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Desert Shield deployment and social problems on a U.S. Army combat support post.

We undertook a study of selected mental health-related services at a combat support post to determine if stress levels surrounding Operations Desert Shield/Desert Storm had an effect on the utilization of these services. Our measure was the problem rate formed by adding the visits to the alcohol and drug service and the social work service. The findings (not all of which reached statistical significance in our small study) were that the problem rates were higher in those units which deployed, both before and after deployment. The pre-deployment differences in age, rank, and race between those soldiers deployed and not deployed is a finding which may help to account for the difference between units. There was a transient, but not sustained, problem rate increase immediately following return home for those units which deployed. Implications for mental health-related services staffing and directions for further research are discussed.

Adult↗

[Suicidal thoughts, personality structure and social problems in 19-year-old Zuricher adolescents].

A sample of 586 19-year old male adolescents from the canton of Zurich was examined 446 of the adolescents surveyed, i.e. 76.1%, indicated that they had never entertained thoughts of suicide, while 140, i.e. 23.9%, had already thought of commiting suicide. These two groups are compared with regard to various personal und sociographic data, as well as to their personality structure. The significance of important conflicts leading to thought of suicide is discussed.

Adult↗

[Homeless-disabled people--medical, moral and social problem].

Many factors contribute to homelessness, including extreme poverty, extended periods of unemployment, disruption of regular sources of income and employment, deinstitutionalization and substance abuse. As a result, the needs of the homeless are both broad and complex. This assessment is based on literature reviews and reviews of local documents and reports. For homeless people, healthcare competes with more immediate needs, such as obtaining adequate food and shelter and it is our duty as a society to help.

Delivery of Health Care↗

Elderly ileostomists and their social problems.

There is no clear definition of who is "elderly." For the purpose of this review, we studied ileostomists over the age of 60. Fifty of 55 such members of the Ileostomy Association completed a questionnaire about problems they had experienced. The mean age of the respondents was 68.5 +/- 5.5 years, and they had had an ileostomy for 14.6 +/- 10.2 years. Only 68% of patients felt that they had received a full explanation before surgery. Family members and the Ileostomy Association had been most effective in support of the ileostomist; stoma therapists less so. Thirty-two percent of patients were shocked or repelled by their stoma immediately after surgery, and 54% had problems touching or cleaning it, although their difficulties diminished with time. The majority of patients were unaffected in their social activities by surgery, although 18% gained confidence and 12% lost it. These problems were unaffected by age at operation.

Age Factors↗

[Prevention of neural tube defects. An important health and social problem].

Central neural system congenital malformations in the form of neural tube defects (ntd) belong to the most common diseases leading to very serious childrens' disability and mortality. As it has been calculated, the number of children affected with ntd, delivered in Poland every year is in the range of 800-1150. Children with encephalocele participate in this number in app. 50%. As it has been found, morbidity and mortality caused by the ntd remain high and stable in Poland for the last 20 years. In the view of very limited possibilities of the treatment offered by health services, prophylactic measures remain the best methods for limitation of the problem. The primary prevention of ntd was discovered in late seventies. It has been found that folic acid added to the diet of women in the reproductive age reduced number of children born with ntd by 70%. Authors present the Programme of Primary Prevention of ntd in Poland. This Programme has been incorporated in the National Programme of Health for the Nation 1996-2005.

Adult↗

Family social problems in the Rett syndrome.

Having a child with the Rett syndrome in the family changes all the rules. It is crucial that one person not bear the entire load. The primary caretaker must build a support system, or risk resentment, exhaustion and martyrdom, none of which pay very well. She should beware of the "sainthood syndrome." The whole family needs to re-think its values, adopting a team spirit. Good communication is vital, and family as well as individual goals must be clear to all members. Family members who are not the primary caretakers must learn to recognize the signs of burnout and know how to step in and provide relief.

Family↗

[Inflammatory gynecological diseases as a social problem in women of reproductive age].

Gynecological infections in women of reproductive age are connected with considerable economic losses both for diagnosis and treatment and for temporary disability. There are annually 12,000-15,000 pelvic infections in women of reproductive age in Bulgaria. Late sequel include infertility, ectopic pregnancy, chronic disability. The management of all these complications exceed considerably the expenses if proper diagnosis and treatment of the pelvic infections has been administrated. About 25% of the women who have had salpingitis are expected to be affected by infertility. The age group of women 20-25 years are the most affected. Most of these women have not accomplished their reproductive potential. The most frequent causes for pelvic infections are sexually transmitted pathogens and intrauterine manipulations--dilatation and curettage, IUDs. The necessity for control programs for prevention of sexually transmitted infections as well as education for diminishing unwanted pregnancy and abortions is pointed out.

Adult↗

[Congenital color vision deficiencies as a social problem].

Color vision standards for various occupations and schools have been greatly eased recently. However, if the trend is unaccompanied with proper advice for color defective persons, there is a risk of accidents such as occurred in the past when color vision standards had not been introduced, because the color vision defect is unchanged. In this context, the history of color vision standards and the color confusion by color defective persons in their daily life were reviewed. The collected data together with pathophysiological characteristics of defective color vision suggest that at least the following measures are necessary from a practical point of view: (1) By education and awareness, color defective persons can avoid errors in color in most cases. Therefore, ophthalmologists should inform them of their defects in childhood and give instructions on how to compensate for their disadvantages. (2) In public and occupational situations, all the information conveyed by color should include lettering or other forms of redundancy for the convenience of color defective persons.

Color Vision Defects↗

Sexual abuse of minors: emerging medical and social problem in Malawi.

Sexual abuse is one of the most dehumanising human offenses. There has been an increasing public concern and outcry regarding the escalating wave of sexual abuse of young girls in Malawi, in the recent past. Four young girls, aged between two and seven years who were sexually abused by adult males aged between 20 and 70 years seen and managed in the department within the past two years, are presented to illustrate the problem. Their physical injuries, varied reactions and those of their immediate families to the abuse; possible predisposing factors to the abuses; the related medical, psychosocial as well as legal management of such incidents, in the light of limited public awareness, and lack of adequately and appropriately trained personnel and facilities in Malawi are discussed. With the scare of AIDS and an increasing disintegration of the traditional family fabric, there is a high potential for an increase, not only of the prevalence of sexual abuse of minors in Malawi, but also the variety and severity of sequelae. It is therefore recommended that there is need to create public awareness about sexual abuse, train and equip the relevant personnel to appropriately manage such cases, as well as enact and enforce the relevant legal provisions, so as to curb the menace, for the well-being of the society.

Adult↗

Lead in ancient human bones and its relevance to historical developments of social problems with lead.

Concentrations of metabolic lead in buried ancient bones are obscured by replacement of calcium in apatite by excessive amounts of soil moisture Pb. Concentrations of metabolic barium in bones are affected in a similar way. Added soil Pb and Ba, expressed as log(Pb/Ca) versus log(Ba/Ca) among various bones at a given burial site, are positively covariant, with about 5-fold more soil Pb added for each unit of added soil Ba. The typical natural metabolic Ba/Ca ratio in contemporary people can be measured unambiguously because it as unaffected by industrial pollution. It applies to ancient people because it has not changed historically. The intercept of the covariance curve for buried bones of a given ancient population at the known metabolic Ba/Ca ratio indexes the corresponding metabolic Pb/Ca ratio in bones of that population. Lead levels which prevailed in Romans appear to have been similar to those in contemporary people, which are approximately 1000-fold above natural levels in humans determined by this method in ancient Peruvians. This indicates that studies of natural biochemical reactions in cells free of industrial Pb should be made, because most present biochemical knowledge is founded on data obtained from systems polluted with Pb 1000 to 100000-fold above natural levels. The 5000 year history of smelting Pb by humans indicates that a system of education fostered by genetically common lower brain center functions operated on hundreds of successive generations in a context of cultural changes invoked by feedback from developments in engineering technologies to give rise to the difference between present typical and prehistoric natural levels of Pb in humans. Archaeological and anthropological studies of early developments in writing, music and metallurgy by ancient Peruvians and Persian peoples should be combined with PET-scan studies of their descendants to discover if, as preliminary archaeological data suggest, the two ancient populations differed on a genetic basis in higher brain functions, yet are indistinguishable as metallurgical engineers. This would demonstrate that higher centers of the human brain did not exercise guiding control, through hundreds of generations, over those developments of engineering technologies which resulted in the extreme pollution of the earth's biosphere with poisonous Pb.

Barium↗

Improving coping skills of emotionally disturbed boys through television-based social problem solving.

Ten specially selected videotapes, showing children involved in working through problem situations, were shown twice a week for five weeks to boys in special education classes at a residential treatment center, and were followed by discussions led by teachers and aides. Multiple overlapping control groups were used in a pretest, posttest, follow-up design. Results indicated clear gains in emotional control, personality functioning, and prosocial behavior and, at a two-month follow-up, gains in self-reliant learning by boys subject to the experimental condition.

Adolescent↗

[Psychological and social problems of tumor patients].

The fate of the tumor patient is, in the first instance, decided by the medical findings. The institution of treatment is thus determined by somatic problems. In addition to the impaired physical state, however, the emotive and social behavior of the tumor patient is also altered. The nature and quality of the information provided to the patient represents the cornerstone for a trusting relationship between the physician and patient. Such information should be presented gently and should be complete, and should cover more than one session of talks. Informative and explanatory talks should also be held with relatives in an early stage, and a social worker should be involved in good time. Since the physician's task is not solely to combat the tumor, but, rather to heal the patient, or, where this is not possible, to improve his/her condition, he must not only recognize the somatic problems, but also concern himself with the patient's psychological problems.

Adaptation, Psychological↗