Delirium known as acute confusional state, is an organically caused decline from a previous baseline mental functioning that develops over a short period of time hours to days. Delirium is a syndrome encompassing disturbances in attention and cognition, it may involve other neurological deficits, such as psychomotor disturbances, impaired sleep-wake cycle, emotional disturbances, perceptual disturbances, although these features are not required for diagnosis. Delirium is caused by an acute organic process, a physically identifiable structural, functional, or chemical problem in the brain that may arise from a disease process outside the brain that nonetheless affects the brain, it may result from an underlying disease process, side effect of a medication, withdrawal from drugs, over-consumption of alcohol, or from any number of factors affecting one's overall health. In contrast, fluctuations in mental status/function due to changes in psychiatric processes or diseases do not, by definition, meet the criteria for'delirium.'
Delirium may be difficult to diagnose without the proper establishment of a person's usual mental function. Without careful assessment and history, delirium can be confused with a number of psychiatric disorders or chronic organic brain syndromes because of many overlapping signs and symptoms in common with dementia, psychosis, etc. Delirium may manifest from a baseline of existing mental illness, baseline intellectual disability, or dementia, without being due to any of these problems. Treatment of delirium requires treating the underlying cause and multi-faceted interventions are thought to be most effective. In some cases, temporary or symptomatic treatments are used to comfort the person or to facilitate other care. Antipsychotics are not supported for the treatment or prevention of delirium among those who are in hospital; when delirium is caused by alcohol or sedative hypnotic withdrawal, benzodiazepines are used. Delirium affects 14–24% of all hospitalized individuals; the overall prevalence for the general population is 1–2% but this increases with age, reaching 14% of adults over age 85.
Among older adults, delirium occurs in 15–53% of those post-surgery, 70–87% of those in the ICU, up to 60% of those in nursing homes or post-acute care settings. Among those requiring critical care, delirium is a risk for death within the next year. In common usage, delirium is used to refer to drowsiness and hallucination. In medical terminology, acute disturbance in consciousness/attention and a number of different cognitive symptoms are the core features of delirium. Several medical definitions of delirium exist. In 2013, the American Psychiatric Association released the fifth edition of the DSM with the following criteria for diagnosis: A. Disturbance in attention and awareness; this is a required symptom and involves easy distraction, inability to maintain attentional focus, varying levels of alertness. B. Onset is acute, representing a change from baseline mentation with fluctuations throughout the day C. At least one additional cognitive disturbance D; the disturbances are not better explained by another neurocognitive disorder E.
There is evidence that the disturbances above are a "direct physiological consequence" of another medical condition, substance intoxication or withdrawal, toxin, or various combinations of causes Delirium exists as a stage of consciousness somewhere in the spectrum between normal awakeness/alertness and coma. While requiring an acute disturbance in consciousness/attention and cognition, delirium is a syndrome encompassing an array of neuropsychiatric symptoms; the range of clinical features include: poor attention/vigilance, memory impairment, clouding of consciousness, acute onset, disorganized thinking/thought disorder, diffuse cognitive impairment, language disorder, sleep disturbance, mood lability, psychomotor changes and perceptual change/hallucinations. These various features of delirium are further described below: Inattention: As a required symptom to diagnose delirium, this is characterized by distractibility and an inability to shift and/or sustain attention. Memory impairment: Memory impairment is linked to inattention reduced formation of new long-term memory where higher degrees of attention is more necessary than for short-term memory.
Since older memories are retained without need of concentration formed long-term memories are preserved in all but the most severe cases of delirium. Disorientation: As another symptom of confusion, a more severe one, this describes the loss of awareness of the surroundings and context in which the person exists. One may be disoriented to place, or self. Disorganized thinking: Disorganized thinking is noticed with speech that makes limited sense with apparent irrelevancies, can involve poverty of speech, loose associations, perseveration and other signs of a formal thought disorder. Language disturbances: Anomic aphasia, impaired comprehension and word-finding difficulties all involve impairment of linguistic infor
Jean Hélène was a French journalist specializing in Africa. He was working for Radio France Internationale in Ivory Coast when he was killed in Abidjan by police Sergeant Théodore Séry Dago. Jean Hélène was his press name, Christian Baldensberger being his real name. Earlier, Jean Hélène had served as the Le Monde correspondent in Rwanda, his coverage of the Rwandan genocide during this period was biased in favour of the Hutus. In particular, during the early months when thousands of civilians were butchered, he characterized the killings as those of enemy combatants. A French court ruling in May 1999 says: Considering that an examination of the press cuttings entered into evidence shows that during the first two months of the conflict Le Monde, through its correspondent, Jean Helene, highlighted the "civil war" aspect of the conflict... On 21 October 2003, in a prevailing atmosphere of rabid anti-French sentiment during the Civil war in Côte d'Ivoire, Hélène had gone to the Abidjan police headquarters to interview some government opponents who had just been released from detention.
He had an altercation with Sergeant Dago over parking, following which Dago went inside, grabbed an AK-47 and shot him dead as he was walking from his car, talking on his mobile phone. Sergeant Dago was arrested and confessed to the crime. Subsequently however, he changed his position claiming that he had come inside the building after talking to Helene when he heard the shots that killed him. There was wide international condemnation of the event. Amnesty international said: The fact that a sergeant can kill a journalist who posed no threat to him in cold blood shows the atmosphere of impunity in which Côte d’Ivoire security forces have been operating. After the event, Théodore Séry Dago became a Dago support committee was formed. In January 2004, a military court under judge Ahmed Lanzéni Coulibaly considered ballistic evidence which indicated that the bullet had been shot from Dago's service weapon, found him guilty of having "deliberately killed" Helene. Dago was sentenced to 17 years in prison.
Radio France Internationale website Radio France Internationale website
The Pruneyard Shopping Center is a 250,000 sq ft open-air shopping center located in Campbell, California, at the intersection of Campbell Avenue and Bascom Avenue, just east of State Route 17. Built in the 1960s as the PruneYard Shopping Center, it includes in addition to shops an inn, as of July 2017 a DoubleTree by Hilton, a movie theater built in 1964 and three office towers built in 1970, one of, the tallest building in the area outside downtown San Jose. Fred Sahadi developed the PruneYard Shopping Center as part of a mixed-use development on the site of the Brynteson Ranch, which he bought in 1968, it was completed in 1970, designed to be an upscale shopping center. In 2014 Ellis Partners and Fortress Investment Group LLC bought it from Equity Office. A major renovation and expansion began in 2017; the movie theater, the first business to open in the mall in 1969 as the three-screen United Artists Movie Theater, was renovated at the turn of the 21st century and became Camera 7. In the late 1970s, the mall was involved in a free speech dispute with local high school students, decided by the U.
S. Supreme Court on June 9, 1980; the Pruneyard case established two important rules in American constitutional law: Under The California Constitution, individuals may peacefully exercise their right to free speech in parts of private shopping centers held open to the public, subject to reasonable regulations adopted by the shopping centers. Under the U. S. Constitution, states can provide their citizens with broader rights in their constitutions than under the federal Constitution, so long as those rights do not infringe on any federal constitutional rights. Official website
The Outram Community Hospital is a 545-bed community hospital in Bukit Merah, Singapore. It is located adjacent to, complements, the Singapore General Hospital; the Outram Community Hospital was first announced by Minister for Health Mr Gan Kim Yong as part of the Healthcare 2020 plan during the Committee of Supply speech in 2012, which aims to increase the number of hospital beds by 3,700 around Singapore by 2020, of which 1,800 will be Community Hospital beds. The hospital is located within the Singapore General Hospital campus. On 21 May 2015, the hospital held. There will be 550 beds, of which 500 are for sub-acute patients with 50 beds for palliative care patients; the hospital opened its doors on 7 December 2019, with the rest of the hospital opening over the next three years. 6 March 2012: Announcement of community hospital in Outram 21 May 2015: Groundbreaking ceremony of Outram Community Hospital 7 December 2019: Opening of Outram Community Hospital SingHealth Community Hospitals
Acridini is a tribe of insects in the subfamily Acridinae, of the insect family Acrididae and are sometimes called "silent slant-faced grasshoppers". Insects of this tribe are slender and like other members of the subfamily Acridinae lack stridulatory pegs and are silent; this tribe includes several monotypic Australian genera. Acrida Linnaeus, 1758 Acridarachnea Bolívar, 1908 monotypic: Acridarachnea ophthalmica Bolívar, 1908 Caledia Bolívar, 1914 monotypic: Caledia captiva Calephorops Sjöstedt, 1920 monotypic: Calephorops viridis Sjöstedt, 1920 Cryptobothrus Rehn, 1907 monotypic: Cryptobothrus chrysophorus Rehn, 1907 Froggattina Tillyard, 1926 monotypic: Froggattina australis Keshava Gupta & Chandra, 2017 Keshava barnawaparensis Gupta & Chandra, 2017 Keshava jugadensis Gupta & Chandra, 2017 Keshava shishodensis Gupta & Chandra, 2017 Perala Sjöstedt, 1921 monotypic: Perala viridis Sjöstedt, 1921 Rapsilla Sjöstedt, 1921 monotypic: Rapsilla fusca Sjöstedt, 1921 Schizobothrus Sjöstedt, 1921 monotypic: Schizobothrus flavovittatus Sjöstedt, 1921 Media related to Acridini at Wikimedia Commons
John Ernest Dolibois was a retired United States Ambassador to Luxembourg and college administrator. A native of Bonnevoie, Dolibois emigrated to the United States with his father in 1931, he graduated from Miami University, where he was a member of Beta Theta Pi, served in the United States Army during World War II. He was a member of the so-called Ritchie Boys, a special military intelligence unit composed of German and Czech refugees and immigrants to the United States, he was an interrogator during the Nuremberg trials and became acquainted with many of the most significant Nazi war criminals. After a brief career with the Procter and Gamble Company, he returned to Miami as alumni secretary becoming Vice President, he was instrumental in the development of the Miami University Dolibois European Center in Luxembourg, named in his honor. Dolibois was a frequent speaker to students and other groups about his experiences during the Nuremberg trials. In 1989, his autobiography, Pattern of Circles.
An Ambassador's Story, was published by Kent State University Press. Dolibois died on May 2, 2014, in Cincinnati, Ohio, at the age of 95. Miami University Dolibois European Center Appearances on C-SPAN