M. Katherine Shear, MD Birthplace: St. Louis, MO Business Address
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Family and Caregiver Education BEREAVEMENT
Family and Caregiver Education BEREAVEMENT Why do I feel guilty? Guilt often plays a part in normal grieving. It seems to surface as one “reviews” the sequence of events leading up to and including the death of a loved one. This review process is natural. In fact, it is part of the healing process. But as one reviews, alternative choices and responses become apparent in hindsight. That’s when guilt can rear its head. Actually, there have been nine types of guilt identified in relation to the grieving process: * Death Causation Guilt Can occur whether the person was actually directly responsible for the death, or not at all responsible. The perception of responsibility is the driving factor. Illness-Related Guilt Focuses on the time period prior to and including the illness of a person who has died. Examples include: not believing the person was ill, not noticing symptoms that led to the illness and the death, saying or doing something negative during the illness, being angry at the person for being ill, etc. Role Guilt A role is an expected set of behaviors. When a person we care about dies, guilt may emerge concerning, “what I should have done with, or for,” this person (in relation to our role as parent, spouse, etc.). If Only Guilt Stems from the belief that the bereaved survivor could have done something to change the course of the illness and/or death. Much of it falls into the category of Magical Thinking (doing something, or failing to do something, that any reasonable person would say had no relationship to the death; but nonetheless, the person feels responsible for the death in some way). -
Tips for Survivors: COPING with GRIEF AFTER COMMUNITY VIOLENCE
∙ Tips for Survivors: COPING WITH GRIEF AFTER COMMUNITY VIOLENCE It is not uncommon for individuals and communities as year. It’s different for each person depending on his or her a whole to experience grief reactions and anger after an health, coping styles, culture, family supports, and other life incident of community violence. Grief is the normal response experiences. How long people grieve may also depend on the of sorrow, emotion, and confusion that comes from losing resilience of the community and the ability of its members to someone or something important to you. Most people will take on roles and responsibilities that will help restore the basic experience a natural occurrence of grief after the death of needs of the community, such as getting children back to a loved one, but grief and anger can be the result of other school and businesses back to working again. types of losses. In situations of community violence, people may experience the loss of their sense of safety, their trust Reactions to Community Violence in Children in those who live in their neighborhood, or their trust in local government. The trauma and grief of community violence Witnessing community violence and death can be traumatic can be experienced by all involved. experiences that cause negative mental health outcomes, particularly for children. Close relationships are important to This tip sheet contains information about some of the signs children’s development, and the loss of family or a community of grief and anger and provides useful information about member can represent the loss of social capital—the emotional how to cope with grief. -
Empathy and Support Those Bereaved & Grieving
INCREASE EMPATHY AND SUPPORT THOSE BEREAVED & GRIEVING “Empathy is a strange and powerful thing. There is no script. There is no right way or wrong way to do it. It’s simply listening, holding space, withholding judgement, emotionally connecting and communicating that incredibly healing message of ‘You’re not alone.’” Brene Brown Bereavement and grief can be challenging in ‘normal’ times. However, the current pandemic has exacerbated this with an increased loss of life together with restrictions around how we are able to grieve due to the social distancing and lockdown measures in place. Supporting someone who is grieving can feel uncomfortable and difficult for a number of reasons: Emotions are contagious When someone is feeling an emotion we experience a similar feeling in ourselves. Whilst this is largely unconscious, being a function of our mirror neurons, when we feel an emotion that is unpleasant such as anger, pain, sadness or depression, there is a tendency to try to ‘get rid’ of the emotion leading us to either suppress it or fix it. This can be expressed in a variety of ways: • Saying sentences that start with ‘at least’ for example ‘at least they had a good life’ or ‘at least you had a good relationship with them’ • Offering advice or suggestions such as ‘what would you like to do to make you happy?’ or ‘keep yourself busy to distract yourself’ • Offering different perspective such as ‘keep smiling, it could be worse’ or ‘they aren’t suffering any more’ Whilst these are well-intentioned with the aim of helping the other person, what this actually does is invalidate the emotion the person is feeling as well as not allowing them to interpret their feelings and come up with effective ways to process them. -
CFP Medical Readership Information Study, 2020
MRIStudy Medical Readership Information 2020 Results of a study of the reading patterns and preferences of Canadian family physicians conducted by the College of Family Physicians of Canada THE COLLEGE OF LE COLLÈGE DES FAMILY PHYSICIANS MÉDECINS DE FAMILLE OF CANADA DU CANADA The College of Family Physicians of Canada 2020 About the MRI Study The study was conducted during June-July, 2020. A draw for an Apple iPad was ofered as an incentive for completing the survey. The population studied was the approximately 38,000 physicians who are currently members in good standing of the College of Family Physicians of Canada. A total of 5,000 random members were invited to participate. The e-mail message to members made it clear that the survey originated with the College of Family Physicians of Canada. The invitation was sent in English and French. The invitation e-mail directed physicians to the survey questionnaire in the language of their choice, located on an independent, third-party survey site. Results were compiled using Survey Gizmo. A total of 309 family physicians completed the survey, including 279 in English and 30 in French. All responses were entirely anonymous. Medical Readership Information Study 2020 1 Notes Member survey This is a survey of members of the College of Family Physicians of Canada (CFPC), almost all of whom receive Canadian Family Physician (CFP) as a benefit of membership. This may mean that there is some degree of “halo effect” in which overall attitudes revealed in questions regarding journal readership tend to favour CFP. Journal readership patterns among francophone readers may be particularly affected. -
Acute Stress Disorder
Trauma and Stress-Related Disorders: Developments for ICD-11 Andreas Maercker, MD PhD Professor of Psychopathology, University of Zurich and materials prepared and provided by Geoffrey Reed, PhD, WHO Department of Mental Health and Substance Abuse Connuing Medical Educaon Commercial Disclosure Requirement • I, Andreas Maercker, have the following commercial relaonships to disclose: – Aardorf Private Psychiatric Hospital, Switzerland, advisory board – Springer, book royales Members of the Working Group • Christopher Brewin (UK) Organizational representatives • Richard Bryant (AU) • Mark van Ommeren (WHO) • Marylene Cloitre (US) • Augusto E. Llosa (Médecins Sans Frontières) • Asma Humayun (PA) • Renato Olivero Souza (ICRC) • Lynne Myfanwy Jones (UK/KE) • Inka Weissbecker (Intern. Medical Corps) • Ashraf Kagee (ZA) • Andreas Maercker (chair) (CH) • Cecile Rousseau (CA) WHO scientists and consultant • Dayanandan Somasundaram (LK) • Geoffrey Reed • Yuriko Suzuki (JP) • Mark van Ommeren • Simon Wessely (UK) • Michael B. First WHO Constuencies 1. Member Countries – Required to report health stascs to WHO according to ICD – ICD categories used as basis for eligibility and payment of health care, social, and disability benefits and services 2. Health Workers – Mulple mental health professions – ICD must be useful for front-line providers of care in idenfying and treang mental disorders 3. Service Users – ‘Nothing about us without us!’ – Must provide opportunies for substanve, early, and connuing input ICD Revision Orienting Principles 1. Highest goal is to help WHO member countries reduce disease burden of mental and behavioural disorders: relevance of ICD to public health 2. Focus on clinical utility: facilitate identification and treatment by global front-line health workers 3. Must be undertaken in collaboration with stakeholders: countries, health professionals, service users/consumers and families 4. -
NEJM JOURNAL WATCH and MORBIDITY and MORTALITY WEEKLY REPORT All Prices in US Dollars Unless Otherwise Stated
2019-2020 Individual Subscription Pricing Agency Rate Card Prices effective from January 1, 2019 through December 31, 2020 *Please note: Subscription prices will not be raised in 2020 NEJM JOURNAL WATCH and MORBIDITY AND MORTALITY WEEKLY REPORT All Prices in US Dollars unless otherwise stated. PRINT + ONLINE, USA PRICING TITLE(S) RATES Physicians Residents Students All Other Institutions NEJM Journal Watch General Medicine Published Rate $159.00 $75.00 $75.00 $159.00 $339.00 5% Agency Remit $151.05 $71.25 $71.25 $151.05 $322.05 NEJM JW Emergency Medicine; JW Published Rate $135.00 $69.00 $69.00 $135.00 $259.00 Gastroenterology; JW Neurology; JW Women’s 5% Agency Remit $128.25 $65.55 $65.55 $128.25 $246.05 Health NEJM JW Cardiology; JW Oncology & Hematology; Published Rate $125.00 $69.00 $69.00 $125.00 $259.00 JW Pediatrics & Adolescent Medicine 5% Agency Remit $118.75 $65.55 $65.55 $118.75 $246.05 NEJM JW Infectious Diseases; JW Psychiatry Published Rate $145.00 $69.00 $69.00 $145.00 $259.00 5% Agency Remit $137.75 $65.55 $65.55 $137.75 $246.05 Morbidity and Mortality Weekly Report Published Rate $219.00 N/A N/A $219.00 $309.00 5% Agency Remit $208.05 N/A N/A $208.05 $293.55 PRINT + ONLINE, CANADA – WITH 5% GST, NO HST (In Canadian Dollars) TITLE(S) RATES Physicians Residents Students All Other Institutions NEJM Journal Watch General Medicine Published Rate C$219.00 C$104.00 C$104.00 C$219.00 C$369.00 5% Agency Remit C$208.05 C$98.80 C$98.80 C$208.05 C$350.55 NEJM JW Emergency Medicine; JW Published Rate C$195.00 C$101.00 C$101.00 C$195.00 -
WFSM Medical Resources.Pdf
Medical resources: Everything you need from websites, podcasts, and apps You guys are awesome! Thank you for all of the medical websites, podcasts, and apps that you have recommended and submitted. I have tried to group them in a couple of ways: 1. By specialty (alphabetical) 2. By topic (alphabetical) There is a table of contents for you to reference easily find the resources in the document. I have also tried to duplicate topics that fall under multiple categories and provide short descriptions where I can. However, I would recommend looking through associated fields and topics that you might find applicable or interesting (especially for fields that cover a breadth of topics). 1 Table of contents I. Section I: Specialty……………………………………………………………………………………….….3 i. Anesthesiology………………………………………………………………………………....4 ii. Cardiology……………………………………………………………………………………..….5 iii. Dermatology…………………………………………………………………………………..…6 iv. Emergency medicine……………………………………………………………….…….7-9 v. Ear, nose, and throat (ENT) …………………………………………………………….10 vi. Family medicine………………………………………………………………………...11-12 vii. Internal medicine……………………………………………………………………….13-14 viii. Neurology…………………………………………………………………………………….…15 ix. OB/GYN…………………………………………………………………………………………..16 x. Ophthalmology……………………………………………………………………………….17 xi. Orthopedics………………………………………………………………….………………..18 xii. Pediatrics………………………………………………………………………………..….19-20 xiii. Psychiatry……………………………………………………………………………………..…21 xiv. Radiology………………………………………………………………………………….…….22 xv. Surgery……………………………………………………………………………………………23 -
Awardees & Lecturers Brochure 2012.Indd
Berk/Fise Clinical Achievement Award The Berk/Fise Clinical Achievement Award, formerly the ACG Clinical Achievement Award, is presented to not more than one Member/Fellow of the College in any year and is made in recognition of distinguished contributions to clinical gastroenterology over a signifi cant period of time. Specifi c criteria include, in addition to a career of distinguished clinical practice of gastroenterology, contributions in patient care, clinical science, clinical education, technological innovation, and public and community service. 2012 Recipient David A. Johnson, MD, FACG Dr. David A. Johnson is Professor of Medicine and Chief of Gastroenterology at Eastern Virginia School of Medicine. Despite his primary focus on the clinical practice of gastroenterology, he has published extensively in the internal medicine/gastroenterology literature, contributing over 350 articles/chapters/abstracts in peer-reviewed journals and books. Additionally, he co-edited the American College of Physicians (ACP) book Dyspepsia and edited two GI Clinics of North America series on “Obesity Issues for Gastroenterologists” and edited the recent ACP module on CRC screening. His primary research interests are esophageal refl ux disease and colon cancer screening. He is a Past President of the American College of Gastroenterology (ACG) and served the ACG previously as Governor (VA), chair of ACG Quality Council Task Force, and member of the Educational Affairs, Publications, Constitution and Bylaws (Chair), and Nominating (Chair) committees. Additionally since inception, he has served on the executive committee and is Treasurer of the ACG/ASGE GI Quality Improvement Consortium (GIQuIC) and the executive committee for the GI Political Action Committee (GIPAC). -
Valentin Fuster, Md, Phd
VALENTIN FUSTER, MD, PHD Address: The Mount Sinai Medical Center One Gustave L. Levy Place, Box 1030 New York, NY 10029-6574 Date of Birth: January 20, 1943 Place of Birth: Barcelona, Spain Education: 1954-1961 B.S. Colegio Jesuitas, Barcelona, Spain (Baccalaureate) 1961-1967 M.D. Faculty of Medicine, Barcelona University, Barcelona, Spain 1971 Ph.D. University of Edinburgh, Edinburgh, Scotland Postdoctoral Training: Internship, Residencies, and Fellowships: 1967-1968 Internship (Straight Medical), Hospital Clinico, Barcelona, Spain 1968-1971 Research Fellow in Cardiovascular Diseases, Department of Medicine, Royal Infirmary, University of Edinburgh, Edinburgh, Scotland 1971-1972 Resident in Medicine, Mayo Graduate School of Medicine, Rochester, Minnesota Licensure and Certification: 1967 Internal Medicine Licensure, University of Barcelona, Spain 1970 Educational Council for Foreign Medical Graduates 1974 Minnesota State Board of Medical Examiners 1976 Internal Medicine Board Certification 1977 Cardiovascular Diseases Board Certification 1982 New York State Medicine and Surgery 1991 Massachusetts State Medicine and Surgery Military Service: 1966-1968 Spanish Army, Second Lt., Barcelona, Spain; Active Duty - 10 months, February 2006 1 Reserve - 2 years Academic Appointments: 1997- Richard Gorlin, M.D./Heart Research Foundation Professor of Cardiology, Mount Sinai School of Medicine, New York, New York 1994-1997 Arthur M. and Hilda A. Master Professor of Medicine, Mount Sinai School of Medicine, New York, New York 1994 Dean for Academic -
Supporting Students Through Loss: an Empathic Programmatic Intervention
West Chester University Digital Commons @ West Chester University West Chester University Master’s Theses Masters Theses and Doctoral Projects Spring 2020 Supporting Students Through Loss: An Empathic Programmatic Intervention Jack Horne [email protected] Follow this and additional works at: https://digitalcommons.wcupa.edu/all_theses Recommended Citation Horne, Jack, "Supporting Students Through Loss: An Empathic Programmatic Intervention" (2020). West Chester University Master’s Theses. 114. https://digitalcommons.wcupa.edu/all_theses/114 This Thesis is brought to you for free and open access by the Masters Theses and Doctoral Projects at Digital Commons @ West Chester University. It has been accepted for inclusion in West Chester University Master’s Theses by an authorized administrator of Digital Commons @ West Chester University. For more information, please contact [email protected]. A Thesis Presented to the Faculty of the Department of Educational Foundations and Policy Studies West Chester University West Chester, Pennsylvania In Partial Fulfillment of the Requirements for the Degree of Master of Science By Jack Horne May 2020 Dedication For my mom. I love you and miss you every single day. Acknowledgements Writing this thesis during a global pandemic was a herculean task and I have so many loved ones to thank for getting to this point. First, I would like to thank my dear friend Matheeha, who has been such an inspiration to me for her bravery, strength, and positive attitude. You’re the best! Unfortunately, I lack the space to list my entire cohort by name, but all of you have impacted my life in amazing ways, and I’m so thankful I got to spend the last two years with such wonderful people. -
Myocardial Lactate and Pyruvate Metabolism
MYOCARDIAL LACTATE AND PYRUVATE METABOLISM Norman Krasnow, … , Joseph V. Messer, Richard Gorlin J Clin Invest. 1962;41(11):2075-2085. https://doi.org/10.1172/JCI104665. Research Article Find the latest version: https://jci.me/104665/pdf Journal of Clinical Investigation Vol. 41, No. 11, 1962 MYOCARDIAL LACTATE AND PYRUVATE METABOLISM * By NORMAN KRASNOW, WILLIAM A. NEILL, JOSEPH V. MESSER, AND RICHARD GORLIN t (From the Medical Clinics, Peter Bent Brigham Hospital, and Department of Medicine, Harvard Medical School, Boston 15, Mass.) (Submitted for publication May 23, 1962; accepted August 1, 1962) Although the heart has been considered pri- myocardial lactate extraction. Excess lactate has marily an aerobic organ, recent work (1) has re- not been found in normal or diseased human sub- emphasized the possibility that measurement of jects (10-15) at rest except in a few patients oxygen consumption alone may not 1)e adequate with progressive muscular dystrophy (16). None to define the total energy utilization under all con- has been subjected to exercise. ditions. The role of anaerobic metabolism must The purposes of this report are to describe 1) be reviewed. the effects of the stresses of physical exercise and Methods of defining as well as quantifying ischemia on myocardial lactate and pyruvate me- anaerobiosis are currently in dispute. When oxi- tabolism in man and dogs and 2) the role of dation and glycolysis proceed at the same rate, anaerobiosis during these stresses. carbohydrate is oxidized to CO2 and H20. Lac- tate arises whenever the rate of glycolysis exceeds MATERIALS AND METHODS the rate of oxidation. -
Obsessive-Compulsive Disorder: Diagnosis and Management JILL N
Obsessive-Compulsive Disorder: Diagnosis and Management JILL N. FENSKE, MD, and THOMAS L. SCHWENK, MD, University of Michigan Medical School, Ann Arbor, Michigan Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to the presence of obsessions or compulsions. Proper diagnosis and education about the nature of the disorder are important first steps in recovery. Treatment is rarely curative, but patients can have significant improvement in symptoms. Recommended first-line therapy is cog- nitive behavior therapy with exposure and response prevention or a selective serotonin reuptake inhibitor. The medication doses required for treatment of obsessive-compulsive disorder are often higher than those for other indications, and the length of time to response is typi- cally longer. There are a variety of options for treatment-resistant obsessive-compulsive disorder, including augmentation of a selec- tive serotonin reuptake inhibitor with an atypical antipsychotic. ECK Obsessive-compulsive disorder is a chronic condition with a high rate B of relapse. Discontinuation of treatment should be undertaken with oan caution. Patients should be closely monitored for comorbid depression and suicidal ideation. (Am Fam Physician. 2009;80(3):239-245. Copy- right © 2009 American Academy of Family Physicians.) ILLUSTRATION BY J ▲ Patient information: bsessive-compulsive disorder from obsessions and compulsions.2 OCD A handout on obsessive- (OCD) is a neuropsychiatric dis- interferes with work performance, social compulsive disorder, written by the authors order characterized by recurrent interactions, and family relationships.