Establishing a Group Educational Session for Hyperacusis Patients

2019 ◽  
Vol 28 (2) ◽  
pp. 245-250
Author(s):  
Ann E. Perreau ◽  
Richard S. Tyler ◽  
Patricia C. Mancini ◽  
Shelley Witt ◽  
Mohamed Salah Elgandy
Keyword(s):  
Therapeutic Process ◽  
Treatment Options ◽  
Clinical Group ◽  
Education Session ◽  
Group Approach ◽  
Treatment Protocols ◽  
Educational Session ◽  
Evidence Based Treatment ◽  
Relationship Of ◽  
The Relationship

Purpose Audiologists should be treating hyperacusis patients. However, it can be difficult to know where to begin because treatment protocols and evidence-based treatment studies are lacking. A good place to start in any tinnitus and hyperacusis clinic is to incorporate a group educational session. Method Here, we outline our approach to establishing a hyperacusis group educational session that includes specific aspects of getting to know each patient to best meet their needs, understanding the problems associated with hyperacusis, explaining the auditory system and the relationship of hyperacusis to hearing loss and tinnitus, describing the influence of hyperacusis on daily life, and introducing treatment options. Subjective responses from 11 adults with hyperacusis, who participated in a recent clinical group education session, were discussed to illustrate examples from actual patients. Conclusions Due to the devastating nature of hyperacusis, patients need to be reassured that they are not alone and that they can rely on audiologists to provide support and guidance. A group approach can facilitate the therapeutic process by connecting patients with others who are also affected by hyperacusis, and by educating patients and significant others on hyperacusis and its treatment options. Supplemental Material https://doi.org/10.23641/asha.8121197

Combined Model of Technology Use and Medical Adherence in eHealth Technology Implementation

2021 ◽  
Vol 65 (1) ◽  
pp. 776-780
Author(s):  
Bijita Devkota ◽  
Fernando Montalvo ◽  
Daniel S. McConnell ◽  
Janan A. Smither
Keyword(s):  
Human Factors ◽  
Technology Acceptance ◽  
Treatment Adherence ◽  
Technology Use ◽  
Technology Implementation ◽  
Medical Information ◽  
Treatment Protocols ◽  
Lower Treatment ◽  
Relationship Of ◽  
The Relationship

eHealth applications are expected to improve the effectiveness and efficiency of healthcare systems by providing improved medical information flow between medical providers and patients. Although the technology is expected to empower patients, lower treatment costs, and provide real-time collection of health data, individuals may be apprehensive about the use and efficacy of eHealth technologies. Medical professionals are often unaware of human factors technology acceptance or usability models which impact the use of medically focused technology, such as eHealth applications. Similarly, human factors professionals are often unaware of treatment adherence models which map the relationship of illness factors and individual differences to treatment protocols. The present paper presents a theoretical approach through which technology acceptance and usability models should be combined with medical treatment adherence models to ensure that eHealth applications are used properly and effectively.

scholarly journals Characteristics of emotional state and cognitive processes in patients with ischemic stroke in acute period

2019 ◽  
Vol 3 (24) ◽  
pp. 40-44
Author(s):  
Yu. V. Kotsyubinskaya ◽  
A. V. Kazakov ◽  
N. Yu. Safonova
Keyword(s):  
Ischemic Stroke ◽  
Cognitive Processes ◽  
Emotional State ◽  
Therapeutic Process ◽  
Anxiety And Depression ◽  
Anterior Cortex ◽  
Acute Period ◽  
Relationship Of ◽  
The Relationship ◽  
Different Levels

Currently, studies aimed at assessing the emotional state and cognitive processes associated with the processing of emotionally determined information in patients with ischemic stroke, as well as finding the relationship between them are particularly relevant, mainly for the subsequent optimization of the therapeutic process. In order to identify the features of the emotional state and cognitive processes, a group of patients with ischemic stroke in the acute period in the amount of 25 people was examined. It was established that in patients with a lesion in the anterior cortex, depressive states in the acute period of stroke are more pronounced. Patients successfully reproduce emotionally significant words in comparison with neutral words; an interrelation between the level of anxiety and depression was found, which indicates that these states are comorbid. But, in turn, the relationship of the severity of anxiety and depression with the cognitive processes of recognition and reproduction, as well as differences in mnestic and gnostic activity in patients with different levels of anxiety and depression were not identified. After the treatment with Semax an improvement was noted.

Negative Effects of Psychotherapy: A Missing Piece

1980 ◽  
Vol 46 (3) ◽  
pp. 840-842
Author(s):  
John H. Kirchner
Keyword(s):  
Case History ◽  
Therapeutic Process ◽  
Negative Effects ◽  
Negative Effect ◽  
Relationship Of ◽  
The Relationship

Through the case history method this study examines one neglected phenomenon of negative effects—the negative effect which relapses or is actually positive. The relationship of this type of negative effect to the evaluation, of therapy and to the therapeutic process is explored.

scholarly journals LACTOFERRIN, FLUORESCENT TECHNOLOGIES AND THEIR ROLE IN THE DIAGNOSIS AND TREATMENT OF INFLAMMATORY DISEASES OF THE FEMALE SEXUAL SPHERE

2018 ◽  
Vol 5 (2) ◽  
pp. 101-105
Author(s):  
V. M Zuev ◽  
D. G Gulenkova ◽  
I. L Goldman ◽  
E. R Sadchikova ◽  
M. T Aleksandrov
Keyword(s):  
Inflammatory Diseases ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Rapid Assessment ◽  
Intrauterine Infection ◽  
Infectious Complications ◽  
Vaginal Infections ◽  
Vaginal Microflora ◽  
Relationship Of ◽  
The Relationship

The article reflects a modern view on the introduction of fluorescent methods of diagnostics and treatment of vaginal infections using lactoferrin in clinical microbiology, which made it possible to expand microecological studies. The suppression of the normal vaginal microflora was shown to promote a diverse pathology of both inflammatory and non-inflammatory genesis. Bacterial and fungal vaginosis were proved to be the most important risk factors for the development of infectious complications in the gynecological practice. There are given substantiated scientific evidence, indicating a large number of recurrences of bacterial and candidal vaginitis, despite the numerous studies and various treatment options. The relationship of bacterial vaginitis with infertility, the threat of miscarriage, premature birth, intrauterine infection of the fetus, etc. was established. Based on this, the search for alternative combined methods is relevant. The aim of the study was to increase the effectiveness of the treatment of recurrent candid vulvovaginitis and bacterial vaginosis by using lactoferrin. In the study, there were used fluorescent methods of the diagnosis, which made it possible to verify the diagnosis in the rapid assessment mode, as well as monitor treatment and improve its effectiveness.

scholarly journals αvβ6 integrin may be a potential prognostic biomarker in interstitial lung disease

2015 ◽  
Vol 46 (2) ◽  
pp. 486-494 ◽  
Author(s):  
Gauri Saini ◽  
Joanne Porte ◽  
Paul H. Weinreb ◽  
Shelia M. Violette ◽  
William A. Wallace ◽  
...  
Keyword(s):  
Lung Disease ◽  
Smooth Muscle Actin ◽  
Treatment Options ◽  
Surfactant Protein ◽  
Interstitial Lung Diseases ◽  
Tissue Sections ◽  
Αvβ6 Integrin ◽  
Fibrotic Lung Disease ◽  
Relationship Of ◽  
The Relationship

Idiopathic pulmonary fibrosis (IPF) and fibrotic nonspecific interstitial pneumonitis are progressive interstitial lung diseases (ILDs) with limited treatment options and poor survival. However, the rate of disease progression is variable, implying there may be different endotypes of disease. We hypothesised that immunophenotyping biopsies from ILD patients might reveal distinct endotypes of progressive fibrotic disease, which may facilitate stratification when undertaking clinical trials of novel therapies for IPF.43 paraffin-embedded, formalin-fixed lung tissue sections were immunostained for five molecules implicated in the pathogenesis of the fibrosis: α-smooth muscle actin (αSMA), αvβ6 integrin, pro-surfactant protein C (SP-C), hepatocyte growth factor (HGF) and tenascin-C (TenC). Levels of immunostaining and numbers of fibroblastic foci were quantified using operator-dependent and -independent methods. The relationship of all these markers to overall survival was analysed.Staining revealed high levels of αSMA, αvβ6 integrin, pro-SP-C, HGF and TenC, and fibroblastic foci. Immunostaining varied across samples for all molecules but only the extent of αvβ6 integrin immunostaining was associated with increased mortality. There was no association with the other markers measured.Our data suggest high levels of αvβ6 integrin may identify a specific endotype of progressive fibrotic lung disease.

scholarly journals Positive experience in the use of art therapy techniques «Picture your illness» with the purpose of changing the internal picture of the disease

2016 ◽  
pp. 10-13
Author(s):  
S.V. Zaytsev
Keyword(s):  
Therapeutic Process ◽  
Pathological Process ◽  
Personality Characteristics ◽  
Psychological Characteristics ◽  
Therapeutic Technique ◽  
Process Art ◽  
Health And Illness ◽  
Personal Qualities ◽  
Relationship Of ◽  
The Relationship

Currently, much attention is paid to the importance of studying the subjective features of the disease, noting that the nature of the patient's complaints, their analysis and changes in personality characteristics under the influence of the disease are no less important than the data of objective (instrumental) studies. The importance of the relationship of a person to one's health and illness, the cognitive and emotional components of these relationships, was shown to emphasize the importance of the internal picture of the disease when studying the mechanisms of the disease and the therapeutic process leading to recovery. It is shown that the character of the disease itself, and its severity, and the rate of development affect the formation of the internal picture of the disease; How sudden and unexpected was its beginning; This is an exacerbation of a chronic disease or acute pathology. It is proved that the influence of premorbid personal qualities and psychological characteristics of a person's personality on the development and course of the disease is as important as those changes in the psyche that arise in the suffering person under the influence of the pathological process. Art-therapeutic technique can be used as a diagnostic and therapeutic technique, as it allows to diagnose the internal picture of the disease; To separate man and illness; See yourself and the disease from the outside; Take responsibility for the current situation; Feel not a victim of the disease, but a master; Is a resource and increases the motivation for recovery.

scholarly journals Dual Relationships in Qualitative Research

2000 ◽  
Author(s):  
Beth Bourdeau
Keyword(s):  
Qualitative Research ◽  
Therapeutic Process ◽  
Dual Relationships ◽  
Family Research ◽  
Structural Power ◽  
Power Differential ◽  
Research Participants ◽  
Relationship Of ◽  
The Relationship ◽  
Family Professionals

With the potentially sensitive nature of qualitative family research, the process of these inquiries can come to resemble the therapeutic process. Therapy and research done by therapists and other family professionals share similar philosophical and structural qualities. Inherent in this is a structural power differential that opens the possibility for abuse of participants by researchers. Meara and Schmidt (1991) give four principles for guiding the treatment of qualitative research participants, however; they address only the relationship of researcher-participant and not the additional relationships that may arise from research. In this article, the author proposes some guidelines for relationships between the researcher and participant based on guidelines for therapists and their clients.

scholarly journals The Relationship of Cholangiocarcinoma with Human Immunodeficiency Virus Cholangiopathy and Cytomegalovirus Infection

2020 ◽  
Author(s):  
Arda Yavuz ◽  
Rabia Burçin Girgin ◽  
İlyas Tuncer
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cytomegalovirus Infection ◽  
Treatment Options ◽  
Antiviral Agents ◽  
Antiretroviral Drugs ◽  
Ductus Choledochus ◽  
Immunodeficiency Virus ◽  
New Treatment ◽  
Relationship Of ◽  
The Relationship

Human immunodeficiency virus (HIV) is a worldwide disease with an increasing number of cases globally. Initially, HIV cholangiopathy was often observed among such patients but has become rare after three decades because of the availability of new treatment options and potent antiretroviral drugs. Consequently, its occurrence now suggests drug resistance or disease progression. The relationship between cholangiocarcinoma and HIV remains unclear. We report the case of a patient with high-grade dysplasia of the ductus choledochus and uncontrolled disease which was treated with potent antiviral agents and bile duct dilatation.

The relationship of the scleractinian corals to the rugose corals

Paleobiology ◽  
1980 ◽  
Vol 6 (02) ◽  
pp. 146-160 ◽  
Author(s):  
William A. Oliver
Keyword(s):  
Critical Points ◽  
Scleractinian Corals ◽  
Convincing Evidence ◽  
Early Triassic ◽  
Rugose Corals ◽  
History Of ◽  
The Subject ◽  
Relationship Of ◽  
The Relationship ◽  
Biologic Factors

The Mesozoic-Cenozoic coral Order Scleractinia has been suggested to have originated or evolved (1) by direct descent from the Paleozoic Order Rugosa or (2) by the development of a skeleton in members of one of the anemone groups that probably have existed throughout Phanerozoic time. In spite of much work on the subject, advocates of the direct descent hypothesis have failed to find convincing evidence of this relationship. Critical points are:(1) Rugosan septal insertion is serial; Scleractinian insertion is cyclic; no intermediate stages have been demonstrated. Apparent intermediates are Scleractinia having bilateral cyclic insertion or teratological Rugosa.(2) There is convincing evidence that the skeletons of many Rugosa were calcitic and none are known to be or to have been aragonitic. In contrast, the skeletons of all living Scleractinia are aragonitic and there is evidence that fossil Scleractinia were aragonitic also. The mineralogic difference is almost certainly due to intrinsic biologic factors.(3) No early Triassic corals of either group are known. This fact is not compelling (by itself) but is important in connection with points 1 and 2, because, given direct descent, both changes took place during this only stage in the history of the two groups in which there are no known corals.

Skeletal elements of crinoid echinoderms: High-resolution structural and microanalytical results

1983 ◽  
Vol 41 ◽  
pp. 194-195
Author(s):  
D. F. Blake ◽  
L. F. Allard ◽  
D. R. Peacor
Keyword(s):  
High Resolution ◽  
Marine Invertebrates ◽  
Sea Urchins ◽  
Structural Features ◽  
Sea Stars ◽  
High Resolution Tem ◽  
Relationship Of ◽  
The Relationship ◽  
Insight Into

Echinodermata is a phylum of marine invertebrates which has been extant since Cambrian time (c.a. 500 m.y. before the present). Modern examples of echinoderms include sea urchins, sea stars, and sea lilies (crinoids). The endoskeletons of echinoderms are composed of plates or ossicles (Fig. 1) which are with few exceptions, porous, single crystals of high-magnesian calcite. Despite their single crystal nature, fracture surfaces do not exhibit the near-perfect {10.4} cleavage characteristic of inorganic calcite. This paradoxical mix of biogenic and inorganic features has prompted much recent work on echinoderm skeletal crystallography. Furthermore, fossil echinoderm hard parts comprise a volumetrically significant portion of some marine limestones sequences. The ultrastructural and microchemical characterization of modern skeletal material should lend insight into: 1). The nature of the biogenic processes involved, for example, the relationship of Mg heterogeneity to morphological and structural features in modern echinoderm material, and 2). The nature of the diagenetic changes undergone by their ancient, fossilized counterparts. In this study, high resolution TEM (HRTEM), high voltage TEM (HVTEM), and STEM microanalysis are used to characterize tha ultrastructural and microchemical composition of skeletal elements of the modern crinoid Neocrinus blakei.

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