Attachment Styles And Death Anxiety Among Pregnant Women In Pakistan

@#The present study was designed to investigate the attachment styles and death anxiety among pregnant women. In order to meet the study objectives sample of (n=62) was recruited from hospitals of Rawalpindi (i.e., Maryam Memorial and Cantonment Hospital) and Islamabad (i.e., Shifa Medicine Hospital and Poly Clinic). Age range of the sample was 18 to 45 years. Attachment styles were assessed by Experience in Close Relationship Revised-Questionnaire (ECR-R) and death anxiety was assessed with Death Anxiety Scale. The findings revealed that there was significant positive correlation between attachment styles and death anxiety (p<0.05) and it was found that pregnant women scored low on secure attachment style. Younger pregnant women were high on preoccupied, fearful and dismissing attachment style as compare to older age pregnant women. Women with first pregnancy scored high on anxious, dismissing, and fearful attachment style as compare to women with second and third pregnancy. Pregnant women had pregnancy loss feel more death anxiety as compare to pregnant women with no history of pregnancy loss. ASEAN Journal of Psychiatry, Vol. 22 (2): March 2021: 1-10.

Secure Deduplication for Cloud Storage Using Interactive Message-Locked Encryption with Convergent Encryption, To Reduce Storage Space

ABSTRACT The digital data stored in the cloud requires much space due to copy of the same data. It can be reduced by dedupilcation, eliminating the copy of the repeated data in the cloud provided services. Identifying common checkoff data both files storing them only once. Deduplication can yield cost savings by increasing the utility of a given amount of storage. Unfortunately, deduplication has many security problems so more than one encryption is required to authenticate data. We have developed a solution that provides both data security and space efficiency in server storage and distributed content checksum storage systems. Here we adopt a method called interactive Message-Locked Encryption with Convergent Encryption (iMLEwCE). In this iMLEwCE the data is encrypted firstly then the cipher text is again encrypted. Block-level deduplication is used to reduce the storage space. Encryption keys are generated in a consistent configuration of data dependency from the chunk data. The identical chunks will always encrypt to the same cipher text. The keys configuration cannot be deduced by the hacker from the encrypted chunk data. So the information is protected from cloud server. This paper focuses on reducing the storage space and providing security in online cloud deduplication.

Application of healthcare failure modes and effects analysis before the transportation of postanesthesia care unit patients / 中国实用护理杂志

Objective To study the application effectiveness of healthcare failure modes and effects analysis before the secure transportation of post anesthesia care unit(PACU) patients. Methods A total of 689 general anesthesia post-operative patients who had been recovered in PACU and transported between January to December in 2015 by convenience sampling were divided into 2 groups to receive nursed by traditional method before transportation (contrast group, 346 cases) or nursed both with traditional way and healthcare failure modes and effects analysis method to analyze (observation group, 343 cases). The Medical Risk Priority Number (RPN), Status of Failure modes and satisfaction value of physicians and nurses were compared. Results The RPN value of observation group had been cut down from (229.00 ± 52.91) points to (57.14 ± 16.04) points, there was significant difference (t=7.58, P=0.01). The occurrence rate of failure mode of observation group was 2.62%(9/343), which was obviously lower than 19.36%(67/346) of contrast group, there was significant difference (χ2=49.19, P<0.01). The satisfaction rate of observation has improved significantly from 74.36%(58/78) to 93.59%(73/78), there was significant difference (χ2=10.72, P<0.01).Conclusions Healthcare failure modes and effects analysis management method could find out the failure mode of PACU patient before the secure transportation in time, could decrease the effect of failure mode and would continuously improve the quality of PACU nursing service .

The End of Catheter Dislodgement? Three Facile Steps to Secure a Tunneled Central Venous Catheter

Central Venous Line (CVL) catheter can easily dislodge. An improvised technique in three easily reproducible steps is described in detail. The placement of the cuff approximately 1cm from the exit wound with the placement of additional sutures at the neck area helps prevent its displacement.

Analysis of the effect of high strength periodontal splint combined with tooth powder in the treatment of moderate and severe periodontal disease in the elderly / 中国生化药物杂志

Objective To investigate the clinical effect of high strength periodontal splint combined with tooth powder in the treatment of moderate and severe periodontal disease in the elderly. Methods The control group was treated with Iodine Glycerol on the basis of the high strength periodontal splint. The study group was treated with the dental splint on the basis of the high-strength fiber periodontal splint. The clinical efficacy of two groups of elderly patients with moderate or severe periodontal disease was recorded. The data were input into SPSS software and analyzed and concluded. Results The analysis shows that the treatment group elderly patients with moderate and severe periodontal dise Zase treatment effect is better than the control group, the total effective rate of the study group is 89.80%, compared with 75.51% in the control group, the difference between the two groups was statistically significant (P<0.05). Conclusion The use of high strength fiber periodontal splint and tooth powder for the treatment of senile moderate and severe periodontal disease can significantly improve the efficacy of patients, and is conducive to the protection of their quality of life, physical and mental health.

Analysis of the effect of high strength periodontal splint combined with tooth powder in the treatment of moderate and severe periodontal disease in the elderly / 中国生化药物杂志

Objective To investigate the clinical effect of high strength periodontal splint combined with tooth powder in the treatment of moderate and severe periodontal disease in the elderly. Methods The control group was treated with Iodine Glycerol on the basis of the high strength periodontal splint. The study group was treated with the dental splint on the basis of the high-strength fiber periodontal splint. The clinical efficacy of two groups of elderly patients with moderate or severe periodontal disease was recorded. The data were input into SPSS software and analyzed and concluded. Results The analysis shows that the treatment group elderly patients with moderate and severe periodontal dise Zase treatment effect is better than the control group, the total effective rate of the study group is 89.80%, compared with 75.51% in the control group, the difference between the two groups was statistically significant (P<0.05). Conclusion The use of high strength fiber periodontal splint and tooth powder for the treatment of senile moderate and severe periodontal disease can significantly improve the efficacy of patients, and is conducive to the protection of their quality of life, physical and mental health.

Cuidado materno y seguridad del apego antes del primer año de vida / Maternal Care and Attachment Security in the First Year of Life

La relación entre el cuidado materno (sensibilidad) y la seguridad del apego del niño (conducta de base segura) ha sido corroborada en diferentes contextos y edades. Sin embargo, existe ausencia de estudios que la hayan estudiado antes del primer año de vida. La presente investigación analizó esta relación en un grupo de 32 madres peruanas de 19 a 44 años de nivel socioeconómico bajo y sus hijos de 8 a 10 meses. La sensibilidad fue evaluada a través del Q-sort del Comportamiento Materno (MBQS) (Pederson & Moran, 1995) y la seguridad del apego mediante el Q-sort del Apego (Waters, 1995). Los resultados muestran que existe una relación directa y significativa entre ambas y que las separaciones físicas juegan un rol importante en esta relación.

Sensitivity hypothesis has been corroborated in different contexts and children ages; however, there is lack of studies that have analyzed it in the first year of life. The present study related maternal sensitivity and child secure base behavior in a group of 32 Peruvian mothers of low income families. Mothers were 19 to 44 years old and their children were between 8 and 10 months old. Mother's sensitivity was assessed using the Q-sort Maternal Behavior (Pederson & Moran, 1995) and child secure base behavior through the Attachment Q-sort (Waters, 1995). Results indicated a significant and direct relationship between two constructs and that early mother-infant physical separations play an important role in this relationship.

Por uma sociedade sem hospitais de custódia e tratamento psiquiátrico / For a society without secure psychiatric hospitals

Resumo O artigo indaga sobre a possibilidade de defesa de uma sociedade sem hospitais de custódia e tratamento psiquiátrico (HCTP) no Brasil. A base da sustentação dos HCTP tem sido os paradigmas jurídico-psiquiátricos persistentes – a medida de segurança e a periculosidade – vinculados às circunstâncias sócio-históricas específicas que, apesar das concepções ultrapassadas, mantêm em comum a franca repressão de populações consideradas “perigosas”, em nome do princípio da defesa social. O direito e a psiquiatria construíram conjuntamente os lugares de saberes-poderes nessa engrenagem de controle social. Pensar em uma abordagem do tema no campo transdisciplinar da memória social implica indicar lutas e jogos desses saberes-poderes específicos produzidos em tensão permanente.

Abstract The article explores the possibility of defending a society without secure psychiatric hospitals in Brazil. These hospitals have been sustained by persistent legal and psychiatric paradigms, including the notions “safety measure” and “dangerousness,” in conjunction with particular social and historical circumstances. The open repression of so-called dangerous individuals is still practiced in the name of the principle of social defense, outdated concepts notwithstanding. Together, law and psychiatry constructed spaces of power/knowledge within these workings of social control. Addressing this topic from the transdisciplinary field of social memory means identifying the struggles within particular power/knowledge arrangements, which play out in a state of ongoing tension.

Sensibilidad, comportamiento de base segura y desarrollo sociocognitivo en centros de educación inicial en México / Sensitivity, Secure Base Behavior and Socio-Cognitive Development in Mexican Childcare Settings

La calidad del cuidado una variable es determinante en el desarrollo infantil temprano: en Centros de Educación Inicial (CEI), las interacciones Cuidador Secundario Profesional (CSP)-infante constituyen el núcleo de dicho proceso. El propósito de esta investigación fue evaluar la relación entre la sensibilidad de las CSP y el comportamiento de base segura de los infantes con su desarrollo sociocognitivo. Participaron 34 díadas CSP-infante de CEI del Instituto Mexicano del Seguro Social. Se utilizó el MBQS, el AQS y la EECSC. Las CSP tuvieron niveles de sensibilidad adecuados (M = 0.59), pero los infantes no construyeron vínculos de apego con ellas (M = 0.26) debido al corto tiempo de interacción. Tanto la respuesta sensible activa-animada de las CSP (r = 0.51) como el comportamiento de base segura de los infantes (r = 0.4) se asociaron con su desarrollo sociocognitivo. Se sugiere que las CSP permanezcan con el mismo grupo de infantes durante toda su estancia en el CEI.

Quality of care is a potentially important determinant of child outcomes. Professional Secondary Caregiver (PSC)-child interactions constitute the core of process quality. The purpose of the study was to examine the association between the PSC's sensitivity, child security -as assessed with the scores derived from Q-Sort descriptions (MBQS and AQS)- and socio-cognitive development (as derived from an assessment) in an accidental sample of 34 dyads trough a cross-sectional study. PSC were highly sensitive (M = .59) but children had less than 4 months interacting with them and showed it was insufficient time to establish a secure base relationship. Adequate and appropriate responses from the nonmaternal caregiver to communication and signs the infant is making relate to the child's socio-cognitive development. More stable and long term PSC-child relationships would lead to better outcomes in child development, therefore, allowing the PSC to spend more time with the same group of children would be ideal.

Criação e extinção do primeiro manicômio judiciário do Brasil / The creation and extinction of the first criminal lunatic asylum in Brazil / Création et fermeture du premier hôpital psychiatrique judiciaire [manicômio judiciário] du Brésil / Creación y extinción del primer manicomio judicial de Brasil

O presente artigo objetiva discutir a criação e a extinção do Hospital de Custódia e Tratamento Psiquiátrico Heitor Carrilho, articulando-as aos efeitos da Lei Paulo Delgado e da Luta Anti-manicomial. Investiga-se a temática da reestruturação dos HCTP do Estado do Rio de Janeiro, focando o Heitor Carrilho, voltando-se para o histórico dos Manicômios Judiciários, os contextos sociopolíticos e as ideias que embasam a sustentação estrutural e funcional dessas Instituições Totais.

The aim of this article is to discuss two periods in the history of Hospital de Custódia e Tratamento Psiquiátrico Heitor Carrilho (Secure Psychiatric Hospital) - its creation and extinction - investigating the links between the latter event and the effects of the Psychiatric Reform Law (Lei Paulo Delgado) and the movement against asylums. The topic is developed around the restructuring of the secure psychiatric hospitals in the state of Rio de Janeiro, especially Heitor Carrilho, and the history of criminal lunatic asylums, their sociopolitical contexts and the ideas that underpin these total institutions both structurally and functionally.

Le présent article aborde deux moments de l'Hôpital Psychiatrique Heitor Carrilho pour le traitement des détenus (Hospital de Custódia e Tratamento Psiquiátrico), sa création et sa fermeture, articulant la dernière proposition le concernant aux effets de la loi Paulo Delgado et à la lutte pour la réforme psychiatrique. La restructuration de ces hôpitaux psychiatriques pour la cure des détenus à l'État de Rio de Janeiro, et notamment celle de l'Hôpital Heitor Carrilho, est mise en relief, soulignant leur histoire, leur contexte sociopolitique, et les idées qui fondent ces Institutions dites Totales aussi bien structuralement que fonctionnellement.

El presente artículo tiene como objetivo discutir dos momentos del Hospital de Custodia y Tratamiento Psiquiátrico Heitor Carrilho, la creación y la extinción, relacionando la última propuesta con los efectos de la Ley Paulo Delgado y la Lucha Antimanicomio. La temática se desarrolla alrededor de la reestructuración de los Hospitales de Custodia y Tratamiento Psiquiátrico de Rio de Janeiro, empleando el Heitor Carrilho y recurriendo a la historia de los Manicomios Judiciales, los contextos sociopolíticos y las ideas en las que se basa el sostenimiento estructural y funcional de estas Instituciones Totales.

Application of fast and secure multipath exposure of portal vein and superior mesenteric vein in pancreaticoduo-denectomy / 局解手术学杂志

Objective To investigate the application effect of fast secure multipath exposure of portal vein ( PV) and superior mesenter-ic vein ( SMV) in pancreaticoduodenectomy. Methods Retrospective analyzed the clinical data of 80 cases of pancreatic head cancer pa-tients who underwent pancreatoduodenectomy in our hospital from October 2005 to October 2013. According to the different PV/SMV expo-sure methods, they were divided into 2 groups with 40 cases in each group. The observation group used fast secure multipath exposure meth-od while the control group were given traditional method of exposure, and curative effect of the 2 groups were compared. Results In the ob-servation group, the success rate of operation was 90. 0%(36/40) which is significantly higher than 72. 5% (29/40) in the control group;in the observation group , operation time was ( 3 6 0 . 6 ± 5 8 . 7 ) min and intraoperative bleeding was ( 6 0 0 . 4 ± 3 6 . 8 ) mL which were significantly lower than that(414. 2 ± 81. 3)min and (788. 8 ± 57. 9) mL in the control group;3 year mortality rate in observation group was 65.0%(26/40) which was significantly lower than 86. 1% (31/36) in control group, these differences were statistically significant (P<0. 05). Conclusion Fast and secure multipath PV/SMV applied in pancreatoduodenectomy could improve the operation success rate, shorten the operation time, reduce the intraoperatve blood soss and postoperative adverse reactions, and improve the long-term survival rate.

Perfeccionismo e representação vinculativa em jovens adultos / Perfectionism and attachment representations in young adults

As relações estabelecidas no seio familiar são extremamente importantes no desenvolvimento dos traços de personalidade dos indivíduos. O objectivo deste estudo foi investigar a relação entre o desenvolvimento do perfeccionismo e as representações de vinculação, numa amostra de 690 jovens adultos, com idades entre os 17 e os 30 anos. Os participantes preencheram um Questionário Sócio-Demográfico, duas Escalas Multidimensionais de Perfeccionismo (MPS-F e MPS-H) e um Inventário de Vinculação (IPPA). Os resultados indicam a existência de uma relação entre as dimensões maladaptativas do perfeccionismo e a representação de uma Vinculação Insegura à mãe e ao pai, enquanto as dimensões adaptativas do perfeccionismo relacionam-se com a representação de uma Vinculação Segura. Estes resultados sugerem que um dos factores que contribuem para o desenvolvimento do perfeccionismo é a natureza das relações parentais e consequentes interacções.

The relationships established within the family are extremely important in the development of individual personality traits. The goal of this study was to investigate the relation between the development of perfectionism and attachment representations in a sample of 690 young adults, aged between 17 and 30 years old. Participants completed two scales of Self-report Measure of Perfectionism (H-MPS and F-MPS) and the Inventory of Parent and Peer Attachment (IPPA), as well as a Social-Demographic Questionnaire. Results indicate the existence of a relation between maladaptive perfectionism dimensions and an insecure attachment representation to parents, whereas adaptive perfectionism dimensions seem to be related to a secure attachment representation. The results suggest that one of the contributing factors to the development of perfectionism is the nature of parental relationships and their consequent interactions.

Ética e qualidade nos serviços de sangue / Ethics and quality in blood services / Ética y calidad en los servicios de sangre

El creciente nexo entre ética-ciencia-tecnología-calidad-sociedad, sobre todo en las cuatro últimas décadas, ha tenido gran implicancia en medicina transfusional. En el presente trabajo se analiza la relación de los aspectos éticos, bioéticos y de calidad entre tales instancias, y su aplicación en el campo de la medicina transfusional, como una consecuencia necesaria de los principios que influyen en la vida física, psicológica y espiritual de las personas...

The increasing link among ethics-science-technology-quality-society, especially in the last four decades, has had great implications in transfusion medicine. In present study, relations among ethics, bioethics and quality aspects and their application in the field of transfusion medicine are analyzed, as a necessary consequence of principles that influence physical, psychological and spiritual lives of persons...

O crescente nexo entre ética-ciência-tecnologia-qualidade-sociedade, sobretudo nas quatro últimas décadas, tem tido grande implicação na medicina transfusional. No presente trabalho se analisa a relação dos aspectos éticos, bioéticos e de qualidade entre tais instâncias e sua aplicação no campo da medicina transfusional, como uma consequência necessária dos princípios que influem na vida física, psicológica e espiritual das pessoas...

La importancia de las relaciones tempranas y el apego en los niños con necesidades especiales / The relevance of early relationships and attachment in children with special needs

El establecimiento de un apego seguro es un factor que promueve el desarrollo y bienestar del niño y su familia. Es por esto que en este trabajo hemos querido ligar el concepto del apego con los niños con necesidades especiales, y el cómo las relaciones tempranas pueden potenciar su desarrollo motor, cognitivo y socio-emocional. Del mismo modo queremos plantear la necesidad que existe de incluir el apego como eje central de las intervenciones tempranas, lo cual puede realizarse a través del empoderamiento de los padres, entregándoles claves que les permitirán tener interacciones más cálidas y significativas, reconociendo el estilo y necesidades de su hijo, logrando potenciar su sensibilidad y la capacidad para regularlos y establecer interacciones que van a potenciar su desarrollo y aprendizajes.

The establishment of a secure attachment enhances the family and child development and wellbeing. This is why in this essay we wanted to bind the attachment theory with the children with special needs and show how the early relationships can promote the motor, cognitive and socio-emotional development. In the same way we wanted to stress the need of including the attachment as a core aspect in the early interventions, through the parent’s empowerment by giving them the cues that would let them have warmer and more significant interactions, being able to recognize their child style and needs, and as a result of this they can achieve a better sensibility and the ability to regulate them and establish interactions that can favor their development and knowledge.

Determinig the Access Limitation for Items in a Medical Health IC Card: Pursuing the safety and security / 대한의료정보학회지

Linking with medical institutes and medical related centers. the individual patient's information should be studied systematically and synthetically. Since the medical information contains the fatal information for the individual patient, it should not to be released of operated by an unauthorized person. The individual medical information, distributed at various medical institutes, can be intergrated through a medical health IC card. This paper describes a mechanism to access and secure the information on a medical health IC card. Facilitating appropriate access rights for the information recorded on a medical health IC card. it should prohibit an authorized person from browsing patient's private information. From the previous studies on a medical health IC card, the items on a medical health IC card are categorized into eight different groups conforming to the international standard. Proposed system further refined the eight Global Classes into an Interest Class and Detail Class, and sets up a new access rights for each class. The memory file system of a medical health IC card also follows the existing international standard. Besides, this paper describes issues about how the operator plays a role in handling the access process for medical health information. The study also follows the international standard by standardizing the items stored in a medical health IC card. In the future, the security level and access limitations have to be more refined and localized to be fit in Korean environment.

On the Cultivation of the Ethics of Blood Donors / 中国医学伦理学

As a special service,blood donation has special requirements for the ethics of blood donors,which is different from the professional ethics of ordinary employees or the social ethics of the general public.The present ethical status of blood donors calls for a new way of effectively cultivating the ethics of blood donors.

Design of Integrated Result Query Service System in HIS Based on Secure Data-exchange / 医疗卫生装备

Objective To solve the conflict between data security and sharing in hospital so that patients can get their clinical data through result query service system.Methods Advanced secure data-exchange technology was used to realize network isolation.Integrated result query service system adopted the embedded system as hardware and the embedded LINUX operation system as software.Results Through LAN query module,internet query module and the secure data-exchange module,the design of HIS multimedia query system was realized.Conclusion Via the application of HIS integrated query platform,the design of the hospital secure data exchange is proved to be feasible,reliable and practical.

Design and Implement of Enquiry System for Hospitalization Charge Based on Secure Data Exchange / 医疗卫生装备

Objective To improve the transparency of medical service charge and show respect to the patient's right to know and choose.Methods The hospitalization charge data was published from intranet to internet using secure data exchange.Enquiry system for hospitalization charge was designed and implemented.Results Patients and their family members can query their hospitalization charge using internet to know their charge and medication.Conclusion This system can improve the satisfaction of patient,enhance hospital's management,and the social benefit is great.

Application of Network Isolation and Secure Data Exchange to HIS / 医疗卫生装备

Objective To apply the techniques of network isolation and secure data exchange network to hospital information system.Methods Network isolation and secure data exchange were used to do data exchange and synchronization between two networks.Results A LIS result query system was designed and realized based on this technology.Conclusion Secure data exchange in HIS can be realized effectively by using the techniques of network isolation and secure data exchange and it has good foreground in hospital information system.[Chinese Medical Equipment Journal,2008,29(2):45-47]