Low Self-Esteem

Low self-esteem is a mental disorder that may occur to someone, afraid to meet with other people, feeling useless. Early symptoms alone are visible. Following simple notion of low self-esteemLow self-esteem is a personal assessment of the results achieved by analyzing the extent to fulfill the ideal behavior of self (Stuart and Sundeen, 1998: 227). According to Townsend (1998:189) low self-esteem is a self-evaluation of sense of self or negative self either directly or indirectly. The same opinion by Carpenito, LJ (1998:352) that 'low self-esteem' is a condition in which individuals experience negative self-evaluation of self or self. A conclusion, 'low self-esteem' is a negative sense of self, loss of confidence and failed to achieve the goals expressed directly or indirectly, decreased self-esteem...

READ MORE - Low Self-Esteem

Post-Traumatic Stress

have you ever experienced the fear when considering an event you've ever experienced? Or, you inadvertently involved situations that remind you of things that you fear? This is about someone who is experiencing stress disorder about the events that never happened.Disorders post-traumatic stress (Post-traumatic Stress Disorder (PTSD)) is characterized by the repetition of the traumatic memory of a moment that shook the soul. Experienced or seen traumatic event that threatens death or serious injury can effect a person for a long time. Very scared, helpless, or a frightening experience for traumatic events can haunt a person. Something that can cause post-traumatic stress includes the following:• Related to the war• Experienced or seen physical violence or sex• Affected by disasters, both natural...

READ MORE - Post-Traumatic Stress

Cancer Tips

Cancer is a disease dreaded by us and can affect anyone. In terms of doing cancer prevention, there are little things you can do. If you believe in one thing, that everything can change just by doing the little things, this is only a few tips for you. Don’t smoke Smoking, whatever it may increase the risk for cancer. By not smoking or using other tobacco products is an important step to prevent the cancer disease. Physically active & maintain a healthy weight Maintain a healthy weight and exercise regularly, helps prevent cancer. People who are overweight or obesity can increase the risk of colon cancer, esophagus and stomach. Try to keep physical activity for 30 minutes every day. Avoid fast food While eating a variety of foods, does not guarantee you to not get cancer, but these healthy...

READ MORE - Cancer Tips

Children can develop Bipolar Disorder

Both children and adolescents can develop bipolar disorder. It is more likely to affect the children of parents who have the illness. Unlike many adults with bipolar disorder, whose episodes tend to be more clearly defined, children and young adolescents with the illness often experience very fast mood swings between depression and mania many times within a day.6 Children with mania are more likely to be irritable and prone to destructive tantrums than to be overly happy and elated. Mixed symptoms also are common in youths with bipolar disorder. Older adolescents who develop the illness may have more classic, adult-type episodes andsymptoms. Bipolar disorder in children and adolescents can be hard to tell apart from other problems that may occur in these age groups. For example, while irritability...

READ MORE - Children can develop Bipolar Disorder

2012 Movie

aCenturies ago, the Mayans left us their calendar, with a clear end date and all that it implies. Since then, astrologists have discovered it, numerologists have fund patterns that predict it, geologists say the earth is overdue for it, and even government scientists cannot deny the cataclysm of epic proportions that awaits the earth in 2012. A prophecy that began with the Mayans has now been well-chronicled, discussed, taken apart and examined. By 2012, we’ll know we were warned..The paragraph above is the prologue of the film that is currently the world community controversy, including in Indonesia. Surprised to hear rumors that in the year 2012 will be a major natural disaster, very likely is the end of the world. Plus I live in Indonesia as is often the case when natural disasters such...

READ MORE - 2012 Movie

Glimpse of the RSSM

In the year 1916, Shortens plan to build a 'Krankzinnigengesticht'.(Psychiatric Hospital) in central Java with a capacity of 1400 beds. Magelang defined as a location by the Dutch government. Hospital referred to as 'krankzinnigengesticht Kramat', after independence, its name became 'Magelang Mental Hospital'.In the development Magelang Mental Hospital into vertical Hospital's Department of Health in accordance with the Minister of Health certificate of RI Item: 135/MenKes/SK/IV/1978 RS. Soul Magelang is mental hospital as a class A Psychiatric Hospital Education. Presidential Decree No.38/1991 on ‘Swadana’ Unit, a unit of the hospital services that can move quickly in providing services to the community by using funds obtained from operational income. Mental hospitals and certificate Magelang...

READ MORE - Glimpse of the RSSM

Bipolar disorder causes

Bipolar disorder causes dramatic mood swings&from overly ‘high’ and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods o highs and lows are called episodes of mania and depression.Signs and symptoms of mania (or a manic episode) include:Increased energy, activity, and restlessnessExcessively ‘high’, overly good, euphoric moodExtreme irritabilityRacing thoughts and talking very fast, jumping from one idea to anotherDistractibility, can t concentrate wellLittle sleep neededUnrealistic beliefs in one s abilities and powersPoor judgmentSpending spreesA lasting period of behavior that is different from usualIncreased sexual driveAbuse of drugs, particularly...

READ MORE - Bipolar disorder causes

Bipolar Disorder

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a persons mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide. But there is good news: bipolar disorder can be treated, and people with this illness can lead full and productive lives.Bipolar definitionBipolar, or manic-depressive disorder, is a mood disorder that causes radical emotional changes and mood swings, from manic highs to depressive lows. The majority of bipolar individuals experience alternating episodes of mania and depression.Bipolar disorder typically develops in late adolescence or...

READ MORE - Bipolar Disorder

Dementia and Alzheimer Disease

What is dementia?First, dementia is not part of the normal aging process. Although forms of dementia are common among the senior population, it is not a natural aspect of aging. As we age, we usually have a decline in the efficiency of accessing our memory. This is very common. Consider our brain as “library of information”. When we are young, our library is only partially filled. As we go forward in life our “library” fills up. In our senior years, our librarian must search through many floors of files to be able to recall information. This process just takes time. Thus, our memory efficiency will decline. The second component of memory is accuracy. Memory accuracy is the key point of concern with dementia-related illness. Let’s consider the following example: I am driving to an appointment....

READ MORE - Dementia and Alzheimer Disease

Symptoms of Schizophrenia

Interspersed between the acute periods are various stages of convalescence during which patients frequently experience "negative symptoms". These are subtractions from the normal repertoire of feelings such as loss of interest, loss of energy, loss of warmth, loss of humor. In general, these do not respond to medical interventions but require more difficult psychological assistance. (Note: Since this note was written, clozapine, resperidone and other drugs have been introduced which can help with negative symptoms.)HallucinationsHallucinations are false perceptions, inaccuracies that affect our senses & cause us to hear, see, taste, touch or smell what others do not. In the acute phases of schizophrenia, patients are likely to insist they are hearing voices that no one else can hear. Sometimes...

READ MORE - Symptoms of Schizophrenia

Unsecured Business Loan

What do you do to build a business? You how to create your brilliant ideas in your business that will build? But how to obtain venture capital to realize your brilliant idea, while you are currently experiencing financial crises that you feel is impossible to start a business! Have you ever thought, unsecured business loan? This solution…Unsecured business loan is the right solution right now when you will build a business in the global crisis hit the economy. How not, you can more easily develop plans for your business. You can choose a variety of offers from this service companies. One example of when you will be using unsecured business loans to small-scale. We called Unsecured Small Business Loans. on program loans unsecured small business you have two options for the new business loans...

READ MORE - Unsecured Business Loan

What is Schizophrenia?

Schizophrenia is a chronic, severe, and disabling mental illness that affects approximately 1 out of every 100 people in the world’s population. The first symptoms of schizophrenia are typically seen in late adolescence or early adulthood, although they occasionally develop after the age of 30. A variety of different symptoms may occur when the illness first develops, including social isolation, unusual thinking or speech, having beliefs that seem strange and peculiar to others, seeing things that are not visible to others, and hearing voices when none are present. These symptoms often make it difficult for a person with schizophrenia to maintain interpersonal relationships, care for personal needs, work, and live independently.How Long Does Schizophrenia Last?For most people, schizophrenia...

READ MORE - What is Schizophrenia?

Pediatric Patient (EAM 4)

The Pediatric patient- the principles of airway management in children are the same as in the adult. Confusion and error occur when we try to think about the pediatric airway as “different” than the adult airway. It is just not so! It is true that the dosages of medications are different, we just need to remember the doses in milligrams per kilogram or look them up. The anatomy is slightly different with larynx being somewhat anterior and superior to that of the adult and surgical airways are not recommended in children (The anatomy of the adult larynx is actually more variable than the child’s). With these two exceptions the pediatric airway should be approached in exactly the same way as the adult airway. Medications used for children to facilitate intubation and the need for alternative...

READ MORE - Pediatric Patient (EAM 4)

Patients Under Spontaneous Breathing

One of the most frequent interventions in an intensive care setting is fluid replacement. Recent trials emphasize that excessive volume, given unnecessarily, may be harmful to the patient, and that assessment of volume responsiveness is fundamental for intensivists. Volume responsiveness may be defined as increased systolic volume (SV) with consequent increased cardiac output (CO) from an established volume infusion which would provide better oxygen supply to the tissue. However, this response to volume testing will only take place when both ventricles operate in the ascending phase of the Frank-Starling curve, i.e., in a preload dependence status. In the last decade, with improved knowledge and practical application of physiology and heart-lung interaction, along with critical patient monitoring...

READ MORE - Patients Under Spontaneous Breathing

What is a Mental Health

Mental health is more than the mere lack of mental disorders. The positive dimension of mental health is stressed in WHO’s definition of health as contained in its constitution: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. ”Concepts of mental health include subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence and recognition of the ability to realize one’s intellectual and emotional potential. It has also been defined as a state of well-being whereby individuals recognize their abilities, are able to cope with the normal stresses of life, work productively and fruitfully, and make a contribution to their communities. Mental health is about enhancing competencies of individuals...

READ MORE - What is a Mental Health

The Failed Airway !! (EAM part 5)

Although none of us wants to be in a “failed” airway situation, it will happen eventually to all of us. There are basically 2 scenarios, 1) can’t intubate but can ventilate with a BVM or 2) can’t intubate and can’t ventilate. In the first situation, one is at least able to maintain reasonable ventilation and oxygenation. However, the risk of aspiration increases as bagging continues. Even with adequate Sellick’s maneuver, some air will leak into the stomach causing gastric distension and eventually vomiting. The second situation is more desperate and if a decision is not made in seconds, the patient will die. Usually this involves one of two possibilities depending on time. The first is the creation of an immediate surgical airway either by cricothyrotomy, or percutaneous transtracheal jet...

READ MORE - The Failed Airway !! (EAM part 5)

The Difficult Airway (EAM part 3)

Although the vast majority of emergency airways will go smoothly using the above technique of rapid sequence intubation, everyone, regardless of experience, is bound to have problems sometime. It is important to recognize which airways may give you problems before you begin down the road to a possibly failed airway attempt. It is important to choose the most appropriate technique for each particular airway situation before disaster occurs. I suggest that several simple questions be asked in every airway situation: If my intubation attempt does not succeed, will I be able to ventilate the patient with a bag-valve-mask? If I can not ventilate the patient with a BVM, what should be done next and what is my back up plan? Am I prepared to provide a surgical airway?Some estimation of the degree...

READ MORE - The Difficult Airway (EAM part 3)

Rapid Sequence Intubation (EAM part 2)

Rapid sequence intubation (RSI) consists of a series of discrete steps that are best followed to insure the greatest success. The patient should first be evaluated for the presence of a difficult airway and the ability to ventilate with a bag-valve-mask should intubation not be successful. It is obvious that the intubation should take place in a room that is prepared in advance with all equipment needed for resuscitation should that be necessary. It is the physician’s responsibility to make sure that all equipment is present and in working order before proceeding! Although nurses may assure you that everything is in working order, the physician is ultimately responsible and will be the one to have to handle the problem if some critical equipment is not functioning or a critical drug is not...

READ MORE - Rapid Sequence Intubation (EAM part 2)

Indications for Intubation (Emergency AirWay Management (EAM) part 1)

Airway skills are perhaps the most important skills that an emergency physician possesses. If the airway is lost in a critically ill patient for any reason, any of the other interventions you might make, or any great diagnoses are superfluous. It is good to remember that in the ABC’s of resuscitation, airway is first and foremost. With the exception of defibrillation in a cardiac arrest situation and possibly a needle decompression in the patient with a tension pneumothorax, airway control always assumes first priority. Since the need to protect the airway most often occurs in a crisis situation in the ED, the emergency physician can not rely on others, like anesthesia, to assist. Even moments of delay can spell disaster for the patient. Since every airway emergency presents in a different...

READ MORE - Indications for Intubation (Emergency AirWay Management (EAM) part 1)