Pub Date : 2024-04-01Epub Date: 2023-05-13DOI: 10.1007/s10566-023-09754-9
Austen McGuire, Christina M Amaro, Mehar N Singh, Shaquanna Brown
Background: While parent management training (PMT) has been shown to be an effective treatment for adolescents with externalizing concerns, evidence suggests that effectiveness is not equitable across all types of families. Research suggests that caregiver psychopathology may adversely affect PMT success for adolescents. However, it remains unclear whether research on caregiver psychopathology is integrated within adolescent PMT resources (e.g., treatment manuals).
Objective: A scoping review of commercially available, clinician focused PMT resources was conducted to assess for information on caregiver psychopathology and clinical guidance for addressing caregiver psychopathology.
Methods: A search for commercially available resources was conducted among national treatment databases and book resource websites. Information on caregiver psychopathology was extracted from individual sessions of the PMT resources.
Results: Seven treatment resources met inclusion criteria. The majority of the treatment resources made at least one explicit comment that caregiver psychopathology may impact the course of treatment. There was very limited mention of caregiver psychopathology in skill building sections of the resources.
Conclusions: While most resources mentioned caregiver psychopathology, these comments lacked breadth and depth in providing clinicians with recommendations on how to tailor treatment to caregivers' needs. Recommendations are provided for how PMT programs might be improved in the future to support clinicians when faced with caregiver psychopathology by recognizing inequities and lack of diversity in resource development, using a transdiagnostic perspective (including a transdiagnostic approach to assessment of care-giver psychopathology), and integrating caregiver skill development.
{"title":"Targeting Caregiver Psychopathology in Parent Management Training for Adolescents: A Scoping Review of Commercially Available Treatment Resources.","authors":"Austen McGuire, Christina M Amaro, Mehar N Singh, Shaquanna Brown","doi":"10.1007/s10566-023-09754-9","DOIUrl":"10.1007/s10566-023-09754-9","url":null,"abstract":"<p><strong>Background: </strong>While parent management training (PMT) has been shown to be an effective treatment for adolescents with externalizing concerns, evidence suggests that effectiveness is not equitable across all types of families. Research suggests that caregiver psychopathology may adversely affect PMT success for adolescents. However, it remains unclear whether research on caregiver psychopathology is integrated within adolescent PMT resources (e.g., treatment manuals).</p><p><strong>Objective: </strong>A scoping review of commercially available, clinician focused PMT resources was conducted to assess for information on caregiver psychopathology and clinical guidance for addressing caregiver psychopathology.</p><p><strong>Methods: </strong>A search for commercially available resources was conducted among national treatment databases and book resource websites. Information on caregiver psychopathology was extracted from individual sessions of the PMT resources.</p><p><strong>Results: </strong>Seven treatment resources met inclusion criteria. The majority of the treatment resources made at least one explicit comment that caregiver psychopathology may impact the course of treatment. There was very limited mention of caregiver psychopathology in skill building sections of the resources.</p><p><strong>Conclusions: </strong>While most resources mentioned caregiver psychopathology, these comments lacked breadth and depth in providing clinicians with recommendations on how to tailor treatment to caregivers' needs. Recommendations are provided for how PMT programs might be improved in the future to support clinicians when faced with caregiver psychopathology by recognizing inequities and lack of diversity in resource development, using a transdiagnostic perspective (including a transdiagnostic approach to assessment of care-giver psychopathology), and integrating caregiver skill development.</p>","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"18 1","pages":"269-291"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82487166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-20DOI: 10.3760/CMA.J.CN115610-20200229-00133
Da-wei Sun, Dong Zhang, Runhui Tian, Yang Li, Yu-Shi Wang, Jie Cao, Ying Tang, N. Zhang, Tao Zan, Lan Gao, Yanzhu Huang, Yang Zheng, Guoyue Lyu
Objective: To invetigate the influencing factors and clinical significance of liver function damage (LFD) in patients diagnosed with Corona Virus Disease 2019 (COVID-19) Methods: The retrospective case-control study was conducted The clinicopathological data of 51 patients with COVID-19 who were admitted to the Sino-French New City Branch of Tongji Hospital Affiliated to Huazhong University of Science and Technology by the 5th group assisting team from the First Hospital of Jilin University from February 9th to 27th in 2020 were collected There were 27 males and 24 females, aged from 36 to 86 years, with an average age of 68 years The treatment modality was according to the diagnostic and therapeutic guideline for COVID-19 (Trial 6th edition) issued by National Health Commission Observation indicators: (1) clinical data of patients;(2) analysis of liver function index and treatment of LFD;(3) analysis of influencing factors for LFD Measurement data with normal distribution were represented as Mean±SD, and measurement data with skewed distribution were described as M (range) Count data were described as absolute numbers or percentages, and comparison between groups was analyzed using the chi-square test The Logistic regression method was used for univariate analysis Results: (1) Clinical data of patients: of the 51 patients, 21 were classified as ordinary type of COVID-19, 19 as severe type and 11 as critical type In terms of medical history, 31 patients suffered from more than or equal to one kind of chronic disease, 20 had no history of chronic disease Thirteen patients had the drinking history and 38 had no drinking history Seven patients were hepatitis positive and 44 were hepatitis negative Five patients had septic shock at admission, 5 had systemic inflammatory response syndrome (SIRS), and 41 had neither shock nor SIRS The body mass index (BMI), time from onset to admission, temperature, heart rate, respiratory rate of the 51 patients were (24±3)kg/m2, (13±5)days, 36 5 ℃ (range, 36 0-38 1 ℃), 82 times/minutes (range, 50-133 times/minutes), 20 times/minutes (range, 12-40 times/minutes) The white blood cell count, level of creatinine, and level of b-type natriuretic peptide within 24 hours after admission were 6 3×109/L [range, (2 2-21 7)×109/L], 75 μmol/L (range, 44-342 μmol/L), 214 ng/L (range, 5-32 407 ng/L) (2) Analysis of liver function index and treatment of LFD: the level of alanine aminotransferase (ALT), aspartate aminotransferase (AST), glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), direct bilirubin (DBil), indirect bilirubin (IBil), activated partial thromboplastin time (APTT) and prothrombin time (PT) were 31 U/L (range, 7-421 U/L), 29 U/L (range, 15-783 U/L), 36 U/L (range, 13-936 U/L), 76 U/L (range, 41-321 U/L), 4 9 μmol/L (range, 2 6-14 3 μmol/L), 5 8 μmol/L (range, 2 6-23 9 μmol/L), 37 2 s (range, 30 9-77 1 s), 13 9 s (range, 12 5-26 7 s), respectively The percentages of cases with abnormal ALT, AST, GGT, ALP, DBi
{"title":"Influencing factors and clinical significance of liver function damage in patients diagnosed with COVID-19","authors":"Da-wei Sun, Dong Zhang, Runhui Tian, Yang Li, Yu-Shi Wang, Jie Cao, Ying Tang, N. Zhang, Tao Zan, Lan Gao, Yanzhu Huang, Yang Zheng, Guoyue Lyu","doi":"10.3760/CMA.J.CN115610-20200229-00133","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115610-20200229-00133","url":null,"abstract":"Objective: To invetigate the influencing factors and clinical significance of liver function damage (LFD) in patients diagnosed with Corona Virus Disease 2019 (COVID-19) Methods: The retrospective case-control study was conducted The clinicopathological data of 51 patients with COVID-19 who were admitted to the Sino-French New City Branch of Tongji Hospital Affiliated to Huazhong University of Science and Technology by the 5th group assisting team from the First Hospital of Jilin University from February 9th to 27th in 2020 were collected There were 27 males and 24 females, aged from 36 to 86 years, with an average age of 68 years The treatment modality was according to the diagnostic and therapeutic guideline for COVID-19 (Trial 6th edition) issued by National Health Commission Observation indicators: (1) clinical data of patients;(2) analysis of liver function index and treatment of LFD;(3) analysis of influencing factors for LFD Measurement data with normal distribution were represented as Mean±SD, and measurement data with skewed distribution were described as M (range) Count data were described as absolute numbers or percentages, and comparison between groups was analyzed using the chi-square test The Logistic regression method was used for univariate analysis Results: (1) Clinical data of patients: of the 51 patients, 21 were classified as ordinary type of COVID-19, 19 as severe type and 11 as critical type In terms of medical history, 31 patients suffered from more than or equal to one kind of chronic disease, 20 had no history of chronic disease Thirteen patients had the drinking history and 38 had no drinking history Seven patients were hepatitis positive and 44 were hepatitis negative Five patients had septic shock at admission, 5 had systemic inflammatory response syndrome (SIRS), and 41 had neither shock nor SIRS The body mass index (BMI), time from onset to admission, temperature, heart rate, respiratory rate of the 51 patients were (24±3)kg/m2, (13±5)days, 36 5 ℃ (range, 36 0-38 1 ℃), 82 times/minutes (range, 50-133 times/minutes), 20 times/minutes (range, 12-40 times/minutes) The white blood cell count, level of creatinine, and level of b-type natriuretic peptide within 24 hours after admission were 6 3×109/L [range, (2 2-21 7)×109/L], 75 μmol/L (range, 44-342 μmol/L), 214 ng/L (range, 5-32 407 ng/L) (2) Analysis of liver function index and treatment of LFD: the level of alanine aminotransferase (ALT), aspartate aminotransferase (AST), glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), direct bilirubin (DBil), indirect bilirubin (IBil), activated partial thromboplastin time (APTT) and prothrombin time (PT) were 31 U/L (range, 7-421 U/L), 29 U/L (range, 15-783 U/L), 36 U/L (range, 13-936 U/L), 76 U/L (range, 41-321 U/L), 4 9 μmol/L (range, 2 6-14 3 μmol/L), 5 8 μmol/L (range, 2 6-23 9 μmol/L), 37 2 s (range, 30 9-77 1 s), 13 9 s (range, 12 5-26 7 s), respectively The percentages of cases with abnormal ALT, AST, GGT, ALP, DBi","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"360-365"},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49062814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-20DOI: 10.3760/CMA.J.ISSN.1673-9752.2020.03.010
Jin-huang Chen, Ping Hu, P. Xu, Chaojie Hu, Ding Chen, Yang Wang, Qing-yong Chen, Hai Zheng, P. Cheng, Gang Zhao
Objective: To investigate the emergency surgical strategies for patients with acute abdomen during the Corona Virus Disease 2019 (COVID-19) outbreak Methods: The retrospective and descriptive study was conducted The clinical data of 20 patients with acute abdomen who were admitted to the Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology between January 18, 2020 and February 10, 2020 were collected There were 13 males and 7 females, aged from 25 to 82 years, with an average age of 57 years All the patients with emergency surgeries received pulmonary computed tomography (CT) examination before surgery, and completed nucleic acid detection in throat swab if necessary Patients excluded from COVID-19 underwent regular anesthesia, suspected and confirmed cases were selected a proper anesthesia based on their medical condition and surgical procedure Patients excluded from COVID-19 underwent emergency surgeries following the regular procedure, suspected and confirmed cases underwent emergency surgeries following the three-grade protection Observation indicators: (1) surgical situations;(2) postoperative situations Measurement data with normal distribution were represented as average (range) Count data were described as absolute numbers Results: (1) Surgical situations: of the 20 patients with acute abdomen, 16 patients were excluded from COVID-19, and 4 were not excluded All the 20 patients underwent emergency abdominal surgeries successfully, of whom 2 received surgeries under epidural anesthesia (including 1 with open appendectomy, 1 with open repair of duodenal bulbar perforation), 18 received surgeries under general anesthesia (including 9 with laparoscopic repair of duodenal bulbar perforation, 3 with open partial enterectomy, 3 with laparoscopic appendectomy, 1 with laparoscopic left hemicolectomy, 1 with laparoscopic right hemicolectomy, 1 with cholecystostomy) The operation time of patients was 32-194 minutes, with an average time of 85 minutes The volume of intraoperative blood loss was 50-400 mL, with an average volume of 68 mL (2) Postoperative situations: 16 patients excluded from COVID-19 preopratively were treated in the private general ward postoperatively One of the 16 patients had fever at the postoperative 5th day and was highly suspected of COVID-19 after an emergency follow-up of pulmonary CT showing multiple ground-glass changes in the lungs The patient was promptly transferred to the isolation ward for treatment, and results of nucleic acid detection in throat swab showed double positive Medical history described by the patient showed that the patient and family members were residents of Wuhan who were not isolated at home during the epidemic There was no way to confirm whether they had a history of exposure to patients with COVID-19 Medical staffs involved in this case did not show COVID-19 related symptoms during 14 days of medical observation The other 15 patients recovered well
{"title":"Emergency surgical strategies for patients with acute abdomen during the COVID-19 outbreak","authors":"Jin-huang Chen, Ping Hu, P. Xu, Chaojie Hu, Ding Chen, Yang Wang, Qing-yong Chen, Hai Zheng, P. Cheng, Gang Zhao","doi":"10.3760/CMA.J.ISSN.1673-9752.2020.03.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-9752.2020.03.010","url":null,"abstract":"Objective: To investigate the emergency surgical strategies for patients with acute abdomen during the Corona Virus Disease 2019 (COVID-19) outbreak Methods: The retrospective and descriptive study was conducted The clinical data of 20 patients with acute abdomen who were admitted to the Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology between January 18, 2020 and February 10, 2020 were collected There were 13 males and 7 females, aged from 25 to 82 years, with an average age of 57 years All the patients with emergency surgeries received pulmonary computed tomography (CT) examination before surgery, and completed nucleic acid detection in throat swab if necessary Patients excluded from COVID-19 underwent regular anesthesia, suspected and confirmed cases were selected a proper anesthesia based on their medical condition and surgical procedure Patients excluded from COVID-19 underwent emergency surgeries following the regular procedure, suspected and confirmed cases underwent emergency surgeries following the three-grade protection Observation indicators: (1) surgical situations;(2) postoperative situations Measurement data with normal distribution were represented as average (range) Count data were described as absolute numbers Results: (1) Surgical situations: of the 20 patients with acute abdomen, 16 patients were excluded from COVID-19, and 4 were not excluded All the 20 patients underwent emergency abdominal surgeries successfully, of whom 2 received surgeries under epidural anesthesia (including 1 with open appendectomy, 1 with open repair of duodenal bulbar perforation), 18 received surgeries under general anesthesia (including 9 with laparoscopic repair of duodenal bulbar perforation, 3 with open partial enterectomy, 3 with laparoscopic appendectomy, 1 with laparoscopic left hemicolectomy, 1 with laparoscopic right hemicolectomy, 1 with cholecystostomy) The operation time of patients was 32-194 minutes, with an average time of 85 minutes The volume of intraoperative blood loss was 50-400 mL, with an average volume of 68 mL (2) Postoperative situations: 16 patients excluded from COVID-19 preopratively were treated in the private general ward postoperatively One of the 16 patients had fever at the postoperative 5th day and was highly suspected of COVID-19 after an emergency follow-up of pulmonary CT showing multiple ground-glass changes in the lungs The patient was promptly transferred to the isolation ward for treatment, and results of nucleic acid detection in throat swab showed double positive Medical history described by the patient showed that the patient and family members were residents of Wuhan who were not isolated at home during the epidemic There was no way to confirm whether they had a history of exposure to patients with COVID-19 Medical staffs involved in this case did not show COVID-19 related symptoms during 14 days of medical observation The other 15 patients recovered well ","PeriodicalId":36400,"journal":{"name":"中华消化外科杂志","volume":"19 1","pages":"262-266"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49381078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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