Definition: This block contains a wide variety of disorders that differ in severity and clinical form but that are all attributable to the use of one or more psychoactive substances, which may or may not have been medically prescribed. The third character of the code identifies the substance involved, and the fourth character specifies the clinical state. The codes should be used, as required, for each substance specified, but it should be noted that not all fourth character codes are applicable to all substances. Identification of the psychoactive substance should be based on as many sources of information as possible. These include self-report data, analysis of blood and other body fluids, characteristic physical and psychological symptom ...[+++]s, clinical signs and behaviour, and other evidence such as a drug being in the patient's possession or reports from informed third parties. Many drug users take more than one type of psychoactive substance. The main diagnosis should be classified, whenever possible, according to the substance or class of substances that has caused or contributed most to the presenting clinical syndrome. Other diagnoses should be coded when other psychoactive substances have been taken in intoxicating amounts (common fourth character .0) or to the extent of causing harm (common fourth character .1), dependence (common fourth character .2) or other disorders (common fourth character .3-.9). Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate, or in which the contributions of different psychoactive substances are inextricably mixed, should the diagnosis of disorders resulting from multiple drug use (F19.-) be used. | Modifiers The following fourth-character subdivisions are for use with categories F10-F19: Code Title .0 Acute intoxication A condition that follows the administration of a psychoactive substance resulting in disturbances in level of consciousness, cognition, perception, affect or behaviour, o ...

report writing | report generation

progress report

Definition: States of subjective distress and emotional disturbance, usually interfering with social functioning and performance, arising in the period of adaptation to a significant life change or a stressful life event. The stressor may have affected the integrity of an individual's social network (bereavement, separation experiences) or the wider system of social supports and values (migration, refugee status), or represented a major developmental transition or crisis (going to school, becoming a parent, failure to attain a cherished personal goal, retirement). Individual predisposition or vulnerability plays an important role in the ...[+++]risk of occurrence and the shaping of the manifestations of adjustment disorders, but it is nevertheless assumed that the condition would not have arisen without the stressor. The manifestations vary and include depressed mood, anxiety or worry (or mixture of these), a feeling of inability to cope, plan ahead, or continue in the present situation, as well as some degree of disability in 9the performance of daily routine. Conduct disorders may be an associated feature, particularly in adolescents. The predominant feature may be a brief or prolonged depressive reaction, or a disturbance of other emotions and conduct. | Culture shock Grief reaction Hospitalism in children

Definition: Arises as a delayed or protracted response to a stressful event or situation (of either brief or long duration) of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone. Predisposing factors, such as personality traits (e.g. compulsive, asthenic) or previous history of neurotic illness, may lower the threshold for the development of the syndrome or aggravate its course, but they are neither necessary nor sufficient to explain its occurrence. Typical features include episodes of repeated reliving of the trauma in intrusive memories ( flashbacks ), dreams or nightmares ...[+++], occurring against the persisting background of a sense of numbness and emotional blunting, detachment from other people, unresponsiveness to surroundings, anhedonia, and avoidance of activities and situations reminiscent of the trauma. There is usually a state of autonomic hyperarousal with hypervigilance, an enhanced startle reaction, and insomnia. Anxiety and depression are commonly associated with the above symptoms and signs, and suicidal ideation is not infrequent. The onset follows the trauma with a latency period that may range from a few weeks to months. The course is fluctuating but recovery can be expected in the majority of cases. In a small proportion of cases the condition may follow a chronic course over many years, with eventual transition to an enduring personality change (F62.0). | Traumatic neurosis

progress report | status report | field report

State of the Union address | State of the Union message

interim review report | report on a review of interim financial information | report on a review of interim financial statements | review report on interim financial information | review report on interim financial statements

Where Member States do report on buildings in their NREAP, this is mostly focused on minimum levels of thermal solar energy for the production of domestic hot water (CY, EL, IT, PT, ES).

The EU confirmed its leading role in the production of feature films, with 630 productions in 2002 (almost unchanged compared to 2001, +13% compared to 1997) compared to about 450 units in the United States.

19. Expresses disappointment with the low levels of implementation of Milk Package measures in outermost regions and mountainous, insular and disadvantaged areas, and underlines that it is indispensable to maintain dairy farms as viable and competitive businesses in all of the territories of the Union; considers, in this respect, that these areas must be the focus of special attention and specific studies by the Commission and Member States and that the use of short supply chains, giving preference to local production in these specific cases, must be encouraged in order to ensure ...[+++] continued production in these regions and to avoid abandonment of the sector; urges the Commission and the Member States furthermore to improve and strengthen the milk distribution regimes in schools, favouring short supply chains and thereby enabling the distribution of production in these regions; highlights the fact that in these areas production costs are typically close to or above farm-gate prices and considers that the current uncertainties of the supply chain are particularly detrimental to these areas, which have the strongest barriers and reduced opportunities for economies of scale; recalls that farmers in these areas depend directly and exclusively on a small number of input suppliers and buyers for their agricultural production because of their geographic isolation; stresses that support for the setting-up and activities of producer organisations should better reflect the realities of these regions; stresses that it is necessary to carry out ambitious policies to support these regions with the aid of policies for rural development, the Investment Plan and the promotion and fine-tuning of CAP aid, as permitted by the latest reform; calls on the Commission, therefore, to encourage the Member States to implement such measures, in order to enable the preservation of milk production in these regions; urges the Commission to closely monitor the evolution of dairy production i ...

19. Expresses disappointment with the low levels of implementation of Milk Package measures in outermost regions and mountainous, insular and disadvantaged areas, and underlines that it is indispensable to maintain dairy farms as viable and competitive businesses in all of the territories of the Union; considers, in this respect, that these areas must be the focus of special attention and specific studies by the Commission and Member States and that the use of short supply chains, giving preference to local production in these specific cases, must be encouraged in order to ensure ...[+++] continued production in these regions and to avoid abandonment of the sector; urges the Commission and the Member States furthermore to improve and strengthen the milk distribution regimes in schools, favouring short supply chains and thereby enabling the distribution of production in these regions; highlights the fact that in these areas production costs are typically close to or above farm-gate prices and considers that the current uncertainties of the supply chain are particularly detrimental to these areas, which have the strongest barriers and reduced opportunities for economies of scale; recalls that farmers in these areas depend directly and exclusively on a small number of input suppliers and buyers for their agricultural production because of their geographic isolation; stresses that support for the setting-up and activities of producer organisations should better reflect the realities of these regions; stresses that it is necessary to carry out ambitious policies to support these regions with the aid of policies for rural development, the Investment Plan and the promotion and fine-tuning of CAP aid, as permitted by the latest reform; calls on the Commission, therefore, to encourage the Member States to implement such measures, in order to enable the preservation of milk production in these regions; urges the Commission to closely monitor the evolution of dairy production i ...