The document discusses the history and current state of evidence-based practices in children's mental health. It notes that while research has identified hundreds of evidence-based therapies and interventions, many children still have unmet mental health needs. It summarizes the levels of evidence for different psychosocial and pharmacological treatments, as well as home- and community-based services. However, it states that significant challenges remain in implementing evidence-based practices into real-world mental health systems and services.
Outcomes from 45 Years of Clinical Practice (Paul Clement)Scott Miller
Paul Clement is one of my heroes. He's been tracking the outcome of his clinical services for decades. I was stunned when, in 1994, he published results from his private work over a two decades long period. Now, we have the data from 45 years. Read it!
ISPCAN Jamaica 2018 - Personality-targeted Interventions for Building Resilie...Christine Wekerle
Personality-targeted Interventions for Building Resilience against Substance Use and Mental Health Problems among Adolescents Involved in Child Welfare System
Hanie Edalati, Patricia Conrod
Outcomes from 45 Years of Clinical Practice (Paul Clement)Scott Miller
Paul Clement is one of my heroes. He's been tracking the outcome of his clinical services for decades. I was stunned when, in 1994, he published results from his private work over a two decades long period. Now, we have the data from 45 years. Read it!
ISPCAN Jamaica 2018 - Personality-targeted Interventions for Building Resilie...Christine Wekerle
Personality-targeted Interventions for Building Resilience against Substance Use and Mental Health Problems among Adolescents Involved in Child Welfare System
Hanie Edalati, Patricia Conrod
Childhood Maltreatment and PTSD Literature Review and Proposed StudyAlexandraPerkins5
This literature and proposed study explores several research articles relating to childhood maltreatment and PTSD. The second section proposes a hypothetical study to further explore a gap identified in the literature review.
KEYNOTE presentation by professor Celso Arango (Hospital General Universitario Gregorio Marañón. IiSGM, Universidad Complutense, CIBERSAM. Madrid, Spain) on developmental trajectories in early-onset psychoses, held at the ESCAP 2015 Congress in Madrid, Monday June 22nd 2015
This article applies a critical flaw analysis to psychiatric drugs for children and concludes the evidence does not support drugs as a first line choice.
Infertility is considered as a basic health issue in human
reproductive care. It is clinically defined as a failure to achieve natural pregnancy aft er twelve or more months of regular unprotected sexual intercourse
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Fundación Ramón Areces
El 14 de noviembre de 2013, la Fundación Ramón Areces organizó y acogió en su sede un Simposio Internacional sobre 'La enfermedad de la duda: el TOC'. El Trastorno Obsesivo-Compulsivo (TOC) es un problema de salud pública, poco conocido, que afecta a un porcentaje de la población en torno a un 1-2% y que la Organización Mundial de la Salud ha situado entre las diez entidades que producen más discapacidad.
Childhood Maltreatment and PTSD Literature Review and Proposed StudyAlexandraPerkins5
This literature and proposed study explores several research articles relating to childhood maltreatment and PTSD. The second section proposes a hypothetical study to further explore a gap identified in the literature review.
KEYNOTE presentation by professor Celso Arango (Hospital General Universitario Gregorio Marañón. IiSGM, Universidad Complutense, CIBERSAM. Madrid, Spain) on developmental trajectories in early-onset psychoses, held at the ESCAP 2015 Congress in Madrid, Monday June 22nd 2015
This article applies a critical flaw analysis to psychiatric drugs for children and concludes the evidence does not support drugs as a first line choice.
Infertility is considered as a basic health issue in human
reproductive care. It is clinically defined as a failure to achieve natural pregnancy aft er twelve or more months of regular unprotected sexual intercourse
Dr. Michael H. Bloch - Simposio Internacional 'La enfermedad de la duda: el TOC'Fundación Ramón Areces
El 14 de noviembre de 2013, la Fundación Ramón Areces organizó y acogió en su sede un Simposio Internacional sobre 'La enfermedad de la duda: el TOC'. El Trastorno Obsesivo-Compulsivo (TOC) es un problema de salud pública, poco conocido, que afecta a un porcentaje de la población en torno a un 1-2% y que la Organización Mundial de la Salud ha situado entre las diez entidades que producen más discapacidad.
Implementing Evidence-based Practice (EBPs) in Mental Health Service DeliveryMHTP Webmastere
>Implementing Evidence-based Practice (EBPs) in Mental Health Service Delivery. This presentation looks at the potential for identification and implementation of EBPs to bring significant
improvement to delivery of mental health services
An ecology for systemic change. How to foster and empower disruptive innovati...Helene Finidori
Looking at how to embed into the system the code for its renewal. Fostering factors of opportunity and renewal as commons. A draft presentation, work in progress.
The full paper is available here: https://www.academia.edu/7304971/An_Ecology_of_Transformative_Action_Awaiting_to_be_Discovered
Benchmarking the Effectiveness of Psychotherapy Treatment for .docxikirkton
Benchmarking the Effectiveness of Psychotherapy Treatment for Adult
Depression in a Managed Care Environment: A Preliminary Study
Takuya Minami
University of Utah
Bruce E. Wampold and Ronald C. Serlin
University of Wisconsin–Madison
Eric G. Hamilton
PacifiCare Behavioral Health
George S. (Jeb) Brown
Center for Clinical Informatics
John C. Kircher
University of Utah
This preliminary study evaluated the effectiveness of psychotherapy treatment for adult clinical depres-
sion provided in a natural setting by benchmarking the clinical outcomes in a managed care environment
against effect size estimates observed in published clinical trials. Overall results suggest that effect size
estimates of effectiveness in a managed care context were comparable to effect size estimates of efficacy
observed in clinical trials. Relative to the 1-tailed 95th-percentile critical effect size estimates, effec-
tiveness of treatment provided in this setting was observed to be between 80% (patients with comorbidity
and without antidepressants) and 112% (patients without comorbidity concurrently on antidepressants) as
compared to the benchmarks. Because the nature of the treatments delivered in the managed care
environment were unknown, it was not possible to make conclusions about treatments. However, while
replications are warranted, concerns that psychotherapy delivered in a naturalistic setting is inferior to
treatments delivered in clinical trials appear unjustified.
Keywords: benchmarking, effectiveness, managed care, clinical trials, depression
More than a decade has passed since estimating the effect of
psychotherapy as it is delivered in natural settings was identified as
a critical issue in psychotherapy research (e.g., Barlow, 1981;
Cohen, 1965; Luborsky, 1972; Seligman, 1995; Strupp, 1989;
Weisz, Donenberg, Han, & Weiss, 1995). Although the benefits of
psychotherapy have been investigated in laboratory environments
with randomized clinical trials (RCTs) and found to be substantial
as early as the late 1970s (Smith & Glass, 1977; also Smith, Glass,
& Miller, 1980), surprisingly little is known about the effects of
psychotherapy in natural settings. The dichotomy of laboratory and
natural settings was emphasized by Seligman (1995), who discrim-
inated between efficacy, which is now used to denote the effects of
psychotherapy in RCTs, and effectiveness, which is used to denote
the effects of psychotherapy in clinical practice.
The few studies that have investigated effectiveness over the
years have provided mixed results, attributed in part to a variety of
methodologies used to investigate effectiveness because of diffi-
culty in using a randomized control group design in natural set-
tings. Notably, three methods have been used to estimate the
effects of psychotherapy in natural settings: clinical representa-
tiveness, direct comparison, and benchmarking. Clinical represen-
tativeness studies, including some of the analyses conducted by
Smith et al ...
Cognitive Behavioral Treatments for Anxietyin Children With WilheminaRossi174
Cognitive Behavioral Treatments for Anxiety
in Children With Autism Spectrum Disorder
A Randomized Clinical Trial
Jeffrey J. Wood, PhD; Philip C. Kendall, PhD; Karen S. Wood, PhD; Connor M. Kerns, PhD;
Michael Seltzer, PhD; Brent J. Small, PhD; Adam B. Lewin, PhD; Eric A. Storch, PhD
IMPORTANCE Anxiety is common among youth with autism spectrum disorder (ASD), often
interfering with adaptive functioning. Psychological therapies are commonly used to treat
school-aged youth with ASD; their efficacy has not been established.
OBJECTIVE To compare the relative efficacy of 2 cognitive behavioral therapy (CBT) programs
and treatment as usual (TAU) to assess treatment outcomes on maladaptive and interfering
anxiety in children with ASD. The secondary objectives were to assess treatment outcomes
on positive response, ASD symptom severity, and anxiety-associated adaptive functioning.
DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial began recruitment in
April 2014 at 3 universities in US cities. A volunteer sample of children (7-13 years) with ASD
and maladaptive and interfering anxiety was randomized to standard-of-practice CBT,
CBT adapted for ASD, or TAU. Independent evaluators were blinded to groupings. Data
were collected through January 2017 and analyzed from December 2018 to February 2019.
INTERVENTIONS The main features of standard-of-practice CBT were affect recognition,
reappraisal, modeling/rehearsal, in vivo exposure tasks, and reinforcement. The CBT
intervention adapted for ASD was similar but also addressed social communication and
self-regulation challenges with perspective-taking training and behavior-analytic techniques.
MAIN OUTCOMES AND MEASURES The primary outcome measure per a priori hypotheses was
the Pediatric Anxiety Rating Scale. Secondary outcomes included treatment response on the
Clinical Global Impressions–Improvement scale and checklist measures.
RESULTS Of 214 children initially enrolled, 167 were randomized, 145 completed treatment,
and 22 discontinued participation. Those who were not randomized failed to meet eligibility
criteria (eg, confirmed ASD). There was no significant difference in discontinuation rates
across conditions. Randomized children had a mean (SD) age of 9.9 (1.8) years; 34 were
female (20.5%). The CBT program adapted for ASD outperformed standard-of-practice CBT
(mean [SD] Pediatric Anxiety Rating Scale score, 2.13 [0.91] [95% CI, 1.91-2.36] vs 2.43 [0.70]
[95% CI, 2.25-2.62]; P = .04) and TAU (2.93 [0.59] [95% CI, 2.63-3.22]; P < .001). The CBT
adapted for ASD also outperformed standard-of-practice CBT and TAU on parent-reported
scales of internalizing symptoms (estimated group mean differences: adapted vs
standard-of-practice CBT, −0.097 [95% CI, −0.172 to −0.023], P = .01; adapted CBT vs TAU,
−0.126 [95% CI, −0.243 to −0.010]; P = .04), ASD-associated social-communication
symptoms (estimated group mean difference: adapted vs standard-of-practice CBT, −0.115
[95% CI, −0223 to −0 ...
Rosemary Frasso's presentation from the
Penn Urban Doctoral Symposium
May 13, 2011
Co-sponsored with Penn’s Urban Studies program, this symposium celebrates the work of graduating urban-focused doctoral candidates. Graduates present and discuss their dissertation findings. Luncheon attended by the students, their families and their committees follows.
Identifying the support needs of fathers affected bypost-par.docxwilcockiris
Identifying the support needs of fathers affected by
post-partum depression: a pilot study
N . L E T O U R N E A U 1 , 2 , 3 p h d r n , L . D U F F E T T- L E G E R 4 , 5 p h d ( c ) r n ,
C . - L . D E N N I S 6 , 7 p h d , M . S T E WA R T 8 , 9 p h d f r s c f c a h s &
P. D . T RY P H O N O P O U L O S 1 0 b n r n p h d s t u d e n t
1Canada Research Chair in Healthy Child Development, 2Professor, 4CIHR Allied Health Professional Doctoral
Fellow, 5Research Associate, 10Project Director, Faculty of Nursing, and 3Research Fellow, Canadian Research
Institute for Social Policy, University of New Brunswick, Fredericton, NB, and 6Canada Research Chair in
Perinatal Community Health, 7Associate Professor in Nursing and Psychiatry, University of Toronto, Toronto,
ON, and 8Health Senior Scholar, Alberta Heritage Foundation for Medical Research, and 9Professor, Faculty of
Nursing and School of Public Health, University of Alberta, Edmonton, AB, Canada
Keywords: barriers to accessing
support, fathers, men’s mental health,
men’s support needs, pilot study, post-
partum depression
Correspondence:
N. Letourneau
University of New Brunswick
PO Box 4400
Fredericton
NB E3B 5A3
Canada
E-mail: [email protected]
Accepted for publication: 9 August
2010
doi: 10.1111/j.1365-2850.2010.01627.x
Accessible summary
• The purpose of this pilot study was to describe the experiences, support needs,
resources, and barriers to support for fathers whose partners had experienced
post-partum depression (PPD).
• Telephone interviews were conducted with a total of 11 fathers. We interviewed
seven fathers from New Brunswick and four fathers from Alberta.
• The fathers we spoke with experienced a number of depressive symptoms including:
anxiety, lack of time and energy, irritability, feeling sad or down, changes in
appetite, and thoughts of harm to self or baby. The most common barriers to
accessing support included not knowing where to look for PPD resources and
difficulty reaching out to others.
• This study demonstrated the feasibility of a larger-scale exploration of fathers’
experiences in supporting their spouses affected by PPD.
Abstract
The purpose of this pilot study was to describe the experiences, support needs,
resources, and barriers to support for fathers whose partners had post-partum depres-
sion (PPD) in preparation for a larger study. Qualitative methods and community-
based research approaches were used in this exploratory/descriptive multi-site study,
conducted in New Brunswick and Alberta. Telephone interviews were conducted with
a total of 11 fathers in New Brunswick (n = 7) and Alberta (n = 4). Fathers experienced
a number of depressive symptoms including: anxiety, lack of time and energy, irrita-
bility, feeling sad or down, changes in appetite, and thoughts of harm to self or baby.
The most common barriers for fathers were lack of information regarding PPD
resources and difficulty seeking support. This pilot study establishes the fea.
PCOMS: A Viable Quality Improvement Strategy for Public Behavioral HealthBarry Duncan
This is the latest from the research team of the Heart and Soul of Change Project, published in the Journal of Consulting and Clinical Psychology. This study demonstrated that PCOMS is not only a viable quality improvement strategy but also that services to the poor and disenfranchised provided in a public behavioral setting, contrary to earlier research, can be as effective as those delivered in randomized clinical trials.
Rationale and Standards of Evidence in Evidence-Based Practice.docxmakdul
Rationale and Standards of Evidence in Evidence-Based Practice
OLIVER C. MUDFORD, ROB MCNEILL, LISA WALTON
AND KATRINA J. PHILLIPS
What is the purpose of collecting evidence to inform clinical practice in psychology concerning the effects of psychological or other interventions? To quote Paul’s (1967) article that has been cited 330 times before November 4, 2008, it is to determine the answer to the question: “What treatment, by whom, is most effective for this individual with that specific problem, under which set of circumstances?” (p. 111). Another answer is pitched at a systemic level, rather than concerning individuals. That is, research evidence can inform health-care professionals and consumers about psychological and behavioral interventions that are more effective than pharmacological treatments, and to improve the overall quality and cost-effectiveness of psychological health service provision (American Psychological Association [APA] Presidential Task Force on Evidence-Based Practice, 2006). The most general answer is that research evidence can be used to improve outcomes for clients, service providers, and society in general. The debate about what counts as evidence of effectiveness in answering this question has attracted considerable controversy (Goodheart, Kazdin, & Sternberg, 2006; Norcross, Beutler, & Levant, 2005). At one end of a spectrum, evidence from research on psychological treatments can be emphasized. Research-oriented psychologists have promoted the importance of scientific evidence in the concept of empirically supported treatment. Empirically supported treatments (ESTs) are those that have been sufficiently subjected to scientific research and have been shown to produce beneficial effects in wellcontrolled studies (i.e., efficacious), in more natural clinical environments (i.e., effective), and are the most cost-effective (i.e., efficient) (Chambless & Hollon, 1998). The effective and efficient criteria of Chambless and Hollon (1998) have been amalgamated under the term “clinical utility” (APA Presidential Task Force on Evidence-Based Practice, 2006; Barlow, Levitt, & Bufka, 1999). At the other end of the spectrum are psychologists who value clinical expertise as the source of evidence more highly, and they can rate subjective impressions and skills acquired in practice as providing personal evidence for guiding treatment (Hunsberger, 2007). Kazdin (2008) has asserted that the schism between clinical researchers and practitioners on the issue of evidence is deepening. Part of the problem, which suggests at least part of the solution, is that research had concentrated on empirical evidence of treatment efficacy, but more needs c01 20 April 2012; 12:43:29 3 Hersen, Michel, and Peter Sturmey. Handbook of Evidence-Based Practice in Clinical Psychology, Child and Adolescent Disorders, John Wiley & Sons, Incorporated, 2012. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/ashford-ebooks/detail.action?docID= ...
Feedback condition achieved nearly four times the amount of clients reaching reliable or clinically significant change. Nearly a 50% less separation/divorce at rate at follow up.
This is the summary text of a presentation at the Vatican addressing: "The Question of the Use of Pharmaceuticals in Pediatrics." This presentation covers the clinical trial evidence and offers prescription guidelines
Intervento di Peter Sturmey - The Graduate Center and Queens College, City University of New York - "Il trattamento dei disturbi del comportamento e autolesionismo nelle persone con spettro autistico" al preconvegno del "5 Convegno Autismi" organizzato dal Centro Studi Erickson il 14 e 15 ottobre a Rimini.
1PAGE 21. What is the question the authors are asking .docxfelicidaddinwoodie
1
PAGE
2
1. What is the question the authors are asking?
They asked about a reduction in judgmental biases regarding the cost and probability associated with adverse social events as they are presumed as being mechanisms for the treatment of Social Anxiety Disorder (SAD). Also, the authors poised on the changes in judgmental biases as mechanisms to explain cognitive-behavioral therapy for social anxiety disorder. On top of that, they stated that methodological limitations extant studies highlight the possibility that rather than causing symptom relief, a significant reduction in judgmental biases tends to be consequences of it or correlate. Considerably, they expected cost bias at mid-treatment to be a predictor of the treatment outcome.
2. Why do the authors believe this question is important?
According to the authors, this question was relevant as methodological limitations of present studies reflect on the possibility that instead of causing symptom belief, a significant reduction in judgmental biases can be consequences or correlated to it. Additionally, they ought to ascertain the judgment bias between treated and non-treated participants. Significantly, this was important as they had to determine the impact of pre and post changes in cost and probability of the treatment outcomes. But, probability bias at mid-treatment was a predictor of the treatment outcome contrary to the cost bias at mid-treatment that could not be identified as a significant predictor of the treatment outcome.
3. How do they try to answer this question?
They conducted a study to evaluate the significant changes in judgmental bias as aspects of cognitive-behavioral therapy for social anxiety disorders. To do this, they conducted a study using information from two treatment studies; an uncontrolled trial observing amygdala activity as a response to VRE (Virtual Reality Exposure Therapy) with the use of functional magnetic resonance imaging and a randomized control trial that compared Virtual Reality Exposure Therapy with Exposure Group Therapy for SAD. A total of 86 individuals who met the DSM-IV-TR criteria for the diagnosis of non-generalized (n=46) and generalized (n=40) SAD participated. After completing eight weeks of the treatment protocol, the participants who identified public speaking as their most fearsome social situation were included. The SCID (Structured clinical interview for the DSM-IV) was used to ascertain diagnostic and eligibility status on Axis 1 conditions within substance abuse, mood and anxiety disorder modules. The social anxiety measures were measured with the use of BFNE (Brief Fear of Negative Evaluation), a self-reporting questioner that examined the degree to which persons fear to be assessed by other across different social settings. Additionally, the OPQ (Outcome Probability Questionnaire) self-reporting questionnaire was used to evaluate individual’s estimate on the probability that adverse, threatening events will occur at t ...
A Public Health Approach to Mental Health Care: Taking Transformation to ScaleMHTP Webmastere
This presentation was given by Kathryn Power, Director, Center for Mental Health Services at SAMHSA, at the May 13, 2008 Prevention Policy Summit. Transcript of Kathryn Power\'s opening remarks.
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislat...MHTP Webmastere
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006
This presentation profiles the vision and mission of Youth \'N Action, a Washington State organization working to include youth culture and youth voice in public policy
Using Data, Transforming Practice: Evaluating Mental Health Transformation in...MHTP Webmastere
Using Data, Transforming Practice: Evaluating Mental Health Transformation in Washington State</strong><br />
This presentation, made in February 2008 to the 18th Annual Conference on State Mental Health Agency Services
Research, details the approach of the Mental Health Transformation Project in using data to evaluate transformation
Transformation Work Group (TWG) Meeting Presentation (06-16-2006)MHTP Webmastere
This presentation helped facilitate a TWG meeting focused on considering and adopting strategies for
implementing identified outcomes in employment and housing goals for the Comprehensive Mental Health Plan
(CMHP), and in resource inventory and needs assessment.
Topics covered in this 10-26-2007 presentation to the TWG include background and brief updates of System
Transformation Initiative projects; a benefits package update, and a housing action plan update.
Based on the report from the Washington State Board of Health, this presentation, made to the State
and King County Boards of Health on December 13, 2007, suggests a public health model for approaching delivery
of mental health services.
Overview of Mental Health Budget and Policy Initiatives 2004-2006MHTP Webmastere
In this overview, David Knutson of the Washington State House of Representatives looks at mental health
budget and policy initiatives for the period 2004-06.
Mental Health From A Public Health PerspectiveMHTP Webmastere
This presentation from the Washington State Department of Health to the TWG at their April 21, 2006 meeting, looks
at the relations and connections between public health and mental health.
Making Recovery Real: Improving Employment Outcomes Using Peer Support ServicesMHTP Webmastere
Making Recovery Real: Improving Employment Outcomes Using Peer Support Services.
This presentation details the important role Peer Support Specialists play in improving employment outcomes
among those recovering from mental illness.
This presentation given by WIMHRT West at the January 4, 2008, TWG meeting covers results from a
survey of Washington State providers on their use of Evidence Based Practics.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Building Science
1. Building a Science on Implementation of Evidence-based Practices in Children’s Mental Health Kimberly Eaton Hoagwood, Ph.D. Columbia University December 11, 2005
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4. Ringel &Sturm, 2000; NIMH, 2001 Unmet Need for Mental Health Services 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% White African- American Latino Other
5. National Averages of Use and Need Don’t Match National Average MH Need for Children at 6-17: 7.09% National Average MH Use for Children at 6-17: 7.45% Data Source: NSAF wave 1 and 2, Sturm, 2001
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7. Beyond the Linear Model Basic Research Clinical Trial (Efficacy) Treatment Development Effectiveness Trial Treatment Deployment
9. The Rise in Popularity of the term “Evidence-Based” (Hoagwood & Johnson, 2003) EBT EBP EBM 1900-1990 0 0 0 1990-1995 3 7 76 1995-2002 63 459 5,425
10. Psychotherapies provided in routine clinical care have little to no effect (Weisz et al., 1995) Mean Effect Sizes Weisz et al., 1995 Children & Adolescents Adults University Clinic settings
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29. New York State Implementation Model System & Policy Context Financial policies, methods of reimbursement, state policies Organizational Context Culture Climate Structure Clinical Care Improvement Training on EBP’s, supervision, consultation and support Engagement Empowerment Attitudes, Beliefs & Expectancies of Families & Youth Improved Child & Family Outcomes Attitudes, Beliefs & Expectancies of Clinicians and Supervisors Improved Implementation Efficiency & Effectiveness
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32. Children and Youth participating in the CATS research project ID’s Generated 1068 Assigned 650 Declined 50 Ineligible 165 CATS 450 Conferenced-In 51 Comparison 149 Children 287 Adolescents 163 Children 108 Adolescents 41 Unassigned 204
33. Acknowledgements CATS Consortium The CATS Consortium is a cooperative multi site treatment study performed by nine independent teams in collaboration with the New York State Office of Mental Health. The New York State collaborators are Kimberly Eaton Hoagwood, Ph.D., Chip Felton, M.S.W., Sheila Donahue, Ph.D., Anita Appel, M.S.W., James Rodriguez, Ph.D., (NYSPI), Laura Murray, Ph.D., (NYSPI), David Fernandez, M.A., (NYSPI), Joanna Legerski, B.S. (NYSPI), Michelle Chung, B.A., Jacob Gisis, B.S., Jennifer Sawaya, B.A., Sudha Mehta, M.P.H. (OMH), Jessica Mass Levitt, Ph.D. (NYSPI). The Principal investigators and co-investigators from the nine sites are Robert Abramovitz, M.D., (JBFCS),), Reese Abright, M.D., (St. Vincents Hospital), Peter D’Amico, (North Shore/Long Island Jewish), Giussepe Constantino, Ph.D., (Lutheran Hospital), Carrie Epstein, C.S.W.-R., (Safe Horizon), Jennifer Havens, M.D., (Columbia University), Sandra Kaplan, M.D., (North Shore/LIJ), Jeffrey Newcorn, M.D., (Mt. Sinai), Moises Perez, Ph.D., (Alianza Dominicana), Raul Silva, M.D., (NYU/Bellevue), Heike Thiel de Bocanegra, Ph.D., (Safe Horizon),), Juliet Vogel, Ph.D. (North Shore/LIJ). The Scientific Advisors to the project are: Leonard Bickman, Ph.D., (Vanderbilt University), Peter S. Jensen, M.D., (Columbia University), Mary McKay, Ph.D., (Mount Sinai Medical School), Susan Essock, Ph.D., (Mount Sinai Medical School), Sue Marcus, Ph.D., (Mount Sinai Medical School), Wendy Silverman, Ph.D. (Florida International University), Robert Pynoos, M.D. (University of California, Los Angeles); Allan Steinberg, Ph.D. (University of California, Los Angeles); Lawrence Palinkas, Ph.D. (University of California at San Diego); and Joseph Cappelleri, Ph.D., (Pfizer Corporation). The Treatment Developers and Scientific Consultants to the project are: Judy Cohen, M.D., (University of Pittsburgh), Anthony Mannarino, Ph.D., (University of Pittsburgh), Christopher Layne, Ph.D., (Brigham Young University), William Saltzman, Ph.D ., (UCLA).
62. New York State Implementation Model System & Policy Context Financial policies, methods of reimbursement, state policies Organizational Context Culture Climate Structure Clinical Care Improvement Training on EBP’s, supervision, consultation and support Engagement Empowerment Attitudes, Beliefs & Expectancies of Families & Youth Improved Child & Family Outcomes Attitudes, Beliefs & Expectancies of Clinicians and Supervisors Improved Implementation Efficiency & Effectiveness
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68. Parent Empowerment Research Study Basic Design 40 Parent Advocates/Family Support Specialists (PA/FSS) 20 PA/FSS PEP Training 20 PA/FSS Training as Usual 120 Parent/Caregivers Receiving PA/FS Services 6 per PA/FSS 120 Parent/Caregivers Receiving PA/FS Services 6 per PA/FSS
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74. Glisson & Himmelgarn (1998) Parameter Estimates for Hypothesized Six-Variable Model Service Quality County Demographics Service Outcomes (problem levels) -.13* .12* -.05 -.24* -.03 .02 -.36* .01 .06 -.20* * p < .05 Organizational Climate Interorganizational Services Coordination Interorganizational Relationships
75. Organizational Context: Implications for the Transport of Evidence-Based Treatments To Mental Health Provider Organizations Sonja K. Schoenwald, Ph.D. Family Services Research Center Psychiatry & Behavioral Sciences Medical University of South Carolina
94. Culture Structure Psychological Climate Organizational Climate Attitudes Social Norms Self-Efficacy Beliefs & Expectations Behavioral Intention Models of Diffusion, Organizational Implementation & Social Processes Systems Context Organizational Properties Individual & Shared Perceptions Behavior Structural Determinants of Organizational Innovation Social Determinants of Organizational Innovation Adapted from Glisson 2002
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99. Service System Organization Service Delivery Client Practitioner Intervention Schoenwald & Hoagwood, 2001 Organiza-tional mandates Ethnicity/ cultural iden Salary level/ Criteria for increases Clarity of intervention Organiza-tional mission Gender Endorsement of intervention Complexity of intervention Interagency working relationship Organiza-tional climate Source of payment Age and dev- elopmental status Training of practitioner Similarity of int to std practice Legal mandate for referrals Organiza- tional culture Physical location of sessions Source of referral Supervisor/ Researcher Intervention specification Manual? Financing methods Personnel policies Length of sessions Family context Adherence monitoring Focus of intervention Policies of referral source, pay Structure, hierarchy Frequency of sessions Nature of referral problems Specialized training Nature of intervention theory
100. Intervention Characteristics Theoretical foundation, strength of research support, clinical foundation, precision, availability of manual, specificity of manual, clarify of model Practitioner Characteristics Clinical adherence to model, frequency of clinical supervision, structure of clinical supervision, type of clinician, treatment orientation of clinician Client Characteristics Referral problem(s), family context, client’s ethnicity/cultural identification Service Delivery Characteristics Referral source, frequency of treatment sessions, length of treatment sessions, setting/location of treatment sessions, setting/location of the clinic or school Service System Characteristics Salary incentives to adopt EBPs, policies and practices of referral sources, source of payments for the specific EBP, financing/payment mechanisms, legal mandates of referral sources, strength of interagency relationships DOMAIN 1 DOMAIN 2 DOMAIN 3 DOMAIN 4 DOMAIN 5 DOMAIN 6 Key Readiness Factors Service Agency Characteristics Endorsement by site leadership, structure of organization, size of organization, culture and climate of organization, policies and practices within the organization
101. Dimensions of Organizational Readiness (DOOR) Question: how important are the following factors: Frequency of clinical supervision required to deliver the EBT (e.g., consultations between clinicians & supervisors) Length of each treatment session required to deliver the EBT Strength of the research supporting the EBT … outside agencies … state mental health authorities … consumer advocacy … families or youth in the service setting … clinical staff (e.g., therapists, social workers, psychologists, psychiatrists) Support for the EBT by …. Clinic Directors Clinicians Consumers Researchers To Me
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