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Positive psychology has influenced many disciplines in a very short span of time. This paper argues that positive psychology will realize its most significant and far reaching impact when it is applied to sustainability efforts, locally, nationally and internationally. Such application may accelerate shifts in attitudes, policies, practice and behavior. Specifically, opportunities for integrating positive psychology with sustainability education are discussed including work in the area of sustainable happiness, Education for Sustainable Development (ESD) and positive education. Sustainable happiness underscores the interrelationship between human flourishing and ecological resilience. Thus sustainable happiness and well-being are integral to building sustainable futures, and positive psychology could be increasingly influential in leading research and education that heralds a new era of understanding and political will to embrace sustainability.
Epilepsy and non-epileptic attack disorder (NEAD) share a vast
number of clinical features, however the aetiology and management are very
different. Video-EEG is the gold standard diagnostic tool and relies on the
occurrence of seizure activity during assessment to make a diagnosis. Added
complexity arises from the co-existence of epilepsy and NEAD, occurring in a
significant proportion of patients. Comprehensive assessment and
investigation is therefore required to prevent gross mistreatment in this
diagnostically difficult subgroup. We present a case of NEAD with co-existing
epilepsy and the challenges that this may present in clinical practice.
Background: Previous studies have shown that ICU patients receive only a fraction of their calculated nutritional goals, and that cumulative caloric deficit in the ICU has been correlated with poor outcome. One reason for this underfeeding is the frequent interruption of enteral nutrition. Many ICU patients receive enteral feeding formula via a nasogastric (NG) tube. Feeding is typically held for several hours prior to procedures due to the theoretical risk of aspiration. An alternative is to continue feeding up until the procedure begins, then stop the feeding and place the NG to suction. This evacuates the contents of the stomach and minimizes the risk of aspiration, while reducing the interruption of feeding that can result in malnutrition. Methods: This study is a review of prospectively gathered data including 55 sequential patients who underwent bedside percutaneous endoscopic gastrostomy (PEG) placement in a mixed ICU under a reduced fasting protocol. This was compared with a historical cohort of 33 critically ill trauma patients who fasted for at least 8 hours prior to the procedure. Under the reduced fasting protocol, enteral feeding via NG was continued up until the time of the procedure. The NG was then placed to suction, and sedation was given. The NG was left in place until the esophagus was cannulated, then it was removed. The PEG was placed in standard fashion, and feeding was resumed via the PEG immediately following the procedure. Results: We have documented no peri-procedural vomiting or aspiration. New diagnosis of pneumonia within 3
presents a case of propriospinal myoclonus (PSM) in a previously fit and well
female patient who presented with truncal jerking movements when relaxed. Propriospinal
myoclonus is a rare condition, of which 80% of the aetiology is idiopathic. It
is characterised by involuntary jerking movements of the trunk due to spreading
activity via intrinsic propriospinal pathways along the spinal cord.
Polymyography is mandatory in the diagnosis of priopriospinal myoclonus however
in discerning the differential diagnoses it is inferior to magnetic resonance
diffusion tensor imaging. The management of propriospinal myoclonus is
dependent on aetiology. Clonazepam has been shown to be effective in the
treatment of idiopathic PSM for symptomatic relief.