Abstract : ABSTRACT Barriers to better mental health outcomes are stigma and sub-optimal mental health literacy. Mental health outcomes are being suppressed by both the residual eugenics beliefs and Nazi propaganda, that continue to dominate global public perceptions. As health professionals we need to move past these Nazi atrocities to modernize the delivery of mental health services. Mental health literacy is an invaluable resource. Many mental disorders are known to arise from the brain adapting to a low energy environment. An integrative literary review of brain energy requirements was conducted, to extrapolate recommendations that can inform clinical practice and policy. The quality of life aspect of mental health should emphasize cognitive well-being. Stress depletes our brain’s iron and magnesium reserves. Smoking tobacco, heavy alcohol or marijuana use only worsens the damage that is occurring in the brain; from depleting levels of these important nutrients. Critically, do not fast for extended periods then eat ferociously or consistently skip meals. A variety of foods contain the recommended nutrients. Moreover, fish, seaweed or proteins possess higher levels of the nutrients required for thyroid hormone production to control energy expenditure. Eat iron, zinc and iodine rich foodstuffs and smaller portions of selenium, copper, magnesium and manganese to support your brain; especially if you have ever had a mild to severe hypoxic brain injury. Micronutrient preparations comprising of these nutrients may help to prevent mental disorders. See your doctor to have any gastro-intestinal or thyroid problems treated.

Keyword : eugenics, health, psychosis, mood, anxiety, post-traumatic stress disorder

Abstract : Surgical treatment of distal tibial fractures is challenging because of the limited soft tissue coverage and poor vascularity. Managing these orthopedic conditions in pregnant patient is a great challenge for the safety of both mother and fetus. Intra-operative fluoroscopy can be used just when appropriate. Minimally Invasive Plate Osteosynthesis (MIPO) technique is a method of fixation that reduces surgical trauma without exposure of fractured zone. By using an identical plate to the first one already placed percutaneously, plate on plate technique reduces radiation exposure, operating time, amount of surgical trauma and cost of treatment. The holes of the second plate are used to guide the mini skin incisions for accurate placement of screws. Here we present a case of distal tibial fracture at the first gestation trimester treated with MIPO using a plate on plate technique.

Keyword : MIPPO – tibial fractures – Pregnancy

Abstract : Objective: The aim of this study was to determine the relationship between depression, marital adjustment of the women receiving infertility treatment and the differentiation between depression, marital adjustment according to the sociodemographic variables. Methods: The study was run on women receiving infertility treatment in two separate centers who volunteered for the study by using sociodemographic survey form, Beck Depression Scale and Marital Adjustment Scale. The data was collected between April 2015-July 2015. Study group consisted of 228 women who applied for infertility treatment in the study period at two centers and who met the criteria and gave consent to the study. Data analyses were done using SPSS 21.0. In assessment of data, frequencies, percentages, means were used as well as Kruskall-Wallis, Mann-Whitney U, Spearman correlation tests. Results were considered as significant when p value was less than 0,05. Results: Duration of infertility treatment was 3-5 years in 33,3 % of the women while another 13,2% received it for 6-10 years. While 95,6 % of women were informed about infertility treatment, 61,8 % was emotionally depressed because of being unable to bear a child. Depression scores and marital satisfaction scores of women were related significantly and inversely having a correlation coefficient of r= -0,656 and a significance level of p=0,000. Depression level was found to be a significant predictor of marital satisfaction (R=0,779, R2=0,607, p<0,05). We also detected that marital satisfaction scores of women differed significantly when groups were compared for duration of infertility (p=0,007); women who had infertility treatment for less than 1 year had significantly higher marital adjustment scores when compared to patients who received the treatment for 3-5 years and more than 11 years.

Keyword : Infertility, depression, marital adjustment