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The river of life method in a schema therapy groups. 图式治疗小组中的生命之河法。
Pub Date : 2024-01-31
Jan Prasko, Marie Ociskova, Julius Burkauskas, Jakub Vanek, Ilona Krone, Julija Gecaite-Stonciene, Marija Abeltina, Jelena Holomany, Milos Slepecky, Alicja Juskiene

Schema therapy is an integrative approach to treat patients with personality disorders and other complex psychological problems. Group schema therapy has been developed to enhance the effectiveness and efficiency of schema therapy by providing a supportive and stimulating environment for change. This article introduces the River of Life Method, a novel technique for facilitating group schema therapy, based on the metaphor of a river of life. The method helps patients to identify and modify their maladaptive schemas and modes in a nurturing process in the group. The article describes the theoretical background, the practical steps, and the clinical applications of the method. It also presents the patients' experience with the method, based on their feedback and self-reports. The results showed that the method was well received by both patients and therapists, and that it had positive effects on schema modes, psychological distress, and coping with adversities and hope for the future.

模式疗法是一种治疗人格障碍和其他复杂心理问题患者的综合方法。团体模式疗法的开发旨在通过提供支持性和激励性的改变环境,提高模式疗法的效果和效率。本文介绍了 "生命之河法"(River of Life Method),这是一种以 "生命之河 "为隐喻的促进团体模式疗法的新技术。该方法可帮助患者在小组的培育过程中识别和修正其不良图式和模式。文章介绍了该方法的理论背景、实践步骤和临床应用。文章还根据患者的反馈和自我报告,介绍了他们对该方法的体验。结果表明,该方法深受患者和治疗师的欢迎,对模式、心理困扰、应对逆境和对未来的希望都有积极影响。
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引用次数: 0
Revisiting the role of TEG-PM in stroke prevention by drug selection for mono-antiplatelet medication following dual-antiplatelet treatment. 通过双抗血小板治疗后的单抗血小板药物选择,重新审视 TEG-PM 在中风预防中的作用。
Pub Date : 2024-01-31
Lei Yan, Wenzhao Liang, Bingyang Zhao, Zhongyu Zhao, Kai Zhang, Lingling Wang, Jing Mang

Backgrounds: Dual-antiplatelet therapy (DAPT) with aspirin and clopidogrel for minor strokes or TIAs has been demonstrated in several RCTs. Whether drug selection for mono-antiplatelet therapy (MAPT) following DAPT may influence stroke recurrence has not been clarified, especially for patients with intracranial atherosclerosis stenosis (ICAS). The Thrombelastography Platelet Mapping (TEG-PM) assay claimed to be capable of monitoring platelet function secondary to antiplatelet therapy.

Purpose: The aim of this study was to investigate the preventive role of TEG-PM in individualized drug selection for MAPT following DAPT in patients with minor stroke or TIA.

Methods: We retrospectively reviewed our patient database to identify individuals with minor stroke or TIA between February 2019 and July 2022. Patients were divided into ICAS and non-ICAS groups, and the efficacy and safety of TEG-PM-guided MAPT for stroke prevention after minor stroke or TIA were investigated in each group.

Results: ICAS patients with TEG-PM-guided MAPT had lower rates of recurrent stroke than patients without TEG-PM guidance during a mean follow-up period of 18.1 months (6.3% vs 15.2%; p = 0.04). Patients without ICAS also tended to benefit from TEG-PM-guided MAPT with lower rates of stroke recurrence (2.6% vs 8.7%; p = 0.02). No difference in the safety outcome of any bleeding events was observed in patients with TEG-PM-guided MAPT and those without (ICAS group, 2.1% vs 3.0%; p = 0.68; non-ICAS group, 1.3% vs 2.3%; p = 0.79).

Conclusion: The TEG-PM could be a tangible preprocessing in drug selection for MAPT following DAPT in patients with minor strokes or TIAs, especially for those with non-stented ICASs.

背景:阿司匹林和氯吡格雷双抗血小板疗法(DAPT)治疗轻微脑卒中或 TIA 已在多项 RCT 中得到证实。DAPT 后单抗血小板疗法(MAPT)的药物选择是否会影响中风复发尚未明确,尤其是对于颅内动脉粥样硬化狭窄(ICAS)患者。目的:本研究旨在探讨 TEG-PM 在轻微卒中或 TIA 患者 DAPT 后 MAPT 的个体化药物选择中的预防作用:我们回顾性审查了患者数据库,以确定 2019 年 2 月至 2022 年 7 月期间的轻微卒中或 TIA 患者。将患者分为 ICAS 组和非 ICAS 组,分别研究 TEG-PM 引导的 MAPT 在轻微卒中或 TIA 后预防卒中的有效性和安全性:结果:在平均 18.1 个月的随访期内,接受 TEG-PM 引导的 MAPT 的 ICAS 患者的中风复发率低于未接受 TEG-PM 引导的患者(6.3% vs 15.2%;P = 0.04)。无 ICAS 的患者也倾向于从 TEG-PM 引导的 MAPT 中获益,中风复发率较低(2.6% vs 8.7%;p = 0.02)。TEG-PM引导下的MAPT与非TEG-PM引导下的MAPT患者在出血事件的安全性结果上没有差异(ICAS组,2.1% vs 3.0%;p = 0.68;非ICAS组,1.3% vs 2.3%;p = 0.79):TEG-PM可作为轻微脑卒中或TIA患者DAPT后MAPT药物选择的有效预处理,尤其适用于ICAS未置入支架的患者。
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引用次数: 0
Exploring self-care within the context of cognitive behavioural therapy and supervision. 在认知行为疗法和督导的背景下探索自我保健。
Pub Date : 2024-01-31
Jan Prasko, Marija Abeltina, Julija Gecaite-Stonciene, Julius Burkauskas, Ilona Krone, Erika Jurisova, Marta Zatkova, Jakub Vanek, Milos Slepecky, Marie Ociskova

This article emphasizes the critical role of self-care in the professional lives of cognitive behavioural therapy (CBT) therapists and supervisors. It delves into the importance of self-care, elucidating its significance in maintaining therapists' mental health and effectiveness. The article presents a range of practical strategies that promote self-care, providing therapists and supervisors with specific steps to incorporate self-care into their daily routines. Moreover, the article explores common challenges and barriers to self-care, such as a lack of time, feelings of guilt associated with prioritizing one's needs, and a lack of available resources for self-care. The article aims to deepen our understanding of the complexities of practising self-care by shedding light on possible obstacles. In addition, the article includes case vignettes that demonstrate tangible examples of the positive impact of self-care on therapists' mental health and effectiveness. The overarching goal of this article is to encourage ongoing discussion and research on self-care. It advocates a greater emphasis on self-care in CBT and CBT supervision (CBTS), intending to promote the health and well-being of those who dedicate their lives to caring for others. The insights and strategies presented in this article serve as a resource for therapists and supervisors striving to achieve a balanced lifestyle while effectively catering to the needs of their clients.

本文强调了自我保健在认知行为疗法(CBT)治疗师和督导师职业生活中的关键作用。文章深入探讨了自我保健的重要性,阐明了其对保持治疗师心理健康和工作效率的重要意义。文章介绍了一系列促进自我保健的实用策略,为治疗师和督导提供了将自我保健纳入日常工作的具体步骤。此外,文章还探讨了自我保健所面临的常见挑战和障碍,如缺乏时间、因优先考虑自身需求而产生的负罪感以及缺乏用于自我保健的可用资源等。文章旨在通过揭示可能存在的障碍,加深我们对自我保健复杂性的理解。此外,文章还包括一些案例,以具体实例说明自我保健对治疗师心理健康和工作效率的积极影响。本文的总体目标是鼓励对自我保健进行持续的讨论和研究。它提倡在 CBT 和 CBT 督导(CBTS)中更加重视自我保健,旨在促进那些致力于照顾他人的人的健康和幸福。本文提出的见解和策略可作为治疗师和督导人员的资源,帮助他们在有效满足客户需求的同时,努力实现平衡的生活方式。
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引用次数: 0
Association between COVID-19 vaccination and hair cortisol concentrations. 接种 COVID-19 疫苗与毛发皮质醇浓度之间的关系。
Pub Date : 2024-01-31
Yuemin Ding, Yuxuan Xiong, Jingru Zhao, Ying Zhang, Qiang Zheng, Zulun Gao, Liuyi Lu, Kai Guo, Zhihao Bai, Hangdi Chen, Jiali Zhang, Meiyin Zhong, Aiwu Huang, Shiwei Duan, Xiong Zhang

Background: Cortisol is a steroid hormone secreted mainly by the adrenal cortex and is associated with chronic stress levels in the body. Hair cortisol concentration (HCC) is a reliable index to assess human stress levels. So far, no study has reported whether COVID-19 vaccination is associated with the changes of HCC.

Methods: Hair samples were collected from 114 college students at Hangzhou City University and Zhejiang University. Among them, 57 cases completed COVID-19 vaccination and others did not. HCCs were measured by the chemiluminescence immunoassay (CLIA). The psychological stress levels were evaluated using the Chinese College Student Psychological Stress Scale (CCSPSS). General information and adverse reactions of the subjects were collected by questionnaire.

Results: Compared with the vaccinated college students, the unvaccinated students had higher HCC levels in both A and B hair segments respectively corresponding older or six weeks before and newer or six weeks after vaccination (p < 0.05), reflecting higher stress levels. Besides, the vaccinated group had significantly higher HCCs in segment B compared with segment A (p < 0.05). Further analysis showed that the value of ΔHCC (HCCseg.B - HCCseg.A) of the vaccinated group was strongly associated with COVID-19 vaccination (p < 0.05), but was not associated with age, gender, BMI, CCSPSS score, hormone use, exercise frequency, hair washing frequency, or hair treatment. Finally, the number of self-reported systemic adverse reactions in the vaccinated group was associated with ΔHCC (p < 0.01).

Conclusion: The COVID-19 vaccination had an impact on the value of HCC, which might be linked to the occurrence of systemic adverse effects following vaccinations.

背景:皮质醇是一种主要由肾上腺皮质分泌的类固醇激素,与体内的慢性压力水平有关。毛发皮质醇浓度(HCC)是评估人体压力水平的可靠指标。方法:收集杭州城市大学和浙江大学 114 名大学生的毛发样本。方法:收集杭州城市大学和浙江大学 114 名大学生的头发样本,其中 57 例完成了 COVID-19 疫苗接种,其他未接种。采用化学发光免疫测定(CLIA)法测定 HCC。心理压力水平采用中国大学生心理压力量表(CCSPSS)进行评估。通过问卷调查收集受试者的一般信息和不良反应:结果:与接种过疫苗的大学生相比,未接种过疫苗的大学生在接种前六周和接种后六周的A、B两段头发中的HCC水平分别较高:接种 COVID-19 疫苗对 HCC 值有影响,这可能与接种疫苗后出现的全身不良反应有关。
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引用次数: 0
Standard low-resolution electromagnetic tomography imaging of brain for the analysis of mental fatigue during a simulated air traffic control task. 标准低分辨率电磁断层扫描脑成像,用于分析模拟空中交通管制任务中的精神疲劳。
Pub Date : 2023-12-12
Lin Cong, Meiqing Huang, Jinghua Yang, Shan Cheng, Chaolin Teng, Kaiwen Xiong, Taihui Zhang, Weitao Dang, Cui Liu, Jin Ma, Wendong Hu

Background: Standard low-resolution electromagnetic tomography (sLORETA) was used to accurately detect EEG changes in mental fatigue of air traffic controllers (ATCo) under a simulated air traffic control (ATC) task. We explored the changes in standard current density, activated cortical intensity, and brain source location.

Methods: The participants were instructed to use the tower flight command simulation training system for three hours of uninterrupted ATC task. The 3-hour EEG signal was divided into four stages: task start, 1st hour, 2nd hour, and task end. Each stage was preprocessed for 3 minutes to explore the EEG changes and then processed by sLORETA in a statistical non-parametric mapping analysis.

Results: The current density distribution of δ and α oscillations differed significantly during the four tasks, while θ, β and γ oscillations did not. Changes in δ oscillations of the brain during mental fatigue were detected mainly in the postcentral gyrus (BA2 and BA3), precentral gyrus (BA4 and BA6), inferior temporal gyrus (BA20), and superior temporal gyrus (BA38). The α oscillations were found mainly decreased in the postcentral gyrus (BA2) and inferior parietal lobule (BA40) when the task was in progress compared with the end of the task.

Conclusion: The superior temporal gyrus and somatosensory cortex were the main activated cortical regions during the simulated ATC task. The α and δ oscillations showed contrasting activity during simulated ATC task, which might reflect the release of task-relevant brain's areas from inhibition and enhance the neural activity.

背景:标准低分辨率电磁断层扫描(sLORETA)用于准确检测模拟空中交通管制(ATC)任务下空中交通管制员(ATC)精神疲劳时的脑电图变化。我们探讨了标准电流密度、激活皮层强度和脑源位置的变化:方法:指导参与者使用塔台飞行指挥模拟训练系统进行 3 小时不间断的空管任务。3 小时的脑电信号分为四个阶段:任务开始、第一小时、第二小时和任务结束。每个阶段都经过 3 分钟的预处理,以探索脑电图的变化,然后用 sLORETA 进行非参数映射统计分析:结果:在四项任务中,δ和α振荡的电流密度分布有显著差异,而θ、β和γ振荡则没有。精神疲劳时大脑δ振荡的变化主要出现在中央后回(BA2和BA3)、中央前回(BA4和BA6)、颞下回(BA20)和颞上回(BA38)。与任务结束时相比,任务进行时α振荡主要在中央后回(BA2)和顶叶下小叶(BA40)减少:结论:颞上回和躯体感觉皮层是模拟 ATC 任务过程中被激活的主要皮层区域。结论:颞上回和躯体感觉皮层是模拟 ATC 任务过程中被激活的主要皮层区域,α 和 δ 振荡在模拟 ATC 任务过程中表现出截然不同的活动性,这可能反映了与任务相关的脑区从抑制中释放出来并增强了神经活动。
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引用次数: 0
Exploratory research on genetic polymorphisms associated with positive empathy and trait forgivingness among the Japanese. 关于日本人积极移情和特质宽容相关基因多态性的探索性研究。
Pub Date : 2023-12-12
Masahiro Matsunaga, Yohsuke Ohtsubo, Takahiko Masuda, Yasuki Noguchi, Hidenori Yamasue, Keiko Ishii

Objectives: Previous studies have indicated that good human relationships contribute significantly to subjective well-being. We recently focused on two important ways of developing good interpersonal relationships: positive empathy, which focuses on the happiness of other people, and trait forgivingness, a tendency to forgive others. We novelly conducted an exploratory genome-wide association study (GWAS) to identify candidate gene polymorphisms associated with positive empathy and trait forgivingness among the Japanese.

Material and methods: We for the first time identified several genetic polymorphisms associated with positive empathy and trait forgivingness through the GWAS based on a small sample population and relatively low threshold. We subsequently validated three genetic polymorphisms from these candidate genes using a real-time polymerase chain reaction system.

Results: The results demonstrated that polymorphism in the vomeronasal type-1 receptor 1 (VN1R1) (rs61744949), a putative human pheromone receptor, is associated with positive empathy. In addition, genetic polymorphisms in the 5-hydroxytryptamine (serotonin) receptor 7 (HTR7: rs77843021) and tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, epsilon (YWHAE: rs9908013), which are associated with dopamine and serotonin biosynthesis, are associated with trait forgivingness.

Conclusion: This study novelly illustrated the influence of the genetic polymorphism in VN1R1 on positive empathy and that of genetic polymorphisms in HTR7 and YWHAE on trait forgivingness. It identified a relationship between previously unreported genetic polymorphisms and the necessary abilities for developing good human relationships. This will significantly impact future research on positive psychology and social psychology.

研究目的以往的研究表明,良好的人际关系对人的主观幸福感大有裨益。最近,我们重点研究了发展良好人际关系的两种重要方式:积极移情(关注他人的幸福)和特质宽容(倾向于原谅他人)。我们新颖地开展了一项探索性全基因组关联研究(GWAS),以确定与日本人的积极同理心和特质宽容相关的候选基因多态性:我们基于小样本人群和相对较低的门槛,通过 GWAS 首次发现了与积极移情和特质宽容相关的几个基因多态性。随后,我们利用实时聚合酶链反应系统对这些候选基因中的三个基因多态性进行了验证:结果表明,人类信息素受体(vomeronasal type-1 receptor 1,VN1R1)(rs61744949)的多态性与积极移情相关。此外,与多巴胺和血清素生物合成有关的 5-羟色胺(5-羟色胺)受体 7(HTR7:rs77843021)和酪氨酸 3-单氧化酶/色氨酸 5-单氧化酶激活蛋白,epsilon(YWHAE:rs9908013)的遗传多态性与特质宽容有关:本研究新颖地说明了 VN1R1 基因多态性对积极移情的影响,以及 HTR7 和 YWHAE 基因多态性对特质宽容的影响。该研究发现了以前未报道过的基因多态性与发展良好人际关系的必要能力之间的关系。这将对未来的积极心理学和社会心理学研究产生重大影响。
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引用次数: 0
Urinary microalbumin/creatinine ratio is a predictor of the occurrence and severity of leukoaraiosis. 尿微量白蛋白/肌酐比值可预测白癫风的发生和严重程度。
Pub Date : 2023-12-12
PingPing Jin, ShanShan Ye, Hua Ye, QiaoWen Tong, QingYuan Zhang

Objective: To investigate the correlation between the urinary microalbumin/creatinine ratio (UACR) and the occurrence and severity of leukoaraiosis.

Methods: A total of 323 patients were retrospectively recruited. Demographic, clinical, and laboratory data were collected at the time of admission, and the UACR was calculated based on the levels of urinary microalbumin and creatinine. All patients showed improvement in cranial magnetic resonance imaging (MRI) examination. The subjects were divided into leukoaraiosis and non-leukoaraiosis groups according to the results of the cranial MRI examination. According to the Fazekas standard score, the patients in the leukoaraiosis group were divided into the mild leukoaraiosis group: Fazekas (1-2 points), moderate leukoaraiosis group: Fazekas (3-4points); and severe leukoaraiosis group: Fazekas (5-6 points).

Results: A regression analysis was performed to adjust for confounding factors. (1) Compared with the non-leukoaraiosis group, UACR level was higher in the leukoaraiosis group at admission, and the difference between the groups was statistically significant (p < 0.05). (2) In the multivariate logistic regression analysis, UACR was correlated with the occurrence of leukoaraiosis, which may be an independent risk factor. (3) The UACR levels increased gradually in the mild, moderate and severe leukoaraiosis groups, and the difference was statistically significant (p< 0.05). (4) In the ordered multi-category logistic regression analysis, UACR was correlated with the severity of leukoaraiosis, which may be an independent risk factor.

Conclusion: UACR is associated with the occurrence and severity of leukoaraiosis, and may be an independent risk factor.

摘要研究尿微量白蛋白/肌酐比值(UACR)与白癫风发生率和严重程度之间的相关性:方法:回顾性招募了 323 名患者。入院时收集了人口统计学、临床和实验室数据,并根据尿微量白蛋白和肌酐水平计算出 UACR。所有患者的头颅磁共振成像(MRI)检查结果均有所改善。根据头颅磁共振成像检查结果,受试者被分为白癫风组和非白癫风组。根据 Fazekas 标准分数,白癫风组患者被分为轻度白癫风组:Fazekas(1-2 分);中度白癫风组:Fazekas(3-4分);重度白癫风组:结果:对混杂因素进行了回归分析。(1)与非白癫风组相比,白癫风组入院时的 UACR 水平更高,组间差异有统计学意义(P < 0.05)。(2)在多变量逻辑回归分析中,UACR 与白癫风的发生相关,可能是一个独立的危险因素。(3)轻度、中度和重度白癫风组的 UACR 水平逐渐升高,差异有统计学意义(P< 0.05)。(4)在有序多分类逻辑回归分析中,UACR 与白癫风的严重程度相关,可能是一个独立的危险因素:结论:UACR 与白癫风的发生和严重程度相关,可能是一个独立的危险因素。
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引用次数: 0
The correlation among Claudin-9, Tyrosine kinase-2, and Signal transducers and activators of transcription-3 expressions in non-functioning pituitary adenoma and invasiveness. 非功能性垂体腺瘤中Claudin-9、酪氨酸激酶-2和转录信号转导和激活因子-3的表达与侵袭性的相关性。
Pub Date : 2023-12-12
Abudukadier Yasen, Maimaitiyiming Tuoheti, Ba Tu, Cheng Zhang, Yu Ding, Fey Tang, Yonggang Wu

Background: Deeper studies on the pathological mechanism associated with invasiveness of non-functioning pituitary adenoma (NFPA) is imperative to find better treatments. This research was preliminarily conducted to investigate the correlation between the expression of Claudin-9 (CLDN9), Tyrosine kinase-2 (TYK2), Signal transducers and activators of transcription-3 (STAT3) and invasiveness in NFPA to illustrate the pathological mechanism.

Methods: Clinical data and surgical specimens of 12 patients with NFPA were collected and divided into invasive and non-invasive NFPA groups, comprising six patients for each group. CLDN9, TYK2 and STAT3 transcription and expression levels in the NFPA tissues of the two groups were detected by quantitative real-time polymerase chain reaction (qRT-PCR), Western blotting (WB) and immunohistochemistry (IHC). The lentiviral plasmid transfection technique was used to develop a rat pituitary tumour GT1-1 cell line null control group (NC) and CLDN9-overexpressed experimental group (OE-CLDN9), and TYK2 and STAT3 transcription levels in the NC and OE-CLDN9 cell groups were detected using qRT-PCR.

Results: The CLDN9 and STAT3 expressions were significantly higher in invasive than in non-invasive NFPA tissues, whereas the TYK2 expression in invasive NFPA tissues was significantly lower than that in non-invasive NFPA (p < 0.001); The STAT3 upregulated (p < 0.001) and the TYK2 downregulated (p < 0.01) after the CLDN9 overexpression.

Conclusion: Upregulated CLDN9 may increase the NFPA invasiveness through STAT3. In addition, low TYK2 expression might enhance the invasiveness in NFPA, which needs further studies to confirm. These results could provide a promising research leads for targeted treatment of NFPA.

背景:深入研究与非功能性垂体腺瘤(NFPA)侵袭性相关的病理机制是找到更好的治疗方法的当务之急。本研究初步探讨了非功能性垂体腺瘤中Claudin-9(CLDN9)、酪氨酸激酶-2(TYK2)、转录信号转导和激活因子-3(STAT3)的表达与侵袭性的相关性,以说明其病理机制:收集12例NFPA患者的临床资料和手术标本,将其分为侵袭性和非侵袭性NFPA组,每组6例。通过实时定量聚合酶链反应(qRT-PCR)、免疫印迹(WB)和免疫组化(IHC)检测两组 NFPA 组织中 CLDN9、TYK2 和 STAT3 的转录和表达水平。利用慢病毒质粒转染技术分别构建了大鼠垂体瘤GT1-1细胞系空对照组(NC)和CLDN9表达实验组(OE-CLDN9),并利用qRT-PCR检测了NC和OE-CLDN9细胞组中TYK2和STAT3的转录水平:结果:CLDN9和STAT3在浸润性NFPA组织中的表达明显高于非浸润性NFPA组织,而TYK2在浸润性NFPA组织中的表达明显低于非浸润性NFPA组织(p < 0.001);STAT3上调(p 结论:CLDN9和STAT3在浸润性NFPA组织中的表达明显高于非浸润性NFPA组织,而TYK2在浸润性NFPA组织中的表达明显低于非浸润性NFPA组织(p < 0.001):上调的CLDN9可能通过STAT3增加NFPA的侵袭性。此外,TYK2 的低表达可能会增强 NFPA 的侵袭性,这还需要进一步研究证实。这些结果可为 NFPA 的靶向治疗提供有前景的研究线索。
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引用次数: 0
Combination therapy for patients with a developmental dysphasia: selected approaches based on special education, rehabilitation and psychology in a systematic case study. 发育性失语症患者的综合治疗:系统案例研究中基于特殊教育、康复和心理学的选定方法。
Pub Date : 2023-12-12
Michal Vostrý, Ilona Pešatová, Barbora Lanková, Otakar Fleischmann, Jaroslava Jelínková, Ivana Štolová, Radka Beranová, Nikola Mundoková

Objective: The paper deals with the possibilities of the development and the support of individuals with developmental dysphasia with regard to the legislative framework of the Czech Republic in the field of education and presents the results of a systematic case study of a child patient diagnosed with developmental dysphasia (according to ICD-10; F80.1 and F80.2).

Case report: The study aimed to determine the effect of combined therapy using long-term special educational, rehabilitation and psychological intervention, speech therapy and music therapy on the development of the patient's communication skills. The proband was selected by random, stratified sampling based on pre-determined relevant characteristics (age 6 years i.e., before entering primary school, diagnosed with developmental dysphasia). A 6-year-old child patient participated in the research with the consent of the legal representative. The therapy was focused on special educational care, speech therapy, music therapy and psychological intervention (including psychotherapy). During the hospitalization and post-hospitalization care, there was also the presence of a physiotherapist and an occupational therapist.

Conclusion: The results of the research point out the need for regular and close multidisciplinary cooperation of an occupational therapist, a physiotherapist, a special educator, a speech therapist, a music therapist and a psychologist when working with patients diagnosed with developmental dysphasia. These professions focus specifically on specific areas of support with a focus on cognitive, phatic and motor functions with the support of social adaptability.

目的本文论述了在捷克共和国教育领域立法框架内发展和支持发育性失语症患者的可能性,并介绍了对一名被诊断患有发育性失语症(根据 ICD-10;F80.1 和 F80.2)的儿童患者进行系统性病例研究的结果:研究旨在确定长期特殊教育、康复和心理干预、言语治疗和音乐治疗等综合疗法对患者沟通能力发展的影响。根据预先确定的相关特征(6 岁,即进入小学前,被诊断为发育性失语症),通过分层随机抽样的方式选取了患者。一名 6 岁儿童患者在法定代理人的同意下参与了研究。治疗的重点是特殊教育护理、语言治疗、音乐治疗和心理干预(包括心理治疗)。在住院期间和住院后的护理中,还有一名物理治疗师和一名职业治疗师在场:研究结果表明,在治疗被诊断为发育性失语症的患者时,需要职业治疗师、物理治疗师、特殊教育工作者、言语治疗师、音乐治疗师和心理学家定期开展密切的多学科合作。这些专业人员特别关注特定领域的支持,重点是认知、语言和运动功能以及社会适应能力。
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引用次数: 0
Loss of Consciousness and Prolonged Convulsions Due to Amanita Pantherina Intoxication. 天南星中毒导致意识丧失和长时间抽搐。
Pub Date : 2023-12-12
Lukáš Handl, Martin Nováček, Robin Šín, Lenka Čechurová

Loss of consciousness ranks among very common causes for emergency medical service actions and is common occurrence in the emergency department. Its differential diagnosis is very broad and includes many possible causes, not in the least an intoxication. The same applies to convulsive states. Clinical course of mushroom poisoning varies depending on the particular fungal species, with some of the species causing loss of consciousness. One typical representative of such species is panther cap (Amanita pantherina). This case report introduces panther cap poisoning, initially presenting in given patient as coma and protracted generalized convulsions. Complex treatment led to withdrawal of neurologic symptoms, circulatory and metabolic stabilisation and subsequent discharge without signs of permanent organ damage.

意识丧失是急诊医疗服务中最常见的原因之一,也是急诊科的常见病。其鉴别诊断非常广泛,包括许多可能的原因,其中至少不包括中毒。抽搐状态也是如此。蘑菇中毒的临床过程因特定的真菌种类而异,其中一些种类会导致意识丧失。豹盖菇(Amanita pantherina)就是这类蘑菇的典型代表。本病例报告介绍了豹盖蘑菇中毒,患者最初表现为昏迷和长期全身抽搐。经过复杂的治疗后,患者的神经症状消失,循环和代谢功能稳定,随后出院,没有出现永久性器官损伤的迹象。
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引用次数: 0
期刊
Neuro endocrinology letters
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