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https://www.readbyqxmd.com/read/27639424/best-clinical-practice-blood-culture-utility-in-the-emergency-department
#1
Brit Long, Alex Koyfman
BACKGROUND: Bacteremia affects 200,000 patients per year, with the potential for significant morbidity and mortality. Blood cultures are considered the most sensitive method for detecting bacteremia and are commonly obtained in patients with fever, chills, leukocytosis, focal infections, and sepsis. OBJECTIVE: We sought to provide emergency physicians with a review of the literature concerning blood cultures in the emergency department. DISCUSSION: The utility of blood cultures has been a focus of controversy, prompting research evaluating effects on patient management...
November 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27098212/gestalt-therapy-applied-a-case-study-with-an-inpatient-diagnosed-with-substance-use-and-bipolar-disorders
#2
Valerie Aiach Dominitz
AIM: The aim of the present paper is to open the discourse regarding the unmet needs of specific patients, especially those with substance use disorder and/or personality disorder where 'multimorbidities', and/or 'overdiagnosis' and/or 'diagnosis overlap' are frequent. An additional aim is to review the main therapeutic purpose and concepts of Gestalt therapy which might be appropriate in the treatment of these patients often characterized by their difficulties in being aware and in contact in the 'here and now'...
April 20, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27071280/therapist-s-interpersonal-style-and-therapy-benefit-as-the-determinants-of-personality-self-reports-in-clients
#3
Nina Hadziahmetović, Sabina Alispahić, Đenita Tuce, Enedina Hasanbegović-Anić
UNLABELLED: BACKGROUND/AIM. In (counter)transference relationship therapist's interpersonal style, implying the perceived relation of therapist to a client (patient) in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist's interpersonal style and clients' personality self-reports. Within therapist's interpersonal style, preliminary validation of the Therapist's Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components...
February 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/26714209/diagnostic-and-therapeutic-yield-of-endoscopy-in-patients-with-elevated-inr-and-gastrointestinal-bleeding
#4
Joanna M Peloquin, Siamak M Seraj, Lindsay Y King, Emily J Campbell, Ashwin N Ananthakrishnan, James M Richter
BACKGROUND: Gastrointestinal bleeding is a well-known risk of systemic anticoagulation. However, bleeding in the setting of supratherapeutic anticoagulation may have a milder natural history than unprovoked bleeding. It is a common clinical gestalt that endoscopy is common, but bleeding source identification or intervention is uncommon, yet few data exist to inform this clinical impression. Consequently, we sought to examine our institutional experience with gastrointestinal bleeding in the setting of supratherapeutic international normalized ratio (INR) with the aim of identifying predictors of endoscopically identifiable lesions, interventions, and outcomes...
June 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/26610167/a-randomized-controlled-clinical-trial-of-dialogical-exposure-therapy-versus-cognitive-processing-therapy-for-adult-outpatients-suffering-from-ptsd-after-type-i-trauma-in-adulthood
#5
RANDOMIZED CONTROLLED TRIAL
Willi Butollo, Regina Karl, Julia König, Rita Rosner
BACKGROUND: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. METHODS: We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT...
2016: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/26162206/pastoral-group-counselling-at-a-high-security-prison-in-israel-integrating-pierre-janet-s-psychological-analysis-with-fritz-perls-gestalt-therapy
#6
Paul Brown, Marta Brown
This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process...
March 2015: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/25946950/dynamics-of-psychological-crisis-experience-with-psychological-consulting-by-gestalt-therapy-methods
#7
Liliya Raifovna Fahrutdinova, Dzhamilia Renatovna Nugmanova
Dynamics of experience as such and its corporeal, emotional and cognitive elements in the situation of psychological consulting provisioning is covered. The aim of research was to study psychological crisis experience dynamics in the situation when psychological consulting by gestalt therapy methods is provided. Theoretical analysis of the problem of crisis situations, phenomenon and structural, and dynamic organization of experience of the subject of consulting have been carried out. To fulfill research project test subjects experience crisis situation have been selected, studied in the situation when they provided psychological consulting by methods of gestalt therapy, and methodology of study of crisis situations experience has been prepared...
2015: Global Journal of Health Science
https://www.readbyqxmd.com/read/25727055/interpersonal-subtypes-and-therapy-response-in-patients-treated-for-posttraumatic-stress-disorder
#8
Julia König, Margarete Onnen, Regina Karl, Rita Rosner, Willi Butollo
UNLABELLED: Interpersonal traits may influence psychotherapy success. One way of conceptualizing such traits is the interpersonal circumplex model. In this study, we analyse interpersonal circumplex data, assessed with the Inventory of Interpersonal Problems (Horowitz, Strauß, & Kordy, 1994) from a randomized study with 138 patients suffering from posttraumatic stress disorder after trauma in adulthood. The study compared cognitive processing therapy and dialogical exposure therapy, a Gestalt-based intervention...
March 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/25682314/clinical-gestalt-and-the-prediction-of-massive-transfusion-after-trauma
#9
MULTICENTER STUDY
Matthew J Pommerening, Michael D Goodman, John B Holcomb, Charles E Wade, Erin E Fox, Deborah J Del Junco, Karen J Brasel, Eileen M Bulger, Mitch J Cohen, Louis H Alarcon, Martin A Schreiber, John G Myers, Herb A Phelan, Peter Muskat, Mohammad Rahbar, Bryan A Cotton
INTRODUCTION: Early recognition and treatment of trauma patients requiring massive transfusion (MT) has been shown to reduce mortality. While many risk factors predicting MT have been demonstrated, there is no universally accepted method or algorithm to identify these patients. We hypothesised that even among experienced trauma surgeons, the clinical gestalt of identifying patients who will require MT is unreliable. METHODS: Transfusion and mortality outcomes after trauma were observed at 10 U...
May 2015: Injury
https://www.readbyqxmd.com/read/25639732/studies-with-lucid-dreaming-as-add-on-therapy-to-gestalt-therapy
#10
RANDOMIZED CONTROLLED TRIAL
B Holzinger, G Klösch, B Saletu
OBJECTIVES: The aim of the present exploratory clinical study was to evaluate LD as an add-on therapy for treating nightmares. METHODS: Thirty-two subjects having nightmares (ICD-10: F51.5) at least twice a week participated. Subjects were randomly assigned to group: A) Gestalt therapy group (= GTG), or B) Gestalt and lucid dreaming group therapy (= LDG). Each group lasted ten weeks. Participants kept a sleep/dream diary over the treatment. Examinations with respect to nightmare frequency and sleep quality (Pittsburgh Sleep Quality Index) were carried out at the beginning, after five and ten weeks and at a follow-up three months later...
June 2015: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/25432090/cognitive-function-among-hiv-infected-children-in-pune
#11
Manisha Ghate, Harshita Narkhede, Girish Rahane, Amit Nirmalkar, Nitin Gaikwad, Dileep Kadam
OBJECTIVE: To assess cognitive function of school-aged, perinatally acquired human immunodeficiency virus (HIV)-infected, antiretroviral therapy (ART) naïve children in Pune. METHODS: HIV infected ART naïve children (n = 50) between 6 and 12 y attending outpatient clinic were administered the Indian Child Intelligence Test (ICIT) after their clinical evaluation. Age and gender matched HIV uninfected children (n = 50) were enrolled as controls. The test battery included measures of perception of form (Gestalt), concept formation, memory span, learning and remembering, associative memory span, transformation of visual field, quantitative concepts, spatial visualization and visual motor coordination...
June 2015: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/25408624/humanistic-therapies-versus-treatment-as-usual-for-depression
#12
Philippa Davies, Vivien Hunot, Theresa Hm Moore, Deborah Caldwell, Hannah Jones, Glyn Lewis, Rachel Churchill
This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with treatment as usual/waiting list/attention placebo control conditions for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with treatment as usual/waiting list/attention placebo control conditions for acute depression...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25408088/breaking-the-mold-sculpting-impasses-in-couples-therapy
#13
Peggy Papp, Michele Scheinkman, Jean Malpas
In the fall of 2009, we the authors started a project at the Ackerman Institute for the Family in New York City that focuses on understanding and transforming impasses in couples' therapy. In experimenting with various interventions, we discovered the power of sculpting to capture and transform stalemates in couples relationships. In this article, we describe the ways in which sculpting brings forward the gestalt of a couple's impasse, highlights nuances of emotions and feelings, and reveals elements of both present and past...
March 2013: Family Process
https://www.readbyqxmd.com/read/25278809/humanistic-therapies-versus-other-psychological-therapies-for-depression
#14
Rachel Churchill, Philippa Davies, Deborah Caldwell, Theresa Hm Moore, Hannah Jones, Glyn Lewis, Vivien Hunot
This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with all other psychological therapy approaches for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with all other psychological therapy approaches for acute depression...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25256361/dialogical-exposure-with-traumatically-bereaved-bosnian-women-findings-from-a-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Maria Hagl, Steve Powell, Rita Rosner, Willi Butollo
OBJECTIVE: In this trial, we compared the relative efficacy of dialogical exposure group treatment using Gestalt empty-chair method with a supportive group in the treatment of symptoms stemming from traumatic loss in a post-war society. METHODS: One-hundred and nineteen women whose husbands were either killed or registered as missing during the war in Bosnia and Herzegovina were quasi-randomized to seven sessions of group treatment with dialogical exposure or to an active control condition...
November 2015: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/25049047/what-does-brief-mean-a-theoretical-critique-of-the-concept-of-brief-therapy-from-a-psychoanalytic-viewpoint
#16
Paolo Migone
The concept of "brief therapy" contains internal contradictions. The techniques suggested by brief therapists are the same techniques that have been discussed historically in debates on theory of technique, both within and without psychoanalysis (e.g., the experiential factor at the center of the Freud-Ferenczi confrontation is also an important aspect of Gestalt therapy). A time limit is the only operational criterion that allows a rigorous definition of brief therapy; without this criterion it is impossible to discriminate between "brief" and simply "good" therapies (i...
August 2014: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/25036539/sudden-gains-in-two-psychotherapies-for-posttraumatic-stress-disorder
#17
RANDOMIZED CONTROLLED TRIAL
Julia König, Regina Karl, Rita Rosner, Willi Butollo
We examined sudden, large, and stable shifts in symptoms from one therapy session to the next in two treatments for posttraumatic stress disorder (PTSD). Shifts in a positive direction (sudden gains) have so far been more frequently analyzed than those in a negative direction (sudden losses). We analyzed data from 102 outpatients suffering from PTSD who received either a cognitive-behavioral or a Gestalt-based intervention. Sudden gains, at 22.5%, were more frequent than sudden losses (3.9% of patients). Participants who had experienced sudden gains had lower PTSD scores at posttreatment, but not at the 6-month follow-up...
September 2014: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/25010104/heart-rate-variability-and-the-anxious-client-cardiac-autonomic-and-behavioral-associations-with-therapeutic-alliance
#18
RANDOMIZED CONTROLLED TRIAL
Trisha Stratford, Alan Meara, M Gestalt Psychotherapy, Sara Lal
This exploratory study was designed to investigate the link between a client's heart rate variability (HRV) and the forming of a therapeutic alliance (TA) during psychotherapy. Change in HRV is associated with many psychological and physiological situations, including cardiac mortality. Cardiac effects were evaluated during therapy in 30 symptomatically anxious clients using HRV during six weekly 1-hour therapy sessions (S1-S6). Therapeutic index (TI), a measure of TA, was evaluated using skin conductance resonance between client and therapist...
August 2014: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/24907640/effects-of-feldenkrais-method-on-chronic-neck-scapular-pain-in-people-with-visual-impairment-a-randomized-controlled-trial-with-one-year-follow-up
#19
RANDOMIZED CONTROLLED TRIAL
Lars-Olov Lundqvist, Christina Zetterlund, Hans O Richter
OBJECTIVE: To determine whether the Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment. DESIGN: Randomized controlled trial with an untreated control group. SETTING: Low vision center. PARTICIPANTS: Patients (N=61) with visual impairment (mean, 53.3 y) and nonspecific chronic (mean, 23.8 y) neck/scapular pain. INTERVENTIONS: Participants were randomly assigned to the Feldenkrais method group (n=30) or untreated control group (n=31)...
September 2014: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/24750803/challenges-in-the-sequencing-of-therapies-for-the-management-of-metastatic-castration-resistant-prostate-cancer
#20
REVIEW
Phillip Parente, Francis Parnis, Howard Gurney
Prior to 2010, docetaxel was the standard option for chemotherapy in men with metastatic castration-resistant prostate cancer (mCRPC). Today, the picture is vastly different: several additional therapies have each demonstrated a survival benefit such that we now have chemotherapy (cabazitaxel), androgen suppressive agents (abiraterone acetate and enzalutamide), a cellular vaccine (sipuleucel-T) and radium-233 (for symptomatic bone metastases). With several other agents in the pipeline for late-stage disease, the future looks promising for mCRPC...
September 2014: Asia-Pacific Journal of Clinical Oncology
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