Counseling the Media: Bridging Pop Cultural Borders with the Mental Health Profession

Professional counseling is often defined as a professional relationship meant to empower diverse people towards their mental health and wellness goals (Kaplan, Tarvydas, & Gladding, 2014). While counselors continue to provide professional services in many settings, counseling is not always portrayed in a positive light within television and film. Shows such as 13 Reasons Why and How I Met Your Mother both portray an inaccurate perception of counseling characters who disregard their ethical duties despite the American Counseling Association’s Code of Ethics (2014) mandates for safe-guarding the wellbeing of those seeking counseling, honoring multicultural diversity, and advocating for social justice. This frequent portrayal of unethical behaviors conflates mental health stigma with needed healthcare services for marginalized populations. Pop culture thus serves as a border, separating fiction from reality and superimposing a socially constructed barrier between optimal health and exaggerated entertainment. To correct these concerns, professional counseling can bridge gaps created by these borders by respecting pop cultural influences and disallowing societal oppression (Tarvydas, Vazquez‐Ramos, & Estrada‐Hernandez, 2015). Integration of literary and enacted characters in diverse media can serve as metaphors to enhance the therapeutic experience for clients, overcome life challenges, and promote optimal health goals (Rubin, 2008; Schmidt, 2009). Therefore, this experiential presentation will provide audience members a unique opportunity to critically analyze media portrayals of counseling services and discuss the impact on mental health stigma. Attendees will learn how pop culture can be ethically integrated within a counseling setting to respect each individual’s needs and diversity without promoting stigma

Solving spin quantum-master equations with matrix continued-fraction methods: application to superparamagnets

We implement continued-fraction techniques to solve exactly quantum master equations for a spin with arbitrary S coupled to a (bosonic) thermal bath. The full spin density matrix is obtained, so that along with relaxation and thermoactivation, coherent dynamics is included (precession, tunnel, etc.). The method is applied to study isotropic spins and spins in a bistable anisotropy potential (superparamagnets). We present examples of static response, the dynamical susceptibility including the contribution of the different relaxation modes, and of spin resonance in transverse fields.Comment: Resubmitted to J. Phys. A: Math. Gen. Some rewriting here and there. Discussion on positivity in App.D3 at request of one refere

Osteochondritis dissecans and Osgood Schlatter disease in a family with Stickler syndrome

<p>Abstract</p> <p>Purpose</p> <p>Stickler syndrome is among the most common autosomal dominant connective tissue disorders but is often unrecognised and therefore not diagnosed by clinicians. Despite much speculation, the cause of osteochondrosis in general and osteochondritis dissecans (OCD) and Osgood Schlatter syndrome (OSS) in particular remain unclear. Etiological understanding is essential. We describe a pair of family subjects presented with OCD and OSS as a symptom complex rather than a diagnosis.</p> <p>Methods</p> <p>Detailed clinical and radiographic examinations were undertaken with emphasis on the role of MRI imaging. Magnetic resonance imaging may allow early prediction of articular lesion healing potential in patients with Stickler syndrome.</p> <p>Results</p> <p>The phenotype of Stickler syndrome can be diverse and therefore misleading. The expectation that the full clinical criteria of any given genetic disorder such as Stickler syndrome will always be present can easily lead to an underestimation of these serious inheritable disorders. We report here two family subjects, a male proband and his aunt (paternal sister), both presented with the major features of Stickler syndrome. Tall stature with marfanoid habitus, astigmatism/congenital vitreous abnormality and submucus cleft palate/cleft uvula, and enlarged painful joints with early onset osteoarthritis. Osteochondritis dissecans (OCD) and Osgood Schlatter syndrome (OSS) were the predominating joint abnormalities.</p> <p>Conclusion</p> <p>We observed that the nature of the articular and physeal abnormalities was consistent with a localised manifestation of a more generalised epiphyseal dysplasia affecting the weight-bearing joints. In these two patients, OCD and OSS appeared to be the predominant pathologic musculoskeletal consequences of an underlying Stickler's syndrome. It is empirical to consider generalised epiphyseal dysplasia as a major underlying causation that might drastically affect the weight-bearing joints.</p

Progress along developmental tracks for electronic health records implementation in the United States

The development and implementation of electronic health records (EHR) have occurred slowly in the United States. To date, these approaches have, for the most part, followed four developmental tracks: (a) Enhancement of immunization registries and linkage with other health records to produce Child Health Profiles (CHP), (b) Regional Health Information Organization (RHIO) demonstration projects to link together patient medical records, (c) Insurance company projects linked to ICD-9 codes and patient records for cost-benefit assessments, and (d) Consortia of EHR developers collaborating to model systems requirements and standards for data linkage. Until recently, these separate efforts have been conducted in the very silos that they had intended to eliminate, and there is still considerable debate concerning health professionals access to as well as commitment to using EHR if these systems are provided. This paper will describe these four developmental tracks, patient rights and the legal environment for EHR, international comparisons, and future projections for EHR expansion across health networks in the United States

Essential role and therapeutic targeting of the glomerular endothelial glycocalyx in lupus nephritis

Lupus nephritis (LN) is a major organ complication and cause of morbidity and mortality in patients with systemic lupus erythematosus (SLE). There is an unmet medical need for developing more efficient and specific, mechanism-based therapies, which depends on improved understanding of the underlying LN pathogenesis. Here we present direct visual evidence from high-power intravital imaging of the local kidney tissue microenvironment in mouse models showing that activated memory T cells originated in immune organs and the LN-specific robust accumulation of the glomerular endothelial glycocalyx played central roles in LN development. The glomerular homing of T cells was mediated via the direct binding of their CD44 to the hyaluronic acid (HA) component of the endothelial glycocalyx, and glycocalyx-degrading enzymes efficiently disrupted homing. Short-course treatment with either hyaluronidase or heparinase III provided long-term organ protection as evidenced by vastly improved albuminuria and survival rate. This glycocalyx/HA/memory T cell interaction is present in multiple SLE-affected organs and may be therapeutically targeted for SLE complications, including LN