Somatoform disorders: diseases of the civilization

Author(s):  
I. Kukhtevich

Functional autonomic disorders occupy a significant part in the practice of neurologists and professionals of other specialties as well. However, there is no generally accepted classification of such disorders. In this paper the authors tried to show that functional autonomic pathology corresponds to the concept of somatoform disorders combining syndromes manifested by visceral, borderline psychopathological, neurological symptoms that do not have an organic basis. The relevance of the problem of somatoform disorders is that on the one hand many health professionals are not familiar enough with manifestations of borderline neuropsychiatric disorders, often forming functional autonomic disorders, and on the other hand they overestimate somatoform symptoms that are similar to somatic diseases.

Author(s):  
Valerii Dmitrienko ◽  
Sergey Leonov ◽  
Mykola Mezentsev

The idea of ​​Belknap's four-valued logic is that modern computers should function normally not only with the true values ​​of the input information, but also under the conditions of inconsistency and incompleteness of true failures. Belknap's logic introduces four true values: T (true - true), F (false - false), N (none - nobody, nothing, none), B (both - the two, not only the one but also the other).  For ease of work with these true values, the following designations are introduced: (1, 0, n, b). Belknap's logic can be used to obtain estimates of proximity measures for discrete objects, for which the functions Jaccard and Needhem, Russel and Rao, Sokal and Michener, Hamming, etc. are used. In this case, it becomes possible to assess the proximity, recognition and classification of objects in conditions of uncertainty when the true values ​​are taken from the set (1, 0, n, b). Based on the architecture of the Hamming neural network, neural networks have been developed that allow calculating the distances between objects described using true values ​​(1, 0, n, b). Keywords: four-valued Belknap logic, Belknap computer, proximity assessment, recognition and classification, proximity function, neural network.


Author(s):  
Oksana Chaika ◽  

The paper research is work in progress and makes part of a publication set devoted the study of the English monomials and polynomials in the professional domain of audit and accounting, on the one hand. On the other, the research can be treated as a standalone piece for the study into the nature of verbal monomials as set term clusters in English for Audit and Accounting. The scope of research arrives at the following objectives. One objective is to give an overview of the term ‘monomial’ in English for Audit and Accounting, or English for A&A, which leads to understanding of the verbal monomial in English for A&A, correspondingly. The other objective refers to the classification introduced earlier as attributable to the analysis of the structure of the mentioned monomials and polynomials in English for A&A from a morphological perspective of the head term in a monomial, i.e. nounal, verbal, adjectival and adverbial. The said classification in this work associates with verbal monomials in English for A&A only, and provides a relevant sub-classification of the relevant verbal monomials through the lens of their functional properties and roles in a sentence, under the professional language framework. The results and discussion section presents five distinct groups of verbal monomials in English for Audit and Accounting, each corresponding to a specific syntactical role and functional property in a sentence. A variety of the examples helps see and identify the type of the English verbal monomial in the area of audit and accounting.


1967 ◽  
Vol 113 (500) ◽  
pp. 779-780 ◽  
Author(s):  
Mark D. Altschule

One current classification of depression divides the syndrome into psychotic and non-psychotic varieties. It is interesting that a similar classification developed over a thousand years ago out of some words of St. Paul. In his Second Epistle to the Corinthians, Ch. 7, v. 10, Paul wrote: “For godly sorrow worketh repentance to salvation not to be repented of, but the sorrow of the world worketh death.” The word sorrow used in English translations of the Bible stood for the tristitia of Latin versions (Greek λνπη); connoting sadness, sorrow, despondency, depression. Paul's distinction between the two kinds of tristitia, the one “from God” and the other “of the world”, led mediaeval theologians to enlarge on differences between the two kinds of depression.


2004 ◽  
Vol 11 (3) ◽  
pp. 212-213 ◽  
Author(s):  
Stephen K Field

The recently published American Thoracic Society/European Respiratory Society statement distinguishes idiopathic pulmonary fibrosis (IPF), also known as usual interstitial pneumonia (UIP), from the other idiopathic interstitial pneumonias (IIPs) (1). Although the current classification of IIPs is different from the one developed by Liebow and Carrington (2) in the 1960s, the description of UIP has not changed, and it is still recognized as having distinctive clinical and pathological features that distinguish it from the other IIPs. IPF responds differently to systemic corticosteroid (steroid) therapy and has a different prognosis than the other IIPs, such as nonspecific interstitial pneumonitis, which previously were felt to be variants of the same condition (1,3,4). Despite therapy, most patients with IPF experience a progressive decline in pulmonary function, leading to respiratory failure and death, unless they undergo lung transplantation.


2017 ◽  
Vol 47 (3) ◽  
pp. 429-448
Author(s):  
Anne O’Byrne

Abstract Taxonomy is our response to the proliferating variety of the natural world on the one hand, and the principle of unrelieved universality on the other. From Aristotle, through Porphyry to Linneaus, Kant and others, thinkers have struggled to develop taxonomies that could order what we know and also what we do not yet know, and this essay is a reflection on the existential desire that propels this effort. Porphyry’s tree of logic is an exhaustive account of the things we can say about the sort of beings we are; Linneaus’s system of nature reaches completion in the classification of humans; Kant discovers a way to have natural and logical forms coincide in the thought of natural purpose and purposiveness. The stakes are high. When we order the world, we order ourselves: when we enter the taxonomy, it enters us and confronts us with our judgments of kind, race and kin.


Author(s):  
Paul Schor

This chapter discusses changes in racial categorization in the early twentieth century with respect to the US census. Whenever there was a question of the racial classification of new populations, whether in the continental United States or in the territories acquired since 1867, the census always relied on the principles and techniques developed since 1850 to distinguish blacks from whites. Chief among these was the principle of hypodescent, in more or less rigid forms. However, the early twentieth century saw change occurring in two directions: on the one hand, the racialization of a growing number of non-European immigrants and their descendants; on the other, the weakening of the distinctions between the descendants of European immigrants. The remainder of the chapter details the disappearance of the “mulatto” category and the introduction and forcible elimination of the “Mexican” category.


1970 ◽  
Vol 116 (535) ◽  
pp. 651-655 ◽  
Author(s):  
A. E. Maxwell

In a typical classification problem each subject in a sample of N subjects is allocated to one or other of k exhaustive and mutually exclusive categories. For example, a sample of families may be classified into social-class groupings in accordance with the Registrar General's classification based on the occupation of the father or father substitute. Or a sample of psychiatric patients may be classified into one or other of the diagnostic categories recommended by the W.H.O. Now it occasionally happens that the same sample of subjects is classified, for a given set of categories, independently by two different agents. For example in the Plowden Reports, Appendix 3 Table 29, a sample of children is classified into types of secondary school, Grammar, Comprehensive, Technical, etc., on the one hand according to the parent's ambition for their children and on the other hand according to the type of school in which the children were eventually placed. In situations such as the latter a k k classification table evolves in which, when the categories are arranged in the same order, the matches between the two separate classifications appear in the cells of the main diagonal of the table and the mismatches appear in the off-diagonal cells (see Table I below). The question then arises as to how to compare the two separate classifications and to measure in quantitative terms the degree of agreement between them.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1777-1777
Author(s):  
H.-P. Kapfhammer

Patients presenting with bodily symptoms and complaints that are not sufficiently explained by organic pathology or well known pathophysiological mechanisms present a major challenge to any health delivery system. From a perspective of psychiatric classification these medically unexplained somatic symptoms may be diagnosed as primary psychiatric disorders such as depressive and anxiety disorders on the one hand, as somatoform disorders on the other. Among medical specialties a separate diagnostic approach is taken to conceptualize functional somatic syndromes. Unfortunately, both diagnostic systems do not conform to each other very well.The concept of somatoform disorders as outlined in DSM-III to DSM-IV-TR and in ICD-10 refers to a group of heterogeneous disorders with prominent somatic symptoms or special body-focussed anxieties, or convictions of illness. These disorders seem to indicate medical conditions that cannot, however, fully be explained either in terms of medical diagnostics or of other primary psychiatric disorders. There is one major conceptual assumption that postulates a decisive impact of psychosocial stress on the origin, onset and/or course of these somatic symptoms and complaints. And there is one major path of diagnostic steps to be taken, i.e. just to count the number of medically unexplained somatic symptoms, to determine their reference to any main organ system, to prove that they are not self-induced, to put special stress on prevailing pain symptoms and to separately assess dominant health anxieties or illness convictions.Since introduction of the diagnostic concept of somatoform disorders there have been arising many critical issues regarding the soundness of this diagnostic category. These issues, among other things, refer to a problematic mind-body dichotomy overemphasizing psychosocial and psychological factors and neglecting major neurobiological processes, to the impracticable criterion of “medically unexplained”, to the demand of conceptual clarity and coherence of this diagnostic category, to the rather trivial diagnostic procedure of just counting the number of medically unexplained somatic symptoms whereas not assessing typical dimensions of illness behaviour in a corresponding way, to the major overlap between subgroups of somatoform disorders on the one hand and factitious disorders, anxiety disorders and depressive disorders on the other, to a principal focus on the epidemiologically rare condition of somatisation disorder as core disorder thereby undervaluing much more prevalent subthreshold conditions, to the difficult communication of the whole diagnostic group to medical colleagues dealing with the same problems by using a different conceptual approach, however.These critical issues surrounding the concept of somatoform disorder will be reflected in respect of some major revisions projected in future diagnostic classification systems of DSM-V and ICD-11.


PMLA ◽  
1891 ◽  
Vol 6 (3-4) ◽  
pp. 171-175 ◽  
Author(s):  
Calvin S. Brown

The subject of this paper as announced some time ago in the programme of this convention, is not exactly the one which it should bear. In a former paper, published in the Modern Language Notes, I tried to trace back a number of our peculiar words and speech usages to an earlier period of the language, using Shakespeare as a basis. In the present paper this method of procedure has been attempted only incidentally. In other words, I invite your attention to a study of a few of the peculiarities of the language as found in Tennessee, regardless of their origin and history. It is not to be supposed, however, that the forms pointed out are limited to one particular state or to a small territory. On the other hand, most of them are found throughout the larger portion of the South, and many of them are common over the whole country. Nothing like a complete survey of the field, or a strict classification of the material gathered, has been attempted, and many of the words treated have been discussed by others. A few cases of bad pronunciation have been noticed, rather as an index of characteristic custom than as showing anything new.


2020 ◽  
Vol 4 (1) ◽  
pp. 59
Author(s):  
Isabela De Marco Leandro ◽  
Thaissa Souza Da Silva ◽  
Flávia Fernandes Barbosa ◽  
Ana Carolina Custodio De Barros ◽  
Monaliza Mendes Carvalho Da Cruz ◽  
...  

INTRODUCTION: The idea of the article arose during a course in which students were organized in groups to discuss a bioethics subject and the subject chosen was "saviour siblings". “Saviour sibling” is a child conceived in the hope of being genetically compatible with an older brother who has some pathology whose treatment consists of the donation of tissues. OBJECTIVE: To debate the conception of saviour siblings and the delicacy and complexity of the theme from a bioethical perspective. METHODOLOGY: Literature review carried out in August 2019, in the PubMed database, using the keyword “saviour siblings”. The material obtained was used for discussion and elaboration of a clinical case. RESULTS: 40 articles were found, nine of which were excluded from the abstract for diverging from the topic. The clinical case was developed collectively and the authors delegated with putting themselves in the place of those involved in this decision and narrating the possible thoughts and feelings of each one of them. Then, bibliographic references were used to discuss the constructed clinical case, from the bioethical perspective. CONCLUSION: Saviour siblings related bioethical issues are delicate and complex. On the one hand, there's a benefit of saving a sick child and bringing relief to the parents. But, on the other hand, this technique can bear on eugenic practices such as the selection of individuals based on their genetics. The violation of the saviour sibling's autonomy needs to be the focus of future ethical discussions in order to protect his rights. Teaching bioethics is essential for the training of health professionals.


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