Child and Adolescent Psychiatry Notes
Stages of Psycho-Social Development (E. Erikson)
5 Stages:
Stage 1: Trust vs. Mistrust (0-18 Months)
- 0-18 Months
- Most fundamental stage in life
- Infant development is based on trust, dependability, and quality of caregiver
- If a child develops trust, they will feel secure and safe in the world
- If a caregiver is unavailable or rejecting… Failure to develop trust will result in fear and a belief that the world is unpredictable
Stage 2: Autonomy vs. Shame & Doubt (18 Months – 3 Years)
- 18 Months – 3 Years
- Greater
Childhood and Adolescent Psychiatry: Disorders, Diagnosis, and Treatment
Understanding Angina Pectoris, Myocardial Infarction, and Other Cardiac Conditions
Angina Pectoris (AP)
Etiology and Risk Factors
AP + Ischemia | Blood Supply to the Myocardium | Myocardial O2 Demand |
1. Myocardial O2 Demand > Oxygen Supply 2. Cellular Acidosis & Lactate Release 3. ST Depression on ECG → ST Depression in the absence of angina is called = Silent Ischemia !!! Angina = Ischemia | • Coronary Artery, Aortic Stenosis • Coronary Artery Spasm • Hypercoagulation States • Anemia • Increased Heart Rate • |
Cardiovascular System: Angina Pectoris, Myocardial Infarction, Heart Valve Diseases, and More
Angina Pectoris (AP):
| AP + Ischemia: | Blood Supply to the Myocardium: | Myocardial Oxygen Demand: |
1. Myocardial Oxygen Demand > Oxygen Supply → ST ↓ in the absence of angina is called silent ischemia.2. Cellular Acidosis & Lactate Release 3. ST Segment Depression (ST ↓) on ECG !!! Angina = Ischemia | • Coronary Artery (CA) Stenosis → Stable angina if > 70% lumen obliteration • CA Spasm (Endothelial Dysfunction) • Hypercoagulation States • Anemia • ↑ Heart Rate |
The Health Institution and the Role of Health Professionals: A Comprehensive Guide
The Health Institution: A Complex System
The health institution is a complex system with a particular hierarchical organizational structure and general operating principles to ensure that it achieves its objectives. The overall objective is to care for the health of citizens. To achieve this goal, health institutions employ health professionals (health personnel) and other non-health personnel.
Health institutions can be public or private. According to their scope, hospitals can be national, regional,
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The health institution:
A complex system with a particular hierarchical organization structure and general operating principles to ensure that they achieve the objectives sought to crearla.El overall objective is to care for the health of citizens and to achieve this goal, they worked jan health professionals (health personnel) and other (persoal non-health). The health institutions can be public or private das.
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According to its scope, the hospitals can be: national regional, provincial, district,
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