The Vaginal Microbiome: V. Therapeutic Modalities of Vaginal Microbiome Engineering and Research Challenges

Summary Aim: Multiple procedures for the quantification of activity leakage in radiation synovectomy of the knee joint have been described in the literature. We compared these procedures considering the real conditions of dispersion and absorption using a corpse phantom. Methods: We simulated different distributions of the activity in the knee joint and a different extra-articular spread into the inguinal lymph nodes. The activity was measured with a gammacamera. Activity leakage was calculated by measuring the retention in the knee joint only using an anterior view, using the geometric mean of anterior and posterior views, or using the sum of anterior and posterior views. The same procedures were used to quantify the activity leakage by measuring the activity spread into the inguinal lymph nodes. In addition, the influence of scattered rays was evaluated. Results: For several procedures we found an excellent association with the real activity leakage, shown by an r² between 0.97 and 0.98. When the real value of the leakage is needed, e. g. in dosimetric studies, simultaneously measuring of knee activity and activity in the inguinal lymph nodes in anterior and posterior views and calculation of the geometric mean with exclusion of the scatter rays was found to be the procedure of choice. Conclusion: When measuring of activity leakage is used for dosimetric calculations, the above-described procedure should be used. When the real value of the leakage is not necessary, e. g. for comparing different therapeutic modalities, several of the procedures can be considered as being equivalent.

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Dancing with demons: working with vowed religious clergy who are also sex offenders

Attachment New Directions in Psychotherapy and Relational Psychoanalysis ◽

10.33212/att.v13n1.2019.31 ◽

2019 ◽

Vol 13 (1) ◽

pp. 31-42

Author(s):

Sara Lynn Rependa ◽

Robert T. Muller

Keyword(s):

Sex Offenders ◽

Physical Disability ◽

Sexual Misconduct ◽

Religious Institution ◽

Therapeutic Modalities ◽

Transference And Countertransference ◽

Interpersonal Difficulties ◽

History Of ◽

Trauma Informed ◽

Therapeutic Considerations

This article discusses the case of a male vowed religious clergy, who was also in residential treatment for sexual misconduct and interpersonal difficulties. Importantly, this client also had a childhood history of sexual trauma. The case, difficult and complex in its own right, posed unique clinical challenges. The first author and therapist, a Catholic, feminist, woman often works with child trauma clients. Thus, the experiences of transference and countertransference were particularly important therapeutic considerations working with this client. Themes of power, sex, shame, guilt, and blame needed to be explored and processed in depth from the client’s and therapist’s perspectives both during session and supervision. Concurrent issues include personality disorders, physical disability, and psychosexual disorders. This client was referred by their religious institution and took part in a mandated fourteen to twenty-week residential programme. Therapeutic modalities include trauma-informed, attachment-oriented, and psychodynamic individual and grouporiented psychotherapy.

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Pharmaconutrition: pharmacological approach to nutrition therapy

Orvosi Hetilap ◽

10.1556/oh.2014.29974 ◽

2014 ◽

Vol 155 (51) ◽

pp. 2021-2027

Author(s):

István Télessy

Keyword(s):

Fatty Acids ◽

Nutritional Support ◽

Pharmacological Action ◽

Nutrition Therapy ◽

Therapeutic Agents ◽

Therapeutic Action ◽

Treatment Results ◽

Research Activity ◽

Therapeutic Modalities ◽

The Everyday

Reviewing the literature of nutrition therapy one can conclude that during the last decade the pharmacological action of several nutrients has been demonstrated. However, research activity is still at the beginning and it could be verified in a restricted number of nutrients only that in which conditions (illnesses), dose and duration we can expect therapeutic effect in addition to nutrition. The examples of glutamine, arginine, taurine, leucine, ω-3 fatty acids, however, support the possibility that complex reactions and treatment results observed in certain patients are not purely due to nutritional support but the consequence of additional pharmacological action as well. Evaluation of results of therapeutic intervention is especially difficult because in the everyday practice physicians try to use several therapeutic modalities that can be beneficial for the patient. Therefore, retrospective separation of beneficial components of the therapeutic agents is almost impossible. Only well designed, randomized and multicentric studies can verify specific therapeutic action of certain ingredients ie. nutrients. Orv. Hetil., 2014, 155(51), 2021–2027.

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Tingkat Kemandirian Pasien Mengontrol Halusinasi setelah Terapi Aktivitas Kelompok

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v1i1.52 ◽

1970 ◽

Vol 1 (1) ◽

Author(s):

Dwi Handayani ◽

Aat Sriati ◽

Efri Widianti

Keyword(s):

Therapy Group ◽

Sampling Technique ◽

Group Activity ◽

Therapeutic Group ◽

Group Activities ◽

Therapeutic Modalities ◽

Consecutive Sampling ◽

Activity Therapy ◽

Group Activity Therapy ◽

Stimulation Group

Halusinasi merupakan gejala positif yang paling sering dialami oleh pasien dengan gangguan jiwa. Terapi aktivitas kelompok stimulasi persepsi merupakan bagian dari terapi modalitas yang diberikan pada pasien skizofrenia yang mengalami halusinasi dengan tujuan tercapainya kemandirian pasien. Penelitian ini bersifat deskriptif yaitu melihat gambaran tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi. Sebanyak 42 orang menjadi responsden dengan menggunakan teknik consecutive sampling. Proses pengumpulan data menggunakan metode observasi, yang dalam pelaksanaannya peneliti dibantu oleh numerator. Analisis data dengan persentase dan dideskripsikan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan bahwa tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi adalah supportive28,6%, partially 61,9%, dan wholly9,5%. Hasil penelitian didapatkan bahwa sebagian besar tingkat kemandirian pasien adalah partiallysehingga perlu dikembangkan strategi-strategi dalam upaya peningkatan kinerja perawat dalam pelaksanaan tindakan keperawatan sehingga dapat menumbuhkan kemandirian pasien.Kata kunci: Halusinasi, tingkat kemandirian, terapi aktivitas kelompok, stimulasi persepsi AbstractHallucinations are positive symptoms most commontly experienced bypatients with psychiatric disorders. Perceptual stimulation therapy group activities are part of the therapeutic modalities that are given to patients with schizophrenia who experienced hallucinations in order to achieve independence of patient. This is a descriptive study which saw the picture of the level of independence of the patients in the control hallucinations after following stimulation group activity. The sampling technique used was consecutive sampling, in which 42 people were interviewed. The process of data collection using the method of observation, which in practice researchers assisted by the numerator. Analysis of the data with the percentage and frequency distribution are described in the table. The result showed that the level of independence of patient hallucinations in controlling halluciantions after following stimulation group activity therapy activity perception is supportive 28.6%, partially 61,9%, and wholly 9,5%. Based on the findings that majority of patients a level of independence that is partially, developed strategies necessary in an effort to increase the performance of nurses in the implementation of nursing actions that can foster patient independence.Key words:Level of independence, hallucination, therapeutic group activity stimulation perception

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TEACHING AND SUPERVISING RESEARCH: CHALLENGES OF NOVICE EDUCATORS

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/834 ◽

2016 ◽

Vol 18 (2) ◽

pp. 211-225

Author(s):

L Roets ◽

T Bhembe

Keyword(s):

Research Challenges ◽

Novice Educators

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Isotretinoin induced nail fold pyogenic granuloma resolution with combination therapy: A case report and review of the literature

SKIN The Journal of Cutaneous Medicine ◽

10.25251/skin.3.4.8 ◽

2019 ◽

Vol 3 (4) ◽

pp. 275-278

Author(s):

Jonathan Bellew ◽

Chad Taylor ◽

Jaldeep Daulat ◽

Vernon Mackey

Keyword(s):

Pyogenic Granuloma ◽

Causative Factor ◽

Adolescent Male ◽

Review Of The Literature ◽

First Line ◽

Healthy Adolescent ◽

Therapeutic Modalities ◽

Children And Young Adults ◽

Intralesional Steroids ◽

Isotretinoin Therapy

Pyogenic granulomas are vascular hyperplasias presenting as red papules, polyps, or nodules on the gingiva, fingers, lips, face and tongue of children and young adults. Most commonly they are associated with trauma, but systemic retinoids have rarely been implicated as a causative factor in their appearance. We present a case of spontaneous eruption of multiple pyogenic granulomas of the bilateral periungal fingers in an otherwise healthy adolescent male undergoing isotretinoin therapy for severe nodulocystic acne. These pyogenic granulomas did not resolve spontaneously with discontinuation of isotretinoin, or first line therapeutic modalities. Their resolution did occur with administration of intralesional steroids and ablation with silver nitrate.

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