The Role of Shame in Women's Recovery from Alcoholism

The University Archives has determined that this item is of continuing value to OSU's history.Wiechelt, Shelly A., Ph.D., Ph.D., University of Pittsburgh, 1999, Assistant Professor, State University of New York at Buffalo - "The Role of Shame in Women's Recovery from Alcoholism"The Ohio State University College of Social Wor

Stigma and social support in substance abuse: Implications for mental health and well-being

Individuals with substance abuse may suffer from severe public and internalized stigma. Little is known about how social support can reduce stigma and improve mental health and well-being for them. This research examined how perceived stigma influences individuals in treatment for substance abuse, and whether internalized stigma and shame are mechanisms which link social support with better mental health and well-being. Sixty-four participants in treatment for substance abuse (alcohol, drugs), aged between 18 and 64, completed an online survey measuring perceived stigma, internalized stigma, shame, perceived social support, and mental health and well-being (self-esteem, depression and anxiety, sleep). We found that perceived stigma was associated with lower self-esteem, higher depression and anxiety, and poorer sleep. Furthermore, perceived social support followed the opposite pattern, and was associated with higher self-esteem, lower depression and anxiety, and better sleep. The effects of perceived stigma and of perceived social support on our outcome measures were mediated by internalized stigma and by internalized shame. Helping individuals with substance abuse to utilize their social support may be fruitful for combatting the negative impact of internalized stigma and shame on mental health and well-being

Observations on comatose survivors of cardiopulmonary resuscitation with generalized myoclonus

BACKGROUND: There is only limited data on improvements of critical medical care is resulting in a better outcome of comatose survivors of cardiopulmonary resuscitation (CPR) with generalized myoclonus. There is also a paucity of data on the temporal dynamics of electroenephalographic (EEG) abnormalities in these patients. METHODS: Serial EEG examinations were done in 50 comatose survivors of CPR with generalized myoclonus seen over an 8 years period. RESULTS: Generalized myoclonus occurred within 24 hours after CPR. It was associated with burst-suppression EEG (n = 42), continuous generalized epileptiform discharges (n = 5), alpha-coma-EEG (n = 52), and low amplitude (10 μV <) recording (n = 1). Except in 3 patients, these EEG-patterns were followed by another of these always nonreactive patterns within one day, mainly alpha-coma-EEG (n = 10) and continuous generalized epileptiform discharges (n = 9). Serial recordings disclosed a variety of EEG-sequences composed of these EEG-patterns, finally leading to isoelectric or flat recordings. Forty-five patients died within 2 weeks, 5 patients survived and remained in a permanent vegetative state. CONCLUSION: Generalized myoclonus in comatose survivors of CPR still implies a poor outcome despite advances in critical care medicine. Anticonvulsive drugs are usually ineffective. All postanoxic EEG-patterns are transient and followed by a variety of EEG sequences composed of different EEG patterns, each of which is recognized as an unfavourable sign. Different EEG-patterns in anoxic encephalopathy may reflect different forms of neocortical dysfunction, which occur at different stages of a dynamic process finally leading to severe neuronal loss

Analysis of cost cutting transportation initiatives identified during the Defense Management Review process

Faced with the likely prospect of steadily declining defense budgets the President initiated the Defense Management Review (DMR). In response to this review, DOD agencies identified $38B in cost savings initiatives. This thesis provides the reader with a comprehensive analysis of those transportation-related initiatives addressed by specific Defense Management Review Decisions (DMRD) as well as those that indirectly emanated from the general DMR process. Also included is an introduction to the complicated issue of transportation funding which covers both the Defense Business Operations Fund (DBOF) and unit costing. Finally ,the author discusses the current funding shortfall that the Air Mobility Command (AMC) is experiencing as a result of the reduction in military transportation budgets. The author concludes with a summary of the discussed issues, highlighting the strenghs and weaknesses of each.http://archive.org/details/analysisofcostcu1094538514Lieutenant, United States NavyApproved for public release; distribution is unlimited