http://hdl.handle.net/10147/221206 Mon, 20 May 2013 04:27:49 GMT 2013-05-20T04:27:49Z http://hdl.handle.net/10147/221220 Title: Developing a coordinated response to drug abuse in Pakistan. Authors: Khalily, Muhammad Tahir Abstract: This paper describes moves towards the coordination of efforts to respond to the worsening drug abuse situation in Pakistan which affects all segments of society. The efforts reported seek to rectify inconsistencies in treatment policy resulting in unsatisfactory outcomes. Examples of collaborative strategies with encouraging results need further underpinning and expansion. There is, however, a lack of realization at the policy level of the need to effect changes in treatment formulated on a consistent and evidence-based approach. Policy has therefore been reviewed and proposals made for a comprehensive treatment strategy in line with international best practices to deal with this problem effectively and efficiently. Establishment of an addiction study centre at university level to continue professional and academic development is suggested. Mon, 01 Mar 2010 00:00:00 GMT http://hdl.handle.net/10147/221220 2010-03-01T00:00:00Z http://hdl.handle.net/10147/221219 Title: Management of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines. Authors: Kelly, J C; O'Callaghan, A; Mc Mullin, L; Clinton, O; Binchy, J Abstract: The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations.; To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital.; Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated.; Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome.; It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely. Wed, 01 Dec 2010 00:00:00 GMT http://hdl.handle.net/10147/221219 2010-12-01T00:00:00Z http://hdl.handle.net/10147/221218 Title: Developing an integrated approach to the mental health issues in Pakistan. Authors: Tahir Khalily, Muhammad Thu, 01 Sep 2011 00:00:00 GMT http://hdl.handle.net/10147/221218 2011-09-01T00:00:00Z http://hdl.handle.net/10147/221217 Title: Psychological assessment through performance-based techniques and self-reports: a case study of a sexually abused girl at preschool age. Authors: Khalily, Muhammad Tahir; Hallahan, Brian Abstract: We investigated the implicit psychological and behavioral consequences of sexual abuse in an adolescent girl who suffered child sexual abuse at preschool age in this case report. We report the manifestations of this abuse on her personality and psychological functioning using a structured clinical interview and a comprehensive psychological battery including the Beck Anxiety Inventory, the Beck Depression Inventory, the Standard Progressive Matrices, Rorschach Ink Blots, and the Schema Mode Inventory. These investigations were useful in formulating both a diagnosis and a management plan. The girl fulfilled diagnostic criteria for a major depressive episode and borderline personality disorder. This combination of psychological testing may be useful in establishing an accurate multiaxial diagnosis and for understanding the behavioral and psychological sequelae of child sexual abuse in similar cases. The study further suggests that schema-focused therapy is a useful therapeutic tool for individuals who have suffered child sexual abuse at an early age and who have borderline personality disorder. Sun, 01 May 2011 00:00:00 GMT http://hdl.handle.net/10147/221217 2011-05-01T00:00:00Z