Preference awareness education as stress management training for academic staff

This paper describes a response directed stress management intervention (SMI) in the form of a Jungian based preference awareness education (PAE). It uses the Insights System of personality types to increase awareness of behaviour and communication preferences of self and different others. Eighteen self‐recruited academic employees participated for 7 weeks and received feedback about work preferences and personality type. The aim was to reduce perceptions of stress and interpersonal stress and to increase feelings of job satisfaction and interpersonal satisfaction. The data were analysed using two‐tailed t‐tests. No significant findings were observed for the total sample after training, however, interesting results were found for certain sub‐sample groups. Extravert‐thinking types, reported decreased stress levels (p > 0.018), and participants suffering high stress/interpersonal stress pre‐PAE, reported decreased stress levels (p > 0.010–0.018). Participants suffering low job/interpersonal satisfaction pre‐PAE, reported increased job satisfaction (p > 0.015–0.016). These results suggest that individuals who report high levels of stress and dissatisfaction are most likely to benefit from this type of intervention. Future PAE research might: (a) use pilot studies to meet the intervention preferences of employees that are reluctant to participate in SMIs; (b) include a wait‐list control group; use: (c) a follow up education/measures; (d) and organizational level (stressor directed) SMIs at the same time as response directed initiatives. Copyright © 2005 John Wiley & Sons, Ltd.     

Constitution du champ psychanalytique

ObjectivesThe purpose of this paper is to situate the emergence of psychoanalysis; its differentiation from clinical psychiatry; and its constitution as a specific field of practice and knowledge in the context of the modern, Cartesian conception of the autonomous subject.MethodThe methods used include textual critic, the genealogy of concepts and their contextualization in the history of the foundational doctrines and ideas of modernity.ResultsBy its constitutive postulates, in particular organicism, psychiatry is deeply rooted in the foundational paradigm of modernity, which opposes a consciousness-centered subject, defined by her/his liberty, to a geometrized material universe, submitted to a strict mechanical determinism. With the concept of the Unconscious, psychoanalysis has always positioned itself in opposition to an objectifying approach of psychopathology, which translatesdirectly into an interrogation of the organicist postulate.DiscussionFreudian theory, however, borrows its main models from rationalist psychology, whose constitutive principles are a direct tributary of the now partly obsolete paradigm of classical science. Jung will vigorously object to that, but without success, largely because of the regressive and mystical character of his conceptualization.ConclusionsIt is not until the arrival of the post-Freudians, most importantly Lacan, that the heteronomous causation of the subject can be laid; thus, psychoanalysis can find the doctrinal framework that will allow it, with the formulation of structural theory, to address causality in psychopathology.     

荣格的爱恋死亡倾向与其创造力

本文展示了荣格爱恋死亡倾向的神秘一面。通过他的日常生活，他的梦，他的言论，真实地让读者看到了他的这种消极生活取向。荣格只迷恋于过去，而非现在和将来，然而，荣格又是一个非凡的创造者。其创造力是如何与他潜在的爱恋死亡的定向相互斗争、冲突，而最终获得内心的平衡？后者又是如何推动其创造力、活动能力追一步发展呢？从情结、集体无意识的探索中，荣格在医治其破坏定向所造成的创伤过程中，解决了这种内心的冲突，获得一种恰当的平衡。     

Clinical Outcomes in Kidney Transplantation from Deceased Donors with Acute Kidney Injury Based on Acute Kidney Injury Network Criteria

Introduction

Kidneys from acute kidney injury (AKI) donors are used for kidney transplantation. However, different Acute Kidney Injury Network (AKIN) criteria may show varying results after transplantation. We investigated the clinical outcomes in kidney transplantation from deceased donors with AKI as defined by the AKIN criteria at a single center.

OUR CAUSE1

abstract Starting from the knowledge that the Freudocentric view of the relationship of Freud and Jung, how the heir became the apostate, has been shown to be false, I examine the many features of this correspondence which reveal differences and similarities between their approach to the psyche, the political, the personal and the theoretical in this historic oedipal drama.     

Stability of enzymes in urine at 37°C

The activity of alanine aminopeptidase, alkaline phosphatase, γ-gluta-myltransferase, lactate dehydrogenase and β-$\text{N-}\text{acetyl}\text{-}\text{d}\text{-}\text{glucosaminidase}$ in urine at 37°C was investigated by a model simulating in vivo conditions.The stability of these urinary enzymes is influenced particularly by pH. At low pH values in urine (about pH 5.0) the four first-mentioned enzymes rapidly lose a considerable part of their activity, whereas β-$\text{N-}\text{acetyl}\text{-}\text{d}\text{-}\text{glucosaminidase}$ is inactivated at higher pH values in urine (about at pH 8.0).This inactivation effect is also time-dependent and can be modified by urinary substances such as creatinine, urea and electrolytes. To avoid misinterpretation of enzyme activity determinations in urine, the simultaneous measurement of urinary pH should be performed.     

Kidney Donor Risk Index as the Predictor for the Short-term Clinical Outcomes After Kidney Transplant From Deceased Donor With Acute Kidney Injury

Background

The Kidney Donor Risk Index (KDRI) scoring system for deceased donors has been widely introduced for postoperative evaluation of graft function. We analyzed the usefulness of the KDRI in deceased donors with acute kidney injury (AKI).

Even Faster Door-to-Alteplase Times and Associated Outcomes in Acute Ischemic Stroke

Background and Purpose: The timely administration of thrombolytic therapy for acute ischemic stroke has been associated with good functional outcomes. Current guidelines recommend alteplase administration within 60 minutes in 75% of eligible patients and within 45 minutes in 50% of patients. There is limited evidence guiding these measures and their effect on outcomes. We report a single-center, retrospective assessment of the safety and efficacy of alteplase treatment within 45 minutes. Methods: Five hundred and eighty-six patients were treated with alteplase in our emergency departments (EDs) between January 2014 and October 2016; 368 patients were included for analysis. Multivariate regression analysis was used to assess the association between door-to-alteplase (DTA) times and 90-day modified Rankin scale (mRS) scores. Incidence of intracerebral hemorrhage (ICH) was also documented. Results: The median DTA time was 29 minutes versus 64 minutes in the DTA less than or equal to 45 minutes arm and more than 45 minutes arm, respectively. The primary outcome of 90-day mRS 0-1 was achieved in 56% of patients in the less than or equal to 45 minutes group versus 58% in more than 45 minutes group (P = .67). Odds of achieving mRS 0-1 were not significantly impacted by DTA times. In the multivariate regression analysis, patient characteristics associated with achieving mRS 0-1 were: younger age, male sex, not requiring intubation in the ED, and without prior history of hypertension, atrial fibrillation, or stroke. There was no significant difference in rates of ICH for patients less than or equal to 45 minutes versus more than 45 minutes. Conclusions: Rapid administration of alteplase was not associated with significantly better outcomes nor increased risk of ICH. Conclusions about efficacy are limited due to the retrospective nature of the study, small sample size, and incomplete data points.