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Multidisciplinary approach

Vera Frazão Vieira, Catarina Faria, Maria do Rosário Barroso, Fernando Mota Tavares
The authors present the case of an elderly woman with multiple comorbidities hospitalized with the diagnosis of community- acquired pneumonia with pleural effusion. However, there was a history of fall with chest trauma 1 week before, coinciding with the onset of symptoms. The patient had a massive hemothorax that could not be drained. There was a progressive worsening of the patient clinical status with sustained fever and arising of inflammatory parameters, despite broad-spectrum antibiotic therapy and antipyretics...
January 2018: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Muhammad Atif, Obada Hussein Ali Hasan, Umair Ashraf, Mohammad Mustafa, Masood Umer
Over the last century, there has been a remarkable development in the study of benign bone tumours. This is primarily due to the improved knowledge of the nature of these lesions and improved imaging technology. They present as a diverse group of clinical and pathological entities, which vary in their clinical behaviour and aggressiveness and, hence, multidisciplinary approach is necessary in their management. Combined opinion from an orthopaedic surgeon, radiologist and a pathologist is therefore required...
October 2018: JPMA. the Journal of the Pakistan Medical Association
Nisha Krishnakant Raiker, Hector Cajigas
A 49-year-old man presented to the emergency department with acute-onset dyspnoea and hypoxaemia 1 day following nasal surgery for obstructive sleep apnoea. A chest X-ray showed diffuse bilateral pulmonary infiltrates. Supplemental 100% fractional inspired oxygen (FiO2 ) via non-rebreather mask was delivered with resulting arterial oxygen tension:FiO2 ratio of 67. Transthoracic echocardiogram demonstrated normal heart function. A clinical diagnosis of severe acute respiratory distress syndrome (ARDS) was promptly made...
October 12, 2018: BMJ Case Reports
Sally Theobald, Neal Brandes, Margaret Gyapong, Sameh El-Saharty, Enola Proctor, Theresa Diaz, Samuel Wanji, Soraya Elloker, Joanna Raven, Helen Elsey, Sushil Bharal, David Pelletier, David H Peters
Implementation research is important in global health because it addresses the challenges of the know-do gap in real-world settings and the practicalities of achieving national and global health goals. Implementation research is an integrated concept that links research and practice to accelerate the development and delivery of public health approaches. Implementation research involves the creation and application of knowledge to improve the implementation of health policies, programmes, and practices. This type of research uses multiple disciplines and methods and emphasises partnerships between community members, implementers, researchers, and policy makers...
October 8, 2018: Lancet
Reza Dana, John L Bradley, Annie Guerin, Irina Pivneva, Amber M Evans, Ipek Özer Stillman
PURPOSE: To assess the proportion of comorbidities in patients with dry eye disease (DED) compared with matched patients without DED in a comprehensive US population. DESIGN: Retrospective case-control study METHODS: Health care records for insurance claims data, detailing medical services incurred by military personnel, their families and dependents in military and civilian facilities across the United States from January 1, 2003 to March 31, 2015, were obtained from the Department of Defense (DOD) Military Health System (MHS)...
October 9, 2018: American Journal of Ophthalmology
Christine M Warrick, Mark D Rollins
Placenta accreta spectrum is becoming more common and is the most frequent indication for peripartum hysterectomy. Management of cesarean delivery in the setting of a morbidly adherent placenta has potential for massive hemorrhage, coagulopathies, and other morbidities. Anesthetic management of placenta accreta spectrum presents many challenges including optimizing surgical conditions, providing a safe and satisfying maternal delivery experience, preparing for massive hemorrhage and transfusion, preventing coagulopathies, and optimizing postoperative pain control...
October 11, 2018: Clinical Obstetrics and Gynecology
Melike Elif Teker, Önder Teskin
BACKGROUND: Primary cardiac sarcoma is a rare and atypical clinical entity. We present a patient with long-term remission after primary cardiac sarcoma resection. CASE REPORT: A 42-year-old previously healthy female presented to the emergency department after an effort-induced 30-minute episode of chest pain and extreme shortness of breath. Physical examination upon admission was remarkable for a pulse of 99/minute; blood pressure was 101/73 mmHg. Transthoracic echocardiography showed a mass measuring 5...
September 25, 2018: Heart Surgery Forum
Dalia Goda Ibrahim Gabr
BACKGROUND AND OBJECTIVE: Pollen morphology is one of the significant tools in solving some taxonomic problems on the family, generic or specific level and has become part of the multidisciplinary and collaborative approach in plant systematic and evolution. Therefore, this study aimed to investigate and describe the pollen morphology of 10 species belongs to 9 genera and five tribes of Brassicaceae from eastern region of Saudi Arabia by using light and scanning electron microscope. MATERIALS AND METHODS: To study the pollen morphology for ten species representing 9 genera and 5 tribes of Brassicaceae the Light Microscope (LM) and Scanning Electron Microscope (SEM)...
January 2018: Pakistan Journal of Biological Sciences: PJBS
Debra Rickwood, Marie Paraskakis, Diana Quin, Nathan Hobbs, Vikki Ryall, Jason Trethowan, Patrick McGorry
AIM: headspace is Australia's innovation in youth mental healthcare and comprises the largest national network of enhanced primary care, youth mental health centres world-wide. headspace centres aim to intervene early in the development of mental ill-health for young people aged 12 to 25 years by breaking down the barriers to service access experienced by adolescents and emerging adults and providing holistic healthcare. Centres have been progressively implemented over the past 12 years and are expected to apply a consistent model of integrated youth healthcare...
October 12, 2018: Early Intervention in Psychiatry
Lisa Wood, Claire Williams, Jo Billings, Sonia Johnson
OBJECTIVES: Psychologists routinely work in psychiatric inpatient settings and it is acknowledged that they cannot work in isolation from the multidisciplinary team. The aim of this study was to examine the multidisciplinary team's perspective on the role of psychology within the acute psychiatric inpatient setting. DESIGN: A qualitative approach was taken utilizing semi-structured interviews for data collection. METHODS: Interviews were undertaken with 12 multidisciplinary team members (occupational therapists, psychiatric nurses, psychiatrists, and clinical managers) examining their perspectives on the role of psychology within the acute psychiatric inpatient setting...
October 11, 2018: Psychology and Psychotherapy
Christina Malatzky, Kristen Glenister
As many patients' sole point of contact with the health care system, primary health care physicians (general practitioners [GPs] in Australia) are often positioned as key players in responding to rates of overweight and obesity in dominant public discourse. However, research from Western industrialised countries suggests that GPs may not be prepared for, or confident in, having conversations about overweight and obesity with patients. Little attention has been given to this topic in Australia, particularly in the context of rural health...
October 11, 2018: Health & Social Care in the Community
Pamela J Boimel, Kim Reiss Binder, Theodore S Hong, Mary Feng, Edgar Ben-Josef
Cholangiocarcinoma and gallbladder malignancies are aggressive gastrointestinal malignancies with management dependent on resectability, comorbidities, and location. A multidisciplinary discussion with medical oncologists, radiation oncologists, and surgeons is necessary to determine the optimal treatment approach for each patient. Surgical resection offers the best chance for a long-term cure. Recent studies, such as the phase II SWOG S0809 and the phase III BILCAP study have highlighted the importance of adjuvant treatment with radiation therapy and chemotherapy, respectively, in resected disease...
October 2018: Seminars in Radiation Oncology
Daniel Kierzkowski, Anne-Lise Routier-Kierzkowska
The growth of individual cells underlies the development of biological forms. In plants, cells are interconnected by rigid walls, fixing their position with respect to one another and generating mechanical feedbacks between cells. Current research is shedding new light on how plant growth is controlled by physical inputs at the level of individual cells and growing tissues. In this review, we discuss recent progress in our understanding of the cellular basis of growth from a biomechanical perspective. We describe the role of the cell wall and turgor pressure in growth and highlight the often-overlooked role of cell geometry in this process...
October 8, 2018: Current Opinion in Plant Biology
Marica Baldoni, Gabriele Scorrano, Angelo Gismondi, Alessia D'Agostino, Michelle Alexander, Luca Gaspari, Fabrizio Vallelonga, Antonella Canini, Olga Rickards, Cristina Martínez-Labarga
This research presents an in-depth study of the skeletal remains collected from the archaeological site of Allumiere (15th-16th centuries CE; Rome, Italy). A multidisciplinary approach was used, combining skeletal biology, molecular anthropology and archaeobotany with the aim of reconstructing the osteobiography of the alum miners buried at the site. Since 1460, the area of the Tolfa Mountains was significant for the exploitation of alum which was used for a wide range of purposes in the Middle Ages, ranging from woven production to medical practice...
2018: PloS One
Charlie Tan, Mark S Hansen, Gideon Cohen, Karl Boyle, Alvin Yang, Asgar Rishu, Ruxandra Pinto, Neill K J Adhikari, Nick Daneman
BACKGROUND: A multidisciplinary approach has been recommended for the management of patients with infective endocarditis. We evaluated the impact of multidisciplinary case conferences on morbidity, mortality, and quality of care for these patients. METHODS: We conducted a quasi-experimental study of consecutive patients admitted for infective endocarditis before (2013/10/1-2015/10/12, n = 97) and after (2015/10/13-2017/11/30, n = 80) implementation of case conferences to discuss medical and surgical management...
2018: PloS One
Guy T'Sjoen, Jon Arcelus, Louis Gooren, Daniel T Klink, Vin Tangpricha
Gender affirming treatment for transgender people requires a multidisciplinary approach in which endocrinologists play a crucial role. The aim of this paper is to review recent data on hormonal treatment of this population and its effect on physical, psychological and mental health. The Endocrine Society guidelines for transgender women include estrogens in combination with androgen lowering medications. Feminizing treatment with estrogens and anti-androgens has desired physical changes, such as enhanced breast growth, reduction of facial and body hair growth and fat redistribution in a female pattern...
October 10, 2018: Endocrine Reviews
C Albany, N Adra, A Snavely, C Cary, T Masterson, R Foster, K Kesler, T Ulbright, L Cheng, M Chovanec, F Taza, N Hanna, L Einhorn
No abstract text is available yet for this article.
October 11, 2018: Annals of Oncology: Official Journal of the European Society for Medical Oncology
Alexandra B Kimball, Murali Sundaram, Genevieve Gauthier, Annie Guérin, Irina Pivneva, Rakesh Singh, Arijit Ganguli
INTRODUCTION: Prior studies have reported that hidradenitis suppurativa (HS) is accompanied by a myriad of physical and mental conditions. However, given the small sample sizes and the limited number of pre-selected comorbidities, these studies do not provide a complete picture of the comorbidity burden of HS in the USA. Moreover, the relationship between HS severity and comorbidity burden has yet to be characterized. Using a large US claims database, we estimated the comorbidity burden associated with HS, stratified by disease severity...
October 10, 2018: Dermatology and Therapy
Rolando Espinosa, Patricia Clark, Edgar Denova-Gutiérrez, María de Los Ángeles Aguilera-Barreiro, Mario Flores, Pilar Diez, Salomón Jasqui, María Del Pilar De la Peña, Federico Cisneros-Dreinhofer, Pilar Lavielle, Víctor Mercado
In Mexico, osteoporosis is a public health problem. In this document, the Mexican Association for Bone and Mineral Metabolism defines its position on calcium, vitamin D supplement use, and physical activity as an effective, safe, and cost-effective initiatives to prevent low bone mass. INTRODUCTION: In Mexico, osteoporosis is a public health problem that is expected to increase in the decades ahead. Generally, modifiable risk factors for bone health are related with lifestyles, especially nutrition and physical activity...
October 10, 2018: Archives of Osteoporosis
Olga Di Fede, Vera Panzarella, Rodolfo Mauceri, Vittorio Fusco, Alberto Bedogni, Lorenzo Lo Muzio, Sipmo Onj Board, Giuseppina Campisi
Medication-related osteonecrosis of the jaw (MRONJ) is a serious adverse reaction of antiresorptive and antiangiogenic agents; it is a potentially painful and debilitating condition that can considerably affect the quality of life of patients. Furthermore, even if its epidemiology and pathogenesis have still not been fully clarified, several risk factors related to MRONJ have been recognized in prevention protocols. Three main risk factors are as follows: (i) the type of ONJ-related medications: antiresorptive (e...
2018: BioMed Research International
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