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PubMed2000

Job innovation for direct caregivers in the care of persons with mental retardation. A system of personal caregiving.

Professionals in different branches of the health care sector increasingly advocate a more flexible, individually-tailored type of care. To fit in with this trend, the Job Innovation Model was developed in The Netherlands. This model involves the systematic introduction of a system of personal caregiving. The purpose of the present study, using a pre-test-post-test quasi-experimental design, was to evaluate the effects of the implementation of the Job Innovation Model on the work and work perception of direct caregivers in the care of persons with mental retardation. Caregivers in the experimental group were found to have adopted the principles of the Job Innovation Model to a greater extent than their colleagues in the control group, and as a result, the experimental group started to work more methodically and perceived greater clarity in their work. In addition, a trend was observed towards greater job satisfaction among caregivers as a result of the introduction of the new model. No changes were found concerning burnout.

Caregivers↗
PubMed2002

[Narcissistic personality disorder and factitious disorder on a borderline personality organization basis: a psychoanalytic psychotherapy process].

The aim of this presentation is to summarize the changes occurring during the psychoanalytic psychotherapy of a dystonic (due to anoxic injury), 25-years-old female patient both from the standpoint of diagnosis and dynamics as well as the changes occurring in the therapist. The patient was finally diagnosed as having narcissistic disorder with factitious traits on a borderline personality organization and was twice hospitalized for a wide variety of symptoms, such as suicidal attempts, auditory and visual hallucinations, animistic thoughts, obsessive compulsive symptoms, dissociative episodes, and fear of abandonment. Hospitalized treatment was started on a weekly basis. Avoidance of interpretation, acceptance of her fantasies, outbursts and hostile behaviour helped the patient to reveal herself as a helpless and lonesome person trying to get attention with pseudo-symptoms created throughout the therapy. The patient finally established a trusting relationship with the therapist. This, in turn helped the therapist to become more attuned to the patient's difficulties. It is obvious that establishing a positive working relationship is the basis of psychotherapy and that even on a once a week basis significant changes can occur in a patient's attitude towards his/her life and future. Another point emphasized in this paper is the importance of supervision, which helped the therapist to overcome prejudices and become more flexible.

English Abstract↗
PubMed1992

[The physician and personal computers--applications of the personal computer].

Nowadays the personal computer is being used in a broad range of activities. Its user is also its operator, directly controlling the process. The paper describes both hardware and software, the structure of the PC, its input and output equipment, basic principles of work with a PC, programs and programming, as well as computer languages. A classification of personal computers is presented and the most frequently used types are assessed. (Fig. 6, Ref. 15.).

Expert Systems↗
PubMed1992

Hepatitis E: evidence for person-to-person transmission and inability of low dose immune serum globulin from an Indian source to prevent it.

This study was undertaken to assess the role of person-to-person transmission in hepatitis E and the ability of immune serum globulin (ISG) from an Indian source to prevent such transmission. Seventy six subjects (62 household contacts of patients with sporadic hepatitis E and 14 controls with no household contacts) were studied clinically, biochemically and serologically at entry and fortnightly thereafter for the next 8 weeks. Thirty two household contacts received 2 mL of 16.5% ISG 16.5% while the other 30 household contacts and 14 controls received 2 mL of normal saline intramuscularly at entry. Eighteen (29%) household contacts and none of the control subjects developed biochemical evidence of acute hepatitis E (p less than 0.01). The enzyme elevation occurred after a mean interval of 31.0 +/- 4.5 days from the onset of disease in the index case. This suggested that the disease in the case contacts had been contracted by household contact with the index case and not by simultaneous infection of the index case and the household contact. The incidence of disease was similar in the household contacts receiving ISG and normal saline (25% and 33.3% respectively, p = ns). ISG had no effect on the time interval to SGPT rise or on the severity of disease in household contacts.

Alanine Transaminase↗
PubMed2004

Preventing person-to-person spread following gastrointestinal infections: guidelines for public health physicians and environmental health officers.

This guidance updates advice on preventing person-to-person spread of gastrointestinal infections in the general population, first published in 1983 by the Public Health Laboratory Service and last updated in 1995. It represents a consensus of informed opinion and is particularly aimed at those public health physicians and environmental health officers who do not specialise in communicable disease control. It addresses predominantly the organisms that more commonly present them with problems. The guidance considers general measures, enteric precautions, exclusion from work, school and other settings and groups that pose an increased risk of spreading infection.

Communicable Disease Control↗
PubMed2006

Residential radon and lung cancer--detailed results of a collaborative analysis of individual data on 7148 persons with lung cancer and 14,208 persons without lung cancer from 13 epidemiologic studies in Europe.

OBJECTIVES: Studies seeking direct estimates of the lung cancer risk associated with residential radon exposure lasting several decades have been conducted in many European countries. Individually these studies have not been large enough to assess moderate risks reliably. Therefore data from all 13 European studies of residential radon and lung cancer satisfying certain prespecified criteria have been brought together and analyzed. METHODS: Data were available for 7148 persons with lung cancer and 14,208 controls, all with individual smoking histories and residential radon histories determined by long-term radon gas measurements. RESULTS: The excess relative risk of lung cancer per 100 Bq/m3 increase in the observed radon concentration was 0.08 [95% confidence interval (95% CI) 0.03-0.16; P=0.0007] after control for confounding. The dose-response relationship was linear with no evidence of a threshold, and it remained significant when only persons with observed radon concentrations of <200 Bq/m3 were included. There was no evidence that the excess relative risk varied with age, sex, or smoking history. Removing the bias induced by random uncertainties related to radon exposure assessment increased the excess relative risk of lung cancer to 0.16 (95% CI 0.05-0.31) per 100 Bq/m3. With this correction, estimated risks at 0, 100, and 400 Bq/m3, relative to lifelong nonsmokers with no radon exposure, were 1.0, 1.2, and 1.6 for lifelong nonsmokers and 25.8, 29.9, and 42.3 for continuing smokers of 15-24 cigarettes/day. CONCLUSIONS: These data provide firm evidence that residential radon acts as a cause of lung cancer in the general population. They provide a solid basis for the formulation of policies with which to manage risk from radon and reduce deaths from the most common fatal cancer in Europe.

Case-Control Studies↗
PubMedDate not supplied

[Polymorphism of heterochromatin regions of chromosomes 1, 9, 16 and Y in long-lived persons and in persons of various ages from 2 areas of the Soviet Union].

Variants of the chromosome polymorphism have been studied in long-living individuals and in persons of the population group from the Abkhazian region. This study and a comparative analysis of the data obtained with the data of the analogous studies of 170 persons in the Ukraine have permitted establishing the peculiarities of the distribution of certain chromosome polymorphism variants in long-living individuals.

Adult↗
PubMed1978

Person-to-person transmission of Giardia lamblia in day-care nurseries.

In an outbreak of giardiasis at two day-care nurseries in metropolitan Toranto Giardia lamblia appeared to be transmitted person to person. No common source of infection could be found. The proportions of children infected in the two nurseries were 39% and 17%; infection was spread to 7% and 23% of their household contacts. Of the infected children and household contacts 26% and 30% respectively of those for whom detailed information could be obtained were symptomatic. Canadian children were more likely to be infected and symptomatic than were immigrant children attending the nurseries. The most susceptible ages for infection were 1 to 3 years. The results of this study suggest that all children in day-care nurseries who are infected with G. lamblia should be treated, regardless of whether they are symptomatic.

Child Day Care Centers↗
PubMed1995

Outbreaks of infectious intestinal disease associated with person to person spread in hotels and restaurants.

Twenty-eight outbreaks of infectious intestinal disease, reported as being transmitted mainly by the person to person route, were identified in association with retail catering premises, such as hotels, restaurants, and public houses, in England and Wales between 1992 and 1994. Five thousand and forty-eight people were at risk in these outbreaks and 1234 were affected. Most of the outbreaks (over 90%) occurred in hotels. Small round structured viruses were the most commonly detected pathogens. Diarrhoea and vomiting were common symptoms and most of the outbreaks occurred in the summer months. Control measures to contain infectious individuals and improved hygiene measures are necessary to contain such outbreaks.

Communicable Diseases↗
PubMed1993

Group psychotherapy for persons with multiple personality and dissociative disorders.

Group psychotherapy is a valuable part of the treatment of patients with multiple personality and dissociative disorders. After reviewing the sparse literature on the subject, the author describes the use of group psychotherapy with these patients alone, as well as with two types of groups in which these patients may participate: incest survivors and general group therapy patients. She concludes by emphasizing the need for expert training for therapists who conduct group psychotherapy with multiple personality and dissociative disorder patients.

Dissociative Disorders↗
PubMed1997

Acute effects of blood glucose on chromatic visually evoked potentials in persons with diabetes and in normal persons.

PURPOSE: To determine whether specific chromatic pathways are selectively affected by short-term variations in blood glucose levels in observers with and without diabetes. METHODS: Ten subjects with diabetes, all with type 1 diabetes and no retinopathy, and eight age-similar normal subjects were tested. Cortical visually evoked potentials (VEPs) in response to stimuli designed to selectively activate the short-wavelength-sensitive (S) or long- and middle-wavelength-sensitive (LM) chromatic (isoluminant) pathways or the achromatic pathway were recorded over a period of several hours. Capillary blood glucose also was measured repeatedly over the same period. The relation between VEP latency and blood glucose was determined. RESULTS: The S-pathway VEP latency was correlated significantly with blood glucose in a slight majority (6/10) of persons with diabetes; S-pathway latency was longer at higher blood glucose levels. This association between S-pathway latency and blood glucose was not dependent on the pattern of blood glucose variation over time (i.e., significant correlations between blood glucose and latency were observed in persons for whom blood glucose increased, decreased, or rose and then fell over time). No dependence on blood glucose was observed for LM- or achromatic-pathway VEP latency in subjects with diabetes. CONCLUSIONS: Acute variations in blood glucose of subjects with diabetes over hours selectively affect the function of the short-wavelength-sensitive chromatic pathway. The findings are discussed within the context of known mechanisms by which elevated glucose affects cellular metabolism with a time course consistent with the transient nature of the effect observed.

Adult↗
PubMed1980

Assessment of heritability for personality, based on a short-form of the Eysenck Personality Inventory: a study of 12,898 twin pairs.

The influence of genetic factors for two personality dimensions was analyzed using data from 12,898 unselected twin pairs of the Swedish Twin Registry. The heritability index was 0.50 (men) and 0.58 (women) for psychosocial instability. Corresponding figures for psychosocial extraversion were 0.54 and 0.66. Thus, about half the phenotypic variation may be attributed to genetic factors.

Adult↗
PubMed2002

Personality disorders in the community: results from the Australian National Survey of Mental Health and Wellbeing Part II. Relationships between personality disorder, Axis I mental disorders and physical conditions with disability and health consultations.

BACKGROUND: The aims of this study were threefold. First, to ascertain whether personality disorder (PD) was a significant predictor of disability (as measured in a variety of ways) over and above that contributed by Axis I mental disorders and physical conditions. Second, whether the number of PD diagnoses given to an individual resulted in increasing severity of disability, and third, whether PD was a significant predictor of health and mental health consultations with GPs, psychiatrists, and psychologists, respectively, over the last 12 months. METHOD: Data were obtained from the National Survey of Mental Health and Wellbeing, conducted between May and August 1997. A stratified random sample of households was generated, from which all those aged 18 and over were considered potential interviewees. There were 10,641 respondents to the survey, and this represented a response rate of 78 %. Each interviewee was asked questions indexing specific ICD-10 PD criteria. RESULTS: Five measures of disability were examined. It was found that PD was a significant predictor of disability once Axis I and physical conditions were taken into account for four of the five disability measures. For three of the dichotomously-scored disability measures, odds ratios ranged from 1.88 to 6.32 for PD, whilst for the dimensionally-scored Mental Summary Subscale of the SF-12, a beta weight of -0.17 was recorded for PD. As regards number of PDs having a quasi-linear relationship to disability, there was some indication of this on the SF-12 Mental Summary Subscale and the two role functioning measures, and less so on the other two measures. As regards mental consultations, PD was a predictor of visits to GPs, psychiatrists and psychologists, over and above Axis I disorders and physical conditions. CONCLUSION: The study reports findings from a nationwide survey conducted within Australia and as such the data are less influenced by the selection and setting bias inherent in other germane studies. However, it does support previous findings that PD is a significant predictor of disability and mental health consultations independent of Axis I disorders and physical conditions.

Australia↗
PubMedDate not supplied

Endorsement of personal benefit of outpatient commitment among persons with severe mental illness.

This study examines whether individuals who experienced involuntary outpatient commitment (OPC) attribute benefit to this intervention. It was found that the majority of experimental subjects who underwent a period of OPC did not personally endorse OPC's benefits at the end of the study, either because they did not think it improved treatment adherence or because they rejected their own need for continued treatment. However, at the end of the study, a positive appraisal of benefit was roughly twice as likely among subjects who actually experienced positive treatment outcomes. These data provide little support for acceptance and "gratitude" as a rationale to support decision making about OPC continuation. Rather, clinicians need to rely on other clinical and empirical data for such decision making.

Attitude↗
PubMed1983

Personality changes in the aged. A transectional and longitudinal study with the Eysenck Personality Inventory.

As part of a comprehensive epidemiological study in the elderly the Eysenck Personality Inventory was administered to 70-, 75- and 79-year-old samples. Extraversion and Lie scores were approximately normally distributed whereas Neuroticism was positively skewed. There was a negative correlation between Lie-scale and Neuroticism. Norms for EPI scores in 70-year-olds are presented. Transectional comparisons with 50-year-old samples showed that in 70-year-olds Extraversion was lower in both sexes, Neuroticism was higher in females, and Lie scores were higher in both sexes. Between 70 and 79 years of age Neuroticism scores were progressively lower for males, which may be explained by selective mortality. Females scored significantly higher than males on Neuroticism in all four age groups. Subjects with lower intelligence scored higher on Extraversion and Neuroticism than subjects with higher intelligence. Subjects with mild-moderate dementias and with neurotic conditions scored higher on Neuroticism than subjects with no diagnosis. There were also some differences associated with subjective age, sexual activity and survival, indicating that subjects who were more vital in these respects scored higher on Extraversion and lower on Neuroticism.

Age Factors↗
PubMed1993

Is there any specific personality disorder or personality disorder cluster that worsens the short-term treatment outcome of major depression?

This study attempted to identify a specific personality disorder (PD) or PD cluster that independently worsens the 4-month treatment outcome of major depression under adequate antidepressant. The material of the study was 96 consecutive outpatients with major depression. For the Axis I and Axis II diagnoses, the Structured Clinical Interview for DSM-III-R (SCID) was used. In the material, the presence of any PD significantly worsened the 4-month outcome. The discriminant function analysis, conducted to identify a specific PD or PD cluster that influences the outcome, found that the number of PD from only cluster A and the number of criteria met for only schizoid PD was significantly correlated with the 4-month outcome of depression.

Adult↗
PubMed1977

Personality correlates of study difficulty and academic performance in university students. I. The Middlesex Hospital Questionnaire and Dynamic Personality Inventory.

The personality correlates of study difficulty and academic performance in university students have been measured in terms of psychiatric symptomatology and premorbid characteristics. The UCLSQ, MHQ and DPI were administered to two groups of male and female students presenting at an health centre: one (n = 72) of patients seeking psychological help, the other (n = 73) a control group. Significant differences between the two groups were formed on the MHQ, confirming previous results; and these were supplemented by differences on the DPI. Motivational and psychoneurotic components of study difficulty were significantly related to MHQ scores in both groups. DPI scores were more closely related to study difficulty in the patients than controls; and served particularly to characterize their sylbism and work satisfaction. The DPI added to the picture of a subgroup of students observed both in an earlier and the present study: academically successful patients scoring high on phobic anxiety.

Achievement↗