Introduction: Trichotillomania is a mental disorder characterized by a repetitive and compulsive hair pulling, classified in ICD-10 to a group of habit and impulse disorders, and in the DSM-5 to the group of obsessive-compulsive disorders.
Aim: The aim of the study is to present on the basis of case study:1). the importance of traumatic family experiences in releasing as well as maintaining the symptoms of Trichotillomania, 2). comprehensive medical care, the application of which has resulted in a beneficial therapeutic effect.
Results: In the described case of 16-year-old patient, Trichotillomania was triggered by traumatic events related to lack of support and family stabilization resulting from parental disputes and grandfather’s death, when she was 11 years old. The subsequent years of her life, in spite of the divorce of her parents and their separate residence, abounded in periods of turbulent quarrels between the parents in which she was involved. Each time this type of incident was associated with the recurrence of behavior associated with Trichotil-lomania, the course of which was more severe with the occurrence of self-harm and suicidal thoughts.
Conclusions: 1. In the described case, traumatic events and pathological relations of the immediate family members were not only thetriggering factor, but also maintaining the Trichotillomania symptoms. 2. In accordance with the guidelines of Trichotillomania Learning Center-Scientific Advisory Board (2008), the use of a comprehensive treatment including both the patient - individual psycho-therapy (especially cognitive-behavioral therapy) and pharmacotherapy, as well as her family (family psychotherapy, family mediation, workshops for parents), brought about positive therapeutic effects.
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unified in a «secondary traumatic events» category, coded as «1» if the child had at least one of them through the year. School non-attending was coded as «1» if adolescents missed 50% and more of classes during the year. TF-CBT and fluoxetine were coded as «1» if adolescents had this treatment throughout the year before being diagnosed with an episode of depression. If these treatments were received after the initial diagnosis of depression, for statistical purposes, they were coded as «0». To compare groups, chi-square tests were used for categorical data and T
In the last decade evolution of the requirements for training and professional competences of ship’s crewmembers, including ship engineers can be observed. Despite the implementation of training programs according to IMO requirements in maritime training centres, a different level of competence of young people beginning their professional career on ships in the engine department is observed. The article discusses general conventions, goals, and effects of the “BS Cadet Program” training program, introduced by one of the larger German ship-owner to improve the competencies of crewmembers at the operational level, who will take duties of the watch engineer in the ship engine room soon. General idea of this training program is reducing the time of the path career what is a standard in most shipping companies. Such idea in this program is utilised by directly merging theoretical knowledge with professional practice on special prepared training vessel. The work present also comparison of the acquired knowledge verification results of training participants with the results of engine cadets from last semester of the UMG Faculty of Engineering. The comparison includes computer exercises of Marine equipment and machineries (UNITEST Company – CBT) also genera ship and engine room knowledge checked by written test called “Final Test” carried out on the end of 3 months training.
The aim of this study was to analyse dynamic fluctuations in the circadian rhythm of the core body temperature in healthy adults exposed to conditions in a hyperbaric chamber, using fully objective-telemetric measurement methods. The study group consisted of 13 healthy males (age 32±6.4 years, height 1.85±0.1 m, body weight 84.00±6.3 kg; BMI 24.7±1.2 kg/m2). The core body temperature (CBT) was measured with the Vital Sense telemetry system. The volunteers were placed in a hyperbaric chamber, exposed to compression of 400 kPa, with the exposure plateau of approx. 30 minutes, followed by gradual decompression. The mean core temperature was 36.71°C when registered within 10 minutes before the exposure, 37.20°C during the exposure, 37.27°C one hour after the exposure, 37.36°C 2 hours after the exposure, and 37.42°C three hours after the exposure. The conducted observations show that one-hour stay in a hyperbaric chamber at a depth of 30 m results in an increase in the body temperature, particularly significant after the exposure ends, and maintained for at least 3 hours after the exposure.
Biofeedback is a therapeutic method of obtaining better awareness of physiological functions based on principles of operant conditioning and learning in general. While patient observes changes in physiological parameters in real-time (e.g. blood pressure, heart rate variability, temperature, electrodermal activity, etc.), he/she learns how to manipulate them at will. By means of this technique, individuals can improve their mental, emotional, and physical health. Clinical biofeedback training becomes popular for treating a variety of medical conditions, manage ment of disease symptoms, and improvement of overall health through training of stress management. There is no center or group to systematically deal with biofeedback methods in Slovakia, except the Slovak Institute of CBT (cognitive-behavioral therapy) that teaches biofeedback as a therapeutic method. However, biofeedback and its opportunities have a relatively long history of exploration and practice, which is the best precondition for positive changes in this area. The review article aims to provide an insight to biofeedback training as a non-pharmacological therapeutic tool in stress management and stress-related diseases and disorders. The article also describes biofeedback modalities and efficacy on various medical conditions.
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for fresh horticultural crops. pp: 118-121. In: Postharvest technology of horticultural crops. (Eds: Kader et al. Cooperative Extension). Univ. Calif., Davies. Spec. Publ. 3311. Kays K.J. 1999. Preharvest factors affecting appearance. Postharv. Biol. Technol. 15 : 233-247. Pladett F.C., de Jager A., Oude Ophuis P.A.M., Hulshoff H.E., Jahae I.A.M.A. 1992. Evaluation of eating quality. Summary of results of an inquiry among fruit scientist. CBT. Netherlands. November 4th 1992: 1-12. Płocharski W.J., Konopacka D. 1999. The relation between mechanical and sensory
chapters covering the full range of trade-related matters, including provisions on Market Access for Goods, Sanitary and Phyto-Sanitary Measures, Technical Barriers to Trade, Rules of Origin, Trade Remedies and Competition, Investment, Cross-Border Trade in Services (CBTS) and Financial Services, E-Commerce, Telecommunications, Intellectual Property Rights, Institutional Arrangements and Dispute Settlement provisions. The Agreement eliminates tariffs and opens markets, reduces barriers for trade in services, provides protection for intellectual property, ensures