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PDF Editor FAQ

What's more dangerous: 10,000 volts at 1000 amps or 30,000 volts at 300 amps?

Great answers here already.Given the voltages 10kV and 30kV, irrespective of the current, are both lethal.If, however I had to repair lines at these voltages (called live line work) then:The risk assessment is different for 10kV and 30kVProcedure is slightly differentEquipment used is very differentPlease note that my certification is for distribution live line works, medium voltage up to 36kV. Transmission live line works is a very different training and certification procedure. Equipment, procedure and risk assessment mentioned here are for distribution live works only. (Oh dear, no helicopter rides.)Risk AssessmentOn the risk assessment form at 32kV, more items will be “red” (high Risk) than “orange” (medium risk) than on a 11kV form. This is mainly due to arcing distances. (Voltages more typical of our distribution system.) The breaker trip current is noted on this form as well as total power available. For this question -10 000V x 1 000A = 10 000 000VA or 10MVA30 000V x 300A = 90 000 000VA or 9MVAboth definitely RED.ProcedureStand-off equipment and ancillary personnel will be at a greater distance from the work at 32kV. This is the only real difference in procedure. Again, this is due to arcing distance.EquipmentHere there is a great difference between 32kV and 11kV. Gloves, flash suites, arc flash blankets and tools are rated for voltage. Take just the gloves:Class 00 - 500 Volts (max)Class 0 – 1 000 Volts (max)Class 1 – 7 500 Volts (max)Class 2 - 17 000 Volts (max)Class 3 - 26 500 Volts (max)Class 4 - 36 000 Volts (max)Personally, I would also wear arc flash undergarments as well as my flash suit when working on 32kV. Both Class 4. On 11kV I would not bother with the undergarments by would still use a Class 4 flash suit.Loved the analogies from other answersAirplane - (Payam Adlparvar)Elephants - (Kenneth Lundgren)Hope this helps you a little. Any medium voltage is lethal. If you do not have the knowledge and training, please leave it alone.Regards

How do I buy health insurance online in India?

Buying health insurance online is a great move! You’ll get the plan you need quickly, conveniently and at the best price possible. There is no need to visit a branch, fill numerous forms and online plans tend to be more afforable as well. If you are not sure how to buy health insurance online, these steps will help you.Compare: The first step is to compare plans. You need to check the coverage, add-ons, waiting periods, reviews, premium amounts, network hospitals, etc. of the various plans. After a thorough comparison, select a plan that best suits your needs.Visit the insurance company’s website: You’ll have to visit the insurance company’s website and hit the buy now button.Provide your details: Upon hitting the buy now button, you will have to provide some basic details about yourself and your insurance needs.Tailor your plan as per your needs: Most of the leading insurance companies will then allow you to customize your plan by adding enhancements, choosing voluntary co-payments such as room-rent capping, deductible and including the add-ons you want.Complete the health risk assessment form: New-age health insurance companies will skip a health check-up. Instead, all you have to do is fill up a simple risk assessment form. Some will even provide you a 5% discount for doing so!Make the payment & get covered: The last step would be to make the payment. Once this is complete, you will have successfully purchased health insurance online!Simple isn’t it? The best part is that you can carry out this process whenever and wherever you like! Hope this has been helpful, good luck and all the best!

How do psychiatrists diagnose personality disorders?

Both psychiatrists and clinical psychologists can diagnose personality disorders.The Psychological Assessment ProcessPsychiatrists, like psychologists assess the patient over three one-hour face to face sessions in an attempt to make a diagnosis.However, due to the complexity of personality disorders, both the above-mentioned clinicians may request to see the patient over a longer period of time.Experienced mental health clinicians often use a combination of their clinical judgement and assessment results. Clinical psychologists in particular, may administer personality tests to obtain detailed information that will either regulate or support their diagnostic hypothesis.Psychiatrists may conduct medical tests and refer the patient to allied health clinicians for further testing.The use of streamlined psychological assessment formsOver the years, mental health services have streamlined the psychiatric assessment process. Psychiatric assessment forms have been developed that consists of 10 or so pages of questions. The clinician must complete and sign the assess forms and file them in the patients medical records.The assessment forms prompt the clinician to ask questions related to cognitive and emotional functioning. Recent graduates find the assessment forms more useful than experienced clinicians.The mental health clinicians must also closely observe the patient during the assessment sessions. In particular, they have been trained to observe the patients body language, gait, eye contact, grooming and so on.The majority of mental health clinics develop their own psychiatric assessment forms. However, the majority of psychiatric assessment forms are very similar (an attempt to adhere to best practice guidelines).Specifically, a psychiatrist or clinical psychologist would collect the following information during a psychiatric assessment:presenting problems,demographic information,the patients medical and mental health history,the prevalence of mental illness in the client’s family (develop a Genogram),information regarding the client’s childhood,the number and duration of friendships the patient has had,the number of intimate relationships the client has had, in particular long-term relationships,clients current living conditions,a more detailed examination of current symptoms,a risk assessment, andother relevant areas.Please click on the link below to view a psychiatric assessment form developed by the Behavioural Healthcare Group:http://www.bhicares.org/wp-content/uploads/2016/12/NEW-Mental-Health-Assessment-Form.pdfIn additional to basically going through the assessment form, the psychiatrist or clinical psychologist must formulate a diagnostic hypothesis based on the information they collect from the assessment, previous assessments of the patient (from their file), and their clinical judgement.The clinician then weighs up all the information they have collected from the patient against the criteria for a specific DSM diagnosis (in this case, a personality disorder).Different Possible DSM Diagnoses For People With Personality Disorder’sIf after completing their assessment, a psychiatrist is not absolutely sure that the client meets DSM criteria for a specific personality disorder, they can offer a provisional or preliminary diagnosis that can be changed in future. However, they must assess the client again (several times) before making a formal diagnosis and note why they made such a decision.Alternatively, a client may be given a differential diagnosis if they appear to meet the criteria for two or more disorders. Differential diagnoses are made when patients present with a complex condition.The DSM classification system also allows a clinician to make a Not-Otherwise-Specified diagnosis if the patient doesn't appear to meet the criteria for any specific disorder. For example, Personality Disorder-Not Otherwise Specified.Clinical Psychology: Psychometric, Personality & Projective TestingIf a psychiatrist is not sure of a patients' diagnosis, they should refer the patient to a Clinical Psychologist for psychometric, personality and projective testing and an opinion.A clinical psychologist would generally use psychometric testing to test their hypothesis about a client’s diagnosis and personality structure. Many psychiatrists do not refer their patients to a clinical psychologist unless the client presents with a diagnostic dilemma.Most Western countries have laws that limit psychometric & personality testing to psychologists. The laws were passed because these tests require competent clinics such as psychologists to be administered correctly.Psychologists undergo extensive training that focuses on the administration, scoring and interpretation of these tests. Moreover, it is important that an experienced clinician sit with the client and explain the rest results.In fact, the Church of Scientology forced the Australian government to pass specific legislation pertaining to the administration of such psychological tests several decades ago. The Church of Scientology developed their own personality and IQ tests (unreliable and invalid) and encouraged people to sit their tests as a way of engaging potential followers.Psychometric tests include IQ tests such as the Wechsler Intelligence Scales (children, adults).Personality tests include the Psychological Inventory, Eysenck Personality Questionnaire, MMPI, Myers Briggs Personality test.Projective tests include the House Tree Person drawing test, Thematic Apperception Test, the Rorschach and others.These tests provide detailed information about the person. The psychologist examines the test results, the psychiatric assessment results and use their clinical judgement to formulate a diagnosis and treatment regime. The above-mentioned tests add another layer to the psychological assessment and hopefully increase the probability that the diagnosis is accurate.DSM Multi-Axial Diagnostic SystemI believe that psychiatrists and psychologists really should use the DSM Multi-Axial diagnostic system. The previous versions of the DSM used this system. However, the DSM 5 (current version) has done away with the system.They provided multiple reasons for the change, however, I do not believe that they made a good decision. I believe that the Multi-Axial diagnostic system provided a more in-depth understanding of a persons functioning.The Multi-Axial diagnostic system was designed to assist the mental health clinician to make a more detailed assessment of the patients function and life in general. For example, instead of making a Major Depressive or Personality disorder diagnosis, the clinician was able to make five Types of Axes By Disorder.The following information briefly outlines the five types of Axes:Axis 1: Major Depressive Disorder (acute clinical disorders);Axis 2: Personality Disorder/Intellectual Disability;Axis 3: Medical/Physical Conditions;Axis 4: Environmental/ Psychosocial Factors;Axis 5: Global Assessment of Functioning.I believe that it is important for experienced psychiatrists, clinical psychologists and other mental health clinicians to work with people that may have a personality disorder. I also believe that many inexperienced or unsuitable clinicians should not be working with people that have personality disorders (they only make matters worse).Kamal

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