Join Our Mailing List

What We Do
Preventive Program
Adult Education and Literacy
Youth Program
Legal Services Program
Health Program
Anti-Violence Program
Khalil Gibran International Academy
I Need To Be Heard!

Program Contact Information

Danny Salim
Anti-Violence Program Manager
(718) 250 - 5122


T. Rocko. Olin College of Engineering.

To meet the criteria for binge-eating disorder proven 400 mg albenza, binges aver- age 2 days a week for a period of at least 6 months order albenza 400 mg line. Thought disorders are evaluated as they relate to 1) content of thought buy generic albenza 400 mg online, 2) form of thought trusted albenza 400 mg, and 3) perception discount 400 mg albenza otc. In psychiatry, thought disorders are commonly associated with schizo- phrenia and psychosis. However, the severity and the range of symptoms can vary signifi- cantly and often do not result from a primary psychiatric illness. Medical conditions, medications, and medical mimics often present with a clinical picture of a thought disorder. Assessment of the relates to the client’s ability to form an accurate assessment of reality. Major difficulties in this area may include delusions, which involve false beliefs that are held to be true despite proof that they are false or irrational. Examples of delusional thinking include delusions of persecution or of grandeur, somatic delusions, paranoia, and magical thinking. The second category, , is assessed by listening to how the client presents his or her ideas. Does the client present with looseness of associations? In such situations, the client is unaware that the topics are unconnected. When this is extreme, the practi- tioner may be unable to understand what the client is talking about. Other difficulties with form of thought include circumstantiality and tangentiality. Circumstantiality is the delay in presenting a point because of numerous unnecessary and tedious details. Tangentiality is the inability to get to the point owing to the introduction of unrelated topics. The degree of circumstantiality and tangentiality can vary significantly. For example, an anxious patient might shift from topic to topic with some awareness of doing so. This would not be considered a thought disorder problem. Serious thought disorder might include neolo- gisms (invented words), word salad (a group of words put together randomly), and clang associations (choice of words based on rhyming). The third category, , refers to hallucinations and illusions. Hallucinations are false sensory perceptions that are not associated with external stimuli and may involve any of the five senses. Illusions are misperceptions or misinterpretations of real external stimuli. In schizophrenia, psychotic features are evident with two or more of the following charac- teristics: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms. The last of these characteristics, negative symptoms, refers to affective flattening, poverty of speech, avolition, anhedonia, and social isolation. In cases in which the presentation of one of these characteristics is considered very bizarre, only one is needed for a diagnosis of psychosis. Schizophrenia subtypes include Paranoid, Disorganized, Catatonic, Undifferentiated, and Residual. Differential diagnoses include Schizophreniform Disorder, characterized by schizophrenic symptoms of 1–6 months; Schizoaffective Disorder, characterized by a prominent mood component coexisting with the schizophrenic symptoms; Delusional Disorder, characterized by at least 1 month of no Copyright © 2006 F. Diagnostic and Statistical Manual of Mental Disorder DSM IV- TR Journal of Clinical Psychiatry Understanding Biological Psychiatry. Journal of American College Health Psychiatric Interviewing, The Art of Understanding Mini International Neuropsychiatric Interview Essential Psychopharmacology Contemporary Pediatrics Copyright © 2006 F. I, Olfactory Occlude one nostril and offer odors for identification (not frequently tested in the office unless specific concern) II, Optic Test visual acuity, visual fields, and examine fundi; test blink reflex in an infant III, Oculomotor Test extraocular movements by having child follow a light or a toy in all visual fields, observe infants for tracking abilities; observe for asymmetry of eyelids; pupils should both constrict when light is shined in one eye IV, Trochlear Tested in the same way and at the same time as III V, Trigeminal For sensory, apply light touch and pressure to points across forehead cheeks and jaw; for motor, have child bite hard on tongue blade or observe an infant chew- ing on a teething toy VI, Abducens Tested in the same way and at the same time as III and IV VII, Facial For sensory, observe for eyes tearing, can offer samples for taste; for motor, have child imitate you smiling big, grimacing, puffing out cheeks, and raising eye- brows; observe for facial grimaces in an infant VIII, Acoustic Observe balance, do auditory testing as needed, question parents regarding hearing IX, Glossopharyngeal Elicit gag reflex or have child say “ah”; observe swallowing X, Vagus Tested along with IX XI, Accessory Have child shrug shoulders against pressure, turn head against resistance, stick tongue out XII, Hypoglossal Have child move tongue back and forth or push against a tongue blade; may just observe this behavior during exam of oropharynx in an infant • Nevus flammeus (port-wine stain)—pinkish-red color, grows as the child grows. Central Incisors 6–8 months 5–7 months Lateral Incisors 8–11 months 7–10 months Cuspids/Canines 16–20 months 16–20 months First Molars 10–16 months 10–16 months Second Molars 20–30 months 20–30 months Central Incisors 7–8 years 6–7 years Lateral Incisors 8–9 years 7–8 years Cuspids/Canines 11–12 years 9–11 years First Premolars 10–11 years 10–12 years Second Premolars 10–12 years 11–13 years First Molars 6–7 years 6–7 years Second Molars 12–13 years 12–13 years Third Molars 17–22 years 17–22 years attend school or daycare in such an area (and drink water while at school) may not need additional supplementation. The guidelines in Table 17-14 should be incorporated into the care of pediatric patients. Basic Components Specific Physical Movements Task- or Goal-Oriented Activities Role Function Copyright © 2006 F.

Another medication to treat heroin addiction order 400mg albenza amex, buprenorphine discount 400mg albenza overnight delivery, causes Then generic albenza 400mg with amex, to end the signal buy albenza 400 mg visa, weaker opiate e∑ects and is less likely to cause overdose problems buy albenza 400 mg. Alcohol abuse and alcohol addiction away from the receptors and are (sometimes referred to as alcoholism or alcohol dependence) are the nation’s major drug problem, pumped back into the nerve ter- with some people being more susceptible to them than others. Nearly 14 million abuse alcohol or minals that released them. Fetal alcohol syndrome is the leading preventable cause of mental retardation. Chronic liver diseases, including pump or “transporter,” causing cirrhosis—the main chronic health problem associated with alcohol addiction—are responsible more dopamine to accumulate in for more than 25,000 deaths each year. The annual cost of alcohol abuse and addiction is estimated the synapse. Ethanol, the active ingredient in alcoholic beverages, reduces anxiety, tension and inhibitions. In low doses it may act as a stimulant, whereas at higher doses, it acts as a depressant. In both cases, it significantly alters mood and behavior. The drug, which is easily absorbed into the bloodstream and the brain, a∑ects several neuro- transmitter systems. For example, alcohol’s interaction with the GABA receptor can calm anxi- ety, impair muscle control and delay reaction time. At higher doses, alcohol also decreases the 35 function of NMDA receptors that recognize the neurotrans- tive and anabolic (body building) e∑ects. This interaction can cloud thinking and even- ciated with sexual assault. Ketamine is another central nervous tually lead to a coma. Ketamine, or Researchers are developing treatments, which interfere with “Special K,” is a rapid-acting general anesthetic. It has sedative- molecules, such as the opioid peptides, and trigger alcohol’s hypnotic, analgesic and hallucinogenic properties. Marijuana This drug can distort perception, and alter the sense of time, space and self. In certain situations, marijuana Alzheimer’s disease can produce intense anxiety. One of the most frightening and devastating of all neurologi- In radioactive tracing studies, scientists found that tetrahy- cal disorders, is the dementia that occurs in the elderly. The drocannabinol (THC), the active ingredient in marijuana, binds most common cause of this illness is Alzheimer’s disease (AD). This Rare before age 60 but increasingly prevalent in each decade may explain why people who drive after they smoke marijuana thereafter, AD a∑ects an estimated 4 to 5 million Americans. The hippocampus, a structure involved with By the year, 2040, it is predicted to a∑ect approximately 14 mil- memory storage and learning, also contains many THC recep- lion individuals in the U. This may explain why heavy users or those intoxicated on The earliest symptoms are forgetfulness and memory loss; marijuana have poor short-term memory and problems pro- disorientation to time or place; and di≈culty with concentra- cessing complex information. Scientists recently discovered that tion, calculation, language and judgment. Some patients have these receptors normally bind to a natural internal chemical severe behavioral disturbances and may even become psychotic. In the final stages, the a∑ected indi- ural marijuana a∑ects brain function. Unfortunately, no e∑ective treat- Club Drugs Ecstasy, Herbal Ecstasy, Rohypnol, GHB and ments exist, and patients usually die from pneumonia or some ketamine are among the drugs used by some teens and young other complication. AD, which kills 100,000 people a year, is adults as part of rave and trance events which are generally one of the leading causes of death in the U. The drugs are In the earliest stages, the clinical diagnosis of possible or rumored to increase stamina and to produce intoxicating highs probable AD can be made with greater than 80 percent accu- that are said to deepen the rave or trance experience. As the course of the disease progresses, the accuracy of hard science, however, is showing serious damage to several diagnosis at Alzheimer’s research centers exceeds 90 percent. The diagnosis depends on medical history, physical and neuro- Many users tend to experiment with a variety of club drugs logical examinations, psychological testing, laboratory tests and in combination. This creates a larger problem because combi- brain imaging studies.

generic albenza 400mg line

Other substances that are released on basophil degranulation include additional eosinophil chemotactic factors and a variety of arachidonic acid metabolites discount 400 mg albenza overnight delivery, the most important of which is leukotriene C4 order 400 mg albenza overnight delivery. You are asked to consult on a case involving a 26-year-old man who developed leukocytosis after a motorcycle accident 3 days ago discount 400 mg albenza with visa. The patient has multiple fractures of the pelvis and lower extremities discount albenza 400mg overnight delivery, extensive soft-tissue injury cheap 400 mg albenza amex, and aspiration pneumonia. His leukocyte count was 35,000 on admission and has subsequently ranged up to 50,000. Currently, the patient is sedated and is on a ventilator. Physical examination is remarkable for right lower lateral consolida- tion, ecchymoses of the lower extremities, and the absence of hepatosplenomegaly. No myelocytes or metamyelocytes are noted, and there is no elevation of the basophil or eosinophil count. The leukocyte alkaline phosphatase (LAP) score is 140 µm/L. Which of the following cannot be the cause of this patient’s elevated neutrophil count? Cytokine release Key Concept/Objective: To understand the causes of the leukemoid reaction and distinguish them from malignant causes The term leukemoid reaction is used to describe a profound leukocytosis (generally defined as a leukocyte count exceeding 25,000 to 30,000/mm3) that is not leukemic in eti- 20 BOARD REVIEW ology. Leukemoid reactions are the response of normal bone marrow to cytokine release by lymphocytes, macrophages, and other cells in response to infection or trauma. In a leukemoid reaction, the circulating neutrophils are usually mature and are not clonally derived. The major differential diagnosis is with regard to CML. Leukemoid reactions should also be distinguished from leukoerythroblastic reactions: the presence of immature white cells and nucleated red cells in the peripheral blood irrespective of the total leuko- cyte count. Although less common than leukemoid reactions in adults, leukoerythroblas- tosis reflects serious marrow stimulation or dysfunction and should prompt bone marrow aspiration and biopsy, unless it occurs in association with severe hemolytic anemia, sepsis in a patient with hyposplenism, or massive trauma. In such patients, trauma, hemorrhage, and infection all will contribute to a potent cytokine release and marrow stimulation. The absence of splenomegaly, leukocyte precursors (myelocytes, metamyelocytes), basophilia, or eosinophilia all point away from CML, and the elevated LAP score confirms the diag- nosis of a leukemoid reaction. On routine examination, a 45-year-old man is found to have a neutrophil count of 1,100/mm3. He feels well, takes no medications, and has no history of infection. His medical records reveal a persistent, asymptomatic neutropenia of 1,000 to 1,800 neutrophils/mm3 over the past 10 years. Which of the following ethnicities would help explain this patient’s low leukocyte count? Inuit Key Concept/Objective: To be able to recognize constitutional causes of neutropenia in certain populations Neutropenia is present when the peripheral neutrophil count is less than 1,000 to 2,000 cells/mm3. The normal range in Africans, African Americans, and Yemenite Jews is lower. In these populations, neutrophil counts of 1,500/mm3 are common, and neutrophil counts as low as 100/mm3 are probably normal. Evaluation should focus on a history of unusual infections, medications, or toxic exposures. If these factors are absent and if previous asymptomatic neutropenia can be documented, no further evaluation or special precau- tions are needed. A 59-year-old woman with severe, progressive rheumatoid arthritis is found to have a neutrophil count of 1,200/mm3 on routine hematologic testing. She takes methotrexate and prednisone for her rheuma- toid arthritis. In addition to rheumatoid nodules and rheumatoid joint deformities, moderate spleno- megaly is noted on physical examination. Which of the following would not be contributing to this patient’s neutropenia? Large granular lymphocyte syndrome Key Concept/Objective: To understand the various causes of neutropenia in rheumatoid arthritis With the exception of prednisone, each of the listed factors can lead to neutropenia in patients with rheumatoid arthritis. Methotrexate (as well as gold, penicillamine, and other disease-modifying agents) can cause severe leukopenia and neutropenia and require CBC monitoring during therapy. Prednisone and other corticosteroids, however, do not lower the neutrophil count.

400mg albenza with amex

Tai-Yang Tai-Yang generic albenza 400 mg visa, CL-2 Midpoint on a line joining the temporal canthus with the lateral eyebrow margin purchase albenza 400 mg line. Lao-Kung Lao-Kung buy discount albenza 400 mg line, EH-8 At a point between the 2nd and 3rd metacarpal bones where the 1 tip of the middle finger touches when fist is cleanched generic albenza 400mg overnight delivery. The secretions of the endocrine glands empty directly into the blood where they find their way to various organs purchase 400 mg albenza visa, stimulating or suppressing them, or in some way influencing their activity. In the Taoist Esoteric System the energy centers do not belong to the physical body at all but are regarded as adjuncts of the “vital body”, which are set apart and crystallized to the necessary den- sity in order that it may perform certain special manifestations of this vital body. When in good health they all work together in perfect harmony. The endo- crine glands are of special interest to the students of Taoism in relation to the circulation of the Microcosmic Orbit. In order to ex- plain some of the energy centers in terms of modern anatomy, one has to look to the endocrine glands for correlation. The correla- tions may or may not be right, but that is the best that one can hypothesize at this stage of the art. Adrenals The adrenals are a pair of glands capping the upper ends of the kidneys. The gland is composed of a cortex (outer portion) and a medulla (inner por- tion). The outer portion produces the sex steroids, the glucocorti- coids (corticosterone, hydrocortisone) which are involved in the control of carbohydrate, lipid and protein metabolism and the min- eralocorticoids (aldosterone, deoxycorti-kidney tubules), affecting - 184 - blood volume and blood pressure control. Each is about 5 cm long and weighs between 3 and 6 grams and is slightly heavier in the male than in the female. The inner portion of the adrenals is developed from the ecto- derm, the outer layer of cells of the embryo. This is the same tis- sue that produces the sympathetic nervous system. The inner portion secretes adrenalin and noradrenalin. Adrenalin is involved in the “fight or flight” response, whereas noradrenalin causes more vasoconstriction resulting in marked elevation in blood pressure. The amount of adrenaline and noradrenalin that circulates in the blood is minute in quantity but its action is powerful and farreaching. Its release is triggered by impulses from the sympathetic ner- vous system in times of mental or physical stress, the entry of adrenalin into the blood causes a tremendous heightening of vigor. The brain and the sympathetic nervous system become activated. Concentration of blood glucose is raised by conversion from gly- cogen, which is stored in the liver. More blood cells are poured into circulation from the blood pools of the liver and spleen. The heart beats more strongly and faster, the pupils of the eyes are dilated, enabling the person to see more clearly, breathing is more rapid, the body temperature rises and the basal metabolism is increased. There is an opposing effect on the digestive system, however, wherein there is a loss of appetite and reduced motility. Adrenalin adds strength and alertness to both physical and mental activity. As the activity of adrenalin is regulated by the sympathetic nervous system, the secretion of it can be increased by the stimulation of these nerves alongside the spinal column. Some doctors believe that there is a condition called “low adrenals”. A person with a deficiency of adrenalin will appear weary and sensitive to cold, have cold hands and feet, loss of appetite, a tendency to worry, will weep easily and will sometimes even have a nervous breakdown. In children, learning problems develop, growth is slowed, and they cannot be driven or hurried. If we inject someone with adrenalin, his heart will contract more violently and beat faster, he will feel anxious, and will get frightened easily and, if subjected to it for some time, will become a very nervous person. In the Tao Esoteric System, the center for adrenal activity is to be found in the Chi-Chung.

8 of 10 - Review by T. Rocko
Votes: 145 votes
Total customer reviews: 145


The Arab-American Family Support Center is a 501(c)3 non-profit, non-sectarian organization that provides culturally and linguistically sensitive services to immigrant communities throughout New York City.  © 2017 All Rights Reserved.

AAFSC Brooklyn
150 Court Street, 3rd Flr
Brooklyn, NY 11201
T: 718 - 643 - 8000
F: 718 - 797 - 0410
E: info@aafscny.org
AAFSC Queens
37-10 30th Street, 2nd Fl.

Queens, NY 11101
T: 718 - 937 - 8000
F: 347 - 808 - 8778
AAFSC @ the Family Justice Centers
FJC Bronx (718) 508-1220
FJC Brooklyn (718) 250 - 5035
FJC Manhattan (212) 602-2800
FJC Queens (718) 575 - 4500
FJC Staten Island (718) 697 - 4300