Relevant bibliographies by topics / Systemic counselling / Journal articles
To see the other types of publications on this topic, follow the link: Systemic counselling.

Journal articles on the topic 'Systemic counselling'

Author: Grafiati
Published: 4 June 2021
Last updated: 6 February 2022

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Systemic counselling.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

Bott, David. "The Relevance of Systemic Thinking to Student Counselling." Counselling Psychology Quarterly 1, no. 4 (October 1988): 367–75. http://dx.doi.org/10.1080/09515078808254222.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Bor, Robert, Riva Miller, Eleanor Goldman, and Isobel Scher. "Systemic theory in counselling people with HIV disease." International Journal for the Advancement of Counselling 16, no. 1 (March 1993): 37–46. http://dx.doi.org/10.1007/bf01418182.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Grau, Uwe, Jens Möller, and Johann Ingi Gunnarsson. "A New Concept of Counselling: A Systemic Approach for Counselling Coaches in Team Sports." Applied Psychology 37, no. 1 (January 1988): 65–83. http://dx.doi.org/10.1111/j.1464-0597.1988.tb01126.x.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Swan, Lorna, and Rafael Alonso-Gonzalez. "Preconception counselling of the patient with systemic ventricular dysfunction." Progress in Pediatric Cardiology 38, no. 1-2 (December 2014): 45–48. http://dx.doi.org/10.1016/j.ppedcard.2014.12.009.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Wilton, Tamsin. "Theory and Practice of HIV Counselling: A Systemic Approach." Disability, Handicap & Society 8, no. 2 (January 1993): 228–30. http://dx.doi.org/10.1080/02674649366780231.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Perry, Kathryn Nicholson. "Theory and practice of HIV counselling: A systemic approach." Behaviour Research and Therapy 32, no. 7 (September 1994): 795. http://dx.doi.org/10.1016/0005-7967(94)90041-8.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Evans, Hilary, and Shelly Russell-Mayhew. "The Responsibility of Canadian Counselling Psychology to Reach Systems, Organizations, and Policy-Makers." Canadian Journal of Counselling and Psychotherapy 54, no. 4 (December 12, 2020): 685–90. http://dx.doi.org/10.47634/cjcp.v54i4.70674.

Full text
Abstract:
Social justice is becoming an increasingly important aspect of counselling psychology in Canada, and more research is needed to understand how to make a difference outside of one-on-one counselling sessions. Twelve individuals (including students, researchers, clinicians, and professors) comprised a working group entitled “The Responsibility of Canadian Counselling Psychology to Reach Systems, Organizations, and Policy-Makers” and discussed the role of counselling psychology in reaching beyond individual change. Discussion generated three main themes: identifying needs, using our unique training, and infiltrating and navigating the system. Future directions for social justice and advocacy in counselling psychology are discussed in relation to systemic change.
APA, Harvard, Vancouver, ISO, and other styles
8

Bor, Robert, Riva Miller, Isobel Scher, and Heather Salt. "Systemic hiv/aids counselling: Creating balance in client belief systems." Practice 5, no. 1 (January 1991): 65–75. http://dx.doi.org/10.1080/09503159108414273.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Kourkoutas, Elias, and Theodoros Giovazolias. "School-Based Counselling Work With Teachers: An Integrative Model." European Journal of Counselling Psychology 3, no. 2 (March 31, 2015): 137–58. http://dx.doi.org/10.5964/ejcop.v3i2.58.

Full text
Abstract:
Teachers increasingly face many challenges in a wide range of areas, mainly in those related to their students’ behavioural problems and psychological well-being. Evidence shows that teachers can effectively assist students at risk or with difficulties, when they are adequately guided and supported by well-trained school counsellors. Hence, the need for more holistic and systemic school-based interventions for children at risk and their families, as well as specialized assistance for teachers is advocated by many authors. Focusing on the role of teachers in promoting the social-emotional health of pupils at risk, the authors present the key components of an innovative counselling intervention within school context that focuses on enabling teachers being more resilient and more confident in order to better deal with cases of “difficult” students. The model integrates elements of systemic, psychodynamic and resilience based thinking with a strong emphasis on “inclusive education” issues. The authors describe the key theoretical background and the various aspects of this model, discussing the challenges of its implementation. They finally propose that in order to be effective, such models should emphasize the collaborative, dialectical, and systemic aspects of the counselling process with teachers. The final conclusion is that school counsellors have a critical role to play in supporting teachers helping their “difficult” pupils avoid school exclusion and develop further mental health problems.
APA, Harvard, Vancouver, ISO, and other styles
10

Wind, Merlijn, Maike Hendriks, Bernadette T. J. van Brussel, Jeroen Eikenboom, Cornelia F. Allaart, Hildo J. Lamb, Hans-Marc J. Siebelink, et al. "Effectiveness of a multidisciplinary clinical pathway for women with systemic lupus erythematosus and/or antiphospholipid syndrome." Lupus Science & Medicine 8, no. 1 (May 2021): e000472. http://dx.doi.org/10.1136/lupus-2020-000472.

Full text
Abstract:
ObjectivesSLE and/or antiphospholipid syndrome (SLE/APS) are complex and rare systemic autoimmune diseases that predominantly affect women of childbearing age. Women with SLE/APS are at high risk of developing complications during pregnancy. Therefore, clinical practice guidelines recommend that patients with SLE/APS should receive multidisciplinary counselling before getting pregnant. We investigated the clinical effectiveness of implementing a multidisciplinary clinical pathway including prepregnancy counselling of patients with SLE/APS.MethodsA clinical pathway with specific evaluation and prepregnancy counselling for patients with SLE/APS was developed and implemented in a tertiary, academic hospital setting. Patients were prospectively managed within the clinical pathway from 2014 onwards and compared with a retrospective cohort of patients that was not managed in a clinical pathway. Primary outcome was a combined outcome of disease flares for SLE and thromboembolic events for APS. Secondary outcomes were maternal and fetal pregnancy complications.ResultsSeventy-eight patients with 112 pregnancies were included in this study. The primary combined outcome was significantly lower in the pathway cohort (adjusted OR (aOR) 0.20 (95% CI 0.06 to 0.75)) which was predominantly determined by a fivefold risk reduction of SLE flares (aOR 0.22 (95% CI 0.04 to 1.09)). Maternal and fetal pregnancy complications were not different between the cohorts (respectively, aOR 0.91 (95% CI 0.38 to 2.17) and aOR 1.26 (95% CI 0.55 to 2.88)).ConclusionsThe outcomes of this study suggest that patients with SLE/APS with a pregnancy wish benefit from a multidisciplinary clinical pathway including prepregnancy counselling.
APA, Harvard, Vancouver, ISO, and other styles
11

Dunn, Nicola. "An approach that puts the family at the centre of haemophilia care." Journal of Haemophilia Practice 2, no. 2 (July 1, 2015): 22–23. http://dx.doi.org/10.17225/jhp00056.

Full text
Abstract:
Abstract Staff at the Katharine Dormandy Haemophilia Centre pioneered a systemic family therapy model for haemophilia, in which reviews combined medical care and family counselling. That approach has now been extended to specialised joint clinics such as in orthopaedics, women’s and genetic counselling. This multidisciplinary team approach enables specialist clinicians to focus on what they do best while the family therapy team manages the psychological, practical and family issues, and supports patients to make difficult decisions regarding their care.
APA, Harvard, Vancouver, ISO, and other styles
12

Kirk, Shelley, Liz Beddoe, and Shirley Anne Chinnery. "An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities." Aotearoa New Zealand Social Work 30, no. 3 (December 8, 2018): 31–44. http://dx.doi.org/10.11157/anzswj-vol30iss3id511.

Full text
Abstract:
Introduction: Termination of pregnancy (ToP) service delivery in Aotearoa New Zealand occurs within a multi-dimensional system which is influenced and shaped by various philosophical, political and economic discourses, and is comprised of interconnected components. One component is the provision of counselling for women seeking a termination of pregnancy. This study aimed to explore how service managers and social work practitioners perceived how ToP services, particularly the counselling component therein, were being delivered nationally.Methods: A concurrent, multi-level, mixed-methods research design was employed in the study. Two purposively selected sample groups comprising: 1) service managers responsible for the oversight of ToP service delivery; and 2) ToP counselling practitioners were recruited from 19 District Health Boards (DHBs) across Aotearoa New Zealand. Service managers (20) participated in interviews with a focus on capturing information about operational systems that supported or hindered the delivery of ToP and counselling services, while 26 social work and counselling practitioners participated in an electronic survey questionnaire. Qualitative data were thematically analysed and quantitative data were descriptively analysed using descriptive statistics.Findings: Results from this mixed-methods study were integrated at the level of interpretation and linkage between the methods showed that practice within ToP licensed facilities varied markedly. Specifically, nine practice and systemic variations were identified that had implications for women receiving ToP services. Existing variations across licensed facilities were signalled as disconnects between components of the service delivery system.Conclusions: Recommendations that address variations and systemic disconnects are offered to the New Zealand Abortion Supervisory Committee and Ministry of Health. Further research is suggested to obtain the perspective of service users as this was one limitation of this small exploratory study.
APA, Harvard, Vancouver, ISO, and other styles
13

Lor, Na, Wei-Mo Tu, David Rosenthal, and Chen Wang. "Challenges and Opportunities in International Partnerships in Rehabilitation Counselling: An Exploratory Study." Australian Journal of Rehabilitation Counselling 24, no. 1 (June 18, 2018): 35–53. http://dx.doi.org/10.1017/jrc.2018.2.

Full text
Abstract:
We provide a comparative case study of rehabilitation counselling across the U.S., Japan and Taiwan focusing on the common challenges facing international constituents in the field. Through interviews with students, faculty and administrators from each of the respective countries, we use thematic coding analysis to identify key points of tension. Emergent themes comprise (a) systemic challenges, (b) student and faculty mobility, (c) cultural and linguistic differences and (d) lack of sustainable international leadership. We further discuss mitigation of these recurrent challenges and conclude collaborative research, student exchange and institutional partnerships may advance teaching, research and service scholarship of rehabilitation counselling programs, and, in turn, enhance the lives of people with chronic illness and disability worldwide.
APA, Harvard, Vancouver, ISO, and other styles
14

GRAY, DAVID E. "Towards a systemic model of coaching supervision: Some lessons from psychotherapeutic and counselling models." Australian Psychologist 42, no. 4 (December 2007): 300–309. http://dx.doi.org/10.1080/00050060701648191.

Full text
APA, Harvard, Vancouver, ISO, and other styles
15

Teng, Y. K. Onno, Edwin O. W. Bredewold, Ton J. Rabelink, Tom W. J. Huizinga, H. C. Jeroen Eikenboom, Maarten Limper, Ruth D. E. Fritsch-Stork, Kitty W. M. Bloemenkamp, and Marieke Sueters. "An evidence-based approach to pre-pregnancy counselling for patients with systemic lupus erythematosus." Rheumatology 57, no. 10 (November 20, 2017): 1707–20. http://dx.doi.org/10.1093/rheumatology/kex374.

Full text
APA, Harvard, Vancouver, ISO, and other styles
16

Tribe, Rachel, and Deanne Bell. "Social justice, diversity and leadership." European Journal of Counselling Psychology 6, no. 1 (October 31, 2018): 111–25. http://dx.doi.org/10.5964/ejcop.v6i1.145.

Full text
Abstract:
This paper will discuss what is meant by social justice in relation to counselling psychology specifically and psychology generally within the UK, as well as briefly considering social justice in the wider context. It will discuss if there is a role for counselling psychologists and psychology in promoting social justice through challenging social inequalities and promoting anti-discriminatory practice. It will review the role of counselling psychology in potentially foregrounding inclusive practice which celebrates diversity and provides leadership on this issue. It will then discuss the possible skills and theories psychologists have at their disposal to undertake work which promotes social justice and equality and takes into consideration human rights. It will provide a range of examples of where psychologists have undertaken social justice work using their training and skills and provided leadership in a range of contexts outside the consulting room. The paper will argue that taking an active leadership role to encourage the promotion of social justice is at the centre of our work as a profession, a division and as individual counselling psychologists. Counselling psychology has traditionally put individual therapeutic work at the centre of training and whilst this work is important, this paper will argue that there are numerous other roles and tasks which psychologists could usefully be involved with. These would help ensure that the requirements of service users/experts by experience (EBE) are met and that the context of their lives are foregrounded at the micro (individual) as well as the macro (contextual) level. This may require counselling psychologists to take a wider holistic or systemic perspective and understanding, advocating or intervening in relation to the structural and contextual issues which may give rise to psychological distress, and thereby promote social justice.
APA, Harvard, Vancouver, ISO, and other styles
17

Mertz, Philippe, Aurélien Schlencker, Matthias Schneider, Pierre-Edouard Gavand, Thierry Martin, and Laurent Arnaud. "Towards a practical management of fatigue in systemic lupus erythematosus." Lupus Science & Medicine 7, no. 1 (November 2020): e000441. http://dx.doi.org/10.1136/lupus-2020-000441.

Full text
Abstract:
Significant fatigue is reported by two-thirds of patients with SLE and severe fatigue by one-third. The assessment and treatment of fatigue remains a major challenge in SLE, especially in patients with no disease activity. Here, we suggest a practical algorithm for the management of fatigue in SLE. First, common but non–SLE-related causes of fatigue should be ruled out based on medical history, clinical and laboratory examinations. Then, presence of SLE-related disease activity or organ damage should be assessed. In patients with active disease, remission is the most appropriate therapeutic target while symptomatic support is needed in case of damage. Both anxiety and depression are major independent predictors of fatigue in SLE and require dedicated assessment and care with psychological counselling and pharmacological intervention if needed. This practical algorithm will help in improving the management of one the most common and complex patient complaints in SLE.
APA, Harvard, Vancouver, ISO, and other styles
18

Washington, Elaine D., and Anita E. Williams. "An exploratory phenomenological study exploring the experiences of people with systemic disease who have undergone lower limb amputation and its impact on their psychological well-being." Prosthetics and Orthotics International 40, no. 1 (November 18, 2014): 44–50. http://dx.doi.org/10.1177/0309364614556838.

Full text
Abstract:
Background: Amputation is a life-changing event accompanied by challenges for the affected person with time-dependent depression often used to quantify its level of impact on their psychological well-being. There are varied factors that contribute to this and its persistence. The aim of this study was to explore the experiences over time of people with diabetes and/or peripheral vascular disease following an amputation and the impact on their psychological well-being. Objectives: To develop an understanding of the experience of living with an amputation and a chronic condition in order to help clinicians identify those in need of counselling support. Study design: A qualitative study utilising an iterative approach in line with the philosophy of interpretive phenomenology. Methods: Six participants who had experienced a lower limb amputation associated with peripheral vascular disease/diabetes were interviewed on two occasions (baseline and 4 months). An interpretative phenomenological approach was utilised for both data collection and analysis. Results: For these participants, amputation was part of the chronology of their chronic disease. It was the individual’s variable experience of health which impacted their psychological well-being rather than the length of time since amputation. Conclusions: The multivariable experience of amputation means that individually tailored counselling/psychological support is recommended. Clinical relevance An understanding of how the experience of living with an amputation and a chronic condition may change over time will help clinicians to identify the ongoing need for counselling support.
APA, Harvard, Vancouver, ISO, and other styles
19

Skinner, Lynda, and Loyola McLean. "The Conversational Model and Child and Family Counselling: Treating Chronic Complex Trauma in a Systemic Framework." Australian and New Zealand Journal of Family Therapy 38, no. 2 (June 2017): 211–20. http://dx.doi.org/10.1002/anzf.1214.

Full text
APA, Harvard, Vancouver, ISO, and other styles
20

Ng, Benjamin, Samantha De Silva, and Mandeep Bindra. "Papillorenal syndrome: a systemic diagnosis not to be missed on funduscopy." BMJ Case Reports 14, no. 7 (July 2021): e241708. http://dx.doi.org/10.1136/bcr-2021-241708.

Full text
Abstract:
A 45-year-old man presented to the ophthalmology department with visual symptoms in his left eye. Almost two decades ago, he required a renal transplant for focal segmental glomerular sclerosis and a detailed enquiry revealed a strong family history of renal and ocular disease. Fundus examination demonstrated significant optic disc dysplasia in his left eye and optical coherence tomography showed intraretinal fluid bilaterally. The diagnosis of papillorenal syndrome was suspected and genetic testing identified a heterozygous pathogenic variant in the PAX2 gene c.76dupG, p.Val26Glyfs*28, confirming the diagnosis. The patient was treated conservatively, and his vision eventually improved and stabilised. His renal disease and transplant were concurrently monitored by nephrologists. In this case, history-taking and ophthalmic examination raised suspicion of this rare systemic condition, which led to genetic testing and molecular confirmation of the diagnosis. We therefore highlight this case to raise awareness of papillorenal syndrome, which has significant systemic implications and also impacts familial screening and genetic counselling.
APA, Harvard, Vancouver, ISO, and other styles
21

Schriever, V. A., C. Merkonidis, N. Gupta, C. Hummel, and T. Hummel. "Treatment of smell loss with systemic methylprednisolone." Rhinology journal 50, no. 3 (September 1, 2012): 284–89. http://dx.doi.org/10.4193/rhino11.207.

Full text
Abstract:
Background and aim: Olfactory dysfunction is a common complaint in a large number of people. As the aetiologies of olfactory dysfunction vary greatly so do the treatment approaches. The aim of this retrospective study was to evaluate treatment with systemic corticosteroids, particularly focusing on its effectiveness on the different olfactory dysfunction aetiologies. Although a prospective randomized control trail is preferred for such an investigation, using the current approach, we were able to test a very large patient population. Material and methods: A total of 425 patients with olfactory dysfunction were treated with systemic corticosteroids for 14 days. Olfactory performance was measured using the `Sniffin` Sticks` battery before and after the treatment. Results: The treatment with systemic corticosteroids significantly increased the performance on the TDI score and on each of the three subtests; threshold, discrimination and identification. In 26.6% of the patients improvement of more than six points of the TDI score was observed. The treatment proved to be more effective in patients with sinunasal olfactory dysfunction, where this percentage increased to 36.7, compared to other aetiologies. In addition, the increase in olfactory function was negatively correlated with the TDI score before the treatment. Conclusion: This study confirms the effectiveness of systemic corticosteroids on olfactory dysfunction in a large patient population. Specifically, the results show that treatment is: (a) more effective in patients with sinunasal than in patients with idiopathic olfactory dysfunction, (b) most effective in patients with sinunasal disease with nasal polyps, and (c), at best, effective in half of the patients. The current study may provide help in counselling patients.
APA, Harvard, Vancouver, ISO, and other styles
22

Schnappauf, Oskar, and Ivona Aksentijevich. "Current and future advances in genetic testing in systemic autoinflammatory diseases." Rheumatology 58, Supplement_6 (November 1, 2019): vi44—vi55. http://dx.doi.org/10.1093/rheumatology/kez294.

Full text
Abstract:
Abstract Systemic autoinflammatory diseases (SAIDs) are a group of inflammatory disorders caused by dysregulation in the innate immune system that leads to enhanced immune responses. The clinical diagnosis of SAIDs can be difficult since individually these are rare diseases with considerable phenotypic overlap. Most SAIDs have a strong genetic background, but environmental and epigenetic influences can modulate the clinical phenotype. Molecular diagnosis has become essential for confirmation of clinical diagnosis. To date there are over 30 genes and a variety of modes of inheritance that have been associated with monogenic SAIDs. Mutations in the same gene can lead to very distinct phenotypes and can have different inheritance patterns. In addition, somatic mutations have been reported in several of these conditions. New genetic testing methods and databases are being developed to facilitate the molecular diagnosis of SAIDs, which is of major importance for treatment, prognosis and genetic counselling. The aim of this review is to summarize the latest advances in genetic testing for SAIDs and discuss potential obstacles that might arise during the molecular diagnosis of SAIDs.
APA, Harvard, Vancouver, ISO, and other styles
23

Romics, László, Judit Kocsis, Katalin Ormándi, and Béla Ákos Molnár. "Az örökletes emlőrák szűrésének, megelőzésének és kezelésének új nemzetközi irányvonalai – hazai vonatkozásokkal." Orvosi Hetilap 157, no. 28 (July 2016): 1117–25. http://dx.doi.org/10.1556/650.2016.30473.

Full text
Abstract:
Introduction: Screening, prevention and treatment of familial breast cancer require a multidisciplinary approach. New guidelines were published in the United Kingdom for the management of familial breast cancer. Aim: The authors summarise these new guidelines and analyse the relevant practice in Hungary. Method: Relevant guidelines of the National Institute for Health and Care Excellence and Familial Breast Cancer Report (NHS Scotland) are described. Results: New guidelines will increase the number of genetic tests as well as genetic counselling. An increase in the number of breast magnetic resonance imaging is expected, too. Chemoprevention can be offered for individuals with medium risk and above. Promising trials are underway with platinum based chemotherapy and polyADP-ribose polimerase inhibitors for the systemic treatment of familial breast cancer. The increase in the number of genetic tests, counselling, and breast magnetic resonance imaging may have a significant impact on health care budget. Conclusions: These guidelines will change some aspects of the current management of familial breast cancer. Orv. Hetil., 2016, 157(28), 1117–1125.
APA, Harvard, Vancouver, ISO, and other styles
24

Ganachari, MS, and Syeda Atiya Almas. "Evaluation of clinical pharmacist mediated education and counselling of systemic lupus erythematosus patients in tertiary care hospital." Indian Journal of Rheumatology 7, no. 1 (March 2012): 7–12. http://dx.doi.org/10.1016/s0973-3698(12)60003-x.

Full text
APA, Harvard, Vancouver, ISO, and other styles
25

Haliburn, Joan. "Commentary: The Conversational Model and Child and Family Counselling: Treating Chronic Complex Trauma in a Systemic Framework." Australian and New Zealand Journal of Family Therapy 38, no. 2 (June 2017): 221–23. http://dx.doi.org/10.1002/anzf.1215.

Full text
APA, Harvard, Vancouver, ISO, and other styles
26

Tramonti, Francesco, Paolo Bongioanni, Luca Bonfiglio, Bruno Rossi, and Maria Chiara Carboncini. "Systemic-Oriented Psychological Counselling for Caregivers of People with Severe Brain Injury: Reflections on a Clinical Case." Contemporary Family Therapy 39, no. 2 (February 16, 2017): 73–79. http://dx.doi.org/10.1007/s10591-017-9405-2.

Full text
APA, Harvard, Vancouver, ISO, and other styles
27

Pirkis, Jane, David Dunt, Denise Ruth, and Helen Jordan. "GPs and Practice-Based Health Promotion: An Analysis of Projects Conducted by Divisions of General Practice." Australian Journal of Primary Health 3, no. 4 (1997): 29. http://dx.doi.org/10.1071/py97037.

Full text
Abstract:
All practice-based health promotion projects conducted by Divisions of General Practice, funded in 1993 and 1994, are examined in this paper. The aims of the study are to describe their characteristics and evaluation; consider their effectiveness and appropriateness; and compare them with a sample funded in 1995 and 1996. Relevant information was analysed from project evaluation reports and summaries. Five immunisation, nine screening and 13 lifestyle counselling projects were funded in 1993-1994. The evaluation activities in these projects were variable, but the projects appeared to have desirable impacts. Evaluation findings indicate they have had high GP and consumer participation rates; lead to changes in GP knowledge and behaviour (for example, increased use of lifestyle counselling resources); and had positive impacts for consumers (for example, increases in immunisation and screening rates). Two immunisation, four screening and eight lifestyle counselling projects were funded in the second funding round in 1995 and the first in 1996. Although similar to the earlier projects, these projects often had a more systemic focus and made use of previously-developed knowledge and resources. Evaluation findings indicate that Divisional projects have increased GPs' capacity to engage in practice-based health promotion activities, and contributed to the achievement of the aims of the General Practice Strategy. Projects have improved the sophistication of their conceptualisation and design over time. Lessons from these projects point to particular policy implications for future funding arrangements, and these are discussed.
APA, Harvard, Vancouver, ISO, and other styles
28

Henes, M., JC Henes, E. Neunhoeffer, M. Von Wolff, M. Schmalzing, I. Kötter, and B. Lawrenz. "Fertility preservation methods in young women with systemic lupus erythematosus prior to cytotoxic therapy: experiences from the FertiProtekt network." Lupus 21, no. 9 (March 21, 2012): 953–58. http://dx.doi.org/10.1177/0961203312442753.

Full text
Abstract:
Objectives: Despite new treatment options, some patients with systemic lupus erythematosus (SLE) need to be treated with the cytotoxic agent cyclophosphamide (CYC). Unlike malignant disease, there are no recommendations for ovarian protection in SLE. The clinical experience of the FertiPROTEKT network as well as recommendations after literature review will be presented in this paper. Methods: Retrospective analyses of counselling and treatment data from the FertiPROTEKT register with special respect to SLE patients under 40 years prior to planned CYC treatment. Results: A total of 2836 patients were advised prior to cytotoxic treatment in one of the FertiPROTEKT centres during January 2007 to November 2011. Of those, 68 patients (mean age 25 +/− 6.07years) were counselled for severe SLE. Only five women did not make use of a fertility preservation method. Sixty-three patients (92.6%) decided in favour of a fertility preservation method. The largest proportion (91.2%) opted for treatment with a GnRH analogue. Ovarian tissue removal for cryoconservation was performed in 16 patients (25%). Stimulation therapy for cryoconservation of fertilized egg cells was performed in three patients (4.4%). Conclusions: When counselling patients with SLE for fertility preservation one has to be aware of the disease-specific risks. According to the literature, a safe and effective option in SLE up to now has been the use of a GnRH analogue. Cryoconservation of ovarian tissue must still be seen as an experimental treatment, but as data on removal, cryoconservation, retransplantation and pregnancies are steadily rising, this presents a promising option for young SLE patients. Cryoconservation of oocytes must be very critically evaluated due to the need for a stimulation therapy and should only be performed after particular consideration of the individual risks.
APA, Harvard, Vancouver, ISO, and other styles
29

Karageorge, A., P. Rhodes, R. Gray, and R. Papadopoulos. "Relationship and Family Therapy for Newly-resettled Refugees: A Qualitative Inquiry of an Innovative, Needs-adapted Approach in Sydney, Australia." European Psychiatry 41, S1 (April 2017): S622—S623. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1004.

Full text
Abstract:
IntroductionThe needs of refugees are of pivotal concern internationally. Relational trauma, in particular, is an area that is under-emphasised and under-researched. The strength to strength program (STS) was a rare, innovative relationship and family counselling service for recently-arrived refugees in Sydney, Australia during 2006–2014. The service model built on post-Milan systemic family therapy principles to include innovative cultural and trauma-informed aspects of care.ObjectivesWe were interested in the experiences of staff who delivered the program, and the ways in which more traditional, Western-informed modes of family therapy were transformed by the needs of refugee clients.AimsTo identify and describe transformations to the delivery of relationship and family counselling with refugees that enabled care, from the perspective of staff.MethodsA thematic analysis, guided by interpretive description, of individual interviews and focus groups with STS service staff (n = 20), including family therapists, bicultural workers and managers.ResultsKey themes pertaining to innovative aspects of the relationship and family counselling service provided by STS staff will be outlined and lessons for future service provision in this space considered.ConclusionsSTS is an example of staff-driven innovation to the therapeutic care of refugee families resettling in Western countries, taking into account the unique and complex set of cultural, practical and psychological needs. Important and timely lessons for future service delivery can be drawn from qualitative inquiry into the experiences of staff who deliver such programs, with refugee numbers continuing to increase internationally.Disclosure of interestThe authors have not supplied their declaration of competing interest.
APA, Harvard, Vancouver, ISO, and other styles
30

Kankaya, Hülya, and Ayfer Karadakovan. "Effects of web-based education and counselling for patients with systemic lupus erythematosus: self-efficacy, fatigue and assessment of care." Lupus 29, no. 8 (May 31, 2020): 884–91. http://dx.doi.org/10.1177/0961203320928423.

Full text
Abstract:
Objective The aim of this study was to determine the effect of web-based education and counselling for patients with systemic lupus erythematosus on self-efficacy, fatigue and assessment of care. Methods The study was conducted as a randomized controlled trial. The study sample consisted of 80 patients divided into two groups: the experimental group ( n = 40) and a control group ( n = 40). Randomization was performed by simple random sampling. At the beginning of the study (month 0), data-collection forms were administered to both groups. Web-based education was carried out for the first three months, and counselling and information updates were given for the next three months for the experimental group. In the intervention process, the control group just received standard care. After six months, data-collection forms were administered to both groups again. Results The mean age of the participants in the experimental and control groups was 35.58 ± 8.40 years and 39.00 ± 12.71 years, respectively. In both groups, 95% of patients were women. Wilcoxon’s test was used for within-group comparisons before and after the study. The Mann–Whitney U-test was used to evaluate the difference between the two groups before the intervention and between the two groups after the intervention. We found that there was a significant improvement in fatigue, self-efficacy and assessment of chronic illness care in the experimental group at the end of the study ( p < 0.05). Conclusions The intervention had a positive effect on self-efficacy, fatigue and satisfaction with chronic illness. In accordance with the results, similar studies should be conducted for different patient groups in order to strengthen the results.
APA, Harvard, Vancouver, ISO, and other styles
31

Rigazio-Digilio, Sandra A. "Systemic cognitive-developmental therapy: A counselling model and an integrative classification schema for working with partners and families." International Journal for the Advancement of Counselling 19, no. 2 (1997): 143–65. http://dx.doi.org/10.1007/bf00114786.

Full text
APA, Harvard, Vancouver, ISO, and other styles
32

Williams, Michael Uncle, Caroline E. Murphy, Rosco Steven Gore, and Emilio Fentanes. "Lingual liability: macroglossia and dyspnoea as the harbinger of systemic AL (light-chain) cardiac amyloidosis." BMJ Case Reports 11, no. 1 (December 2018): e225923. http://dx.doi.org/10.1136/bcr-2018-225923.

Full text
Abstract:
A 58-year-old man presented with a chief complaint of tongue indentations and discomfort. Otolaryngology treated him for oral thrush with counselling to avoid tongue biting. In addition, the patient reported dyspnoea described as a decrease in tolerance of his physical activities. Due to continued increase in tongue size and worsening dyspnoea, he underwent a tissue biopsy with findings consistent with amyloidosis. Further evaluation with a bone marrow biopsy revealed underlying multiple myeloma. Echocardiography revealed abnormal ventricular wall thickness, with a reduced left ventricular chamber size, dilated atria and Doppler findings with restrictive filling patterns indicative of cardiac amyloidosis. The patient was initiated on chemotherapy for his multiple myeloma and supportive therapy for his cardiac amyloidosis. Light-chain amyloidosis (AL) is a systemic disease characterised by irreversible deposition of amyloid in tissues throughout the body; when there is cardiac involvement, it can result in heart failure with a poor prognosis. Early diagnosis of cardiac amyloidosis can lead to prolonged survival.
APA, Harvard, Vancouver, ISO, and other styles
33

Baghel, S., R. Thakran, C. Messi, V. Yadav, S. Kapoor, S. Garg, V. Kashyap, and A. Malaviya. "FRI0601-HPR IMPACT OF LIFE STYLE MODIFICATION TECHNIQUE IN SYSTEMIC SCLEROSIS (SSC) PATIENTS: A STUDY BY RHEUMATOLOGY NURSES COUNSELOR." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 907.1–907. http://dx.doi.org/10.1136/annrheumdis-2020-eular.1552.

Full text
Abstract:
Background:Systemic sclerosis (SSc) is an autoimmune the disease of the connective tissue that is clinically characterized by the involvement of skin (fibrosis, contractures of the finger joints), microvascular abnormalities (Raynaud’s phenomenon and complications), gastrointestinal involvement (gastroesophageal reflux disease - GERD, the lower GI tract involvement), musculoskeletal involvement (polyarthralgia, muscle disease), and involvement of internal organs (especially lungs, heart, and kidneys). Lifestyle modification techniques could have significant impact on various aspects of the disease including early disease control, increased drug adherence, positive attitude towards life, decreased financial burden of treatment, maintaining mobility and joints range of motion, minimizing or delaying joint contractures and decreased dependency with regular physical therapy. Counselling explaining the benefits of lifestyle modification related to these aspects of daily living may make a major difference in the quality of life of the patients with SSc.Objectives:To assess the benefits of lifestyle modification technique in improving the quality of life in patients with SSc.Methods:Patients with SSc attending the Rheumatology clinic of this institution, willing to participate in the survey, were enrolled in this study. All the information including the follow-up details were recorded in a pre-designed form. Their demographic information (age, gender) and disease characteristics (diagnosis, duration, treatment) were recorded, All the patients were explained the lifestyle modifications and their benefits, reinforced at each follow-up visit using posters (visual), written lifestyle modification techniques (using printed material) to raise their awareness of how to improve several of the above manifestations of SSc.Results:One hundred fifty (n=150) consecutive SSc patients were included in the study. It was observed that with repeated counselling 125 (83.3 %) patients adopted the lifestyle modification technique according to the advice imparted and felt a positive benefit in their daily life. However, 25 (16.6%) could not or did not follow the imparted lifestyle change advice on a regular basis. Those who were able to modify the life-style as counselled showed the following results:80 % were able to avoid exposure to cold by adopting the following measures: Wearing gloves and extra woolen socks, using mittens most of the time, wearing woollen undergarments to keep the central regions of the body region warm. These patients noted 55% decrease in the episodes of Raynaud’s phenomenon.Early evening meals and raising the head-end of the bed: 60% decrease in gastrointestinal symptoms.Regular physiotherapy: 65 % decrease dependency on others; 55% could maintain flexibility with physical exercises.Regular application and rubbing of the skin with lanoline-containing skin moisturizers 60 % improve your skin’s health80% were able to avoid active and passive tobacco use.Conclusion:The lifestyle modification techniques are important to control disease and its complications. Thus, after intense and regular counselling by the specialist rheumatology nurses on the lifestyle modification technique (83.3%) adapted the advised lifestyle modifications. The study showed the important role specialist rheumatology nurses can play in educating patients and helping them improving their quality of life.References:[1] Hudson M, Thombs BD, Steele R. at ell. Canadian Scleroderma Research G. QOL in patients with systemic sclerosis compared to the general population and patients with other chronic conditions. J Rheumatol. 2009;36(4):768–72.Disclosure of Interests:None declared
APA, Harvard, Vancouver, ISO, and other styles
34

Robinson, G. A., T. Mcdonnell, C. Wincup, L. Martin-Gutierrez, J. Wilton, A. Z. Kalea, C. Ciurtin, I. Pineda-Torra, and E. C. Jury. "Diet and lupus: what do the patients think?" Lupus 28, no. 6 (April 26, 2019): 755–63. http://dx.doi.org/10.1177/0961203319845473.

Full text
Abstract:
Objectives Cardiovascular disease is the leading cause of mortality in patients with systemic lupus erythematosus. Therefore, using diet to control blood lipid levels and modify cardiovascular disease risk could be a promising therapeutic strategy to control disease symptoms. The primary objective of this study was to learn about systemic lupus erythematosus patient experiences with diet, including their opinion on considering diet as a therapeutic option. The secondary objective was to obtain this information in a cost- and time-effective manner. Methods A lay summary and a 15-question diet-based online survey were publicly available for 3 weeks. Social media was used to promote the survey through relevant charities, hospitals and research groups. Results A total of 300 responses were received, 284 from patients with systemic lupus erythematosus. Patients reported that there was a lack of clinical counselling regarding diet, with only 24% stating their doctor had spoken to them about diet. Despite this, 100% of patients stated they would change their diet if they knew it would help their symptoms and 83% would take part in a future diet-based clinical trial. Text analysis of patient research suggestions identified a particular interest in using diet to treat fatigue and manage disease flares. Conclusions This project successfully gathered patient information regarding diet and systemic lupus erythematosus over a short timeframe using an anonymous social media platform. The survey provided evidence that patients support further research and potential diet intervention studies investigating the effect of diet on the symptoms of systemic lupus erythematosus.
APA, Harvard, Vancouver, ISO, and other styles
35

Schaefer-Graf, Ute, Regina Ensenauer, Ulrich Gembruch, Tanja Groten, Maria Flothkötter, Julia Hennicke, Josef Köhrle, et al. "Obesity and Pregnancy. Guideline of the German Society of Gynecology and Obstetrics (S3-Level, AWMF Registry No. 015-081, June 2019)." Geburtshilfe und Frauenheilkunde 81, no. 03 (March 2021): 279–303. http://dx.doi.org/10.1055/a-1330-7466.

Full text
Abstract:
Abstract Aims Obesity is an increasing problem, even in young women of reproductive age. Obesity has a negative impact on conception, the course of pregnancy, and neonatal outcomes. Caring for obese pregnant women is becoming an increasingly important aspect of standard prenatal care. This guideline aims to improve the care offered to obese pregnant women. Methods This S3-guideline was compiled following a systemic search for evidence and a structured process to achieve consensus. Recommendations Evidence-based recommendations for the care of obese pregnant women were developed, which cover such as areas as preconception counselling, identification of risks, special aspects of prenatal care and prenatal diagnostic procedures, intrapartum management, and long-term effects on mother and child.
APA, Harvard, Vancouver, ISO, and other styles
36

Haase, I., R. Brinks, M. Schneider, and R. Fischer-Betz. "AB0375 SAFETY AND BENEFICIAL EFFECTS OF HYDROXYCHLOROQUINE ON PREGNANCY OUTCOMES IN WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1487.1–1488. http://dx.doi.org/10.1136/annrheumdis-2020-eular.3567.

Full text
Abstract:
Background:The use of hydroxychloroquine (HCQ) has long been established in Systemic Lupus Erythematosus (SLE) and especially as applicable drug during pregnancy. Recently, beneficial effects and safety of HCQ have been re-discussed in the light of a change in the summary of product characteristics in some countries. More current studies are required to provide patients with evidence-based advice regarding this essential drug when counselling for pregnancy.Objectives:To examine the impact of HCQ on pregnancy outcomes of SLE women.Methods:Pregnancies of women with SLE from an outpatient pregnancy clinic were prospectively evaluated before and throughout gestation. Maternal and fetal outcomes in women without HCQ therapy (group A) were compared to pregnancies under HCQ treatment from 1sttrimester on (group B). A multiple logistic regression was performed with adjustment for confounding factors.Results:We enrolled 184 live births from singleton pregnancies in 145 women (n=77 with HCQ and n=107 w/o HCQ). One neonatal death (group B) occurred after severe preeclampsia at 24 weeks of gestation (w/g) linked to noncompliance in a woman with high-risk aPL profile. One child (group B) was born with mycophenolate mofetil embryopathy.Women in the HCQ group had a significantly lower rate of preterm births [aOR 0.31 (95%-CI: 0.15-0.64), p = 0.026]. Regarding preeclampsia, we found a tendency towards less incidence with the use of HCQ [aOR 0.49 (95%-CI: 0.23-1.03), p = 0.24]. These improved outcomes are opposed by a higher frequency of risk factors in group B (lupus nephritis, high-risk aPL profile, slightly more hypertension) and a tendency towards more severe SLE (expressed in terms of increased use of Azathioprine) (Table 1). Nevertheless, women with HCQ therapy experienced significantly less flares during pregnancy [aOR 0.18 (95%-CI: 0.09-0.38), p = 0.013].Table 1.Patient characteristicsAll pregnancies (n=184)No HCQ in pregnancy (n=107)HCQ during pregnancy (n=77)Age (years), median (IQR)31.0 (28.0-34.0)31.0 (29.0-34.0)30.0 (27.0-33.0)Hypertension, n (%)29 (15.8%)16 (15.0%)13 (16.9%)Preconception counselling, n (%)122 (66.3%)69 (64.5%)53 (68.8%)SLE disease & therapy characteristicsDisease duration (years), median (IQR)6.7 (2.9-10.3)7.0 (3.0-10.0)6.7 (2.1-11.0)Lupus nephritis*1, n (%)51 (27.7%)25 (23.4%)26 (33.8%)High-risk aPL profile*2, n (%)39 (21.3%)21 (19.8%)18 (23.4%)SLEDAI*1, median (IQR)2.0 (0-4.0)2.0 (0.0-4.0)2.0 (2.0-4.0)Anti-dsDNA, n (%)102 (55.7%)47 (44.3%)55 (71.4%)Anti-SSA/Ro and/or Anti-SSB/La, n (%)91 (49.7%)55 (51.9%)36 (46.8%)Azathioprine*1, n (%)38 (20.7%)18 (16.8%)20 (26.0%)Low dose Aspirin*3, n (%)74 (41.1%)34 (32.7%)40 (52.6%)Obstetrical historyNulliparous, n (%)113 (61.4%)63 (58.9%)50 (64.9%)Previous fetal loss, n (%)39 (21.2%)22 (20.6%)17 (22.1%)Previous (pre-)eclampsia or HELLP, n (%)14 (7.6%)8 (7.5%)6 (7.8%)Previous congenital heart block, n (%)1 (0.54%)-1 (1.3%)Pregnancy outcome(mild-moderate) flare*4, n (%)44 (29.5%)30 (34.9%)14 (22.2%)Preterm birth*5, n (%)46 (25%)30 (28.0%)16 (20.8%)Preeclampsia, n (%)24 (13%)15 (14.0%)9 (11.7%)Intrauterine growth restriction, n (%)3 (1.7%)1 (1.0%)2 (2.6%)Congenital heart block, n (%)1 (0.54%)-1 (1.3%)*1last visit before pregnancy, *2according to the 2019 EULAR recommendations,*3until 16 w/g,*4increase in SLEPDAI ≥ 4 or increase in prednisolone ≥ 5mg/d,*5< 37 w/gConclusion:In our cohort, SLE women with additional risk factors achieved a favourable pregnancy outcome. This encouraging result is in part attributable to pregnancy counselling with the advice to continue HCQ throughout gestation.Disclosure of Interests:Isabell Haase Grant/research support from: Abbvie, Medac, Hexal, Pfizer, Ralph Brinks: None declared, Matthias Schneider Grant/research support from: GSK, UCB, Abbvie, Consultant of: Abbvie, Alexion, Astra Zeneca, BMS, Boehringer Ingelheim, Gilead, Lilly, Sanofi, UCB, Speakers bureau: Abbvie, Astra Zeneca, BMS, Chugai, GSK, Lilly, Pfizer, Sanofi, Rebecca Fischer-Betz Consultant of: UCB, Speakers bureau: Abbvie, Amgen, Biogen, BMS, Celgene, Chugai, GSK, Janssen, Lilly, Medac, MSD, Novartis, Roche, UCB, Pfizer.
APA, Harvard, Vancouver, ISO, and other styles
37

Faria, Daniella Antunes Pousa, Luciana Silva Revoredo, Maria José Vilar, and Maia Eulália Maria Chaves. "Resilience and Treatment Adhesion in Patients with Systemic Lupus Erythematosus." Open Rheumatology Journal 8, no. 1 (February 21, 2014): 1–8. http://dx.doi.org/10.2174/1874312920140127001.

Full text
Abstract:
Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune, rheumatic inflammatory disease that can cause significant morbidity with evident psychological impacts and obvious harm to quality-of-life that require the patient to adapt treatment. Objective: Assessment of resilience and the self-reported treatment adhesion behaviors of patients with SLE, investigating which of these factors are associated to resilience. Method: Cross-sectional study of 40 women with SLE. A questionnaire with social demographic data, health history and the Wagnild Young Resilience Scale were used. Results: 62.5% followed the medical treatment properly but 55% found it difficult. 27.5% of the patients presented low resilience, 57.5% medium and 15% high resilience. Resilience was associated in the chi-square test (p-value < 0.05) with the variables work, understanding SLE, trying to find out about SLE, following the treatment correctly, difficulty in following the treatment and stopping some activity because of the disease. In the correlation analysis, resilience was associated with age (-0.3960), number of working hours (0.5533), specialized treatment duration (-0.8103) and disease duration from diagnosis (-0.8014). Conclusion: Patients with high resilience tended to follow treatment correctly, tried to understand the disease and adhered more to the treatment to avoid risks and promote protection factors. Therefore knowledge of resilience in patients with SLE is necessary. It is important that the state takes necessary actions to facilitate access to treatment, to educational programs and to medical support. Awareness and counselling sessions must be initiated to develop and promote individual capacities to learn how to tackle with the disease for which psychological support of family and doctors can play a significant role.
APA, Harvard, Vancouver, ISO, and other styles
38

Ighani, Arvin, Ashley M. Yu, Vijay K. Sandhu, Benjamin Barankin, and Morris F. Manolson. "Satisfaction and Awareness of Systemic Psoriasis Treatments: A National Survey Comparing Biologic and Nonbiologic Users." Journal of Cutaneous Medicine and Surgery 23, no. 2 (February 25, 2019): 148–56. http://dx.doi.org/10.1177/1203475418808764.

Full text
Abstract:
Background: There is ongoing development of new therapies for psoriasis, including biologic and systemic agents such as interleukin-17, interleukin-23, and phosphodiesterase-4 inhibitors. The development of these agents has changed the landscape of psoriasis treatment options. Objective: The objective of this study was to characterize the impact of newer biologic and systemic agents approved by June 2016 on patient outcomes. We sought to evaluate and compare biologic users and nonbiologic systemic users with respect to their treatment awareness and satisfaction. Methods: We conducted a national Canadian survey from July to September 2016 on adult patients with moderate-to-severe psoriasis using biologic agents or nonbiologic systemic agents as their current primary treatment modality. Patients were asked to evaluate their overall satisfaction with their treatment agent and their awareness of other treatment options. Responses from biologic and nonbiologic systemic users were compared. Results: Overall, 343 participants were included (biologic users: n = 218; nonbiologic users: n = 125). Treatment satisfaction: Biologic users had a higher overall satisfaction score than nonbiologic users ( P < .001). Among nonbiologic agents, apremilast (62%) was associated with the highest satisfaction proportion. Among biologic agents, ustekinumab (77%) and adalimumab (72%) were associated with the highest proportions of satisfaction. With respect to treatment awareness, 30% of nonbiologic patients did not have enough information to form an opinion about biologics. Conclusions: This study demonstrates the greater treatment satisfaction of biologic users compared with nonbiologic users for moderate-to-severe psoriasis. Given that nearly one-third of nonbiologic users did not have enough information to form an opinion about biologic agents, physicians may consider counselling these patients on the use of biologic agents for psoriasis management.
APA, Harvard, Vancouver, ISO, and other styles
39

Byrne, Eileen M., and W. Sam Beavers. "Career Education, Career Guidance and Curricular Choice." Australian Journal of Career Development 2, no. 3 (September 1993): 23–26. http://dx.doi.org/10.1177/103841629300200309.

Full text
Abstract:
A research review of career education, career guidance and curricular choice in a sample of Australian secondary schools reveals an almost total lack of rationale; a lack of any coherent, planned approach; and some continuing serious confusion in the field about the actual and distinct nature of the separate but related functions of career education, career guidance and career counselling. This group of activities is also either under-resourced or not provided at all at the level of need or demand. The relationship between any form of career education processes and curricular choice structures was weak or non-existent. The interim research outcomes include recommendations for new systemic and school-based investment of specialist resources, staff and information dissemination techniques.
APA, Harvard, Vancouver, ISO, and other styles
40

Ingersoll, Elliott, Sophia Elliott, and Stephanie Drcar. "Spiritual and Religious Support for Underrepresented First-Generation, Low-Income (UFGLI) Students." Religions 12, no. 7 (July 19, 2021): 548. http://dx.doi.org/10.3390/rel12070548.

Full text
Abstract:
UFGLI students comprise 34% of the students enrolled in four-year universities. Unlike some students, UFGLI students face internal and systemic barriers throughout their educational experience and their struggles are often dismissed and disregarded. Working and raising a family while taking courses, minimal support systems, and financial struggles require students to optimize their resources. We explore the issues of UFGLI students and the importance of their spiritual and religious supports using a literature review and a case study. Religious and spiritual identities are resources that should be explored and supported by staff at university counselling centers. Affirming UFGLI students’ religious and spiritual identities and understanding how religion and spirituality work in their lives can assist these students in their acclimation to and success at university.
APA, Harvard, Vancouver, ISO, and other styles
41

Seale, Anna N., Siew Y. Ho, Elliot A. Shinebourne, and Julene S. Carvalho. "Prenatal identification of the pulmonary arterial supply in tetralogy of Fallot with pulmonary atresia." Cardiology in the Young 19, no. 2 (April 2009): 185–91. http://dx.doi.org/10.1017/s104795110900362x.

Full text
Abstract:
AbstractObjectiveTo define the patterns of flow of blood to the lungs in fetuses with tetralogy of Fallot and pulmonary atresia.BackgroundIn this condition, supply of blood to the lungs is provided via an arterial duct or systemic-to-pulmonary collateral arteries, or very rarely through other conduits such as coronary arterial fistulas or an aortopulmonary window. The intrapericardial pulmonary arteries vary in size, and may be absent. These variables influence the prognosis and management.MethodsWe carried out a retrospective review of cases from a tertiary service for fetal cardiology, identifying all cases of tetralogy of Fallot with pulmonary atresia diagnosed antenatally between January, 1997, and April, 2006. We established pre- and postnatal outcomes, and compared the prenatal diagnosis with postnatal or autopsy findings.ResultsOf 6587 fetuses scanned during this period, 11 were diagnosed as having tetralogy of Fallot with pulmonary atresia and no other cardiac defect. In 5, arterial flow to the lungs was via an arterial duct, and in the other 6, the main identified source of flow was systemic-to-pulmonary collateral arteries. Of the latter 6 pregnancies, 4 were terminated, along with 3 of the 5 with ductal supply. The presence of systemic-to-pulmonary collateral arteries was confirmed at postmortem examination in 3 instances, and in the two delivered neonates, in neither of whom was an infusion of prostaglandin commenced.ConclusionThe patterns of pulmonary flow can be identified prenatally in the setting of tetralogy with pulmonary atresia. Supply through systemic-to-pulmonary collateral arteries impacts on counselling, introducing uncertainty regarding postnatal surgical management.
APA, Harvard, Vancouver, ISO, and other styles
42

Olivieri, Emanuela, Fabio Scaramelli, Maria Stella Valente, and Michele Valente. "Il modello del counseling nutrizionale nella gestione del paziente pediatrico in sovrappeso." QUADERNI ACP 28, no. 1 (2021): 39–41. http://dx.doi.org/10.53141/qacp.2021.39-41.

Full text
Abstract:
As assessed by the recent data published by the Observatory “Okkio alla Salute” [1-2], the overweight and the obesity are increasingly common in childhood; in Italy, the 23% of kids of 8/9 years are overweighed and the 9% of them are obese. The diet therapy for the pediatric patient is increasingly necessary at local, outpatient and hospital level. The diet therapy and nutritional programmes, however, present some specific issues and complexities, from different points of view (biological and technical, behavioural and communication one). In this Paper, the Authors propose and analyse the approach to the child and its family context based on the Nutritional Counselling model. The Paper illustrates the theoretic principles and applicative practices of an approach based on a systemic view of the nutrition behaviour.
APA, Harvard, Vancouver, ISO, and other styles
43

Garg, Ashish, Renu Suthar, Venkataseshan Sundaram, Praveen Kumar, and Suresh K. Angurana. "Clinical profile, aetiology, short-term outcome and predictors of poor outcome of neonatal seizures among out-born neonates admitted to a neonatal unit in Paediatric emergency of a tertiary care hospital in North India: A prospective observational study." Tropical Doctor 51, no. 3 (May 21, 2021): 365–71. http://dx.doi.org/10.1177/00494755211016226.

Full text
Abstract:
Neonatal seizures are common manifestations of several neurological or systemic disorders and associated with high morbidity, mortality and poor short- and long-term developmental outcomes. It is important to determine the aetiology and factors that determine the poor outcome, more so in a newly developed setting. The early detection of predictors of poor outcome will help in planning acute management, counselling, follow-up and rehabilitation services. In this prospective observational study, we looked at the clinical profile, aetiology, short-term outcomes and predictors of poor outcome of neonatal seizures among out-born neonates. The common causes were hypoxic ischaemic encephalopathy, sepsis and metabolic disturbances. One-third of neonates had poor outcome. Abnormal neurological and cardiorespiratory examination at admission; low oxygen saturation, glucose and pH; and hypoxic ischemic encephalopathy-III were predictors of poor outcome.
APA, Harvard, Vancouver, ISO, and other styles
44

Zareba, Piotr, Jehonathan H. Pinthus, and Paul Russo. "The contemporary role of lymph node dissection in the management of renal cell carcinoma." Therapeutic Advances in Urology 10, no. 11 (August 20, 2018): 335–42. http://dx.doi.org/10.1177/1756287218794094.

Full text
Abstract:
The appropriate role of lymph node dissection (LND) in the management of patients with renal cell carcinoma (RCC) is still a matter of debate. There is ample evidence that LND is the most accurate modality for staging the regional lymph nodes (LNs), which may harbor metastatic disease in greater than one-third of patients with high-risk RCC. The presence of LN metastases is an independent negative prognostic factor in this disease and accurate determination of LN status not only helps with patient counselling regarding prognosis and tailoring of postoperative surveillance schedules, but it also identifies patients at high risk of systemic disease recurrence who may qualify for clinical trials of adjuvant systemic therapies. Meanwhile, the therapeutic value of LND has been brought into question by a randomized trial (European Organisation for Research and Treatment of Cancer; EORTC 30881) that showed no difference in progression-free or overall survival between patients who were treated with radical nephrectomy (RN) and LND and those treated with RN alone. Given that most patients enrolled in this trial had small renal masses and therefore were at low risk for LN metastases, the question of whether patients with high-risk tumors derive a therapeutic benefit from a standardized, extended LND remains unanswered.
APA, Harvard, Vancouver, ISO, and other styles
45

Devarapalli, Pradeep, Nikita Mehdiratta, Supriya Mamillapalli, and Sruthi Akella. "Patient education in management of diabetes with medical comorbidities: an interventional study in South-eastern India." International Journal of Scientific Reports 5, no. 1 (December 25, 2018): 24. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20185351.

Full text
Abstract:
<p class="abstract"><strong>Background:</strong> These days the effective management of diabetes has boundless challenges. Patient involvement is paramount for the successful care of diabetes. The aim of the study was to control medication adherence by providing patient education to the diabetic patients and also evaluating their drug-use, comorbidities, lifestyles and knowledge about diabetes and its management.</p><p class="abstract"><strong>Methods:</strong> Total 240 diabetic patients of above 18 years of age with comorbidities were included in the study, in which 128 of study group and 112 of control group. Patient's comorbidities, drug-use and also knowledge level about diabetes was also assessed using a questionnaire. </p><p class="abstract"><strong>Results:</strong> Among the enrolled patients type-1 diabetes patients were 12 (5%) and 228 (95%) were type-2. Most of the patients about 25% were from age group of 40-50 years. The major number of patients has comorbidities of Systemic and coronary artery disease. Later the post counselling of test group, the mean score was 9.860±0.21 which is significant compared to pre-counselling 7.769±0.201 (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> The present study revealed that the patients were unaware of the basic concept related to diabetes mellitus. For better control of hyperglycaemia, there is a need for advancement of policies regard of disease education.</p>
APA, Harvard, Vancouver, ISO, and other styles
46

Rusling, Mick. "Book review: Vetere, A. & Stratton, P. (Eds.). (2016) Interacting selves: Systemic solutions for personal and professional development in counselling and psychotherapy." Clinical Child Psychology and Psychiatry 22, no. 2 (February 1, 2017): 341–42. http://dx.doi.org/10.1177/1359104517691376.

Full text
APA, Harvard, Vancouver, ISO, and other styles
47

Wickham, Michelle. "Who's left holding the woman?: Practice issues facing hospital social workers working with women who have infants removed at birth by NSW Department of Community Services." Children Australia 34, no. 4 (2009): 29–35. http://dx.doi.org/10.1017/s1035077200000857.

Full text
Abstract:
Over the past three years, there has been a significant change in the focus of hospital social work intervention with pregnant women–from supportive counselling relating to motherhood, to systems advocacy within the child protection context.Hospital social workers in this field have frequently been faced with the inevitable conflicting interests of supporting parents and protecting infants. However, the recent changes have thrown up various ethical questions, and issues of integrity and advocacy, in what is a complex area of practice.This paper seeks to examine some of the current practice issues for social workers in this area. By examining the current context and literature, several practice themes will be considered and explored. In examining this issue at both the micro level of current hospital social work practice and the macro level of legislative and systemic issues, several best practice suggestions are considered within the context of the author's current workplace.
APA, Harvard, Vancouver, ISO, and other styles
48

Bedi, Mini, Sandeep Kaur, Prashant Patil, Kamaljeet Kaur, Harbhajan Kaur, and Harkiran Kaur. "Diverse presentation of connective tissue disorders in pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 4 (March 24, 2021): 1681. http://dx.doi.org/10.18203/2320-1770.ijrcog20211158.

Full text
Abstract:
Connective tissue disorders (CTD) include a variety of chronic multisystem disorders including autoimmune conditions. Many of these conditions affect women of childbearing age and therefore pregnancy poses an important challenge for the caregivers. The precise knowledge of therapeutic safety and the effect of disease on pregnancy and vice versa are important to achieve best outcome. Hence, it is imperative to have a vast knowledge of disease with proper preconception counselling. We report series of cases of connective tissue disorders in pregnancy: tuberous sclerosis (TS), systemic lupus erythmatosis (SLE) and neurofibromatosis (NF) type 1. The first case with tuberous sclerosis was associated with obstetric complications. In both cases of SLE, we observed preterm delivery and IUGR. However, the course of SLE remained the same in both the cases. The case with NF 1 taught us that a normal obstetric outcome could be expected in pregnant women.
APA, Harvard, Vancouver, ISO, and other styles
49

Kumar, K. Raghavendra, K. M. Rajendra, Shekhar P. Seshadri, Satish Chandra Girimaji, Shoba Srinath, and John Vijay Sagar. "Caretaker Perceptions About Self-cutting in Institutionalised Adolescents: A Comparison Between Cutters and Non-cutters." Institutionalised Children Explorations and Beyond 8, no. 1 (January 29, 2021): 38–50. http://dx.doi.org/10.1177/2349300320980091.

Full text
Abstract:
Background: Studies are sparse on caretaker perceptions about self-cutting (SC) in institutionalised adolescents. Methods: Five caretakers in a shelter home for adolescent girls were interviewed and the data were analysed using interpretative phenomenological analysis. Results: Nine major themes emerged: expected reactions from others led to secrecy; reasons were relational and academic difficulties; benefits were control of emotions/thoughts or to get others’ attention; learning happened by witnessing and change in thinking; challenges were systemic contagion, counselling repeaters of SC and adolescent infatuation; responses were ‘we are empathetic’ and ‘friends are helpful, but have a limit’; goals for self and reflection were helpful to stop SC; vulnerabilities were lack of skills and problems faced; and protective factors were good skills and family relations. These novel findings contribute to the existing sparse literature and are useful for gaining a deeper understanding about and better management of SC.
APA, Harvard, Vancouver, ISO, and other styles
50

Patel, Niyati, and Vipin Vageriya. "Effect of psycho educational intervention on level of anxiety among Hospitalized children: A systemic Literature review." Journal of Drug Delivery and Therapeutics 9, no. 4-s (August 30, 2019): 855–60. http://dx.doi.org/10.22270/jddt.v9i4-s.3389.

Full text
Abstract:
Background: Hospitalization and Disease can be the first crisis situation that a child encounters. Hospitalization may leads to increase the stress and level of anxiety among children and parents. An excessive or persistent state of anxiety can have a devastating effect on child’s physical and mental health. Psych education is an evidence-based therapeutic intervention for clients and their family members who help them to cope with illness and give the information as well as support to understand in better way. Psych education is helps to children and their family to minimize the emotional trauma during the hospital stay. Objective: To evaluate the impact of psycho educational intervention on level of anxiety among hospitalized children. Methods: A systematic literature review is conducted. Electronic database search to Collect Literature: The following electronic databases are searched: ProQuest, Research gate, Pubmed, EBSCO, science direct, the British Nursing Index and the Cumulative Index to Nursing & Allied Health Literature (CINHAL) and journal available in library. Result: collected review of literature result shows that psycho educational intervention considers a positive effect on reduce the level of anxiety among hospitalized children. Conclusion: psych educational intervention is cluster of the strategies like play therapy, storytelling, guided imagery etc. It is a non- invasive and safe intervention which helps to reduce the anxiety level. Keywords: psych educational intervention, anxiety level, hospitalized children, search engine, counselling
APA, Harvard, Vancouver, ISO, and other styles
You might also be interested in the bibliographies on the topic 'Systemic counselling' for other source types:
Dissertations / Theses Books
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography