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After excluding these 28 cases, there were 19 and 21 deaths in empiric and IPT arms, respectively (p=0.88). TB incidence remained higher (4.6% vs. 2%, p=0.04) and time to TB remained faster in the empiric arm (p=0.04).

Among outpatients with advanced HIV who screened negative for TB by clinical symptoms, microscopy and Xpert testing, LAM testing identified an additional 5% of individuals with TB. . Positive LAM results did not change mortality or TB incidence.

Among outpatients with advanced HIV who screened negative for TB by clinical symptoms, microscopy and Xpert testing, LAM testing identified an additional 5% of individuals with TB. . Positive LAM results did not change mortality or TB incidence.BACKGROUND Little is known about the relationship between the site of infection, type of pathogen, and the occurrence of sepsis-associated liver dysfunction (SALD). This population study aimed to identify the sites and types of infection in SALD patients. MATERIAL AND METHODS We conducted a retrospective observational study using the Medical Information Mart for Intensive Care III. Patients with sepsis were divided into a SALD group and a control group. We evaluated the effect of the location of culture-positive specimens and the distribution of pathogens on the occurrence of SALD and then compared the clinical outcomes. RESULTS A total of 14 596 admissions were included, and the incidence of SALD was 11.96%. Positive bile culture (odds ratio [OR] 7.450, P less then 0.001), peritoneal fluid culture (OR 3.616, P less then 0.001), and blood culture (OR 1.957, P less then 0.001) were correlated with the occurrence of SALD. Infection with Enterococcus faecium (OR 3.065, P less then 0.001), Bacteroides fragilis (OR 2.061, P less then 0.001), Klebsiella oxytoca (OR 2.066, P less then 0.001), Enterobacter aerogenes (OR 1.92, P=0.001), and Aspergillus fumigatus (OR 2.144, P=0.001) were correlated with the occurrence of SALD. The Intensive Care Unit mortality and hospital mortality were higher in the SALD group than in the control group (24.7% vs 9.0%, P less then 0.001; 34.2% vs 13.8%, P less then 0.001, respectively). CONCLUSIONS SALD should be considered for patients with sepsis whose infection site is the biliary system, abdominal cavity, or blood and the pathogen is Enterococcus faecium, B. fragilis, K. oxytoca, Enterobacter aerogenes, or A. fumigatus. When SALD occurs in patients with sepsis, the above infection sites and pathogens should be considered first.

Use of EMDR in work with addicts is described mainly through case studies, and Hase, Schallmayer and Sack (2008) examined experimentally effect of EMDR in the treatment of alcohol addicts and found a significant decrease of cravings for addicts who had , next to the standard treatment, also EMDR therapy, compared to a group that had only standard treatment. To examine efficiency of EMDR therapy in the treatment of opiates addicts.

In research is applied group experimental scheme with a control group and measurement before and after treatment and six months after treatment. The control group had standard treatment, and the experimental group had a standard treatment plus EMDR treatment, ie, four sessions of EMDR treatment. The session lasts 60 minutes. In the research following instruments were applied Pompidou, DUDIT-E, LDQ, OCDS, DASS 21 Rosenberg's Self-Esteem Scale. In the processing of preliminary results, descriptive statistics is used.

The research began on September 8, 2017. Until October 2018, 2ple, there should be caution with the results.

This paper is to demonstrate the application of techniques of Behavioral therapy and EMDR (Eye Movement Desensitization and Reprocessing) in training on effective stress management in a group setting. To show how the Effective Stress management training aimed to improve individual resources may be useful in order to prevent the accumulation of daily stress and consequently development of the psychological disorders.

The subjects were 87 adults, 9 men and 78 women. The stress management training has been held in the period between 2017-2018 with the employees and the external associates of JU Medical School in Bihać and the users of the Centre for Research and education "Nahla" Bihać. The training was delivered in the group setting over two days, and consisted of psychoeducation about stress mechanisms, self- evaluation of the stress and the burnout levels; recognition of the symptoms, identification of the potential stressors; practice of the techniques, diaphragmatic breathing, progressive muscular relax increased stress.This qualitative, phenomenological study describes the perceptions and experiences of psychologists from Bosnia and Herzegovina and Turkey regarding an Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy. In order to understand how psychologists perceive this treatment method, 20 psychologists from Bosnia and Herzegovina and Turkey were recruited through an online survey. The participants were asked to describe their perception and experience of EMDR. Qualitative analysis of the responses revealed five common themes, which described the phenomenon. These themes included positive personal or anecdotal experiences with EMDR, perception that EMDR is primarily used for trauma, EMDR is used as an adjunct therapy, obstacles to EMDR training/certification, and limited knowledge and information about EMDR among psychologists and the general population. Findings from this study may provide a foundation for future research that may help in better understanding of psychologist perception and experience with the EMDR approach and especially about differences and similarities between psychologists in different countries such as Bosnia and Herzegovina and Turkey. Protein Tyrosine Kinase inhibitor Besides this, it can also help to gain an understanding of the variables involved in psychologists choosing to pursue training in different treatment modalities.

Trauma Aid UK (previously HAP UK & Ireland) conducted three EMDR trainings in Turkey the first was in Istanbul on 28th November 2013. Since then, 3 groups of mental health trainees attending part 1 of 3 parts EMDR training. In total, 86 clinicians were trained. Also, in June 2016, the first part of a three-part EMDR training in Nepal was completed following the Nepal Earthquake in 2015. The purpose of this study is to assess, analyse and understand the needs of Syrian refugees, who have being experiencing man made trauma since 2011, with Nepalese people who were exposed to the earthquake on 25/4/2015, in their needs for trauma services, training and provision as assessed by mental health professionals working with both groups of people.

A survey was conducted at the beginning of each of the above-mentioned training courses. Participants were asked to consent to participate in the study and, if they did, they were given the 'The Need for Trauma-based Services' quantitative and qualitative questionnaire, or its Arabic translation.

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