Assessing and interpreting personality change and continuity in patients treated for major depression.

Structural, mean- and individual-level, differential, and ipsative personality continuity were examined in 599 patients treated for major depression assigned to 1 of 6 forms of a 6-month pharmaco-psychotherapy program. Covariation among traits from the Five Factor model remained invariant across treatment, and patients described themselves as slightly more extraverted, open to experience, agreeable and conscientious, and substantially more emotional stable after treatment. Trait changes were only to a small extent explained by changes in depression severity. There was evidence for differential, individual-level, and ipsative stability, with stable personality profiles in terms of shape and to a lesser extent in terms of scatter and elevation. Traits remain relatively stable, except for emotional stability, despite the depressive state and the psychopharmacological interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Extreme experience, psychological insight, and Holocaust perception: Reflections on Bettelheim and Frankl.

This article describes the psychological theories of the Holocaust survivors Bruno Bettelheim and Viktor Frankl. Both Bettelheim and Frankl claimed that their peculiar forms of psychotherapy, in the case of Bettelheim mileau therapy, and Frankl, logotherapy, were based on their survival. However, their radically different forms of psychotherapy, when at least elements of their camp experience was similar, suggests that their psychotherapies were based more upon the worldviews before their interment along with their need to work over the humiliation and profound victimization they experienced in the camps. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Approximation algorithms for minimizing segments in radiation therapy

Intensity modulated radiation therapy (IMRT) is one of the most effective modalities for modern cancer treatment. The key to successful IMRT treatment hinges on the delivery of a two-dimensional discrete radiation intensity matrix using a device called a multileaf collimator (MLC). Mathematically, the delivery of an intensity matrix using an MLC can be viewed as the problem of representing a non-negative integral matrix (i.e., the intensity matrix) by a linear combination of certain special non-negative integral matrices called segments, where each such segment corresponds to one of the allowed states of the MLC. The problem of representing the intensity matrix with the minimum number of segments is known to be NP-complete. In this paper, we present two approximation algorithms for this matrix representation problem. To the best of our knowledge, these are the first algorithms to achieve non-trivial performance guarantees for multi-row intensity matrices.     

Perceived effectiveness of filial therapy for a Jamaican mother: A qualitative case study.

Although filial therapy has traditionally been viewed as suitable for children of diverse cultures, there is limited research to support this perspective. This qualitative case study examined the perceived effectiveness of filial therapy for a Jamaican mother and the perceived effect on the mother-child relationship. Findings indicate that some aspects of filial therapy are congruent with the parenting practices and values of this Jamaican mother. The mother reported an increase in empathy, a heightened awareness of her child's needs, and a stronger relationship with her child. She expressed some difficulty with limit setting and tracking skills taught as part of the model. Future research directions include further examination of the compatibility of filial therapy with other Jamaican parents and the effectiveness of group filial therapy with Jamaican parents or other parents of Caribbean descent. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Analyzing subjectivity in therapeutic discourse: Rogers, Perls, Ellis, and Gloria revisited.

Analyzed the film Three Approaches to Psychotherapy (E. L. Shostrom, 1966), which depicts C. Rogers (client-centered therapy), A. Ellis (rational-emotive therapy), and F. S. Perls (Gestalt therapy) interviewing the same client, Gloria. Verbal exchanges between participants were analyzed, using T. S. Essig and R. L. Russell's (1988) categories for analyzing psychological relations between subjects and events in discourse. Predictable patterns in how therapists of different theoretical orientations represent subjectivity in discourse can be screened with these categories. Classification categories are appended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comments on Debra Hull's concept of rationality.

D. B. Hull (1988) misinterprets "rationality" as used in rational-emotive therapy (RET) in her critique of the present author's (1987) article. As used in RET, rational not only means derived from reason, but also means efficiently aiding human happiness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment of Oxidative Stress with Exosomes in Myocardial Ischemia

A thrombus in a coronary artery causes ischemia, which eventually leads to myocardial infarction (MI) if not removed. However, removal generates reactive oxygen species (ROS), which causes ischemia–reperfusion (I/R) injury that damages the tissue and exacerbates the resulting MI. The mechanism of I/R injury is currently extensively understood. However, supplementation of exogenous antioxidants is ineffective against oxidative stress (OS). Enhancing the ability of endogenous antioxidants may be a more effective way to treat OS, and exosomes may play a role as targeted carriers. Exosomes are nanosized vesicles wrapped in biofilms which contain various complex RNAs and proteins. They are important intermediate carriers of intercellular communication and material exchange. In recent years, diagnosis and treatment with exosomes in cardiovascular diseases have gained considerable attention. Herein, we review the new findings of exosomes in the regulation of OS in coronary heart disease, discuss the possibility of exosomes as carriers for the targeted regulation of endogenous ROS generation, and compare the advantages of exosome therapy with those of stem-cell therapy. Finally, we explore several miRNAs found in exosomes against OS.     

Evaluation of the Effects of Developmental Trauma on Neurotransmitter Systems Using Functional Molecular Imaging

Early life stress (ELS) is strongly associated with psychiatric disorders such as anxiety, depression, and schizophrenia in adulthood. To date, biological, behavioral, and structural aspects of ELS have been studied extensively, but their functional effects remain unclear. Here, we examined NeuroPET studies of dopaminergic, glutamatergic, and serotonergic systems in ELS animal models. Maternal separation and restraint stress were used to generate single or complex developmental trauma. Body weights of animals exposed to single trauma were similar to those of control animals; however, animals exposed to complex trauma exhibited loss of body weight when compared to controls. In behavioral tests, the complex developmental trauma group exhibited a decrease in time spent in the open arm of the elevated plus-maze and an increase in immobility time in the forced swim test when compared to control animals. In NeuroPET studies, the complex trauma group displayed a reduction in brain uptake values when compared to single trauma and control groups. Of neurotransmitter systems analyzed, the rate of decrease in brain uptake was the highest in the serotonergic group. Collectively, our results indicate that developmental trauma events induce behavioral deficits, including anxiety- and depressive-like phenotypes and dysfunction in neurotransmitter systems.     

Functionalized Reduced Graphene Oxide as a Versatile Tool for Cancer Therapy

Cancer is one of the deadliest diseases in human history with extremely poor prognosis. Although many traditional therapeutic modalities—such as surgery, chemotherapy, and radiation therapy—have proved to be successful in inhibiting the growth of tumor cells, their side effects may vastly limited the actual benefits and patient acceptance. In this context, a nanomedicine approach for cancer therapy using functionalized nanomaterial has been gaining ground recently. Considering the ability to carry various anticancer drugs and to act as a photothermal agent, the use of carbon-based nanomaterials for cancer therapy has advanced rapidly. Within those nanomaterials, reduced graphene oxide (rGO), a graphene family 2D carbon nanomaterial, emerged as a good candidate for cancer photothermal therapy due to its excellent photothermal conversion in the near infrared range, large specific surface area for drug loading, as well as functional groups for functionalization with molecules such as photosensitizers, siRNA, ligands, etc. By unique design, multifunctional nanosystems could be designed based on rGO, which are endowed with promising temperature/pH-dependent drug/gene delivery abilities for multimodal cancer therapy. This could be further augmented by additional advantages offered by functionalized rGO, such as high biocompatibility, targeted delivery, and enhanced photothermal effects. Herewith, we first provide an overview of the most effective reducing agents for rGO synthesis via chemical reduction. This was followed by in-depth review of application of functionalized rGO in different cancer treatment modalities such as chemotherapy, photothermal therapy and/or photodynamic therapy, gene therapy, chemotherapy/phototherapy, and photothermal/immunotherapy.     

Cell Therapies in Bladder Cancer Management

Currently, bladder cancer (BC) represents a challenging problem in the field of Oncology. The high incidence, prevalence, and progression of BC have led to the exploration of new avenues in its management, in particular in advanced metastatic stages. The recent inclusion of immune checkpoint blockade inhibitors as a therapeutic option for BC represents an unprecedented advance in BC management. However, although some patients show durable responses, the fraction of patients showing benefit is still limited. Notwithstanding, cell-based therapies, initially developed for the management of hematological cancers by infusing immune or trained immune cells or after the engineering of chimeric antigen receptor (CAR) expressing cells, are promising tools to control, or even cure, solid tumors. In this review, we summarize recent cell-based immunotherapy studies, with a special focus on BC.