بایگانی برچسب برای: Adults

Primary.Care.for.Older.Adults.Models.[taliem.ir]

Primary Care for Older Adults

Geriatric consultants are not a new invention. This is essentially the way that many geriatric medicine pioneers, such as the British physician Dr. Marjory Warren, practiced at the beginning of the twentieth century. Although it was Dr. Ignatz Nascherwho coined the term “geriatrics” in the USA in 1909, Dr. Warren instituted the frst geriatric medicine ward akin to what we would think of today, complete with comprehensive assessments, focus on early mobility, and coordinated discharge planning . Dr. Warren was luckily also a prolifc writer and researcher, becoming the frst geriatrician to publish her unit’s outcome statistics, and thus frmly establishing the key role of evidence-based practice within geriatric medicine. The British tradition of geriatrics as a subspecialty arrived in Canada along with some of the specialty’s early adopters. Geriatric medicine specialists in Canada are all essentially geriatric hospitalists and have been ever since the specialty was enshrined by the Royal College in Canada in 1977, limiting entry only to those trained in internal medicine (this decision was not without its detractors).
Autism Spectrum[taliem.ir]

Autism Spectrum Disorders in Adults

The term autism was first introduced in 1908. The famous Swiss psychiatrist Eugen Bleuler used the term autism to describe the very aloof and withdrawn condition of some patients with what he called schizophrenia. Leo Kanner (1943), when describing eleven children with “an autistic disturbance of affective contact”, clearly had Bleuler’s thoughts in mind. Likewise Hans Asperger (1944) called the atypical boys in his study “autistic psychopaths”, hereby also alluding to some resemblance with schizophrenia. Despite the fact that “autistic aloofness” does not by far cover the complexity of the pervasive developmental disorder described nowadays as “autism spectrum disorder”, the term has become the common way to describe the large range of individuals with a syndrome characterized by impairments of the development of social and communicative reciprocity and a rigid and restricted repertoire of interests and behaviours. In this chapter a historical overview of the development of a concept in psychopathology will be presented. It may be interesting to note, before entering into the matter, that Bleuler believed that there was a continuum between psychiatric disorders and normality. This is very much in line with the current concept of a broad autism spectrum ranging from severe cases to well-adapted individuals with autistic features bordering what Simon Baron-Cohen would call an autistic condition including 5 % of the population.