Treatment Of Physical Problems Research Articles

Somatische pathologie bij ‘high security’-geïnterneerden

Somatic pathology in high security internees Psychiatric problems of forensic patients have already been identified in Flanders (Belgium), but no research has been done on the occurrence of somatic comorbidity. In order to improve somatic care, the authors aim to map the prevalence and nature of somatic diagnoses and the causes of death. Through a retrospective study, the medical records of all patients admitted and discharged in a high security forensic psychiatric center were analyzed. All somatic diseases were coded dichotomously. In order to obtain the most complete picture possible, various sources of information (file information, measured parameters, laboratory results) were used. The nature of the deaths (natural, unnatural, suicide) and the causes of natural deaths were examined. More than 2/3 of the deaths were caused by suicides. The 3 most prevalent somatic conditions were obesity (38.9%), hypertension (34.4%) and the metabolic syndrome (33.7%). The current study further indicates that certain data were missing in the files, such as registrations of blood pressure measurements, weight and waist circumferences. Therefore, some problems may have remained underdiagnosed and undertreated. As a consequence, there is room for improvement in the detection and monitoring of somatic diseases. This first study demonstrates an important somatic comorbidity in forensic patients with high security needs and may contribute to a better understanding and treatment of physical problems. This aspect of the holistic treatment of forensic-psychiatric patients has been recognized insufficiently, despite its great importance.

Posyandu cadre training on stress management with five finger hypnosis for the elderly with hypertension problems

Tambakasri Village is located in Tajinan District, Malang Regency which has posyandu for the elderly and toddlers. Currently, the posyandu cadres have received training from the Tajinan Health Center, which focuses on the prevention and treatment of physical problems. However, one of the consequences of the pandemic is that many elderly which have hypertension health problems suffer stress, so training in a non-pharmacological way is required. As a result, the goal of this program is to improve the ability of health cadres in Tambakasri Village to use the five-finger hypnosis technique to improve the health of the elderly, particularly those with hypertension. This activity was judged successful based on four indicators, they are achieving the target number of training participants, the training objectives, the planned material targets, and participants' mastery of the material. The benefits obtained by health cadres include the ability to guide and assist the general public, particularly the elderly with hypertension who are stressed.

Physical health among patients with common mental health disorders in primary care in Europe: a scoping review.

Mental disorders are increasingly common among adults in both the developed and developing world and are predicted by the WHO to be the leading cause of disease burden by 2030. Many common physical conditions are more common among people who also have a common mental disorder. This scoping review aims to examine the current literature about the prevention, identification and treatment of physical problems among people with pre-existing mental health disorders in primary care in Europe. The scoping review framework comprised a five-stage process developed by Arksey & O'Malley (2005). The search process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Both quantitative and qualitative studies were included, with no restriction on study design. The initial search identified 299 studies, with a further 28 added from the hand-search (total n = 327) of which 19 were considered relevant to the review research question and included for full analysis. Depression was the mental health condition most commonly studied (nine studies), followed by depression and anxiety (seven studies), with three studies examining any mental disorder. Eleven studies examined the effects of various interventions to address physical and mental comorbidity, with the most commonly studied intervention being collaborative care. With just 19 studies meeting our criteria for inclusion, there is clearly a paucity of research in this area. Further research is essential in order to understand the pathophysiological mechanisms underlying the association between mental disorders and chronic conditions.

An Open and Modular Hardware Node for Wireless Sensor and Body Area Networks

Health monitoring is nowadays one of the hottest markets due to the increasing interest in prevention and treatment of physical problems. In this context the development of wearable, wireless, open-source, and nonintrusive sensing solutions is still an open problem. Indeed, most of the existing commercial architectures are closed and provide little flexibility. In this paper, an open hardware architecture for designing a modular wireless sensor node for health monitoring is proposed. By separating the connection and sensing functions in two separate boards, compliant with the IEEE1451 standard, we add plug and play capabilities to analog transducers, while granting at the same time a high level of customization. As an additional contribution of the work, we developed a cosimulation tool which simplifies the physical connection with the hardware devices and provides support for complex systems. Finally, a wireless body area network for fall detection and health monitoring, based on wireless node prototypes realized according to the proposed architecture, is presented as an application scenario.

Patients’ considerations behind the use of methods from complementary and alternative medicine in the field of obstetrics in Germany

Complementary and alternative methods (CAMs) are frequently used during pregnancy and delivery. We were interested to find out how frequently CAMs were used and if they were used for specific indications. We assessed the use of various CAMs and the background of use. Here we differentiated between the treatment of psychological problems, physical problems and the treatment of foetal problems. The response rate was 49.2 % (229/465). Attendance of a delivery preparation class was significantly associated with a higher CAM use in general. Herbal teas and dietary interventions were most frequently used during pregnancy and predominantly for the treatment of physical problems (e.g. nausea, back pain). Earlier deliveries were associated with a significantly decreased demand for complementary methods during delivery but not during pregnancy. Although we found some correlations between some methods and certain treatment indications, most methods were used like panaceas. We believe that the fact that earlier deliveries were associated with a significantly decreased demand for CAM should lead to the question of whether women should receive more reassuring information on delivery and be offered methods like massage or relaxation techniques, which provide proven efficacy without potential side effects that may be associated with CAM methods.

The concerns of patients under palliative care and a heart failure clinic are not being met.

Patients with a terminal illness, identified by palliative care teams working in Manchester, and patients attending a heart failure clinic, were asked to participate in a prospective survey to determine their main concerns. Data were collected from 213 palliative care (PC) patients (mostly with cancer) and 66 patients with heart failure (HF). The median ages of the two patient groups were similar, but the HF patients were more likely to be male and living with a partner; 13% of PC and 7% of HF patients reported that they had no carer. The PC patients had more district nurse, hospice, social work and physiotherapy input. The most frequently reported troublesome problems for PC patients were pain (49%), loss of independence (30%) and difficulty walking (27%). HF patients reported dyspnoea (55%), angina (32%) and tiredness (27%) as the most troublesome problems. From a checklist of symptoms, the frequency of tiredness (PC = 77%, HF = 82%) and difficulty getting about (PC = 71%, HF = 65%) were high in each group. Psychological problems were reported by 61% of PC and 41% of HF patients. Cardiac patients reported more breathlessness and cough than PC patients (83% vs 49% and 44% vs 26%, respectively). Reduced libido was more common in cardiac patients (42% vs 21%). Patient disclosure of troublesome problems to professional carers was high (>87% in both PC and HF patients). Documented action was greater for physical than social or psychological problems. For PC patients, documented action was recorded for 83% physical, 43% social/functional and 52% psychological problems. For HF patients documented action was recorded for 74% cardiac, 60% physical - non-cardiac, 30% social/functional and 28% psychological problems. Clearly many patients' troublesome problems were not being addressed. As a result of this study, specific action by health care professionals was taken in 50% of PC patients and 71% of HF patients. We plan to target specific educational events on the treatment of physical problems, psychological assessment and social service provision.

The Impact of Archimedes on Medieval Science

THE importance of the role played by Archimedes in the history of science can scarcely be exaggerated. He was emulated and admired in his own day and at successive periods in later times. His name appears on the pages of the works of the great figures who fashioned the beginnings of modern mechanics. For example, Galileo owed a not inconsiderable debt to Archimedes -both direct and indirect. Galileo mentions Archimedes by actual count over one hundred times and in almost Homeric hyperbole, using such expressions as suprahumanus Archimedes, inimitabilis Archimedes, divinissimus Archimedes, and so on. Archimedes' significance for these founders of early modern science lay in the use of mathematics in the treatment of physical problems, as well as in the originality and fertility of his mathematical techniques. But all of this is well known. Perhaps less well known is the role played by Archimedes in the middle ages. The problem of the medieval Archimedes is a classic one in the transmission of Greek learning. In some ways it has an advantage for study over other similar problems of transmission, since one is not overwhelmed by the abundance of materials as in the case of Euclid, or even more so in the case of Aristotle. That is to say, one has hopes both of defining the limits of the investigation and of presenting a substantially complete solution of the problem. The basic problem of the impact of Archimedes on medieval science can be subdivided into three questions: (1) How much of the corpus of Archimedes' writings in their actual form -or some closely modified state -came directly into Latin? (2) How much of Archimedes' methods and results was made available by translations from the Arabic or Greek of works which were influenced (but not so directly) by Archimedes? (3) What use was made by medieval authors of the works and ideas available in Latin translation? While I am preparing in detailed fashion the answers to these questions in a work, Archimedes in the Middle Ages, I think it possible in short compass to give the highlights of the answers as I conceive them. Before answering the questions, two short observations ought to be made. The first concerns the temporal limits of the problem the twelfth to fifteenth centuries. The latter terminus is arbitrary, the former is set by the state of