MethControl

Background Immersive virtual reality (IVR) is a form of distraction therapy that has shown potential as an analgesia and sedation sparing agent. This study assessed the effect of IVR on the self-administered sedation requirements of patients undergoing joint replacement surgery under regional anesthesia in a single center. Methods and findings This study was a single-center, randomized control trial at St Vincent’s Hospital in Melbourne, Australia. Fifty patients undergoing elective total knee and total hip arthroplasty were randomized to IVR and Propofol patient-controlled sedation (PCS) or propofol PCS alone. The primary outcome measure was intra-operative propofol use. Secondary outcomes included pattern of propofol use over time, use of adjunct analgesia, unmet propofol demand, and patient satisfaction survey scores. Of 50 total patients, 25 received IVR in conjunction with PCS, and 25 received PCS alone. All patients received adjunct analgesia from the treating Anesthesiologist. Median propofol use/hour over the entire procedure in the control group was 40 (11.1, 93.9) mg/hour compared with 45 (0, 94.7) mg/hour in the IVR group (p = 0.90). There were no differences in patterns of propofol use over the course of each procedure. Adjusting for various baseline characteristics did not change the results. Postoperative satisfaction scores were equivalent in both groups. The VR intervention was well tolerated by all patients, with no report of major side effects. Key limitations were relatively small sample size, the non-blinded nature of the study, and use of adjunct analgesia. Conclusions In patients receiving joint replacement surgery under regional anesthesia with PCS, IVR was well tolerated but did not decrease the overall sedation requirement.

This paper explores a subjective experience-and identification-that a cohort of Indian women identifies as "home." This experience of "home" provides an attachment to a collective melancholia that keeps in place a prohibited female sexual subjectivity. The paper provides a brief historical overview …

This narrative review provides evidence that pharmacological treatment can be effective in minimizing not only the symptoms of ADHD, but its functional consequences as well.

ClinicalTrials.gov, NCT03614325. Registered on 9 July 2018.

Concerns regarding the perioperative management of acute psychostimulant intoxication have been recognized for decades, but novel and diverse substances in this class continue to be developed. Despite the similarities in mechanisms of action among psychostimulants, each subclass within this broad ca …

Despite inattention being one of the most common symptoms of Post-COVID-19 Syndrome (PCS), there is a gap in the literature regarding its treatment. This report presents a case of attentional symptoms and fatigue that emerged after the SARS-CoV-2 infection. The symptoms were similar to ADHD in adult …

TRIPP Research If you are interested in possible collaborations and research opportunities, please email research@trippinc.com *Research materials are for general informational purposes only. Tripp’s products are intended to be used […]

The aim of this open study was to delineate domains of benefit and effect size measures to design an appropriately powered randomized control trial to assess the efficacy of Brain Balance@ exercises and Interactive Metronome@ training (BB/IM) on ADHD symptoms in children. Parti …

These results indicate that co-use of amphetamines with fentanyl may worsen respiratory depression, but conversely, monoaminergic components of the amphetamines may possibly be exploited to mitigate fentanyl overdose.

Prevailing frameworks propose that a key feature of attention-deficit/hyperactivity disorder (ADHD) is lower motivation. An important component of motivation is the willingness to engage in cognitively or physically effortful behavior. However, the degree to which effort sensitivity is impaired in A …

Simulation in anesthesia is a field that has revolutionized the teaching outlook. The uncommon grave situations are no more unseen. The ability of these devices to test and give a taste of nerves to an anesthetist is actually preparing him for a safe future management when the need be. The role of s …

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Panic Miracle is so much more than just an ebook, it is perhaps the most comprehensive anxiety cure system ever created, a complete holistic system for sure freedom from panic attacks. You will become permanently free from your anxiety and panic cycle and any potential panic attack and its associated symptoms by adopting the clear 3-step solution found inside the Panic Miracle. The great news is that all sorts of panic attacks, anxiety and phobias are discussed by the software. Only imagine what your life is going to be like without anxiety and panic attacks. It waits for you. You were meant to enjoy a lifetime of possibilities, excitement and independence without fear or constraints to do whatever you want. No longer do you have to suffer. This is the journey from panic attacks and anxiety to your independence. Panic Miracle is written by a true sufferer of panic and anxiety. Extreme panic attacks and anxiety episodes, agoraphobia, fear of driving and public speaking. So These are not mere theories written by some science geek that never experienced a panic attack or suffered from anxiety in his life. Anything you're going to read from this book and apply is obviously written without any technical jargon from a personal viewpoint, study and experience.

Processes often cited as explanation for the effects of exposure are habituation and extinction. Habituation refers to a decline in fear responses,

When a new response is taught through the use of response prompts, fading is accomplished through one of three procedures time delay, least-to-most prompts,

In general, as the word implies, covert rehearsal involves repetition, or thinking about the material over and over again. However, in a less strict sense, any

Analogue behavioral observation is a behavioral assessment method in which a clinician observes a client's behavior in a contrived environment e.g., a waiting

Paul M.G. Emmelkamp and J. H. Kamphuis I. Description of Treatment II. Theoretical Bases III. Empirical Studies IV Summary aversion relief A therapeutic

Cambridge Center for Behavioral Studies, New School for the Learning Sciences, and Brown University I. Description of Treatment II. Theoretical Basis III.

Models of exposure therapy, one of the key components of cognitive behavioral therapy for anxiety disorders, suggest that attention may play an important role in the extinction of fear and anxiety. Evidence from cognitive research suggests that individual differences may play a causal role in the onset and maintenance of anxiety disorders and so it is also likely to influence treatment. We review the evidence concerning attention and treatment outcomes in anxiety disorders. The evidence reviewed here suggests that that attention biases assessed at pre-treatment might actually predict improved response to treatment, and in particular that prolonged engagement with threat as measured in tasks such as the dot probe is associated with greater reductions in anxious symptoms following treatment. We examine this research within a fear learning framework, considering the possible role of individual differences in attention in the extinction of fear during exposure. Theoretical, experimental and clinical implications are discussed, particularly with reference to the potential for attention bias modification programs in augmenting treatment, and also with reference to how existing research in this area might inform best practice for clinicians.

Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the abstinence violation effect) and covert antecedents (e.g., lifest …

[et_pb_section bb_built=”1″ admin_label=”section”][et_pb_row admin_label=”row”][et_pb_column type=”4_4″][et_pb_text admin_label=”Text” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”] The enclosed techniques and procedures were developed with materials from a workbook of cognitive behavior techniques titled “Thoughts & Feelings and written by Matthew McKay, Martha Davis, and Patrick Fanning. The workbook was published by New Harbinger Publications, Inc in 1997. Clinical Prompt Step […]

[et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”3.22″][et_pb_row admin_label=”row” _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Text” _builder_version=”4.7.7″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” hover_enabled=”0″ use_border_color=”off” border_color=”#ffffff” border_style=”solid” sticky_enabled=”0″]The enclosed techniques and procedures were developed with materials from a workbook of cognitive behavior techniques titled “Thoughts & Feelings and written by Matthew McKay, Martha Davis, and Patrick Fanning. The workbook was […]

An approach that has gained widespread application in the treatment of substance abuse is cognitive-behavioral therapy (CBT). Its origins are in behavioral theory, focusing on both classical conditioning and operant learning; cognitive social learning theory, from which are taken ideas concerning observational learning, the influence of modeling, and the role of cognitive expectancies in determining behavior; and cognitive theory and therapy, which focus on the thoughts, cognitive schema, beliefs, attitudes, and attributions that influence one's feelings and mediate the relationship between antecedents and behavior. Although there are a number of similarities across these three seminal perspectives (see Carroll, 1998), each has contributed unique ideas consistent with its theoretical underpinnings. However, in most substance abuse treatment settings, the prominent features of these three theoretical approaches are merged into a cognitive-behavioral model.

Branch (The Behavior Therapist 10, 79–84, 1987) and others have expressed interest in extending the behavior analytic framework into the realm of beha…

Cognitive behavioral therapy reduces recidivism in both juveniles and adults. The therapy assumes that most people can become conscious of their own thoughts and behaviors and then make positive changes to them. This page gives CBT resources for correctional facilities.

Cognitive Behavioral Interventions (CBI) is an evidence-based treatment which helps Incarcerated individuals understand the thoughts and feelings which influenc

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