Sanitary Worker’s Death Unnerves Pakistan’s Health Care Ethics to the Core

Health care ethics is a sensitive domain, which if ignored, can lead to patient dissatisfaction, weakened doctor–patient interaction and episodes of violence. Little importance has been paid to medical ethics within undergraduate medical education in developing countries such as Pakistan. Three doctors in Pakistan are currently facing an official police complaint and arrest charges, following the death of a sanitary worker, who fell unconscious while cleaning a drain and was allegedly refused treatment as he was covered in sewage filth. The medical license of the doctors in question should be cancelled, if found guilty following a thorough investigation into the case. The ‘right to life’ has been universally assured by all moral, cultural and legal codes and no society can ever argue against the sacredness of a human life. It is quite clear that the aforesaid doctors’ actions are not only against the core principles of the physicians’ code, but also go against the doctrine of human rights. If serious efforts on an urgent basis are not made by the regulatory and governing bodies, one can definitely expect similar incidents for at least a few more decades before any noticeable change is seen.     

A qualitative study exploring the experience of people with IBD and elevated symptoms of anxiety and low mood and the type of psychological help they would like

Background: People with inflammatory bowel disease (IBD) are at increased risk of developing anxiety and low mood. We sought to explore the experience of people with IBD and moderate–severe symptoms of anxiety/low mood to identify psychological processes which could be targeted in psychological interventions, as well as the kind of psychological support preferred.

Methods: Twenty-five participants with IBD and moderate–severe symptoms of anxiety/low mood were recruited for interview. Template analysis was utilised to analyse interview data. We explored the situations, cognitions and behaviour linked to symptoms of anxiety and low mood by people with IBD, as well as the kind of psychological help preferred.

Results: Two themes were identified within participants accounts of symptoms of anxiety; ‘under performance’ and ‘preventing an accident’. Two further themes were identified for symptoms of low mood; ‘lack of understanding’ and ‘stigma’. Expertise and understanding was the main theme identified for the type of psychological help desired.

Conclusion: The analysis highlights situations, cognitions and behaviour linked to anxiety and low mood by people with IBD and the type of psychological support desired. Our findings link to the knowledge and competencies set for psychological therapist working with long-term conditions.     

Superior identification of familiar visual patterns a year after learning

Practice improves visual performance on simple tasks in which stimuli vary along one dimension. Such learning frequently is stimulus-specific and enduring, and has been associated with plasticity in striate cortex. It is unclear if similar lasting effects occur for naturalistic patterns that vary on multiple dimensions. We measured perceptual learning in identification tasks that used faces and textures, stimuli that engage multiple stages in visual processing. Performance improved significantly across 2 consecutive days of practice. More important, the effects of practice were remarkably stable across time: Improvements were maintained approximately 1 year later, and both the relative difficulty of identifying individual stimuli and individual differences in performance were essentially constant across sessions. Finally, the effects of practice were largely stimulus-specific. Our results suggest that the characteristics of perceptual learning are similar across a spectrum of stimulus complexities.     

Living with depression: Coping strategies used by South Asian women,living in the UK,suffering from depression

This brief study employed a qualitative, grounded theory approach within a constructivist paradigm, to explore the coping strategies used by Asian women suffering from depression. Ten Asian women were interviewed about their choice of coping strategies, factors affecting this and how this relates to treatment. The patients were interviewed individually using a brief semi-structured interview. The data were gathered and analysed according to the grounded-theory approach. Findings revealed that coping strategies included religion and prayer, talking, crying and self harm. The strategies were mediated by the individual's perception of the problem as depression, motivating factors and access to help. A distinction is made between general and culture-specific coping strategies and clinical implications for mental health services are also briefly discussed. Limitations of the study were also presented in line with qualitative research guidelines.     

Asian Families “Back Home”: An Unexplored Resource

Communities from which Asian migrants to the West originate are often seen by western professionals as a drain upon these new migrants’ resources, and are not included in formulations about problems or their solutions. In this article, a number of case examples are used to illustrate how the authors made use of the relationships of Bangladeshi migrants living in the east end of London to their families back home as a crucial resource in overcoming difficulties encountered in their new country. It is further argued that seeing such families as having transnational loyalties is a more helpful “frame” than seeing them as caught up in cultural conflict.     

Ensoulment and the prohibition of abortion in Islam

This article identifies ways in which philosophical ideas of personhood influence rulings concerning abortion. The terms ‘life’, ‘soul’ and ‘spirit’ are clarified through a comparative study of authoritative Shi&art10;a texts. There is a consensus that ensoulment occurs at four months, when the spirit causes the emergence of potentiality for rational thought. This stage marks a significant change in the status of the foetus, and abortion after this stage is prohibited except in extreme circumstances when the mother's life is threatened. Recent rulings by Shi&art10;a scholars on abortion at earlier stages are interpreted in terms of potentiality for ensoulment. The distinction between active and passive potentiality for ensoulment clarifies the reasons why jurists hold different views on whether the prohibition of abortion applies before the stage of implantation. The relevance of this discussion to some methods of contraception is indicated.     

The Role of Optimism/Pessimism in HRQOL in Chronic Hepatitis C Patients

One hundred and twenty three outpatients with compensated chronic hepatitis C (CHC) completed the SF-36, BSI, and questions regarding the expected impact of CHC on their health. Respondents were categorized as optimists (N = 17, 13.8%), realists (N = 98, 79.6%), and pessimists (N = 8, 6.5%). Pessimism was associated with lower scores on nearly all SF-36 subscales (p < .001 –.03) and higher scores on 6 BSI subscales indicative of greater emotional distress (p < .05). Pessimism was not associated with demographics, liver disease severity, substance abuse, or comorbid medical conditions. However, pessimism was associated with the presence of a psychiatric comorbidity and self-reported health status (p < .05). We conclude that optimism/pessimism may be an important determinant of QOL and emotional status in CHC patients and that additional studies of cognitive predispositions and coping skills in CHC patients are warranted.