“This is a question we have to ask everyone”: asking young people about self-harm and suicide

This is the peer reviewed version of the following article: O’Reilly, M., Kiyimba, N., & Karim, K. (2016). “This is a question we have to ask everyone”: asking young people about self-harm and suicide. Journal of Psychiatric and Mental Health Nursing, 23(8), 479-488. http://doi.org/10.1111/jpm.12323, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jpm.12323/abstract. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-ArchivingIntroduction: Questions about self-harm and suicide are essential in risk assessments with children and young people, yet little is known about how mental health practitioners do this. Aim: The core aim was to examine how questions about self-harm and suicidal ideation are asked in real-world practice. Method: A qualitative design was employed to analyse 28 video-recorded naturally occurring mental health assessments in a child and adolescent mental health service. Data were analysed using conversation analysis (CA). Results: In 13 cases young people were asked about self-harm and suicide, but 15 were not. Analysis revealed how practitioners asked these questions. Two main styles were revealed. First was an incremental approach, beginning with inquiries about emotions and behaviours, building to asking about self-harm and suicidal intent. Second was to externalize the question as being required by outside agencies. Discussion: The study concluded that the design of risk questions to young people had implications for how open they were to engaging with the practitioner. Implications for practice: The study has implications for training and practice for psychiatric nurses and other mental health practitioners in feeling more confident in communicating with young people about self-harm and suicidal ideation

Solving the Weighted Constraint Satisfaction Problems Via the Neural Network Approach

A wide variety of real world optimization problems can be modelled as Weighted Constraint Satisfaction Problems (WCSPs). In this paper, we model this problem in terms of in original 0-1 quadratic programming subject to leaner constraints. View it performance, we use the continuous Hopfield network to solve the obtained model basing on original energy function. To validate our model, we solve several instance of benchmarking WCSP. In this regard, our approach recognizes the optimal solution of the said instances

Fistule appendiculo-cutanée: complication rare de l’appendicite aiguë

La fistule appendiculo-cutanée est une communication anormale entre le tube digestif et la peau à travers l'appendice. Elle représente une complication rare de la perforation appendiculaire au cours de l'appendicite et une urgence chirurgicale. Nous rapportons le cas d'un patient âgé de 48 ans, admis aux urgences pour des douleurs fébriles de la fosse iliaque droite, avec issu de pus à travers un orifice situé au niveau du flanc droit. L'examen clinique avait mis en évidence un orifice de 0,5 cm de diamètre situé au niveau du flanc droit donnant issu à de pus verdâtre, avec une défense de la fosse iliaque, chez un patient fébril à 38,2C. Le bilan biologique avait montré une hyperleucocytose à 15000/mm3, avec une CRP à 65 mg/l. Une échographie abdominale a été en faveur d'une appendicite aigue avec un abcès pariétal en regard. Le scanner abdomino-pelvien avait révélé un aspect d'appendicite aigue compliquée d'une fistule appendiculo-cutanée et d'un abcès pariétal en regard (A). Le patient a été opéré par laparotomie médiane avec découverte d'une appendicite aiguë suppurée avec un appendice de 7 cm de long, fistulisé à la peau au niveau du flanc droit, siège d'un abcès pariétal d'environ 20 cc de pus prélevé (B). Le geste a consisté à une appendicectomie rétrograde après déconnexion de la fistule et un drainage de l'abcès. Les suites post opératoires ont été simples et le patient est sorti de l'hôpital à j+4. L'examen anatomo-pathologique de la pièce opératoire est revenu en faveur d'une appendicite aiguë suppurée sans signes de malignité

Question use in child mental health assessments and the challenges of listening to families.

This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry Open. The definitive publisher-authenticated version is available online at https://www.cambridge.org/core/journals/bjpsych-openBackground: The mental health assessment is a fundamental aspect of clinical practice and central to this is the use of questions. Aims: To investigate the frequency and type of questions utilised within a child mental health assessment. Method: The data consisted of 28 naturally occurring assessments from a UK child and adolescent mental health service. Data were analysed using quantitative and qualitative content analysis to determine frequencies and question type. Results: Results indicated a total of 9086 questions in 41 h across the 28 clinical encounters. This equated to a mean of 3.7 questions per minute. Four types of questions were identified; yes–no interrogatives, wh-prefaced questions, declarative questions and tag questions. Conclusions: The current format of questioning may impede the opportunity for families to fully express their particular concerns and this has implications for service delivery and training

Krisis subprima dan kemeruapan harga saham mengikut sektor ekonomi di Bursa Malaysia

Kertas ini bertujuan untuk mengkaji kemeruapan harga saham mengikut sektor ekonomi di Bursa Malaysia di samping mengenal pasti saham di sektor ekonomi yang meruap secara berkelangsungan. Kaedah ekonometrik siri masa iaitu model ARCH dan GARCH telah digunakan untuk menentukan tahap kemeruapan harga saham dalam tiga tempoh iaitu sebelum, semasa dan selepas krisis subprima. Harga saham dalam sektor kewangan menunjukkan kemeruapan yang berkelangsungan bagi tempoh sebelum dan semasa krisis. Manakala, harga saham di sektor pengeluaran industri merupakan sektor yang paling stabil dalam tempoh semasa krisis. Dapatan model EGARCH pula menunjukkan bahawa hanya harga saham di sektor pembinaan yang meruap secara berpanjangan semasa krisis. Implikasi dasar daripada kajian ini menjelaskan pelabur berpotensi seharusnya memilih saham di sektor pengeluaran industri sebagai portfolio pelaburan mereka kerana mempunyai kemeruapan yang secara relatifnya lebih stabil berbanding dengan sektor yang lain. Strategi pelaburan yang mempelbagaikan portfolio pelaburan dapat mengurangkan elemen risiko dan menjana pulangan

Halaju wang di Malaysia: bukti empirik

Purpose - This paper aims to examine the volatility of money velocity and also estimate the velocity of money function in Malaysia by using quarterly time series data. Design/Methodology/Approach - This study employed recent econometric techniques such as volatility model in ARCH and GARCH frameworks, Johansen co integration test, and Vector Error Correction Model (VECM). Findings - The results showed that the velocity of money for M1 (V1) and M2 (V2) are volatile and persistence rather than M3 (V3). The Johansen co-integration test result indicated that the existence of long-run relationships between velocity of money V1, V2 and V3 on the dependent variables, such as bond interest rate,deposit rate, and income. Furthermore, the VECM result showed that the changes in dependent variables such as bond interest rate, deposit rate, and income do significantly influence the changes in velocity of money for V2 and V3 in the long run. Conversely, in the short run, a change in the national income has only significantly caused changes in the velocity of money V2 and V3, while the interest rate is significant in causing the velocity of money V3. Originality/Value - This paper explores extensively the modern econometric techniques in investigating the issue of volatility and velocity of money in Malaysia. Paper type - Research paper

Small bowel intussusception with the Meckel's diverticulum after blunt abdominal trauma: a case report

Intussusception with the Meckel's diverticulum is a rare but well-known cause of small bowel obstruction in the adult. After blunt abdominal trauma, intussusception is exceedingly rare and has been reported previously only in few cases. We present a case of a previously healthy 28-year-old man developing four days after blunt abdominal trauma signs of small bowel obstruction. Ileo-ileal intussusception was suggested by computed tomography. Exploration revealed ileo-ileal intussusception with Meckel's diverticulum. A diverticulectomy with small bowel resection was performed

Colonic adenocarcinoma revealing Crohn's disease: a case report

<p>Abstract</p> <p>Introduction</p> <p>There is growing evidence from epidemiological studies and clinicopathological data obtained from case reports that Crohn's disease is associated with an increased risk of carcinoma of the large bowel.</p> <p>Case presentation</p> <p>A 70-year-old Arabic African man with undiagnosed Crohn's disease presented with acute abdominal obstruction due to an occlusive carcinoma of the sigmoid. At laparotomy, the colonic tumor was excised with continuity restored by end-to-end anastomosis.</p> <p>Conclusion</p> <p>The risk of colonic carcinoma in Crohn's disease is increasing. Several case reports actually support the possibility that a genuine association between these two conditions exists.</p

Penentu aliran pelaburan portfolio asing di Malaysia: suatu kajian panel ARDL

Pelaburan portfolio asing memainkan peranan penting sebagai pembekal dana kepada pembangunan ekonomi di sesebuah negara. Walau bagaimanapun, pergerakan modal tersebut dipengaruhi oleh pelbagai faktor yang boleh dikategorikan sebagai faktor penarik dan faktor penolak. Justeru, kajian ini bertujuan untuk mengkaji secara empirikal faktor penentu pelaburan portfolio asing (FPI) di Malaysia. Model penentu pelaburan portfolio adalah berdasarkan kepada pendekatan imbangan portfolio and teori pariti kadar bunga yang dilindungi (covered interest rates parity - CIRP). Antara faktor-faktor yang telah dianggar dalam model penentu pelaburan portfolio adalah kadar bunga asing dan domestik, kadar tukaran asing benar, pendapatan negara asing, pendapatan domestik, dan Indeks Komposit Kuala Lumpur (KLCI). Jangkamasa kajian bermula dari suku pertama tahun 1991 sehingga suku keempat tahun 2012, yang merangkumi pergerakan modal antarabangsa daripada sembilan buah negara pelabur utama. Model penentu pelaburan portfolio asing telah dianggar dengan menggunakan kaedah data panel Pooled Mean Group (PMG) dan Mean Group (MG) yang dicadangkan oleh Pesaran et al. (1999). Hasil kajian mendapati kadar tukaran asing benar, kadar bunga asing dan KLCI sangat mempengaruhi aliran pelaburan portfolio bersih di Malaysia. Oleh itu, dalam usaha untuk menarik FPI di Malaysia, kestabilan dalam kadar bunga domestik, kadar pertukaran asing dan pasaran saham perlulah diberikan perhatian oleh pihak berkuasa untuk meningkatkan daya saing negara dalam menarik pelaburan portfolio antarabangsa