Cognitive-behavioral treatment of panic disorder with agoraphobia

This paper reports a clinical case study on the effectiveness of Cognitive- Behavioral Treatment (CBT) in treating panic attack with agoraphobia in a local health psychology clinic. M.N., a 24 year old male, complained of nightmares, heart palpitations, sweating, tremors and fearful feelings for thepast one and a half years. He felt anxious about going to crowded places such as bus stations, night markets, supermarkets, and mosques and being left alone in any place which he was not familiar with. This case study adopted an ABC design whereby the subject was assessed at three different phases: pre-treatment, mid-treatment and post-treatment. Four standard assessment measures were administered: Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Anxiety Scale of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and State-Trait Anxiety Inventory (STAI). The subject responded well to 12 sessions of intervention employed in the study based on CBT model and this could be noticed by minimal score on the entire psychological test administered. The application of behavioral and cognitive strategies became more effective due to patient’s ability to understand and also due to his cooperative behavior. He responded well to imagery exposure and in-vivo gradual exposure and successfully went to shopping malls, used lifts at Kuala Lumpur Tower, went to night markets and used public transport

Productivity and Breeding Strategies of Sheep in Indonesia: A Review

There are two distinct types of sheep in Indonesia: thin-tailed and fat-tailed, with some strain differentiation within each. The most important sheep breeds of Indonesia are the Javanese Thin Tail (JTT) and Javanese Fat Tail (JFT) sheep of West and East Java, respectively. Included are strains of thin tailed sheep Sumatra Thin Tailed (STT), Semarang, Garut and the Priangan sheep. The government also introduced some temperate sheep breeds (such as: Merino, Suffolk, Dorset, Suffas, Dormer, St.Croix and Barbados Blackbelly sheep). The purposes of this paper are to review the potential of productivity for local sheep and their crosses with some imported sheep breeds. The concepts of breeding strategies for sheep in Indonesia are also discussed in three parts: (1) evaluation and improvement of local breeds (2) nucleus structure, and (3) gene migration (crossbreeding)

Goats Husbandry for Extensive Use

Twenty-six crossbred dams of the F3 generation and twenty Cashmere dams were surveyed with regard to their productivity, hardiness and resilience. The endoparasite situation was recorded for both the dams and lambs of both breeding groups. Productivity data of both breeding groups included figures on reproduction and dressing percentage. Using a scoring key, the rate of claw growth of both breeding groups was recorded as a possibility of comparison

The Role and Breeds, Management Systems, Productivity and Development Strategies of Goats in Indonesia: A Review

Small ruminants like sheep and goats are important for a larger part of the Indonesian rural population. The major breeds of goats found in Indonesia are the Kacang and Etawah goats. The biological and economic function of goats have long been recognised. Besides producing animal products, they also provide manure to maintain soil fertility. Goats are kept as an important component of farming activities, particularly by smallholders. The existing goat husbandry is normally the result of hundreds of years of tradition. Different systems of goat production have evolved in response to factors such as climate, need of the owner, economic environment, and level of technology available. The general aim in the management of goat production units is to increase the productivity. The biological productivity of goats is determined by the fundamental processes of reproduction, growth and development and death. Key production traits which should be considered for improving goats’ productivity are adaptability and productivity conditions, reproductive rate, growth rate and carcass value. The objectives of this paper are to review the role and breeds of goats, current management systems and productivity for goats with particular reference to Indonesia, and to discuss the development strategies that may have specific applications in the Indonesian situation

Influencing Factors of Infestation of Endo and Ectoparasites on Hair Sheep in Tropical Ecuador

120 hair sheep were tested for faecal, skin and blood parasites. After three parasitological studies in humid Sucumbíos, it was proved that the parasitic charge is influenced by different factors. In the case of air temperature and humidity there was no variation detected between the seasons, although the parasitical charge rose in the course of this study. With regard to parasitic charge some systematic differences were found between the farming systems. Prophylactic measures such as rotational grazing, guarantee the food alternatives in the case of grass shortage, the strategic treatment with de-wormers and removal of excrement and garbage were recommended

Correlation of tellurium inclusions and carrier lifetime in detector grade cadmium zinc telluride

Carrier lifetimes and telluriuminclusion densities in detector grade cadmiumzinc telluride crystals grown by the high pressure Bridgman method were optically measured using pulsed laser microwavecavity perturbation and infrared microscopy. Excess carriers were produced in the material using a pulsed laser with a wavelength of 1064 nm and pulse width of 7 ns, and the electronic decay was measured at room temperature. Spatial mapping of lifetimes and defect densities in cadmiumzinc telluride was performed to determine the relationship between telluriumdefect density and trapping. A strong correlation was found between the volume fraction of telluriuminclusions and the carrier trapping time

A systematic review of ICD complications in randomised controlled trials versus registries: is our 'real-world' data an underestimation?

Implantable cardioverter defibrillator (ICD) implantation carries a significant risk of complications, however published estimates appear inconsistent. We aimed to present a contemporary systematic review using meta-analysis methods of ICD complications in randomised controlled trials (RCTs) and compare it to recent data from the largest international ICD registry, the US National Cardiovascular Data Registry (NCDR). PubMed was searched for any RCTs involving ICD implantation published 1999-2013; 18 were identified for analysis including 6433 patients, mean follow-up 3 months-5.6 years. Exclusion criteria were studies of children, hypertrophic cardiomyopathy, congenital heart disease, resynchronisation therapy and generator changes. Total pooled complication rate from the RCTs (excluding inappropriate shocks) was 9.1%, including displacement 3.1%, pneumothorax 1.1% and haematoma 1.2%. Infection rate was 1.5%.There were no predictors of complications but longer follow-up showed a trend to higher complication rates (p=0.07). In contrast, data from the NCDR ICD, reporting on 356 515 implants (2006-2010) showed a statistically significant threefold lower total major complication rate of 3.08% with lead displacement 1.02%, haematoma 0.86% and pneumothorax 0.44%. The overall ICD complication rate in our meta-analysis is 9.1% over 16 months. The ICD complication reported in the NCDR ICD registry is significantly lower despite a similar population. This may reflect under-reporting of complications in registries. Reporting of ICD complications in RCTs and registries is very variable and there is a need to standardise classification of complications internationally