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In the Netherlands, the CASE approach has been adopted in a simplified form, which is useful as a basic skill in the study of suicidal behavior. The diagnosis of suicidality can gain in depth, especially for advanced mental health professionals, by paying attention in training and education to the interviewing techniques of the original CASE approach.
In the Netherlands, the CASE approach has been adopted in a simplified form, which is useful as a basic skill in the study of suicidal behavior. The diagnosis of suicidality can gain in depth, especially for advanced mental health professionals, by paying attention in training and education to the interviewing techniques of the original CASE approach.
Clinical experience suggests that gender variance (GV) and/or gender dysphoria (GD) and autism spectrum disorder (ASD) characteristics co-occur more frequently than expected.
This literature review examines the available publications focusing on the co-occurrence of GD/GV and ASD in children and adolescents.
PubMed and Embase were systematically searched for relevant publications with search terms related to 'autism spectrum disorder' and 'gender dysphoria/gender variance'.
A total of 12 publications were included. A higher incidence of comorbidity was reported compared to what is epidemiologically expected, starting from an ASD study population and a population of children and adolescents with GD/GV. The results should be interpreted with caution due to methodological limitations in the studies as e.g. in the diagnostic assessment and the frequent lack of a control group.
The more frequent co-occurrence of ASD and GD/GV has consequences for clinical practice. In both diagnostic and supportive care pathways, it is advisable to recognize and acknowledge both conditions and to work out an adapted pathway. More targeted research into specific characteristics in this group is necessary in order to fine-tune (mental) health care and long-term perspectives.
The more frequent co-occurrence of ASD and GD/GV has consequences for clinical practice. In both diagnostic and supportive care pathways, it is advisable to recognize and acknowledge both conditions and to work out an adapted pathway. More targeted research into specific characteristics in this group is necessary in order to fine-tune (mental) health care and long-term perspectives.
The guideline-informed treatment for personality disorders (GIT-PD) was developed as an alternative to the specific treatments for personality disorders. Even though this form of treatment is widely used in health care and has been included in the Health Care Standard for Personality Disorders, its scientific evidence remains unclear.
To review the indirect evidence for GIT-PD and compare it with the evidence for specific treatments.
Literature review including reviews and meta-analyses in the field of personality disorders.
Although there is increasing evidence for specific treatments, the amount of studies remains limited and the quality of the evidence is rather low. There are indications that specific treatments are poorly implemented in clinical practice, which may detract from their efficacy. There is no clear evidence that specific treatments are on average no more effective than well-designed generic treatments that are similar to GIT-PD. There is considerable evidence for the role of the common factors on which GIT-PD is based.
There is indirect evidence for the efficacy of GIT-PD. Good care on a broad scale needs both specific and generic forms of treatment, whereby the most relevant question becomes how clients can be optimally allocated to both forms of treatment.
There is indirect evidence for the efficacy of GIT-PD. Good care on a broad scale needs both specific and generic forms of treatment, whereby the most relevant question becomes how clients can be optimally allocated to both forms of treatment.
The literature suggests that intersectoral collaboration is important to prevent attacks by radicalised persons with mental health issues, but it is not clear what this collaboration entails.
To provide insight in how perceptions of radicalisation and mental health issues differ between mental health care and the security domain, and how this affects intersectoral collaboration.
Qualitative data were obtained through focus group discussions and interviews with professionals and training staff from mental health care and the security domain.
The focus in mental health was on treatment of patients, while safety dominated in the security domain. Collaboration was hampered by too little understanding of, and for, each other's domain. The separation of radicalisation with mental health issues into prosecution or mental health care impaired an integrated approach. Privacy rules were experienced as a significant barrier for collaboration.
Intersectoral collaboration works effectively if participants maintain their professional standards and only share information that is necessary and justified to make an effective plan. Many identified obstacles are more general in nature, and not confined to specific cases of radicalisation with mental health issues. Dutch Care and Safety Houses offer a sound base for intersectoral collaboration. Future professionals from different domains ought to be familiarized with each other's (im)possibilities, tasks, and roles.
Intersectoral collaboration works effectively if participants maintain their professional standards and only share information that is necessary and justified to make an effective plan. Many identified obstacles are more general in nature, and not confined to specific cases of radicalisation with mental health issues. Dutch Care and Safety Houses offer a sound base for intersectoral collaboration. Future professionals from different domains ought to be familiarized with each other's (im)possibilities, tasks, and roles.
The COVID-19 pandemic forced health professionals to rapidly develop and implement telepractice and remote assessments. Recent reviews appear to confirm the validity of a wide range of neuropsychological tests for teleneuropsychology and among these, the Montreal Cognitive Assessment (MoCA), a cognitive screening test widely used in clinical settings. Thenormative data specific to the context of videoconference administration is essential, particularly that consider sociodemographic characteristics.
This study had for objective to develop French-Quebec normative data for videoconference-administration of the MoCA that consider sociodemographic characteristics.
A total of 230 community-dwelling adults aged 50years and older taking part in clinical trials completed the MoCA by videoconference. Regression analyses were run with sex, education, and age as predictors of the total MoCA scores, based on previously published norms. As an exploratory analysis, a second regression analysis was also run with cardiovascular disease as a predictor.
Regression analyses revealed that older age and lower education were associated with poorer total MoCA scores, for medium effect size (p < 0.001, R
= 0.17). Neither sex nor cardiovascular disease, were significant predictors in our analyses. For clinicians, a regression equation was proposed to calculate Z scores.
This study provides normative data for the MoCA administered via videoconference in Quebec-French individuals aged 50years and over.
The present normative data will not only allow clinicians to continue to perform assessments remotely in this pandemic period but willalso allow them to perform cognitive assessments to patients located in remote areas.
The present normative data will not only allow clinicians to continue to perform assessments remotely in this pandemic period but will also allow them to perform cognitive assessments to patients located in remote areas.
The production of nucleic acids (plasmid DNA or mRNA) in response to the development of new advanced vaccine platforms has greatly increased recently, mostly resulting from the pandemic situation. Due to the intended pharmaceutical use, nucleic acids preparations must fulfill all the required specifications in terms of purity and quality. Chromatography is a standard operation used to isolate these molecules from impurities, playing a central role in the manufacturing processes. However, the mechanism of nucleic acid adsorption in chromatographic resins is poorly understood, often leading to low adsorption capacities and a lack of specificity.
Here we investigated the adsorption of plasmid DNA and RNA molecules onto arginine-agarose, a resin with potential for large-scale application. Equilibrium batch studies were performed through pre-purified samples, using arginine-based ligands by varying the adsorption conditions in the pH value range from 6.0 to 9.0. Langmuir and Freundlich isotherm models were used to describe the adsorption equilibrium. The best fit for both nucleic acids was achieved using the Freundlich model. The correct choice of pH showed critical for controlling the efficacy of arginine-nucleic acid interaction, due to its influence on the nucleic acid structures. This type of analysis is necessary for the improvement of the selectivity and binding capacities of the resins used for plasmid DNA or mRNA purification.
The results presented here indicate that adsorption conditions can be tuned to enhance separation between pDNA and RNA, an important feature in the purification of nucleic acids for vaccine production.
The results presented here indicate that adsorption conditions can be tuned to enhance separation between pDNA and RNA, an important feature in the purification of nucleic acids for vaccine production.Kentucky has the highest cancer incidence and mortality rates in the nation with the Appalachian region of the state being most affected. These rates are driven by health behaviors and inequities in social determinants of health. Herein, Appalachian Kentucky students with the University of Kentucky's Appalachian Career Training in Oncology (ACTION) program were engaged in a storytelling exercise by writing culturally framed essays. Students discussed their personal experiences with cancer and their thoughts on the causes of and potential solutions to Appalachian Kentucky's cancer disparities. Content analysis was used to identify common themes, subthemes, and subtopics in the essays regarding cancer types, causes of cancer in Appalachia, and solutions to the high cancer rates. Common cancer types experienced by the students included breast, lung, and prostate. The most frequently identified themes that drive cancer rates in Appalachian Kentucky were identified as geography, environmental factors, tobacco use, education, poverty, prevention, and mistrust. Common proposed solutions to decrease cancer rates were to increase education and awareness, screening, and tobacco cessation. Overall, through storytelling, youth gained a better understanding of cancer in their communities and envisioned culturally tailored, community-based intervention strategies that can aid in reducing the cancer burden in Appalachian Kentucky.Lanthanum can induce neurotoxicity and impair cognitive function; therefore, research on the mechanism by which the ability to learning and memory is decreased by lanthanum is vitally important for protecting health. Microglia are a type of neuroglia located throughout the brain and spinal cord that play an important role in the central nervous system. SC75741 solubility dmso When overactive, these cells can cause the excessive production of inflammatory cytokines that can damage neighboring neurons. The purpose of this study was to explore the effect of lanthanum in the form of lanthanum chloride (LaCl3) on learning and the memory of mice and determine whether there is a relationship between hippocampal neurons or learning and memory damage and excessive production of inflammatory cytokines. Four groups of pregnant Chinese Kun Ming mice were exposed to 0, 18, 36, or 72 mM LaCl3 in their drinking water during lactation. The offspring were then exposed to LaCl3 in the breast milk at birth until weaning and then exposed to these concentrations in their drinking water for 2 months after weaning.
Website: https://www.selleckchem.com/products/sc75741.html
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