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PubMed2006

[Paradigms of fetal ethology].

In utero, the fetus is protected against biological and social influences of the outside world. This circumstance offers an opportunity for sonographic investigation of inherited fetal behavior free of extraneous effects. Observation of fetal activities with ultrasound permits the recognition of certain uniform features of fetal behavior. Immediately after birth, the neonate continues repeating those activities that he/she became accustomed to in the womb. Later these become modified by environmental influences. Nonetheless, basic inherited behavioral characteristics continue to be expressed and may remain recognizable even during adulthood. Some aspects of adult behavior may derive from experience acquired during fetal life. These include the hand-face reflex, various types of facial expression, such as smiling, crying, yawning, grimaces of dissatification and desperation as well as sticking out one's tongue.

Fetal Movement↗
PubMedDate not supplied

[Dialysis, adaptation, quality of life, and family support].

Chronic dialysis treatment is characterized by a series of complex interdependent objective problems, such as the dialysis experience, the individual way to assess it, and some "protective" factors such as social and family support. Progresses in dialysis research show that dialysis patients have important alternatives to passively accept their condition: thanks to adequate psychological and relational aid, they can reach rather advanced adaptation levels, which allow them to modify both their behaviour and way of life, to keep a satisfactory compliance, and to improve their quality of life (QoL). In this adaptation process, both family and social support play an important role, although controversy still exists on it. The results of our study confirm the complexity of this role and show that either haemodialysis or peritoneal dialysis patients' adaptation process and QoL may be directly related to the extent of family member's ("caregiver") support. It is of particular interest the fact that patients, especially those undergoing haemodialysis, provided with a caregiver's assistance but who choose to "act by themselves", do have better adaptation levels and QoL than those who rely only on their caregiver. This fact reassesses the widely accepted point of view that continuous caregiver's support is always a positive and necessary factor in order to improve both the adaptation and the QoL of dialysis patients.

Adaptation, Psychological↗
PubMedDate not supplied

An analysis of the phenomenon of increased parental participation during the child's dental experience.

The role of the parent during their child's dental experience, in contemporary society, has changed during the past decade and should be addressed by pediatric dentists. Included in this matter are issues regarding risk management and practice management. Behavioral pediatric dentistry is in flux, much like the world that it serves; there appear to be schisms within the profession regarding one aspect of this: the presence of parents in the dental operatory. Presented here is an analysis of the paradigm-shifts in society since World War II, when a postfigurative parenting strategy was in vogue. An explication of noted anthropologist Margaret Mead's descriptions of this and two subsequent parenting styles, including configurative (or transitional) and prefigurative (contemporary) are presented. They are analyzed in terms of parental attitudes concerning trusting their child to authority figures, including the dental clinician. This emerging protective instinct is termed "social hypertrophy", based on social biologist Edward O. Wilson's work. Dentists are encouraged to understand parental attitudes and avoid unnecessary conflict.

Child↗
PubMed1990

[The main results of the experiment regarding the changes in the principles of follow-up of patients with mental disorders].

In 1988--1989 an organizational experiment was carried out in Moscow, Leningrad, in the Latvian SSR, the Altai territory and in the Ivanovo region. Apart from the conventional follow-up of patients with mental diseases, the counselling form of the follow-up was established in the experimental territories. In accordance with this new principle, the treatment and counselling assistance to persons with mental disorders was rendered only after seeing a doctor. The main results of the experiment are as follows: 1) the follow-up group of patients noticeably diminished at the expense of a decrease of the number of persons taken under the follow-up studies as well as at the expense of more rapid removal of the patients from the register including their active transfer to the patients' group given medical advice; 2) in the follow-up group structure, there was an increase in the number of patients with psychotic disorders and mental retardation and a noticeable lowering of the number of patients with non-psychotic disorders; 3) the group of patients to be given medical advice dramatically increased in the experimental territories, while the number of patients suffering from non-psychotic disorders accounted among them for 80-85%. On the whole the experiment provided evidence in favour of the opportuneness and soundness of introduction into psychiatric practice of the two follow-up types: as far as patients with grave mental disorders and deep social decompensation are concerned, they should be followed up over time by means of conventional methods; as to patients with milder mental disorders, the counselling form of the follow-up is quite sufficient, provided they adapt themselves socially or are well protected (in respect to children and retired persons).

Ambulatory Care↗
PubMed1978

The emergence of the concept of screening for disease.

Public health officials, industrial leaders, and insurance companies early in this century optimistically advocated the potential for improved health and productivity through regular physical examinations. Doctors and the public, fed both by the exigencies of war and the experience of new technology, later joined the pursuit of protection from hazard--physical, social, and economic. But these very technologies--newer and more "mechanistic"--changed interest in the annual checkup into a fervor for "mass screening." By the 1970's the quarrel shifted from affective questions to matters of effectiveness and efficiency. Has progress been real?

History, 19th Century↗
PubMed1977

Preliminary monitoring of agricultural pesticides in a cooperative tobacco pest management project in North Carolina, 1971--first-year study.

A preliminary tobacco pest management pesticide monitoring project was initiated in two counties of North Carolina in 1971 to develop an ecologically, economically, and socially acceptable system for protecting tobacco from damaging insect and disease pests. Results from the first year's study including sampling procedures, sample preparation, and analysis and residue data are presented in this paper.

Animals↗
PubMed1993

[Whiplash injury--a confusing concept].

The functional anatomy of the cervical spine, the biomechanics of lesions due to rear end collisions, the human behaviour of victims of these collisions and the influence of insurance, legislation, court decisions and the modalities and duration of treatment are discussed in a survey of the literature on lesions of the cervical spine due to rear end collisions. The problems posed by changed court rulings on lesions of the cervical spine due to rear end collisions are mentioned, as well as the danger of producing a "whiplash" compensation epidemic. It appears that immediate treatment of the lesion avoiding manipulation, long immobilization and delay in decisions on compensation may reduce the frequency, intensity and duration of symptoms. The symptoms usually remit after settlement of compensation and seldom give rise to substantial disability. The prevention of lesions of the cervical spine and head due to rear end collisions will only be possible if car safety engineers succeed in preventing rear end collisions and/or in ending hyperextension by appropriate devices. The head supports in use today are not sufficient to prevent hyperextension of the cervical spine.

Automobiles↗
PubMed1977

Monitoring agricultural insecticides in the cooperative cotton pest management program in Arizona, 1971--first-year study.

A county-wide pest management program was initiated in Pinal County, Ariz, in 1971 to improve ecologically, economically, and socially the system for protecting cotton from insect pests. In cluded in this program was a plan to determine the environmental impact of any resulting pesticide load in the environment. Monitoring studies were developed for the assay of insecticide residues in soil, sediment, water, and biological materials. This report presents results of the first year's study and analytical methodology used to achieve those results.

Animals↗
PubMed1995

Ethical, social and counselling issues in hereditary cancer susceptibility.

Genetic testing for hereditary susceptibility to disease is new. Much has been learned from experience with Huntington's disease and other non-malignant conditions. There are some differences in the case of predisposition testing for cancer: there is often the perception that cancer is preventable and sometimes curable, in contrast to other hereditary conditions. Testing raises many issues new to the medical community and to the public as well. There is great concern that the explosive technology be used responsibly, so that the potential benefits of genetic knowledge are not eclipsed by the risks to autonomy, privacy and justice. Practical concerns about insurability and discrimination may inhibit some at risk individuals from taking advantage of this powerful technology. There has been considerable effort already in the UK, Europe and the USA at the research and social levels to create protection for individuals found to carry genetic susceptibility to disease.

Bioethics↗
PubMed1996

New psychosocial treatments for the outpatient management of bipolar disorder.

The psychosocial treatment of bipolar disorder has the potential to augment the efficacy of outpatient pharmacotherapy if it succeeds in enhancing the protective effects of the social and familial environment and the patient's adherence to drug regimes. We describe two manual-based psychotherapies under evaluation in controlled clinical trials: a family-focused psychoeducational treatment and an individual, interpersonally-oriented psychotherapy. Both target recently ill patients and are delivered in combination with standard pharmacotherapies on an outpatient basis. Results from the ongoing clinical trials suggest high patient retention rates for both models over the first year of treatment. Future research should focus on the appropriate sequencing of pharmacologic and psychosocial treatments, and the conditions under which psychosocial treatment will be most effective.

Adult↗