Cette étude qualitative s’intéresse aux facteurs pouvant expliquer les difficultés rencontrées par les jeunes hommes (18–35 ans) ayant vécu un premier épisode psychotique à établir et maintenir des ...relations amoureuses. Douze participants ont pris part à une entrevue semi-structurée d’environ 60 minutes. Quatre thèmes principaux sont ressortis de l’analyse des données, soit la Gestion de la proximité, la Conception de l’intimité, l’Identité et le Processus de rétablissement. Les difficultés rencontrées seraient liées à des expériences relationnelles antérieures et à des difficultés métacognitives et de régulation émotionnelle suite à un épisode psychotique, mais des études supplémentaires sont requises.
A 50 year old woman with a four week history of dyspnoea had neck swelling and a positive Pemberton’s sign (arm elevation obstructs the thoracic inlet, leading to facial plethora).
Bladder cancer is a common malignancy but presentation with metastatic disease is rare. This is the fi rst reported case of duodenal obstruction as a presentation of metastatic bladder cancer.
A ...middle-aged woman presented with nausea, vomiting, weight loss and intermittent haematuria. Radiology and histology confirmed metastatic bladder cancer to the retroperitoneum encasing the duodenum and causing obstruction.
Insertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
The patient died 15 months after diagnosis.
Clinicians and radiologists should be aware of atypical presentations of common malignancies.
Platelets show proinflammatory as well as prothrombotic properties. Patients with inflammatory bowel disease are at increased risk of systemic thromboembolism, and multifocal microvascular infarction ...has been proposed as a pathogenetic mechanism in Crohn's disease. The aim of this study was to determine if inflammatory bowel disease is associated with abnormal platelet behavior.
Platelet activation and aggregability were assessed using flow cytometry, Born aggregometry, and the modified method of Wu and Hoak. Serum beta-thromboglobulin was measured in patients with Crohn's disease and ulcerative colitis and, as controls, in healthy volunteers and patients with active rheumatoid arthritis.
Platelet surface expression of P-selectin and GP53 (markers of activation) were increased in Crohn's disease (13 of 30 patients abnormal for P-selectin; 9 of 28 abnormal for GP53) (P < 0.01) and ulcerative colitis (9 of 21 for P-selectin; 10 of 21 for GP53) (P < 0.01) compared with healthy controls. Increased circulating platelet aggregates (15 of 24 patients with Crohn's disease and 8 of 16 with ulcerative colitis) (P < 0.01), platelet aggregability in vitro, and serum beta-thromboglobulin were detected in active inflammatory bowel disease compared with healthy controls. Platelet behavior in active rheumatoid arthritis resembled that in healthy controls.
Increased platelet activation and aggregation are features of inflammatory bowel disease and may contribute to the risk of systemic thromboembolism and the pathogenesis of mucosal inflammation. Therefore, antiplatelet agents may be valuable in the management of inflammatory bowel disease.
From 2011 to 2014, small stores in three communities participated in a community-wide obesity prevention initiative. The study aimed to determine how participation in the initiative influenced store ...environments and consumer purchases.
Pre- and post-intervention without control. Structured observations of the store environments and intercept surveys of adult shoppers at all stores, and of children at two stores, conducted at baseline and follow-up. Manager/owner interviews regarding perceived impacts of the intervention conducted at follow-up.
Shoppers at nine small stores in three diverse, low-income communities in Northern California.
The store interventions were determined locally with combinations of strategies such as product displays, healthier options, marketing and promotion, store layout, and facility improvements that were implemented to varying degrees at each site.
Changes in store environments and purchases of select foods and beverages.
Stores experienced consistent, but not always significant, declines in purchases of sweets and chips and increases in purchases of fruits and vegetables at select stores. Decreases in purchases of targeted sugar-sweetened beverages were offset by increases in purchases of other sugar-sweetened beverages. Changes in store environments and promotional activities varied widely from store to store and corresponded to variations in changes in purchasing. The owners/managers perceived benefits to their bottom line and community/customer relations, but challenges were identified that may account for the varied degree of implementation.
Substantive improvements in fruit and vegetable availability and promotion were needed to achieve a measurable impact on purchases but reducing purchases of unhealthy foods, like sweets and chips, required a less consistent intensive effort. These findings suggest it may be challenging to achieve the consistent and targeted implementation of changes and ongoing promotional efforts at a large enough proportion of stores where residents shop that would be required to get measurable impacts at the community level.
This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health.
This qualitative study aims at understanding the factors underlying the difficulties young men (18–35 years old) who had a first episode of psychosis have in initiating and maintaining intimate ...relationships. Twelve participants took part in semi-structured 60-minute interviews. Four main themes were identified following the data analysis: Coping with proximity, Conception of intimacy, Identity, and Recovery process. Results suggest that difficulties faced by this population could be related to previous relational experiences and to metacognitive and emotional regulation deficits that appeared after the first episode, but more research is needed.
Congo: revisiting the looking glass Collins, Carole J.L.
Review of African political economy,
20/9/1/, Letnik:
29, Številka:
93-94
Journal Article
Recenzirano
Odprti dostop
This Briefing analyses economic developments and trends in the Democratic Republic of the Congo (DRC), within the context of recent political and military manoeuvres and the current human rights ...situation.
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