A controlled study of cognitive psychotherapy in schizophrenia

A number of psychological approaches to alleviating psychotic symptoms have been reported in the literature such as social reinforcements (1),time-out (2),punishment (3),assertive training (4),exercise (5),stimulus control (6),self-instruction (7),thought stopping (8),control of stitnulus input (9),biofeedback (1 0),and self-control (11) among others.The first part of this research paper describes an experiment that makes use of cognitive psychotherapy to treat chronic drug resistant delusions (more than 12 years duration) in two patients with schizophrenia.The positive response of both patients with the absence of symptom replacement and maintenance of response at 18 months followup,seem to imply that this technique is useful and more effort needs to be invested into this new area of psychotherapy for psychosis

To establish the prevalence of eating disorders and compare effectiveness of treatment of eating disorders in Kelantan students

This paper describes the development of a Malay version self-report questionnaire designed to assess assumptions and beliefs associated with eating disorders.Factor analyses suggested a replicable four factor structure consisting of the following dimensions: negative self-beliefs; weight and shape as a means to acceptance by others; weight and shape as a means to self-acceptance;and control over eating.The subscales possess good psychometric properties and significant correlations were found between the subscales and other measures of the specific and general psychopathology of eating disorders.The questionnaire also distinguished two groups of patients with eating disorders from normal controls.The usefulness of the measure and implications of the findings for cognitive theories of eating disorders are briefly discussed

Psychiatric manifestations in orthopedic patients on Celecoxib therapy

Introduction: The Cyclooxygenase-2 (COX-2) enzyme is responsible for the synthesis of prostaglandin which is responsible for inflammation and pain. Celecoxib a cyclooxygenase-2 inhibitor was first used as a non-steroidal anti-inflammatory drug in 1999. Celecoxib is as effective as NSAJDs but causes less ulceration of the gastrointestinal tract, hence it is commonly used. It has been widely used in patients with osteoarthritis and rheumatoid arthritis. We present 3 cases of temporary psychiatric disorders associated with consumption of celecoxib, two of the patients presented with auditory hallucinations while one was diagnosed to be having depression. None had pre-existing psychiatric disorders or consumed alcohol or substance of abuse. All 3 patients recovered from their temporary psychiatric disorders after stopping celecoxib. Discussion: It is important to be aware of the psychiatric side effects when prescribing the drug for prolonged periods

Utilization of expressed emotion in prevention of relapse of schizophrenia patients in Kelantan

Expressed emotion is currently among the most thoroughly investigated psychosocial research constructs in psychiatry (1-4).Developed some three decades ago by George Brown and his colleagues index of particular emotions, attitudes and behaviours expressed by relatives about a family member diagnosed with schizophrenia. The specific factors that make up the construct of expressed emotion are criticism, hostility and emotional over involvement.Several naturalistic studies have demonstrated the association of these factors with clinical relapse (5-8).Patients living in home are significantly more likely to experience a clinical relapse than are patients residing in households with low levels of expressed emotion.This finding has not surprisingly resulted in a great deal of clinical interest in a construct originally developed for purposes of basic research (9-12)

Psychotheraphy for rural Malays - does it work?

Broadly defined, psychotherapy is a process of interaction between two or more individuals in which skills of one is used in the helping relationship for the emotional support and/ or maturation of the other. The history of formal psychotherapy starts in the mid-19th century. At that time Freud experimented with the use of hypnosis in the treatment of neurotic patients. Initially he used hypnosis to suppress symptoms but later used it to release the emotions associated with repressed ideas. In helping patients to recall suppressed events, he found it effective to get the patients to lie on the couch and talk freely about the past while the therapist kept out of sight. This was the origin of free association. He also built an elaborate theory of mental development and functioning to guide his practice. This eventually gave birth to psychoanalysis on which most modern forms of psychotherapy derived. Another well-known definition describes psychotherapy as "an interpersonal process designed to bring ",bout modifications of feelings, cognition, attitudes and behavior which have proved troublesome to the person seeking help from a trained professional." This definition draws attention to three characteristics of psychotherapy: the presence of a therapist-patient relationship; the interpersonal context of the psychotherapies; and, implied by the notion of training and professionalism, the sense that therapies are conducted according to a model that guides the therapist's actions. Psychotherapies are defined in part by their setting and in part by the presence of an explicit model of psychopathology, which in turn generates procedures for relieving distress. Based on this background, some thirteen years ago we embarked on a journey of experimental research to answer the question whether psychotherapy can work on Malay patients from a rural background. Most therapies insist on strict inclusion criteria for their therapies; the major criteria being well educated and psychologically minded patients. This seems to exclude most of the patients we were treating. To do therapy on these patients would mean to defy the criteria and face poor outcome or to create a new form of therapy with our own model and own criteria. We started with neurotic disorders and gradually worked on depression and finally even on psychosis, which has been said to be resistant to psychotherapy, with remarkable success. The work has been recognized and our model of psychopathology and therapy has been included as a form of therapy within the CBT group. Further work is now being geared towards patients with the more severe and chronic forms of anxiety group of disorders

A pilot study of mental health intervention programme in primary health carein two districts of Kelantan

Attempted Suicide, by Casper Truong, is an experimental hand drawn 2D and rotoscope animation that tells the story of depression and how and artist copes with it. The video, also serves as a critique at violence in entertainment, especially in cartoons. Image 05: Still from Attempted Suicide, 2019, Hand-drawn 2D and rotoscope animation, 3 minuteshttps://cedar.wwu.edu/bfa_images_2019/1070/thumbnail.jp

Analisa Kelebihan Tekanan Pada Saat Pembakaran Gas Berlebih pada Flare

Pada penelitian kali ini saya akan meneliti tentang analisa kelebihan tekanan pada saat pembakaran gas berlebih pada flare. Pada dasarnya instalasi Flare merupakan sistem pengaman suatu gas yang dihasilkan dari proses pengolahan maupun produksi dengan cara membakar gas tersebut. Gas yang dihasilkan dari pemisahan minyak ini sebagian besar adalah gas metana. Gas metana ini merupakan gas rumah kaca yang 21 x lebih merusak dari pada karbondioksida. Dampak terjadinya kelebihan tekanan akan terlihat api yang lebih tinggi dari cerobong flare, dan kemungkinan besar bisa mengakibatkan kebakaran di area pengolahan biogas. Dari hasil analisis kinerja biogas flare yang didapat secara langsung dari Biogas Pabrik Ukindo adalah untuk tekanan 8-15 kpa, kandungan metana 40 – 60%,dan temperatur pembakaran 1000 – 1200 ˚C, untuk emisi gas rumah kaca didapat dari hasil perhitungannya adalah Emisi dari bahan bakar gas dengan emisi berdasarkan faktor emisi per tahun = 206,26 x lb/yr, dan untuk kerugian tekanan yang terjadi pada pemipaan total adalah 0,1035 pa.The study aims to analyze the excess pressure during excessive gas combustion on the flare. Basically, flare is a gas safety system which generated from both process and production by burning the gas. From the oil separation process, it gained gases mostly is methane gas. It is a greenhouse gas which twenty one time more damaging than carbon dioxide. Then, the effect of this excessive will lead the fire be higher that seen from the flare chimney, and most likely could causing fires in the biogas processing area. The result reveals that the performance of biogas flares which collected at Ukindo Factory are for 8-15 kpa pressure, methane content 40-60%, and combustion temperature 1000-1200˚C. For greenhouse emission gas gained from the calculation of emission by gas fuel of emission based on the emission factor per year = 206,26 x lb/yr. Lastly, for pressure lost on total piping is 0,1035 pa

Emotional intelligence and academic performance in first and final year medical students: a cross-sectional study

Background Research on emotional intelligence (EI) suggests that it is associated with more pro-social behavior, better academic performance and improved empathy towards patients. In medical education and clinical practice, EI has been related to higher academic achievement and improved doctor-patient relationships. This study examined the effect of EI on academic performance in first- and final-year medical students in Malaysia. Methods This was a cross-sectional study using an objectively-scored measure of EI, the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT). Academic performance of medical school students was measured using continuous assessment (CA) and final examination (FE) results. The first- and final-year students were invited to participate during their second semester. Students answered a paper-based demographic questionnaire and completed the online MSCEIT on their own. Relationships between the total MSCEIT score to academic performance were examined using multivariate analyses. Results A total of 163 (84 year one and 79 year five) medical students participated (response rate of 66.0%). The gender and ethnic distribution were representative of the student population. The total EI score was a predictor of good overall CA (OR 1.01), a negative predictor of poor result in overall CA (OR 0.97), a predictor of the good overall FE result (OR 1.07) and was significantly related to the final-year FE marks (adjusted R2 = 0.43). Conclusions Medical students who were more emotionally intelligent performed better in both the continuous assessments and the final professional examination. Therefore, it is possible that emotional skill development may enhance medical students’ academic performance

Role of Human Resources Management in the Effectiveness of Business Process Reengineering

The main idea of the paper to presents a model with the discussion of Human resources management role with line extent of Management competency, team working, effective communication, IT and Organizational structure and there impact on the effectiveness of Business Process Reengineering. The article suggest that the use of HRM with the implementation of the BPR find the better results and support the organizational better performance Keywords: human Resources Management, business process Reengineering, Organizational performanc