Countertransference management.

The empirical literature on countertransference (CT) and, in particular, CT management as they relate to immediate, proximate, and distal treatment outcomes, is examined. Although there is a paucity of research connecting CT and its management to distal outcomes, the existing empirical literature strongly supports the idea that the acting out of CT hinders therapy, whereas effective CT management aids treatment. A theory of five factors that are central to CT management has received provisional empirical support and is described here. These factors are self-insight, self-integration, anxiety management, empathy, and conceptualizing ability. Further research is needed on the relation of CT and its management to distal outcomes, and on how CT management operates and affects treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

固体废弃物实施进展以及对我国的启示

在分析世界各地对全过程固体废弃物实施进程借鉴的基础上,对全过程固体废弃物管理中各个环节的实践进展加以综述.固体废弃物管理包括源头减量化、分类收集和分类处理、固体废弃物再生循环利用、固体废弃物处置四个阶段.实践证明,源头减量化--资源化--无害化处理是固体废弃物理想的处理顺序.     

A framework for evaluating the economic impact of case management

Confusion about the cost-effectiveness of case management stems partly from poorly defined assumptions about outcomes and unclear theories of how case management affects costs. The authors discuss how cost-effectiveness is influenced by the characteristics of various case management models, characteristics of the clients served, and contextual factors, including resources available in the treatment system and financial incentives built into various payment mechanisms. Important differences exist between case management models in the mechanisms favored for managing resources, including whether the client or the case manager is primarily responsible for directing the course of treatment, whether reduction in hospitalizations is a primary goal, whether team case management is used, and how the size of caseloads is determined.     

Laparoscopic intracorporeal anastomosis in the colon using the biofragmentable anastomotic ring--an animal study

The authors report about surgical treatment of herpes simplex encephalitis, although conservative management of this disease is the method of choice in the first place. They draw a lesson from this case that certain cases of large space occupying lesions of infectious origin leading to brain stem compression may require surgical management, even if they customary treatment is conservative.     

包钢矿浆及供水管道系统管控一体化的实现

通过集成自动化、计算机、网络、软件、数学方法、现代管理方法等向管理人员提供一个综合平台,将矿浆生产、输送及落地处理作为一个整体,实现跨地域、跨产权的实时监控、运行管理、重点设备监护管理和安全管理等。     

Anxious children: coping in dental practice

Treating anxious children is a challenge that many dentists face. Not only do anxious children find it difficult to cope with dental treatment but dentists also find it difficult to cope with anxious children. This article is intended to simplify the management of anxious children in general dental practice. Behavioural management, the coordination of the whole dental team, treatment planning and the use of inhalation sedation will be discussed.     

Review of Clinical management of substance abuse programs.

Reviews the book, Clinical management of substance abuse programs by Robert J. Craig (see record 1987-97819-000). Clinical management of substance abuse programs is a significant contribution to substance abuse program management. The author provides the program director with specific information about increasing program effectiveness. His thesis is that broad program activities have greater impact on total patient care than does any individual activity with a particular patient. The book is divided into three parts. Part I is devoted to the following sections: (a) an introduction and review of the book's contents, (b) diagnostic interviewing, and (c) psychological testing. The three chapters in Part II review general models of treatment, including multimodal, combined alcohol and drug, and treatment matching. Part III, which contains four chapters, details clinical program management activities. In this section the author offers the nuts and bolts for designing a substance abuse program based on effective evaluation and quality control. The author is successful in providing a basic text to assist clinician/managers in designing more effective treatment programs for substance abusers. I recommend this book to any professional responsible for program development in substance abuse treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Radiographic evaluation of the renal vasculature

The two main conservative treatment alternatives for tubal pregnancy, methotrexate administration and laparoscopic salpingostomy are under constant review. Recently, expectant management of tubal pregnancy has become increasingly popular. In this review, we assess the outcome of conservative management modalities for extrauterine pregnancy and compare the results of treatment with methotrexate and operative laparoscopy. Outcomes of extrauterine pregnancy were obtained from a review compiled from the English literature identified by directed Medline search. Methotrexate and laparoscopic salpingostomies yield good final treatment rates of 85-95% respectively and relatively low rates for further surgical complication (5-10% respectively). Tubal patency, as well as future fertility performance, are quite similar after both techniques. Although they appear to suit the demands of the 21st century, each one has its own benefits and contraindications. With adequate patient selection, expectant management of the tubal pregnancy is a reasonable approach with good results. Although the morbidity rate after tubal pregnancy treatment is decreasing and the main concern is to reduce the decline in fertility potential, the real future challenge remains prevention of the disease, especially among high risk patients, such as those undergoing infertility treatment.     

Bladder dysfunction and management in multiple sclerosis

Symptomatic bladder dysfunction occurs at some time in most patients with multiple sclerosis. The relapsing-remitting course and progressive loss of mobility associated with multiple sclerosis make management of urinary urgency and incontinence difficult. Urodynamic evaluation serves as a guideline for appropriate treatment. After accurate diagnosis of bladder dysfunction, a management program is developed with use of fluid schedules, voiding techniques, neuropharmacologic manipulation, intermittent catheterization, surgical treatment, and other adjunctive measures as indicated. The goals of treatment are to protect and preserve renal function, relieve symptomatic voiding dysfunction, and avoid subsequent urinary complications. A management program should be individualized, dynamic, and monitored with periodic, systematic urologic review to maintain these goals.     

Advances in palliative care for the patient with scleroderma

Few studies published within the past year have addressed palliative care for the patient with scleroderma or systemic sclerosis. However, progress continues to be made, and important contributions have been made with respect to different vasodilator preparations for Raynaud's phenomenon, a possible role for diltiazem in the treatment of calcinosis, and the treatment of gut dysmotility. A number of comprehensive review papers on different aspects of management, mainly organ based, were included in the recently published textbook Systemic Sclerosis. Until there is an effective disease-modifying treatment for systemic sclerosis, management will be largely palliative and is best delivered by a multidisciplinary team.     

Evaluation of Drinking Water Treatment Technology: An Entropy-Based Fuzzy Application

Environmental risk management strategy often encounters conflicting criteria of a subjective and objective nature that are associated with a particular management system concerning multicriteria decision making. In this study, a combination of subjective and objective criteria for risk management has been applied for drinking water treatment technology. Fuzzy set theory has been incorporated in this study. Fuzzy triangular membership functions have been developed to capture uncertainties of the model parameter values. The analytic hierarchy process has been incorporated to construct subjective priority schemes for different hierarchy level attributes. In developing subjective priority schemes, flexible ranges of importance were considered; thus the uncertainties associated with crisp values were incorporated. Using the concept of entropy, subjective importance of the objective attributes have been transformed into integrated importance. The overall ranking was evaluated based on subjective and objective criteria. An example of human health risk management from drinking water disinfection by-products has been presented through several drinking water treatment technologies. Finally, the best treatment technology is outlined.     

Narcotics addiction treatment: behavioral methods concurrent with methadone maintenance

Methadone maintenance patients were assigned among four treatment cells involving contingency management, emotionally-based behavior therapy, a combination of these, or a control condition receiving counseling but no behavioral treatment. With 60 patients who remained in treatment at least 6 months, treatment outcomes were compared using objective measures: hours employed, urinalysis results, and counseling participation. No significant differences were found between modalities. Case studies suggested that under appropriate conditions, contingency management might reduce illicit drug use. It is suggested that focused experimental studies may be more productive than broad clinical outcome evaluations.     

Athletes and disordered eating: Four major issues for the professional psychologist.

Disordered eating among athletes is well documented, but the management and treatment of athletes can present unique challenges. This article provides information about several aspects of disordered eating among athletes: identification of the disorder, the relationship between disordered eating and sport, the composition and roles of treatment and management teams, and special treatment issues. Recommendations are offered to increase the psychologist's understanding of, and appreciation for, athletes and the sport environment. Implications for training professional psychologists to work with this special population emphasize firsthand experiences within the sport environment and training in manual-based treatment for eating disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Care of the patient and management of complications after percutaneous coronary artery interventions

Certain aspects of patient management are common with conventional balloon angioplasty and newer coronary artery interventions. These aspects include the evaluation of chest pain or treatment of acute vessel closure shortly after the intervention, management of the vascular access site (especially if complications occur), prevention and treatment of contrast-induced renal dysfunction, and the use of anticoagulant or antiplatelet agents after the procedure. However, some aspects of management vary among techniques. Several different drug therapies are indicated after these procedures, but pharmacologic therapy for restenosis has been largely unsuccessful. Placement of an intracoronary stent decreases the frequency of restenosis and subsequent revascularization procedures, and functional testing may be of value in some patients after coronary artery interventions. It is important for the specialist in internal medicine to have a firm working knowledge of the various aspects of care that are required because their role in management is increasing.     

Antibiotic therapy for preterm premature rupture of membranes

Antibiotic treatment of the patient with preterm premature rupture of membranes remote from term significantly prolongs pregnancy and reduces amnionitis without increasing the risk of cesarean delivery. Antibiotic treatment reduces perinatal infectious morbidity including neonatal sepsis, GBS sepsis, and pneumonia. Stratified analysis of the currently available prospective trials also demonstrates a significant reduction in gestational-dependent morbidity, specifically respiratory distress and intraventricular hemorrhage with treatment. This is supported by a reduction in composite infant morbidity and other gestational age-dependent morbidities in the NICHD-MFMU trial. Although the optimal treatment regimen has not been determined, limited duration broad spectrum antibiotic treatment is justified in the setting of conservative management of pPROM remote from term. The patient with pPROM and documented pulmonary maturity near term may benefit more from expeditious delivery than from expectant management with antibiotics.     

The management of acute fractures involving the distal radio-ulnar joint and distal ulna

The acute management of fractures involving the distal radio-ulnar joint and distal ulna is controversial. The primary goal is recognition and differentiation between stable and unstable fracture patterns. Although an operative approach is adopted in the treatment of these injuries, the optimal management protocol awaits good prospective randomized studies.     

Stress management training in health psychology practice: Critical clinical issues.

Stress management training interventions have become one of the most popular treatment programs in health psychology practice. Although numerous clinical approaches are available, limited attention is given to the matching of intervention with the clinical needs of individuals. As a result, stress management programs are more frequently marketed in clinical and community settings as palliative techniques without sufficient exploration of the causes of stress. We review these concerns and highlight critical assessment and treatment variables that moderate the efficacy of specific stress management interventions. Suggestions for further research and guidelines for clinical practice are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Iliopsoas bursitis and tendinitis. A review

This review examines the diagnosis and management of iliopsoas bursitis and/or tendinitis. It is a relatively uncommon and unrecognised cause of anterior hip pain and anterior snapping hip. In view of its pathology, iliopsoas bursitis might be better referred to as iliopsoas syndrome. It can usually be diagnosed by history and physical examination, though real time ultrasound may be useful in confirming the diagnosis. Magnetic resonance and computerised tomography imaging have limited roles in its diagnosis, but may identify other pathology or surgical lesions. Nonoperative management has not been well established. Surgical management does not guarantee treatment success. There is a need for further research into both diagnostic and treatment options for those patients with iliopsoas bursitis/tendinitis.     

Patients in the persistent vegetative state: problems in their long term management

Physicians responsible for the long term management of patients in the persistent vegetative state face several problems. These include deciding whether tube feeding is treatment or nutritional care, whether withdrawal of tube feeding is an appropriate form of management, what clinical advantage there is in active treatment; at what level of awareness can a patient be said to have a quality of life; and who should determine a patient's right to die. These problems are determined more by social, legal, emotional, cultural, religious, and economic forces than by clinical facts.