bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integration, Future Directions, and Limitations
Authors: Sauermilch Daniel , Starks Tyrel J. 
Published: January 2023

AbstractThis chapter looks ahead to the ongoing development of couples Motivational Interviewing. First, it examines the potential for practice integration. Examples of how the principles, processes, and practices articulated in this text may be integrated with existing intervention strategies from individual cognitive behavioral or couples counseling practice (e.g., social and problem skills training, behavioral activation, contingency management, values clarification) are reviewed. Special issues relevant to the informed consent process and intervention practices relevant to relationship dissolution are discussed. Finally, there is speculation on the potential to generalize the practice of couples Motivational Interviewing to other populations. While sexual minority men, substance use, and HIV-related sexual health have been the focus of this text, the history of Motivational Interviewing development—and in some instances formative data—would suggest couples Motivational Interviewing may have applications well beyond this narrow initial focus.
Session 5: Acceptance of Pulling-Related Inner Experiences
Authors: Woods Douglas W. , Twohig Michael P. 
Published: January 2023

Abstract
This chapter covers the fifth session of the Acceptance and Commitment Therapy (ACT) Enhanced Behavior Therapy for Trichotillomania (AEBT-T) treatment package. It discusses how to work with a client on an alternative way of responding to hair-pulling urges, pulling-related cognitions, cravings for specific sensory experiences, and emotions that have commonly led to pulling. It also describes the “paper in shoe” exercise; the therapist can equate the tactile sensations generated by the paper in the shoe to the private event the client uses pulling to control. The chapter reviews activities that present acceptance or willingness to have pulling-related inner experiences and highlights how attempting to control those inner experiences works. It mentions behavioral commitment to reduce hair pulling. The basis for using acceptance in AEBT-T is that urges and other inner experiences ultimately cannot be controlled and attempts at controlling them can be harmful.
Case 3
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

Abstract
A 28-year-old woman with no known medical problems presented with a 9-day history of a non-productive cough, shortness of breath, fever, headache, and loss of smell and taste. She was 35 weeks into her first pregnancy. She had not been abroad recently. She lived with her husband and his parents, and all had developed similar symptoms in the preceding few days. Her booking BP was 110/80 mmHg and BMI was 30 kg/m2. She was not on any regular medication, there was no family history of medical problems, and she had never smoked. She was of Indian ethnicity and had decided not to be vaccinated against SARS-CoV2 whilst she was pregnant.
Case 7
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

Abstract
A 22-year-old woman in her first pregnancy presented at 24 weeks of gestation with acute shortness of breath, which had developed over the preceding 24 hours. She described chest tightness, but no associated palpitations, cough, fever, or coryzal symptoms. She had had no previous similar episodes. Past medical history was notable for allergic rhinitis and childhood eczema and asthma. She was taking antacids when required for heartburn and was not on any regular medication. She had no family history of significant illnesses and had never smoked. On examination she was wheezy and her peak flow rate was reduced compared to that expected for her age and height.
Case 19
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

Abstract
A 33-year-old woman was referred for pre-conception counselling because of cystic fibrosis. The diagnosis was made after she developed meconium ileus as a neonate, requiring surgical intervention at 3 days of age. She had continued to experience constipation into adulthood, requiring intermittent use of gastrograffin. Her weight was stable (BMI 21 kg/m2). She had experienced a great improvement in her condition since she started a combination CFTR protein modulator treatment. The latest forced expiratory volume (FEV1) was 62%. Her medications included triple combination therapy (tezacaftor, ivacaftor, elexacaftor), DNAse nebulizer, salbutamol inhaler, tiotropium inhaler, colomycin nebulizer, steroid nasal spray, steroid inhaler, azithromycin, pancrealipase capsules, multivitamins, folic acid, macrogol, and omeprazole.
Case 21
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

Abstract
A 35-year-old woman in her first pregnancy was referred to the maternal assessment unit at 36 weeks of gestation. During a routine midwifery appointment, her left eye had been noted to be red. She had noticed a gritty and irritated sensation. This had started 24 hours previously, and was not associated with any discharge, pain, or visual disturbance. There was no photophobia and no history or sensation suggestive of a foreign body. There was no history of injury, and she did not wear contact lenses.
Case 44
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

AbstractA 36-year-old woman attended antenatal clinic at 22 weeks of gestation in her first pregnancy. She had a history of severe rheumatoid arthritis and had required high-dose oral and intra-articular steroids 18 months previously. Prior to pregnancy she was taking methotrexate and a biosimilar TNF-alpha inhibitor. The methotrexate was stopped 2 months prior to conception. Her arthritis had remained quiescent during pregnancy, and she was keen to discuss whether she could stop her TNF-alpha inhibitor.
Case 50
Authors: Frise Charlotte , Bhalsod Krupa , Scott Rebecca , Gibson Harry 
Published: January 2023

Abstract
A 32-year-old woman with multiple sclerosis was referred from a fertility clinic for pre-conception counselling. She had been trying to conceive for 18 months and had regular periods. She had never been pregnant. She was diagnosed with multiple sclerosis 4 years ago, and initially treated with glatiramer acetate but was switched to natalizumab 2 years ago. She had no relapses in that time. In addition to monthly natalizumab infusions, she took 4000 units vitamin D daily. She had no other medical conditions.
Introduction
Authors: Boyles Tom 
Published: January 2023

Abstract
This chapter begins with the story of a professor who befuddles her medical team by requesting a simple pregnancy test to solve a seemingly complex medical problem. It goes on to describe what medical tests are, when they are needed, and answers the deliberately naïve question of why we perform tests at all. It concludes that tests answer patient-relevant questions, which must be formulated before any test is requested. These questions must have a ‘What?’ and a ‘Why?’ component. The chapter explains why it is important to learn about tests given their potential side effects and huge financial costs.
Prognostic Understanding in the Terminally Ill
Authors: Polacek Laura C. , Walsh Leah E. , Duva Melissa M. , George Login S. , Applebaum Allison J. 
Published: January 2023

Abstract
Prognostic understanding is a multifaceted construct that has garnered increased attention among palliative care professionals, particularly for its role in medical decision-making, the provision of care, and patient psychological well-being at end of life. This chapter provides an overview of the current state of research and clinical care surrounding prognostic understanding in patients with terminal illness. Specifically, how prognostic understanding has been defined and measured both historically and in the present is discussed. Particular attention is paid to the importance of prognostic understanding for the provision of goal-concordant end-of-life care as well as its association with psychosocial outcomes. Prognostic information preferences, patient–provider communication, and interventions to improve prognostic understanding are also reviewed. Cultural variations in prognostic information preferences and understanding are also discussed, in addition to future directions for research and clinical practice.
Compassion
Authors: Harris Daranne , Sinclair Shane 
Published: January 2023

AbstractCompassion in palliative care is both a guiding principle and a patient need. This chapter provides an evidence-based and clinically informed conceptualization of compassion for healthcare providers in palliative care. First, compassion is defined and delineated from related concepts of sympathy and empathy. Next, the Healthcare Provider Compassion Model is presented, illustrating the flow and relationship between the key components of compassion. An exploration of the workplace, relational, and personal inhibitors and facilitators affecting the provision of compassion are then identified, including addressing the myth of compassion fatigue. Finally, the authors emphasize the need to integrate compassion competencies into healthcare training and the necessity of routinely assessing patients’ experiences of compassion to improve the delivery of compassion in clinical care.
Demoralization in Palliative Care
Authors: Kissane David W. , Bobevski Irene , Grassi Luigi 
Published: January 2023

Abstract
Demoralization is a mental state of low morale and poor coping, with key symptoms of discouragement, hopelessness, entrapment, loss of role, and pointlessness culminating in a desire to die. Systematic reviews have identified a prevalence of demoralization among 13–18% of patients receiving palliative care. When mood and anxiety disorders have been controlled for, demoralization has been associated with a three-fold increased risk of the development of suicidal thinking. Demoralization is an apt specifier for forms of adjustment disorder and major depression. Latent class analysis has revealed a high likelihood of moderate demoralization being associated with poor adjustment and severe demoralization being associated with mental states of anhedonia and anxiety. Network analyses have confirmed that anhedonic depression constitutes a separate community of symptoms from demoralized symptoms that cluster around loss of meaning and hope, entrapment, and loss of control/isolation. Central symptoms in these communities provide important therapeutic targets and include hopelessness, pointlessness, loss of role, and entrapment. The measurement of the symptoms of demoralization has been strengthened with validated instruments to aid assessment and clarification of the differential diagnoses the clinician must consider. Existentially oriented and meaning-centered therapies underpin the treatment of demoralization, as the clinician seeks to shift each person from postures of existential vulnerability to more constructive and resilient approaches to coping.
Introduction to Supervision Theory and Practice
Authors: Veach Patricia McCarthy 
Published: January 2023

AbstractThis chapter provides select definitions of clinical supervision from different human services professions, including genetic counseling. It summarizes common themes in these definitions, such as processes and functions of supervision. It also describes the tenets, goals, and strategies of the Reciprocal-Engagement Model of Supervision developed to characterize genetic counseling supervision, and it lists empirically derived genetic counseling supervisor competencies. It explains the importance of genetic counselors taking on the role of supervising students, identifies benefits of being in a supervisory role, and offers suggestions for intentionality in the use of one’s supervisory power. This chapter concludes with experiential learning activities to promote self-reflection and deliberate supervision practice.
Supervision for Self-Reflective Practice
Authors: Veach Patricia McCarthy 
Published: January 2023

AbstractThis chapter defines self-reflective practice, describes self-reflection as a key component of deliberate practice, and presents strategies for promoting student self-reflective skills. It identifies supervision as an ideal environment for the intentional cultivation of self-reflective skills because as students are encouraged to discuss their genetic counseling experiences, they do so with the support of more experienced practitioners. It presents a variety of evocative strategies ranging from setting expectations for self-reflection to building students’ self-reflective skills throughout a rotation. The chapter emphasizes supervisor development and modeling of their own self-reflection as influential strategies. Stimulus questions and illustrative examples encourage the reader’s self-reflection, and learning activities provide opportunities to practice self-reflection using different models and approaches.
Common Clinical Supervision Challenges
Authors: Veach Patricia McCarthy 
Published: January 2023

AbstractThis chapter describes three prevalent supervision challenges: conflict in supervision relationships, supervisor countertransference, and student anxiety. It highlights the importance of addressing each challenge to promote professional development. It identifies possible sources of each challenge; gives examples of behaviors related to each one; and presents general strategies for recognizing relationship conflict, supervisor countertransference, and student anxiety. It illustrates each common challenge with discussion of a specific situation (e.g., student autonomy versus imitation, and student anxiety due to having multiple supervisors) and ways a supervisor can address the situation. Experiential activities provide practice in recognizing and managing these common challenges in genetic counseling supervision.
A Decade of Excellent Outcomes After Surgical Intervention in 538 Patients with Thoracic Outlet Syndrome
Authors: Al Shakarchi Julien 
Published: January 2023

Abstract
This chapter provides a summary of a landmark study in vascular surgery reporting the long-term results in patients undergoing surgical intervention for thoracic outlet syndrome. The study demonstrated excellent outcomes for patients who underwent surgery (first rib resection) for neurogenic thoracic outlet syndrome, venous thoracic outlet syndrome, and arterial thoracic outlet syndrome. This chapter describes the basics of the study, including funding, study location, inclusion and exclusion criteria, how many patients were recruited, study design, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary, and concludes with a relevant clinical case.
Growing teratoma syndrome in testis cancer
Authors: Clark Jennifer , Lee Thomas A. , Ramani Vijay A.C. 
Published: January 2023

Abstract
The growing teratoma syndrome is a rare syndrome that can occur during or after standard chemotherapy treatment for non-seminomatous or mixed (non-seminoma and seminomatous) germ cell tumours. The challenging surgical case of a young man presenting with a massive 10 kg retroperitoneal and abdominal mass following systemic treatment for metastatic testis cancer is described. The clinical details of his presentation and principles of treatment in metastatic testis cancer are discussed with emphasis on the following aspects of this particular case: preoperative care/preparation, chemotherapy, decision-making regarding management of residual masses following completion of chemotherapy for metastatic testis cancer, planning and performing a bilateral RetroPeritoneal Lymph Node Dissection (RPLND) and postoperative care. The patient himself faced multiple challenges throughout his treatment, highlighting the need for specialist care at expert centres when managing young people with testis cancer.
Female urinary retention
Authors: Ravindra Pravisha , Thiruchelvam Nikesh 
Published: January 2023

Abstract
Urinary retention in a woman is uncommon and can have a diverse aetiology. Causes can be classified into acute (transient) or chronic (recurrent). Initial management consists of bladder drainage either urethrally (intermittent or indwelling) or suprapubically. Careful history taking and examination will allow possible causes to be considered. Further investigations such as video urodynamics and flexible cystoscopy are indicated if the retention cannot be resolved despite correction of any suspected causes. Patient ideas, concerns, and expectations should be elicited with longer-term management, as what may be acceptable to one patient may not be to the next. Symptoms may change with time and management strategies should change to accommodate this. A multidisciplinary approach is key and clinical nurse specialist support is vital.
Neurogenic bladder
Authors: Ecclestone Hazel , Hamid Rizwan , Shah Julian 
Published: January 2023

Abstract
This case discusses the urological management of a 49-year-old man with spina bifida who was referred to a specialist reconstructive unit. The gentleman presented with complex upper and lower urinary tract dysfunction. He underwent baseline and specialized investigations. The rationales for these diagnostic tests along with their findings are discussed. The various management options are then outlined with an explanation of the advantages and disadvantages of each. The selected operative option is then detailed, in addition to long-term follow-up both in this gentleman as well as surveillance of the neurourological population in general. Expert comments are outlined throughout the case.
Penile fracture
Authors: Garrod Huw , Moore Sacha , Shergill Iqbal , Seipp Christian 
Published: January 2023

Abstract
Penile fracture is a rare urological emergency that is almost always the result of an injury sustained during sexual intercourse. It has a very characteristic clinical presentation with immediate loss of erection, penile swelling and bruising, and a pop or cracking sound. Prompt surgical repair is essential to reduce the likelihood of complications including erectile dysfunction and penile curvature.
Recurrent urinary tract infections and non-neurogenic neurogenic bladder in children
Authors: Skott Martin , Mushtaq Imran 
Published: January 2023

Abstract
A case is presented of recurrent urinary tract infections (UTIs) with frequent findings of post-void residuals in a 5-year-old potty-trained girl. Despite prophylactic antibiotics, breakthrough lower UTIs occurred, and investigations showed upper urinary tract dilatation, bladder wall thickening, but no significant renal parenchymal damage. Urodynamic studies revealed impaired bladder compliance, dysfunctional voiding, and incomplete bladder emptying. A magnetic resonance imaging scan of her spine revealed no intraspinal abnormality. Clean intermittent catheterization was attempted on several occasions, but the patient was very resistant and fearful. Therefore, a suprapubic tube was placed temporarily, with clamp and release during daytime and on overnight free drainage. Following placement of the suprapubic tube, complete resolution of upper urinary tract dilatation and episodes of UTIs occurred. This case illustrates that a simple case of recurrent UTIs turned out to be the most severe form of bladder dysfunction without any clear know pathology.
Haemorrhagic eschar of the glans: a case study in the myriad manifestations of urethral pathology
Authors: Decker Emily , Cao Kevin , Cuckow Peter 
Published: January 2023

Abstract
Urethral and preputial pathology is common yet often misunderstood, leading to undertreatment of morbidity in both boys and men. Through illustration of an unusual clinical situation, this case describes both the common and uncommon pathologies of the penis, provides an overview of the epidemiology, reviews the literature, and finally presents a paradigm for safe and effective care.
Confucianism and “Confucianism”
Authors: Richey Jeffrey L. 
Published: January 2023

Abstract
The modern encounter with Confucianism, both in China and the West, has been shaped by the legacies of Western missionary and imperialist contacts with Chinese culture. In order to extricate the meanings of “Confucius,” “Confucian,” and “Confucianism” from their original colonialist frameworks, attention must be paid to both emic (cultural insiders’) and etic (cultural outsiders’) perspectives on these cultural phenomena, including the scholastic, ritual, textual, and political dimensions of the Confucian tradition as well as the costs and benefits of approaching Confucianism as both a cultural system and as a cultural repertoire. The essay argues that understanding Confucianism as a cultural repertoire—a toolkit of images, institutions, practices, and texts that may be used to situate an audience within a given story and effect changes in both the mindset of that audience and the audience’s world itself—is the most effective way to see how Confucianism’s performative and narrative power is at work in the world.
Confucianism in Singapore, Malaysia, and Indonesia
Authors: Kuo Eddie C. Y. , Sun Qingjuan 
Published: January 2023

Abstract
This essay describes the development of Confucianism in Singapore, supplemented by the cases of two other Southeast Asian countries, Malaysia and Indonesia. There are some pertinent studies carried out mainly in Chinese but few in English. This essay offers a comprehensive overview of Confucianism in these regions to the English world. The case of Singapore features two peak periods of Confucian movements: one in the 1910s, led by local intellectual elites; and the second, a government-led revitalization movement, which occurred in the 1980s. The development of Confucianism in Malaysia and Indonesia are also outlined with key events and organizations. The essay points out that in all three cases, Confucianism was transplanted into these regions by early Chinese immigrants and that each went through similar pattern during colonial times. Post–World War II and after the three states had gained independence, the development of Confucianism diverged in response to the different social and political situations in each country.
Confucianism and Literature
Authors: Fuller Michael A. , Huang Martin W. 
Published: January 2023

Abstract
Throughout the premodern era, the Confucian governance based on a civil (wen文) ordering of society required ritual and official writing that imparted to wenzhang 文章 (literature) a moral and political seriousness while the humaneness central to Confucian thought also required that writing engage the serious realities of human experience. These core commitments did not change, but the philosophical basis grounding the Confucian order grew more complex, and the literary forms through which writers explored human experience evolved to meet these shifts in the Confucian worldview. During the late imperial period, the complicated relationship between literature and examination culture in particular had a profound impact on the life of almost every educated man in late imperial China.
Confucianism and Modern Culture
Authors: Jochim Christian 
Published: January 2023

Abstract
Confucian traditions have interacted with modern cultures, coming under their influence and reacting to them. In addition, as part of East Asian culture, these religious and philosophical traditions have themselves evolved, producing modern reinterpretations of the Confucian heritage. They have become “modern” through changes similar to the developments that have brought us modern Buddhism, modern Christianity, and so forth. This article will begin with reflections on historical developments that governed interactions between Confucian traditions and modern cultures in three East Asian countries. Later, it will consider whether there are common themes in the modernizing of Confucian traditions across East Asia.