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CBASP Adapted to Child Play Therapy Structure to Prevent Early-Onset Persistent Depressive Disorder

Open Journal of Psychiatry 2022年第1期12卷 53-72页

作者： James P. McCullough Jr. kara elizabeth burr Department of Psychology Virginia Commonwealth University Henrico VA USA Restoration Clinic Fort Worth TX USA

The current paper is a theoretical proposal that interfaces the Cognitive Behavioral Analysis System of Psychotherapy (CBASP) and its emphasis on interpersonal consequences with the structured order of a Play Therapy Model for troubled 3 - 8-year-old children. This proposal is not a research paper or a review of literature;instead, it is a treatment proposal that is novel and untested. CBASP psychotherapy, an empirically validated treatment, was developed originally to treat the persistently depressed adult. CBASP’s major focus of interpersonal consequation will be interfaced with a Play Therapy structured model to rectify the maladaptive preoperational functioning of five interpersonal types of problem-children. The types are classified interpersonally using D.J. Kiesler’s Interpersonal Message Inventory (IMI). Kiesler’s IMI is employed in this proposal as an ongoing assessment modality, a source of information to make treatment strategy consequation decisions, and thirdly as an evaluative outcome variable. The troubled child types described herein frequently become candidates for early-onset Persistent Depressive Disorder (PDD) unless rescued by successful treatment. The origins of early-onset PDD arise in dysfunctional households where toxic interpersonal relationships predominate: where “survival from abuse,” not growth, describes the child’s modal developmental experiences. These children are often exposed to either serious traumas (e.g., sexual abuse, loss of a parent, physical abuse, physical or emotional neglect) or psychological insults (e.g., continuous, and chronic verbal and nonverbal abuse). The result, in the most serious cases, is a maturational stunting at the preoperational stage of development which, as noted above, if not successfully resolved, thrusts the child into early-onset PDD.

关键词： Play Therapy Early-Onset Persistent Depressive Disorder CBASP Psychotherapy Preoperational Functioning Impact Message Inventory Interpersonal Circle

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Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area

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World Journal of Cardiology 2021年第3期13卷 46-54页

作者： kara Callum Claudia Graune elizabeth Bowman Edward Molden Stephen J Leslie Department of Cardiology NHS HighlandInverness IV23UJUnited Kingdom

BACKGROUND Implantable cardioverter defibrillators(ICDs)and cardiac resynchronisation therapy with defibrillators(CRT-D)reduce mortality in certain cardiac patient ***,inappropriate shocks pose a problem,having both adverse physical and psychological effects on the *** advances in device technology now allow remote monitoring(RM)of devices to replace clinic follow up *** allows real time data to be analysed and actioned and this may improve patient *** To determine if RM in patients with an ICD is associated with fewer inappropriate shocks and reduced time to medical *** This was a single centre,retrospective observational study,involving 156 patients implanted with an ICD or CRT-D,followed up for 2 years post *** appropriate and inappropriate shocks were recorded along with cause for inappropriate shocks and time to medical *** RM was associated with fewer inappropriate shocks(13.6%clinic vs 3.9%RM;P=0.030)and a reduced time to medical assessment(15.1±6.8 vs 1.0±0.0 d;P<0.001).CONCLUSION RM in patients with an ICD is associated with improved patient outcomes.

关键词： Implantable cardioverter defibrillator Inappropriate shocks Remote monitoring Cardiac patients Heart failure Arrythmia

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Plant functional traits and microbes vary with position on striped periglacial patterned ground at Glacier National Park, Montana

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Journal of Geographical Sciences 2019年第7期29卷 1127-1141页

作者： APPLE Martha elizabeth RICKETTS Macy kara MARTIN Alice Caroline Department of Biological Sciences Montana Technological University Butte Montana 59701 USA Department of Botany The University of Wyoming Laramie Wyoming 82071 USA Division of Biological Sciences The University of Montana Missoula Montana 59812 USA

The retreating snowfields and glaciers of Glacier National Park, Montana, USA, present alpine plants with changes in habitat and hydrology. The adjacent and relic periglacial patterned ground consists of solifluction terraces of green, vegetation-rich stripes alternating with sparsely vegetated brown stripes. We established georeferenced transects on striped periglacial patterned ground for long-term monitoring and data collection on species distribution and plant functional traits at Siyeh Pass and at Piegan Pass at Glacier National Park. We documented species distribution and calculated the relative percent cover(RPC) of qualitative functional traits and used 16 S rRNA from soil samples to characterize microbial distribution on green and brown stripes. Plant species distribution varied significantly and there were key differences in microbial distribution between the green and brown stripes. The rare arctic-alpine plants Draba macounii, Papaver pygmaeum, and Sagina nivalis were restricted to brown stripes, where the RPC of xeromorphic taprooted species was significantly higher at the leading edge of the Siyeh Pass snowfield. Brown stripes had a higher percentage of the thermophilic bacteria Thermacetogenium and Thermoflavimicrobium. Green stripes were co-dominated by the adventitiously-rooted dwarf shrubs Salix arctica and the possibly N-fixing Dryas octopetala. Green stripes were inhabited by Krummholz and seedlings of Abies lasiocarpa and Pinus albicaulus. Prosthecobacter, a hydrophilic bacterial genus, was more abundant on the green stripes, which had 6,524 bacterial sequences in comparison to the 1,183 sequences from the brown stripes. While further research can determine which functional traits are critical for these plants, knowledge of the current distribution of plant species and their functional traits can be used in predictive models of the responses of alpine plants to disappearing snowfields and glaciers. This research is important in conservation of r

关键词： alpine plants plant functional traits microbes periglacial patterned ground climate change Glacier National Park, Montana

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Molecular Characterization of the Calvin Cycle Enzyme Phosphoribulokinase in the Stramenopile Alga Vaucheria litorea and the Plastid Hosting Mollusc Elysia chlorotica

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Molecular Plant 2009年第6期2卷 1384-1396页

作者： Mary E. Rumpho Sirisha Pochareddy Jared M. Worful elizabeth J. Summer Debashish Bhattacharya Karen N. Pelletreau Mary S. Tyler Jungho Lee James R. Manhart kara M. Soule Department of Biochemistry Microbiology and Molecular Biology 5735 Hitchner Halt University of Maine Orono ME 04469 USA Department of Biology Texas A&M University College Station TX 77843 USA Department of Ecology Evolution and Natural Resources Institute of Marine and Coastal Sciences Rutgers University New Brunswick NJ 08901 USA School of Biology and Ecology University of Maine Orono ME 04469 USA Green Plant Institute #2-202 Bio Valley Seoul National University 103-2 Seodun Gwonseon Suwon Gyeonggi 441-853 Korea Department of Biochemistry and Biophysics Texas A&M University College Station TX 77843 USA

Phosphoribulokinase （PRK）, a nuclear-encoded plastid-localized enzyme unique to the photosynthetic carbon reduction （Calvin） cycle, was cloned and characterized from the stramenopile alga Vaucheria litorea. This alga is the source of plastids for the mollusc （sea slug） Elysia chlorotica which enable the animal to survive for months solely by photoautotrophic CO2 fixation. The 1633-bp V. litorea prk gene was cloned and the coding region, found to be interrupted by four introns, encodes a 405-amino acid protein. This protein contains the typical bipartite target sequence expected of nuclearencoded proteins that are directed to complex （i.e. four membrane-bound） algal plastids. De novo synthesis of PRK and enzyme activity were detected in E. chlorotica in spite of having been starved of V. litorea for several months. Unlike the algal enzyme, PRK in the sea slug did not exhibit redox regulation. Two copies of partial PRK-encoding genes were isolated from both sea slug and aposymbiotic sea slug egg DNA using PCR. Each copy contains the nucleotide region spanning exon 1 and part of exon 2 of V litorea prk, including the bipartite targeting peptide. However, the larger prk fragment also includes intron 1. The exon and intron sequences of prk in E. chlorotica and V/itorea are nearly identical. These data suggest that PRK is differentially regulated in V. litorea and E. chlorotica and at least a portion of the V. litorea nuclear PRK gene is present in sea slugs that have been starved for several months.

关键词： Alga Calvin cycle Elysia chlorotica kleptoplast mollusc phosphoribulokinase photosynthesis plastid redox regulation stramenopile symbiosis Vaucheria litorea.

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变化中的家庭医学：来自夏延山Keystone Ⅲ大会的新观点

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中国全科医学 2014年第13期17卷 1451-1452页

作者： elizabeth Steiner Erika Bliss kara Cadwallader Terrence E. Steyer Deborah S. Clements Jennifer E. DeVoe Kenneth Fink Marina Khubesrian Paul Lyons David Weismiller 王静俄勒冈健康与科学大学美国俄勒冈州波特兰市97239 中国全科医学杂志社

美国家庭医学小组于2000年10月在夏延山召开了KeystoneⅢ大会。与会者包括第一代(1970年之前进入,代表专业的创始人),第二代(1970—1990年进入,代表积极建立和推进这一领域的人员)及第三代家庭医学成员(1990年以后进入,代表当时最新的... 详细信息

美国家庭医学小组于2000年10月在夏延山召开了KeystoneⅢ大会。与会者包括第一代(1970年之前进入,代表专业的创始人),第二代(1970—1990年进入,代表积极建立和推进这一领域的人员)及第三代家庭医学成员(1990年以后进入,代表当时最新的家庭医生)。会议期间,三代成员一起讨论思考过去、现在及家庭医学的未来,我们在其中的角色,以及如何理解现有的及发展中的家庭医生和家庭医学。历经10多年的发展后,由10名第三代成员撰写了本文,反映了他们目前的观点。本刊编辑部特翻译此篇文章,希望对中国的全科医生也有一定的启发和帮助。

关键词：医学发展史家庭医疗家庭医学卫生保健工作

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