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Surgical pearl: Modified hypodermic needle and its cap for guarded prick incision.

There are many instruments to prick the comedone before its extraction and scalp during hair transplantation. These instruments are not well guarded, and it can cause deep injury and fear in the patients. Here we described how to guard these needle for safety during procedure.

Оценка клиентов, имеющих сексуальные одержимости

В этой главе рассматриваются наиболее важные соображения при оценке клиента с сексуальной одержимостью в рамках ОЦД. Клиенты, как правило, испытывают все большее чувство стыда в связи с симптомами и одержимостью причиной и значением одержимости, и эта глава служит руководством для терапевтов в ходе первоначальных консультаций. Также рассматриваются рекомендуемые стратегии оценки и полезные клинические инструменты с таблицей мер. Дифференцированный диагноз S-OCD против педофилического расстройства и путаницы в сексуальной идентичности контрастирует. Кроме того, приводятся примеры ОКР в связи со

Совпадение в аннотации оригинала
This chapter reviews the most important considerations when assessing a client with sexual obsessions within OCD (S-OCD). Clients typically … sexual identity confusion are contrasted. Also provided are examples of OCD surrounding transgender fears, bestiality fears, and S-OCD with psychosis. Clients with OCD are often undermedicated by their physicians, and so included is a review of medication options for OCD and common side effects, written to be accessible to therapist nonprescribers. The …

Emotion potentiated startle in fragile X syndrome.

Social avoidance and anxiety are prevalent in fragile X syndrome (FXS) and are potentially mediated by the amygdala, a brain region critical … typical development. Individuals with FXS or DD demonstrated significantly reduced potentiation to fearful faces than a typically developing control group (p < .05). However, among individuals with FXS, social avoidance correlated positively with fearful-face potentiation (p < .05). This suggests that general intellectual disability blunts amygdalar r …

Earthquakes and plague during Byzantine times: can lessons from the past improve epidemic preparedness.

Natural disasters have always been followed by a fear of infectious diseases. This raised historical debate about one of the most feared scenarios: the outbreak of bubonic plague caused by Yersinia pestis. One such event was recorded in the Indian state Maharashtra in 1994 after an earthquake. In multidisciplinary historical approach to the evolution of plague, many experts ignore the possibility of natural foci and their activation. This article presents historical records from the Byzantine Empire about outbreaks of the Plague of Justinian occurring months or even up to a year after high-mag…

Auditory-visual integration of emotional signals in a virtual environment for cynophobia.

Cynophobia (dog phobia) has both visual and auditory relevant components. In order to investigate the efficacy of virtual reality (VR) exposure-based treatment for cynophobia, we studied the efficiency of auditory-visual environments in generating presence and emotion. We conducted an evaluation test with healthy participants sensitive to cynophobia in order to assess the capacity of auditory-visual virtual environments (VE) to generate fear reactions. Our application involves both high fidelity visual stimulation displayed in an immersive space and 3D sound. This specificity enables us to pre…

Barriers to the best care of the dying in Queensland, Australia.

The process of dying for many Australians is not ideal. To improve the care of the dying in our community, the barriers preventing optimal c … tainty regarding death certification, society's difficulty in responding to cultural needs, patient fears that active treatment would be stopped and fear of palliative care were considered the least important barriers. Many HCPs seem concerned about issues they are less likely to influence. The results of this survey may be useful for future workforce …

Adult attachment style and childhood interpersonal trauma in non-epileptic attack disorder.

Non-epileptic attack disorder (NEAD) poses a significant clinical problem but is poorly understood. Attachment theory provides a framework for understanding the development and maintenance of NEAD and the contribution of childhood abuse and neglect to these processes. A cross-sectional design was used to study attachment style and early traumatic experiences in individuals with NEAD (N=17) compared to those with epilepsy (N=26). A significant difference in predominant attachment style between the two groups was found, with fearful attachment occurring more frequently in the NEAD group. Abuse a…

Recognition and evaluation of emotional prosody in individuals with generalized social phobia: a pilot study.

Studies using facial emotional expressions as stimuli partially support the assumption of biased processing of social signals in social phobia. This pilot study explored for the first time whether individuals with social phobia display a processing bias towards emotional prosody. Fifteen individuals with generalized social phobia and fifteen healthy controls (HC) matched for gender, age, and education completed a recognition test consisting of meaningless utterances spoken in a neutral, angry, sad, fearful, disgusted or happy tone of voice. Participants also evaluated the stimuli with regard t…

Gender bias torture in place of work.

Gender bias torture specially sexual harassment of women at the work place is now a hard reality, the ultimate form of control that repressed men, especially those in position of authority, can have today. They are generally being allowed to get away with it. Mainly because women are fearful and totally unorganized, managements are complacent and the law takes much too long to work if it ever does. Global picture is horrifying. Child abuse, women abuse and even some men are sexually abused. The fear of loss of job, hostility at work and social stigma still prevent women from complaining about …

Prevalence of panic disorder in cardiac outpatients.

OBJECTIVE: To evaluate outpatients from Toronto-area cardiology clinics for panic disorder (PD) and investigate differences between patients with and without PD. METHOD: Participants were diagnosed using both standard DSM-IV criteria and an altered formulation that identified a more fearful panic group. RESULTS: There was a prevalence of panic disorder (12.5%) in cardiac outpatients in keeping with previous studies. Patients with PD did not differ significantly from other patients with regard to the presence of significant heart disease. The higher prevalence of palpitations found in patient…

Danger expectancies and insight in spider phobia.

Differences between phobic and normal subject perceptions of danger were examined. Nineteen spider-fearful subjects and a matched set of controls gave danger ratings before and during a spider-avoidance test. When detached from the phobic stimulus, spider-fearful subjects: (1) gave higher estimates of the probability of being bitten than did controls, (2) gave higher estimates of the injuries that would result from being bitten, and (3) believed their high levels of anticipated anxiety were more reasonable and appropriate to the demands of the situation than did controls. These findings are in…

Borderline disorder and attachment pathology.

In this paper, the authors investigate the theoretical and empirical association between dysfunctions of the attachment system and borderlin … erpersonal relationships. In a sample of 85 female outpatients, only four of the attachment scales--feared loss, secure base, compulsive care-seeking and angry withdrawal--identified patients with high scores on a measure of borderline disorder. Of these four scales, feared loss had the predominant effect. These empirical results support the hypothesiz …

Alcohol dependence and phobic anxiety states. I. A prevalence study.

Sixty alcoholics (40 males) were assessed for agoraphobia and social phobia, and over half the sample were rated as having either or both these disorders when last drinking. Twenty one subjects had mild phobias and eleven had severe phobias. The more severely phobic males were also found to be the most alcohol dependent and those with no phobias were least alcohol dependent but this effect was not found among the females. All phobic alcoholics reported that alcohol had helped them to cope in feared situations, and almost all had deliberately used it for this purpose. A small sample of out-pati…

Grandfather - granddaughter incest: a trigenerational view.

Grandfather-granddaughter incest accounts for about 10% of all reported cases of intrafamilial childhood sexual abuse. In a sample of 10 suc … m chaotic families showed educational and behavioral symptoms; those from stable families exhibited fears and phobias. Eight of the 18 grandchildren were victimized by multiple perpetrators. The results cast doubt on the assumption that grandparent incest is a benign form of abuse and indicate that there is some justification for the fears expressed by …

Incidence and risk factors of preoperative anxiety among surgical patients in King Abdulaziz University Hospital.

INTRODUCTION: Anxiety is a feeling of discomfort that often involves emotions such as worry and fear. This feeling tends to intensify when someone is facing surgery. Preoperative anxiety (POA) is a common psychological condition among patients preparing for surgery, which can lead to adverse postoperative outcomes, including increased pain, delayed recovery, and a higher risk of infection. Despite its significant clinical impact, research on POA in Saudi Arabia, particularly in the Western region, is limited. This study aims to assess the incidence of POA and identify its risk factors among su…

Effect of continuous epidural block combined with free positions on genital tract injury in parturient undergoing vaginal delivery.

OBJECTIVES: We aimed to evaluate the effect of continuous epidural block combined with free positioning on the genital tract injury in partu … al asphyxia rate, genital tract injury rate, delivery outcomes, sense of control during childbirth, fear of childbirth, and postpartum fatigue were compared. RESULTS: The research group had significantly shorter first stage of labor, second stage of labor, third stage of labor and total stage of labor than those of the control group (p < 0.05). The tw …

"How can I tell?" Consequences of HIV status disclosure among couples in eastern African communities in the context of an ongoing HIV "test-and-treat" trial.

People living with HIV/AIDS anticipate HIV-related stigma and fear disclosure to intimate partners. Yet, disclosure is critical to reducing HIV transmission and improving care engagement. This qualitative study characterized HIV disclosure experiences and normative beliefs among couples in communities participating in an HIV test-and-treat trial in Kenya and Uganda (Sustainable East Africa Research in Community Health, NCT#01864603). In-depth interviews were conducted with care providers (n = 50), leaders (n = 32) and members (n = 112) of eight communities. Data were analyzed using grounded th…

Splitting as a consequence of severe abuse in childhood.

Clinical data suggest that Kernberg's description of splitting as a defense mechanism is useful in conceptualizing the psychological consequ … nberg's patients, the defensive splitting serves to protect the positive introjects. These patients fear their negative introjects, even more than they feel uncomfortable about the split. They fear their desperate rage will destroy their love objects, and leave them feeling abandoned and hating themselves. As one of my patients put it: "I fear that my …

Walking Aids and Locomotion Training in the Emergency Department: A Randomized Clinical Trial.

IMPORTANCE: Mobility limitations are common in older adults and impact quality of life and social interaction. Walking aids can improve mobility and prevent falls but require oversight and training. Despite being recommended by geriatric emergency department (ED) guidelines, their effectiveness in this setting has not been studied to date. OBJECTIVE: To evaluate the effectiveness of training and provision of walking aids, with or without telemonitoring, on mobility, fear of falling, gait, functional capacity, quality of life, cognition, depression, and occurrence of falls in older adults afte…