Stigma and GPs’ perceptions of dementia

YesObjectives: General practitioners (GPs) are crucial to improving timely diagnosis, but little is reported about how they perceive dementia, and whether their perceptions display any elements of stigma. The aim of this study was to explore how GPs’ perceptions of dementia map onto current conceptualizations of stigma and whether GPs feel that stigma affects timely diagnosis. Methods: Twenty-three GPs from England were interviewed by telephone. Data were analyzed by means of content analysis. This involved open coding followed by the application of a coding framework derived from the literature to explore how and to what extent their perceptions relate to stigma as well as the unique nature of their perceptions. Results: Three themes emerged from the analysis: (1) ‘making sense of dementia’, (2) ‘relating perceptions of dementia to oneself’ and (3) ‘considering the consequences of dementia’. GPs’ perceptions of dementia mapped onto current conceptualizations of stigma. Perceptions about dementia that were linked to their own existential anxiety and to a perceived similarity between people with dementia and themselves were particularly salient. GPs perceived dementia as a stigma which was gradually being overcome but that stigma still hindered timely diagnosis. They provided examples of structural discrimination within the health service, including lack of time for patients and shortcomings in training that were to the detriment of people with dementia. Conclusion: Measures to involve GPs in tackling stigma should include training and opportunities to explore how they perceive dementia, as well as support to address structural discrimination.The study was funded by Alzheimer Europe (Luxembourg) in the form of tuition fees for Dianne Gove for her PhD study

Gamma-Ray Observations of a Giant Flare from The Magnetar SGR 1806-20

Magnetars comprise two classes of rotating neutron stars (Soft Gamma Repeaters (SGRs) and Anomalous X-ray Pulsars), whose X-ray emission is powered by an ultrastrong magnetic field, B ~ 10^15 G. Occasionally SGRs enter into active episodes producing many short X-ray bursts; extremely rarely (about once per 50 years per source), SGRs emit a giant flare, an event with total energy at least 1000 times higher than their typical bursts. Here we report that, on 2004 December 27, SGR 1806-20 emitted the brightest extra-solar transient event ever recorded, even surpassing the full moon brightness for 0.2 seconds. The total (isotropic) flare energy is 2x10^46 erg, 100 times higher than the only two previous events, making this flare a once in a century event. This colossal energy release likely occurred during a catastrophic reconfiguration of the magnetar's magnetic field. Such an event would have resembled a short, hard Gamma Ray Burst (GRB) if it had occurred within 40 Mpc, suggesting that extragalactic SGR flares may indeed form a subclass of GRBs.Comment: Submitted to Nature 2005-02-02, revised 2005-03-01. 21 pp, incl. 6 figure

Parental use of the Internet to seek health information and primary care utilisation for their child: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Using the Internet to seek health information is becoming more common. Its consequences on health care utilisation are hardly known in the general population, in particular among children whose parents seek health information on the Internet. Our objective was to investigate the relationship between parental use of the Internet to seek health information and primary care utilisation for their child.</p> <p>Methods</p> <p>This cross-sectional survey has been carried out in a population of parents of pre-school children in France. The main outcome measure was the self-reported number of primary care consultations for the child, according to parental use of the Internet to seek health information, adjusted for the characteristics of the parents and their child respectively, and parental use of other health information sources.</p> <p>Results</p> <p>A total of 1 068 out of 2 197 questionnaires were returned (response rate of 49%). No association was found between parental use of the Internet to seek health information and the number of consultations within the last 12 months for their child. Variables related to the number of primary care consultations were characteristics of the child (age, medical conditions, homeopathic treatment), parental characteristics (occupation, income, stress level) and consultation of other health information sources (advice from pharmacist, relatives).</p> <p>Conclusion</p> <p>We did not find any relationship between parental use of the Internet to seek health information and primary care utilisation for children. The Internet seems to be used as a supplement to health services rather than as a replacement.</p

Telling Stories About Lewis and Clark: Does History Still Matter?

It is obvious that Meriwether Lewis and William Clark are famous men. The story of their expedition and the people who traveled with them, including Clark\u27s enslaved African-American York and the Indian woman called Sacajawea, is an iconic narrative of Americana. The fifty-four page annotated list of books, pamphlets, and articles published between 1906 and 2001 in The Literature of the Lewis and Clark Expedition attests to a fascination that took hold during the centennial of their great trek and threatens to swamp us all during its bicentennial