* mesaj lunar
Suntem virtual peste 500,noi facem APLR ,viitorul psihiatriei si psihologiei poate chiar al filozofiei acestor doua discipline. Multi fac pe amnezicii si inccarca un alt week end destul de banal .Timpul trece si noi trebuie sa-i adugam idei memorabile,sa ne opunem depresiei generale si sa supravetuim la un nivel superior profesional si uman.frar o constiinta colectiva eroica nu putem ajunge la nimic.Asa ca va asteptam ! Pregatim si conferinta dela Predeal dela 21 mai.
Prof.ROMILA
Editorial Aprilie 2011 - Profesor Dr. Aurel ROMILA
Pentru meseria noastra valoreaza 50 %, terapeutica fiind cealalta jumatate.Teoretic pare usor. Inveti semiologia, sindromologia si nozologia si apoi incadrezi in DSM. Operatiunea cere ani de ucenicie, cu indrumare critica a unui maestru. Greselile sunt frecvente. Prima greseala este intuitia abuziva care duce la identificari pripite fara excluderea lucida a optiunilor diferentiale. Pe linga o invatare serioasa este obligatoriu exercitiul aplicarii la caz. Diagnosticul ramine deschis. El cere si o evaluare de etapa. Pina la urma evaluarea cere o comparare cu normalitatea care justifica cunoasterea psihologiei si a celorlalte stiinte umaniste. Din diverse motive multi dezechilibrati ramin in societate fara diagnostic si numai in cazul unor fapte ajung la o expertiza. Confuziile cele mai frecvente sunt ale nevrozelor cu psihopatia, sau ale psihozelor cu psihopatia borderline. Deasemenea dementa cu deteriorarea. Chiar intelectul limita daca nu cunosti media, mai departe polimorfismul sindromatic al psihopatiilor, nevrozelor, psihozelor,dementelor. Comorbiditatea neurologica si somatica. Patologia acuta este mai cunoscuta decit cea cronica. Si daca ne mai amintim ca nu exista boli ci bolnavi?
Esentiala mi se pare inzestrarea intelectuala a psihiatrului din perioada premedicala. Vocatia cere inteligenta, vointa, cultura si rabdare bineboitoare cit si invatarea din propriile greseli. Nimeni nu e perfect.
Cei care inavata acum nu stiu ca s-a putut abuza pentru interese nemedicale. Sa speram ca etica diagnosticului e sfinta. Diagnosticul este un instrument codificat, nu trebuie sa-i spui cuiva: ai schizofrenie!
Argumentarea dignosticului se face pe intocmirea unei foi de observatie. Nu e o sclavie sa fii rezident. E bine sa faci cit mai multe foi. Apoi sa discuti cu cei care stiu. Sa citesti si sa compari cu observatii din literatura. Sa inveti sa rezumi. Sa ajungi sa stii discernamintul faptelor in expertiza psihiatrica.
Laicii cred ca stiu sigur ca altcineva e bolnav! Toata lumea stie futbol dar si psihiatrie si agenda medicala si chiar si psihanaliza! Dreptul la opinie in democratie, dar ultimul cuvint il are psihiatrul format rational o viata intreaga. Si grupul psihiatric isi are uscaturile lui si culmea este ca unii malformati isi diagnosticheaza abuziv colegii.
Omul ramine in istorie cit isi aplica rationalul in actiunile sale sociale. Asa se mentine societatea si scade antisocialitatea.
prof.Romila.
Catalogul Pictorilor Celebri
Click : http://www.mystudios.com/artgallery
*Cel mai complet catalog de arta din lume de la ora actuala,
5000 de pictori celebri si 100000 tablouri valoroase din tezaurul picturii universale.
Panoramic 3D Lacasuri de Cult - Romania
Panoramic 3D Manastiri si Biserici ROMANIA
1. Manastiri Bucovina
click : http://www.panoramax.ro/bucovina-panorame-virtuale
2. Biserici Timisoara
Click : http://www.banat-media.de/ro/biserici.php
*Click pe Imagine si apoi cu Mouse vizualizati liber (dreapta-stanga, sus-jos) directia dorita.
Welcome Tour
Calatorii pe Glob
1. Andaluz
Click : http://www.box.net/shared/8lyu6s8a2z
2. Bora Bora
Click : http://www.box.net/shared/kfqspposuc
3. Camera de Chihlimbar
Click : http://www.box.net/shared/9ka4gms5hl
4. Giethoon
Click : http://www.box.net/shared/kp4tasgb9i
5. Istanbul
Click : http://www.box.net/shared/6usj0d0xbt
6. Japonia - 11 Martie 2011
Click : http://www.box.net/shared/8zf4gavmtj
7. Jardines
Click : http://www.box.net/shared/3ag7m5rayx
8. Jerusalem - Mount Of Olives
Click : http://www.box.net/shared/xv12hc95af
9. Lotus Lake - Taiwan
Click : http://www.box.net/shared/5l5yzgozsp
10. Mormantul Maicii Domnului
Click : http://www.box.net/shared/ad2jxacnkm
11. Pestera Patriarhilor
Click : http://www.box.net/shared/lnz8p1rauv
12. Photos National Geographic 2010
Click : http://www.box.net/shared/zt3l5tq1ls
13. Russian Churces
Click : http://www.box.net/shared/80gzm3uxz0
14. Sanctuarul Ascuns
Click : http://www.box.net/shared/b2hzsg6xcp
15. Thailand - The Queen Garden
Click : http://www.box.net/shared/49lx3fzp1z
16. Trenuletul
Click : http://www.box.net/shared/vcrke9pjl2
17. Wonderful Images
Click : http://www.box.net/shared/cal1insi0z
18. Viajando por Ecuador
Click : http://www.box.net/shared/n7v5o35ttz
19. Pasarea Paradisului
Click : http://www.box.net/shared/jmda5eg47h
20. Cocori
Click : http://www.box.net/shared/1yh7eoilgk
Medscape - New Articles
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MDLinx - New Articles
Vitamin D and Subsequent Systolic Hypertension Among Women American Journal of Hypertension, 02/22/11 |
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and human studies, the authors found a single–time measure of vitamin D among young adult women was associated with systolic hypertension 14 years later. These prospective results
suggest the need for further study of the role vitamin D insufficiency in early adulthood as a risk factor in subsequent hypertension among women. |
Vitamin D and the Prevention of Hypertension and Cardiovascular Diseases: A Review
of the Current Evidence American Journal of Hypertension, 03/07/11 |
Geleijnse JM – Epidemiological data suggest that optimal vitamin D status is important for cardiovascular disease (CVD) prevention, but results from different studies are conflicting and confounding cannot be ruled out. Randomized?controlled trials of vitamin D supplementation and BP have yielded inconsistent results, and trials that addressed the effect of vitamin D on CVDs are lacking. |
Osteoporosis in men Best Practice & Research Clinical Endocrinology & Metabolism, 03/21/11 |
Gielen E et al. – Male osteoporosis is an increasingly important public health problem: from age 50 onward, one in three osteoporotic fractures occurs in men and fracture–related morbidity and mortality are even higher than in women. In 50% of osteoporotic men, an underlying cause can be identified (secondary osteoporosis). |
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Daily ZEN
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From The Masters
*PROBLEM SOLVING
"Don't dwell on what went wrong. Instead, focus on what to do next. Spend your energies on moving forward toward finding the answer."
-- Denis Waitley
"The problem is not that there are problems. The problem is expecting otherwise and thinking that having problems is a problem."
-- Theodore Rubin
"Every problem has in it the seeds of its own solution. If you don't have any problems, you don't get any seeds..."
-- Norman Vincent Peale
"To solve any problem, there are three questions to ask yourself: First, what could I do? Second, what could I read? And third, whom could I ask?"
-- Jim Rohn
*PRIORITIES
"Keep in mind that you are always saying 'no' to something. If it isn't to the apparent, urgent things in your life, it is probably to the most fundamental, highly important things. Even
when the urgent is good, the good can keep you from your best, keep you from your unique contribution, if you let it."
-- Stephen Covey
"Learn how to separate the majors and the minors. A lot of people don't do well simply because they major in
minor things."
-- Jim Rohn
"To put the world in order, we must first put the nation in order; to put the nation in order, we
must put the family in order; to put the family in order, we must cultivate our personal life; and to cultivate our personal life, we must first set our hearts right."
-- Confucius
"What are the most important things you do, measured by their long-term consequences?"
-- Brian Tracy
*Quotations
All mankind is divided into three classes: those that are immovable, those that are movable, and those that move.
~ Benjamin Franklin
More Quotations by Franklin
- 2
In Athens, life is lived at one speed: full-throtttle. To make the most of this thoroughly modern yet thrillingly ancient city, you must take to the streets and embrace the chaos in the
Athenian way - with passion.
- Andy Harris
- 3
Life is not measured by the number of breaths we take, but by the moments that take our breath away.
- Maya Angelou
- 4
Happiness is a perfume you cannot pour on others without getting a few drops on yourself.
- TonyHartl
-5
Life is like a mirror ...what we put into it is what's reflected back to us.
- Debi Blacklidge
- 6
We know what Japan looked like on Aug. 15, 1945. We will certainly overcome this [time]. - Unfortunately, we have a sad history. Without any chauvinism, we are the most sensitive people
in the world about the negative side of [nuclear power]. But we need to live with the positive side of the coin of nuclear energy, too.
- Kaoru Ishikawa, Japan's ambassador to Canada - referring to Japan's surrender to the Allies after the U.S. dropped atomic bombs on Hiroshima and Nagasaki.- interview at the Japanese
consulate in Montreal on Wednesday
- 7
I feel that luck is preparation meeting opportunity.
- Oprah Winfrey
- 8
No matter what age you are, or what your circumstances might be, you are special, and you still have something unique to offer. Your life, because of who you are, has meaning.
- Barbara de Angelis
- 9
I cannot believe that the purpose of life is to be "happy." I think the purpose of life is to be useful, to be responsible, to be compassionate. It is, above all, to matter and to count,
to stand for something, to have made some difference that you lived at all.
- Leo C. Rosten
- 10
If there's any way they can walk to the office, they'd rather do that. They don't want to live here and shop there and work over there.
- Robert Koch, German physician, 1843-1910
"Keep in mind that you are always saying 'no' to something. If it isn't to the apparent, urgent things in your life, it is probably to the most fundamental, highly important things. Even when the urgent is good, the good can keep you from your best, keep you from your unique contribution, if you let it."
"Learn how to separate the majors and the minors. A lot of people don't do well simply because they major in minor things."
"To put the world in order, we must first put the nation in order; to put the nation in order, we must put the family in order; to put the family in order, we must cultivate our personal life; and to cultivate our personal life, we must first set our hearts right."
"What are the most important things you do, measured by their long-term consequences?"
All mankind is divided into three classes: those that are immovable, those that are movable, and those that move.
~ Benjamin Franklin
More Quotations by Franklin
- Andy Harris
- Maya Angelou
- 4
Happiness is a perfume you cannot pour on others without getting a few drops on yourself.
- Debi Blacklidge
- Kaoru Ishikawa, Japan's ambassador to Canada - referring to Japan's surrender to the Allies after the U.S. dropped atomic bombs on Hiroshima and Nagasaki.- interview at the Japanese consulate in Montreal on Wednesday
- Oprah Winfrey
- Barbara de Angelis
I cannot believe that the purpose of life is to be "happy." I think the purpose of life is to be useful, to be responsible, to be compassionate. It is, above all, to matter and to count, to stand for something, to have made some difference that you lived at all.
- Leo C. Rosten
- Robert Koch, German physician, 1843-1910