Counseling Research Articles

PD19-11 NARCOTIC FREE URETEROSCOPIC LASER LITHOTRIPSY: A PROSPECTIVE RANDOMIZED STUDY

You have accessJournal of UrologyCME1 May 2022PD19-11 NARCOTIC FREE URETEROSCOPIC LASER LITHOTRIPSY: A PROSPECTIVE RANDOMIZED STUDY Jacob Bamberger, Blair Gallante, Anna Zampini, William M. Atallah, Johnathan A. Khusid, Areeba S. Sadiq, Alan Yaghoubian, and Mantu Gupta Jacob BambergerJacob Bamberger More articles by this author , Blair GallanteBlair Gallante More articles by this author , Anna ZampiniAnna Zampini More articles by this author , William M. AtallahWilliam M. Atallah More articles by this author , Johnathan A. KhusidJohnathan A. Khusid More articles by this author , Areeba S. SadiqAreeba S. Sadiq More articles by this author , Alan YaghoubianAlan Yaghoubian More articles by this author , and Mantu GuptaMantu Gupta More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002557.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Prescription opioid abuse has reached epidemic levels in the US, fueled in part by unused prescription narcotic reservoirs within communities. The aim of this study is to evaluate the efficacy of non-narcotic analgesics and preoperative counseling in managing post-operative pain following ureteroscopic laser lithotripsy (URS). METHODS: Adult patients at a single academic center undergoing URS for urolithiasis were recruited. Exclusion criteria were: pre-existing stent, contradictions to oxycodone, acetaminophen, or ibuprofen, or current prescription analgesic use. After informed consent, subjects were randomized into 3 groups: 1. Narcotic-only (OXY)—15 oxycodone-acetaminophen 5/325mg, 2. NSAID-only (IBU)—15 ibuprofen 600mg, 3. Counseling (CNSL)—15 oxycodone-acetaminophen 5/325mg, 15 ibuprofen 600mg, and preoperative counseling from the surgeon to avoid narcotic if possible. Patients in whom stent placement was deemed unnecessary intraoperatively were excluded. At the time of stent removal subjects completed the Universal Stent Symptom Questionnaire (USSQ) and a pill count was performed. USSQ pain indices and analgesic consumption were primary and secondary study endpoints, respectively. Demographic, operative, and postoperative data were analyzed between the three groups. RESULTS: Of 115 patients who completed the study, 104 were eligible for analysis and 11 were lost to follow-up. No significant differences were noted in patient demographic, clinical or operative characteristics. No differences were noted in mean USSQ pain indices across the three groups. The counseling group used a significantly lower number of OXY pills compared to the narcotic group (2.4 vs. 5.4, p=0.018), and less IBU compared to the non-narcotic group (3.2 vs. 5.7, p=0.008), however no differences in mean total pill count were noted between groups (Table 1). CONCLUSIONS: Our data suggest that patients can achieve equivalent post-operative analgesic satisfaction with non-narcotic pain medication compared to opiates following URS. Further, counseling patients on post-operative pain before surgery can reduce the total number of postoperative narcotic and non-narcotic medications taken.We suggest surgeons strongly consider omission of narcotic prescriptions following non-complicated URS. Source of Funding: N/A © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e353 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jacob Bamberger More articles by this author Blair Gallante More articles by this author Anna Zampini More articles by this author William M. Atallah More articles by this author Johnathan A. Khusid More articles by this author Areeba S. Sadiq More articles by this author Alan Yaghoubian More articles by this author Mantu Gupta More articles by this author Expand All Advertisement PDF DownloadLoading ...

Харчування як чинник ризику та втручання при ревматичних захворюваннях

Мета публікації — огляд ефектів харчування як чинника ризику та втручання в аспекті ревматичних захворювань. З використанням методів інформаційного аналізу досліджено понад 100 джерел спеціальної літератури та комп’ютерних ресурсів доказової медицини. У великих обсерваційних дослідженнях, систематичних оглядах і мета­аналізах, присвячених профілактичному, терапевтичному потенціалу та безпеці застосування різних харчових продуктів, дієт, мікронутрієнтів і пробіотиків, у тому числі за наявності пов’язаних провідних чинників ризику неінфекційних захворювань (вживання тютюну, алкоголю, підвищеного індексу маси тіла тощо), встановлено, що значущість харчування як чинника ризику розвитку та кінцевих результатів доведено насамперед для ревматоїдного артриту та подагри. Патогенетичну роль харчування розглянуто в контексті його впливу на кишкову мікробіоту. Показано необхідність проведення рандомізованих контрольованих досліджень для оцінки протективного потенціалу різних моделей харчування й ефектів дотримання модифікованої середземноморської дієти та вживання певних дієтичних добавок і пробіотиків при ревматичних захворюваннях, а в кінцевому результаті — для розробки спеціальних настанов із харчування для хворих ревматологічного профілю. Відзначено достатню доказову базу профілактичного консультування таких пацієнтів з питань харчування з метою зниження кардіоваскулярного ризику.

Consultation or Counseling?

Consultation or Counseling?

Book Review: Counseling: A Comprehensive Profession

Book Review: Counseling: A Comprehensive Profession

Progress in the genetic studies of spermatogenesis abnormalities.

About 15% couples suffer from infertility, half of which are caused by male factors. Male infertility usually manifests as teratozoospermia, oligospermia and/or asthenospermia, of which the most severe form is azoospermia. In this review, we summarize the recent progress in the study of genetic factors involved in nonobstructive azoospermia and teratozoospermia, Recently, with the rapid development of high-throughput chips and sequencing technologies, many genetic factors of spermatogenesis have been discovered and analyzed. For the nonobstructive azoospermia, genome-wide association studies (GWAS) and high-throughput sequencing revealed many risk loci of nonobstructive azoospermia. For the teratozoospermia, the application of whole-exome sequencing (WES) revealed a series of disease-causing genes, greatly enriching our knowledge of teratozoospermia including multiple morphological abnormalities of the flagella (MMAF). The discovery of lots of disease genes helped the characterization of the pathological mechanisms of male infertility. Therefore, a comprehensive and in-depth understanding of genetic factors in spermatogenesis abnormalities will play important roles in the clinical diagnosis, treatment and genetic counseling of male infertility.

The effect of play therapy on behavioral problems, reduction of attention deficit and hyperactivity in children

Introduction: The aim of this study was to evaluate the effectiveness of play therapy on reducing behavioral problems, attention deficit hyperactivity disorder and children. Methods: The present study was an experimental-design project (pre-test-post-test) with a control group. The statistical population of the present study consisted of all hyperactive primary school male students in an elementary school, among whom, a statistical sample in the fifth and sixth grades (mean age 11 years) 24 people were selected by purposive sampling using the inclusion criteria and randomly divided into two groups and then the experimental group under 8 sessions of 1.5 hours with the cooperation of school counseling officials under play therapy training it placed. In order to collect data, Rutter Behavioral Problems Questionnaire (Parent Form) and Conners Grading Questionnaire were used to evaluate the subjects and the collected information was analyzed in the form of descriptive and inferential statistics. Results: The results of data analysis showed that play therapy was associated with a significant effect on reducing behavioral problems and attention deficit and hyperactivity disorder in primary school children (F = 592.317; significance level = 0.001) and reduced behavioral problems and reduced the severity of hyperactivity symptoms. Conclusion: Due to the effectiveness of play therapy, this issue can be effective in reducing children's behavioral problems as well as improving the attention and hyperactivity of primary school children.

SELF-ESTEEM AS CORRELATE OF MARITAL ADJUSTMENT OF MARRIED SECONDARY SCHOOL TEACHERS IN ANAMBRA STATE, NIGERIA

Adjusting to the challenges in marriages is a critical factor in strengthening or weakening the foundation of their marriage. This study investigated self-esteem as a correlate of marital adjustment of married secondary school teachers in Anambra State. Three research questions were posed to guide the study while one null hypothesis was tested at a 0.05 level of significance. A correlational research design was adopted for the study. A sample size of 1,408 married teachers was drawn from a population of 6,987 married teachers. A multi-stage sampling procedure was followed in selecting the study sample. Two instruments: The marital Adjustment Scale (MAS), and Self- Esteem Scale (SES) were used for data collection. The instruments were duly validated by experts in measurement and evaluation and Guidance and Counselling. The reliability coefficient was established thus; 0.85 for the Self-esteem questionnaire, and 0.74 for the Marital Adjustment Questionnaire. Data was collected through a direct delivery approach and was analysed using SPSS version 23. Range of aggregate scores and Pearson correlation coefficients were used to answer research questions and while a t-test was used to test the hypotheses. Findings of the study showed among others there is a non-significant very low positive relationship existing between married teachers’ Self-esteem and their marital adjustment in secondary schools in Anambra State. Based on the findings of the study, it was recommended, among others that the school guidance counsellors should organise workshops and seminars for the married teachers that would be geared towards building healthy self-esteem for good marital adjustment. Article visualizations:

Community services in an effort to utilize household food waste as organic fertilizer in addition to bioactivators in Balikpapan

Lack of household food waste management results in major environmental problems, such as bad smells and dirt, as well as greenhouse gas emissions, which adversely affect public health. The goal of this community services was to transform household food waste into organic fertilizer, so agricultural output, economize resources, and public health can be increased. The method used in this service was that of individual or one-on-one and group counseling. The benefit of the activity was to produce high-value compost generated from househol food waste and utilization of local resources. After conducting the community services, found that that the community of Klandasan Ulu in Balikapan, who was involved in the training on household food waste management, fathomed how to discover household food waste to become organic fertilizers with economic and environmental value by adding bioactivators at room temperature and facultative aerobic condition. The impact of this training on patterns of community garbage disposal action was also observed.

Relationship between Self Disclosure and Bullying of Social Media User High School Students

This research is motivated by students who bully at school as a result of excessive self-disclosure on social media. This study aims to: (1) describe self-disclosure on social media, (2) describe student bullying, and (3) examine the relationship of self-disclosure with high school students using social media. The research approach uses a quantitative approach with a descriptive correlational type. The population of the study was students of SMA Negeri 1 Luhak Nan Duo using proportional random sampling technique. Data were collected through self-disclosure questionnaires and student bullying. Furthermore, the data were analyzed using descriptive statistics with percentage techniques, and for normality test, linearity test and the relationship between the two variables used statistical analysis with the Pearson Product Moment technique with the help of SPSS version 20.0 for windows. Based on the research, it was found: (1) students 'self-disclosure was in the high category, (2) students' bullying was in the medium category and (3) there was a relationship between self-disclosure and bullying of high school students using social media. The implication in guidance and counseling services is that guidance and counseling teachers provide services to students related to bullying and self-disclosure problems on social media.

PERBANDINGAN TINGKAT KEPATUHAN PASIEN HIPERTENSI YANG DIBERIKAN KONSELING DENGAN ALAT BANTU PESAN PENGINGAT DAN BROSUR

Hypertension is a condition with blood pressure in 140/90 > mmHg. Medication compliance in hypertension patient can control blood pressure. Complience can improve with counseling and use tools of counselling. The aim of this study was to know the effect of counselling with the tools i.e an SMS reminder and brochure for compliance of hypertension patient. The study was observational analytical study by using the instrument of Adherence Morisky questionnaire Modified Scale (MMAS-8) to measure the level of compliance of the patient. Patients (n=61) were divided into 3 groups i.e the patients were only given counselling, given counselling and sms reminder (2 weeks), given counseling and brochures. Results of this study was compliance levels respectively high, medium and low were 21.74%; 43.48% and 34.78% (group counselling), 46.67%; 13.33% and 40% (group counseling and sms reminder) and 39.13%; 34.78% and 26.09% (group counseling and brochures). There was effect of counselling with an SMS reminder and brochure for compliance of hypertension patient (sig. 0,000) and there was no difference for compliance of hypertension patients in patients who given counseling with an SMS reminder or brochure (sig 0,497)

The Development and Validation of the Korean Counselor LGBT Counseling Competency Scale

The Development and Validation of the Korean Counselor LGBT Counseling Competency Scale

Hubungan Metode Persalinan dengan Penggunaan IUD Pascasalin di RSUD Panembahan Senopati Bantul

Latar Belakang: Periode pascasalin merupakan masa yang penting untuk memulai kontrasepsi, namun masih kurang dimanfaatkan, utamanya untuk penggunaan IUD pascasalin. Hal ini ditunjukkan oleh penggunaan IUD pascasalin hanya 14,06% dari keseluruhan metode kontrasepsi pascasalin. Angka seksio sesarea meningkat signifikan akhir-akhir ini, mencapai 29,6% di Indonesia. Peningkatan angka seksio caesarea (SC) tidak diikuti peningkatan penggunaan IUD pascasalin. Padahal peluang penggunaan IUD pascasalin pada persalinan abdominal/seksio sesarea lebih besar. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara metode persalinan dengan penggunaan IUD Pascasalin di RSUD Panembahan Senopati. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional atau potong lintang, sampel penelitian diambil dari pasien yang melahirkan di RSUD Panembahan Senopati, data dikumpulkan dengan metode wawancara. Uji Chi square dan prevalence ratio dipakai untuk analisis statistika. Hasil dan Pembahasan: Penelitian ini melibatkan 260 subyek, 161 (61,92%) persalinan vaginal dan 99 (38,08) SC. Total pengguna IUD pascasalin sebanyak 128 (49,23%). Persalinan SC memiliki hubungan bermakna dengan penggunaan IUD pascasalin (p 0,000; PR 1,49; CI 1,19-1,89). Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bemakna adalah riwayat penggunaan metode kontrasepsi jangka panjang (MKJP) sebelumnya (p 0,002; PR 1,68; CI 1,38-2,06), adanya asuransi Jaminan Kesehatan Nasional (JKN) (p 0,038; PR 1,71; CI 1,04-2,80), dan konseling (p 0,000; PR 2,84; CI 1,85-4,35). Alasan terbanyak subyek menolak penggunaan IUD pascasalin adalah takut efek samping (35%). Kesimpulan: Penggunaan IUD pascasalin lebih tinggi secara bermakna pada seksio sesarea dibandingkan persalinan vaginal. Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bermakna adalah riwayat penggunaan MKJP, adanya asuransi JKN dan konseling. Kata Kunci: IUD pascasalin; metode persalinan; angka pemasangan; persalinan vaginal, SC

A Pastoral Counseling View and Application of King David’s Dysfunctional Family

A Pastoral Counseling View and Application of King David’s Dysfunctional Family

Depression and anxiety and assciated factors among college students returned to campus during the outbreak of COVID-19

Objective The purpose of this study was to investigate the state of depression and anxiety and assciated factors of back-to-school college students during the outbreak of COVID-19, so as to provide theoretical basis for emotional counseling and psychological crisis intervention after long-term school closure due to epidemic outbreak. Methods Cluster sampling was used to select the first batch of 2 697 back-to-school students in a high vocational college. The survey content includes basic information questionnaire, Depression Self-rating Scale (SDS) and Anxiety Self-rating Scale (SAS). Results The detection rate of depression and anxiety was 31.8% and 10.4% respectively. Multivariate Logistic regression analysis showed that the risk of depression in female college students was 1.28 times higher than that in male students. The risk of depression among college students with family loss experience caused by the outbreak of COVID-19 was 1.30 times that of those without family loss experience caused by the outbreak of COVID-19. Outgoing personality ( OR = 0.62), neutral ( OR = 0.55) and mild temper ( OR = 0.46), moderate frequency of physical exercise per week (1–2 times: OR = 0.73, 3–4 times: OR = 0.65) were protective effects for depression in college students.Low frequency of breakfast were the risk effects for depression in college. The risk of anxiety among college students who was the only child in the family was 1.61 times higher than that who was not the only child in the family. The risk of anxiety among college students with family loss experience caused by the outbreak of COVID-19 was 1.45 times higher than that college students without family loss experience caused by the outbreak of COVID-19. Neutral temper, mild temper and physical exercise 1–2 times a week were associated with lower level of anxiety in college students ( OR = 0.67, 0.56, 0.67). Breakfast skipping ( OR = 2.03) was associated with higher levvel of anxiety in college students. Conlusions During the outbreak of COVID-19, the first batch of back-to-school college students presented high level of depression. Colleges are suggested to promptly carry out effective emotional relief and psychological intervention for students, especially those whose family suffered in COVID-19, the only child in the family, with poor breakfast eating habits, as well as breakfast skipping and lack of physical exercise. 【摘要】 目的 了解新型冠状病毒肺炎流行期间返校大学生抑郁、焦虑情绪现况及其影响因素, 为后续开展有效的情绪 疏导和心理干预提供依据。 方法采用整群抽样的方法对安徽中医药髙等专科学校首批返校的2 697名大学生进行自编 问卷调査, 内容包括基本信息、抑郁自评量表 (Self-rating Depression Scale, SDS) 和焦虑自评量表 (Self-rating Anxiety Scale, SAS) 等。 结果 首批返校大学生抑郁检出率为31.8%, 焦虑检出率为10.4%。多因素Logistic回归分析显示, 女生产生抑 郁情绪的风险是男生的1.28倍;因疫情致家庭损失的大学生产生抑郁情绪的风险是无家庭损失的1.30倍;外向性格 ( OR = 0.62)、中性脾气 ( OR = 0.55)及温和脾气 ( OR = 0.46)、每周体育锻炼次数适中 (1~2次:OR = 0.73;3~4次:OR = 0.65)与大 学生产生抑郁情绪呈负相关;早餐次数较少与大学生产生抑郁情绪呈正相关。独生子女大学生产生焦虑情绪风险是非独 生子女的1.61倍;因疫情致家庭损失的大学生产生焦虑情绪的风险是无家庭损失的1.45倍;中性脾气 ( OR = 0.67)及温和 脾气 ( OR = 0.56)、每周体育锻炼1~2次 ( OR = 0.67)与大学生产生焦虑情绪呈负相关;从来不吃早餐 ( OR = 2.03)与大学生 产生焦虑情绪呈正相关。 结论新冠肺炎流行期间, 首批返校大学生群体抑郁检出率较髙。学校应针对有因疫情所致损 失经历、独生子女、具有不良早餐习惯、缺乏体育锻炼的学生及时开展有效情绪疏解和心理干预。

Expert consensus for diagnosis and treatment of Fabry disease in China (2021)

Fabry disease is a rare X-linked genetic lysosomal storage disorder caused by mutations in the GLA gene, which results of reduced or absent activity of α-galactosidase A, accumulation of metabolic substrates globotriaosylceramide (GL-3) and derivatives deacylated derivative globotriaosylsphingosine (Lyso-GL-3) in multiple tissues, and multi-organ diseases and even life-threatening complications. Due to the lack of specific symptoms, there is a need to combine the clinical features and the results of enzymatic, biochemical, and genetic tests to realize the early definite diagnosis of Fabry disease. Furthermore, the approval of agalsidase beta/alpha in China will benefit the vast Chinese patients for Fabry disease specific therapies. Based on the evidence-based medicine, this consensus summarizes several main aspects related to Fabry disease, including clinical manifestations, diagnosis and its flow chart, therapies, screening, genetic counseling and prenatal diagnosis, so as to further promote the standardized diagnosis and treatment of Fabry disease.

EP414 - Using ethnicity to adjust risk and provide accurate counseling for Alpha-thalassemia

eP414 - Using ethnicity to adjust risk and provide accurate counseling for Alpha-thalassemia

Examination of prospective psychological counselors therapeutic alliance skills with their attachment styles and self-regulation skills

This study aimed to examine the relationship between the therapeutic alliance developed by prospective psychological counselors with clients in their psychological counseling practices and their attachment styles and self-regulation skills. The study used a correlational survey model and was carried out on 460 prospective psychological counselors. Data were collected using the Psychological Counseling Form of the Therapeutic Alliance Scale, the Interpersonal Attachment Styles Scale, and the Self-Regulation Dimension of the Emotional Literacy Scale. After the normality analyses, the data collected in the study were analyzed with hierarchical regression. It was found that the attachment styles involved in the regression model in the first stage to predict the therapeutic alliance skills of psychological counselors had a significant contribution to the model (R = 0.42, R2 = 0.21, p<0.01). It was found that avoidant attachment style predicted therapeutic alliance more strongly than other attachment styles but that this predictive effect was negative (β= -0.30, t = 7.50, p<0.01). The self-regulation skill involved in the model in the second stage of the regression analysis had a significant contribution to the model (R = 0.43, R2 = 0.22, p<0.01). In addition, it was found that self- regulation skills positively predicted therapeutic alliance (β = 0.17, t = 3.17, p<0.05). According to the results of the study, it was found that awareness studies about attachment styles and self-regulation in the education of prospective psychological counselors affected their therapeutic alliance skills. Key words: Therapeutic alliance, attachment styles, self-regulation, prospective psychological counselors, hierarchical regression.

Christian Counseling Readings of Jacob Narrative: Focused on Fairbairn

Christian Counseling Readings of Jacob Narrative: Focused on Fairbairn

The Pharmacist Role In Improving Medication Adherence In Dialysis Patients: A Systematic Review

End-stage renal disease (ESRD) is a worldwide concern in this latest generation as the prevalence had been in an increasing trend. This research aims to evaluate the impact of pharmacist interventions on medication adherence and factors related to medications non-adherence among hemodialysis (HD) patients. A literature search was conducted using search engines PubMed, Cochrane Library and ScienceDirect to identify studies that investigate the pharmacist interventions on medication adherence and factors related to medication non-adherence among HD patients. Based on the study objective a qualitative assessment of the final selected articles was made. The quality of the included studies was assessed using the Newcastle-Ottawa scale. Seven studies met the inclusion criteria. The summed overall quality using the Newcastle-Ottawa scale of all the selected paper was good. The majority of the studies were conducted as prospective study design. More than half of the studies (71%) utilized subjective measure which is self-reporting with a validated questionnaire such as Medication Adherence Report Scale (MARS), Brief Medication Questionnaire (BMQ) and Morisky 8-item Medication Adherence Scale (MMAS-8) to measure participants’ adherence. The selected papers have shown that poor medication knowledge as the main factor for non-adherence towards medications. The most common reported pharmaceutical care done by the pharmacist to improve medication adherence is by providing medication counselling. All the studies demonstrate the positive impact of pharmacist involvement in HD patients to enhance medication adherence. All identified studies prove that clinical pharmacists could play an important role in educating patients which helps them to have a positive attitude towards medications.

EFFECT OF MODELLING TECHNIQUE IN ENHANCING LOW ACADEMIC SELF-CONCEPT OF SECONDARY SCHOOL STUDENTS

Academic self-concept is important for secondary school students’ personal adjustment and for the influence it has on other desired educational outcomes. This study investigated the effects of modelling technique in enhancing low academic self-concept of senior secondary school students in Onitsha education zone. One research question guided the study, while two null hypotheses were tested at 0.05 level of significance. The design for the study is quasi-experimental, non-randomised pre-test and post-test, control group research. The target population of this study was 988 senior secondary school students having low academic self-concept in Onitsha education zone. A sample size of 108 students was selected using purposive sampling technique. A validated instrument for data collection was Academic Self-concept Survey (ASS). The internal consistency reliability coefficient for the instrument is 0.84. Data was collected through direct delivery of the instrument to the respondents. Mean scores were used to answer the research question, while the null hypotheses were tested using Analysis of Co-variance (ANCOVA). The instrument norm 72.50 guided the decision. The finding of the study revealed that Modelling technique enhanced the academic self-concept of the secondary school students, but the effect was not significant when compared with those who received conventional counselling; the findings further revealed that the difference in the effect of Modelling technique on male and female secondary school students’ Academic self-concepts is not significant. Based on the findings and implications of the study, it was recommended that the practicing counsellors and therapist should make use of the modelling in combination with other effective techniques in administering counselling and therapy of secondary school students to modify and enhance their academic self-concept. Article visualizations: