Toivoton tapaus? - osa 1

Miten sinä hoitaisit.60-vuotiaalle miehelle varattiin lääkärin vastaanotto psykiatrian poliklinikalle vaativan lääkinnällisen kuntoutuksen jatkoarviota varten

A Two-Week Vacation in the Tropics and Psychological Well-Being—An Observational Follow-Up Study

Despite the vast annual number of international visitors to the tropics, surprisingly little data are available on the psychological well-being associated with the travels or with travelers’ diarrhoea (TD). We herein recruited participants of a vaccination trial, OEV-123, before their 12-day holiday in Benin, West Africa. We assessed the travelers’ psychological distress with a general health questionnaire (GHQ-12) and retrieved data on TD from the trial database. The GHQ-12 was completed before (wave 0), at return (wave 1), and 1-month after (wave 2) the trip. Of the 174 participants, 73% were women, with a mean age 40 years. Moreover, 24% reported psychological distress before traveling, 10% immediately after, and 16% 1-month after the trip (GHQ-12, 3 or more; 0–12 scoring). The findings showed that psychological well-being increased after the tropical holiday. The GHQ-12 middle wave sum score differed from the wave 0 (p < 0.001) and wave 2 (p = 0.008) sum scores, with travelers reporting highest levels of well-being on their return, with evidence of a lasting improvement. TD was experienced by 71%, and it had a negative impact on psychological well-being only if experienced after travel

A Two-Week Vacation in the Tropics and Psychological Well-Being—An Observational Follow-Up Study

Despite the vast annual number of international visitors to the tropics, surprisingly little data are available on the psychological well-being associated with the travels or with travelers’ diarrhoea (TD). We herein recruited participants of a vaccination trial, OEV-123, before their 12-day holiday in Benin, West Africa. We assessed the travelers’ psychological distress with a general health questionnaire (GHQ-12) and retrieved data on TD from the trial database. The GHQ-12 was completed before (wave 0), at return (wave 1), and 1-month after (wave 2) the trip. Of the 174 participants, 73% were women, with a mean age 40 years. Moreover, 24% reported psychological distress before traveling, 10% immediately after, and 16% 1-month after the trip (GHQ-12, 3 or more; 0–12 scoring). The findings showed that psychological well-being increased after the tropical holiday. The GHQ-12 middle wave sum score differed from the wave 0 (p < 0.001) and wave 2 (p = 0.008) sum scores, with travelers reporting highest levels of well-being on their return, with evidence of a lasting improvement. TD was experienced by 71%, and it had a negative impact on psychological well-being only if experienced after travel

Four selves of a student - a case report of dissociative identity disorder

English abstract.Peer reviewe

Challenges in investigation of diabetes-related aviation fatalitiesan analysis of 1491 subsequent aviation fatalities in USA during 2011-2016

Diabetes mellitus (DM) could cause pilot incapacitation and result in aviation fatalities. The mechanisms could be directly as a consequence of acute hypoglycemia/subacute diabetic ketoacidosis (DKA) or indirectly as an acute cardiovascular event by contributing to the development of atherosclerosis in coronary or carotid and cerebral arteries. In this study, DM-related fatal flight accidents in the US National Transport Bureau's database between years 2011-2016 were analyzed with special emphasis on postmortem (PM) glucose levels and correlation of toxicological reports with anamnestic information on DM. Additionally, autopsy results on coronary arteries were reviewed. In 43 out of 1491 (similar to 3%) fatal accidents pilots had DM. Postmortem glucose or glycated hemoglobin percentage (Hb1Ac) was measured in 12 of the 43 cases; while antidiabetic medication was found in 14 of the cases (only two of the cases had both glucose measurements and medication). With the increasing prevalence of DM, a possibility of pilot incapacitation due to DM or complications of DM should be actively studied, even if no anamnestic information of DM was available. While PM hypoglycemia is difficult to assess, we propose a systematic investigation based on measurement of glucose, Hb1Ac%, and ketone bodies, and documentation of atherosclerotic lesions in major arteries to identify or rule out DM as a cause of pilot incapacitation.Peer reviewe

Subjective and objective measures of function and return to work : an observational study with a clinical psychiatric cohort

To evaluate the association between two measurement tools (Social and Occupational Functioning Assessment Scale, SOFAS and Sheehan Disability Scale, SDS), returning to work (RTW) and their inter-correlation. 132 psychiatric patients referred to assessment of work ability participated. The association between SOFAS and SDS Work to RTW were assessed by logistic regression. Inter-correlations between SOFAS and SDS were assessed with the Spearman's rho correlation coefficient. SOFAS and SDS Work scores were associated with a 1-year RTW and SOFAS and SDS were inter-correlated. When assigning the ability to work, both subjective and objective measures of function predict RTW.Peer reviewe

PREVIOUS MILITARY PILOTS AND THEIR LATER FATAL CIVIL AVIATION ACCIDENTS

Military pilots undergo rigorous selection compared with civilian professional pilots because of different operational requirements. There are no studies of military pilots' subsequent civil aviation careers and fatal pilot aviation accidents. This study focuses on Vietnam War (VW) pilots and subsequent fatal aviation accidents in the U.S from 1965 to 2018. In total nine aviation accidents met the inclusion criteria and are described in detail, including the pilots' previous civil aviation incidents. The VW pilots were healthy, had valid Medicals and continued to fly in demanding pilot positions after their military careers. Although the data are limited, this study suggests that previous military pilots may differ slightly from other pilots in their subsequent civil aviation careers.Peer reviewe

Psyykkisen työ- ja toimintakyvyn arviointiin tarvitaan yhtenäisiä käytäntöjä

Vertaisarvioitu.• Psykiatriset sairaudet aiheuttavat eniten työkyvyttömyyttä ja ovat tavallisia pitkäaikaistyöttömillä. • Psyykkiset oireet ja psykiatriset sairaudet on tunnistettava varhain hoidon ja työkyvyn tuen käynnistämiseksi. Sopivassa työssä jatkaminen ja työllistyminen tukevat mielenterveyttä. • Työkyvyn tukemiseksi arvioidaan sairauden aiheuttamia rajoitteita, jäljellä olevaa työkykyä, ennustetta ja kuntoutusmahdollisuuksia. • Arviossa huomioidaan objektiivinen ja subjektiivinen toimintakyky, diagnoosit, voimavarat ja toimintaympäristö. Laadun varmistamiseksi esitetään tarkistuslista.Peer reviewe

Toiveena sukupuolen korjaus - tapauksen ratkaisu

17-vuotias biologinen tyttö hakeutui sukupuolenkorjaushoitoon. Hän oli myös tavanomaisessa nuorisopsykiatrisessa yksilöhoidossa mieliala- ja ahdistuneisuus¬¬ongelmien ja koulunkäyntivaikeuksien takia