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Apathy and indifference in patients on fluvoxamine and fluoxetine.

Apathy, indifference, loss of initiative, or disinhibition (without concurrent sedation or hypomania) were observed among five patients receiving the serotonin reuptake blocking antidepressants fluvoxamine or fluoxetine. These effects appeared to be dose related. They disappeared rapidly when the dose of fluvoxamine, which has a short half-life, was reduced. Fluoxetine, which has a long half-life, was more difficult to titrate. A possible relationship between mild drug-induced indifference and the therapeutic effects of serotonin reuptake blocking medication in anxiety disorders is discussed.

Adult↗

Radiation protection in radiologic technology: apathy versus active involvement.

The lack of active participation in radiation protection is a serious problem in Radiologic Technology today. Underlying the problem is professional apathy. An overview of the historical changes, as well as various recent developments in radiology, accentuate the importance of necessary changes in technologists' attitudes and activities.

Attitude↗

[Privative syndrome of brain-injured patients (aboulia, asthenia, apathy, ataraxia)].

The authors analyze the personality of cranial-traumatized patients in the years that follow the accident or neuro-surgery. They point out the negative aspect of the behaviors noted: abulia, apathy, selfdenial, passiveness, and especially the failure to recognize the very special syndrome, that is no pure psychosis, nor actual neurosis, not even dementia that is well-known by the neuro-surgeons, badly-known by the experts and forgotten in the tables. The evolution of this syndrome of long duration, it lasts from two to five years, according to circumstances, and for some symptoms or occasionally chronic patients.

Apraxias↗

Nonparticipation in mammography screening: apathy, anxiety or cost?

AIMS: A survey was undertaken to find out why only 46% of eligible women had taken the opportunity to join the South Canterbury mammography screening programme in the first 22 months of operation. METHODS: One hundred and sixty seven randomly chosen women, aged between 40 and 65 years, who had not had a mammogram, were questioned about their knowledge of, and attitudes to, mammography screening. RESULTS: The answers showed that apathy, lack of concern and lack of perceived need were reasons quoted for nonattendance by almost half of respondents. Other important barriers to mammography screening were: (1) fear of a positive screen result (admitted by 39%); (2) lack of encouragement by some general practitioners (quoted by 19%); and (3) lack of knowledge about screening mammography (one third did not know that mammography was a screening and not just a diagnostic procedure). The current cost is a major deterrent for many unscreened women with only 28% saying they would be willing to pay more than $55.00, but only 10% unwilling to pay at all and only 5% quoting cost as their reason for nonattendance. CONCLUSION: Strategies to improve attendance are suggested.

Adult↗