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https://www.readbyqxmd.com/read/28106697/facial-plastic-surgery-patient-resources-exceed-national-institute-recommendations
#1
Michael W Chu, Julia A Cook, Sunil S Tholpady, Cecelia E Schmalbach, Arash Momeni
Patient education is essential in enhancing the physician-patient therapeutic alliance, patient satisfaction, and clinical outcomes. The American Medical Association and National Institute of Health recommend that information be written at a 6th-grade reading level, but online resources often exceed patient literacy. The purpose of this study is to assess readability of online material for facial plastics procedures presented on academic plastic surgery and otolaryngology websites.An Internet search was performed of all academic institutions that had both plastic surgery and otolaryngology training programs who offered patient information on facial plastic surgery procedures...
January 18, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28102111/applying-relationship-anecdotes-paradigm-interviews-to-study-client-therapist-relationship-narratives-core-conflictual-relationship-theme-analyses
#2
Hadas Wiseman, Orya Tishby
OBJECTIVE: We describe client-therapist relational narratives collected in relationship anecdotes paradigm (RAP) interviews during psychotherapy and the application of the core conflictual relationship theme (CCRT) method. Changes in clients' and therapists' CCRT in relation to each other are examined and associations between their CCRTs and self-reported ruptures and repairs are explored. METHOD: Sixty-seven clients and 27 therapists underwent RAP interviews and completed self-report rupture and repair items at early, middle, and late psychodynamic psychotherapy...
January 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28096737/implementation-of-evidence-on-the-nurse-patient-relationship-in-psychiatric-wards-through-a-mixed-method-design-study-protocol
#3
Antonio R Moreno-Poyato, Pilar Delgado-Hito, Raquel Suárez-Pérez, Juan M Leyva-Moral, Rosa Aceña-Domínguez, Regina Carreras-Salvador, Juan F Roldán-Merino, Teresa Lluch-Canut, Pilar Montesó-Curto
BACKGROUND: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28093680/the-international-diffuse-intrinsic-pontine-glioma-registry-an-infrastructure-to-accelerate-collaborative-research-for-an-orphan-disease
#4
Joshua Baugh, Ute Bartels, James Leach, Blaise Jones, Brooklyn Chaney, Katherine E Warren, Jenavieve Kirkendall, Renee Doughman, Cynthia Hawkins, Lili Miles, Christine Fuller, Tim Hassall, Eric Bouffet, Adam Lane, Darren Hargrave, Jacques Grill, Lindsey M Hoffman, Chris Jones, Alex Towbin, Sharon A Savage, Michelle Monje, Xiao-Nan Li, David S Ziegler, Sophie Veldhuijzen van Zanten, Christof M Kramm, Dannis G van Vuurden, Maryam Fouladi
Diffuse intrinsic pontine glioma (DIPG), a rare, often fatal childhood brain tumor, remains a major therapeutic challenge. In 2012, investigators, funded by the DIPG Collaborative (a philanthropic partnership among 29 private foundations), launched the International DIPG Registry (IDIPGR) to advance understanding of DIPG. Comprised of comprehensive deidentified but linked clinical, imaging, histopathological, and genomic repositories, the IDIPGR uses standardized case report forms for uniform data collection; serial imaging and histopathology are centrally reviewed by IDIPGR neuro-radiologists and neuro-pathologists, respectively...
January 16, 2017: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/28089762/long-terms-results-of-a-trial-of-concurrent-chemotherapy-and-escalating-doses-of-radiation-for-unresectable-non-small-cell-lung-cancer-ncctg-n0028-alliance
#5
Steven E Schild, Shauna L Hillman, Angelina D Tan, Helen J Ross, William L McGinnis, Yolanda A Garces, David L Graham, Alex A Adjei, James R Jett
INTRODUCTION OR HYPOTHESIS: This phase I/II trial was originally designed to determine the maximally tolerated dose(MTD) of thoracic radiotherapy(TRT) as part of a combined modality approach. This report includes the long-term outcome of patients treated on this study. The phase II portion was never completed as RTOG-0617 opened before it was concluded. METHODS: The MTD was defined as 74Gy in 37 fractions in this study. Twenty-five patients with unresectable non-small cell lung cancer(NSCLC) were treated with 2Gy daily fractions and concurrent weekly carboplatin and paclitaxel...
January 12, 2017: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/28060578/therapist-self-disclosure-and-the-therapeutic-alliance-in-the-treatment-of-eating-problems
#6
Laura M Simonds, Naomi Spokes
Evidence is mixed regarding the potential utility of therapist self-disclosure. The current study modelled relationships between perceived helpfulness of therapist self-disclosures, therapeutic alliance, patient non-disclosure, and shame in participants (n = 120; 95% women) with a history of eating problems. Serial multiple mediator analyses provided support for a putative model connecting the perceived helpfulness of therapist self-disclosures with current eating disorder symptom severity through therapeutic alliance, patient self-disclosure, and shame...
January 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28056106/metasynthesis-of-the-views-about-treatment-of-anorexia-nervosa-in-adolescents-perspectives-of-adolescents-parents-and-professionals
#7
Jordan Sibeoni, Massimiliano Orri, Marie Valentin, Marc-Antoine Podlipski, Stephanie Colin, Jerome Pradere, Anne Revah-Levy
BACKGROUND: Anorexia nervosa in adolescents can be a difficult-to-treat disease. Because qualitative research is a well-established method for deepening our understanding of subjective experiences, such as eating disorders and their treatment, we sought to perform a systematic review of qualitative studies to synthesize the views of adolescents with this disease, their parents, and their healthcare providers about its treatment. METHODS: We performed a thematic synthesis to develop the central themes that summarize all of the topics raised in the articles included in our review...
2017: PloS One
https://www.readbyqxmd.com/read/28044376/psychosocial-interventions-in-opiate-substitution-treatment-services-does-the-evidence-provide-a-case-for-optimism-or-nihilism
#8
Ed Day, Luke Mitcheson
BACKGROUND AND AIMS: Clinical guidelines from around the world recommend the delivery of psychosocial interventions as part of routine care in opiate substitution treatment (OST) programmes. However, although individual studies demonstrate benefit for structured psychosocial interventions, meta-analytical reviews find no benefit for manual-based treatments beyond 'routine counselling'. ANALYSIS: We consider the question of whether OST medication alone is sufficient to produce the required outcomes, or whether greater efforts should be made to provide high-quality psychosocial treatment alongside medication...
January 2, 2017: Addiction
https://www.readbyqxmd.com/read/28031978/translational-research-needs-us-to-go-back-to-basics-and-collaborate-interview-with-lars-sundstrom
#9
Lars Sundstrom
Lars Sundstrom is Director of Enterprise and Translation at the West of England Academic Health Sciences Network [1] (UK), a Professor of Practice in Translational Medicine and Co-Director of the Elizabeth Blackwell Institute for Health Research at Bristol University [2] (UK), and an honorary Professor of Medicine at Cardiff University (UK). He has extensive experience in translational medicine and clinical neurosciences, holding positions at several eminent universities. He has also held executive and board-level positions at several SMEs, developing new therapeutics for neurological conditions and tools for drug discovery...
September 2016: Future Science OA
https://www.readbyqxmd.com/read/28026083/new-oral-targeted-therapies-for-metastatic-breast-cancer-disrupt-the-traditional-patients-management-a-healthcare-providers-view
#10
E Martin, L Pourtau, M Di Palma, S Delaloge
Although a cure still cannot be expected for metastatic breast cancer, thanks to progressive advances in treatments, life expectancy has been increasing over the past 15 years. This study aims to present the impact on the organisation of patients' management of newly released oral targeted therapies dedicated to metastatic breast cancer and the obstacles to their diffusion. Our work is based on the analysis of 40 semi-structured interviews, conducted with oncology healthcare professionals in three regions of France (2015-2016)...
December 27, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28008219/introduction-to-using-structured-evocative-activities-in-functional-analytic-psychotherapy
#11
Kimberly M Nelson, Joyce P Yang, Ashley C Maliken, Mavis Tsai, Robert J Kohlenberg
Functional Analytic Psychotherapy (FAP) focuses on what happens in session between clients and therapists in order to create more intense and curative therapeutic relationships. FAP may be used as a standalone treatment or as an adjunct to other therapies in order to maximize therapeutic gains through strengthened alliance and differential reinforcement. When it fits within a client's case conceptualization, FAP clinicians often choose to use structured, evocative activities to progress the therapy at a faster pace...
November 2016: Cognitive and Behavioral Practice
https://www.readbyqxmd.com/read/28001268/the-evolving-role-of-physical-therapists-in-the-long-term-management-of-chronic-low-back-pain-longitudinal-care-using-assisted-self-management-strategies
#12
Paul F Beattie, Sheri P Silfies, Max Jordon
Background: Longitudinal studies have shown that the symptoms of chronic low back pain (CLBP) will follow an episodic trajectory characterized by periods of high and low pain intensity that can persist for many years. There is a growing belief that the contemporary approach of limiting physical therapy to short, but intense courses of treatment for (CLBP) may be sub-optimal because these limited "windows" of clinical care are not congruent with the natural history of this condition. Recent research has suggested that people with CLBP undergo substantial, and individualized long-term variations in the neural processing of nociception over time...
November 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27998800/patients-in-session-experiences-and-symptom-change-session-to-session-effects-on-a-within-and-between-patient-level
#13
Julian A Rubel, David Rosenbaum, Wolfgang Lutz
OBJECTIVE: Knowledge of patients' in-session experiences that lead to symptom change in psychotherapy is limited. This study aims to investigate the within- and between-patient relationships between three in-session processes in psychotherapy (coping skills, therapeutic relationship quality, and emotional involvement) and symptom change on a session-by-session level. METHOD: Participants (n = 1550) with various disorders, including primarily depression and anxiety, were treated with CBT in a German outpatient clinic...
December 13, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27992272/accrual-of-older-patients-with-breast-cancer-to-alliance-systemic-therapy-trials-over-time-protocol-a151527
#14
Rachel A Freedman, Jared C Foster, Drew K Seisler, Jacqueline M Lafky, Hyman B Muss, Harvey J Cohen, Jeanne Mandelblatt, Eric P Winer, Clifford A Hudis, Ann H Partridge, Lisa A Carey, Constance Cirrincione, Alvaro Moreno-Aspitia, Gretchen Kimmick, Aminah Jatoi, Arti Hurria
Purpose Despite increasing awareness of accrual challenges, it is unknown if accrual of older patients to breast cancer treatment trials is improving. Methods We examined accrual of older patients to Alliance for Clinical Trials in Oncology systemic therapy breast cancer trials during 1985-2012 and compared disease characteristics and reasons for therapy cessation for older (age ≥ 65 years and ≥ 70 years) versus younger (age < 65 years and < 70 years) participants. To examine accrual trends, we modeled age as a function of time, using logistic regression...
December 19, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27991813/therapist-effects-on-outcome-and-alliance-in-inpatient-psychotherapy-the-contribution-of-patients-symptom-severity
#15
Ulrike Dinger, Johannes Zimmermann, Oliver Masuhr, Carsten Spitzer
Therapists differ in their effectiveness regarding their patients' symptomatic improvement as well as their therapeutic alliances, but little is known about influencing factors. The current study aimed to investigate therapist effects on outcome and alliance in inpatient psychotherapy and to estimate the influence of patient severity on the magnitude of therapist effects in this specific setting. We examined differences between individual psychotherapists in their patients' early alliance and outcome at discharge in a psychotherapy setting of a psychiatric hospital...
December 19, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27977847/the-social-present-the-duration-of-the-shared-now-in-dyads-is-linked-with-personality
#16
Wolfgang Tschacher, Fabian Ramseyer, Sander L Koole
OBJECTIVE: The social present is a novel descriptor of dyadic nowness and social sharing, extending research on individual nowness (James' specious present) to the interpersonal and intersubjective domain. We wished to connect this descriptor to personality attributes. METHOD: We define the social present by the duration of significant nonverbal synchrony, based on the phenomenon of movement synchrony that generally emerges in social interactions. It is thus an implicit and objective measure that can be implemented by automated video analyses...
December 15, 2016: Journal of Personality
https://www.readbyqxmd.com/read/27959460/personlighetssyndrom-%C3%A2-vad-%C3%A3-r-det-och-hur-st%C3%A3-ller-man-diagnos-etiologin-%C3%A3-r-komplex-%C3%A2-b%C3%A3-de-genetiska-faktorer-och-milj%C3%A3-faktorer-kan-vara-av-betydelse
#17
Lisa Ekselius, Jörgen Herlofson
Personality disorders - description, definition and diagnosis Personality disorders are common, associated with a poor quality of life, functional limitations, worse health, and often remain undiagnosed. The aetiology is complex, with the influence of both genetic and environmental factors. A person centred approach based on empathic understanding is important for the diagnostic and therapeutic alliance. In case of conceivable comorbidity, the relative influence of all possible comorbid conditions shall be evaluated to avoid an excessive number of comorbid diagnoses...
December 6, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27941883/the-dead-box-protein-p68-a-novel-coactivator-of-stat3-in-mediating-oncogenesis
#18
M Sarkar, V Khare, M K Ghosh
DEAD box RNA helicase p68 acts as a transcriptional coactivator of several oncogenic transcription factors apart from being a vital player of RNA metabolism. Signal transducer and activator of transcription 3 (Stat3) is a major oncogenic contributor of diverse cancers, including that of colon. Deciphering the mechanistic insights of coactivation of Stat3 transcriptional activity may aid in improved therapeutic strategies. Here we report for the first time a novel mechanism of alliance between p68 and Stat3 in stimulating transcriptional activity of Stat3...
December 12, 2016: Oncogene
https://www.readbyqxmd.com/read/27938524/how-to-modify-psychopathological-states-hypotheses-based-on-complex-systems-theory
#19
Hermann Haken, Wolfgang Tschacher
In mathematical analysis based on the assumptions of complexity science, the emergence of a pattern is the result of a competition of modes, which each have a parameter value attached. In the context of visual pattern recognition, a specific connectionist system (the synergetic computer SC) was developed, which was derived from the assumptions of synergetics, a theory of complex systems. We adapted the processes of visual pattern recognition performed by the SC to a different context, psychopathology and therapeutic interventions, assuming these scenarios are analogous...
January 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/27917128/what-role-can-avatars-play-in-e-mental-health-interventions-exploring-new-models-of-client-therapist-interaction
#20
REVIEW
Imogen C Rehm, Emily Foenander, Klaire Wallace, Jo-Anne M Abbott, Michael Kyrios, Neil Thomas
In the burgeoning field of e-mental health interventions, avatars are increasingly being utilized to facilitate online communication between clients and therapists, and among peers. Avatars are digital self-representations, which enable individuals to interact with each other in computer-based virtual environments. In this narrative review, we examine the psychotherapeutic applications of avatars that have been investigated and trialed to date. Five key applications were identified (1) in the formation of online peer support communities; (2) replicating traditional modes of psychotherapy by using avatars as a vehicle to communicate within a wholly virtual environment; (3) using avatar technology to facilitate or augment face-to-face treatment; (4) as part of serious games; and (5) communication with an autonomous virtual therapist...
2016: Frontiers in Psychiatry
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