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Mahirî Dede Hayatı ve Şiirleri: Mehmet Mahir Özkolaçık [d. 1887-ö. 1952

Bu çalışma, Kolu Açık Hacım Sultan Ocağının 20. yüzyıldaki dedelerinden Mehmet Mahir Özkolaçık’ın hayatı ve şiirlerini konu edinmektedir. Mehmet Mahir Özkolaçık, Malatya Yazıhan Karaca Köyünde 1887 yılında doğmuş ve yine Karaca köyünde 1952 yılında ölmüştür. Osmanlı Devletinin son dönemi ve Türkiye Cumhuriyet’in ilk yıllarında yaşamıştır. Hacım Sultan ocağına mensup olduğu için ocağın hizmetini yürütmeye gayret etmiştir. Hacım Sultan ocağı, Hacı Bektaş Veli Dergâhına bağlıdır. Bundan dolayı da Mehmet Mahir Özkolaçık'ın Hacı Bektaş Veli evlatlarıyla yakın mesaisi ve dostluğu olmuştur. Mehmet Mahir Özkolaçık, şiirlerinde Mahir, Mahirî ve Kul Mahir mahlaslarını kullanmıştır. Kendisi ve çevresi tarafından okunan şiirleri, birçok yerde dağınık halde korunmuştur. Her geçen gün Mehmet Mahir Özkolaçık’ın şiirleri kaybolmaktadır. Bununla birlikte şiirlerinin büyük bir kısmı, Hacım Sultan Ocağı mensuplarının elindeki defterlerde de kayıtlıdır. Defterler, Mehmet Mahir Özkolaçık’ın kalemiyle yazılmış ve müellif nüshasıdır. Bu çalışmada yer verilen onun şiirleri bu üç defterden seçilerek alınmıştır. Şiirlerin tamamı hece ölçüsüyle yazılmıştır. Şiirlerinde, ‘Ehlibeyt muhabbeti’ yoğun olarak işlenmiştir. Ayrıca Mehmet Mahir Özkolaçık, özellikle temas halinde olduğu Çelebileri şiirlerine konu edinmiştir. Yaşadığı dönemden ve karşı karşıya olduğu sıkıntılardan da söz etmiştir. Bu çalışmayla birlikte Mehmet Mahir Özkolaçık’ın hayatı hakkında kısa bilgi verilmesinin yanı sıra şiirlerinin bir kısmı ilk defa yayımlanmıştır. Anahtar Kelimeler: Mehmet Mahir, Hacım Sultan Ocağı, Hacı Bektaş Veli, Şiir, Cönk.

Accommodative spasm and its different treatment approaches: A systematic review.

This article is about the accommodation spasm. The primary rule for near vision is ciliary muscle constriction, synchronised convergence of both eyes, and pupil constriction. Any weaknesses in these components could result in an accommodative spasm. Variable retinoscopic reflex, unstable refractive error, and lead of accommodation in near retinoscopy are common causes of spasm. We conducted a thorough literature search in the PubMed and Google Scholar databases for published journals prior to June 2022, with no data limitations. This review contains twenty-eight case reports, six cohort studies, four book references, four review articles, and two comparative studies after applying the inclusion and exclusion criteria. The majority of studies looked at accommodative spasm, near reflex spasm, and pseudomyopia. The most common causes of accommodative spasm are excessive close work, emotional distress, head injury, and strabismus. Despite side effects or an insufficient regimen, cycloplegic drops are effective in diagnosing accommodation spasm. The modified optical fogging technique is also effective and may be an option for treating accommodative spasm symptoms. Bifocals for near work, manifest refraction, base-in prisms, and vision therapy are some of the other management options. As a result, it requires a comprehensive clinical treatment strategy. This review aims to investigate the various aetiology and treatments responsible for accommodative spasm and proposes widely implementing the modified optical fogging method and vision therapy in clinics as comprehensive management to reduce the future upward trend of accommodative spasm.

COVID-19 Pandemi Sürecinde Online Eğitimin Miyopik Çocuklarda Refraksiyon Değerleri Üzerine Etkilerinin Değerlendirilmesi

Objective: The aim of this study was to evaluate the changes in refraction values in children receiving online education because of the COVID-19 pandemic. Material and Methods: Fifty-six patients under the age of 18 who received distance education during the pandemic period, had at least 6 hours of screen exposure and were prescribed spectacles were included in the study. Visual acuity was measured with Snellen Chart. The refraction values seen by the patient were recorded and his records were scanned retrospectively. Refraction values in 2020 were compared with refraction values in 2018 and 2019. A value of p<0.05 was considered statistically significant.Results: The mean age of the patients was 14.23±3.17 years. The mean refraction values of the patients in 2020 were -2.69±1.37 D in the right eye and -2.63±1.01 D in the left eye. The mean refraction values in 2019 were -2.17±1.10 D in the right eye and -2.00±1.23 D in the left eye. Mean refraction values of the patients in 2018 were -1.54±1.22 D in the right eye and -1.42±1.18 D in the left eye. The average refraction values of the patients in both eyes in 2020 were significantly higher compared to 2019, and the average refraction values in 2019 were significantly higher than in 2018 (p<0.001, p<0.001). Refraction increase during the pandemic period was similar to the previous year (right: p=0.48, left: p=0.94).Conclusion: In our study, we found a significant increase in the mean refraction values of myopic children who receiving online education due to the pandemic and had intense screen exposure, and this increase was similar to the previous year. We think that this situation is caused by the unconscious long-term use of electronic devices such as smartphones, computers and tablets in addition to the online education during the pandemic period, the decrease in time spent outside and the long-term close work.

Eye Habits Affect the Prevalence of Asthenopia in Patients with Myopia.

Purpose This study aims to explore the risk factors of asthenopia in the myopic population. Methods In this cross-sectional study, myopia patients were inquired about their eye habits and were requested to complete an asthenopia questionnaire and ocular examinations. Age, gender, occupation, anisometropia, eye care education, weekly outdoor activity time, duration of continuous near work, daily screen time, dry eye, near phoria, and binocular accommodative facility were calculated using the Student's test-test, Mann Whitney U test, and Pearson's chi-square test. Spherical equivalents and astigmatism were calculated using a generalized estimating equation. Binary logistic regression was performed on factors with a p-value <0.05. Results Of the 65 myopic patients, 57% showed asthenopia, 52% experienced blurry vision, 37% felt their eyes hurt or sore, and 28% felt tired when performing close work. Asthenopia patients were older than patients without asthenopia (Z = −2.887, p=0.004). Daily screen time, continuous near-work time, eye care education, and dry eye were positively correlated with asthenopia (χ2 = 8.64, p=0.003; χ2 = 13.873, p < 0.001, χ2 = 9.643, p=0.002; χ2 = 7.035, p=0.008). After eliminating collinearity, eye care education and continuous near-work time were identified as independent risk factors of asthenopia, with odds ratios of 0.115 and 4.227, respectively. Conclusion This study shows that receiving eye care education from schools and hospitals and limiting near-work duration to less than 45 minutes per session could reduce the occurrence of asthenopia in myopic patients. This approach may be a more economical and convenient way for myopic people to relieve asthenopia.

Prevalence and influence factors for myopia and high myopia in schoolchildren in Shandong, China.

The aim of the study was to identify the prevalence and risk factors of myopia and high myopia in students from primary school and junior high school in Shandong. A total of 35,614 subjects completed the visual acuity test, refraction error measurement, and questionnaire in 2019. The visual acuity test was performed using the standard logarithmic visual acuity chart and the refractive error was measured by an automatic refractometer without cycloplegia. The average age was 12.38 ± 1.78 years, with 18,501 boys and 17,113 girls. The overall prevalence of myopia and high myopia was 68.02% and 5.90%, respectively, and reached up to 85.54% and 13.13% for the grade 9 students. The risk factors included girls, parental myopic history, time spent doing homework, and less sleep time. Performing eye exercise was significantly associated with a lower risk of myopia. Use of mobile devices and reading while lying down were only related to myopia, not high myopia. The prevalence of myopia and high myopia is at a high level. In addition to genetic factors, continuous close work and a lack of sleep was an important factor associated with children myopia and high myopia.

P45 Lyme-associated uveitis: Panuveitis and positive Lyme results – is it a masquerade or the real deal?

P45 Lyme-associated uveitis: Panuveitis and positive Lyme results – is it a masquerade or the real deal?

Dental education at Dundee Dental Hospital and School - a notable past and inspiring future.

Dundee Dental Hospital and School has been present on Park Place, Dundee for over 100 years. During this time, it has been at the forefront of dental care and education, first as part of the University of St Andrews and subsequently the University of Dundee. This innovation continues with novel undergraduate curricula for dental and dental therapy students, providing early clinical experience and integrating clinical teaching with the appropriate sciences. We also offer several taught postgraduate programmes, popular particularly with international students. Dundee was at the forefront of the response to the COVID-19 pandemic, with the Scottish Dental Clinical Effectiveness Programme leading the world on guidance for safe clinical practice. Innovative solutions for the ongoing delivery of teaching and assessment also were developed. Research underpins teaching and the delivery of dental care and Dundee has an international reputation for its research portfolio. All of the above can only be achieved by close working relationships between the University and NHS, which will be strengthened further by the creation of the Dundee Dental Research Hospital and School. Our international reputation will continue to attract students and staff from across the world.

Meatpacking America: How Migration, Work, and Faith Work to Divide the Heartland by Kristy Nabhan-Warren

Reviewed by: Meatpacking America: How Migration, Work, and Faith Work to Divide the Heartland by Kristy Nabhan-Warren Elaine A. Peña Meatpacking America: How Migration, Work, and Faith Work to Divide the Heartland. By Kristy Nabhan-Warren. (Chapel Hill: University of North Carolina Press, 2021. Pp. xxii, 280. $19.95. ISBN: 978-1-469-66349-4.) In Meatpacking America: How Migration, Work, and Faith Unite and Divide the Heartland, Kristy Nabhan-Warren examines a diversity of Catholic devotion across rural Iowa. Taking a lived religion approach that is sensitive to race and migration, she joins Bethany Moreton and Nicole Kirk (among others) in advancing the study of the “religiosity of workplaces” (p. 6). Thinking about Catholicism’s long-standing minority status in Iowa alongside the state’s place as a secondary destination for refugees and economic migrants, she purposefully asks, “Are inclusive religious and workspaces possible in the twenty-century United States?” (p. 65). Ultimately, Nabhan-Warren argues, inclusive spaces are possible with “close working relationships” (p. 65) and, most importantly, a deep, hands-on investment among and across those at the top of the meatpacking industry, community leaders (e.g., laity, business) and slaughterhouse laborers. Seven years of ethnographic research and “voluntary immersion experiences” (p. 57), including a fifty hour-workweek shadowing laborers that can “resemble meat ninja warriors” (p. 171), bolster Nabhan-Warren’s claims. In the vein of anthropologist Steve Striffler’s Chicken: The Dangerous Transformation of America’s Favorite Food (2007), an ethnography of the poultry industry, she devotes an entire chapter to describing “hot side” labor (e.g., “the kill floor” p. 180) and “cold side” labor (e.g., “boning chucks and ribs” with USDA inspection, p. 191). Nabhan-Warren offers readers smelly, aching, viscose-thick description of the how of religion—how [End Page 823] higher ups’ unequivocal acceptance of religion on company property is intimately tied to inter-corporate “evangelical Christian terminology” and a multi-generational “Faith at Work movement” (pp. 109–11); and how time-sheet-holding HR personnel oversee devotional acts, including when Muslim women modify workspace to observe Salat, or prayer (pp. 165–66). While we do not hear from the women themselves about working with pork and creating locker-cum-sacred space amidst stubborn stenches and stains, Nabhan-Warren’s perceptive observation of non-Christian practice illustrates what one can miss when pursuing a study focused on Catholicism in U.S. workplaces. Indeed, in the introduction, the author offers a refreshing and straightforward explanation of the conceptual shift she decided to take once field research had shown her that keeping Catholicism in the spotlight, as she had initially intended, was impossible. Many of the slaughterhouse laborers with whom she worked, and the majority nationwide, are Latinx; but it goes without saying that not all Latinx are Catholic, or even Christian for that matter. Moreover, her steadfast attention to the broader history of refugee resettlement in Iowa, acknowledging the migratory legacies of the Bracero Program (1942–64), and the winding life stories of laborers from the Congo, Burma-Myanmar, Somalia, Sudan, and Vietnam, for example, open up generative pathways for future research. Nabhan-Warren had to pivot, and she did so with admirable transparency, especially when it came to acknowledging her own race, class, and citizenship privileges. Her self-awareness is painstaking, almost too careful, but productive, nonetheless. She introduces the term “politics of inclusivity” (p. 52) to grapple with the antagonistic residue of racial politics that make inclusivity, religious and otherwise, challenging. In other words, workplace leaders may dutifully sanction religious practice among a global labor force, but that inclusivity does not necessarily hold off-site. That point is crystallized when a chance encounter between “white” Iowans and a non-white woman produces palpable tension in the basement of a Catholic parish—in theory, an inclusive space. That vignette further reminds us that inclusivity is not just participatory, it is inherently spatial—and spaces have existing claim histories. That chance encounter is telling, and Meatpacking could do with more of those moments, but the organization of the book makes it hard. For the record, we should not overlook the fact that Nabhan-Warren carried out years of research...

The Author as Cannibal: Rewriting in Francophone Literature as a Postcolonial Genre, 1969–1995. By Felisa Vergara Reynolds

In this monograph, Felisa Vergara Reynolds develops a compelling framework for analysing postcolonial francophone literature — ‘literary cannibalism’ — to foreground the political dimensions of novels that explicitly rewrite canonical works from hegemonic cultures. Through Vergara Reynolds’s new theoretical lens, the pejorative label traditionally used to justify colonization and denigrate indigenous peoples is transformed into a mode of critique, through which authors may absorb and assimilate imperial canonical works to subvert them and destabilize their supposedly inviolable status. For Vergara Reynolds, the postcolonial text that devours another literary work constitutes a form of ‘postcolonial revolt’ (p. 31) that surpasses the dialogic relation of intertextuality underpinning all literary creation. While this gesture of re-inscription raises the question of colonial mimicry, Vergara Reynolds convincingly argues that literary cannibalism is no mere submissive imitation but, rather, ‘an act of menace’ (p. 27; original emphasis) that actively seeks to upend dominant power relations within a canonical text to restore agency to marginalized or oppressed characters. This is exemplified by Aimé Césaire’s rewriting of Shakespeare’s The Tempest (1623) as Une tempête (1969), in which the author empowers the most oppressed character, Caliban, who vomits out the colonizer in his first act as a free man — an apt metaphor for the liberating effect of literary cannibalism itself. The remaining chapters explore similar instances of literary cannibalism in works from across the former empire — Senegal, Algeria, and Guadeloupe — that all grapple with the implications of writing and publishing in the language of the colonizer, and also contribute distinct approaches to literary cannibalism. For example, Boubacar Boris Diop’s cannibalization of Prosper Mérimée’s Tamango (1829) in Le Temps de Tamango (1981) parallels Césaire’s critique of departmentalization to denounce the residual colonialism in post-independence Senegal, but Vergara Reynolds contends that Diop’s method of literary cannibalism also decolonizes the novel. In L’Amour, la fantasia (1985), Assia Djebar shifts our focus to imperial historiography as the source of literary cannibalism, constructing her novel as a means of restoring silenced female voices and writing women of colour back into history. Finally, a distinct aspect of this book that sets it apart from traditional literary criticism is the fact that Vergara Reynolds has drawn her theorization from a close working relationship with Guadeloupian author Maryse Condé, which has allowed for a more collaborative development of the concept of literary cannibalism. The last chapter draws on personal interviews with Condé on the rewriting of Emily Brontë’s Wuthering Heights (1847) into La Migration des cœurs (1995), during which the author reflects on literary cannibalism’s emancipatory potential within the narrative. While this monograph focuses on francophone authors of the former French colonial empire, Vergara Reynolds’s elaboration of literary cannibalism will certainly be of interest to other scholars of global postcolonial literatures: as Oswald de Andrade declared in the Manifesto antropófago (1928), ‘Only cannibalism unites us.’

From the President andIFSTNews

From the President and<scp>IFST</scp>News

Forty B&amp;H and a Pork Pie: My Dad the Architect

Letting us into a side of Alsop seldom seen, Will's son Ollie Alsop relates small vignettes of domestic and close working life, including at the family's apparently ad hoc Norfolk house. The improvised homely home seems at odds perhaps with the chimera of a successful architects’ residence where material and space are held in taught alignment. Paradoxically, Will's personal habits were concerned with the exactitude of repetitively laying out his drawing, drinking and smoking accoutrements on the kitchen table each morning.

Clinical features, etiological reasons, and treatment results in patients who developed acute acquired nonaccomodative esotropia.

To evaluate the clinical features, possible etiological reasons, and treatment results in children who developed acute acquired comitant esotropia (AACE) without strabismus in previous years. Medical records of the patients who were diagnosed with AACE between July 2017 and June 2021 were retrospectively reviewed. The children with ocular and orbital pathology, hypermetropia > 2.00 diopters, and anisometropia > 1.00 diopters were not included in the study. Possible etiological factors that could cause esotropia, treatment results, motor, and sensory functions were investigated. The mean age at first admission, and the onset of AACE, was 8.8 ± 2.9 (4-13) years of three female (23.1%) and 10 male (76.9%) cases. The causes of AACE were determined to be occlusion of the eye due to corneal foreign body removal in one (7.7%), emotional stress in one case (7.7%), and excessive close work, on computer and smartphone screens in the other 11 cases (84.6%). Orthotropia was achieved in cases who underwent strabismus surgery (n = 10) and in cases using the prism (n = 2); except for one case, all (92.3%) achieved binocular single vision (100s/arc stereopsis and fusion) after treatment, while there was no binocular single vision in any of the cases before treatment. Acute acquired comitant esotropia is a rare clinical entity. Successful motor and sensory outcomes can be achieved by strabismus surgery or by prism therapy. It is critical to investigate the patientş with AACE in terms of intracranial pathologies, although rarely seen.

Machine Learning-Based Anomaly Detection Using K-Mean Array and Sequential Minimal Optimization

Recently, artificial intelligence (AI) techniques have been used to describe the characteristics of information, as they help in the process of data mining (DM) to analyze data and reveal rules and patterns. In DM, anomaly detection is an important area that helps discover hidden behavior within the data that is most vulnerable to attack. It also helps detect network intrusion. Algorithms such as hybrid K-mean array and sequential minimal optimization (SMO) rating can be used to improve the accuracy of the anomaly detection rate. This paper presents an anomaly detection model based on the machine learning (ML) technique. ML improves the detection rate, reduces the false-positive alarm rate, and is capable of enhancing the accuracy of intrusion classification. This study used a dataset known as network security-knowledge and data discovery (NSL-KDD) lab to evaluate a proposed hybrid ML technology. K-mean cluster and SMO were used for classification. In the study, the performance of the proposed anomaly detection was tested, and results showed that the use of K-mean and SMO enhances the rate of positive detection besides reducing the rate of false alarms and achieving a high accuracy at the same time. Moreover, the proposed algorithm outperformed recent and close work related to using similar variables and the environment by 14.48% and decreased false alarm probability (FAP) by (12%) in addition to giving a higher accuracy by 97.4%. These outcomes are attributed to the common algorithm providing an appropriate number of detectors to be generated with an acceptable accurate detection and a trivial false alarm probability (FAP). The proposed hybrid algorithm could be considered for anomaly detection in future data mining systems, where processing in real-time is highly likely to be reduced dramatically. The justification is that the hybrid algorithm can provide appropriate detectors numbers that can be generated with an acceptable detection accuracy and trivial FAP. Given to the low FAP, it is highly expected to reduce the time of the preprocessing and processing compared with the other algorithms.

Corporate Efforts to Research and Develop Therapeutic Agents for Infectious Diseases That Threaten Human

Overcoming serious infectious diseases such as malaria, tuberculosis, and other neglected tropical diseases (NTDs) that threaten human life around the world is an important issue in global health. Most of these diseases are concentrated in developing and low-income countries, and in order to reinforce drug discovery activities, pharmaceutical companies are actively promoting industry-academia-government partnerships and utilizing funds to stimulate global health activities. In this presentation, three examples of our drug discovery activities are introduced. The first is participation in the Booster project led by Drugs for Neglected Diseases initiative (DNDi) aimed at creating therapeutic agents for leishmaniasis and Chagas disease, an effort supported by the Global Health Innovative Technology (GHIT) Fund. As domestic and overseas pharmaceutical companies participate in the project and provide their own compounds, it is possible to obtain structure-activity relationship information in a short period of time and improve compound potency. We collaborated with DNDi to create a lead compound from one hit compound, and contributed to further enhancement of its activity. The remaining two are collaborations with academia for the creation of new therapeutic agents or vaccines: a joint research project with Hokkaido University Research Center for Zoonosis Control for emerging viral diseases, and a collaboration with Nagasaki University in malaria. In each case, our researchers were based at the university, establishing close working collaborations with the university researchers. Novel solutions for serious infectious diseases are expected by the combination of the high-level basic research capabilities of academia and the drug discovery know-how and original compound libraries possessed by pharmaceutical companies.

PENYULUHAN TENTANG PENTINGNYA PENERAPAN INTERVENSI TRIK 20-20-20 DALAM PENCEGAHAN COMPUTER VISION SYNDROME PADA MAHASISWA FAKULTAS KESEHATAN MASYARAKAT

It is worried that the increasing use of gadgets during the Covid-19 pandemic will pose a health threat, especially for students studying online. One of the things that often occurs due to excessive use of tools called computer vision syndrome (CVS), is one of the eye problems that causes serious eye disorders. This CVS refers to prolonged close work that a person experiences during or in connection with computer use. The most common visual symptoms reported by computer users are double vision and blurred vision at near, far and medium distances. Common causes of blurred computer use include refractive errors, accommodation disorders (impaired focusing system of the eye), presbyopia (decreased ability to focus at longer distances with age), and binocular vision disorders (impaired binocular alignment). Musculoskeletal symptoms commonly experienced by computer users include neck, back, shoulder, wrist, and finger pain. Computer posture errors are an important factor associated with musculoskeletal symptoms. The American Optometric Association recommends performing the 20-20-20 trick every 20 minutes, focusing the eyes at a distance of 20 feet (6 meters) for the remaining 20 seconds, this trick is especially helpful for the following. Solve the problem. Symptoms of CVS experienced by computer users.This activity was held at the Auditorium of the DELI HUSADA Institute of Health in September 2021. The entire academic community at the Faculty of Public Health who attended the meeting was very enthusiastic. The counseling activity has been able to increase the knowledge of participants at the DELI HUSADA Faculty of Public Health regarding the importance of implementing the 20-20-20 Trick Intervention for the prevention of Computer Vision Syndrome.

Monogenic disorders as mimics of juvenile idiopathic arthritis

BackgroundJuvenile idiopathic arthritis is the most common chronic rheumatic disease of childhood. The term JIA encompasses a heterogenous group of diseases. The variability in phenotype of patients affected by the disease means it is not uncommon for mimics of JIA to be misdiagnosed.Case presentationWe present four cases who were treated in single tertiary rheumatology centre for JIA who were subsequently diagnosed with a rare monogenic disease. All four patients shared the unifying features of presenting in early childhood and subsequently suffered with refractory disease, not amenable to usual standards of treatment. Multicentric Carpotarsal Osteolysis Syndrome and Camptodactyly-arthropathy-coxa vara-pericarditis syndrome are non-inflammatory conditions and patients typically present with arthropathy, normal inflammatory markers and atypical radiological features. Blau syndrome is an autosomal dominant condition and patients will typically have symmetrical joint involvement with a strong family history of arthritis, signifying the genetic aetiology.ConclusionsWe share our learning from these cases to add to the growing portfolio of JIA mimics and to highlight when to consider an alternative diagnosis. In cases of refractory disease and diagnostic uncertainty further imaging and genetic testing can play a crucial role in establishing the aetiology. In all of these cases the correct diagnosis was made due to careful, longitudinal clinical phenotyping and a close working relationship between rheumatology, radiology and clinical genetics; highlighting the importance of the multidisciplinary team in managing complex patients.

Binocular Vision and Associate Symptoms in Among MSU Students

Binocular depth perception and stereopsis are two important visual perceptual skills that produce healthy binocular vision. In addition, those who perform extended periods of close vision work, such as reading or the prolonged use of computers, are more likely to report the associated symptoms. The aim of the research was to study the relationship between normal binocular vision and associated symptoms based on COVD – QOL questionnaire score. The questionnaire consists of 19 items divided by accommodation, binocularity, orientation, and perception. A score of 20 or more is considered as symptomatic. Majority of 60% (30 students) of students have a total score of 20 or more for the questionnaire. Mostly answered column with the highest score is related to accommodation and binocularity (score of 3 and 4). There is no significant correlation between binocular vision tests and associated symptoms in the sample of MSU students

HIV at 40: reflections on and development of interdisciplinary working in HIV care.

This article reflects on 40 years of HIV and the growing need to work collaboratively to improve outcomes for people living with HIV. It reflects on the history of interdisciplinary working in HIV care in the UK and discusses the development of links between the professions of nursing and clinical psychology. Both professions had contributed to the development of the Standards for Psychological Support for Adults Living with HIV. One of the authors, who was chair of the National HIV Nurses Association, initiated an audit of the use of the standards within UK HIV clinics and invited local British Psychological Society members to participate in the development of the audit process. The audit results identified gaps in the provision of care that led to further close working relationships. In an era of highly effective antiretrovirals that address the medical aspects of HIV care, the focus of care has shifted to the management of psychosocial factors that contribute to poor outcomes in of HIV. Interdisciplinary work and cooperation is the most effective way to address those complex issues.

SERVICE INNOVATION (SOUL PROGRAMME) - Charitable home-based outreach service for treatment of schizophrenia in Larkano, Pakistan: development, implementation and 10 year outcomes

IntroductionThere is a huge resource gap in mental health service provision &amp; service utilisation in LAMIC including Pakistan. SOUL Programme has been established in the City of Larkana, on charitable donations, which utilises principles of home-based outreach and produces clinical and functional outcomes.ObjectivesSOUL programme focuses on collaborative working with patients &amp; families. The objectives include recognition, treatment, family education &amp; psychosocial support to maximize clinical, functional &amp; occupational outcomes.MethodsSingle cohort intervention (patients recruited on continual basis over time) with innovative service structure and culturally relevant open label intervention design developed with local academic psychiatric unit in Larkano, Pakistan. Training was provided to local mental health professionals on diagnosis, delivering care &amp; use of recognized clinical outcome measures.ResultsWe have recruited a cohort of 160 patients on continual basis over time. Our analysis show a higher BPRS and lower GAF ratings for men in comparison to female cohort at the baseline. Our Ten year follow up has demonstrated statistically significant clinical / functional improvement on BPRS, CGI &amp; GAF measures. The mean differences recorded for the individual measures after 12 months were BPRS, CGI-I and GAF and were all statistically significant. Innovative home-based community mental health intervention shows significant improvements in clinical and functional outcomes (with good effect size).ConclusionsSOUL Programme is a highly effective and cost-efficient intervention model for treatment of schizophrenia in a developing country setting. Our 10 year follow up study confirms the feasibility of this intervention model through close working with families of our patients.DisclosureNo significant relationships.

Safer communities; how the first forensic community mental health team helped improve mental health, battle stigma, and reduce offending

IntroductionQatar established its Forensic Community Mental Health Team (FCMHT) in 2019 as part of the region’s first comprehensive forensic psychiatry service. We present here the data on clinical and offending outcomes since its establishment and compare this with data from before the service was establishedObjectivesTo compare clinical and offending outcomes in mental health patients with criminal offending histories in Qatar before and after the establishment of Forensic Community Mental Health Team (FCMHT).MethodsThis is a retrospective study comparing the socio-demographical characteristics, clinical outcome and recidivism measures of forensic patients, under the FCMHT for the last two years with data from a similar period before the services were in place.ResultsData for 170 patients in total was analyzed. 85 patients currently under the active care of forensic community team were matched with a comparable group before the establishment of the services. The re-admission and reoffending rates after the establishment of the service over 1 year of follow up was 15% and 20% respectively compared with 60% and 85% of the group before the service.ConclusionsSince its inception, the FCMHT has made significant positive impact on quality of life, mental well-being and safety of patients under its care. Close working relationships with criminal justice system, families and carers has helped fight stigma and promote safer community.DisclosureNo significant relationships.