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Complex Physical (complex + physical)
Selected AbstractsThe clinical psychologist's role in the OOKP clinic.ACTA OPHTHALMOLOGICA, Issue 2009A one year review OOKP Surgery places complex Physical and Psychological demands on patients. Attention to Psychological factors is likely to facilitate good outcome and improve Quality of Life. This presentation outlines an innovative addition to the OOKP service at Sussex Eye Hospital, Brighton UK, incorporating a Clinical Psychologist as a member of the OOKP medical team. It will describe the first year's work including a study which has identified four subgroups of patients presenting for OOKP and the psychological needs of each group. The presentation describes how the service aims to address the particular psychological needs of these patient groups from assessment to psychological follow up. The presentation will also include a summary of a second Qualitative Interview study looking at patients' reports of their experiences of undergoing OOKP from a bio-psychosocial perspective. The National Health Service, UK seeks to use patient experience and feedback to shape clinical services and the implications of the outcomes of the research for the service will be discussed. [source] Phenotype and function of neonatal DCEUROPEAN JOURNAL OF IMMUNOLOGY, Issue 1 2009Fabienne Willems Abstract Newborns face complex physical and immunological changes before and after birth. Although the uterus is a sterile environment for the fetus, it also contains non-self material from the mother. Birth involves the transition from the sterile intra-uterine environment to an environment rich in microbes and requires rapid induction of appropriate responses to control these microbes. In this review we focus on the similarities and differences of human and murine neonatal DC and their reaction to various stimuli. A better understanding of the newborn immune system , in particular, the DC,T-cell interaction , will be beneficial for the development of improved strategies to prevent or treat infections in this vulnerable population and prepare the immune system to cope with allergens and tumors later in life. [source] Learning disabilities within mental health services: are we adequately preparing nurses for the future?JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2007L. L. CLARK ba msc srn rn(ld) pgcap Current government policy dictates that where possible patients who have learning disabilities should be cared for within the framework of ordinary generic national health services, with specialist provision kept to a minimum. The mental health care of this client group may be problematic and diagnostic overshadowing can occur because of complex physical, emotional and behavioural issues. If the government agenda is to be followed, this will have an impact on both the pre- and post-registration education of mental health nurses and therefore this must be addressed by the nursing regulatory bodies. There is also an argument for people who have a learning disability in addition to mental health problems to be considered a specialist group within generic mental health services as are other specific groups because of the complexity of their conditions. [source] Windows to cell function and dysfunction: Signatures written in the boundary layersBIOESSAYS, Issue 6 2010Peter J. S. Smith Abstract The medium surrounding cells either in culture or in tissues contains a chemical mix varying with cell state. As solutes move in and out of the cytoplasmic compartment they set up characteristic signatures in the cellular boundary layers. These layers are complex physical and chemical environments the profiles of which reflect cell physiology and provide conduits for intercellular messaging. Here we review some of the most relevant characteristics of the extracellular/intercellular space. Our initial focus is primarily on cultured cells but we extend our consideration to the far more complex environment of tissues, and discuss how chemical signatures in the boundary layer can or may affect cell function. Critical to the entire essay are the methods used, or being developed, to monitor chemical profiles in the boundary layers. We review recent developments in ultramicro electrochemical sensors and tailored optical reporters suitable for the task in hand. [source] |