Journal articles on the topic 'Clinical Defence'

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1

Kline, Paul. "Defences in psychotherapy. The clinical application of the defence mechanism inventory." Personality and Individual Differences 13, no. 9 (September 1992): 1059. http://dx.doi.org/10.1016/0191-8869(92)90141-b.

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Norris, Rachel, and M. McCauley. "Defence Clinical Psychology Service: an overview of clinical psychology in the UK Ministry of Defence." Journal of the Royal Army Medical Corps 165, no. 2 (December 19, 2018): 71–73. http://dx.doi.org/10.1136/jramc-2018-001044.

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The Defence Clinical Psychology Service (DCPS) is the professional clinical psychology service and community of clinical psychology practice within UK Ministry of Defence (MoD). The DCPS provides professional clinical care, consultation and research in support of the UK Armed Forces. Regulated by the Health and Care Professions Council, DCPS psychologists are employed as Crown (Civil) Servants within the MoD. Serving as assets of Joint Forces Command within the Defence Primary Healthcare organisation, the professional leadership for such personnel is provided by the office of the Defence Consultant Advisor (DCA) for clinical psychology. The following paper offers an overview of the history, service context, training and mission of the DCPS. Areas for future development are also considered.
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Benítez-Bribiesca, Luis. "In defence of the clinical art." Lancet 355, no. 9205 (February 2000): 760–61. http://dx.doi.org/10.1016/s0140-6736(05)72180-2.

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Britten, Nicky. "Prescribing and the defence of clinical autonomy." Sociology of Health & Illness 23, no. 4 (July 2001): 478–96. http://dx.doi.org/10.1111/1467-9566.00261.

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Thomas, J. M. "A defence of the small clinical trial." BMJ 292, no. 6524 (March 29, 1986): 899. http://dx.doi.org/10.1136/bmj.292.6524.899-b.

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Dixon, R. A. "A defence of the small clinical trial." BMJ 292, no. 6524 (March 29, 1986): 899–900. http://dx.doi.org/10.1136/bmj.292.6524.899-c.

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Korkmaz, Hasan, Mehdi Karasu, Metin Ateşçelik, Filiz Özsoy, and Sevda Korkmaz. "The relationship between defence mechanisms and clinical variables in myocardial infarction patients." Archives of Medical Science – Atherosclerotic Diseases 7, no. 1 (October 18, 2022): 136–42. http://dx.doi.org/10.5114/amsad/154594.

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IntroductionAlthough patients with myocardial infarction (MI) history exhibit individual differences, several psychological problems can be observed in these patients. The present study aimed to investigate the correlation between defence mechanisms and other clinical and sociodemographic data in the early period in patients with MI history.Material and methodsSixty patients diagnosed with MI and hospitalized in the cardiology department were included in the study. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Defence Styles Questionnaire (DSQ) were applied.ResultsIt was determined that the mean BDI score of the participants was 15.9 ±11.2, and the mean BAI score was 15.98 ±10.9. There was a positive correlation between the depression and immature defence mechanism scores of the patients, and there was a negative correlation between the depression and mature defence mechanism scores of the patients (p = 0.001, r = 0.412; p = 0.005, r = –0.359). A negative correlation was determined between anxiety scores and mature defence mechanism scores (p = 0.002, r = –0. 397).ConclusionsThe findings demonstrated that depressive complaints of the post-MI patients increased as the immature defence mechanism score increased, and depressive complaints decreased as the maturity defence mechanism score increased. The correlation between the defence mechanisms adopted by MI patients and depression and anxiety symptoms should not be neglected.
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Dunn, James. "Clinical audit: a tool in the defence of clinical standards." In Practice 34, no. 3 (March 2012): 167–69. http://dx.doi.org/10.1136/inp.e694.

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Seager, Martin. "In defence of the individual." Clinical Psychology Forum 1, no. 169 (January 2007): 1–4. http://dx.doi.org/10.53841/bpscpf.2007.1.169.1.

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10

Kupfer, Tom R., and Daniel M. T. Fessler. "Ectoparasite defence in humans: relationships to pathogen avoidance and clinical implications." Philosophical Transactions of the Royal Society B: Biological Sciences 373, no. 1751 (June 4, 2018): 20170207. http://dx.doi.org/10.1098/rstb.2017.0207.

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Currently, disgust is regarded as the main adaptation for defence against pathogens and parasites in humans. Disgust's motivational and behavioural features, including withdrawal, nausea, appetite suppression and the urge to vomit, defend effectively against ingesting or touching sources of pathogens. However, ectoparasites do not attack their hosts via ingestion, but rather actively attach themselves to the body surface. Accordingly, by itself, disgust offers limited defence against ectoparasites. We propose that, like non-human animals, humans have a distinct ectoparasite defence system that includes cutaneous sensory mechanisms, itch-generation mechanisms and grooming behaviours. The existence of adaptations for ectoparasite defence is supported by abundant evidence from non-human animals, as well as more recent evidence concerning human responses to ectoparasite cues. Several clinical disorders may be dysfunctions of the ectoparasite defence system, including some that are pathologies of grooming, such as skin picking and trichotillomania, and others, such as delusory parasitosis and trypophobia, which are pathologies of ectoparasite detection. We conclude that future research should explore both distinctions between, and overlap across, ectoparasite defence systems and pathogen avoidance systems, as doing so will not only illuminate proximate motivational systems, including disgust, but may also reveal important clinical and social consequences. This article is part of the Theo Murphy meeting issue ‘Evolution of pathogen and parasite avoidance behaviours'.
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11

Mookherjee, Neeloffer, Marilyn A. Anderson, Henk P. Haagsman, and Donald J. Davidson. "Antimicrobial host defence peptides: functions and clinical potential." Nature Reviews Drug Discovery 19, no. 5 (February 27, 2020): 311–32. http://dx.doi.org/10.1038/s41573-019-0058-8.

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12

Malone-Lee, James. "A defence of rigorous method in clinical science." Neurourology and Urodynamics 27, no. 6 (August 2008): 462–65. http://dx.doi.org/10.1002/nau.20550.

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13

Bakker, Gary Maria. "In defence of thought stopping." Clinical Psychologist 13, no. 2 (July 2009): 59–68. http://dx.doi.org/10.1080/13284200902810452.

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14

Shuttleworth, Linda. "In defence of the individual." Clinical Psychology Forum 1, no. 172 (April 2007): 3.1–3. http://dx.doi.org/10.53841/bpscpf.2007.1.172.3.

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15

&NA;. "The ???Prozac Defence???" CNS Drugs 3, no. 6 (June 1995): 482–83. http://dx.doi.org/10.2165/00023210-199503060-00007.

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Gardner, R. J. M. "In defence of partial trisomy." Clinical Genetics 30, no. 4 (April 23, 2008): 345–46. http://dx.doi.org/10.1111/j.1399-0004.1986.tb00619.x.

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17

Carter, Major Chris, and Alan P. Finnegan. "Nurse education in the British armed forces." Journal of Perioperative Practice 28, no. 11 (October 30, 2018): 304–8. http://dx.doi.org/10.1177/1750458918804788.

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Defence nurses form the largest registered specialty in the UK defence medical services. Once qualified, defence nurses maintain and develop their nursing and clinical skills in appropriate healthcare settings, and can be deployed in operational environments such as Afghanistan. Workforce planning and staffing establishment levels are defined to meet the needs of British armed forces, allies and, potentially, local populations. Since the workforce is geographically dispersed, deployed or undertaking non-clinical duties, there are constraints on nurses' attempts to maintain basic skills and access continuing professional development. This article explores the concept and the developing role of defence nurse lecturers in improving educational support for defence nurses.
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18

Yu, Calvin Kai-Ching. "Defence mechanisms and suggestibility." Contemporary Hypnosis 23, no. 4 (2006): 167–72. http://dx.doi.org/10.1002/ch.321.

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19

Yeung, Amy T. Y., Shaan L. Gellatly, and Robert E. W. Hancock. "Multifunctional cationic host defence peptides and their clinical applications." Cellular and Molecular Life Sciences 68, no. 13 (May 15, 2011): 2161–76. http://dx.doi.org/10.1007/s00018-011-0710-x.

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20

Antoine, Jean Michel. "Probiotics: beneficial factors of the defence system." Proceedings of the Nutrition Society 69, no. 3 (June 14, 2010): 429–33. http://dx.doi.org/10.1017/s0029665110001692.

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Probiotics, defined as living micro-organisms that provide a health benefit to the host when ingested in adequate amounts, have been used traditionally as food components to help the body to recover from diarrhoea. They are commonly ingested as part of fermented foods, mostly in fresh fermented dairy products. They can interact with the host through different components of the gut defence systems. There is mounting clinical evidence that some probiotics, but not all, help the defence of the host as demonstrated by either a shorter duration of infections or a decrease in the host's susceptibility to pathogens. Different components of the gut barrier can be involved in the strengthening of the body's defences: the gut microbiota, the gut epithelial barrier and the immune system. Many studies have been conducted in normal free-living subjects or in subjects during common infections like the common cold and show that some probiotic-containing foods can improve the functioning of or strengthen the body's defence. Specific probiotic foods can be included in the usual balanced diet of consumers to help them to better cope with the daily challenges of their environment.
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21

Tingle, John. "End-of-term reports on clinical negligence claims." British Journal of Nursing 31, no. 16 (September 8, 2022): 862–63. http://dx.doi.org/10.12968/bjon.2022.31.16.862.

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22

Yang, F., D. J. Haile, J. J. Coalson, and A. J. Ghio. "Haptoglobin in lung defence." Redox Report 6, no. 6 (December 2001): 372–74. http://dx.doi.org/10.1179/135100001101536562.

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23

Bredicean, C., C. Giurgi-Oncu, I. Papava, R. Romosan, A. Jurma, M. Cristanovici, M. Hurmuz, and A. Popescu. "Defence mechanisms and coping skills in oncology patients." European Psychiatry 33, S1 (March 2016): S204. http://dx.doi.org/10.1016/j.eurpsy.2016.01.488.

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IntroductionOncology-related illnesses have become quite frequent in our lives. Lately, medical progress in the field of oncology has led to an increase in the survival rates of people diagnosed with cancer. The minimisation of disturbances in the lives of these people is done by each on their own, by using defence mechanisms and coping skills.ObjectivesTo identify the coping and defence mechanisms of subjects diagnosed with cancer compared with non-clinical subjects.AimsTo increase quality of life of subjects diagnosed with cancer through psychotherapy interventions.MethodNineteen subjects diagnosed with cancer who were receiving chemotherapy were recruited to the study. For comparison, a control group of non-clinical participants were also recruited. Participants were included into the study according to particular inclusion/exclusion criteria. The evaluation was conducted during 2014 and consisted of the analysis of the following parameters: socio-demographic data, clinical data, defence mechanisms (DSQ-60) and coping mechanisms (COPE scale).ResultsThe group of subjects diagnosed with cancer demonstrated the presence of defence mechanisms of the following type: passive aggressiveness, projection and coping mechanisms that were characterised by an emphasis on social support. The control group had defence mechanisms of the following types: repression, denial and coping mechanisms that focused on emotions.ConclusionsThere are differences in defence and coping mechanisms between subjects with cancer compared to the non-clinical group. It may be that defence and coping mechanisms can be optimized through psychotherapy interventions to increase quality of life.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Sidoli, Mara. "Farting as a defence against unspeakable dread." Journal of Analytical Psychology 41, no. 2 (April 1996): 165–78. http://dx.doi.org/10.1111/j.1465-5922.1996.00165.x.

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25

Dundjerski, Jadranka. "Cellular stress response: Defence against metal toxicity." Jugoslovenska medicinska biohemija 23, no. 1 (2004): 1–9. http://dx.doi.org/10.2298/jmh0401001d.

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All cells respond to various types of stress by increasing the transcription of specific genes that encode class of proteins termed stress proteins. This response is believed to represent a transient reprogramming of gene expression and biological activity, which serves to protect sensitive cellular components from damage, and assists in the rapid recovery after the stress is removed or ceases. The synthesis of stress proteins can be induced under a host of different stress conditions, including elevated level of metals. Although, understanding of the relationships between metals and their capacity to induce stress response is incomplete, these interactions are important to consider because they may reveal information regarding mechanisms of toxicity, cellular defense mechanisms against metal toxicity, and biochemical responses which can be exploited as biomarkers of exposure and toxicity of metals. This review is focused on two main classes of stress proteins, metallothioneins (MTs) and heat shock proteins (Hsps), which are usually induced in response to stress provoked by metals. It summarizes the results of studies on metals toxic effects and their ability to induce cellular stress response.
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26

Reynolds, E. H. "In defence of monotherapy." Human Psychopharmacology: Clinical and Experimental 10, S1 (July 1995): S68—S71. http://dx.doi.org/10.1002/hup.470100708.

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27

Richardson, P. H., and Peter Hobson. "In defence of NHS psychotherapy." Psychoanalytic Psychotherapy 14, no. 1 (January 2000): 63–74. http://dx.doi.org/10.1080/02668730000700061.

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28

Rosthøj, Steen, and Jens Møller-Petersen. "In defence of the likelihood ratio." Scandinavian Journal of Clinical and Laboratory Investigation 47, no. 6 (1987): 631–33. http://dx.doi.org/10.3109/00365518709168480.

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29

Harvey, IanM, and ColinJ Roberts. "CLINICAL GUIDELINES, MEDICAL LITIGATION, AND THE CURRENT MEDICAL DEFENCE SYSTEM." Lancet 329, no. 8525 (January 1987): 145–47. http://dx.doi.org/10.1016/s0140-6736(87)91976-3.

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30

PALADE, Octavian Dragoş, Alina OPREA, Mioriţa TOADER, Corneliu TOADER, and Mircea DRĂGHICI. "Tonsillar outbreak infection – main clinical manifestations." Romanian Journal of Medical Practice 10, no. 4 (December 31, 2015): 338–41. http://dx.doi.org/10.37897/rjmp.2015.4.6.

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The tonsill represents a natural barrier against various infectious pathogens. Around the tonsillar crypts, the tissues produce an area of mechanical defence barrier formed of granulation tissue, neoformation vascularization and leukocytes. In this region a series of complex immunological processes take place, the central role being occupied by immunoglobulin A. Tonsillar outbreak infection is a particular feature of immune response, generating numerous imunopathologic reactions.
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31

Simonetti, L., and C. Barbara. "Arthrosis: The Last Defence?" Rivista di Neuroradiologia 11, no. 3 (June 1998): 397–98. http://dx.doi.org/10.1177/197140099801100324.

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Can vertebral arthrosis be construed as the body's decision to privilege the spine's static function over its dynamic role when joint “hypermobility” linked to chronic load in old age could cause severe structural damage to the bony vertebral structures?
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Eccleston, Christopher. "Chronic pain as embodied defence." PAIN 159 (September 2018): S17—S23. http://dx.doi.org/10.1097/j.pain.0000000000001286.

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Vural, Pervin, Cemil Akgül, Alkan Yildirim, and Mukaddes Canbaz. "Antioxidant defence in recurrent abortion." Clinica Chimica Acta 295, no. 1-2 (May 2000): 169–77. http://dx.doi.org/10.1016/s0009-8981(99)00255-7.

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34

Charlesworth, Brian. "In defence of doing sums in genetics." Heredity 123, no. 1 (June 12, 2019): 44–49. http://dx.doi.org/10.1038/s41437-019-0195-1.

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Antal-Szalmás. "Evaluation of CD14 in host defence." European Journal of Clinical Investigation 30, no. 2 (February 2000): 167–79. http://dx.doi.org/10.1046/j.1365-2362.2000.00610.x.

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36

HULTBERG, P. "Success, Retreat, Panic: Over-Stimulation and Depressive Defence." Journal of Analytical Psychology 30, no. 1 (January 1985): 73–93. http://dx.doi.org/10.1111/j.1465-5922.1985.00073.x.

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37

MULDER, R. T., P. R. JOYCE, P. F. SULLIVAN, C. M. BULIK, and F. A. CARTER. "The relationship among three models of personality psychopathology: DSM-III-R personality disorder, TCI scores and DSQ defences." Psychological Medicine 29, no. 4 (July 1999): 943–51. http://dx.doi.org/10.1017/s0033291799008533.

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Background. Current systems of describing personality pathology have significant shortcomings. A polydiagnostic approach is used to study the relationship between psychological, psychoanalytical and psychopathological models of personality.Methods. The subjects were 256 patients enrolled in treatment studies of major depression and bulimia nervosa. Subjects were assessed using the Temperament and Character Inventory (TCI), the Defense Style Questionnaire (DSQ) and the Structured Clinical Interview for DMS-III-R personality disorders (SCID-II).Results. Subjects had high rates of DSM-III-R personality disorders with 52% having at least one personality disorder. Cluster A personality disorders were correlated with low reward dependence, high harm avoidance and low self-directedness and cooperativeness. Cluster B personality disorders were related to high novelty seeking and low self-directedness and cooperativeness. Cluster C personality disorders were correlated with high harm avoidance and low novelty seeking and low self-directedness. Immature defences were related to DSM-III-R personality symptoms, but individual defences were not related to personality clusters in a predictable way. Immature defences were strongly related to low self-directedness and cooperativeness. Both TCI self-directedness scores and immature defence scores were moderately predictive of the presence and number of personality disorders.Conclusion. A widely accepted clinical nosology (DSM-III-R personality disorders) rated using a clinical interview correlates reasonably predictably with two theoretical models derived from different paradigms and rated using self-reports. This might be seen as providing concurrent validity for all three models. However, serious methodological shortcomings confront studies of this type, including sample selection and measurement of personality dysfunction. One way to begin to resolve these problems is to study which personality measures are best related to treatment response and prognosis.
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Walker, S. B. "The Defence Medical Library Service and Military Medicine." Journal of The Royal Naval Medical Service 91, no. 3 (December 2005): 170–76. http://dx.doi.org/10.1136/jrnms-91-170.

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AbstractThe Defence Medical Library Service (DMLS) supports the clinical practice and career development of military health professionals across the world. Clinical governance and the need for medical knowledge to be evidence-based means the DMLS has a central role to play in support of defence medicine. The DMLS is important for enabling health professionals to make sense of the evidence-based pyramid and the hierarchy of medical knowledge. The Royal Centre for Defence Medicine (RCDM) in Birmingham is recognised as an international centre of excellence. The information, knowledge and research requirements of the RCDM will provide opportunities for the DMLS to support and engage with the academic community.
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Wren, Bernadette. "In Defence of Eclecticism." Clinical Child Psychology and Psychiatry 1, no. 1 (January 1996): 11–18. http://dx.doi.org/10.1177/1359104596011002.

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40

Cooper, Sara. "OBSESSIONAL THINKING - A DEFENCE AGAINST LOSS." British Journal of Psychotherapy 16, no. 4 (June 2000): 412–23. http://dx.doi.org/10.1111/j.1752-0118.2000.tb00537.x.

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Hoggett, Paul. "GOVERNMENT AND THE PERVERSE SOCIAL DEFENCE." British Journal of Psychotherapy 26, no. 2 (May 2010): 202–12. http://dx.doi.org/10.1111/j.1752-0118.2010.01174.x.

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42

Bentall, Richard P., and Michelle Thompson. "Emotional Stroop performance and the manic defence." British Journal of Clinical Psychology 29, no. 2 (May 1990): 235–37. http://dx.doi.org/10.1111/j.2044-8260.1990.tb00877.x.

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43

Sturgeon-Clegg, Imogen, H. Hurn, and M. McCauley. "Neuropsychology and clinical health psychology in the UK Ministry of Defence." Journal of the Royal Army Medical Corps 165, no. 2 (November 9, 2018): 87–89. http://dx.doi.org/10.1136/jramc-2018-001049.

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Neuropsychological testing has been used in a wide range of applications across military settings, including the selection of personnel to engage in covert operations, battlefield assessment and rehabilitation following blast exposure, traumatic brain injury, other neurological conditions and assessment of malingering. Over recent decades, military psychologists have helped to shape the advances in assessing and remediating the psychological sequela that is associated with operationally related neurological and other physical injuries. This paper will present an overview of some of the neuropsychological and related services within the UK Armed Forces, which are provided to service personnel with traumatic brain and other physical injuries.
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Matovic, Vesna, Zorica Plamenac-Bulat, and Danijela Djukic. "Influence of increased cadmium intake on antioxidative defence system." Jugoslovenska medicinska biohemija 23, no. 2 (2004): 117–26. http://dx.doi.org/10.2298/jmh0402117m.

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During the last decades it was proven that many xenobiotics (certain solvents, pesticides, metals and even drugs) induce increased formation of free radicals that cause cell disfunction of lipids, proteins, nucleic acids and even cell death. Cadmium, an important source of occupational as well as environmental pollution, has significant role. Numerous investigations indicate that increased cadmium intake induces oxidative modifications of biomolecules. It is unclear whether this effect is direct and/or indirect, due to the influence of cadmium on antioxidative defence system. This paper presents the effect of acute and chronic cadmium intoxication on antioxidative system in order to give more explanation on mechanism of cell damaging effects of this toxic metal. Experimental studies indicate that cadmium induce negative effects on enzyme activity of antioxidative defence system (superoxide dismutase, catalase, glutathione peroxidase, glutathione-S-transferase), as well as on nonenzymatic components (ascorbic acid, alpha-tocopherol, coenzyme Q, glutathione and metallothionein).
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Henderson, Stephen. "'IF it Ain't in the Notes…’ Dental Record-keeping in Adversity." Primary Dental Journal 8, no. 2 (June 2019): 49–52. http://dx.doi.org/10.1308/205016819827103395.

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There are some dento-legal mantras that have, by default, come to be understood as the truth, for example: “If it ain't in the notes, it didn't happen” and “Good records, good defence; poor records, poor defence; no records, no defence.” The opposite view was offered by the trial judge in a dental clinical negligence case in recent years. The judge's view can be summed up as: “If you don't make a note of something that has happened, you leave yourself at risk of proceedings like these.”
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46

Marwal, Avinash, and Rajarshi Kumar Gaur. "Host Plant Strategies to Combat Against Viruses Effector Proteins." Current Genomics 21, no. 6 (September 16, 2020): 401–10. http://dx.doi.org/10.2174/1389202921999200712135131.

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Viruses are obligate parasites that exist in an inactive state until they enter the host body. Upon entry, viruses become active and start replicating by using the host cell machinery. All plant viruses can augment their transmission, thus powering their detrimental effects on the host plant. To diminish infection and diseases caused by viruses, the plant has a defence mechanism known as pathogenesis- related biochemicals, which are metabolites and proteins. Proteins that ultimately prevent pathogenic diseases are called R proteins. Several plant R genes (that confirm resistance) and avirulence protein (Avr) (pathogen Avr gene-encoded proteins [effector/elicitor proteins involved in pathogenicity]) molecules have been identified. The recognition of such a factor results in the plant defence mechanism. During plant viral infection, the replication and expression of a viral molecule lead to a series of a hypersensitive response (HR) and affect the host plant’s immunity (pathogen-associated molecular pattern–triggered immunity and effector-triggered immunity). Avr protein renders the host RNA silencing mechanism and its innate immunity, chiefly known as silencing suppressors towards the plant defensive machinery. This is a strong reply to the plant defensive machinery by harmful plant viruses. In this review, we describe the plant pathogen resistance protein and how these proteins regulate host immunity during plant–virus interactions. Furthermore, we have discussed regarding ribosome- inactivating proteins, ubiquitin proteasome system, translation repression (nuclear shuttle protein interacting kinase 1), DNA methylation, dominant resistance genes, and autophagy-mediated protein degradation, which are crucial in antiviral defences.
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47

Bowley, Douglas M., D. Lamb, P. Rumbold, P. Hunt, J. Kayani, and A. M. Sukhera. "Nursing and medical contribution to Defence Healthcare Engagement: initial experiences of the UK Defence Medical Services." Journal of the Royal Army Medical Corps 165, no. 3 (August 4, 2018): 143–46. http://dx.doi.org/10.1136/jramc-2017-000875.

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IntroductionThe WHO Constitution enshrines ‘…the highest attainable standard of health as a fundamental right of every human being.’ Strengthening delivery of health services confers benefits to individuals, families and communities, and can improve national and regional stability and security. In attempting to build international healthcare capability, UK Defence Medical Services (DMS) assets can contribute to the development of healthcare within overseas nations in a process that is known as Defence Healthcare Engagement (DHE).MethodsIn the first bespoke DMS DHE tasking, a team of 12 DMS nurses and doctors deployed to a 1000-bedded urban hospital in a partner nation and worked alongside indigenous healthcare workers (doctors, nurses and paramedical staff) during April and May 2016. The DMS nurses focused on nursing hygiene skills by demonstrations of best practice and DMS care standards, clinical leadership and female empowerment. A Quality Improvement Programme was initiated that centred on hand hygiene (HH) compliance before and after patient contact, and the introduction of peripheral cannula care and surveillance.ResultsAfter a brief induction on the ward, it was apparent that compliance with HH was poor. Peripheral cannulas were secured with adhesive zinc oxide tape and no active surveillance process (such as venous infusion phlebitis (VIP) scoring) was in place. After intensive education and training, initial week-long audits were undertaken and repeated after a further 2 weeks of training and coworking. In the second audit cycle, HH compliance had increased to 69% and VIP scoring compliance to 99%. In the final audit cycle, it was noted that nursing compliance with HH (75/98: 77%) was significantly higher than the doctors’ HH compliance (76/200: 38%); p<0.0001.ConclusionsDHE is a long-term collaborative process based on the establishment and development of comprehensive relationships that can help transform indigenous healthcare services towards patient-centred systems with a focus on safety and quality of care. Short deployments to allow clinical immersion of UK healthcare workers within indigenous teams can have an immediate impact. Coworking is a powerful method of demonstrating standards of care and empowering staff to institute transformative change. A multidisciplinary group of Quality Improvement Champions has been identified and a Hospital Oversight Committee established, which will offer the prospect of longer term sustainability and development.
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Kaźmierczak, Izabela, Irena Jelonkiewicz-Sterianos, Iwona Nowakowska, Joanna Rajchert, Anna Zajenkowska, Adrianna Jakubowska, and Marta Bodecka-Zych. "Does pandemic denial help or harm? Belief in and experience of COVID-19 as factors affecting psychological consequences of using neurotic defence mechanisms." Psychiatria i Psychologia Kliniczna 22, no. 3 (December 30, 2022): 151–57. http://dx.doi.org/10.15557/pipk.2022.0020.

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Abstract:
Objective: The COVID-19 pandemic may activate thoughts of death, leading to aversive psychological states. In such situations, defence mechanisms emerge; however, their adaptability depends on many factors. The aim of the study was to investigate the relationship between neurotic defence style and depressive symptoms. We assumed that the sense of coherence underlies this correlation and investigated how both believing (or not) in COVID-19 and having (or not) experience of this disease differentiate this mechanism. Methods: This cross-sectional study (N = 720) was conducted through an online panel. Results: For COVID-19 believers who had no experience of the disease, the higher their neurotic defence style, the lower their sense of coherence, which was negatively correlated with depressive symptoms. The same pattern was found for non-believers who have experienced COVID-19. In the group of individuals who believed and experienced COVID-19, the relationship between neurotic defence style and sense of coherence was non-significant. In turn, respondents who neither believed in nor have experienced COVID-19 displayed a positive relationship between neurotic defence style and sense of coherence. Discussion: Although self-deception strategies might be adaptive, they contribute to increased distress, if continued to be used once an individual confronts reality.
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Difford, Jo. "Doubts about a Classic Defence of Abortion." Human Reproduction & Genetic Ethics 17, no. 1 (September 18, 2011): 122–29. http://dx.doi.org/10.1558/hrge.v17i1.122.

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50

Mann, David. "Art as a Defence Mechanism Against Creativity." British Journal of Psychotherapy 7, no. 1 (September 1990): 5–14. http://dx.doi.org/10.1111/j.1752-0118.1990.tb01314.x.

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