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Manufacturing a human drama from a psychiatric crisis: crisis intervention, family therapy and the work of R. D. Scott.

There has been a recent resurgence of interest in crisis intervention within psychiatry. The idea of crisis services is not, of course, a new thing, and there is a great deal to be learnt from returning to the innovative writings of those practitioners who developed similar services in the 1960s and 1970s. This article discusses the work of the psychiatrist and family therapist R. D. Scott, who developed a 24-hour family-orientated crisis intervention service in London during this era. Although under-utilized, the writings of Scott and his colleagues in this area continue to be of crucial relevance to mental health nurses and other psychiatric professionals.

Attitude to Health↗

Surgical drama.

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Communication↗

The drama of the continuous increase in end-stage renal failure in patients with type II diabetes mellitus.

Type II diabetes mellitus has become the leading cause of end-stage renal failure in many countries of Western Europe. In all European countries, even in those with a relatively low prevalence of diabetic nephropathy, the number of patients with type II diabetes mellitus admitted for renal replacement therapy has recently increased continuously. Survival and medical rehabilitation of patients with type II diabetes on renal replacement therapy is significantly worse than in non-diabetic patients. It is obvious that in order to stem the tide, intense efforts are necessary (i) to inform the medical community about the renal risk of type II diabetes and the striking effectiveness of preventive measures, (ii) to provide better care for diabetic patients, and (iii) to reduce the high prevalence of diabetes in the population by modification of the Western life style.

Diabetes Mellitus, Type 2↗