scholarly journals Case Report: Why Sleep and Dream Related Psychological Treatments, Such as Sleepcoaching (According to Holzinger&Klösch) and CBT-I Should Be Implemented in Treatment Concepts in the Public Health System—Description of the Nightmare Treatment Process in the Context of PTSD

2021 ◽  
Vol 12 ◽  
Author(s):  
Brigitte Holzinger ◽  
Franziska Nierwetberg ◽  
Gerhard Klösch
Keyword(s):  
Case Report ◽  
Sleep Problems ◽  
System Description ◽  
Psychological Treatments ◽  
Lucid Dreaming ◽  
The Public ◽  
Psychological Measures ◽  
Treatment Processes ◽  
Treatment Concepts ◽  
Nightmare Treatment

In this case report, we explain the story of a woman diagnosed with severe PTSD, suffering from recurrent nightmares involving a traumatizing event. She participated in 6 week lucid dreaming training to help her reduce her nightmare frequency. Our descriptions include her dream reports as well as the results of the psychological assessment conducted. In only 6 weeks, she was able to begin to change her dream plots and to improve several of the psychological measures. In this case, we stated that paying more attention to sleep and, especially nightmares, not only in patients with PTSD, should be standard in treatment processes for psychiatric disorders. We, therefore, underpin our case with literature that explains the benefits of treatments, specifically for sleep problems that do not involve medication.

scholarly journals Plaque erosion causing ST-elevation myocardial infarction after consumption of cannabis and N2O in a 27-year old man: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Bär ◽  
Fabien Praz ◽  
Lorenz Räber
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Adverse Effects ◽  
Cardiovascular Effects ◽  
Drug Eluting Stent ◽  
Culprit Lesion ◽  
Vascular Events ◽  
The Public ◽  
Plaque Erosion ◽  
First Case

Abstract Background The recreational drugs cannabis and nitrous oxide (N2O) are known for pro-atherogenic effects and are associated with an elevated risk of myocardial infarction. These cardiovascular effects might be underestimated by the public. Culprit-lesion composition of myocardial infarctions associated with cannabis and N2O has been unknown so far. This case report aims to raise the awareness of the adverse cardiovascular effects of cannabis and N2O and reports, for the first time, optical coherence tomography (OCT) findings of the culprit lesion. Case presentation This is a case report of a 27-year old man with anterior ST-segment-elevation myocardial infarction (STEMI) after intoxication with cannabis and N2O. Coronary angiography and OCT revealed plaque erosion with subsequent subtotal thrombotic occlusion of the left anterior descending artery that was successfully treated with 1 drug-eluting stent. The patient was symptom free at 6 months follow-up and had been able to abstain from drug consumption. Conclusions This is the first case to demonstrate the association between cannabis and N2O abuse and plaque erosion on OCT in a young man with STEMI. In contrast to smoking, whose adverse effects are well-known, the cardiovascular effects of cannabis and N2O might be underestimated. These adverse effects should gain more awareness in the public to prevent early vascular events in young adults.

scholarly journals Development of a Healthy Eating and Lifestyle Program (HELP) Online Website for Filipinos: A Case Report

2019 ◽  
Author(s):  
Noelle Lyn Santos
Keyword(s):  
Case Report ◽  
Nutrition Education ◽  
User Satisfaction ◽  
Scientific Information ◽  
Public Health Problem ◽  
The Philippines ◽  
Nutrition Information ◽  
Major Public Health Problem ◽  
The Public ◽  
Nutrition Research

Background and Purpose: Non-communicable diseases (NCDs) are a major public health problem in the Philippines and around the world. Preventive measures to reduce its continuous rise require improvement in the health system. Utilization of information and communication technology-(ICT)-based tools will allow dissemination of evidenced-based information in the population. This case report contains the description of the development process of a Web-based nutrition Website. Case Description: ICT-based tools were explored as means of communicating nutrition information to the public because of the increasing access and usage of the Internet among Filipinos. An iterative process with five major phases were followed in the development. Outcome: The Website HELP Online can be accessed through (http://i.fnri.dost.gov.ph/helponline). There is integration of two modules: one for the general public and the other for registered nutritionist dietitians (RND) of the Food and Nutrition Research Institute (FNRI). The first module contained the nutrition counseling platform that connects and records all interactions of online and walk-in clients with their RNDs. The second module contained nutrition calculators, a health tracker, and nutrition education materials. Discussion: The developed HELP Online Website was used for online users to easily access nutrition information and services offered by Department of Science and Technology (DOST)-FNRI. The user-centered design focus in combination with a responsive Web platform resulted in improved user satisfaction. In terms of content, use of the current and accepted scientific information translated to simpler and easier messages were found to be more effective among the target group. Although many issues exist with the continuous use of ICT-based tools, the main purpose is to improve the delivery of evidence-based information to the public.

scholarly journals The aging physician: A practical approach to protect our patients

2019 ◽  
Vol 14 (1) ◽  
pp. 46-49
Author(s):  
John T Fortunato ◽  
Daniel Londyn Menkes
Keyword(s):  
Case Report ◽  
Cognitive Decline ◽  
Medical Practice ◽  
Ethical Dilemmas ◽  
Cognitive Screening ◽  
The Public ◽  
Age Related ◽  
Age Related Cognitive Decline ◽  
Practical Recommendations ◽  
Practicing Physicians

As the median age of practicing physicians increases, ethical dilemmas due to age-related cognitive decline among clinicians will become ever more pressing. Compelling data show that despite acknowledgement of their duty to protect the public, physicians often fail to report themselves, their colleagues, or their physician-patients when cognitive decline appears to impact medical practice adversely. As such, efforts to educate physicians about ethical obligations and various tactful methodologies to report themselves or others seem ineffective. Illustrated by a case report of age-related cognitive decline in a practicing physician, practical recommendations are made both to develop and validate cognitive screening in middle-aged physicians, presumably before the onset of age-related cognitive decline.

scholarly journals Sleep Characteristics, Sleep Problems, and Associations to Quality of Life among Psychotherapists

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Angelika A. Schlarb ◽  
Dorota Reis ◽  
Annette Schröder
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Work Performance ◽  
Sleep Problems ◽  
Well Being ◽  
International Studies ◽  
The Public ◽  
Falling Asleep ◽  
Path Models

Sleep problems, especially insomnia, are a common complaint among adults. International studies have shown prevalence rates between 4.7 and 36.2% for sleep difficulties in general, whereas 13.1–28.1% report insomnia symptoms. Sleep problems are associated with lower social and academic performance and can have a severe impact on psychological and physical health. Psychotherapists are suppliers within the public health system. The goal of this study was to outline sleep characteristics, prevalence of sleep problems, insomnia, and associations of quality of life among psychotherapists. A total of 774 psychotherapists (74.7% women; mean age 46 years) participated in the study. Sleep characteristics, sleep problems, well-being, life satisfaction and workload, as well as specific job demands, were assessed via a questionnaire. Analyses revealed that more than 4.2% of the surveyed psychotherapists have difficulties falling asleep, 12.7% often wake up in the night, and 26.6% feel tired, and 3.4% think that their interrupted sleep affects work performance. About 44.1% of them suffer from symptoms of insomnia. Path models showed that insomnia is significantly related to well-being and life satisfaction.

scholarly journals Methods of Exploring Transpersonal Lucid Dreams: Ineffability and Creative Consciousness

2020 ◽  
Vol 15 (15) ◽  
pp. 53-69
Author(s):  
Fariba Bogzaran
Keyword(s):  
Reflective Practice ◽  
Quantitative Research ◽  
Phenomenological Study ◽  
Core Beliefs ◽  
Lucid Dreaming ◽  
The Public ◽  
Relevant Today ◽  
Transpersonal Experience ◽  
Transpersonal Experiences ◽  
Habitual Behavior

Lucid dreaming is being conscious and aware while dreaming. Lucid dreaming is a form of meta-consciousness and reflective practice that calls in to question habitual behavior, fixed perceptions, core beliefs, and presuppositions. From an epistemological perspective, lucid dreaming could be considered as a way of knowing. The practice of lucid dreaming ultimately leads to the practice of lucid waking, creating a recursive relationship between waking and dreaming awareness. This article discusses three research methods exploring lucid dreaming and specific transpersonal experiences within lucid dreaming I call “Hyperspace Lucidity”. Hyperspace Lucidity is the experience within lucid dreams beyond time and space, transpersonal in nature, nondual, nonrepresentational in content, and at times, extraordinary and impactful. These inquiries were conducted over two decades, however, their significance and implications are becoming relevant today as the topic of lucid dreaming is discussed within psychological and spiritual frameworks. Each research project informed the next. It began with quantitative research designed to explore the transpersonal experiences in lucid dreams, expanded into a phenomenological study including some of the lucid dreamers from the first study, and then finally it evolved into an art-based inquiry involving the public. KEYWORDS Dreaming, transpersonal experience, dream signs, creative consciousness, research.

scholarly journals Chinese Public’s Knowledge, Perceived Severity, and Perceived Controllability of COVID-19 and Their Associations with Emotional and Behavioural Reactions, Social Participation, and Precautionary Behaviour: A National Survey

2020 ◽  
Author(s):  
Jian-Bin Li ◽  
An Yang ◽  
Kai Dou ◽  
Lin-Xin Wang ◽  
Ming-Chen Zhang ◽  
...  
Keyword(s):  
Social Participation ◽  
Latent Variables ◽  
Structural Equation ◽  
Cognitive Appraisal ◽  
Sleep Problems ◽  
Negative Emotion ◽  
Health Concern ◽  
Perceived Severity ◽  
The Public ◽  
Wide Range

Abstract Background: The outbreak of the coronavirus disease-19 (COVID-19) has caused enormous stress among the public in China. Intellectual input from various aspects is needed to fight against COVID-19, including understanding of the public’s emotion and behaviour and their antecedents from the psychological perspectives. Drawing upon the cognitive appraisal theory, this study examined three cognitive appraisals (i.e., perceived severity, perceived controllability, and knowledge of COVID-19) and their associations with a wide range of emotional and behavioural outcomes among the Chinese public. Methods: Participants were 4607 citizens (age range: 17–90 years, Mage=23.71 years) from 31 provinces in China and they took part in a cross-sectional survey online. Results: The results showed that the public’s emotional and behavioural reactions were slightly affected by the outbreak of COVID-19. Moreover, the public had limited participation in the events regarding COVID-19 but actively engaged in precautionary behaviour. In addition, results of structural equation model with latent variables revealed that the three appraisals were differentially related to the outcome variables (i.e., negative emotion, positive emotion, sleep problems, aggression, substance use, mobile phone use, social participation, and precautionary behaviour). Conclusions: The findings highlight the utility of cognitive appraisal, as a core process of coping stress, in explaining the public’s emotion and behaviour in the encounter of public health concern. Practically, the findings facilitate the government and practitioners to design and deliver targeted intervention programs to the public.

Memorandum “Open Metadata”

2015 ◽  
Vol 54 (04) ◽  
pp. 376-378 ◽  
Author(s):  
M. Dugas ◽  
K. -H. Jöckel ◽  
T. Friede ◽  
O. Gefeller ◽  
M. Kieser ◽  
...  
Keyword(s):  
Health Care ◽  
Case Report ◽  
Open Access ◽  
Scientific Community ◽  
Epidemiological Studies ◽  
International Standards ◽  
Medical Documentation ◽  
Scientific Publications ◽  
The Public ◽  
Routine Patient Care

SummaryAt present, most documentation forms and item catalogs in healthcare are not accessible to the public. This applies to assessment forms of routine patient care as well as case report forms (CRFs) of clinical and epidemiological studies. On behalf of the German chairs for Medical Informatics, Biometry and Epidemiology six recommendations to developers and users of documentation forms in healthcare were developed. Open access to medical documentation forms could substantially improve information systems in health-care and medical research networks. Therefore these forms should be made available to the scientific community, their use should not be unduly restricted, they should be published in a sustainable way using international standards and sources of documentation forms should be referenced in scientific publications.

Hypervitaminosis A: A Case Report

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 112-115
Author(s):  
Melton B. James ◽  
Joe C. Leonard ◽  
John J. Fraser ◽  
John H. Stuemky
Keyword(s):  
Case Report ◽  
Vitamin A ◽  
Bone Scintigraphy ◽  
Medical Literature ◽  
Hypervitaminosis A ◽  
Diagnostic Dilemma ◽  
White Girl ◽  
X Ray ◽  
The Public

In his textbook, Pediatric X-Ray Diagnosis, Caffey1 makes the statement that "until the whole truth becomes available to the public, all authentic cases of Vitamin A poisoning be carefully recorded and widely published in the medical literature." Since Josephs2 first described this condition in children in 1944, more than 50 cases have appeared in the literature.3 The following case, initially viewed as a diagnostic dilemma, was subsequently recognized to have typical clinical, biochemical, and rediographic changes of hypervitaminosis A. In addition, bone scintigraphy demonstrated evidence of involvement in radiographically normal areas. CASE REPORT A 5-year-old, nonimmunized, white girl was diagnosed as having measles in late April 1980.

LEAN thinking in Finnish healthcare

2016 ◽  
Vol 29 (1) ◽  
pp. 9-36 ◽  
Author(s):  
Tapani Jorma ◽  
Hanna Tiirinki ◽  
Risto Bloigu ◽  
Leena Turkki
Keyword(s):  
Healthcare System ◽  
Public Healthcare ◽  
Lean Thinking ◽  
Public Healthcare System ◽  
Content Type ◽  
The Public ◽  
Treatment Processes ◽  
Development Tool ◽  
Healthcare It ◽  
Management And Development

Purpose – The purpose of this study is to evaluate how LEAN thinking is used as a management and development tool in the Finnish public healthcare system and what kind of outcomes have been achieved or expected by using it. The main focus is in managing and developing patient and treatment processes. Design/methodology/approach – A mixed-method approach incorporating the Webropol survey was used. Findings – LEAN is quite a new concept in Finnish public healthcare. It is mainly used as a development tool to seek financial savings and to improve the efficiency of patient processes, but has not yet been deeply implemented. However, the experiences from LEAN initiatives have been positive, and the methodology is already quite well-known. It can be concluded that, because of positive experiences from LEAN, the environment in Finnish healthcare is ready for the deeper implementation of LEAN. Originality/value – This paper evaluates the usage of LEAN thinking for the first time in the public healthcare system of Finland as a development tool and a management system. It highlights the implementation and achieved results of LEAN thinking when used in the healthcare environment. It also highlights the expectations for LEAN thinking in Finnish public healthcare.

scholarly journals MONGOLIAN SPOTS CAN MIMIC BODY INJURIES: CASE REPORT

2021 ◽  
Author(s):  
Maria Clara Seba
Keyword(s):  
Child Abuse ◽  
Case Report ◽  
Health Professionals ◽  
Neonatal Period ◽  
Skin Lesions ◽  
Lumbosacral Region ◽  
Public System ◽  
The Public ◽  
Know How ◽  
False Diagnosis

Mongolian spots are congenital dermatological conditions often observed in the neonatal period resulting from the migration of melanocytes to the dermis during embryogenesis. They are bluish grey spots typically located in the lumbosacral region, which tend to regress in the first years of life. As skin lesions are frequent signs in infant maltreatment, Mongolian spots can be misinterpreted as ecchymoses, which would lead to a false diagnosis. This can culminate in serious and dramatic consequences for the patient and family, as well as overloading the public system. Therefore, it is essential that health professionals know how to differentiate Mongolian stains from injuries resulting from child abuse. This study aims to describe a case that was mistakenly attributed to mistreatment for the presence of Mongolian spots in atypical places.

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