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Probable Neuropsychological and Cognitive Complications Due to Cytokine Storm in Patients With COVID-19. COVID-19 患者因细胞因子风暴而可能出现的神经心理和认知并发症。
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-09-01 DOI: 10.32598/bcn.2022.3202.1
Zahra Keshtgar, Gholamreza Chalabianloo, Niloofar Esmaeili

Introduction: COVID-19 (coronavirus disease 2019) was first identified in China in December 2019 and is rapidly spreading worldwide as a pandemic. Since COVID-19 causes mild to severe acute respiratory syndrome, most studies in this context have focused on pathogenesis primarily in the respiratory system. However, evidence shows that the central nervous system (CNS) may also be affected by COVID-19. Since COVID-19 is spreading, it is necessary to study its possible cognitive effects on COVID-19 patients and their recovery.

Methods: The articles used in this study were searched by keywords, such as cytokine storm and COVID-19, COVID-19 and executive dysfunction, cognitive disorder, and COVID-19, central nervous system (CNS) and COVID-19, coronavirus, neuroinvasion in Science Direct, Scopus, PubMed, Embase, and Web of Science databases based on preferred reporting items for systematic reviews and meta-analysis (PRISMA) checklist. The study evaluates all observational studies published between December 2019 and April 2021 in peer-reviewed journals, including cross-sectional, cohort, case-control studies, case reports, and case series. The search result was 106 articles, of which 73 articles related to COVID-19, the stages of infection by this virus, its effect on the nervous system and neurological symptoms, the cytokine storm caused by this infection, and the possible cognitive consequences caused by this virus in patients, has been reviewed. Other articles were not checked due to their limited relevance to the topic under discussion.

Results: Studies showed that neurons may be directly affected by severe acute respiratory syndrome coronavirus (SARS-CoV)-1 and SARS-CoV-2. Furthermore, various studies indicated that systemic inflammation (so-called "cytokine storm") is also responsible for brain damage induced by infection with SARS-CoV-1 and SARS-CoV-2. In such a way that these patients showed elevated levels of interleukin (IL-), 6, 8, and 10 and of tumor necrosis factor-alpha (TNF-α) in their blood.

Conclusion: Various cognitive defects have been observed following an increased level of cytokines, such as tumor necrosis factor-alpha (TNF-α) and interleukin (IL)-6, 8. Therefore, due to the increased level of these pro-inflammatory factors in the brains of these patients, cognitive deficits can be expected, which need further investigation.

导言:COVID-19(冠状病毒病2019)于2019年12月在中国首次发现,并作为一种流行病在全球迅速蔓延。由于 COVID-19 可导致轻度至重度急性呼吸系统综合征,因此这方面的大多数研究主要集中于呼吸系统的发病机制。然而,有证据表明,中枢神经系统(CNS)也可能受到 COVID-19 的影响。由于 COVID-19 正在扩散,因此有必要研究其可能对 COVID-19 患者的认知和康复产生的影响:本研究使用的文章是根据系统综述和荟萃分析的首选报告项目(PRISMA)核对表,在Science Direct、Scopus、PubMed、Embase和Web of Science数据库中以细胞因子风暴与COVID-19、COVID-19与执行功能障碍、认知障碍与COVID-19、中枢神经系统(CNS)与COVID-19、冠状病毒、神经入侵等关键词进行检索的。本研究评估了 2019 年 12 月至 2021 年 4 月期间在同行评审期刊上发表的所有观察性研究,包括横断面研究、队列研究、病例对照研究、病例报告和病例系列研究。检索结果为106篇文章,其中73篇文章与COVID-19相关,对该病毒感染的阶段、对神经系统和神经症状的影响、该病毒感染引起的细胞因子风暴以及该病毒可能对患者造成的认知后果进行了审查。由于其他文章与讨论主题的相关性有限,因此未对其进行检查:研究表明,神经元可能直接受到严重急性呼吸系统综合症冠状病毒(SARS-CoV)-1 和 SARS-CoV-2 的影响。此外,多项研究表明,全身炎症(所谓的 "细胞因子风暴")也是 SARS-CoV-1 和 SARS-CoV-2 感染导致脑损伤的原因。因此,这些患者的血液中白细胞介素(IL-)、6、8 和 10 以及肿瘤坏死因子-α(TNF-α)水平升高:在肿瘤坏死因子-α(TNF-α)和白细胞介素(IL)-6、8 等细胞因子水平升高后,已观察到各种认知缺陷。因此,由于这些患者大脑中这些促炎因子水平升高,预计会出现认知障碍,这需要进一步研究。
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引用次数: 0
Giant stone in a urinary bladder diverticulum in a 69-year-old male: a case report. 69岁男性膀胱憩室巨结石1例。
IF 1.2 3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-25 eCollection Date: 2023-01-01 DOI: 10.11604/pamj.2023.45.181.38723
Syarif Syarif, Abdul Azis, Muhammad Ilham Fauzan Patimura, Muhammad Zulharyahya Dandy Asmara Putra, Ade Nusraya, Ahmad Shafwan Natsir

The stone formation could occur due to urine stasis in the bladder diverticulum. However, the stones are usually smaller in size and can pass spontaneously. However, a giant stone inside vesical diverticulum is considered a rare entity. We report a 69-year-old male, with a two-year history of lower urinary tract symptoms along with a recurrence of urinary tract infection. An abdominal computed tomography scan revealed the presence of a giant bladder diverticulum and a large bladder stone. The patient underwent a transurethral bladder neck incision followed by diverticulectomy with stone extraction. The diverticulum size measures 6x4x3.8 cm and diverticulum stone size of 4x3x3 cm. Fortunately, the patient recovered well after the operation. In conclusion, giant stones inside large vesical diverticulum are a rare occurrence and should be considered in patients with lower urinary tract symptoms. Early diagnosis and optimal management of the obstruction are the principles to prevent long-term complications.

结石的形成可能是由于膀胱憩室的尿液淤积所致。然而,结石通常体积较小,可以自行排出。然而,膀胱憩室内的巨大结石被认为是罕见的实体。我们报告一位69岁男性,有两年的下尿路症状史,并伴有尿路感染复发。腹部计算机断层扫描显示存在巨大膀胱憩室和大膀胱结石。患者接受经尿道膀胱颈部切口,随后行憩室切除术并取出结石。憩室尺寸为6x4x3.8厘米,憩室结石尺寸为4x3x3厘米。幸运的是,病人手术后恢复得很好。综上所述,大膀胱憩室内的巨大结石是罕见的,在有下尿路症状的患者中应予以考虑。早期诊断和最佳处理是预防长期并发症的原则。
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引用次数: 0
Professional Burnout as a Mediator in the Relationship Between Pandemic-Related Stress and Social Care Workers’ Mental Health 职业倦怠在流行病相关压力与社会护理工作者心理健康关系中的中介作用
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-25 DOI: 10.1093/bjsw/bcad198
Lorraine Swords, Trevor Spratt, Holly Hanlon
Abstract Understanding pathways between social care workers’ Coronavirus disease-2019 (COVID-19)-related stress and poorer mental health outcomes can inform employers’ efforts to support the well-being of staff. The present study engaged 103 workers at an Irish Non-Government Organisation providing child and family support services. In the initial months following the cessation of pandemic restrictions in 2022, they completed an anonymous online survey that included questions about their experiences of COVID-19, their professional quality of life and their mental health. The aim was to explore the direct effect of COVID-related stress on workers’ mental health, and the indirect effect through the mediators of compassion satisfaction and the compassion fatigue components of burnout and secondary traumatic stress. The results indicated that greater levels of pandemic stress are significantly and directly related to both increased burnout and poorer mental health, and that burnout also partially mediates the relationship between pandemic stress and poorer mental health. This study adds to a growing body of work concerned to better understand the social care workers’ pandemic experiences, and results are discussed in terms of apprising employers of the need for timely and effective staff supports.
了解社会护理工作者与2019冠状病毒病(COVID-19)相关的压力与较差的心理健康结果之间的关系,可以为雇主提供信息,以支持员工的福祉。目前的研究涉及爱尔兰一家提供儿童和家庭支持服务的非政府组织的103名工作人员。在2022年大流行限制措施停止后的最初几个月里,他们完成了一项匿名在线调查,其中包括有关他们在COVID-19中的经历、职业生活质量和心理健康的问题。目的探讨新冠肺炎相关压力对工人心理健康的直接影响,以及通过同情满意度和倦怠和继发性创伤应激的同情疲劳成分的中介作用的间接影响。结果表明,大流行压力水平的升高与职业倦怠增加和较差的心理健康状况显著直接相关,职业倦怠也部分介导了大流行压力与较差的心理健康状况之间的关系。这项研究为更好地了解社会护理工作者的大流行病经验而开展的越来越多的相关工作增添了新的内容,并从通知雇主需要及时和有效的工作人员支持的角度讨论了研究结果。
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引用次数: 0
Mechanisms for Support: A Realist Evaluation of Peer Parental Advocacy in England 支持机制:英国同伴父母倡导的现实主义评价
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-23 DOI: 10.1093/bjsw/bcad200
Samantha Fitz-Symonds, Lilly Evans, David Tobis, David Westlake, Clive Diaz
Abstract International research shows that although parents perceive the child protection system to be stigmatising and authoritarian, peer parental advocacy (PPA) programmes have a positive impact on improving complex relationships between parents and professionals. PPA programmes enable parents with lived experience of child protection processes to support other parents to navigate the system. As an emerging area of policy interest, research investigating the role of PPA in empowering parents to participate meaningfully in decision-making is crucial to developing collaborative approaches within child protection social work. This realist-informed study considered how a newly implemented PPA programme supported parents in two English Local Authorities. Our findings highlight the unique role peer advocates can play as a resource to influence decision-making, power relations and working relationships between professionals and parents. This article presents our final programme theory, which identifies four key mechanisms that support perceived effectiveness in PPA implementation: active engagement, effective communication, facilitating trust and adequate support for advocates. These findings highlight how PPA programmes in these Local Authorities were valued and begin to build a picture of how further advocacy programmes can be explored throughout the UK.
国际研究表明,尽管父母认为儿童保护系统是污名化和专制的,但同伴父母倡导(PPA)项目对改善父母与专业人员之间的复杂关系具有积极影响。PPA方案使具有儿童保护过程实际经验的家长能够支持其他家长驾驭这一制度。作为一个政策关注的新兴领域,研究PPA在授权父母有意义地参与决策方面的作用,对于在儿童保护社会工作中开发合作方法至关重要。这项现实主义的研究考虑了新实施的PPA计划如何支持两个英国地方当局的父母。我们的研究结果突出了同伴倡导者作为影响决策、权力关系和专业人员与父母之间工作关系的资源所发挥的独特作用。本文提出了我们的最终方案理论,该理论确定了支持PPA实施的感知有效性的四个关键机制:积极参与、有效沟通、促进信任和对倡导者的充分支持。这些发现突出了这些地方当局的PPA项目是如何受到重视的,并开始构建如何在整个英国探索进一步倡导项目的图景。
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引用次数: 0
Using Therapeutic Photography in Social Work—An Interpretive Phenomenological Analysis of the Dynamics within a Group Programme 在社会工作中使用治疗摄影——对团体计划中动态的解释性现象学分析
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-17 DOI: 10.1093/bjsw/bcad196
Neil Gibson
Abstract Therapeutic photography is the practice of using photography in order to explore issues and reach defined outcomes with people who use services. It has been deemed to be an accessible tool which can have a positive impact on self-esteem, self-efficacy and empowerment. Using interpretive phenomenological analysis, this research analyses observations and focus group feedback from a group of participants receiving support from a third-sector organisation for mental health issues. Specifically, the data were analysed to look at how a therapeutic photography programme contributed to group dynamics, exploration and outcomes. Three inter-related super-ordinate themes were identified, these being (1) exposing the self; (2) searching; and (3) developing the self. These themes centred around the identity of the participants as they explored their photographs and associated narratives. The results suggest that the medium of photography contributes to enhanced self-disclosure and social bonding through the familiarity of engaging with photographs. The photographs also enable participants to feel in control of the information shared, facilitating the level of exploration and personal learning around identity and roles and could be beneficial in social work with groups where these outcomes are sought.
摘要:治疗摄影是使用摄影来探索问题并与使用服务的人达成明确结果的实践。它被认为是一种易于使用的工具,可以对自尊、自我效能和赋权产生积极影响。利用解释现象学分析,本研究分析了一组接受第三部门组织心理健康问题支持的参与者的观察结果和焦点小组反馈。具体来说,研究人员对数据进行了分析,以了解治疗性摄影项目如何促进群体动态、探索和结果。确定了三个相互关联的超协调主题,它们是:(1)暴露自我;(2)搜索;(3)发展自我。这些主题围绕着参与者的身份,因为他们探索了他们的照片和相关的叙述。研究结果表明,通过对照片的熟悉,摄影媒介有助于增强自我表露和社会联系。这些照片还能让参与者感觉自己在控制分享的信息,促进对身份和角色的探索和个人学习,并可能对寻求这些结果的团体的社会工作有益。
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引用次数: 0
Applying Logotherapy in Teaching Meaning in Life in Professional Training and Social Work Education 意义疗法在职业培训与社会工作教育教学中的应用
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-04 DOI: 10.1093/bjsw/bcad181
Wallace Chi Ho Chan
Abstract Meaning in life is an important topic for professional training and social work education. This article aims to illustrate how Viktor Frankl’s logotherapy could be applied as the framework in teaching meaning in life to social work students and helping professionals. It critically examines the experience of teaching meaning in life and integrating it with various training and education components, such as human behaviours, end-of-life and bereavement care, and self-care of helping professionals. Reflections on these teaching experiences suggest that the significance of teaching meaning in life is recognised by helping professionals and students, especially its dual influence on both personal and professional aspects. Lack of systematic and continuous training and education of meaning in life may be a hindrance for more in-depth understanding and learning. More case examples and discussion may help advance helping professionals’ practice to facilitate service users’ meaning searching. Reflecting on meaning in life may also facilitate helping professionals’ coping with existential challenges in work, but such self-care training should be offered regularly to provide continuous support. This article suggests that teaching meaning in life may have great implications for the psychological health of helping professionals and the service users who receive their professional services.
摘要生命的意义是专业培训和社会工作教育的一个重要课题。本文旨在说明如何将维克多·弗兰克尔的意义疗法作为框架应用于社会工作学生和帮助专业人员的生活意义教学。它批判性地考察了教学生活意义的经验,并将其与各种培训和教育组成部分相结合,如人类行为,生命终结和丧亲关怀,以及帮助专业人员的自我照顾。对这些教学经验的反思表明,通过帮助专业人员和学生来认识教学在生活中的意义的重要性,特别是它对个人和专业方面的双重影响。缺乏系统的、持续的关于生活意义的培训和教育,可能会阻碍更深入的理解和学习。更多的案例和讨论可能有助于推进帮助专业人员的实践,以促进服务用户的意义搜索。反思生活的意义也有助于帮助专业人士应对工作中存在的挑战,但这种自我护理培训应该定期提供,以提供持续的支持。本文认为,教学生活的意义可能对帮助专业人员和接受他们的专业服务的服务使用者的心理健康有很大的影响。
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引用次数: 0
Practitioner Vulnerability in Children and Families Social Work—Identity, Impact and Implications 儿童和家庭社会工作中的从业者脆弱性——身份、影响和启示
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-02 DOI: 10.1093/bjsw/bcad179
Ian Dore, Paul Teverson, Sarah Wilkins
Abstract Based on in-depth qualitative interviews, this article explores the experiences of vulnerability for nineteen children and families Social Workers in England and discusses how this emotional state manifests and impacts upon practice. As this study shows, workers frequently harbour personal vulnerabilities that can motivate them in their work and act as an enabler within relationships with service users; these same feelings can also provoke a sense of threat and discomfort, resulting in self-doubt and reduced confidence. Whether carried from the past or housed in the present, feelings of vulnerability often rise to the surface when provoked by routine encounters with clients and the knotty issues that surround them; what is valued by Social Workers encountering such feelings is a sense of validation and recognition. In taking an explicit focus on practitioner vulnerability, this article adds an original contribution to the literature concerning the emotional world of Social Workers. It reveals vulnerability to be an important component of identity and a driver for practice, which needs to be given greater consideration in social work training and employment, arguing that enhanced attention to worker histories, emotional challenges and self-care are not only necessary but also essential for practitioner and client well-being.
摘要本文通过深入的定性访谈,探讨了19名英国儿童和家庭社会工作者的脆弱性经历,并讨论了这种情绪状态如何表现及其对实践的影响。正如这项研究所显示的,员工经常隐藏个人弱点,这可以激励他们在工作中,并在与服务用户的关系中发挥推动作用;这些同样的感觉也会引发一种威胁感和不适感,导致自我怀疑和信心下降。无论是来自过去还是现在,当与客户的日常接触以及围绕他们的棘手问题激起时,脆弱感往往会浮出水面;遇到这种感觉的社会工作者所看重的是一种被认可和认可的感觉。在对从业者脆弱性的明确关注中,本文为有关社会工作者情感世界的文献增加了原创贡献。它揭示了脆弱性是身份的重要组成部分和实践的驱动力,在社会工作培训和就业中需要给予更多的考虑,认为加强对工作者历史,情感挑战和自我照顾的关注不仅是必要的,而且是从业者和客户福祉的必要条件。
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引用次数: 0
Supporting Relational, Trauma-Informed Social Care Work with Autistic Adults: Evaluation of a Reflective Supervision Group Pilot 孤独症成人的支持性关系、创伤性社会关怀工作:反思性监督小组试点的评价
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-08-02 DOI: 10.1093/bjsw/bcad177
Patrick Hallinan, Aisling McMahon
Abstract There is a growing body of literature highlighting the need for reflective supervision to support the often complex and challenging practice of social care workers. The current study aimed to explore an Irish social care team’s experience of a pilot reflective supervision group. The study participants were six male social care workers supporting autistic adults in the community. The team met for four one-monthly group supervision sessions, facilitated by an external supervisor. A reflective, relational approach was taken to the supervisory work, using role-play, free association and the Seven-Eyed model of supervision. At the end of the four-month pilot, participants completed a brief questionnaire to evaluate the supervision group experience. Thematic analysis of the participants’ open responses revealed the following themes: (i) increased insight/empathy; (ii) experiential learning; (iii) enhanced awareness/skills in relational practice; (iv) personal resilience; (v) team resilience; and (vi) emotional challenges. The study results suggest the potential importance of reflective supervision in boosting resilience, motivation and emotional insight when supporting people with unique relational needs.
越来越多的文献强调需要反思性监督来支持社会护理工作者的复杂和具有挑战性的实践。本研究旨在探讨爱尔兰社会关怀团队在试点反思性监督小组中的经验。这项研究的参与者是六名男性社会护理工作者,他们在社区里为自闭症成年人提供帮助。该小组每月举行四次小组监督会议,由一名外部主管协助。在监督工作中采用了一种反思的、关系的方法,使用角色扮演、自由联想和七眼监督模式。在为期四个月的试点结束时,参与者完成了一份简短的问卷,以评估监督小组的经验。对参与者公开回答的主题分析揭示了以下主题:(i)增加了洞察力/同理心;(ii)体验式学习;提高有关实践的认识/技能;(四)个人适应力;(五)团队韧性;(六)情感挑战。研究结果表明,在支持有独特关系需求的人时,反思性监督在提高适应力、动机和情感洞察力方面具有潜在的重要性。
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引用次数: 0
Categorising Demand for Child Welfare Services Using Latent Class Analysis: A Study of the National Data-sets on Children in Need in England 使用潜在阶级分析对儿童福利服务的需求进行分类:对英国有需要儿童的国家数据集的研究
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-06-16 DOI: 10.1093/bjsw/bcad141
Rick Hood, Allie Goldacre, Ed Jones, Adam King, Keith Clements, Calum Webb
Abstract In England, administrative data on children’s needs are recorded following a social work assessment. These data are typically used to understand prevalence of individual risk factors and to inform processes, such as the work of local safeguarding partners and multi-agency services. However, reporting individual factors at assessment cannot capture the complexity and heterogeneity of multiple and overlapping needs. This study aimed to identify common types of demand, via a limited number of clusters, using the factors recorded in a national data-set of over 4.2 million assessments carried out between 2014 and 2021, of which 3.6 million had at least one factor recorded. Latent class analysis was used to identify twelve distinct categories of demand for children’s social care services, which were consistent across local authorities. Conditional probabilities were used to interpret the demand represented by each category, in consultation with stakeholders. The most prevalent category was domestic abuse and violence (19.7 per cent), followed by complexities around parental mental health (18.4 per cent). Other categories included disability, child mental health, risks outside the home, complex domestic abuse and concerns about another person in the family or household. This article examines some of the operational and planning implications of categorising demand in this way.
在英国,儿童需求的行政数据记录在社会工作评估之后。这些数据通常用于了解个别风险因素的普遍程度,并为诸如当地保护伙伴和多机构服务的工作等过程提供信息。然而,在评估中报告个别因素不能捕捉多重和重叠需求的复杂性和异质性。本研究旨在利用2014年至2021年期间进行的420多万次评估的国家数据集中记录的因素,通过数量有限的集群确定常见的需求类型,其中360万次至少记录了一个因素。潜在阶级分析用于确定儿童社会护理服务的12个不同类别的需求,这些需求在地方当局之间是一致的。在与利益相关者协商后,使用条件概率来解释每个类别所代表的需求。最普遍的类别是家庭虐待和暴力(19.7%),其次是父母心理健康的复杂性(18.4%)。其他类别包括残疾、儿童心理健康、家庭以外的风险、复杂的家庭虐待以及对家庭或家庭中另一个人的关切。本文探讨了以这种方式对需求进行分类的一些操作和规划含义。
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引用次数: 0
Fam Fam公司
3区 社会学 Q1 SOCIAL WORK Pub Date : 2023-04-01 DOI: 10.1093/bjsw/bcad070
Ric Flo
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引用次数: 0
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British Journal of Social Work
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