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《The Arts in Psychotherapy》2014,41(5):527-534
To address child trauma caused by events that affect children directly, such as abuse, or indirectly, such as divorce, creative arts therapies are used by creative arts therapists as well as psychologists and counselors. The purpose of this paper is to review such interventions and the research conducted throughout the last 12 years. We considered the methodology used, the population under study and theoretical frameworks, with specific attention given to the reliability, validity and trustworthiness of such research findings. The results showed that the majority of articles reported their findings narratively, with much emphasis placed on the process followed. It was recommended that therapists work closely with researchers to make creative arts therapies less of an outlier in the therapeutic approaches for traumatized children. 相似文献
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《Journal of vascular and interventional radiology : JVIR》2020,31(1):108-113
PurposeTo summarize the Society of Interventional Radiology Foundation’s Research Consensus Panel development of a research agenda on prostate artery embolization (PAE).Materials and MethodsPAE for the treatment of lower urinary tract symptoms has been shown to be safe and effective in decreasing symptoms and prostate size. Lack of randomized controlled trials (RCTs) on PAE in the United States has prevented inclusion in American Urologic Association guideline recommendations for treatment of lower urinary tract symptoms resulting from benign prostatic hyperplasia. Recognizing the need for well-designed trials, the SIR Foundation funded a Research Consensus Panel to prioritize a research agenda. The panel included interventional radiologists, urologists, SIR Foundation leadership, and industry representatives. The goal of the meeting was to discuss weaknesses with current data and study design for development of US trials to report long-term outcomes data.ResultsFinal consensus on a research design could not be made because the group was split on 3 research designs: (i) RCT of PAE versus sham with crossover of the sham group. (ii) RCT of PAE versus simple prostatectomy. (iii) RCT of PAE versus holmium laser enucleation of the prostate/thulium laser enucleation of the prostate. The panel recommended a nonindustry-funded registry to obtain real-world data.ConclusionsLevel 1 data are required to be included in the American Urologic Association guidelines for treatment of benign prostatic hyperplasia. Because of concerns with all 3 study designs, the panel did not reach a consensus. Further meetings are planned with the panel to select among these research designs. 相似文献
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Measuring quality of life in patients with head and neck cancer: Update of the EORTC QLQ‐H&N Module,Phase III 下载免费PDF全文
Susanne Singer Cludia Araújo Juan Ignacio Arraras Ingo Baumann Andreas Boehm Bente Brokstad Herlofson Joaquim Castro Silva Wei‐Chu Chie Sheila Fisher Orlando GuntinasLichius Eva Hammerlid María Elisa Irarrzaval Marianne Jensen Hjermstad Kenneth Jensen Naomi Kiyota Lisa Licitra Ourania NicolatouGalitis Monica Pinto Marcos Santos Claudia Schmalz Allen C. Sherman Iwona M. Tomaszewska Irma Verdonck de Leeuw Noam Yarom Paola Zotti Dirk Hofmeister 《Head & neck》2015,37(9):1358-1367
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John Hurley 《International journal of mental health nursing》2009,18(6):383-390
The aim of the study was to clarify and build upon current understandings of mental health nurse (MHN) identity. The study adopted a framework of social constructionism and qualitative methodology. Semistructured interviews were conducted, which were thematically analyzed using Nvivo software. Twenty‐five MHN were recruited across three geographical sites in the UK. Participants constructed a cluster of seven MHN identity characteristics that constituted a unique contribution to talk‐based therapies. These themes of characteristics are: (i) the MHN as generic specialist; (ii) the MHN as adopting a service‐user focus; (iii) the MHN as positioning and utilizing the personal self; (iv) the MHN as spending time with the service user; (v) the MHN as delivering talk‐based therapies in versatile ways; (vi) the MHN as having an everyday attitude; and (vii) the MHN as having transferable skills. The distinctiveness, and thus, professional identity of mental health nursing, must be understood as a cluster of capabilities rather than a search for a singular point of difference. The breadth of capabilities employed by MHN highlights the value and worth of their contribution to service‐user care. 相似文献
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A Italiano C Massard R Bahleda A-L Vataire E Deutsch N Magné J-P Pignon G Vassal J-P Armand J-C Soria 《Annals of oncology》2008,19(4):787-792
BACKGROUND: The oncology community usually perceives phase I oncology trials as associated with poor or limited benefits and substantial risks. There is scarce data concerning outcome and survival of patients enrolled in current phase I oncology trials. PATIENTS AND METHODS: We reviewed all phase I oncology trials conducted by investigators from the Adult Phase I Unit at Institut Gustave Roussy from 2003 to 2006. We report data concerning patient demographics, treatment outcome, toxicity, survival and type of care after trial exit. RESULTS: We analyzed 10 trials involving 180 participants. The overall response rate was 7.2%. Disease control (objective response plus stable disease) was achieved in 48.2% of patients. The rate of toxic death was 0.5%. In all, 38% of patients had at least one episode of grade 3 or 4 toxic events. The median progression-free survival and the median overall survival (OS) were 2.3 and 8.7 months, respectively. On multivariate analysis, a time between diagnosis of disease and inclusion in the phase I trial > or =24 months and evidence of disease control were statistically significant predictors of improved OS. CONCLUSION: Current phase I oncology trials are safe and are associated with clinical benefit in a substantial proportion of patients. 相似文献
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Evaluation of Radiofrequency Ablation as an Alternative for the Treatment of Brain Tumor in Rabbits 总被引:3,自引:0,他引:3
Radiofrequency ablation (RFA) has emerged recently as a promising therapy for extracranial malignancies. This experiment was conducted to explore the potential of RFA for the treatment of brain tumor in a rabbit model with imaging–histological assessment.Eighteen rabbits with intracranially implanted VX2 tumors of 0.9 ± 0.2cm in diameter were divided into two groups. Group A (n=12) was treated with a cooled-tip RFA technique at 30watts for 30–60s. Group B (n=6) received sham operation. The therapeutic efficacy was evaluated by comparing survival rate, magnetic resonance imaging (MRI) and histological findings.All animals in Group B died within one month after tumor implantation (19 ± 2.6 days). Tumor eradication was achieved in 6/12 rabbits (50.0%) in Group A, of which three rabbits survived longer than three months, another three rabbits were found free of viable tumor when sacrificed. Five rabbits suffered from local tumor relapse. One rabbit developed intracranial metastasis to the brain stem despite a complete ablation of the original tumor. Three-month survival rate of RFA treated rabbits was significantly higher (p < 0.05) than that of control rabbits. The typical MRI appearances of the acute RFA lesion consisted of three characteristic concentric zones, which corresponded to central coagulative tissues (Zone A), peripheral hemorrhagic rim (Zone B) and interstitial edema (Zone C) on histology.This study suggests that RFA may become a promising alternative therapy for the treatment of brain tumor. The recognized characters of thermal lesion on MRI and histology may prove valuable in delimitating the ablation range and understanding the biological response of the RFA. 相似文献