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All nurses and midwives need to compile personal professional profiles in order to satisfy the requirements of PREP. Profiles must show the equivalent of five days' study activity every three years. The primary purpose of profiles is to give patients a guarantee that practitioners are up-to-date in their practice. Profiles can be a valuable aid to planning personal and professional development.
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Three studies were conducted to assess mean level changes in personality traits during adolescence. Versions of the Revised NEO Personality Inventory (P. T. Costa, Jr., & R. R. McCrae, 1992a) were used to assess the 5 major personality factors. A 4-year longitudinal study of intellectually gifted students (N = 230) was supplemented by cross-sectional studies of nonselected American (N = 1,959) and Flemish (N = 789) adolescents. Personality factors were reasonably invariant across ages, although rank-order stability of individual differences was low. Neuroticism appeared to increase in girls, and Openness to Experience increased in both boys and girls; mean levels of Extraversion, Agreeableness, and Conscientiousness were stable. Results extend knowledge of the developmental curve of personality traits backward from adulthood and help bridge the gap with child temperament studies.
The relationship between physical attractiveness and personal-social development was examined. The entire third, fourth, and fifth grade school population (N=440) was administered a self-concept and peer acceptance measure. School pictures of these children were then rated into attractive and unattractive groups (N = 84). Three separate three-factor (sex X attractiveness X grade) analyses of variance indicated attractive children were more socially accepted than their unattractive peers and had higher self-concepts.
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One hundred and twenty-eight children with congenital heart disease (CHD) and 89 healthy controls were compared according to their development of personality and intelligence. Presence of physical disability in daily life was the independent variable for dividing children with CHD into two groups: children with physical handicap due to CHD (n = 77) have lower IQ scores than healthy children. Unexpectedly, in the parents' opinion they show no difference in behaviour patterns. On introspective examination, these cardiac patients showed an increased feeling of inferiority and of basic anxiety and a more impetuous behaviour as their way of self-protection, but a reduced need for independence due to parental overprotection was not confirmed. None of these observations could be detected in children with CHD who are physically fit (n = 51).
Asthma is a complex genetic disorder involving the interplay between various environmental and genetic factors. In this review, efforts have been made to provide information on the recent advances in these areas and to discuss the future perspective of research in the area of developing personalized drugs using pharmacogenomic approach. Atopic asthma is found to be strongly familial, however the mode of inheritance is controversial. A large number of studies have been carried out and a number of candidate genes have been identified. In addition, a number of chromosomal regions have been identified using genome-wide scans, which might contain important unknown genes. It has been shown in studies carried out in different populations that the genetic predisposition varies with ethnicity. In other words, genes that are associated with asthma in one population may not be associated with asthma in another population. In addition to the involvement of multiple genes, gene-gene interactions play a significant role in asthma. The importance of environmental factors in asthma is beyond doubt. However, it remains controversial whether a cleaner environment or increased pollution is a trigger for asthma. Despite the increasing prevalence of the disorder, only a limited number of therapeutic modalities are available for the treatment. A number of novel therapeutic targets have been identified and drugs are being developed for better efficacy with less side-effects. With the rapid progress in the identification of genes involved in various ethnic populations combined with the availability in future of well-targeted drugs, it will be possible to have appropriate medicine as per the genetic make-up of an individual.
Developed, implemented, and evaluated a social skills training program for shy persons. Twelve Ss (6 males and 6 females) were given 9 hours of social skills training, while 12 other Ss (6 males and 6 females) served as a wait-list control group. Prior to and immediately after training, Ss completed self-report measures to assess social anxiety, cognitive self-statements, and perceived ability to participate actively in social situations. Results indicated that Ss in the experimental group, relative to the control group, significantly: (a) decreased their level of social anxiety; (b) decreased their negative self-statements; and (c) increased their perceived ability to participate actively in social situations. Discussion focused on directions of future research in the area of shyness.
A concrete formulation of focus is proposed that in structure and use is suitable for individual as well as couples and family therapy. The concept of coevolution (Willi 1985, 1991) forms a basis for the supposition that important personal developments are realised in human relationships. The development of one person is challenged, taxed, or hindered by the development of other persons. The formulation of a coevolutional focus consists of four steps: 1) The context of the relationship in which the current conflict emerges; 2) The identification of delayed stages of development; 3) The personal and interactional conditions which block this development; 4) Concrete changes which make the progress in the intended development recognizable. The focus in couples and family therapy integrates the impending development of the participants in their collusive interactions.
Pharmacoproteomics is the use of proteomic technologies in drug discovery and development. Along with pharmacogenomics and pharmacogenetics, pharmacoproteomics will play an important role in the development of personalized medicines in several ways. Proteomic technologies are contributing to molecular diagnostics, which is a basis of personalized medicine. Pharmacoproteomics is a more functional representation of patient-to-patient variation than that provided by genotyping. Proteomics-based characterization of multifactorial diseases may help to match a particular target-based therapy to a particular marker in a subgroup of patients. Individualized therapy may be based on differential protein expression rather than a genetic polymorphism. Finally, proteomic technologies would enable discovery and development of drugs suitable for personalized therapy. Protein chips will be used increasingly in clinical diagnostics in the next 5 years, particularly in the point-of-care diagnostics. This will facilitate the practice of personalized medicine in the clinic by the end of this decade.
This study was designed to determine possible differences in the cognitive, perceptual, and personal-social development of prematurely and maturely born 3-yr.-olds which might foreshadow later learning problems. The subjects were 40 prematurely born graduates of a neonatal intensive care unit (birth weight less than 2,500 gm, less than 37 wk. gestation) matched on the pair-level with full-term controls on sex, race, post-conceptual age, and socioeconomic background. All subjects were singletons and parity was matched at the group level. No differences were found between the groups on tests of higher mental processes including the General Cognitive, Verbal, Quantitative, and Memory Scales of the McCarthy Scales of Children's Abilities, and researcher-devised measures of problem-solving competence. No differences in parental reports of personal-social development were noted. Prematures did not perform as well as controls on perceptual performance tasks, and this difference was interpreted as reflecting relatively impaired visual-motor coordination.
Personality disorders (PD) are recognized among key maladaptive factors in postoperative period of coronary artery bypass surgery (CABS). However studies on PD among CABS patients are predominantly under psychological approach and information on clinical features is very limited. A present investigation aimed at assessing clinical features and prognostic value of PD in late post operative period of CABS (from 1 to 3 years). Using psychiatric, cardiological and psychological methods, 48 patients (42 male, mean age 61.3 +/- 8.2 years) with diagnosis of PD and favorable cardiological status after CABS have been assessed. PD in post operative period is an important predictor of unfavorable social and occupational outcome of CABS. Three types of clinical course of PD were singled out: 1) hypohondric personality development; 2) "second life" personality development; 3) "denial of illness" reactions. Pronounced maladaptation was observed in type 1, most severe one--in type 2 and minimal maladaptation or its absence--in type 3. These types were differentiated by different repertoires of psychological defense mechanisms (PMD): type 1 was characterized by a limited number of them with a drift to mature mechanisms; PD of type 2 are featured by a narrow and rigid repertoire of defenses with predomination of immature mechanisms and in type 3 a maximum number of PMD with balanced involvement of mature and immature mechanisms was observed.
Comprehensive coverage of prevention-related topics in the curricula of medical schools is important for the training of future physicians; however, the changes needed in educational programs to include such topics are likely to challenge many institutions. Faculty members are central to the successful adoption of any new curricular paradigm, yet many of the impediments to change are also likely to be found within the faculty ranks. Achieving major curricular change requires institution leaders to define a new vision and allocate sufficient resources to support faculty efforts. Appropriate steps should be taken to actively involve the faculty early in the process of change and to recruit stakeholders from within the faculty ranks to play prominent roles. The educational models should be based on educationally and scientifically sound underpinnings that will facilitate acceptance of the models by the faculty, and faculty members must be offered appropriate opportunities to develop the skills to successfully implement the models. A school-wide faculty development program should address organizational development, instructional development, and personal development. The expertise needed to design and implement these activities may be secured from within or outside the institution. Individuals who have played key roles in the curricular change process must be rewarded and given appropriate recognition for their contributions. These steps will help in the successful integration of prevention-related topics into the curriculum, which will add a much-needed dimension, resulting in students' being better prepared to address the needs of their patients and the community.
PROBLEM STATEMENT AND BACKGROUND: Cross-cultural experiences are in increasing demand by both graduate and undergraduate medical students, yet the benefits of these experiences are not clearly established. METHOD: A review of the literature was conducted to identify articles on the outcomes of cross-cultural experiences. Themes were identified and categorized into domains. RESULTS: Forty-two studies were found; 27 articles used qualitative methods, nine used quantitative methods, and six used both. Most (24) were from the nursing literature, 18 were from the medical literature. All studies reported positive outcomes along four domains: students' professional development, students' personal development, medical school benefits, and host population benefits. CONCLUSIONS: Studies reviewed were primarily case controlled or case series. Future research is needed that more clearly defines outcome measures and uses more rigorous methods. Although results suggest positive outcomes in all domains, additional research is needed before cross-cultural rotations can be supported based on evidence.
AIM: The aim of the study was to investigate student nurses' experiences of Project 2000. METHOD: A sample of 76 students completed a questionnaire twice, once at the beginning of the course and again after one year. A second questionnaire comprising rating scales of how stressed they felt, was completed by a sample of 30 students weekly for the first year of the course. RESULTS: Seven areas of concern were identified: the theory component of the course, assessments, clinical practice, financial pressures, time management, personal development and personal difficulties. CONCLUSION: Sufficient data were generated to suggest that the experiences of Project 2000 students in other institutions are likely to be similar to those reported in the study. Recommendations for teachers, clinical staff and students are made.
The changes in psychic structure attributed to the effects of interpretation when they transpire during psychoanalysis occur spontaneously in the course of normal development. The parental behaviors associated with the changing structure of the normally developing personality are similar to various specific and nonspecific features called "supportive" in psychotherapy. These features include interventions that promote a "learning" state by optimizing anxiety, foster a sense of self and of agency, encourage mature relationships, and strengthen adaptive defenses.
At age 43, 90 women in a longitudinal study were classified on the basis of J. Loevinger's (Loevinger & Wessler, 1970) Sentence Completion Test into 3 levels of ego development: self-aware or below, conscientious, and individualistic or above. Retrospective multivariate analyses of variance showed that ego level was associated with differential personality change on scales of the California Psychological Inventory from ages 21-43. In a path analysis, verbal aptitude in high school, psychological mindedness in college, and stimulation of life path between ages 21 and 43 each independently predicted ego level at age 43. Accounts of difficult times that involved construction of new schemas (accommodation rather than assimilation) were associated with high ego level.
Ten boys 9-12 years of age with severe perennial asthma participated in a physical exercise programme lasting 8 months. Pulmonary function and psychological tests were performed before training, immediately after, and one year after the end of the exercise programme. Static lung volumes, flow-volume variables and histamine tolerance were used as indicators of pulmonary function. Ego structure, body image, social development and concentration capacity were used as indicators of personality development. Before the study, the group had high FRC (p less than 0.05) and RV (p less than 0.001), low FEV1, MEF50 and MEF25 (all p less than 0.001) and low histamine tolerance. They showed marked disturbances in their personality development with low scores in psychological variables. During the training period, MEF50 and MEF25 increased slightly (p less than 0.01). Marked improvement was observed in all psychological variables (p less than 0.001). The positive effects remained during the following year. The marked and lasting improvement in personality development was regarded as an essential factor behind the more modest positive clinical and pulmonary function changes. The results emphasize the importance of including exercise programmes in the treatment of children with asthma.