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The contemporary relational supervisor
\"The Contemporary Relational Supervisor is an empirically-based, academically-sophisticated, and learner-friendly book on the cutting edge of couple and family therapy supervision. Appropriate for master's and doctoral level students, as well as experienced clinicians who wish to learn about supervision, it emphasizes system and relational thinking and intervention, while privileging the diversity of training system members, their realities, experiences, and interpretations of life. The authors are attuned throughout the text to how and where clinical training and services are provided, and to whom, and provide detailed literature reviews for readers. These factors assist their discussion of the socio-historic development of the MFT supervision designation, and the fundamentals, contexts, philosophy, relationships, and pragmatics of MFT supervision. They also discuss major models and approaches, evaluation, ethical and legal issues, and therapist development. Perhaps most important is their presentation of methods that help tailor and extend supervision practices to meet the clinical, institutional, and economic realities that MFT therapists navigate. Readers are engaged by the discussions and exercises at the end of each chapter, which help them to feel more grounded in a topic, to have their own voices heard, and to be granted insight through experiencing multiple realities. This valuable reference prepares the next wave of cutting-edge CFT supervisors, those who are knowledgeable, skilled, and realistically confident\"-- Provided by publisher.
Book
Baloxavir Marboxil for Uncomplicated Influenza in Adults and Adolescents
In phase 2 and 3 randomized, controlled trials, baloxavir — an inhibitor of influenza cap-dependent endonuclease — showed evidence of clinical symptom relief and antiviral activity against influenza. However, influenza-resistant variants appeared to develop with treatment.
Journal Article
Emotions in sport coaching
Emotions are widely acknowledged as an inextricable feature of human behaviour, experience and interaction. They are, arguably, the glue that can bind people together or, alternatively, drive them apart. While social scientists have paid attention to the centrality of emotions in social and pedagogical relationships, the sport coaching literature has remained largely free of emotions. Indeed, there remains a paucity of scholarship exploring how emotions may be (re-)produced in, as well as through, the social interactions and contextual relations that constitute coaching. Similarly, we know very little about how emotions are embodied in the everyday practice of individuals and groups. The aim of this book is to generate new and exploratory insights into the emotions that are an inherent feature of social relations and individual experience in coaching.
Book
Cost-effectiveness of molecular point-of-care testing for influenza viruses in elderly patients at ambulatory care setting
Early initiation of antiviral therapy in elderly patients with influenza is associated with reduced risk of extra clinic visit, hospitalization and death. This study examined the cost-effectiveness of molecular POCT for detection of influenza viruses in Hong Kong elderly patients with influenza-like illness (ILI) in the outpatient clinics.
A decision analytic model was used to simulate outcomes of a hypothetical cohort of elderly patients presented with ILI at outpatient clinics during peak season of influenza with two diagnostic approaches: Rapid molecular assay (POCT-PCR group) and clinical judgement with no POCT. Outcome measures included influenza-associated direct medical cost, hospitalization and mortality rates, quality-adjusted life year loss (QALY loss), and incremental cost per QALY saved (ICER).
In base-case analysis, POCT-PCR group was expected to reduce hospitalization (1.38% versus 2.85%) and mortality rate (0.08% versus 0.16%) and save 0.00112 QALYs at higher cost (by USD33.2 per ILI patient), comparing with clinical judgement group. The ICER of POCT-PCR was 29,582 USD/QALY saved. One-way sensitivity analyses found ICER sensitive to: Hospitalization rate without prompt antiviral therapy; odds ratio of hospitalization with prompt therapy; influenza prevalence; patient age and mortality rate of hospitalized patients. POCT-PCR was cost-effective in 60.6% and 99.4% of 10,000 Monte Carlo simulations at willingness-to-pay threshold of 1x and 3x gross domestic product per capita of Hong Kong, respectively.
Molecular POCT for influenza detection in elderly patients with ILI at outpatient clinics during peak influenza season appeared to be cost-effective in Hong Kong.
Journal Article
Traveling the blue road : poems of the sea
Gorgeous illustrations surround a collection of poetry written for children about the magic, beauty, and promise of sea voyages. Compiled and edited by award-winning poet Lee Bennett Hopkins, the poems describe how the sea has historically shone as a metaphor for hope and despair and served as a pathway for people searching for new life, including poems about the pilgrims coming to the New World, the Mariel boatlift, the Vietnamese boat people, a Dutch slave ship, the current migration situation in the Mediterranean, and the voyage of the St. Louis.
Book
Baloxavir Marboxil for Prophylaxis against Influenza in Household Contacts
In a randomized, double-blind trial that treated household contacts of patients with influenza with a single dose of baloxavir or placebo, participants taking baloxavir had a lower risk of influenza (1.9%) than placebo controls (13.6%). Adverse events were similar in the two groups.
Journal Article
Delayed Diagnosis of Respiratory Syncytial Virus Infections in Hospitalized Adults
Despite the prevalence of respiratory syncytial virus (RSV) in adults hospitalized with acute respiratory infections, guidelines for the diagnosis and management of RSV have not been established. This analysis evaluated the role and timeliness of RSV diagnostic testing and its potential impact on clinical outcomes.
We analyzed individual patient data from hospitalized adults with confirmed RSV infections during 2 North American RSV seasons. Participating physicians reported clinical, virologic diagnosis, and outcome variables using a standardized online case form.
Across 32 US states, 132 physicians reported 379 RSV cases. Polymerase chain reaction-based diagnostics were the most common type of test ordered (94.2%) with <5% ordered specifically to diagnose RSV. Most tests (67.6%) were ordered in hospital wards or intensive care units. Overall, 47.4%, 30.9%, and 21.7% of patients had RSV diagnosed <12, 12‒24, and >24 hours after hospital admission, respectively. Later diagnosis was associated with longer hospital stays (n = 145; R = +0.191; P < .05) and greater antibiotic use.
Diagnosis of RSV infection in hospitalized adults is often delayed, which may affect clinical management and outcomes. Our findings indicate the need to improve the diagnostic strategies in this patient population.
Journal Article