China
Africa
Explore chapters and articles related to this topic
Patients with a psychiatric diagnosis in general practice: (co)morbidity and contacts
Published in Gert P Westert, Lea Jabaaij, François G Schellevis, Morbidity, Performance and Quality in Primary Care, 2018
Peter Verhaak, Anita Volkers, Jasper Nuyen
Of all patients with a DSM-IV diagnosis, data about all contacts with their GPs during one year were recorded. During each contact with a patient, the GP registered the diagnosis in an electronic medical record coded according to the ICPC.12 Separate attention has been paid to somatic symptoms that are considered indicative of depression or anxiety: cold chills, tired, abundant transpiration, nausea, palpitations, tightness of the chest and lack of appetite. Apart from morbidity, attention will be paid to the number of contacts during one year and to the number of episodes of illness during one year (one episode of illness may take more than one contact).
The Biopsychosocial Perspective: Psychiatric Disorders and Related Issues in Pain Management
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Anxiety is also commonly associated with acute and chronic pain states, encompassing a number of distressing symptoms. Anxious people are likely to report apprehension and worry, chest palpitations, chest tightness, dyspnea, chest discomfort or throat closing off, feeling faint, tremulousness, restlessness, muscle tension, a sense of impending doom, a sense that they will not survive or will die, a sense of separation from their body, paresthesias, hot flashes, and cold chills. Such symptoms can be quite distressing, and without a particular means of alleviating these symptoms, patients might be inclined to seek out medical attention, fearing that there is something seriously wrong (Dworkin & Caligor, 1988).
Green tobacco sickness: mecamylamine, varenicline, and nicotine vaccine as clinical research tools and potential therapeutics
Published in Expert Review of Clinical Pharmacology, 2019
Green tobacco sickness was first documented in the United States medical literature during the early 1970s; those afflicted were farm workers seeking medical attention at a clinic in Lafayette county located in north-central Florida [2]. However, the condition had been well known among tobacco farmers long before this report appeared in the medical literature. Some speculated that the cause was due to absorption of a chemical in tobacco through the skin during the process of picking and securing leaves between the arm and torso. Case reports and patient surveys obtained from tobacco harvesters in eastern North Carolina corroborated the sickness described in the Florida report [3]. The signs and symptoms, in order of prevalence, included vomiting, pallor, weakness, dizziness, light-headedness, headache, increased sweating, abdominal pain, cold, chills, and increased salivation. The sickness was isolated to the process of having direct contact with tobacco leaves, because other steps not involving direct contact with tobacco (e.g. breathing air in a storage facility) did not appear related to the illness. However, the large amounts of nicotine measured in the air of some facilities merits caution regarding potential harmful effects in exposed workers [4].
Family Lovemap and Erotically Related Protective Factors
Published in Journal of Child Sexual Abuse, 2018
Intimacy has a presence, (“I can feel the warmth from her”; or “I get around them and I feel safe and inspired”); this speaks to awareness, a cognitive process. There is non-verbal communication attached to it (“they seem so relaxed, helpful, not defensive…they smile, look directly into your eyes” or “you can feel it just walking into a room the way they seem …approachable, friendly”), a reading of cues. Time appears to be effected, thus impacting perceptual processes. Time is compressed, or extended beyond the actual period (“we just met for a short time but it seemed like we were there for hours” or “I don’t know what happen we started talking and the next thing it’s two in the morning and we’re brewing another pot of coffee!”). Psychological boundaries are also involved, (“It was like that little kitten just got up inside of my heart” or “it just felt so intrusive to me; like right in my face”). Intertwined is the soma/body, the physiological changes (“one look at him and I just knew it…my heart started really pounding hard”, or “I just got a cold chill, my hairs stood right up in the back of my neck and arms…weird!”). The components of intimacy can be identified (e.g., supportiveness, empathy, attentiveness, responsiveness, caring, consideration) and perhaps be formulated into delicate study of protective factors.
Pyogenic liver abscess after open hemorrhoidectomy
Published in Acta Chirurgica Belgica, 2023
Maxim Peeters, Xavier De Raeymaeker, Amine Karimi, Martijn van der Pas
Based on this case report, the authors want to emphasize the importance of good postoperative instructions for patients, even for those seemingly small surgical procedures. Our patient consulted the emergency department after three days of having fever with cold chills. Our patient was young, had no predisposing factors and managed to recover. For more vulnerable patients the outcome could be worse.