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Toral Shah2 , Nirmala Almeida2 , Alan Almeida1 . 1 Department of Nephrology, Seth GS Medical College and Kem Hospital, Mumbai, India; 2 Department of Human Development, Nirmala Niketan College of Home Science, Mumbai, India In India, research on the public attitude towards donation, a key determinant of kidney donation, is woefully inadequate. The current study examined the attitude towards kidney donation as a function of age, gender and religion. The sample consisted of 84 adults 42 males, 42 females ; belonging to 2 age groups, young adults 20-25 years ; and middle-aged adults 35-40 years ; , representing 3 major religious communities Hindus, Muslims, Christians, 28 each ; . The minimum education of a secondary school certificate with an English medium of instruction, were criteria for inclusion. In Stage1of the study, attitudes towards kidney donation were assessed using the face to face questionnaire method n 84 ; .In Stage 2, participants with the least most favourable attitude were interviewed n 10 ; . The questionnaire included areas such as willingness to donate and consent to family member's donation, fears regarding kidney donation and issues of kidney donation. The lowest obtainable score was 22 and the highest, 404 higher scores more favourable attitude ; . The interview schedule included open-ended items to probe into the attitudes of the participants. Data was analysed using ANOVA and t- test. Overall, a majority of the participants 69% ; had a moderately favourable attitude towards kidney donation [Mean M ; 255.7, SD 93.4].79.8% were willing to donate their kidney 4.5% during their lifetime, 49.3% after their death and 46.2% both during lifetime and after death ; . While 64.3% declined to consent to their family members donating their kidney during their lifetime, the same number indicated consent for their family member's cadaver donation. The greatest fear was that one's kidney would.
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Now that you have accepted your condition and you begin to consider pain your enemy, you must develop a positive attitude of hope and survivorship. Why? We no longer consider IP entirely hopeless and incurable. Recent medical research advancement is fast and furious. While I make no guarantees, I now see many IP patients who used to have severe, pain 24 - 7, but now have some pain free hours or even days. There are new terms you have to learn along with the word "intractable." First, you must know about the "cardiac-adrenal-pain syndrome." This is essentially the biologic difference between ordinary chronic pain and IP. The life-shortening, debilitating mechanism by which IP destroys a life is the overstimulation of the cardiac and adrenal hormone systems in the body. A term of hope is "neurogenesis." This means that nerves can regenerate or regrow. At one point, we did not believe this was possible, but now we know differently. This is the key to the cure or permanent reduction of IP. You must stay healthy and live long enough to benefit from all the new scientific developments that are in the pipeline. Another term is "anabolic therapy." Anabolic means to grow tissue. Some new pain treatments are meant to grow nerves and other tissue. Many are truly hopeful such as hormone treatments and nerve stimulation, to name some current front-runners in the race to cure IP. Your immediate job is to stay alive and functioning. Keep the pain away and maintain your mind, body, and social life while awaiting the advances of research and science.
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In the domain of human affairs, it is a common dictum that it is the nervous system-- the world of the mind, the exalted seat of thought and feeling--that provides the ultimate challenge for science. We are our nervous systems. For the neurologist, the gauntlet has been thrown. Although neurology's expertise lies particularly in motor and sensory spheres, there is, in addition, an unending procession of nervous conditions that challenge the neurologist to delve into the intricacies of the mental and emotional aspects of human behavior. The neurologist, backed by experience with nature's clinical experiments, should be in a good position to gain insight into the nature of abnormal phenomena and offer suggestions concerning the principles of human behavior. The aim of this article is to illustrate this viewpoint by reviewing clinical examples that invite thinking beyond the usual bounds of neurological practice. Most of the categories are already wellknown and are presented here to make a salient point. The section on hysteria is more detailed because the principle of absence of free will is examined. Temporal lobe phenomena are presented first because they represent familiar examples of complex behavior. Then, in turn, the following categories are illustrated: delirium, drug toxicity, cerebral disease processes, pain, dyslexia, and hysteria. The list is not at all complete and is meant to serve as an introduction, a beginning. COMPLEX BEHAVIOR IN DISEASE OF THE TEMPORAL LOBE In temporal lobe epilepsy, seizures are regularly introduced by a feeling of fear. Rarely, at the onset there may be a feeling of utter despair. Or, the feeling is one of absolute joy. Years of temporal lobe epilepsy may produce a state that cannot be distinguished from schizophrenia.1 Or, chronic temporal lobe epilepsy may result in compulsive writing when the focus is in the nondominant hemisphere.2 Temporal lobe epilepsy may be associated with visual hallucinations of people who speak, or there may be only hallucinations of music, an odor, a taste, or hunger.3 After a temporal lobe epilepsy seizure, memory for the events of 30 or years may be lost for a few seconds or minutes. Bilateral hippocampal lesions are associated with the conundrum of severe loss of memory and memorization, although cognitive functions are intact. On the other hand, generalized seizures or electrocon and actos.
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Paris, March 1996 A beautiful spring morning was breaking on the outskirts of Paris. A group of men were starting their day by walking on the lawn in front of a nice cottage which had been renovated into a conference room. The air was filled with peaceful singing of birds and the mumbling of men. A slight breeze carried the smell of horses from the nearby stables. The key persons of the Drawn Copper Products Division with consultants were starting their first day of a two-day strategy seminar. The room was organised in a typical horseshoe manner. The division manager was standing in the middle and was wishing everybody welcome to Chantilly. He.
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Oday's big medical breakthrough could be obsolete in just a few years. It takes ongoing education to keep up with the rapidly changing world of healthcare. Just ask these members of the Union Hospital team, who recently completed advanced training or passed professional exams. We congratulate them on these significant achievements. Helene Paxton, Infection Control Coordinator, recently received her CIC Certification Infection Control ; certification.
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