Parent–child contact problems and family intensive interventions: The crisis of adolescent suicidality and the role of social media

Although clinicians, educators and parents have been alarmed by the decline in the mental health of children and adolescents commensurate with the Covid-19 pandemic, statistics indicate there has been a downward spiral over the last decade. This has been evident in the overall increase in suicide rates for young people. For legal and mental health professionals working in the Family Court system, this has provided unique challenges. Most vulnerable has been those children and adolescents embroiled in high conflict divorces, especially those exhibiting parent child contact problems. This article focuses upon that population exhibiting parent child contact problems, and their treatment, specifically Family Intensive Intervention. Building Family Resilience is an Intensive family treatment program that has had to address this deterioration in child and adolescent mental health and increase in suicidality. The role of social media in both exacerbating and/or ameliorating mental health issues is explored.     

Mentalisation-based therapy (MBT) in a high-secure hospital setting: expert by experience feedback on participation

Evidence for mentalisation-based therapy (MBT) is increasing in relation to the treatment of personality disorder. Individuals with personality disorder are over-represented in inpatient, forensic and forensic inpatient mental health services. This study explores MBT within a forensic setting as an intervention designed to moderate deficits linked to violence and to improve adaptive coping. Interpretative phenomenological analysis was conducted on interviews with four patients who completed MBT at a high-secure hospital. Findings suggest that MBT-enhanced participants’ mentalising which had a positive impact upon their capacity to manage their behaviour and emotions. MBT further enabled participants to process past experiences of violence and develop some degree of empathy for others, which led to a trend in abstinence from risk behaviours. Findings contribute a secure inpatient perspective on the experience of MBT and to MBT clinical outcomes.     

Is regulatory innovation fit for purpose? A case study of adaptive regulation for advanced biotherapeutics

The need to better balance the promotion of scientific and technological innovation with risk management for consumer protection has inspired several recent reforms attempting to make regulations more flexible and adaptive. The pharmaceutical sector has a long, established regulatory tradition, as well as a long history of controversies around how to balance incentives for needed therapeutic innovations and protecting patient safety. The emergence of disruptive biotechnologies has provided the occasion for regulatory innovation in this sector. This article investigates the regulation of advanced biotherapeutics in the European Union and shows that it presents several defining features of an adaptive regulation regime, notably institutionalized processes of planned adaptation that allow regulators to gather, generate, and mobilize new scientific and risk evidence about innovative products. However, our in-depth case analysis highlights that more attention needs to be paid to the consequences of the introduction of adaptive regulations, especially for critical stakeholders involved in this new regulatory ecosystem, the capacity and resource requirements placed on them to adapt, and the new tradeoffs they face. In addition, our analysis highlights a deficit in how we currently evaluate the performance and public value proposition of adaptive regulations vis-à-vis their stated goals and objectives.     

老鹳草软膏联合丁酸氢化可的松乳膏序贯疗法治疗儿童期特应性皮炎临床观察

目的 观察老鹳草软膏联合丁酸氢化可的松乳膏序贯疗法治疗儿童期特应性皮炎的临床疗效。方法 选取96例儿童期特应性皮炎患儿作为研究对象,用随机数字表法将患儿分为治疗组、对照A组和对照B组,每组32例。因无法复诊脱落3例,外用老鹳草软膏局部皮肤过敏脱落2例,因发生其他疾病中止治疗1例,最终完成研究并纳入分析90例,每组30例。3组患儿均给予地氯雷他定糖浆口服,其中治疗组序贯外用老鹳草软膏联合丁酸氢化可的松乳膏;对照A组外涂丁酸氢化可的松乳膏,每日2次;对照B组每日外涂1次老鹳草软膏。采用特应性皮炎评分（scoring atopic dermatitis,SCORAD）评估皮损严重程度、瘙痒程度和影响睡眠指数,8周后随访复发率情况,并记录患者不良反应发生情况。结果 治疗2、4周后,3组SCORAD逐渐降低,后一治疗时点SCORAD均显著低于前一时点（P＜0.05）。治疗2周后,治疗组SCORAD显著低于对照B组（P＜0.05）。治疗4周后,治疗组SCORAD显著低于对照A组和对照B组（P＜0.05）。治疗组基于SCORAD的临床疗效显著优于对照A组和对照B组（P<0.05）。3组患者不良反应发生率和复发率比较,差异均无统计学意义（P＞0.05）。结论 老鹳草软膏联合丁酸氢化可的松乳膏序贯疗法治疗儿童期特应性皮炎可降低患者的皮损程度,改善症状,安全性较好。     

小柴胡汤联合认知行为疗法对躯体形式障碍的疗效相关因素分析

目的 探讨影响小柴胡汤联合心理干预对躯体形式障碍(somatoform disorders,SFD)患者的疗效相关因素.方法 采用单盲抽样法,选取广西中医药大学第一附属医院脑病科门诊及住院部的SFD患者为研究对象,将SFD患者的年龄、依从性、躯体形式障碍程度、疗程、心理干预频率、病程、职业、中医证型、治疗方式等资料进行...     

李业甫筋骨并举整脊法治疗颈性眩晕临床疗效观察

目的 观察李业甫筋骨并举整脊法治疗颈性眩晕的临床疗效.方法 将80例颈性眩晕患者按照随机数字表法分为对照组和观察组,每组40例.对照组患者采用常规推拿治疗,观察组患者采用常规推拿结合李业甫筋骨并举整脊法治疗.比较两组患者临床疗效,治疗前后颈性眩晕症状与功能评分、眩晕残障程度评定量表(dizziness handicap inventory,DHI)评分及椎-基底动脉血流速度.结果 两组患者临床疗效比较,差异有统计学意义(P<0.05),观察组的治疗效果优于对照组.两组治疗后颈性眩晕症状与功能评分均显著升高,DHI评分均显著降低(P<0.05),且观察组改善程度显著优于对照组(P<0.05).两组治疗后左侧椎动脉、右侧椎动脉、基底动脉平均血流速度均有所增加(P<0.05),且观察组改善程度优于对照组(P<0.05).结论 李业甫筋骨并举整脊法可以有效调节椎-基底动脉血流速度以减轻患者的眩晕症状.     

吴茱萸敷脐对腹部手术后患者胃肠运动功能和胃肠激素分泌的影响

目的 探讨吴茱萸敷脐对腹部手术患者术后胃肠运动功能和胃肠激素分泌的影响。方法 将接受腹部手术的80例患者随机分为对照组和观察组,每组40例。观察组术后在对照组常规治疗的基础上予以吴茱萸敷脐治疗,比较两组患者术后胃肠运动功能、胃肠激素分泌和营养状况恢复情况。结果 观察组患者腹部术后肛门排气时间、排便时间、肠鸣音恢复时间以及进食时间均较对照组明显缩短(P<0.05);观察组患者术后血清胃泌素水平、胃动素水平均显著高于对照组(P<0.05)。结论 腹部手术后给予吴茱萸敷脐,能够促进患者胃肠功能恢复,其作用机制可能与其调节胃肠激素分泌有关。     

针刺调节缺血性脑卒中患者颅内动脉血流动力学参数临床观察

目的 采用经颅彩色多普勒检查评价针刺对缺血性脑卒中患者脑血流动力学参数的影响。方法 将100例缺血性脑卒中患者随机分为联合组和对照组,每组50例。联合组采用针刺风池、风府配合常规针刺治疗,对照组采用常规针刺治疗。采用改良爱丁堡+斯堪的纳维亚评分观察两组临床疗效;针刺后即刻、针刺2个疗程后,分别测定两组颅内各动脉平均血流速度(mean flow velocity,Vm)和血管搏动指数（pulsatility index,PI）。 结果 ①联合组临床疗效优于对照组（P<0.05）。②针刺后即刻,联合组各动脉Vm较针刺前均显著增加（P<0.01）,且联合组大脑后动脉(posterior cerebral artery,PCA)、大脑前动脉（anterior cerebral artery, ACA）、椎动脉（vertebral artery, VA）、基底动脉（basilar artery, BA）Vm较对照组显著增加（P<0.05,或P<0.01）;两组各动脉PI值与针刺前比较,及两组之间比较,差异均无统计学意义（P>0.05）。③针刺2个疗程后,两组各动脉Vm均较针刺前显著增加（P<0.01）;且联合组各动脉Vm均显著高于对照组（P<0.05）;联合组PCA、VA、BA的PI值较针刺前显著降低（P<0.05,或P<0.01）,且联合组PCA、VA的PI值显著低于对照组（P<0.05）。结论 针刺风池、风府配合常规针刺对缺血性脑卒中有较好的治疗作用,且脑血流量增加,脑血液循环改善明显。     

谈世博类大型安保检查站警员的自我调适

在上海世博、北京奥运等安保工作中都出现了＂护城河＂检查站。参加这样大型安保工作的检查站警员会因多种因素而导致出现诸多身心问题。因此,参加世博类大型安保检查站工作的警员要努力适应检查站的安全要求、树立正确的荣辱观、尽快找到归属感、学会自我激励、选择实施行为疗法,以保持自身旺盛的战斗力。     

浅论卫气不足与广州地区鼻鼽的关系

卫气的功能与肺、脾、肾三脏密切相关,鼻鼽的发病与卫气强弱关系密切。广州地区鼻鼽患者多见卫气不足,是由其体质特点及生活习惯所造成。运用温阳解表的方法调理卫气治疗鼻鼽疗效确切,提示卫气不足与广州地区鼻鼽确实存在一定关系。