiinsa.   Code-switching and prosody: A case study of the speech of an expatriate Finn living in Canada Code-switching occurs when a speaker alternates between two or more languages or language varieties in the same conversation or text. As a phenomenon, code-switching has been investigated fairly extensively, but the prosodic features that characterise many of the switches have not gained much attention in previous studies. This article examines the prosody of code-switching instances in more detail. By analysing naturally occurring conversational data, the article sheds light on the role that prosody plays in the interpretation of code-switching instances. The data consists of a 30-minute telephone conversation in which a lady, who was born in Finland but has lived in Canada for a long time, talks with her nephew, who lives in Finland. The conversation features 73 occurrences of code-switching in which the language of the conversation changes momentarily from Finnish to English. The method of our study is that of Conversation Analysis. The results of the study show that the instances of code-switching are usually produced with raised levels of pitch and intensity. Speakers typically use higher pitch and intensity when uttering loanwords or reported speech. As for loanwords, such prosodic marking invites the recipient to pay attention to the word that carries the rise in order to elicit a reaction to words whose recognition might be problematic. In the case of reported speech, however, prosodic features help to create a “second voice”. In addition to changes of pitch and intensity, the quality of voice can be marked in reported speech. In both these cases the prosodic marking carried by the code-switching invites the recipient to pay attention to the words or expressions in question. In addition to raised pitch and intensity, the data also includes several instances in which the code-switching is marked with lowered levels of pitch and intensity. In these cases, the code-switching typically consists of expressions that structure the interaction rather than constitute important content words as regards the ongoing narration. Furthermore, these instances are also more directed towards the speaker herself than to the recipient. Thus, prosodic changes can be used to regulate the degree of recipiency and to indicate the relationship between the languages being used.  

scholarly journals Embolization as a method of treating aneurysms intracranial – a case study

2021 ◽  
Vol 19 (3) ◽  
pp. 262-266
Author(s):  
Wojciech Kołodziej ◽  
◽  
Gabriela Kołodziej-Lackorzyńska ◽  
Dawid Bodusz ◽  
Krzysztof Kołodziej ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
Brain Structures ◽  
Developed Countries ◽  
Health Condition ◽  
Anterior Communicating Artery ◽  
Cerebrovascular Events ◽  
Long Time ◽  
The Brain

Introduction. Cerebrovascular accidents are the third leading cause of death in developed countries. It is a very debilitating disease of the brain structures in which aneurysms are located. For a long time, the only method of treating intracranial aneurysms was surgery. However, mainly due to the difficult placement of the aneurysms, surgical treatment was very difficult. Therefore, in 1953, the method of percutaneous arterial catheterization was developed, which became the basis for the improvement of the field of interventional radiology. Aim. The aim of the research is to describe the method of embolization of intracranial aneurysms and to illustrate it in selected clinical cases. Description of the case. Surgical management of a 60-year-old woman with intracranial aneurysm of the anterior communicating artery after performing computed tomography with contrast. Conclusion. The method of embolization of intracranial aneurysms is a reliable and accurate surgical method that significantly improves the health condition, quality of life of patients and reduces the mortality rate of cerebrovascular events.

Construction Competitiveness Evaluation System of Regional BioPharma Industry and Case Study

2013 ◽  
pp. 80-88
Author(s):  
Bing Zhao ◽  
Dong Sheng Zhang ◽  
Yong Zheng Zhao
Keyword(s):  
Pharmaceutical Industry ◽  
Local Governments ◽  
Evaluation System ◽  
Positive Contribution ◽  
Leading Industry ◽  
Industry Environment ◽  
Long Time ◽  
Industry Planning

Biological pharmaceutical industry not only has the continuous pulling action to region economy, also makes a positive contribution on the human productivity and quality of life. Biological pharmaceutical industry will become the leading industry of the century in quite a long time in the future. Taking Shijiazhuang as an example, according to the regional biopharmaceutical industry planning needs, building the industry competitiveness evaluation system, this paper analyzes the comparative advantage of Shijiazhuang in developing bio-pharmaceutical industry from 4 level evaluation index, including: the industry environment and policy, R & D capability, competitiveness of economic scale and industry support system. Provide a reference for local governments and business.

Farklılık ve Farkındalık Ekseninde Suriyeli Göçmen Nüfusun Sosyolojik Özellikleri: Payas İlçesi Örneği

2019 ◽  
Vol 6 (2) ◽  
pp. 191-212
Author(s):  
Suat Kolukırık ◽  
Nurcan Özcan
Keyword(s):  
Social Cohesion ◽  
Point Of View ◽  
Limited Information ◽  
Cultural Characteristics ◽  
Cultural Aspects ◽  
Syrian Population ◽  
Long Time ◽  
Identity And Difference

Suriye savaşından kuşkusuz en büyük oranda etkilenen ülke tarihi ve coğrafi yakınlığı nedeniyle Türkiye olmuş ve 4 milyona yakın bir Suriyeli nüfusa ev sahipliği yapmak zorunda kalmıştır. Suriye göçü beraberinde güvenlik merkezli pek çok tartışma alanını gündeme taşımış ancak aşırı genelleştirmeler konunun kültürel boyutlarıyla ve farklı görünümleriyle birlikte ele alınmasını engellemiştir. Özellikle Suriye göçünün sayısal büyüklüğü kadar; göç nüfusunun niteliği, göç gruplarının kültürel özellikleri ve sosyolojik birikimlerine ilişkin veriler uzun bir süre sınırlı bazı akademik çalışmada yer bulabilmiştir. Suriyeli göçmen gruplar arasındaki kültürel farklılıkların göz ardı edilmesi ve aşırı genelleştirmeler, kamusal manada sosyal uyumu engelleyen ve olumsuz haber ya da muhalif politik duruşların oluşmasına zemin hazırlayan bir etken olmuştur. Diğer bir ifadeyle göç gruplarının sahip olduğu sosyolojik özelliklere ilişkin sınırlı bilgiler, kimlik ve farklılık boyutlarıyla konunun değerlendirilmesini ötelemiş, spesifik ve insan merkezli kamusal politikaların üretimini ve uygulama pratiklerini geciktirmiştir. Bu perspektiften hareketle çalışmada, Suriye savaşı sonrasında Hatay’ın Payas ilçesine yerleşen Suriyeli göçmen nüfusun sosyolojik görünümü ve kültürel özellikleri, karma araştırma yöntemiyle, anket ve derinlemesine mülakat tekniklerinin birlikte kullanımıyla irdelenmiş; sosyal temsil ve farkındalık temelli yaklaşımların göç ve göçmen yönetimini kolaylaştırıcı bir rol üstlendiği bulgulanmıştır.ABSTRACT IN ENGLISHThe Sociological Characteristics of Syrian Immigrants in Terms of Difference and Awareness: A Case Study in PayasDue to historical and geographical proximity, Turkey has undoubtedly been the country that is affected the most from the Syrian War and had to host almost 4 million of Syrian population. Syrian migration has brought up many security-based discussion fields to the agenda; however, overgeneralisations have prevented the consideration of the topic in terms of cultural aspects and different perspectives. For a long time, the data considering the magnitude of Syrian migration; the quality of the immigrant population; the cultural characteristics of the migration groups; and their sociological backgrounds have only been included in a limited number of academic studies. Ignoring the cultural differences among Syrian immigrant groups along with overgeneralisations has become a factor that prevented public social cohesion and gave way to the emergence of negative news or dissenting political positions. In other words, the limited information concerning the sociological characteristics of the immigration groups have postponed the consideration of the topic in terms of identity and difference; and have set back the production of specific and human-centred public policies and implementation practices. From this point of view, in this study, the sociological outlook and the cultural characteristics of the Syrians that settled in the district of Payas in Hatay after the outbreak of Syrian war have been scrutinised through questionnaires and in-depth interviews, and discussed in terms of identity, sense of belonging, social cohesion, expectation, and social distance parameters.

scholarly journals The Effectiveness of Using Discrete Event Simulation to Optimize the Quality of Service of Outpatient in Iraq: A Case Study

2021 ◽  
Vol 8 (1) ◽  
pp. 40-49
Author(s):  
Maysoon A. Mohammed ◽  
Shaymaa Kadhim Mohsin ◽  
Sarah Jasim Mohammed
Keyword(s):  
Waiting Time ◽  
Discrete Event ◽  
Outpatient Clinics ◽  
Discrete Events ◽  
Event Simulation ◽  
Dental Clinics ◽  
Long Time ◽  
Rich Material

One of the most important healthcare institutions in Iraq is Outpatient clinic that requires a lot of thinking to improve the way to provide services and the nature of care. Outpatient clinics are increasingly keen to meet the needs of care, and this has been recognized as a fundamental issue related to service quality. Therefore, many researchers in various fields have taken this matter as a basis for their research, as it is considered a rich material for research due to the problems these institutions contain. The most important problems faced by outpatient clinics are the waiting time and the insufficient number of clinic staff to perform the various tasks. The aim of this paper is to reduce the waiting time by building a model for the clinic environment, especially dental clinics, and trying to benefit from all the existing medical staff and exploit their experiences. Since the patient spends a long time between registration, returning to the doctor and finally the result or process that the doctor performs, building such a model might help in identifying and improving the problem. The simulation model built in this research for the clinic is based on modelling the discrete events inside the dental clinic using the Arena software. This form is used to assess the quality of services provided by dental outpatient clinics in Iraq.

A New Design Method with CAD Software for Fruit Packaging Machinery

2012 ◽  
Vol 268-270 ◽  
pp. 890-893
Author(s):  
Hua Wei Duan ◽  
Xiao Dong Li ◽  
Xiu Duan Gong
Keyword(s):  
Design Method ◽  
Dynamic Change ◽  
Gas Diffusion ◽  
Package Design ◽  
Packaging Design ◽  
Guava Fruit ◽  
Transport Distance ◽  
Long Time

Based on equations of gas diffusion equilibrium, a new design method, along with a CAD software package, was developed to improve the efficiency of fruit packaging design. Take guava fruit as a case study, the method we developed was used to calculate unknown pack parameters and simulate the dynamic change of in-pack gas concentrations. When the ratio of headspace and fruit volume was 2.5:1, it expended about 200 h before the equilibrium gas exchange was created. However, in the case of 0.3:1 ratio, it needed only 30 h to obtain the equilibrium state. Simulation results are useful for achieving high quality of package design, especially in the case of long transport distance or long-time storage.

Construction Competitiveness Evaluation System of Regional BioPharma Industry and Case Study

2011 ◽  
Vol 3 (2) ◽  
pp. 13-20
Author(s):  
Bing Zhao ◽  
Dong Sheng Zhang ◽  
Yong Zheng Zhao
Keyword(s):  
Pharmaceutical Industry ◽  
Local Governments ◽  
Evaluation System ◽  
Positive Contribution ◽  
Leading Industry ◽  
Industry Environment ◽  
Long Time ◽  
Industry Planning

Biological pharmaceutical industry not only has the continuous pulling action to region economy, also makes a positive contribution on the human productivity and quality of life. Biological pharmaceutical industry will become the leading industry of the century in quite a long time in the future. Taking Shijiazhuang as an example, according to the regional biopharmaceutical industry planning needs, building the industry competitiveness evaluation system, this paper analyzes the comparative advantage of Shijiazhuang in developing bio-pharmaceutical industry from 4 level evaluation index, including: the industry environment and policy, R & D capability, competitiveness of economic scale and industry support system. Provide a reference for local governments and business.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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