Abstract: According to the governmental data, the cases of oral
cancers doubled in the past 10 years. This had brought heavy burden to
the patients- family, the society, and the country. The literature
generally evidenced the betel nut contained particular chemicals that
can cause oral cancers. Research in Taiwan had also proofed that 90
percent of oral cancer patients had experience of betel nut chewing. It
is thus important to educate the betel-nut hobbyists to cease such a
hazardous behavior. A program was then organized to establish
several training classes across different areas specific to help ceasing
this particular habit. Purpose of this research was to explore the
attitude and intention toward ceasing betel-nut chewing before and
after attending the training classes. 50 samples were taken from a
ceasing class with average age at 45 years old with high school
education (54%). 74% of the respondents were male in service or
agricultural industries. Experiences in betel-nut chewing were 5-20
years with a dose of 1-20 pieces per day. The data had shown that 60%
of the respondents had cigarette smoking habit, and 30% of the
respondents were concurrently alcoholic dependent. Research results
indicated that the attitude, intentions, and the knowledge on oral
cancers were found significant different between before and after
attendance. This provided evidence for the effectiveness of the training
class. However, we do not perform follow-up after the class.
Noteworthy is the test result also shown that participants who were
drivers as occupation, or habitual smokers or alcoholic dependents
would be less willing to quit the betel-nut chewing. The test results
indicated as well that the educational levels and the type of occupation
may have significant impacts on an individual-s decisions in taking
betel-nut or substance abuse.
Abstract: While OCD is one of the most commonly occurring
psychiatric conditions experienced by older adults, there is a paucity
of research conducted into the treatment of older adults with OCD.
This case study represents the first published investigation of a
cognitive treatment for geriatric OCD. It describes the successful
treatment of an 86-year old man with a 63-year history of OCD using
Danger Ideation Reduction Therapy (DIRT). The client received 14
individual, 50-minute treatment sessions of DIRT over 13 weeks.
Clinician-based Y-BOCS scores reduced 84% from 25 (severe) at
pre-treatment, to 4 (subclinical) at 6-month post-treatment follow-up
interview, demonstrating the efficacy of DIRT for this client. DIRT
may have particular advantages over ERP and pharmacological
approaches, however further research is required in older adults with
OCD.
Abstract: This paper presents ageing experiments controlled by the evolution of junction parameters. The deterioration of the device is related to high injection effects which modified the transport mechanisms in the space charge region of the junction. Physical phenomena linked to the degradation of junction parameters that affect the devices reliability are reported and discussed. We have used the method based on numerical analysis of experimental current-voltage characteristic of the junction, in order to extract the electrical parameters. The simultaneous follow-up of the evolutions of the series resistance and of the transition voltage allow us to introduce a new parameter for reliability evaluation.
Abstract: Obsessive-Compulsive Disorder (OCD) is a common
and disabling condition. Therapist-delivered treatments that use
exposure and response prevention have been found to be very
effective in treating OCD, although they are costly and associated
with high rates of attrition. Effective treatments that can be made
widely available without the need for therapist contact are urgently
needed. This case study represents the first published investigation of
a self-administered cognitive treatment for OCD in a 50-year old
female with a 20 year history of OCD. The treatment evaluation
occurred over 27 weeks, including 12 weeks of self-administration of
the Danger Ideation Reduction Therapy (DIRT) program. Decreases
of between 23% to 33% on measures from pre-treatment to follow-up
were observed. Bearing in mind the methodological limitations
associated with a case study, we conclude that the results reported
here are encouraging and indicate that further research effort
evaluating the effectiveness of self-administered DIRT is warranted.
Abstract: Pepper spray use has gained momentum since 1992
and although the active ingredient is readily available, it is considered
a weapon with restricted use in many regions, including The
Bahamas. In light of controversy in the literature regarding the
severity of presenting respiration complaints among individuals postacute
exposure of pepper spray inhalation, this descriptive case series
study was conducted to assess the respiratory status of persons
evaluated during a mass casualty in The Bahamas. Parameters noted
were patients- demographics and respiration severity determined via
clinical examination findings, disposition and follow-up review of the
20 persons. Their most common complaint was difficulty breathing
post exposure. Two required admission and stayed for
Abstract: Background: This investigated the mental health of the elderly survivors six months, ten months and two years after the “5.12 Wenchuan" earthquake. Methods: Two hundred and thirty-two physically healthy older survivors from earthquake-affected Mianyang County were interviewed. The measures included the Revised Impact of Event Scale (IES-R, Chinese version, for PTSD) and a Chinese Mental Health Inventory for the Elderly (MHIE). A repeated measures ANOVA test was used for statistical analysis. Results: The follow-up group had a statistically significant lower IES-R score and lower MHIE score than the initial group ten months after the earthquake. Two years later, the score of IES-R in follow-up group were still lower than that of non-follow-up group, but no differences were significant on the score of MHIE between groups. Furthermore, a negative relationship was found between scores of IES-R and MHIE. Conclusion: The earthquake has had a persistent negative impact on older survivors- mental health within the two-year period and that although the PTSD level declined significantly with time, it did not disappear completely.