Progress in the Treatment of Edema After Surgery for Mixed Hemorrhoids

Edema is a common postoperative complication in mixed hemorrhoids. With the development of medical treatment, surgical improvement has greatly reduced surgical trauma to the body, but the issue of postoperative edema still exists. In order to explore the treatment progress of edema after surgery for mixed hemorrhoids, literatures on integrated traditional Chinese and western medicine for postoperative edema in hemorrhoids have been reviewed in hope to better understand the complication and provide reference for relevant clinical studies in the future.

A Statistical-Mining Techniques’ Collaboration for Minimizing Dimensionality in Ovarian Cancer Data

A feature is a single measurable criterion to an observation of a process. While knowledge discovery techniques successfully contribute to many fields, however, the extensive required data processing could hinder the performance of these techniques. One of the main issues in processing data is the dimensionality of the data. Therefore, focusing on reducing the data dimensionality through eliminating the insignificant attributes could be considered one of the successful steps for raising the applied techniques’ performance. On the other hand, focusing on the applied field, ovarian cancer patients continuously suffer from the extensive analysis requirements for detecting the disease as well as monitoring the treatment progress. Therefore, identifying the most significant required analysis could be a positive step to reduce the emotional and financial suffering. This research aims to reduce the data dimensionality of the ovarian cancer disease and highlight the most significant analysis using the collaboration of clustering techniques and statistical techniques. The research succeeded to identify twelve significant analysis out of forty-four with a total of fourteen significant attributes for ovarian cancer data.

A Case Report on Chronic Intestinal Pseudo-obstruction Presenting as Unspecified Abdominal Pain in an Adult

Objectives: This study examined a case of chronic intestinal pseudo-obstruction (CIPO) in an adult with unspecified abdominal pain.Methods: The patient was treated with herbal medicine, acupuncture, and moxa. Treatment progress was evaluated by follow-up monitoring of the intensity, frequency, and duration (in hours) of abdominal pain and body weight.Results: The average abdominal pain level on the Numerical Rating Scale (NRS) and its incidence decreased. The duration of pain was 15 hours maximum and 2.5 hours minimum. The body weight repeatedly increased and decreased but increased overall. Despite no remarkable findings from X-rays, air-fluid levels and coil-shaped folds of the small bowel were observed.Conclusions: Korean medical treatment based on a dialectic effectively relieved chronic abdominal pain and suspected CIPO-a disease that requires continuous management and therapeutic intervention.

Predictors of adherence to an internet-based cognitive behavioral therapy program for individuals with chronic pain and comorbid psychological distress

Background The burden caused by chronic pain is significant, affecting at least 10 percent of the world´s population. While internet-based treatments based on cognitive behavioral therapy (CBT) have been shown to be promising in this area, attrition levels vary significantly. The purpose of this study was to investigate predictor variables for participants’ adherence to an internet-based CBT treatment for individuals with chronic pain as well as to investigate associations between adherence and treatment outcome. Methods Data for this study was retrieved from a randomized controlled trial including 95 individuals with chronic pain who received internet-based CBT. Treatment adherence was studied through three outcome variables: treatment progress, treatment completion and exercise completion. The predictor variables were grouped into four clusters: background variables (age, gender, marital status, level of education, and typical computer usage); the second cluster included health status variables (sick leave, current psychiatric diagnosis, previous psychotherapy for pain, current pharmacological treatment, previous depression, current depression, and current depressive symptoms); the third cluster included pain-related variables (opioid medication, history of pain, and pain symptoms) and the fourth cluster included motivation variables (measured with treatment preference, treatment credibility, compliance to the treatment schedule and contact with the therapists). Results Findings showed that treatment progress was predicted by higher treatment credibility at baseline, whereas participants who were behind schedule in the second week of the program finished fewer treatment modules. When analyzing each cluster of predictor variables separately, current depressive symptoms also predicted fewer completed treatment modules. Among the pain-related variables, higher pain acceptance was the only predictor for completing more treatment modules. Treatment completion (which in this study was defined as having completed at least 75% of treatment modules) was predicted by higher treatment credibility and fewer depressive symptoms at baseline, and was thus similar to the results regarding treatment progress. Finally, all adherence variables predicted the treatment outcome pain interference. Conclusions Low treatment credibility, depressive symptoms and falling behind the treatment schedule early on were the most important predictor variables for low treatment adherence, while a number of demographical and pain-related variables were not related to adherence. The results from this study may help clinicians identify patients who are less likely to complete, and thus benefit from, their pain treatment. Trial registration ClinicalTrials.gov NTC03316846.

Lesand E. Hinsie (Wien. K]., No. 22, 1931)

(Wien. K]., No. 22, 1931). An article by an American author on radiothermal treatment, progress. paralysis translated into German for Wien. kl. Woch. Wagner-Jauregg. Hinsie places the paralytic in a heat-producing electrical apparatus called a radiotherm. In this apparatus, the paralytic lies in an electric alternating field (Wechselfeld) of 3000 volts potential difference

The Role of Personality Factors in Childhood Traumatic Events’ Impact on Treatment Progress

<p>Attrition rates in rehabilitative programmes for violent behaviour are concerning as exiting from treatment may have implications for individuals (e.g., further offending, diminished quality of life), the organisation providing the treatment (e.g., cost, ineffectiveness), and for the society (e.g., safety, trust in the criminal justice system). Therefore, it is necessary to consider factors that may hinder the progress and completion of the treatment of violent offending. This study aimed to extend Te Hiwi's (2020) findings on negative relationship between childhood traumatic events and treatment outcomes, by exploring the role of maladaptive personality traits in this relationship. The study was based on retrospective, file-based data of 417 men who attended the high-intensity rehabilitation programme in New Zealand. Binomial and logistic regression models predicting treatment progress and outcome as well as a structural equation model showed that maladaptive personality traits – antisocial, borderline, and psychopathic – had overall no significant role in the relationship between trauma and treatment progress, despite men who were high on psychopathic traits being less likely to complete the treatment. Traumatic childhood events had a negative impact on treatment progress. In addition, treatment progress in the presence of all types of trauma was a less frequent pattern configuration than statistically expected. These findings reiterate the need for further research on the underlying mechanisms in the relationship between childhood trauma and treatment of violent offending, and self-regulation was suggested as one such mechanism.</p>

The Role of Personality Factors in Childhood Traumatic Events’ Impact on Treatment Progress

<p>Attrition rates in rehabilitative programmes for violent behaviour are concerning as exiting from treatment may have implications for individuals (e.g., further offending, diminished quality of life), the organisation providing the treatment (e.g., cost, ineffectiveness), and for the society (e.g., safety, trust in the criminal justice system). Therefore, it is necessary to consider factors that may hinder the progress and completion of the treatment of violent offending. This study aimed to extend Te Hiwi's (2020) findings on negative relationship between childhood traumatic events and treatment outcomes, by exploring the role of maladaptive personality traits in this relationship. The study was based on retrospective, file-based data of 417 men who attended the high-intensity rehabilitation programme in New Zealand. Binomial and logistic regression models predicting treatment progress and outcome as well as a structural equation model showed that maladaptive personality traits – antisocial, borderline, and psychopathic – had overall no significant role in the relationship between trauma and treatment progress, despite men who were high on psychopathic traits being less likely to complete the treatment. Traumatic childhood events had a negative impact on treatment progress. In addition, treatment progress in the presence of all types of trauma was a less frequent pattern configuration than statistically expected. These findings reiterate the need for further research on the underlying mechanisms in the relationship between childhood trauma and treatment of violent offending, and self-regulation was suggested as one such mechanism.</p>

Linguistic measures of psychological distance track symptom levels and treatment outcomes in a large set of psychotherapy transcripts

Using language to distance oneself from negative stimuli (e.g., by reducing use of the word “I” and present-tense verbs) is associated with effective emotion regulation. Given that internalizing disorders like anxiety and depression are characterized by maladaptive emotion regulation, stronger linguistic distance may be both a diagnostic marker of lower internalizing symptoms and a prognostic indicator of treatment progress. Here, we tested these hypotheses in a large corpus of naturalistic psychotherapeutic exchanges between clients and their therapists (&gt; 1.2 million messages from 6,229 clients). In both exploratory (N=3,729) and validation (N=2,500) datasets, we found that clients’ internalizing symptoms decreased over therapy, that client linguistic distance increased over therapy, and that internalizing symptoms tracked fluctuations in linguistic distance both within- and between-individuals. In other words, clients shifted from discussing themselves and the present moment to discussing other people and timepoints over treatment, and this was related to symptom improvements. However, effect sizes for linguistic results were small, and we failed to find consistent evidence that linguistic distance statistically mediated changes in symptoms over time. Treatment efficacy also was related to therapist linguistic distance in some—but not all—analyses, suggesting that changing therapist language could improve outcomes. Finally, clustering analyses revealed that data-driven groups of clients defined based solely on their linguistic distance differed in both their symptom severity and treatment outcomes. Together, these findings provide replicable evidence that linguistic distance is a marker of internalizing symptom severity and treatment progress in real-world therapeutic interactions.