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Journal articles on the topic 'Multidisciplinary Approach in Therapy'

Author: Grafiati

Published: 7 June 2025

Last updated: 17 July 2025

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1

Lawford, Lynn. "Multidisciplinary Approach to Rehabilitation." Physiotherapy 87, no. 4 (2001): 219. http://dx.doi.org/10.1016/s0031-9406(05)60617-7.

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Bakkel, Robert. "Multidisciplinary Approach to Rehabilitation,." Pediatric Physical Therapy 14, no. 1 (2002): 59–60. http://dx.doi.org/10.1097/00001577-200204000-00014.

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Bakkel, Robert. "Multidisciplinary Approach to Rehabilitation,." Pediatric Physical Therapy 14, no. 1 (2002): 59–60. http://dx.doi.org/10.1097/00001577-200214010-00014.

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4

Kim, E. E. "Image-Guided Cancer Therapy: A Multidisciplinary Approach." Journal of Nuclear Medicine 55, no. 7 (2014): 1214. http://dx.doi.org/10.2967/jnumed.114.141085.

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Voropaiev, Dmytro S., Iryna A. Brizhata, Oleksandr S. Stepanenko, and Nataliia V. Petrenko. "Particularities of Multidisciplinary Approach in Physical Therapy." Acta Balneologica 64, no. 1 (2022): 77–82. http://dx.doi.org/10.36740/abal202201116.

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Aim: The aim of the work was to reveal the peculiarities of implemetation of a multidisciplinary approach in a system of physical therapy. Materials and Methods: Theoretical analysis and systematization of data of scientific-methodical literature, data of Internet network. Conclusions: Implementation of the rehabilitation program is defined as a comprehensive task that requires participation of a team of specialists, where everyone has a list of specific and interchangeable functions. Each of the specialists in the multidisciplinary team is responsible for the patient. At the same time, building of the rehabilitation program, choosing of strategies and means are subordinated to the commonly developed goal.

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Jagadisan, Barath, and Anil Dhawan. "Multidisciplinary approach for gene therapy–related hepatotoxicity." Journal of Thrombosis and Haemostasis 21, no. 7 (2023): 1998–99. http://dx.doi.org/10.1016/j.jtha.2023.03.043.

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Martelli, Mirko, Wanda Lelia Russomanno, Stefano Di Vecchio, et al. "Myofunctional therapy and atypical swallowing multidisciplinary approach." Oral & Implantology 16, no. 3 (2024): 153–55. https://doi.org/10.11138/oi.v16i3.54.

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Myofunctional therapy offers an innovative approach to correcting orofacial dysfunctions and bad habits. This article describes how myofunctional treatment, in collaboration with various medical specialties, can improve not only orthodontic problems but also other conditions treated by specialists such as Neurologists, Speech Therapists, Osteopaths, Otorhinolaryngologists, Allergists and Pediatricians. This article aims to highlight how the Froggy Mouth, a lightweight and simple device, can offer support and benefits to various specialists across different medical disciplines.

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Martelli, Mirko, Wanda Lelia Russomanno, Stefano Di Vecchio, et al. "Myofunctional therapy and atypical swallowing multidisciplinary approach." Oral & Implantology 16, no. 3 (2024): 153–55. https://doi.org/10.11138/oi163153-155.

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Myofunctional therapy offers an innovative approach to correcting orofacial dysfunctions and bad habits. This article describes how myofunctional treatment, in collaboration with various medical specialties, can improve not only orthodontic problems but also other conditions treated by specialists such as Neurologists, Speech Therapists, Osteopaths, Otorhinolaryngologists, Allergists and Pediatricians. This article aims to highlight how the Froggy Mouth, a lightweight and simple device, can offer support and benefits to various specialists across different medical disciplines.

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Mead, Judy, Mary Crawford, and Janet Wells. "Training for Helpers: A Multidisciplinary Approach." British Journal of Occupational Therapy 48, no. 7 (1985): 211–14. http://dx.doi.org/10.1177/030802268504800706.

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Helpers, whose work is greatly valued, have received fairly extensive training in South West Thames Regional Health Authority for a number of years. Commitment to a team approach to the health care of any individual and to the conservation of limited training resources was fundamental to the development of a 15-day long multidisciplinary helpers' course.

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Thornton, Heather. "Neurosurgery for Spasticity: A multidisciplinary approach." Physiotherapy 79, no. 7 (1993): 533. http://dx.doi.org/10.1016/s0031-9406(10)60282-9.

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Weber, Michael, John Carter, Emily K. White, and Mark Weidenbecher. "A Comprehensive and Multidisciplinary Approach to Obstructive Sleep Apnea: Case Examples." Journal of Clinical Otorhinolaryngology 3, no. 1 (2021): 01–04. http://dx.doi.org/10.31579/2692-9562/020.

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Positive airway pressure (PAP) therapy is well established as the standard of care for most patients with obstructive sleep apnea (OSA), however, up to 50% are not successfully treated with this approach and their further care remains a challenge. The value of engaging a multidisciplinary team in the diagnosis and management of OSA has been well recognized for over 30 years; however, the difficulty has been translating this principle into clinical practice. We present a series of selected patients with a diagnosis of OSA who initially failed PAP therapy but were successfully treated using a multidisciplinary and evidence-based approach that is reproducible at other sleep centers.

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Golovacheva, Veronika A., Anzhelika A. Golovacheva, and Vladimir A. Parfenov. "Chronic migraine treatment: multidisciplinary approach. Case report." Terapevticheskii arkhiv 93, no. 12 (2021): 1528–32. http://dx.doi.org/10.26442/00403660.2021.12.201247.

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We described clinical case of chronic migraine and such comorbid disorders as insomnia and panic disorder. The influence of anxiety, insomnia, painkillers overuse on the chronicity of migraine has been shown. Multidisciplinary program was made for treatment of patient with chronic migraine, insomnia and panic disorder. Multidisciplinary program included education, detoxification therapy, cognitive-behavioral therapy and pharmacotherapy. Patient's mistaken ideas about disorders was changed by using of cognitive-behavioral therapy. Also techniques of cognitive-behavioral therapy were needed for education of patient about effective skills to overcome pain, insomnia and anxiety. The transformation of migraine from chronic to episodic, improved sleep, improved emotional state and functional activity were noted after 3 months of treatment. Follow-up of the patient for 12 months showed long lasting positive effect of treatment for chronic migraine, insomnia and panic disorder.

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Vladimirova, Vladimirova N. N., Myasnikova E. V. Myasnikova, Shunaev V. M. Shunaev, Komleva G. A. Komleva, Pikunova I. N. Pikunova, and Peredelkina A. I. Peredelkina. "Experience of a multidisciplinary approach to the treatment of comorbid pathology patient." Therapy 8_2023 (November 13, 2023): 98–106. http://dx.doi.org/10.18565/therapy.2023.8.98-106.

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DALAL, BHAVINKUMAR D., JACQUELINE BREWER, and TANIA SAEED. "MULTIDISCIPLINARY APPROACH TO PULMONARY ARTERIAL HYPERTENSION THERAPY TRANSITIONS." CHEST 166, no. 4 (2024): A5786—A5787. http://dx.doi.org/10.1016/j.chest.2024.06.3431.

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Couch, Rae. "Book Review: Mental Handicap: A Multidisciplinary Approach." British Journal of Occupational Therapy 49, no. 4 (1986): 132. http://dx.doi.org/10.1177/030802268604900412.

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Simon, Jolene M. "A Multidisciplinary Approach to Chronic Pain." Rehabilitation Nursing 14, no. 1 (1989): 23–28. http://dx.doi.org/10.1002/j.2048-7940.1989.tb00668.x.

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Zanotti, Roberta, Massimiliano Bonifacio, Ilaria Tanasi, et al. "SYSTEMIC MASTOCYTOSIS: MULTIDISCIPLINARY APPROACH." Mediterranean Journal of Hematology and Infectious Diseases 13, no. 1 (2021): e2021068. http://dx.doi.org/10.4084/mjhid.2021.068.

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Systemic mastocytosis (SM) is a heterogeneous group of diseases that affect almost exclusively adults and are defined by the proliferation and accumulation of clonal mast cells (MC) in various tissues. Disease subtypes range from indolent to rare but aggressive forms. Although SM is classified as a rare disease, it is believed to be likely underdiagnosed. Major signs and symptoms mainly depend on MC activation and less frequently to organ infiltration, typical of more aggressive variants. Diagnosis may be challenging, and symptoms can be aspecific and involve several organs. It is advisable to refer patients to specialized centers, having sufficient knowledge of the disease, sensitive diagnostic procedures, offering a personalized and multidisciplinary diagnostic approach, including at least hematological, allergological, dermatological and rheumatological evaluations. A precise and timely diagnosis is required for: a) adequate counseling of patients and their physicians; b) beginning of symptomatic treatment (anti-mediator therapy); c) prevention of severe manifestations of the disease (i.e., recurrent anaphylaxis, osteoporosis and bone fractures); d) cytoreductive treatment of advanced SM variants. This review aims to summarize the main manifestations of the disease and describe the ideal diagnostic approach for adult patients with suspected SM, giving physicians the main notions for correct patient diagnosis and management. This review also highlights the importance of a multidisciplinary approach in this very complex disease.

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Slyusareva, O. A., A. E. Markarov, S. V. Apresyan, et al. "Multidisciplinary approach in the treatment of uterine fibroids." Meditsinskiy sovet = Medical Council, no. 5 (April 19, 2023): 58–71. http://dx.doi.org/10.21518/ms2023-090.

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Introduction. The efficacy of preoperative therapy with Gynestril in the treatment of symptomatic uterine fibroids and anaemia of various degrees of severity was studied in the prospective, comparative cohort study.Aim. To evaluate the efficacy of preoperative therapy with mifepristone in patients with uterine fibroids and chronic iron deficiency anaemia of various degrees of severity.Materials and methods. The study included 70 women who were scheduled to undergo the organ-preserving surgical treatment due to symptomatic uterine fibroids from January 1, 2017 to December 31, 2022. 50 patients received Gynestril at a dose of 50 mg/day (1 tablet) from day 1 of the menstrual cycle for 3 consecutive months. Due to contraindications to its use, 20 patients refused to administer the drug in the preoperative period and received symptomatic haemostatic therapy, and were included in the control groups. The patients of both groups received anti-anaemic therapy with iron(III)-hydroxide polymaltose tablets, 250– 300 mg/ day orally. 40 patients underwent the organ-preserving surgery depending on the size, number, type and localization of uterine fibroids according to the FIGO 2011 classification and patients’ motivation to preserve their reproductive function.Results. The analysis of changes in the laboratory test results revealed that hemoglobin levels in the groups after Gynestril therapy reached reference ranges in all women, averaging 123.4 ± 8.2 g/l as compared to the baseline value 84.3 ± 6.7 g/l, p < 0.05. It was also noted that ferritin levels increased significantly, averaging 12.2 ± 1.9 µg/l compared to the pre-treatment level 8.8 ± 0.8 µg/l, serum iron levels reached 12.8 ± 1.0 compared to the pre-treatment level 8.0 ± 0.8, and TIBC level reduced to 72.1 ± 3.5 compared to the pre-treatment level 96.7 ± 4.8 (p < 0.05).Conclusions. A comprehensive multidisciplinary approach to the treatment of uterine fibroids, including preoperative therapy with Gynestril, myomectomy using occlusive and X-ray endovascular techniques preserved the reproductive function in 50 patients with symptomatic uterine fibroids and anaemia of various degrees of severity.

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Thakur, Sristi, Rakshya Basnet, and Kabindra Bajracharya. "Multidisciplinary Approach for Retinoblastoma Management." Nepalese Journal of Ophthalmology 13, no. 2 (2021): 234–36. http://dx.doi.org/10.3126/nepjoph.v13i2.39752.

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We read with keen interest the article by Shah et al "Pathologic Risk Factor in Retinoblastoma: An Institutional Experience Based on Analysis of Enucleated Eyes"(Shah A et al, 2012). They have highlighted high-risk histopathological features in Retinoblastoma with retrolaminar optic nerve invasion being the most common and also showed statistically significant correlation of high risk histological features with tumor size and AJCC stage of tumor. Their aim to assess the frequency and spectrum of high risk histopathological features in enucleated specimens of retinoblastoma was successful which may guide the clinician in timely planning for subsequent neoadjuvant therapy and prevent further ocular morbidity and mortality in children. We would like to congratulate authors for this article and with invoked interest it led us to go in more depth and we wish to discuss several aspects of the study that can potentially influence the results.

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Marek, Filip, Radoslav Hrivnák, Ivo Rovný, et al. "Managing IBD therapy during pregnancy demands a multidisciplinary approach." Gastroenterologie a hepatologie 75, no. 2 (2021): 149–58. http://dx.doi.org/10.48095/ccgh2021149.

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Crohn’s disease and ulcerative colitis are both chronic inflammatory bowel diseases (IBD). This article summarizes current best practice in treating pregnant patients with IBD, ranging from conservative therapy to endoscopy and imaging methods, including a description of surgical therapy indications. Female patients with IBD should ideally plan their pregnancies for when their disease is in remission. Patients in remission may also have complications during pregnancy, however the risk of complications is lower than in patients with active disease. Any chronic medications they were on before becoming pregnant (with the exception of teratogenic methotrexate) should remain unchanged. According to the current literature, pregnancy does not itself complicate the course of IBD. In cases of a severe relapse or an occurrence of complications in these patients, careful multidisciplinary cooperation is required, especially between the gastroenterologist, surgeon, radiologist, and gynaecologist. Surgical treatment is required only in cases of acute complications of IBD (such as acute severe colitis resistant to medical therapy, perianal abscess, and complications of IBD in the sense of such acute abdomen events as perforations, ileus due to a stenosis, or massive haemorrhage).

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21

Shin, Dong M. "A Multidisciplinary Approach to Therapy for Unresectable Malignant Thymoma." Annals of Internal Medicine 129, no. 2 (1998): 100. http://dx.doi.org/10.7326/0003-4819-129-2-199807150-00006.

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Bozorov, Otabek. "Competent Approach To Training Future Speech Therapists." American Journal of Social Science and Education Innovations 03, no. 04 (2021): 488–91. http://dx.doi.org/10.37547/tajssei/volume03issue04-78.

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A high-level professional can be considered a speech therapist who knows the norm! speech therapy correctional pedagogical activity, changes and develops his personality in the process of professional activity, the specificity of which is its multidisciplinary nature: a speech therapist works at the intersection of pedagogy, medicine, speech therapy, psychology and other scientific areas.

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S. Jamall, Aysha, and Faizan Masood. "A MULTIDISCIPLINARY APPROACH TO MEDICALLY FRAGILE CHILDREN." Pakistan Journal of Rehabilitation 4, no. 1 (2015): 12–14. http://dx.doi.org/10.36283/pjr.zu.4.1/004.

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Progress is determined by motivation and motivation is determined by confidence. In managing children with multiple deficits, it is necessary to extract underlying obstacles in order to make therapy most effective. The client, a ten year old girl presents with significant fear of movement. She presents with multiple fractures secondary to distal renal tubular acidosis and osteopenia. After confining herself to bed, post orthopedic surgery, she was referred to the Director of Programme of Circle of Care, a center catering to children with special needs and promoting inclusion. Individual and parental counseling along with movement and art instruction yielded mobility and improved management of activities of daily life with moderate support from equipment and family members. As a result of collaborative work and systemic awareness, client was able to exit her state of immobility and become independent in problem-solving. A multimodal approach accounts for the physical impairments as well as the social limitations presented in a child. Multidisciplinary approach with importance on counseling makes therapy effective and progress visible particularly in children who present with multiple or frail disorders/diseases.

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Ravindranath, VK, Aarti B. Madhaswar, and Prateek N. Daga. "Multidisciplinary Approach for Correction of Obstructive Sleep Apnea." Journal of Contemporary Dentistry 6, no. 3 (2016): 189–93. http://dx.doi.org/10.5005/jp-journals-10031-1170.

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ABSTRACT Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by complete or partial obstructions of the upper airway. In this study we are presenting a case report of 11-year-old male patient with enlarged adenoids and tonsils, convex profile, receded chin, lower lip trap, class II skeletal and dental relationship with increased overjet. Surgical removal of enlarged adenoids was done before commencement of twinblock therapy. After this, two-step advancement with expansion in both arches utilizing twin blocks was planned. Four months into the treatment, patient reported with history of facial trauma with avulsed maxillary left central incisor. Twin block was then modified with pontic as replacement for maxillary left central incisor. Sagittal correction resulting in class I molar relationship was achieved in next 6 months. Fixed appliance therapy was followed. The design of the appliance and the results achieved after the postfunctional therapy are presented in this case report. How to cite this article Madhaswar AB, Ravindranath VK, Daga PN. Multidisciplinary Approach for Correction of Obstructive Sleep Apnea. J Contemp Dent 2016;6(3):189-193.

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Blue, F. Richard, Dennis L. McKnight, Bruce W. Rau, Ross B. Fulcher, and Rosanne Fulcher. "A Multidisciplinary Approach to an Individual with Severe Ritualistic Behaviors." Psychological Reports 61, no. 2 (1987): 407–10. http://dx.doi.org/10.2466/pr0.1987.61.2.407.

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A man with severe ritualistic behavior was cured through the use of a multidisciplinary approach. Medication for depression and anxiety, cognitive restructuring, thought stopping, response prevention, biofeedback, family therapy, activity therapy, and psychoeducational techniques were all used as treatment interventions.

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Lee, Ho Seong. "Treatment of peripheral neuropathy: a multidisciplinary approach is necessary." Journal of the Korean Medical Association 63, no. 8 (2020): 432–34. http://dx.doi.org/10.5124/jkma.2020.63.8.432.

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The number of patients with peripheral neuropathy or neuropathic pain is increasing. The recommended treatment for peripheral neuropathy and neuropathic pain is proper medications, exercise, physical therapy, and support. Overly invasive interventions can be harmful rather than beneficial to patients. Many doctors do not understand the characteristics of peripheral neuropathy and neuropathic pain. Peripheral neuropathy is not a problem that is confined to a particular department. The most appropriate treatment is a combination of drug therapy, physical exercise, and psychological support. Thus, a multidisciplinary approach is necessary for the effective treatment of peripheral neuropathy and neuropathic pain.

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Ogata, Dai, Hideki Takeuchi, Yuki Shiomi, Eiichi Arai, and Tetsuya Tsuchida. "Metastatic cutaneous apocrine carcinoma: a multidisciplinary approach incorporating endocrine therapy." European Journal of Dermatology 28, no. 3 (2018): 415–17. http://dx.doi.org/10.1684/ejd.2018.3282.

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Kopecký, Jindřich, Jiří Špaček, Petr Hoffmann, Miroslav Podhola, Peter Priester, and Alžbeta Hlodáková. "Multidisciplinary approach in the diagnosis and therapy of renal tumours." Urologie pro praxi 25, no. 4 (2024): 205–9. http://dx.doi.org/10.36290/uro.2024.072.

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Ribeirinho Marques, A., M. Sampaio, and C. Abdo. "O-04 Paraphilic Disorder: A Multidisciplinary Approach Regarding Group Therapy." Journal of Sexual Medicine 17, no. 9 (2020): S261—S262. http://dx.doi.org/10.1016/j.jsxm.2020.07.024.

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Vitiello, Paola, Caterina Sagnelli, Andrea Ronchi, et al. "Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides." Healthcare 11, no. 4 (2023): 614. http://dx.doi.org/10.3390/healthcare11040614.

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Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, characterized by skin-homing CD4+ T cells derivation, indolent course, and low-grade of malignancy. Mycosis fungoides’s classic type typically onsets with cutaneous erythematous patches, plaque, and tumor. In WHO-EORTC classification, folliculotropic mycosis fungoides, pagetoid reticulosis, and granulomatous slack skin are recognized as distinct variants of mycosis fungoides, because of their clinical and histological features, behavior, and /or prognosis. Mycosis fungoides often shows diagnostic difficulties, due to its absence of specific features and lesional polymorphism. A patient’s treatment requires staging. In about 10% of cases, mycosis fungoides can progress to lymph nodes and internal organs. Prognosis is poor at advanced stage and management needs a multidisciplinary team approach. Advanced stage disease including tumors, erythroderma, and nodal, visceral, or blood involvement needs skin directed therapy associated with systemic drugs. Skin directed therapy includes steroids, nitrogen mustard, bexarotene gel, phototherapy UVB, and photochemiotherapy, i.e., total skin electron radiotherapy. Systemic therapies include retinoids, bexarotene, interferon, histone deacetylase inhibitors, photopheresis, targeted immunotherapy, and cytotoxic chemotherapy. Complexity of mycosis fungoides associated with long-term chronic evolution and multiple therapy based on disease stage need a multidisciplinary team approach to be treated.

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McCabe, D. Rozena. "Motor Behavior and Human Skill: A Multidisciplinary Approach." Medicine & Science in Sports & Exercise 30, no. 10 (1998): 1559. http://dx.doi.org/10.1097/00005768-199810000-00019.

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32

Gomes, Priscyla Praxedes, Mara Cristina Lofrano-Prado, Camila Tenório Calazans de Lira, et al. "AEROBIC TRAINING IN OBESE ADOLESCENTS: A MULTIDISCIPLINARY APPROACH." Revista Brasileira de Medicina do Esporte 24, no. 4 (2018): 280–85. http://dx.doi.org/10.1590/1517-869220182404184265.

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ABSTRACT Introduction: The prevalence of excess weight/obesity in adolescence has increased, and physical training may be effective in combating this scenario. Objective: To analyze the effect of different intensities of aerobic training on the body composition of obese adolescents undergoing multidisciplinary intervention. Methods: In this study, 107 pubertal (Tanner 3 and 4), obese (BMI=34.72±4.10 kg/m²) adolescents (14.85±1.44 years) were randomly assigned to three groups: high intensity training (HITG – ventilatory threshold I (VTI)); low intensity training (LITG – 20% below the VTI) and control group (CG), without intervention. The adolescents in the HITG and LITG underwent nutritional and psychological (1x/week) and clinical (1 x/month) follow-up and physical training (3x/week) for 12 weeks. Results: Reductions in fat mass (FM) and body fat percentage (BFP) (p< 0.001) and an increase in fat-free mass (FFM) (p<0.001) were observed in all groups. There was a reduction in BMI only in the experimental groups (p<0.001). Conclusion: The effects of multidisciplinary treatment on the body composition of obese adolescents occur independently of the intensity of aerobic physical training. Level of Evidence I; High quality randomized clinical studies with or without statistically significant difference, but with narrow confidence intervals.

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Massuça, Luís, and Isabel Fragoso. "A multidisciplinary approach of success in team-handball." Apunts. Medicina de l'Esport 48, no. 180 (2013): 143–51. http://dx.doi.org/10.1016/j.apunts.2013.06.004.

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Kolodina, А. S., Y. O. Grusha, N. Y. Sviridenko, and E. G. Bessmertnaya. "A multidisciplinary approach in the treatment of thyroid eye disease." Modern technologies in ophtalmology 60, no. 2 (2025): 181–82. https://doi.org/10.25276/2312-4911-2025-2-181-182.

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Relevance Endocrine ophthalmopathy (EOP) is a progressive autoimmune disease of the visual organ associated with autoimmune pathology of the thyroid gland, the treatment of which can be a long-term step-by-step process, including immunosuppressive therapy, orbital radiation therapy, and surgical treatment [1, 2]. EOP therapy is a multidisciplinary problem, the effectiveness of which depends on the well-coordinated teamwork of an endocrinologist, ophthalmologist, ophthalmic surgeon, and cardiologist. Objective Evaluation of the treatment results for a patient with severe EOP, refractory to high doses of glucocorticosteroids (GCS), complicated by the development of optic neuropathy (ON). Material and methods Patient N. has been under the observation of an endocrinologist and ophthalmologist since 2020 with the diagnosis: severe EOP, active phase (according to the clinical activity scale CAS = 6/7), complicated by ON, partial ophthalmoplegia. Best corrected visual acuity (BCVA): OD = 0.6, OS = 0.8. A course of pulse therapy with GCS was administered at a total dose of 5750 mg. Over the next two months, persistent EOP activity and progressive deterioration of visual functions were noted (BCVA OD = 0.4, OS = 0.6, impaired peripheral vision, color perception), in connection with which pulse therapy with GCS was continued at a dose of 1800 mg, deep bone decompressions of the lateral wall of both orbits (DBDO) were performed using a modified technique using an ultrasonic osteodestructor with additional expansion of the size of the primary bone "window" [3] and the formation of a beveled profile of its posterior edge (patent for invention RU2742799). In 2021, due to ongoing EOP activity, the patient was recommended to continue pulse therapy with GCS at a total dose of 3500 mg, and extrafascial thyroidectomy was performed. Results In the postoperative period and during a long-term observation period of 3 years, BCVA OD = 1.0; OS = 1.0, positive dynamics were observed in the computer perimetry parameters in the form of increased photosensitivity, a decrease in the number of absolute scotomas. Conclusion This case demonstrates multi-stage and continuity in the treatment of EOP. Since EOP was active, the first line of treatment was pulse therapy with GCS. However, due to its insufficient effectiveness and the progression of ON, bilateral deep LKDO was performed in order to normalize visual functions. Key words: endocrine ophthalmopathy; optic neuropathy; bone decompression of the orbit

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Andreeva, M. D., R. A. Agajan, and A. N. Akhidzhak. "A multidisciplinary approach to the preterm birth." Obstetrics, Gynecology and Reproduction 15, no. 4 (2021): 351–59. http://dx.doi.org/10.17749/2313-7347/ob.gyn.rep.2021.218.

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Introduction. Rate of factors affecting preterm birth development has not been fully elucidated. The assessment was carried out by identifying 1-2 causes used to build up prognosis.Aim: to identify most relevant risk factors for preterm birth and assess their impact on pregnancy.Materials and Methods. The prospective comparative study was conducted that included group 1 - 36 women with term pregnancy, group 2 - 35 with preterm labor. Establishment of the menstrual cycle has been studied by assessing reproductive, somatic history, and course of current pregnancy.Results. The postpartum women from group 2 were characterized by older age (30.42 ± 6.19 years; p = 0.038). The groups differed by the age of menarche: in group 2, its onset was recorded earlier (11.31 ± 0.79 years), showing shorter duration of menstruation (4.25 ± 1.26 days) as well as menstrual cycle (27.71 ± 3.46 days). Infections in puberty were substantially more frequent in postpartum women from group 2: group 2 vs. group 1 - in 21 vs. 8 postpartum women (p < 0.001); a history of urinary tract infections was also more common in group 2 (in 17 puerperas; p = 0.003), that is also typical for cases resulting in preterm pregnancy. The causative agent of bacterial vaginosis in group 2 was more often presented by Atopobium vaginae (in 17 puerperas; p = 0.0001), with Gardnerella vaginalis found less frequently (in 13 puerperas; p = 0.024), which is important to know for selecting proper therapy. During full-term pregnancy, the Lactobacillus crispatus strain, that determines vaginal health, was excreted significantly more often (in 29 puerperas; p = 0.009). Anemia affecting the antenatal fetal development and the course of labor was significantly more frequent in group 2 (in 22 puerperas; p < 0.001).Conclusion. While planning pregnancy, it is necessary to take into account the age, menstrual cycle features, history of former infections, vaginal microbiota features, as well as conduct proper therapy and prevention in pregravid period.

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Rizo-Topete, Lilia, and Claudio Ronco. "Critical Care Nephrology: A Multidisciplinary Approach." Blood Purification 43, no. 1-3 (2016): 53–56. http://dx.doi.org/10.1159/000453018.

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Acute kidney injury (AKI) is a serious medical condition affecting millions of people. Patients in intensive care unit (ICU) who develop AKI have increased morbidity and mortality, prolonged length of stay in ICU and hospital and increased costs, especially when they require renal replacement therapy. In the latter case, morbidity and mortality increase further. In order to meet the needs of the critically ill patients, a multidisciplinary care team is required, combining the efforts of physicians and nurses from different disciplines as well as nephrologists and intensivists. A personalized patient management is strongly recommended as proposed by the recent criteria of precision medicine. Early identification of patients at risk and timely intervention in case of AKI diagnosis can be obtained by integrating the role of nephrologist in the ICU practice. An innovative model of organization by introducing the nephrology rapid response team is advocated to manage critically ill patients with kidney problems in order to make early diagnosis and interventions, to reduce progression toward CKD and improve renal recovery. The routine adoption of AKI biomarkers together with such a collegial teamwork may represent the pathway toward success.

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Akesson, H., and M. Bjellerup. "Leg ulcers: report on a multidisciplinary approach." Acta Dermato-Venereologica 75, no. 2 (1995): 133–35. http://dx.doi.org/10.2340/0001555575133135.

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In a Swedish survey, leg ulcer disease has been found to have a prevalence of around 1%. The multifactorial etiology requires a multidisciplinary approach. Forty-three patients with leg ulcers have been examined clinically and by pathophysiological and roentgenological investigations. Proper conservative treatment was instituted in 25 of the patients, and the remaining were treated by venous surgery, arterial surgery and skin transplantation. The previously used therapy only achieved healing in 23% of these patients, but after multidisciplinary assessment and treatment the healing rate was improved to 83%. The ulcer-free period of the whole group was 62% during a follow-up of 24 (3-36) months. The healing of venous ulcers can be improved by a multidisciplinary assessment by a vascular surgeon and a dermatologist.

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Gobert, Denise. "A Multidisciplinary Approach to Concussion Management of College Athletes." Journal of Head Trauma Rehabilitation 23, no. 5 (2008): 342–43. http://dx.doi.org/10.1097/01.htr.0000336854.60069.7c.

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Prada, Simone Graziani, Adriana Ugolini Benatti de Siqueira, Gabriela Machado Camargo, et al. "The anxiety, depression, and TMD: Multidisciplinary therapy." Headache Medicine 15, no. 4 (2024): 274–86. https://doi.org/10.48208/headachemed.2024.47.

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Abstract Introduction Temporomandibular disorder (TMD) affects the jaw and muscles, often linked to stress, anxiety, and sleep issues. Comprehensive care addressing physical and psychological factors improves outcomes. ObjectiveThis study proposed a multidisciplinary approach (psychologists, dentists, and physical therapists) to treat these conditions with non-pharmacological techniques, aiming for a more effective and personalized treatment. MethodThe research was conducted at the Sacomã Basic Health Unit in São Paulo, Brazil, and included 12 healthcare professionals in an active intervention and 6 patients as a control group during 1 month. The intervention consisted of four weekly one-hour sessions and home therapies sent via WhatsApp, utilizing stretching, mindfulness, thermotherapy, self-massage, and cognitive-behavioral therapy. Participants completed pre- and post-intervention questionnaires on depression (PHQ-9), anxiety (GAD-7), bruxism (OBC), and pain (GCPS and Pain Drawing). ResultsThe interventions resulted in significant reductions in the PHQ-9 (p=0.028), GAD-7 (p=0.039), OBC (p=0.015), and PD (p=0.016) scales, demonstrating the positive impact of group dynamics. Additionally, there was a decrease in pain and an improvement in the quality of life of the participants. ConclusionDespite sample limitations, the data indicate that multidisciplinary interventions can effectively manage TMD, resulting in reduced pain and associated symptoms. The approach showed potential to improve patients' quality of life, highlighting the importance of integrated and personalized treatment. Future studies with larger samples and extended follow-up are necessary to validate these findings and expand the applicability of the

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Hertogh, Cmpm, W. Deerenberg-Kessler, and MW Ribbe. "The problem-oriented multidisciplinary approach in Dutch nursing home care." Clinical Rehabilitation 10, no. 2 (1996): 135–42. http://dx.doi.org/10.1177/026921559601000209.

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Lee, Byung-Boong, and John J. Bergan. "Advanced Management of Congenital Vascular Malformations: A Multidisciplinary Approach." Cardiovascular Surgery 10, no. 6 (2002): 523–33. http://dx.doi.org/10.1177/096721090201000601.

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Introduction Management of congenital vascular malformations (CVM) remains a major challenge because treatment carries a substantial risk of morbidity and recurrence of the fundamental problem. The new classification of CVM allows a multidisciplinary approach to the treatment with full integration of the several treatment modalities. The multidisciplinary approach was introduced at our CVM Clinic in 1995 and this report summarizes our results to date. Patients and methods The CVM Clinic is attended by 15 different specialties. These allow application of advanced diagnosis and treatments. The interdisciplinary consultation allows proper application of the various treatment modalities including embolosclerotherapy and surgical therapy. The embolosclerosants utilized are absolute ethanol and N-butyl cyanoacrylate (NBCA). These are used for venous malformations (VM), arteriovenous shunting malformations (AVM), and hemolymphatic malformations (HLM). These agents are used independently and as preoperative adjuncts. Among the 438 patients treated between September 1995 and September 1999, there were 99 patients treated with combinations of embolosclerotherapy. There were 286 sessions, 252 of which were for ethanol sclerotherapy and 247 of these employed ethanol alone and five were combined with NBCA. Independent embolotherapy with NBCA was instituted more recently and has been used in 28 sessions. Perioperative embolosclerotherapy has been performed in 43 sessions, mostly as preliminary preparation to reduce subsequent surgical morbidity. Followup assessment of immediate and interim results after completion of multisession therapy has been done using combinations of noninvasive diagnostic testing. Results The immediate success rate of embolosclerotherapy has been 94.7% (271/286 sessions). There has been an immediate 5.2% failure (15/286 sessions). Failures have largely been due to forced abandonment of the sclerosing procedure due to risk of deep venous thrombosis. Interim results though short-term success following completion of multisession therapy, average 3.2 sessions per patient, were satisfactory. Complications, mostly skin damage from embolosclerotherapy were experienced in 31 patients during the 286 sessions performed on 99 patients. These skin complications were discussed and accepted by the multidisciplinary team which recognized unavoidable morbidity accompanying the ethanol therapy when applied to superficially located lesions. The overall morbidity included complication rate per session (14.7%, 42/286) and 31.3% per patient (31/99). Recovery from the skin complications has been mostly spontaneous but one case in which peroneal nerve palsy occurred became permanent. There has been no recurrence the lesions treated successfully, and this has been confirmed through a battery of noninvasive testing. The average follow-up period after completion of multisession therapy is relatively short with 10.6 months (6.0–32 months) only to meet the condition as interim results. Fourteen patients have undergone surgical ablation after preoperative embolosclerotherapy and the surgical morbidity has been minimal. Conclusion An accurate diagnosis and multidisciplinary treatment strategy for management of CVMs can improve overall treatment success with a reduced morbidity and recurrence over conventional approaches. This study reviews current trends in contemporary diagnosis and clinical management of congenital vascular malformations (CVM) of the peripheral vascular system emphasizing our new multidisciplinary approach.

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Colmone, A. "A gene therapy approach for diabetes." Science 348, no. 6238 (2015): 985–86. http://dx.doi.org/10.1126/science.348.6238.985-e.

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Lenker, Hallie. "Multidisciplinary Rehabilitation Within Pediatric Cancer Care: A Holistic Approach." Rehabilitation Oncology 39, no. 2 (2021): E12—E14. http://dx.doi.org/10.1097/01.reo.0000000000000263.

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Lugović-Mihić, Liborija, Jelena Meštrović-Štefekov, Ines Potočnjak, et al. "Atopic Dermatitis: Disease Features, Therapeutic Options, and a Multidisciplinary Approach." Life 13, no. 6 (2023): 1419. http://dx.doi.org/10.3390/life13061419.

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The latest findings regarding AD pathogenesis point to an impaired function of the epidermal barrier, changed immune response, colonization of the skin by microorganisms, and certain psychological factors among other causes/triggers. The inflammatory response of AD patients is mainly associated with the activation of T cells (Th2 cells predominate), dendritic cells, macrophages, keratinocytes, mast cells, and eosinophils. Therapy usually involves medical evaluations and adequate management including treatment of concomitant diseases (e.g., allergies and infections), patient education and nursing care, psychological support, and nutritional consultations, which are organized through specific programs and structured educational groups. Systemic AD therapy includes conventional systemic treatment (cyclosporine, methotrexate, azathioprine) and new, specific drugs, interleukin inhibitors (e.g., dupilumab) and JAK inhibitors (baricitinib, abrocitinib, upadacitinib, etc.). Since many AD patients are affected by various psychological factors and comorbidities, they should be assessed and managed through a multidisciplinary approach, involving different professions (psychologists, ear–nose–throat specialists, pulmonologists, allergologists, immunologists, nutritionists, pediatricians, gastroenterologists, psychiatrists (when necessary), and others). A multidisciplinary approach provides better coping strategies and improves control over the disease, patient adherence to therapy, and quality of life. It also has a positive influence on family quality of life while at the same time making more efficient use of dermatology healthcare resources, reducing the economic burden on both patients and society.

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Matsumiya, Goro, Masayuki Sakaki, Tomoyuki Fujita, et al. "Improving Results of Mechanical Circulatory Assist Device Therapy by Multidisciplinary Approach." Journal of Cardiac Failure 13, no. 6 (2007): S20. http://dx.doi.org/10.1016/j.cardfail.2007.06.083.

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Brown, Heidi W., Hayley C. Barnes, Amy Lim, Dobie L. Giles, and Sarah E. McAchran. "Better together: multidisciplinary approach improves adherence to pelvic floor physical therapy." International Urogynecology Journal 31, no. 5 (2019): 887–93. http://dx.doi.org/10.1007/s00192-019-04090-w.

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Nedrud, Marybeth, John Wang, Valeria Maldonado Grijalva, et al. "Implementation outcomes of a multidisciplinary approach for Lu177-PSMA-617 therapy." Journal of Clinical Oncology 42, no. 4_suppl (2024): 80. http://dx.doi.org/10.1200/jco.2024.42.4_suppl.80.

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80 Background: Lu177-PSMA-617 (LuPSMA) is a recently approved treatment for patients with metastatic castration resistant prostate cancer (mCRPC). Successful treatment in real-world practice requires coordination between nuclear medicine, radiation safety, and medical oncology. We report outcomes from implementation of a multidisciplinary approach for LuPSMA administration at our institution. Methods: Our practice prior to treatment included collaborative radiologist review of PSMA PET/CT and oncologist review of prior therapies, performance status, and baseline laboratory values to establish candidacy. For each administration, procedures included confirming IV patency, use of a shielded infusion pump, IV hydration, and standardized radiation safety recommendations. On treatment, practices included scheduled laboratory monitoring, standardized treatment holds and dose reductions, coordination of care with a dedicated advanced practitioner, and mid-treatment conventional imaging. Retrospective chart review was completed for 100 mCRPC patients who received ≥1 dose of LuPSMA from June 2022 to August 2023 under this protocol. Outcomes including number of treatments, dose reductions/holds, PSA, and clinical imaging responses were reviewed. Results: Ninety-eight patients were included in the analysis (2 patients were excluded due to prior LuPSMA on clinical trial). In patients completing LuPSMA at time of data collection, median number of treatments was 4.0 (IQR=4.0, n=95), with 41% receiving all 6 planned treatments (n=39/95). During treatment, 16% experienced a treatment hold (n=16/98) with 25% ultimately completing 6 treatments (n=4/16; median=3.0, IQR=3.25). Holds were due to worsening symptoms (44%, n=7/16) or cytotoxicity (44%, n=7/16). Dose reductions occurred in 8% (n=8/98), with 38% completing 6 treatments (n=3/8; median treatments= 4.5, IQR= 3.0). Early discontinuation primarily occurred due to clinician-assessed progression (57%, n=32/56) or cytotoxicity (25%, n=14/56). Of those with early discontinuation due to progression, 70% had a rising PSA at time of discontinuation (n=21/30) and all had worsening disease on available mid-treatment imaging (n=15/15). For the remainder with early discontinuation due to progression, 20% had stable PSA (n=6/30) and 10% had decreasing PSA at time of discontinuation (10%, n=3/60). In those with stable or rising PSA, 75% terminated treatment due to worsening disease on available mid-treatment imaging (n=6/8). Conclusions: Our protocol for LuPSMA administration allows for early identification of clinical progression and completion of therapy when appropriate. Treatment holds and dose reductions facilitate therapy completion in select patients. Mid-treatment imaging may identify worsening disease in the setting of stable or decreasing PSA, underlying the potential importance of this practice for clinical decision making.

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Krenzien, Felix, Nora Nevermann, Alina Krombholz, et al. "Treatment of Intrahepatic Cholangiocarcinoma—A Multidisciplinary Approach." Cancers 14, no. 2 (2022): 362. http://dx.doi.org/10.3390/cancers14020362.

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Intrahepatic cholangiocarcinoma (iCC) is distinguished as an entity from perihilar and distal cholangiocarcinoma and gallbladder carcinoma. Recently, molecular profiling and histopathological features have allowed further classification. Due to the frequent delay in diagnosis, the prognosis for iCC remains poor despite major technical advances and multimodal therapeutic approaches. Liver resection represents the therapeutic backbone and only curative treatment option, with the functional residual capacity of the liver and oncologic radicality being deciding factors for postoperative and long-term oncological outcome. Furthermore, in selected cases and depending on national guidelines, liver transplantation may be a therapeutic option. Given the often advanced tumor stage at diagnosis or the potential for postoperative recurrence, locoregional therapies have become increasingly important. These strategies range from radiofrequency ablation to transarterial chemoembolization to selective internal radiation therapy and can be used in combination with liver resection. In addition, adjuvant and neoadjuvant chemotherapies as well as targeted therapies and immunotherapies based on molecular profiles can be applied. This review discusses multimodal treatment strategies for iCC and their differential use.

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Kardangusheva, A. М., and Н. A. Sabanchieva. "Idiopathic pulmonary fibrosis: possibilities of multidisciplinary diagnostic approach." Russian Pulmonology 28, no. 5 (2018): 622–25. http://dx.doi.org/10.18093/0869-0189-2018-28-5-622-625.

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Idiopathic pulmonary fibrosis (IPF) is the commonest form of idiopathic interstitial pneumonias with very poor prognosis. Currently, diagnostic and treatment approaches to this disease have been revised. Confirmation of the diagnosis requires careful exclusion of other known causes of interstitial lung diseases and the presence of usual interstitial pneumonia (UIP) pattern on high-resolution computed tomography (HRTC) and/or on lung biopsy. Also, multidisciplinary discussion involving experts with experience in the diagnosis of interstitial lung diseases is recommended. Given recent knowledge on pathogenesis of IPF antifibrotic drugs are recommended for the therapy of this disease. A clinical case that demonstrates the multidisciplinary approach to diagnosis of IPF is reported in this article.

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Riely, Gregory J., James Huang, and Andreas Rimner. "Multidisciplinary Management of Thymic Carcinoma." American Society of Clinical Oncology Educational Book, no. 32 (June 2012): 466–70. http://dx.doi.org/10.14694/edbook_am.2012.32.167.

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Overview: Thymic carcinomas represent approximately 10% of thymic tumors. In our approach to patients with thymic carcinoma, we emphasize multimodality treatment with close communication between the pathologist, thoracic surgeon, medical oncologist, and radiation oncologist. Given the paucity of high-quality clinical research data, treatment decisions are guided by a small amount of prospective trial data, retrospective reports, and clinical experience. Surgical management of thymic carcinoma must account for the more aggressive biology, higher degree of local invasion of neighboring structures, greater propensity for nodal metastasis, and higher risk of distant metastatic disease. Although surgical resection remains the most important component in the management of localized thymic tumors, radiation therapy (RT) may be used as adjuvant therapy after surgical resection or as the definitive treatment modality in patients who are deemed unresectable because of medical comorbidities or technical reasons. Systemic therapy for thymic carcinoma is used in two clinical scenarios: preoperative treatment and palliative therapy. First-line, platinum-based chemotherapy regimens are associated with response rates between 22% and 75%. Recent data from targeted therapy trials do not reveal a clear role for targeted therapies for patients with thymic carcinoma.

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