Enhancing Identity Protection in Metaverse-Based Psychological Counseling System

Non-face-to-face psychological counseling systems rely on network technologies to anonymize information regard-ing client identity.However,these systems often face challenges concerning voice data leaks and the suboptimal communication of the client’s non-verbal expressions,such as facial cues,to the counselor.This study proposes a metaverse-based psychological counseling system designed to enhance client identity protection while ensuring efficient information delivery to counselors during non-face-to-face counseling.The proposed systemincorporates a voicemodulation function that instantlymodifies/masks the client’s voice to safeguard their identity.Additionally,it employs real-time client facial expression recognition using an ensemble of decision trees to mirror the client’s non-verbal expressions through their avatar in the metaverse environment.The system is adaptable for use on personal computers and smartphones,offering users the flexibility to access metaverse-based psychological counseling across diverse environments.The performance evaluation of the proposed system confirmed that the voice modulation and real-time facial expression replication consistently achieve an average speed of 48.32 frames per second or higher,even when tested on the least powerful smartphone configurations.Moreover,a total of 550 actual psychological counseling sessions were conducted,and the average satisfaction rating reached 4.46 on a 5-point scale.This indicates that clients experienced improved identity protection compared to conventional non-face-to-face metaverse counseling approaches.Additionally,the counselor successfully addressed the challenge of conveying non-verbal cues from clients who typically struggled with non-face-to-face psychological counseling.The proposed systemholds significant potential for applications in interactive discussions and educational activities in the metaverse.

A Study on the Impact of Psychological Counseling for Minor Medical Students in Clinical Teaching and Learning

Objective:To explore the impact of psychological counseling for underage medical students in clinical teaching.Methods:24 of the 48 underage medical students who were interned in our hospital from March 2023 to February 2024 were randomly selected to adopt the teaching management method of one-on-one psychological guidance as the observation group;the remaining 24 adopted the traditional teaching management method as the control group.The observation of the effects of psychological detachment on various aspects of underage medical students allows the determination of whether psychological detachment impacts clinical teaching.Results:The observation group’s theoretical examination scores,skill assessment scores,and departmental performance evaluation scale score excellence rate were higher than the control group’s,with P<0.05 being statistically significant.At the same time,the clinical teaching and teaching management ability of the hospital was also improved.Conclusion:Psychological guidance for underage medical students can not only improve the comprehensive quality of medical students but also improve the teaching level,which is conducive to improving the teaching effect,and it is a clinical teaching mode worth promoting.

Classification of osteogenesis imperfecta:Importance for prophylaxis and genetic counseling

Osteogenesis imperfecta(OI)is a genetically heterogeneous monogenic disease characterized by decreased bone mass,bone fragility,and recurrent fractures.The phenotypic spectrum varies considerably ranging from prenatal fractures with lethal outcomes to mild forms with few fractures and normal stature.The basic mechanism is a collagen-related defect,not only in synthesis but also in folding,processing,bone mineralization,or osteoblast function.In recent years,great progress has been made in identifying new genes and molecular mechanisms underlying OI.In this context,the classification of OI has been revised several times and different types are used.The Sillence classification,based on clinical and radiological characteristics,is currently used as a grading of clinical severity.Based on the metabolic pathway,the functional classification allows identifying regulatory elements and targeting specific therapeutic approaches.Genetic classification has the advantage of identifying the inheritance pattern,an essential element for genetic counseling and prophylaxis.Although genotype-phenotype correlations may sometimes be challenging,genetic diagnosis allows a personalized management strategy,accurate family planning,and pregnancy management decisions including options for mode of delivery,or early antenatal OI treatment.Future research on molecular pathways and pathogenic variants involved could lead to the development of genotype-based therapeutic approaches.This narrative review summarizes our current understanding of genes,molecular mechanisms involved in OI,classifications,and their utility in prophylaxis.

HIV Counseling and Testing Uptake,Knowledge and Attitude and Influencing Factors among Student Nurses and Midwives in The Gambia:An Institutional-based Cross-sectional Study

HIV counseling and testing(HCT)has become paramount in the prevention and control of HIV/AIDS worldwide.However,the uptake of HCT has been very slow globally,especially in sub-Saharan Africa.Student nurses formed the largest group undergoing health care training in the country compared to doctors and other health cadres.According to WHO,they are part of the most vulnerable group to HIV infection,judging by the fact that they interact more with patients/clients than other healthcare professionals.This study aimed to determine the prevalence of HCT uptake,knowledge,and attitude and evaluate influencing factors among student nurses and midwives in public nursing schools.An institutional-based cross-sectional study design was employed to collect data from 305 randomly selected nursing students and midwives using a validated and reliable self-administered questionnaire.Descriptive statistics(percentages,mean and standard deviation)and inferential statistics(chi square,logistics regression,one-way ANOVA and independent samples t-test)were used for data analysis using SPSS version 25.0.A p-value<0.05 was considered for statistical significance.Out of the 305 students recruited for the study,60.98%were females,with a mean age of 25.5 years old.About 58.4%of the participants had tested for HIV in the past.About 95.7%acknowledged the importance of HCT in the prevention and control of HIV/AIDS.HCT uptake among student nurses and midwives was influenced by factors ranging from an individual that are interpersonal challenges(such as concerns of friends),perceived susceptibility to the disease,lack of confidentiality,stigma and discrimination from health service providers.Therefore,these barriers can be addressed through an organized targeted health education intervention and advocacy programs across health training institutions in the Gambia and beyond.

Support and Companionship in Virtual Communities: Establishing a COVID-19 Counseling Network for Soldiers and the Collective Healing Phenomenon

Counseling people,particularly those in the military engaged in group living,who are in quarantine during the COVID-19 pandemic is a challenge.Therefore,supporting the people in quarantine who are experiencing psy-chological and interpersonal problems has become a new challenge in military mental health.This study’s primary concern was how to overcome the problems caused by physical quarantine.The study subject was a virtual coun-seling network and its operating experience during the quarantine period in Taiwan amidst the global COVID-19 pandemic.For soldiers who mainly live in groups,this study discussed how the virtual counseling network combined with the existing military support group to determine what influence the network had on peo-ple in quarantine.This study found that this group exhibited four types of experiences:togetherness,empathy,confidence,and belonging and cohesion.Such experiences are beneficial for group healing through mutual sup-port and companionship.Collective cohesion and psychological healing can be achieved through a virtual com-munity.This is worthy of attention,particularly in the pandemic or post-pandemic era.Physical isolation has become a fact of life,and such isolation is not just isolation from disease but also between regional boundaries.Counseling and support systems in virtual space or the operation of virtual teams must be considered for the future.

FISH studies of chromosome abnormalities in germ cells and its relevance in reproductive counseling

Chromosome abnormalities are one of the major causes of human infertility. In infertile males, abnormal karyotypes are more frequent than in the general population. Furthermore, meiotic disorders affecting the germ cell-line have been observed in men with normal somatic karyotypes consulting for infertility. In both cases, the production of unbalanced spermatozoa has been demonstrated. Basically addressed to establish reproductive risks, fluorescence in situ hybridization （FISH） on decondensed sperm heads has become the most frequently used method to evaluate the chromosomal constitution of spermatozoa in carriers of numerical sex chromosome abnormalities, carriers of structural chromosome reorganizations and infertile males with normal karyotype. The aim of this review is to present updated figures of the information obtained through sperm FISH studies with an emphasis on its clinical significance. Furthermore, the incorporation of novel FISH-based techniques （Multiplex-FISH; Multi-FISH） in male infertility studies is also discussed. （Asian J Androl 2005 Sep; 7： 227-236）

Prenatal diagnosis and assessment of congenital spinal anomalies: Review for prenatal counseling

The last two decades have seen continuous advances in prenatal ultrasonography and in utero magnetic resonance imaging. These technologies have increasingly enabled the identification of various spinal pathologies during early stages of gestation. The purpose of this paper is to review the range of fetal spine anomalies and their management, with the goal of improving the clinician's ability to counsel expectant parents prenatally.

Repeat HIV Testing and Incident Rates among Individuals Attending Voluntary Counseling and Testing Clinics in Wuxi, China： A Retrospective Study

Objective We aimed to elucidate the rates of repeat HIV testing and incident HIV diagnosis, and baseline CD4^＋ T cell count among individuals attending HIV voluntary counseling and testing （VCT） clinics in Wuxi, China. Methods A repeat HIV testing within 12 months was recorded if individuals had their first test with negative results, during 2013-2014 and retested within 12 months. An incident HIV diagnosis was recorded if individuals had their first test with negative results, during 2013-2015 and had a subsequent positive result at any point by the end of 2015. Data on HIV testing and diagnosis among individuals attending 32 VCT clinics from 2013 to 2015 and HIV diagnosis from other clinical services in Wuxi, China, were retrieved. A multivariate logistic regression model was used to analyze factors associated with repeat HIV testing. Cox regression was used to evaluate factors associated with incident HIV diagnosis. Results From 2013 to 2014, 11,504 individuals tested HIV negative at their first recorded test, with 655 （5.7%） retesting within 12 months. Higher repeat HIV testing within 12 months was associated with male gender [adjusted odds ratio （a OR） = 1.7, 95% confidence interval （CI）： 1.4-2.2], risk behaviors [commercial heterosexual behaviors （a OR = 1.4, CI： 1.1-1.6）, male-male sexual behaviors （a OR = 3.7, CI： 2.7-4.9）], injection drug use （a OR = 9.9, CI： 6.5-15.1）, and having taken HIV tests previously （a OR = 2.0, CI： 1.6-2.4）. From 2013 to 2015, 1,088 individuals tested negative on HIV test at their visit and at ≥ 2 subsequent tests; of them 30 had incident HIV diagnosis. The overall rate of incident HIV diagnosis among all VCT individuals was 1.6 （95% CI： 1.1-2.1） per 100 person-years. Incident HIV diagnosis was associated with male gender [adjusted hazard ratio （a HR） = 8.5, 95% CI： 1.9-38.1], attending hospital-based VCT clinics （a HR = 7.8, 95% CI： 1.1-58.3）, and male-male sexual behavior （a HR = 8.4, 95% CI： 1.5-46.7）. Individuals diagnosed at VCT clinics had higher CD4＋ T cell count compared with those diagnosed at other clinical services （median 407 vs. 326 copies/mm3, P = 0.003）. Conclusion VCT individuals in Wuxi, China, had a low repeat HIV testing rate and high HIV incidence. VCT-clinic-based interventions aimed at increasing repeat HIV testing are needed to detect more cases at an earlier stage, especially among individuals at high risk for HIV infection such as men who have sex with men.

Family-Based Tuberculosis Counseling Supports Directly Observed Therapy in Armenia: A Pilot Project

Objectives: Non-adherence to tuberculosis (TB) treatment causes development of multi-drug resistance (MDR). In Armenia, about 47% of previously-treated TB patients develop MDR-TB. This pilot intervention intended to explore the feasibility and effectiveness of a family-based-counseling (FBC) that included a psychological component in terms of improved adherence of TB patients to treatment and reduced stigma of TB. Methods: Overall, 136 regular TB patients (55) and their family members (81) participated in a single 90-minute interactive counseling session conducted in each household by the team of professional psychologist and TB nurse. To evaluate FBC effectiveness, we administered baseline and follow-up surveys to 52 TB patients and their 57 family members in 2012 and compared treatment outcomes of the study participants with the national data for 2011 and 2013. Results: We found that the intervention substantially improved the mean knowledge score of TB patients (from 19.2 to 21.6, p Conclusion: The evaluation showed that a low-cost one-time family–based educational intervention with a psychological component can be effective in improving treatment outcomes of TB patients.

Outpatient prevention counseling for malaria in northwest Nigeria: A single-centre descriptive cross-sectional study

Objective:To assess the proportion of caregivers of children and patients who received malaria prevention counseling from their healthcare provider at the time of outpatient malaria treatment.Methods:This was a descriptive cross-sectional study involving 353 randomly selected adult patients and caregivers of children attending the general and paediatric outpatient clinics of a Nigerian hospital.An interviewer-administered questionnaire was used to collect data on participants'sociodemographics and last malaria-episode characteristics.Chi square test and logistic regression analysis were used to determine factors associated with and predictors of receiving malaria-prevention counseling,respectively.Results:The mean age of the respondents was(33.6±9.6)years;they were predominantly females(257,72.8%).Most had at least secondary-level education(304,86.1%);the family size was mostly 1-6 persons in 202(57.2%)respondents.They were treated mostly by doctors 256(72.5%),but only 132(37.4%)received malaria prevention counseling.Educational-level(x2=5.42,P=0.02),family size(Fisher's exact,P=0.01),place of treatment(Fisher's exact,P=0.0002),pretreatment malaria test(x2=9.48,P=0.002),who prescribed treatment(Fisher's exact P=0.001),consultation time(x2=22.09,P<0.001),and previous demand for malaria prevention counseling(x2=36.59,P<0.001)were associated with receiving malaria prevention counseling.However,consultation time[Odd ratio(OR)=2.38,95%confidence interval(CI):1.28,4.40,P=0.006]and previous demand for malaria prevention counseling(OR=3.62,95%CI:2.15,6.10,P<0.001)were independent predictors of receiving counseling.Conclusions:The proportion of respondents that received malaria prevention counseling was surprisingly low.This offers opportunity for policy review towards improving the quality of outpatient malaria care through alternative strategies for giving malaria prevention information,especially in busy clinics where consultation time is constrained.

Comparison of Public Health Nurse’s Lifestyle Counseling Skills for Clients with Different Readiness of Behavior Changes in Primary Care Settings

Purpose: Public health nurses (PHNs) are required to assess the readiness of the clients and provide lifestyle counseling accordingly. The purpose of this study was to compare the lifestyle counseling provided for clients with different levels of readiness based on self-evaluations and independent assessment. Methods: Participants were PHNs with 10 years’ experience or less. Lifestyle counseling skills were measured through a simulated counseling session in a primary setting lasting up to 30 minutes, followed by a review session, where the participant provided self-evaluations, and the simulated client provided others-evaluations, of the session. The simulated clients played the role of clients at either the pre-contemplation or contemplation stage of preparedness as per the stages of behavior change theory. Results: The self-evaluation results showed that the mean scores for five of the six skill categories, are lower in the precontemplation-stage client cases than in the contemplation-stage client cases, and significantly so for two skill categories. The others-evaluations showed significantly lower mean scores for all skill categories in the precontemplation cases than in the contemplation cases. Conclusion: The PHNs and simulated clients agreed that lifestyle counseling skills were inadequate for the precontemplation cases, as compared with the contemplation cases. The lifestyle counseling skills of PHNs with less experience may not be well-adjusted to the readiness of the client, indicating difficulties in supporting less prepared clients.

Role of Rehabilitation Counseling and Psychology in Working with Individuals with Work-related Chronic Pain Injuries: An Interdisciplinary Approach-Chronic Pain and Work Injuries in the United States

This paper addresses the topic of an interdisciplinary approach of chronic pain management from a biopsychosocial perspective. The first section provides an introduction to the definitions and theories of chronic pain and the various contributing factors (psychological, interpersonal/environmental and social support, and vocational). The second section presents the role of various health care professions (medical doctors, nurses, physical therapists, occupational therapists, psychologists and rehabilitation counselors) and the evidence of their treatment effectiveness. The third section discusses the concept of an interdisciplinary pain rehabilitation program (IPRP) and its evidence to support its effectiveness. Finally, the clinical implications of rehabilitation counseling and psychology as part of the inter-disciplinary program in treating individuals with chronic pain will be highlighted.

2+0 CYP21A2 deletion carrier—a limitation of the genetic testing and counseling:A case report

BACKGROUND CYP21A2 gene mutations may all cause reduction or loss of 21-hydroxylase activity,leading to development of congenital adrenal hyperplasia(CAH)with different clinical phenotypes.For families with CAH children,genetic testing of the parents and genetic counseling are recommended to assess the risk of recurrence.CASE SUMMARY We report a case of CAH with a high suspicion before delivery.The risk of the child suffering from CAH during the pregnancy had been underestimated due to the deviation of genetic counseling and genetic testing results.Our report confirmed a CYP21A2 homozygous deletion in this case,CYP21A2 heterozygous deletion in the mother,and a rare 2+0 CYP21A2 deletion in the father.CONCLUSION It is important to analyze the distribution of CYP21A2 gene in the two alleles of parents of children with CAH.

Evaluation on the Effectiveness and Feasibility of Integrating STI/HIV Counseling with Existing Family Planning Service in Shanghai

Objective To assess the impact of pamphlet distribution and counseling on STI/HIV/condom knowledge, attitudes towards STI/AIDS patients and condom use intention of married couples in Shanghai and explore the effective way of integrating STI/HIV prevention with family planning services. Methods Four hundred and five married women aged 20~39 and their husbands were recruited from 14 family planning stations at 7 administrative districts of Shanghai. They were randomly divided into two groups, the counseling intervention (CI) group with 199 couples and the pamphlet distribution (PD) group with 206 couples. For the PD group, only pamphlets containing information on STI/AIDS/ condom were distributed and condoms given free of charge, whereas for the CI group, they were provided with not only full counseling on STI/AIDS/condom and free condoms, but also followed by demonstration of correct condom use. The two modes of interventions were conducted following the baseline survey, and the follow up data were collected one month later. Results 1. There was no statistical difference between the two groups on STI/AIDS/condom knowledge level, attitudes towards STI/AIDS patients and condom use intention at the baseline. 2. The follow up findings indicated that: ① A significant enhancement in knowledge level was observed in the CI group, with 20% increase for husbands and 24% for wives. While for the PD group, only slight increase was observed: 2% for husbands and 3% for wives; ② 93% husbands and 76% wives of the CI group changed their discriminatory attitudes towards STI patients, and towards AIDS patients, the percentages were 73% and 78%, respectively; ③ 68% husbands and 64% wives of the CI group expressed their intention for condom use; ④ For the PD group, however, there was no difference in attitudes towards STI/AIDS patients and condom use intention at the baseline and follow up. 3. The knowledge scores and attitudes towards STI/AIDS patients were mainly influenced by the means of intervention. While the intention of condom use was influenced not only by means of intervention but also by condom availability. Conclusions 1. Good counseling can not only greatly enhance people's STI/AIDS/ condom knowledge level but also apparently change their discrminatory attitudes towards STI/AIDS patients; 2. Effective counseling and condom availability are two important factors that influence condom use intention; 3. It is effective and feasible to integrate counseling with the routine procedure of family planning services, hence is worth being scaled up in Shanghai or even nationwide.

Attitudes of Family Planning Workers toward Setting Up Special Counseling Stations for Unmarried Young Adults

ve To understand attitudes of family planning workers to setting up special counseling stations for unmarried young adults and to identify the acceptable and feasible ways to provide the services for unmarried young adults in eight provinces/cities in China

Evaluation of Training Course Effects on Integrated Sexual and Reproductive Health Counseling

Objective To evaluate the training course effects on integrated sexual and reproductive health （SRH） counseling, so as to improve family planning providers＇ capacities of SRH counseling. Methods The SRH training course was conducted by using new curriculum and participatory training methods. The purpose was meeting the SRH needs of clients. Evaluations were done by pre- and post-training questionnaires to trainees. Results The average total scores of trainees were 54.9 before trained and 83.4 after trained respectively. As to trainees＇ self evaluation of the capacities, the capacity for comfortably discussing sexuality and related issues with clients increased from 9.9% to 90.7%, the capacity for helping clients to understand their sexual risk factors increased from 12.5% to 92.2%, the capacity for helping clients assessing their own needs for SRH services, information and emotional support increased from 16.0% to 87.8%, and the capacity for helping clients to develop negotiation and communication skills increased from 12.0% to 86. 0%. Conclusion The training course of integrated SRH counseling changed the traditional training types and services concept o f family planning service providers, and the trainees＇ capacities of implementing integrated SRH counseling also improved very much.

Psychology Counseling of Sufistic Method for an EX-Hoodlum and Prostitute to Be Islamic Behaviour Shift(Quran Memorizers)

The researcher argues that KH Muhammad Ali Shodiqin or Gus Ali Gondrong,a chairperson of Roudotun Ni’mah Islamic boarding school in Semarang,can be used as an inspiration source to give counseling to Muslim clients with sholawat as sufistic counseling.His Islamic boarding school becomes famous not due to sholawat mafia,but because he is preaching in a way appropriate for youth.The figure of Gus Ali is loved by young people and most of them are street children,“naughty”children,and hoodlums.Gus Ali’s pupils or Santri is also not ordinary children born to ordinary families,but they are“extraordinary”kids,since they can get out of the dark society covering them.Most santris are hoodlums,thugs,ex-gambler,ex-drunkards,and even ex-prostitutes.Everyone receives guidance from Allah SWT so that they can be educated at Roudlotun Ni’mah Islamic boarding school.This may sound quite weird for common people,since the word“Mafia”stands for unifying mind and heart into Sholawat.It is expected that the followers will love to do sholawat,and do sholawat continuously and full of self-consciousness.Members of this community come from various life backgrounds;among them are the youth and ex-thugs.It is hoped that this youngster style sholawat group can attract many people,especially the youth.Thus,young people have a good habit by joining shalawat.

Economic Counseling Psychology for Management Economic Crisis

In the economic world of the economic class down there are some challenges in economic life that is the ability to survive in a mediocre economy,defend themselves against the work they have lived so far,mental reinforcement when unable to buy anything,self-surrender to the economic destiny they endured.is the economic counseling of the Quran,is one of the approaches given to the poor who face problems such as removing"I'm confused,I want to kill myself,just die if I keep this up".Through the verses of the Koran given to the poor primarily,being able to reduce the mental pressure of suicidal ideation and build resilience in the face of life's problems.

Determinants of primary care physicians’ practice of prostate cancer counseling and screening

Objective: The objective was to examine practices of primary care physicians and its determinants towards prostate cancer screening. Methods: Data was obtained from 204 primary care physicians using self-reports of prostate cancer screening practices, knowledge, attitudes towards prostate cancer screening. Results: nearly half of the respondent (54.7%) were practicing counseling and referring prostate cancer patients. The mean correct knowledge score was 54.3%, their attitude was not strong;the only statement that nearly seventy percent of physicians agreed upon was about the value of screening, however, the reliability and evidence to support DRE & PSA were in question. Knowledge and attitude were found to be the most significant predictors that determine physicians’ self practice. Conclusion: Background information and attitudes are important determinants of physicians’ practice behavior towards prostate cancer counseling and referral in our study.

Acceptability of HIV Testing and Counseling by Antenatal Clients of a Tertiary Institution in Northern Nigeria

Background: HIV testing and counseling (HTC) plays a central role in specific prevention of mother-to-child transmission (PMTCT) interventions, as these interventions depend on the woman knowing her HIV status. Over ninety percent of HIV infection in children is acquired through mother-to-child transmission. Objectives: This study assessed pregnant women’s knowledge of HIV/AIDS, their awareness of HIV testing and counseling, and compared the uptake of HTC to the previously practiced voluntary counseling and testing (VCT) in a teaching hospital in northern Nigeria. Materials and Methods: A pre-tested, structured interview questionnaire was administered on a cross-section survey of 270 antenatal clients in Ahmadu Bello University Teaching Hospital (ABUTH), Nigeria. Information about knowledge of HIV/AIDS and attitude towards HTC was elicited among respondents. Results: Eighty-nine percent of respondents were aware of HIV/AIDS.?The knowledge of route of disease transmission was high, with 87.4% and 81.1% of studyparticipants mentioning sexual activity and mother-to-child transmission, respectively. Majority of respondents (98.9%) were aware of HTC and approved of it (91.1%) while 7.8% declined and the remaining 1.1% were undecided. Fourteen percent of respondents didn’t approve of retesting in labour. Sixty-eight percent of respondents were aware of interventions to prevent mother-to-child transmission of HIV. Switching from VCT to HTC has dramatically improved the uptake of testing from 78.9% in 2006 to 91.1% in 2012. Conclusion: Routine HIV testing and counseling is more acceptable than voluntary counseling and testing among antenatal clients. Although the awareness and uptake of HTC were quite high among the antenatal clients, there is still a need to intensify health education and incorporate husbands into the counseling session when necessary to convince the remaining minority who are still ignorant of the benefits of HTC.