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Molecular Diagnosis of Endometrial Receptivity
Published in Carlos Simón, Carmen Rubio, Handbook of Genetic Diagnostic Technologies in Reproductive Medicine, 2022
Maria Ruiz-Alonso, Diana Valbuena, Carlos Simón
Other studies have compared the clinical outcomes of patients found to be receptive at the standard WOI to those of patients who reached receptivity with different lengths of P administration. Patel et al. retrospectively analyzed 210 RIF patients who underwent pET. They found no statistical differences in clinical outcome between the standard WOI group (receiving transfer on day P+5) and patients receiving personalized transfers on receptive days differing from P+5 [30]. These results highlight the importance of performing embryo transfers not based on a standard day of the cycle but at the moment when the endometrium has reached a receptive transcriptional phenotype.
Measuring the Assistive Technology MATCH
Published in Stefano Federici, Marcia J. Scherer, Assistive Technology Assessment Handbook, 2017
Fabrizio Corradi, Marcia J. Scherer, Alessandra Lo Presti
Zimmer and Chappell (1999) examined the receptivity of 1400 elderly people in the Canadian province of Manitoba to specific technologies in order to develop an appropriate model of understanding. The authors found that receptivity is influenced by the following factors: predisposition, need, and social support, as well as the individual's level of concern for problems that could be mitigated through the use of technology. However, on closer analysis the results showed that the primary concern is home security. Older people often cope with chronic functional problems that limit their activities and their independence. The technology, therefore, acting on the practical difficulties of the elderly, can be an opportunity to improve their quality of life and a method of coping with disability.
Molecular diagnosis of endometrial receptivity
Published in Carlos Simón, Linda C. Giudice, The Endometrial Factor, 2017
Jose Miravet-Valenciano, Nuria Balaguer, Felipe Vilella, Carlos Simón
Using expression patterns for these and other genes, the ERA then identifies the personalized WOI (pWOI), and has been employed in clinical practice in women with RIF to identify the time frame for personalized embryo transfer (pET) (99,118,119). Specifically, the diagnostic and clinical value of pET was tested in a prospective, interventional, multicenter clinical trial (Ruiz-Alonso et al. (118,119)). The study assessed 85 patients with RIF (with at least three previous failed cycles) and 25 comparison patients (one or no failed cycle). The ERA diagnosed receptivity in 88.0% of patients and nonreceptivity in only three patients (12.0%) within the control group. In contrast, in RIF patients, one out of four had a displaced WOI (84% of them had a delayed WOI, while 16% had an advanced one). Clinical outcomes revealed a pregnancy rate (PR) and an implantation rate (IR) of 81.8% and 59.1%, respectively, in the control group versus 51.7% and 33.9% in the RIF group. Importantly, the identification of the WOI allowed for pET: when the ERA identified a displaced WOI in RIF patients with a previously nonreceptive endometrium, pET was used to transfer embryos when the endometria became receptive. pET led to improved outcomes, with RIF patients achieving a 50.0% PR and a 38.5% IR. This outcome is similar to that of patients who had a receptive result at their first biopsy.
Investigating feedback orientation in medical learners
Published in Medical Teacher, 2023
Lynnea M. Mills, Patricia S. O’Sullivan, Olle ten Cate, Christy Boscardin
As work expands on HPE learners’ attributes affecting feedback receptivity, the concept of feedback orientation may help to frame ongoing research because it provides scores on nuanced, durable aspects of feedback receptivity. Feedback orientation is a construct described initially by London and Smither (2002) in the management science literature. It comprises multiple dimensions that work together to characterize an individual’s overall receptivity to feedback. Feedback orientation includes six domains: the individual’s general affect toward feedback (liking or disliking it, not being apprehensive); behavioral propensity to seek feedback; cognitive propensity to process feedback thoughtfully; awareness of others’ perceptions of oneself; belief in feedback’s value; and a sense of responsibility to act on feedback (London and Smither 2002). In each domain, learners can be higher or lower, and the domains can be combined to give an overall feedback orientation, again on a bipolar scale. Thus, higher overall feedback orientation relates to higher feedback receptivity. The concept was designed to describe individuals’ general feedback receptivity, not just their receptivity in a given situation (London and Smither 2002). Feedback orientation therefore provides a framework for thinking about individual learner characteristics that they consistently bring to the feedback setting which may influence their propensity for feedback uptake. It can also offer opportunities to enhance individuals’ approaches to feedback in durable ways.
Multidisciplinary providers’ perspectives on engaging young black, gay, bisexual and other men who have sex with men living with HIV in mental health care services
Published in AIDS Care, 2023
Kamini Doraivelu, Shamia J. Moore, Eugene W. Farber, Mohammed K. Ali, Daniel M. Camp, Drew K. Wood-Palmer, Ameeta S. Kalokhe, Sophia A. Hussen
Several participants described patients who did not recognize their own mental health needs. In these cases, providers had to probe intentionally for mental health concerns, and help their patients to understand how mental health services could be beneficial. A lot of times clients won’t identify with mental health if you don’t ask the key questions to cause them to begin to think, well yeah, I think every year [it] does bother me that [my mom’s] no longer here, or my family put [me] out. I didn’t think that was a depression. – Social Services ProviderSimilarly, other participants described scenarios where patient receptivity to mental health services increased once the need was pointed out, provided that this need was explained well.
Therapeutic Assessment With Child Inpatients
Published in Journal of Personality Assessment, 2019
Christopher Joseph Pagano, Meghan Colleen Commins Blattner, Sara Kaplan-Levy
As the number of suicidal children increases, and as the robustness of inpatient care contracts, we believe it is imperative for psychologists to use their skills and training in creative ways to serve these patients. Contextual factors play a powerful role in child psychopathology, and understanding the child from a systemic perspective is crucial in the process of evaluation and stabilization (Henggler et al., 2002). Blader (2004) found that two family factors were significant predictors of child psychiatric inpatient readmission: harsh parental discipline and disengaged parent–child relationships. These findings imply that enhancing parental empathy and effective parenting has critical effects on child well-being. Interventions designed to increase parental empathy for a child's psychological struggles have demonstrated high levels of effectiveness (e.g., Slade et al., 2005). The goals of family psychotherapy on an inpatient unit should include (a) assessing family dynamics, generational patterns, and family strengths; (b) implementing evidence-based interventions to assess receptivity to interventions; and (c) providing feedback to families and discussing plans for ongoing family treatment (Dishion & Stormshak, 2007).