Acute Disease ; Fatty Liver/diagnosis* ; Female ; Humans ; Liver ; Pregnancy ; Pregnancy Complications/diagnosis*

The expert panel of American Association for the Study of Liver Diseases published Practice guidance on acute-on-chronic liver failure and the management of critically ill patients with cirrhosis on November 9， 2023 in Hepatology. This practice guidance elaborates on the definition of acute-on-chronic liver failure， prediction models， and the management of liver cirrhosis comorbid with acute-on-chronic liver failure and organ failure in critically ill patients， and this article gives an excerpt of the key points in the practice guidance.

Objective To summarize the experience of positive-results inform and crisis intervention for HIV-infected patients .Methods Records of positive-results inform for HIV-infected patients in STD clinic of Beijing Ditan Hospital were retrospectively analyzed from January 2011 to December 2012 .The process of clinical performance , especially the psychological aspects of the symptoms ,at the same time crisis interventions and follow-up were given and the effects were observed .Results There were 292 patients were involved in this study:36 cases (12.4%) were emotional stability with no symptoms of crisis , and 256 cases (87.6%) had fear (178 cases),anxiety(146 cases), denial(33 cases), crying(31cases).And 15 cases appeared angry and behavior cannot be controlled , 3 cases had suicidal tendencies .After informed by the professional psychological support, 228 cases (89.1%) accepted the fact of HIV infection , 22 cases (8.6%) referralled to Home of Beijing Red Ribbon for peer education , and 6 cases ( 2.3%) referralled psychological clinic for treatment . Conclusions In the process of HIV-positive results inform , the patients may appear severe even overreact psychological stress response , so the professional psychological crisis intervention should be given to the patients.