scholarly journals Two Cases of Feigned Homicidality: Assessing the Third Dimension in Homicidal Threats

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 31
Author(s):  
Pavan Madan ◽  
Alexander Graypel ◽  
Alan R. Felthous
Keyword(s):  
Short Term ◽  
Case Examples ◽  
Clinical Guidance ◽  
The Third ◽  
Third Dimension

Although data and research on the topic are lacking, the phenomenon of feigned homicidality in short-term hospitalization appears to have increased in recent years. Inpatient psychiatrists not only assess the seriousness of homicidal threats, but also whether such threats are authentic. However, specific literature and diagnostic manuals provide virtually no clinical guidance for this. The authors present two case examples of homicidality feigned for self-serving purposes that had little to do with hostility against the would-be victim. They recommend an approach to assessment that first takes any threat of homicide seriously, and involves an attempt to assess the seriousness of the threat and risk of harm. Secondly, if feigned homicidality is suspected, clinicians can methodically assess for this using criterion that have been applied to the assessment of malingering.

Taking Cell Culture in Drug Discovery to the Third Dimension - A Patent Review

2008 ◽  
Vol 1 (2) ◽  
pp. 103-115
Author(s):  
Yinzhi Lai ◽  
Lina Wang ◽  
Ke Cheng ◽  
William Kisaalita
Keyword(s):  
Cell Culture ◽  
Drug Discovery ◽  
The Third ◽  
Patent Review ◽  
Third Dimension

scholarly journals Cost-effectiveness of a hybrid emergency room system for severe trauma: a health technology assessment from the perspective of the third-party payer in Japan

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Takahiro Kinoshita ◽  
Kensuke Moriwaki ◽  
Nao Hanaki ◽  
Tetsuhisa Kitamura ◽  
Kazuma Yamakawa ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Emergency Room ◽  
Healthcare Costs ◽  
Cost Effective ◽  
Severe Trauma ◽  
Third Party ◽  
Trauma Patients ◽  
Short Term ◽  
The Third

Abstract Background Hybrid emergency room (ER) systems, consisting of an angiography-computed tomography (CT) machine in a trauma resuscitation room, are reported to be effective for reducing death from exsanguination in trauma patients. We aimed to investigate the cost-effectiveness of a hybrid ER system in severe trauma patients without severe traumatic brain injury (TBI). Methods We conducted a cost-utility analysis comparing the hybrid ER system to the conventional ER system from the perspective of the third-party healthcare payer in Japan. A short-term decision tree and a long-term Markov model using a lifetime time horizon were constructed to estimate quality-adjusted life years (QALYs) and associated lifetime healthcare costs. Short-term mortality and healthcare costs were derived from medical records and claims data in a tertiary care hospital with a hybrid ER. Long-term mortality and utilities were extrapolated from the literature. The willingness-to-pay threshold was set at $47,619 per QALY gained and the discount rate was 2%. Deterministic and probabilistic sensitivity analyses were conducted. Results The hybrid ER system was associated with a gain of 1.03 QALYs and an increment of $33,591 lifetime costs compared to the conventional ER system, resulting in an ICER of $32,522 per QALY gained. The ICER was lower than the willingness-to-pay threshold if the odds ratio of 28-day mortality was < 0.66. Probabilistic sensitivity analysis indicated that the hybrid ER system was cost-effective with a 79.3% probability. Conclusion The present study suggested that the hybrid ER system is a likely cost-effective strategy for treating severe trauma patients without severe TBI.

La troisième dimension — De la fonction éthique et esthétique du décor dans le théâtre de machines français du XVIIe siècle

2020 ◽  
Vol 71 (1) ◽  
pp. 130-168
Author(s):  
Kirsten Dickhaut
Keyword(s):  
Seventeenth Century ◽  
Character Traits ◽  
Optical Illusion ◽  
Stage Design ◽  
The Third ◽  
Adequate Representation ◽  
Third Dimension ◽  
Xviie Siecle ◽  
The Aesthetic

AbstractThe machine theatre in France achieves its peak in the second half of the seventeenth century. It is the construction of machines that permits the adequate representation of the third dimension on stage. This optical illusion is created by flying characters, as heroes, gods, or demons moving horizontally and vertically. The enumeration indicates that only characters possessing either ethically exemplary character traits or incorporating sin are allowed to fly. Therefore, the third dimension indicates bienséance – or its opposite. According to this, the following thesis is deduced: The machine theatre illustrates via aesthetic concerns characterising its third dimension an ethic foundation. Ethic and aesthetics determine each other in the context of both, decorum and in theatre practice. In order to prove this thesis three steps are taken. First of all, the machine theatre’s relationship to imitation and creation is explored. Second, the stage design, representing the aesthetic benefits of the machines in service of the third dimension, are explained. Finally, the concrete example of Pierre Corneille’s Andromède is analysed by pointing out the role of Pegasus and Perseus.

scholarly journals The use of a ‘first-wave’ model to study the effect of nutrition on ovarian follicular dynamics and ovulation rate in the sheep

Reproduction ◽  
2010 ◽  
Vol 140 (6) ◽  
pp. 865-874 ◽  
Author(s):  
C Viñoles ◽  
B Paganoni ◽  
K M M Glover ◽  
J T B Milton ◽  
D Blache ◽  
...  
Keyword(s):  
Body Condition ◽  
Wave Model ◽  
Ovulation Rate ◽  
Short Term ◽  
Metabolic Hormones ◽  
Follicular Waves ◽  
Follicular Wave ◽  
The Third ◽  
High Concentrations ◽  
Follicular Dynamics

We have developed an experimental model in which groups of ewes are simultaneously experiencing the first ovarian follicular wave of their oestrous cycle. We used this ‘first-wave model’ in a 2×2 factorial experiment (ten ewes per group) to study the effect of body condition (BC) and a short-term supplement on follicular dynamics and ovulation rate. The ‘first-wave’ was established by giving ewes three injections of prostaglandin (PG), 7 days apart. The 6-day supplement (lupin grain) began 2 days after the second PG injection and continued until the third. Follicles were studied by ultrasound, and blood was sampled to measure glucose and hormones. The supplement increased (P<0.01) the concentrations of glucose, insulin and leptin, decreased FSH concentrations (P<0.01) and tended to increase oestradiol concentrations (P=0.06). The supplement tended to increase the number of 3 mm follicles (P=0.06). Compared with low-BC ewes, high-BC ewes had more follicular waves (P<0.05), higher concentrations of insulin, leptin and IGF1 (P<0.05) and tended to have higher FSH concentrations (P=0.09). Leptin and insulin concentrations remained high until the end of supplementation in high-BC ewes, whereas they decreased after the third day of supplementation in low-BC ewes. In conclusion, high concentrations of metabolic hormones in fat ewes are associated with the development of more follicular waves. When a supplement is superimposed on this situation, changes in glucose and metabolic hormones allow more follicles to be selected to ovulate.

The Effects of Repeated Retesting: III. Further Experiments and General Conclusions

1950 ◽  
Vol 2 (4) ◽  
pp. 182-197 ◽  
Author(s):  
V. R. Cane ◽  
A. W. Heim
Keyword(s):  
Test Scores ◽  
Technical College ◽  
Intelligence Test ◽  
Repeated Testing ◽  
Short Term ◽  
The Third ◽  
Joint Interpretation ◽  
Unselected Population ◽  
Intelligence Test Scores ◽  
Technical College Students

This is the third of a series of papers dealing with the effects of repeated retesting on intelligence test scores. It comprises an account of two further experiments, and a discussion of the four so far performed, since each throws light on the results of the others and it is their joint interpretation which is thought to be of value. The two earlier experiments consisted in repeated testing of a group of W.E.A. students and a group of mentally defective boys by an intelligence test (AH 4) designed for an unselected population. In the two later experiments, a group of Technical College students and a group of Naval Ratings were repeatedly tested on another intelligence test (AH 5), designed for a population of high-grade intelligence, such as university students. Examination of all the results confirms the artificiality of the “ceiling effect” which was suspected in the first experiment; it suggests that, given sufficient scope, subjects of all levels of intelligence would, with repeated trials on the same test, continue to improve their score up to and beyond 10 testing; and that, given comparable opportunity, subjects with initially higher scores will tend to improve more than those with initially lower scores. All these results concern short-term experiments with testing at weekly intervals. The four sets of results considered jointly indicate that conclusions on these problems should be drawn only in terms of the relation between the level of the test and that of the group tested: this offers some resolution of the conflicting findings of earlier investigators.

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