Nelson Textbook of Pediatrics PDF Download
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Author: Richard E. Behrman
Publisher: Elsevier España
ISBN: 9788481747478
Category : Medical
Languages : en
Pages : 2694
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Book Description
Accompanying CD-ROM contains: contents of book; continuous updates; slide image library; references linked to MEDLINE; pediatric guidelines; case studies; review questions.
Author: Richard E. Behrman
Publisher: Elsevier España
ISBN: 9788481747478
Category : Medical
Languages : en
Pages : 2694
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Book Description
Accompanying CD-ROM contains: contents of book; continuous updates; slide image library; references linked to MEDLINE; pediatric guidelines; case studies; review questions.
Author: Maurizio Pompili
Publisher: Bentham Science Publishers
ISBN: 1608050491
Category : Psychology
Languages : en
Pages : 294
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Book Description
In the year 2000, approximately one million people died from suicide: a "global" mortality rate of 16 per 100,000, or one death every 40 seconds. In the last 45 years suicide rates have increased by 60% worldwide. Suicide is now among the three leading causes of death among those aged 15-44 years (both sexes); these figures do not include suicide attempts up to 20 times more frequent than completed suicide. Suicide worldwide is estimated to represent 1.8% of the total global burden of disease in1998, and 2.4% in countries with market and former socialist economies in 2020. Although traditionally suicide rates have been highest among the male elderly, rates among young people have been increasing to such an extent that they are now the group at highest risk in a third of countries, in both developed and developing countries. Mental disorders (particularly depression and substance abuse) are associated with more than 90% of all cases of suicide; however, suicide results from many complex sociocultural factors and is more likely to occur particularly during periods of socioeconomic, family and individual crisis situations (e.g., loss of a loved one, employment, honour). The economic costs associated with completed and attempted suicide are estimated to be in the billions of dollars. One million lives lost each year are more than those lost from wars and murder annually in the world. It is three times the catastrophic loss of life in the tsunami disaster in Asia in 2005. Every day of the year, the number of suicides is equivalent to the number of lives lost in the attack on the World Trade Center Twin Towers on 9/11 in 2001. Everyone should be aware of the warning signs for suicide: Someone threatening to hurt or kill him/herself, or taking of wanting to hurt or kill him/herself; someone looking for ways to kill him/herself by seeking access to firearms, available pills, or other means; someone talking or writing about death, dying or suicide, when these actions are out of the ordinary for the person. Also, high risk of suicide is generally associated with hopelessness; rage, uncontrolled anger, seeking revenge; acting reckless or engaging in risky activities, seemingly without thinking; feeling trapped – like there’s no way out; increased alcohol or drug use; withdrawing from friends, family and society, anxiety, agitation, unable to sleep or sleeping all the time; dramatic mood changes; no reason for living; no sense of purpose in life. Table 1: Understanding and helping the suicidal individual should be a task for all. Suicide Myths How to Help the Suicidal Person Warning Sights of Suicide Myth: Suicidal people just want to die. Fact: Most of the time, suicidal people are torn between wanting to die and wanting to live. Most suicidal individuals don’t want death; they just want to stoop the great psychological or emotional pain they are experiencing -Listen; -Accept the person’s feelings as they are; -Do not be afraid to talk about suicide directly -Ask them if they developed a plan of suicide; -Expressing suicidal feelings or bringing up the topic of suicide; -Giving away prized possessions settling affairs, making out a will; -Signs of depression: loss of pleasure, sad mood, alterations in sleeping/eating patterns, feelings of hopelessness; Myth: People who commit suicide do not warn others. Fact: Eight out of every 10 people who kill themselves give definite clues to their intentions. They leave numerous clues and warnings to others, although clues may be non-verbal of difficult to detect. -Remove lethal means for suicide from person’s home -Remind the person that depressed feelings do change with time; -Point out when death is chosen, it is irreversible; -Change of behavior (poor work or school performance) -Risk-taking behaviors -Increased use of alcohol or drugs -Social isolation -Developing a specific plan for suicide Myth: People who talk about suicide are only trying to get attention. They won’t really do it. Fact: Few commit suicide without first letting someone know how they feel. Those who are considering suicide give clues and warnings as a cry for help. Over 70% who do threaten to commit suicide either make an attempt or complete the act. -Express your concern for the person; -Develop a plan for help with the person; -Seek outside emergency intervention at a hospital, mental health clinic or call a suicide prevention center Myth: Don’t mention suicide to someone who’s showing signs of depression. It will plant the idea in their minds and they will act on it. Fact: Many depressed people have already considered suicide as an option. Discussing it openly helps the suicidal person sort through the problems and generally provides a sense of relief and understanding. Suicide is preventable. Most suicidal individuals desperately want to live; they are just unable to see alternatives to their problems. Most suicidal individuals give definite warnings of their suicidal intentions, but others are either unaware of the significance of these warnings or do not know how to respond to them. Talking about suicide does not cause someone to be suicidal; on the contrary the individual feel relief and has the opportunity to experience an empathic contact. Suicide profoundly affects individuals, families, workplaces, neighbourhoods and societies. The economic costs associated with suicide and self-inflicted injuries are estimated to be in the billions of dollars. Surviving family members not only suffer the trauma of losing a loved one to suicide, and may themselves be at higher risk for suicide and emotional problems. Mental pain is the basic ingredient of suicide. Edwin Shneidman calls such pain “psychache” [1], meaning an ache in the psyche. Shneidman suggested that the key questions to ask a suicidal person are ‘Where do you hurt?’ and ‘How may I help you?’. If the function of suicide is to put a stop to an unbearable flow of painful consciousness, then it follows that the clinician’s main task is to mollify that pain. Shneidman (1) also pointed out that the main sources of psychological pain, such as shame, guilt, rage, loneliness, hopelessness and so forth, stem from frustrated or thwarted psychological needs. These psychological needs include the need for achievement, for affiliation, for autonomy, for counteraction, for exhibition, for nurturance, for order and for understanding. Shneidman [2], who is considered the father of suicidology, has proposed the following definition of suicide: ‘Currently in the Western world, suicide is a conscious act of self-induced annihilation, best understood as a multidimensional malaise in a needful individual who defines an issue for which the suicide is perceived as the best solution’. Shneidman has also suggested that ‘that suicide is best understood not so much as a movement toward death as it is a movement away from something and that something is always the same: intolerable emotion, unendurable pain, or unacceptable anguish. Strategies involving restriction of access to common methods of suicide have proved to be effective in reducing suicide rates; however, there is a need to adopt multi-sectoral approaches involving other levels of intervention and activities, such as crisis centers. There is compelling evidence indicating that adequate prevention and treatment of depression, alcohol and substance abuse can reduce suicide rates. School-based interventions involving crisis management, self-esteem enhancement and the development of coping skills and healthy decision making have been demonstrated to reduce the risk of suicide among the youth. Worldwide, the prevention of suicide has not been adequately addressed due to basically a lack of awareness of suicide as a major problem and the taboo in many societies to discuss openly about it. In fact, only a few countries have included prevention of suicide among their priorities. Reliability of suicide certification and reporting is an issue in great need of improvement. It is clear that suicide prevention requires intervention also from outside the health sector and calls for an innovative, comprehensive multi-sectoral approach, including both health and non-health sectors, e.g., education, labour, police, justice, religion, law, politics, the media.
Author: J.P. Soubrier
Publisher: Elsevier
ISBN: 1483136779
Category : Psychology
Languages : en
Pages : 902
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Book Description
Depression and Suicide
Author: Campo Arias, Adalberto
Publisher: Editorial Unimagdalena
ISBN: 9587466047
Category : Medical
Languages : en
Pages : 135
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Book Description
This book updates knowledge about self-injurious behaviors for suicidal purposes concerning frequency, possibly biological, psychological, social, cultural, and political causes; that is, it approaches suicide from abroad non-reductive vision and considers the phenomenon's complexity. The source of information is the most recent scientific research —preferably systematic reviews and meta-analyses—given the wealth of data available on the subject of suicide. It includes novel topics such as non-suicidal self-injurious behaviors and suicidal behaviors in socially excluded groups due to ethnicity, sexual orientation, and immigrants. Likewise, it presents a comprehensive view of strategies for preventing suicidal behavior. Special attention was paid to the review and inclusion of research carried out in Colombia and other Latin American countries since studies published in Spanish are exceptionally considered in reviews in English. Each chapter is extensively referenced so that readers can delve into the details of each topic as they see fit. It is necessary to continue reviewing the evidence to reduce suicidal behaviors by implementing preventive programs in the most vulnerable social groups.
Author: Maurizio Pompili
Publisher: Springer Nature
ISBN: 3030420035
Category : Medical
Languages : en
Pages : 1479
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Book Description
This book explores suicide prevention perspectives from around the world, considering both professionals’ points of view as well as first-person accounts from suicidal individuals. Scholars around the globe have puzzled over what makes a person suicidal and what is in the minds of those individuals who die by suicide. Most often the focus is not on the motives for suicide, nor on the phenomenology of this act, but on what is found from small cohorts of suicidal individuals. This book offers a tentative synthesis of a complex phenomenon, and sheds some light on models of suicide that are less frequently encountered in the literature. Written by international experts, it makes a valuable contribution to the field of suicidology that appeals to a wide readership, from mental health professionals to researchers in suicidology and students.
Author: María Esther Gilio
Publisher: Libros del Zorzal
ISBN: 9875992615
Category : Psychology
Languages : en
Pages : 258
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Book Description
A los 14 años, con la lectura de Análisis profano de Freud, se produce un quiebre en la vida de María Esther Gilio: “Después de haber pasado mi primera infancia diciendo ‘quiero ser médica de locos’, después de ver un film de Claudette Colbert en que ésta, con todo su encanto francés, convertía a locos furiosos en santos de estampita, quise ser psicoanalista”. Este es el testimonio de alguien que sospecha que hablar de uno mismo en el pasado es como hablar de otra persona, y que el presente surge permanentemente como un espejo que no siempre queremos enfrentar de manera directa (“Llegamos a hoy. Y yo no quiero escribir sobre mí misma”). Como si la conversación con quienes compartimos preciados intereses mostrara nuestra identidad más genuina, la autora –abogada, escritora, biógrafa y periodista– nos habla de experiencias de vida a través de una serie de entrevistas. Aparecen aquí algunos de los más importantes y prestigiosos psicoanalistas contemporáneos: Jean Laplanche, Jacques Alain Miller, Emilio Rodrigué, Elisabeth Roudinesco, Benzión Winograd, Silvia Bleichmar, Janine Altounian, Lito Benvenutti, Mordechai Benyakar, César Botella, Françoise Davoine, Jean-Max Gaudilliere, Daniel Gil, Max Hernández, Philippe Jeammet, François Marty, Paul Roazen y Teresa Yuan. De manera paulatina, el lector encontrará en estas páginas una impresión de coherencia ética y profesional en el tratamiento de temas que le dan sentido a aquel primer deseo, y que revelan que “nuestras decisiones siempre están estrechamente unidas a lo que imaginamos”.
Author: A.Ursula Goyzueta M.
Publisher: Palibrio
ISBN: 1463356218
Category : Biography & Autobiography
Languages : en
Pages : 429
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Book Description
Una obra que además entraña fuertes denuncias contra sistemas y niveles que tratan de impedir la evolución da la humanidad. '' Los sueños son el lenguaje de tu ser interior... sigue sus señales ''
Author: E. VIETA
Publisher: Springer Science & Business Media
ISBN: 9788407001738
Category : Science
Languages : en
Pages : 564
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Book Description
Author: Maria Hinojosa
Publisher: Simon and Schuster
ISBN: 1982135212
Category : Biography & Autobiography
Languages : en
Pages : 400
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Book Description
“El punto de vista de María es poderoso y vital. Hace años, cuando In the Heights empezaba a presentarse en teatros off-Broadway, María corrió la voz en nuestra comunidad para que apoyáramos este nuevo musical que trataba sobre nuestros vecindarios. Ella ha sido una campeona de nuestros triunfos, una crítica de nuestros detractores y una fuerza clave para enfrentar y corregir los errores de nuestra sociedad. Cuando María habla, estoy listo para escuchar y aprender de ella.” —Lin-Manuel Miranda La periodista ganadora de cuatro premios Emmy y presentadora de Latino USA de NPR, María Hinojosa, cuenta la historia de la inmigración en los Estados Unidos a través de las experiencias de su familia y décadas de hacer reportajes, con lo cual crea un riguroso retrato de un país en crisis. María Hinojosa es una periodista galardonada que ha colaborado con las cadenas más respetadas y se ha distinguido por realizar reportajes con un toque humano. En estas memorias escritas con gran belleza, nos relata la historia de la política de inmigración de los EE.UU. que nos ha llevado al punto en que estamos hoy, al mismo tiempo que nos comparte su historia profundamente personal. Durante treinta años, María Hinojosa ha informado sobre historias y comunidades en los Estados Unidos que a menudo son ignoradas por los principales medios de comunicación. La autora de bestsellers Julia Álvarez la ha llamado “una de las líderes culturales más importantes, respetadas y queridas de la comunidad Latinx”. En Una vez fui tú, María nos comparte su experiencia personal de haber crecido como mexicanoamericana en el sur de Chicago y documentar el páramo existencial de los campos de detención de inmigrantes para los medios de comunicación que a menudo cuestionaban su trabajo. En estas páginas, María ofrece un relato personal y revelador de cómo la retórica en torno a la inmigración no solo ha influido en las actitudes de los estadounidenses hacia los extranjeros, sino que también ha permitido la negligencia intencional y el lucro a expensas de las poblaciones más vulnerables de nuestro país, lo que ha propiciado el sistema resquebrajado que tenemos hoy en día. Estas memorias honestas y estremecedoras crean un vívido retrato de cómo llegamos aquí y lo que significa ser una superviviente, una feminista, una ciudadana y una periodista que hace valer su propia voz mientras lucha por la verdad. Una vez fui tú es un llamado urgente a los compatriotas estadounidenses para que abran los ojos a la crisis de la inmigración y entiendan que nos afecta a todos. También disponible en inglés como Once I Was You.
Author: Liliane Costa
Publisher: Editora Autografia
ISBN: 8551849255
Category : Psychology
Languages : en
Pages : 93
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Book Description
Tornar minha história pública significa sair da zona de conforto da privacidade e expor a vulnerabilidade relativa às doenças mentais a que todos estamos sujeitos, ainda mais em tempos de pandemia. Seria fácil guardar o anonimato, como inúmeras pessoas fazem quando passam por algo drástico e difícil de lidar, mas preferi a contramão do comportamento comum, expondo de maneira fidedigna minha experiência, com aval e consentimento do meu filho após sua exitosa recuperação. O tema, apesar de delicado, é extremamente atual. Estamos vivenciando o aumento significativo do número de casos de violência autoprovocada, que foram, inclusive, reconhecidos como problema de saúde pública pelo governo federal através da edição da lei 13.819/19, que regulamenta a política nacional de prevenção da automutilação e do suicídio. Tenho a intenção de colaborar com o esclarecimento da população, em especial jovens, pais, responsáveis, escola, profissionais da saúde e todos aqueles que pensam não existir solução para evitar o autoextermínio.
