Gould Farm

Patients with biopsy-proven BCC underwent two treatments with PDL at 6-week intervals at Berkshire Cosmetic and Reconstructive Surgery Center. Patients returned 6 weeks after the second treatment for evaluation for response to treatment. Follow-up examinations were conducted at 6, 12, and 18 months after treatment with PDL. Twenty patients with 21 biopsy-proven BCCs were treated with PDL at Berkshire Cosmetic and Reconstructive Surgery Center between 2019 and 2021. Nineteen BCCs had a complete response after two treatments, for a clearance rate of 90%. Two of the 21 lesions did not respond for an incomplete response rate of 10%. PDL is an effective nonsurgical treatment option in the management of BCC.

This study examines the interviewer's use of immediacy during a dynamic interview to enhance the patient's ability to process affective material and deepen personal exploration. Using a microprocess design, immediacy events were identified and rated using the Consensual Qualitative Rating method. Moment-to-moment in-session activity was rated by trained observers with a focus on measuring patient process using the Therapist-Patient Interaction Rating Scale and interviewer process using the Therapeutic Environment Scale. Five immediacy events were identified and were found to range in depth from mundane exchanges to more active exchanges with affective depth. Mundane events were characterized by little attention to the affective component of the here-and-now relationship, dismissive and unsupportive comments, and had either no effect, or a negative effect on patient process. In contrast, immediacy events characterized by even limited affect and acknowledging engagement between patient and interviewer were followed by greater patient disclosure and increased capacity to process emotional information. Thus, attention to the quality of the immediacy intervention in future research appears warranted.

The supernova remnant (SNR) N49 in the Large Magellanic Cloud has been observed with the Advanced CCD Imaging Spectrometer (ACIS) on board the {\it Chandra X-Ray Observatory}. The superb angular resolution of the {\it Chandra}/ACIS images resolves a point source, the likely X-ray counterpart of soft gamma-ray repeater SGR 0526$-$66, and the diffuse filaments and knots across the SNR. These filamentary features represent the blast wave sweeping through the ambient interstellar medium and nearby dense molecular clouds. We detect metal-rich ejecta beyond the main blast wave shock boundary in the southwest of the SNR, which appear to be explosion fragments or ``bullets'' ejected from the progenitor star. The detection of strong H-like Si line emission in the eastern side of the SNR requires multi-phase shocks in order to describe the observed X-ray spectrum, whereas such a multi-phase plasma is not evident in the western side. This complex spectral structure of N49 suggests that the postshock regions toward the east of the SNR might have been reheated by the reverse shock off the dense molecular clouds while the blast wave shock front has decelerated as it propagates into the dense clouds. The X-ray spectrum of the detected point-like source is continuum dominated and can be described with a power law of $\Gamma$ $\sim$ 3. This provides a confirmation that this point-like X-ray source is the counterpart of SGR 0526$-$66 in the quiescent state.

Back to table of contents Previous article Next article ArticleNo AccessDisturbed Sleep in the ElderlyRICHARD M. BERLINRICHARD M. BERLINSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.146.6.810-aAboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Disturbed Sleep in the Elderly." American Journal of Psychiatry, 146(6), pp. 810-a–810 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByArchives of Gerontology and Geriatrics, Vol. 29, No. 2 Volume 146Issue 6 June 1989Pages 810-a-810 Metrics PDF download History Published online 1 April 2006 Published in print 1 June 1989