In the 21st century, more and more adults have psychological problems of varying degrees, which bother them and make their quality of life decline a lot. But going back to their childhood, they all ...experienced some “abnormal” stimuli. This article explores the effects of these childhood anomalies on individuals as adults. A lot of previous research has shown that some stressful events really do have an impact on personality. Those impact cannot be eliminated without any intervention by professional psychologist. The author hopes that this paper can give some guidance to individuals who are experiencing or have experienced these “abnormal” events, and hope that everyone can have a healthy mind. Future research should be more focus on People’s mental health under the epidemic. Many people have lost relatives or experienced serious psychological trauma because of the unequal distribution of medical treatment in the epidemic, and these injuries are lingering in their hearts, and even every time they get sick and cold, they will think of these wounds. It is hoped that future research will focus more on trauma interventions and treatments in these epidemics.
Este artículo se propone explorar herramientas teóricas y metodológicas para el abordaje de subjetividades adolescentes y juveniles en contextos de vulneración de derechos. La perspectiva teórica se ...nutre del diálogo interdisciplinar entre el psicoanálisis y aportes filosóficos y del campo social. Se realizó un análisis detallado y holístico del relato de vida de una joven de sector popular, cuya experiencia biográfica estuvo signada por la precarización y las violencias. El análisis del relato indagó giros de la existencia, transformaciones en su devenir identitario, efectos de lo traumático y posibilidades de construcción de un futuro.
Introduction:
The elderly (65 yo and more) increase in Canada is well documented along with a disproportionate use of Emergency Departments after a minor injury. These patients requires specific care ...given a 16% risk of functional decline following a visit to ED. To prevent functional decline, a multidimensional assessment of the elderly is recommended in the emergency department. Objective: To determine if ED grip strength can predict functional decline at 3 or 6 months post-injury.
Methods:
A multicentre prospective study in 5 ED across Canada was realized between 2013 and 16. Patients 65 years old and over, autonomous in daily living activities and consulting the emergency department for minor trauma were recruited 7 days a week. Clinical-demographic data, functional status, fear of falling, number of falls in the last month, grip strength measurement were collected in the ED. Functional decline (loss of at least points to functional status) was calculated at 3 and 6 months. Descriptive statistics and linear regression model with repeated measurements were used to determine if the grip strength was predictive of functional decline at 3 or 6 months.
Results:
387 patient were recruited. Mean age was 74 ± 7 years old, 52% were male. XXX experienced a fall in the last month. The initial maximum grip strength was (24 ± 10 intervention vs. 28 ± 13 control; p ≤ 0.05). grip strength is associated with pre-injury functional status (p < 0.0001) and fear of falling (p = 0.0001) but does not predict 3 or 6 month functional decline.
Conclusion:
Given the strong association with fear of falling and functional status at initial ED evaluation, we recommend that grip strength measurement could be included in a multidisciplinary geriatric emergency department assessment as needed.
Introduction:
Trauma resuscitations are plagued with high stress and require time sensitive and intensive interventions. It is a landscape that is a perfect hot bed for clinical errors and adverse ...events for patients. We sought to describe the adverse events and errors that occur during trauma resuscitation and any associated outcomes.
Methods:
Medline was searched for a combination of key terms involving trauma resuscitation, adverse events and errors from January 2000 to May 2019. Studies that described adverse events or errors in initial adult trauma resuscitations were included. Two reviewers analyzed papers for inclusion and exclusion criteria with a third reviewer for any discrepancies. Descriptions of errors, adverse events and associated outcomes were collated and presented.
Results:
A total of 3,462 papers were identified by our search strategy. 18 papers met our inclusion and exclusion criteria and were selected for full review. Adverse events and errors reported in trauma resuscitation included missed injuries, aspiration, failed airway, and deviation from protocol. Rates of adverse events and errors were reported where applicable. Mortality outcomes or length of stay were not directly correlated to adverse events or errors experienced in the trauma resuscitation.
Conclusion:
Our study highlights the predominance of adverse events and errors experienced during initial trauma resuscitation. We described a multitude of adverse events and errors and their rates but further study is needed to determine outcome differences for patients and possibility for quality improvement.
Este artículo estudia los problemas sociales y psicológicos del protagonista de la novela Karna’s Wife: The Outcast’s Queen de la escritora india Kavita Kane. Para ello, se revisan las causas de los ...problemas sociales y psicológicos de los marginados en la literatura de la era épica de la India. Por esto, este artículo presenta una investigación sobre las condiciones sociales que causan un trauma en la mente del protagonista. Para acercarse al problema se hace una revisión desde el psicoanálisis freudiano donde se determina que el malestar y la angustia surgen de causas inconscientes. Por otro lado, se acude al marxismo para determinar que el trauma emerge de las condiciones materiales de la vida social. Se encuentra que la crítica literaria marxista es iluminadora a la hora de entender al protagonista de la obra ya que se comprende la relación dialéctica entre la psiquis y las relaciones sociales. Finalmente, se concluye que las discriminaciones sociales causan, de manera adversa, los problemas psicológicos como se puede ver en la novela de Kavita Kane que el artículo estudia.Este artigo estuda os problemas sociais e psicológicos do protagonista do romance Karna's Wife: The Outcast's Queen da escritora indiana Kavita Kane. Também são analisados os motivos dos problemas sociais e psicológicos dos proscritos na literatura da era épica indiana. Portanto, este artigo apresenta uma pesquisa sobre as condições sociais que causam traumas na mente do protagonista. A fim de abordar o problema, é desenvolvida uma revisão da psicanálise freudiana, onde se determina que o desconforto e a angústia surgem de causas inconscientes. Por outro lado, o marxismo é usado para determinar que o trauma emerge das condições materiais da vida social. Assim, constata-se que a crítica literária marxista é esclarecedora quando se trata de compreender o protagonista da peça, uma vez que a relação dialética entre a psique e as relações sociais é compreendida. Por fim, conclui-se que as discriminações sociais causam os problemas psicológicos de forma adversa, como pode ser visto no romance de Kavita Kane.
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