Background: The concepts of the Young Person and of an Elderly Person go through an evolutionary diversification during the Human lifecycle and are permeable to diverse biopsychosocial factors involved in the definiti...Background: The concepts of the Young Person and of an Elderly Person go through an evolutionary diversification during the Human lifecycle and are permeable to diverse biopsychosocial factors involved in the definition of the lifecycle stages. Therefore, assessing this subjectivity in different stages of development and population fringes may be a determinant key factor to assist the implementation of successful disease prevention and health promotion strategies. Aim: The aim of the present study was to discern how Fine Arts’ college students of the Anatomy class mentally represent the inner morphology of the human body of the Young Person and of an Elderly Person. Method: For such, 126 students were asked to draw the interior of the body of a Young Person and of an Elderly Person. In all, 252 drawings were collected and analysed, based on a coding data grid designed for this purpose. Hence, a comparative analysis of these two different vital lifecycle phases was achieved. Results: The results suggest anatomical differences in the pictorial representation of the Young Person and of the Elderly Person, namely in the accentuation of the curvatures of the vertebral column, retrusion of the lower jaw and muscle flaccidity. Conclusions: Although the body schema was the same for all individuals, the body image was singularly depicted and linked to each individual’s history, representing a synthesis of his idiosyncratic perceptions, experiences and particularities.展开更多
A human being is a complex type of creature whose existence depends on three components;the spirit, the soul and the body which interact in a reversible manner. I do believe that there comes a time when there is lack ...A human being is a complex type of creature whose existence depends on three components;the spirit, the soul and the body which interact in a reversible manner. I do believe that there comes a time when there is lack of a reversible interaction between the soul and the spirit in certain individuals which leads to a state of mental offset. For humans to live in sociality the world is governed by humans’ laws but the mentally offset human do not live according to these laws. Due to this, they are considered as being useless in the society but I do believe that they have complete natural human rights and are not useless for they are aware of each act they perform. It is observed that the mentally offset human hardly acquire a disease from natural origin, I do believe that due to this lack of a reversible interaction between the soul and the spirit, the immune system is reprogrammed such that there is a lack of recognition of exogenous and endogenous pathological substances and there is no means of interaction between these substances and the body cells.展开更多
Background: The roots of autism spectrum disorders become evident in first attunement mechanisms between mother and child that allow a first level of mentalizing. Neurosciences and current developmental theories confi...Background: The roots of autism spectrum disorders become evident in first attunement mechanisms between mother and child that allow a first level of mentalizing. Neurosciences and current developmental theories confirm the existence of defensive mechanisms related to body and affectivity that psychodynamic theories had already highlighted. Reading child’s behavior not only by administering tests but also through careful clinical observations allows a better understanding of the communication and social difficulties present in autistic children. The identification of the zone of proximal development can promote a therapeutic intervention that respects the individuality of the child and the specificity of his relational approach to the world. Conclusion: The paper presents the theoretical principles of a body-centered therapy to promote the attunement processes necessary to activate cognitive resources.展开更多
Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between me...Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between mental states and subjective physical fatigue or pain in seven body sites among 2449 teachers. The 12-item General Health Questionnaire (GHQ-12) was used to assess mental state. We defined a score of 4 points and over in the GHQ-12 score as unhealthy mental state. We also asked about the presence of subjective physical fatigue or pain in each seven body sites in the past one year. In the results, 30.3% unhealthy mental states were found in females and 22.9% in males. Most of subjective physical fatigue or pains were detected in neck and shoulder, eyes, head and low back. Using multivariate logistic regression, higher scores in the GHQ-12 were positively associated with presence of subjective fatigue or pain in head and eyes in both genders, in lower extremities among females, and in back, upper extremities among males. Our results suggest that physical symptoms in specific body sites with gender differences may be useful in the early identification of unhealthy mental states among teachers. We should have efforts to pay attention to mental states among high school teachers if their symptoms do not get better after taking physical care.展开更多
Most studies on bariatric surgery identify personal factors such as“non-compliance”to lifestyle changes as the cause of weight gain and subsequent inability to lose weight.Prior qualitative studies suggest that weig...Most studies on bariatric surgery identify personal factors such as“non-compliance”to lifestyle changes as the cause of weight gain and subsequent inability to lose weight.Prior qualitative studies suggest that weight loss patients have complicated relationships with both self and weight,with significant emotional and psychological implications.But how do patients themselves understand the trajectories of their weight gain as related to intrinsic versus extrinsic factors?A qualitative analysis examined the aspects involved in the construction of higher body weight from the perspectives and life experiences of Brazilian women who underwent bariatric surgery,considering that Brazil has previously been reported as a highly anti-fat society.Individual,semi-structured interviews were conducted with thirty women(15 aged 33-59 and 15 aged 63-72).Data were analyzed identifying the regular,expressive,and meaningful significance units identified through the interviews.Although it was expected that different life events were reported as crucial to the perceived aetiology of individual weight gain stories,the participants reported that the emotional aspects had more impact.The extremely high value attached to having a particular body weight negatively influenced the participants’concept of identity and harmed their interactions and understanding of what it meant to be fully loved and accepted.Most of the participants underscored the importance of food in women’s lived experiences and explanations of weight gain.Despite this somatic response being dysfunctionally directed to food,this mechanism seemed to be vital to keeping them alive and engaged in the world.Finally,the participants faced layered vulnerabilities,which decreased their opportunities to access resources aimed at better body weight management.Broad approaches that consider emotional and physical care strategies must be proposed to this population.展开更多
Objective:This study examined patients with systemic lupus erythematosus(SLE)as a means to explore the impacts of chronic disease on life courses.Methods:A semi-structured in-depth interviews were conducted with nine ...Objective:This study examined patients with systemic lupus erythematosus(SLE)as a means to explore the impacts of chronic disease on life courses.Methods:A semi-structured in-depth interviews were conducted with nine patients in China in 2017;participants were included based on their having or having had facial butterfly erythema.Results:The study focused on both the disease's impact on the patients'health and on their daily lives.Four core themes emerged:visible changes in the patient's bodies,social dilemmas,"the encouragement of disease",and a new perspective on the relationship between disease and health.One important finding was that the occurrence of a chronic disease did not have only negative repercussions;some patients felt that there were advantages to being sick.Chronic disease resulted in a reworking of daily life.The patients developed a self-referential model of healing.Conclusion:The distinct interpretations of the same disease offered by different patients served to yield a more complete understanding of the disease.People with SLE adjust their thinking about the disease based on personal feelings as well as experiences and pursue a dialogue on their illness based on the disease pattern unique to them.The meaning that disease had for the patients was not limited to negative connotations.展开更多
It is important to reconstruct a continuous surface representation of the point cloud scanned from a human body. In this paper a new implicit surface method is proposed to reconstruct the human body surface from the p...It is important to reconstruct a continuous surface representation of the point cloud scanned from a human body. In this paper a new implicit surface method is proposed to reconstruct the human body surface from the points based on the combination of radial basis functions （RBFs） and adaptive partition of unity （PoU）. The whole 3D domain of the scanned human body is firstly subdivided into a set of overlapping subdomalns based on the improved octrees. The smooth local surfaces are then computed in the subdomalns based on RBFs. And finally the global human body surface is reconstructed by blending the local surfaces with the adaptive PoU functions. This method is robust for the surface reconstruction of the scanned human body even with large or non-uniform point cloud which has a sharp density variation.展开更多
<strong>Introduction:</strong> Globally, 20 million people are affected by schizophrenia. In Uganda, the prevalence is reported to be 710 per 100,000 population. Unlike normal adults who are less likely to...<strong>Introduction:</strong> Globally, 20 million people are affected by schizophrenia. In Uganda, the prevalence is reported to be 710 per 100,000 population. Unlike normal adults who are less likely to have foreign body ingestion, patients with mental illnesses such as schizophrenia are at an increased risk of both intentional and accidental foreign body ingestion. Therefore, health workers must be vigilant while assessing such patients not to miss out on the diagnosis as unwitnessed foreign body ingestion presents a diagnostic challenge. <strong>Observation:</strong> We received a 33-year-old female diagnosed with schizophrenia four years before this admission as a referral. She presented at MNRH A&E with complaints of abdominal pain, non-bilious vomiting, and progressive weight loss. She had multiple admissions in private hospitals before her referral to MNRH where several investigations were done with inconclusive results. Upper GI endoscopy revealed multiple foreign bodies in the stomach. An erect abdominal x-ray was then done to rule out distal gastrointestinal involvement and/or perforation. An emergency laparotomy was performed and over 170 different metallic objects of varying sizes were completely evacuated. She reported that she ingested them in response to the compelling auditory hallucinations but had no intention of self-harm. <strong>Conclusion:</strong> Foreign body ingestion presents a diagnostic challenge in adults. The various impairments among mentally ill patients put them at an increased risk hence the need for suspicious diagnostic evaluation of those presenting with abdominal symptoms. Both health workers and families have a role to play in the prevention of such life-threatening emergencies.展开更多
文摘Background: The concepts of the Young Person and of an Elderly Person go through an evolutionary diversification during the Human lifecycle and are permeable to diverse biopsychosocial factors involved in the definition of the lifecycle stages. Therefore, assessing this subjectivity in different stages of development and population fringes may be a determinant key factor to assist the implementation of successful disease prevention and health promotion strategies. Aim: The aim of the present study was to discern how Fine Arts’ college students of the Anatomy class mentally represent the inner morphology of the human body of the Young Person and of an Elderly Person. Method: For such, 126 students were asked to draw the interior of the body of a Young Person and of an Elderly Person. In all, 252 drawings were collected and analysed, based on a coding data grid designed for this purpose. Hence, a comparative analysis of these two different vital lifecycle phases was achieved. Results: The results suggest anatomical differences in the pictorial representation of the Young Person and of the Elderly Person, namely in the accentuation of the curvatures of the vertebral column, retrusion of the lower jaw and muscle flaccidity. Conclusions: Although the body schema was the same for all individuals, the body image was singularly depicted and linked to each individual’s history, representing a synthesis of his idiosyncratic perceptions, experiences and particularities.
文摘A human being is a complex type of creature whose existence depends on three components;the spirit, the soul and the body which interact in a reversible manner. I do believe that there comes a time when there is lack of a reversible interaction between the soul and the spirit in certain individuals which leads to a state of mental offset. For humans to live in sociality the world is governed by humans’ laws but the mentally offset human do not live according to these laws. Due to this, they are considered as being useless in the society but I do believe that they have complete natural human rights and are not useless for they are aware of each act they perform. It is observed that the mentally offset human hardly acquire a disease from natural origin, I do believe that due to this lack of a reversible interaction between the soul and the spirit, the immune system is reprogrammed such that there is a lack of recognition of exogenous and endogenous pathological substances and there is no means of interaction between these substances and the body cells.
文摘Background: The roots of autism spectrum disorders become evident in first attunement mechanisms between mother and child that allow a first level of mentalizing. Neurosciences and current developmental theories confirm the existence of defensive mechanisms related to body and affectivity that psychodynamic theories had already highlighted. Reading child’s behavior not only by administering tests but also through careful clinical observations allows a better understanding of the communication and social difficulties present in autistic children. The identification of the zone of proximal development can promote a therapeutic intervention that respects the individuality of the child and the specificity of his relational approach to the world. Conclusion: The paper presents the theoretical principles of a body-centered therapy to promote the attunement processes necessary to activate cognitive resources.
文摘Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between mental states and subjective physical fatigue or pain in seven body sites among 2449 teachers. The 12-item General Health Questionnaire (GHQ-12) was used to assess mental state. We defined a score of 4 points and over in the GHQ-12 score as unhealthy mental state. We also asked about the presence of subjective physical fatigue or pain in each seven body sites in the past one year. In the results, 30.3% unhealthy mental states were found in females and 22.9% in males. Most of subjective physical fatigue or pains were detected in neck and shoulder, eyes, head and low back. Using multivariate logistic regression, higher scores in the GHQ-12 were positively associated with presence of subjective fatigue or pain in head and eyes in both genders, in lower extremities among females, and in back, upper extremities among males. Our results suggest that physical symptoms in specific body sites with gender differences may be useful in the early identification of unhealthy mental states among teachers. We should have efforts to pay attention to mental states among high school teachers if their symptoms do not get better after taking physical care.
基金support from the Research Support Foundation of the State of São Paulo(FAPESP)grant number 2019/00031-0the Conselho Nacional de Desenvolvimento Científico e Tecnológico(CNPq),under the process number 309514/2018-5.
文摘Most studies on bariatric surgery identify personal factors such as“non-compliance”to lifestyle changes as the cause of weight gain and subsequent inability to lose weight.Prior qualitative studies suggest that weight loss patients have complicated relationships with both self and weight,with significant emotional and psychological implications.But how do patients themselves understand the trajectories of their weight gain as related to intrinsic versus extrinsic factors?A qualitative analysis examined the aspects involved in the construction of higher body weight from the perspectives and life experiences of Brazilian women who underwent bariatric surgery,considering that Brazil has previously been reported as a highly anti-fat society.Individual,semi-structured interviews were conducted with thirty women(15 aged 33-59 and 15 aged 63-72).Data were analyzed identifying the regular,expressive,and meaningful significance units identified through the interviews.Although it was expected that different life events were reported as crucial to the perceived aetiology of individual weight gain stories,the participants reported that the emotional aspects had more impact.The extremely high value attached to having a particular body weight negatively influenced the participants’concept of identity and harmed their interactions and understanding of what it meant to be fully loved and accepted.Most of the participants underscored the importance of food in women’s lived experiences and explanations of weight gain.Despite this somatic response being dysfunctionally directed to food,this mechanism seemed to be vital to keeping them alive and engaged in the world.Finally,the participants faced layered vulnerabilities,which decreased their opportunities to access resources aimed at better body weight management.Broad approaches that consider emotional and physical care strategies must be proposed to this population.
文摘Objective:This study examined patients with systemic lupus erythematosus(SLE)as a means to explore the impacts of chronic disease on life courses.Methods:A semi-structured in-depth interviews were conducted with nine patients in China in 2017;participants were included based on their having or having had facial butterfly erythema.Results:The study focused on both the disease's impact on the patients'health and on their daily lives.Four core themes emerged:visible changes in the patient's bodies,social dilemmas,"the encouragement of disease",and a new perspective on the relationship between disease and health.One important finding was that the occurrence of a chronic disease did not have only negative repercussions;some patients felt that there were advantages to being sick.Chronic disease resulted in a reworking of daily life.The patients developed a self-referential model of healing.Conclusion:The distinct interpretations of the same disease offered by different patients served to yield a more complete understanding of the disease.People with SLE adjust their thinking about the disease based on personal feelings as well as experiences and pursue a dialogue on their illness based on the disease pattern unique to them.The meaning that disease had for the patients was not limited to negative connotations.
基金the National Natural Science Foundation of China (No. 50575139)the Shanghai Special Fund of Informatization (No. 088)
文摘It is important to reconstruct a continuous surface representation of the point cloud scanned from a human body. In this paper a new implicit surface method is proposed to reconstruct the human body surface from the points based on the combination of radial basis functions （RBFs） and adaptive partition of unity （PoU）. The whole 3D domain of the scanned human body is firstly subdivided into a set of overlapping subdomalns based on the improved octrees. The smooth local surfaces are then computed in the subdomalns based on RBFs. And finally the global human body surface is reconstructed by blending the local surfaces with the adaptive PoU functions. This method is robust for the surface reconstruction of the scanned human body even with large or non-uniform point cloud which has a sharp density variation.
文摘<strong>Introduction:</strong> Globally, 20 million people are affected by schizophrenia. In Uganda, the prevalence is reported to be 710 per 100,000 population. Unlike normal adults who are less likely to have foreign body ingestion, patients with mental illnesses such as schizophrenia are at an increased risk of both intentional and accidental foreign body ingestion. Therefore, health workers must be vigilant while assessing such patients not to miss out on the diagnosis as unwitnessed foreign body ingestion presents a diagnostic challenge. <strong>Observation:</strong> We received a 33-year-old female diagnosed with schizophrenia four years before this admission as a referral. She presented at MNRH A&E with complaints of abdominal pain, non-bilious vomiting, and progressive weight loss. She had multiple admissions in private hospitals before her referral to MNRH where several investigations were done with inconclusive results. Upper GI endoscopy revealed multiple foreign bodies in the stomach. An erect abdominal x-ray was then done to rule out distal gastrointestinal involvement and/or perforation. An emergency laparotomy was performed and over 170 different metallic objects of varying sizes were completely evacuated. She reported that she ingested them in response to the compelling auditory hallucinations but had no intention of self-harm. <strong>Conclusion:</strong> Foreign body ingestion presents a diagnostic challenge in adults. The various impairments among mentally ill patients put them at an increased risk hence the need for suspicious diagnostic evaluation of those presenting with abdominal symptoms. Both health workers and families have a role to play in the prevention of such life-threatening emergencies.
