Journal articles: 'Therapy Treatment Process'

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Korkia, Pirkko. "Osteoporosis: process, prevention, and treatment." Journal of Bodywork and Movement Therapies 6, no. 3 (July 2002): 156–69. http://dx.doi.org/10.1054/jbmt.2001.0273.

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Levine, Todd D., Jonathan S. Katz, Richard Barohn, Leslie J. Vaughan, Mazen M. Dimachkie, David S. Saperstein, Tahseen Mozaffar, et al. "Review process for IVIg treatment." Neurology: Clinical Practice 8, no. 5 (September 27, 2018): 429–36. http://dx.doi.org/10.1212/cpj.0000000000000520.

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BackgroundThis project is an effort to understand how orders for IV immunoglobulin (IVIg) are documented and prescribed by physicians, and subsequently, how they are reviewed by insurance companies for the treatment of immune neuropathies.MethodsA panel of neuromuscular specialists reviewed case records from 248 IVIg-naive patients whose in-home IVIg infusion treatment was submitted to insurance for authorization. After reviewing a case record, 1 panelist was asked to make a diagnosis and to answer several questions about the treatment. A second panelist reviewed the original record and follow-up records that were obtained for reauthorization of additional treatments and was asked to determine whether the patient had responded to the treatment.ResultsOur specialists believed that only 32.2% of 248 patients had an immune neuropathy and were appropriate candidates for IVIg therapy, whereas 46.4% had neuropathies that were not immune mediated. Only 15.3% of cases met electrodiagnostic criteria for a demyelinating neuropathy. Our specialists believed that 36.7% of 128 cases with follow-up records had responded to therapy. In cases in which the initial reviewer had predicted that there would be a response to IVIg, the second reviewer found that 54% had responded. This is compared with a 27% response rate when the first reviewer predicted that there would be no response (p = 0.019).ConclusionsOur expert review finds that the diagnosis of immune neuropathies made by providers, and subsequently approved for IVIg therapy by payers, is incorrect in a large percentage of cases. If payers include an expert in their review process, it would improve patient selection, appropriate use, and continuation of treatment with this expensive therapeutic agent.

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Hagen, Chris. "Treatment of aphasia: A process approach." Journal of Head Trauma Rehabilitation 3, no. 2 (June 1988): 23–34. http://dx.doi.org/10.1097/00001199-198806000-00004.

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Shkvarkovskyi, I. V., T. V. Antoniuk, I. M. Kozlovska, and O. B. Rusak. "VACUUM THERAPY IN THE TREATMENT OF PYO-NECROTIC PROCESS." Clinical anatomy and operative surgery 12, no. 2 (March 23, 2013): 59–63. http://dx.doi.org/10.24061/1727-0847.12.2.2013.14.

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Conroy, Ronán M., Mairéad McDonnell, and Joni Swinney. "Process-Centred Art Therapy in Anorexia Nervosa." British Journal of Occupational Therapy 49, no. 10 (October 1986): 322–23. http://dx.doi.org/10.1177/030802268604901004.

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The authors report on their evolution of inpatient art therapy in the treatment of anorexia nervosa. Having begun with an approach based on assigned themes, they later abandoned this in favour of an approach based on the process of painting. The difficulties inherent in the former approach may be fundamentally related to the psychopathology and treatment needs of patients with anorexia.

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Nowicki, A., J. Jaworska, and W. Baranski. "Leech therapy in the treatment of a penile haematoma in a stallion." Veterinární Medicína 66, No. 6 (May 31, 2021): 266–71. http://dx.doi.org/10.17221/163/2020-vetmed.

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Treatment of penile haematomas includes conventional therapy and/or surgical intervention which may not always result in the recovery of all penile functions. For valuable breeding stallions, a safe and effective treatment is necessary and medical leech therapy meets these criteria. Additionally, the proven efficiency and safety of the use of leeches in the resolution of haematomas makes this method applicable to other fields of veterinary medicine. A 14-year-old stallion was presented and assigned to the university hospital with a swollen and prolapsed penis. The owner reported that the stallion was likely kicked in the penis while mating. There were no deviations in the physiological indicators during the general examination. A drainage was inserted and a compression bandage was applied. After an initial slight subsidence of the oedema, the healing process slowed down. Hence, the experimental leech treatment was applied. The hirudotherapy was performed twice, five days apart. The hirudotherapy proved to be safe and effective, and with the addition of hydrotherapy, anti-inflammatory drugs and antibiotics, resulted in the full recovery of the horse within 45 days. The erectile functions of the penis were restored and the stallion successfully continued its breeding career.

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Ak, Sertaç, and Nadir Yalçin. "Do Antiepileptic Drugs Used During Electroconvulsive Therapy Impact Treatment Process?" Journal of Clinical Psychopharmacology 38, no. 4 (August 2018): 344–48. http://dx.doi.org/10.1097/jcp.0000000000000910.

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Jansen, Shahieda. "Engaging boys in treatment: Creative approaches to the therapy process." Journal of Child & Adolescent Mental Health 23, no. 2 (December 2011): 165–66. http://dx.doi.org/10.2989/17280583.2011.634555.

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Martin, Sherri, and Gayle Privette. "Process model of grief therapy in an alcohol treatment program." Journal for Specialists in Group Work 14, no. 1 (March 1989): 46–52. http://dx.doi.org/10.1080/01933928908411886.

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Wilson, Carol A., James F. Alexander, and Charles W. Turner. "Family Therapy Process and Outcome Research: Relationship to Treatment Ethics." Ethics & Behavior 6, no. 4 (December 1996): 345–52. http://dx.doi.org/10.1207/s15327019eb0604_5.

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Beutel, Manfred E., Katja Böhme, Mita Banerjee, and Rüdiger Zwerenz. "Psychodynamic Online Treatment Following Supportive Expressive Therapy (SET):Therapeutic Rationale, Interventions and Treatment Process." Zeitschrift für Psychosomatische Medizin und Psychotherapie 64, no. 2 (June 2018): 186–97. http://dx.doi.org/10.13109/zptm.2018.64.2.186.

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Pavlacic, Jeffrey M., and John Young. "Process-Based Cognitive Behavioral Therapy: A Framework for Conceptualization and Treatment." Clinical Case Studies 19, no. 6 (August 26, 2020): 456–72. http://dx.doi.org/10.1177/1534650120951858.

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Process-Based Cognitive Behavioral Therapy (PB-CBT) is the integration of biological, psychological, and social factors into idiographic structural models used to conceptualize patient problems and select transdiagnostic, evidence-based procedures for clinical intervention to improve well-being. Despite the clinical utility and applicability of this transdiagnostic approach to case conceptualization and treatment, little research or formal guidance exists on how to create individualized structural models in clinical practice. Traditional clinical psychology, on the contrary, employs a diagnosis to treatment matching system. While useful, diagnosis to treatment models of intervention neglect contextual factors that contribute to patient problems and have led to a proliferation of treatment manuals for specific diagnoses. The current case study described a college male who coped with emotional difficulties through avoidance, isolation, food restriction, and alcohol use. In addition to psychopathology, the patient also identified as bisexual in a predominantly homophobic social environment, which exacerbated psychological distress. These various factors were integrated into a structural model that aided the selection of transdiagnostic interventions. At the conclusion of treatment, the patient reported meaningful reductions in psychological symptoms, in addition to various functional gains consistent with his values, such as an increased ability to tolerate difficult emotions, increased mindfulness skills, and an openness to discuss emotions with peers. Structural models and transdiagnostic interventions may help conceptualize patients presenting with multiple forms of psychopathology.

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RONEN, TAMMIE. "CLIENT SELF-ASSESSMENT OF THERAPY PROCESS IN THE TREATMENT OF ANOREXIA." Journal of Constructivist Psychology 16, no. 1 (January 2003): 49–74. http://dx.doi.org/10.1080/10720530390117858.

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Treder-Wolff, Jude. "Music therapy as a facilitator of creative process in addictions treatment." Arts in Psychotherapy 17, no. 4 (December 1990): 319–24. http://dx.doi.org/10.1016/0197-4556(90)90051-q.

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CRAIG, CORA LYNN, CATRINE TUDOR-LOCKE, SUE CRAGG, and CHRISTINE CAMERON. "Process and Treatment of Pedometer Data Collection for Youth." Medicine & Science in Sports & Exercise 42, no. 3 (March 2010): 430–35. http://dx.doi.org/10.1249/mss.0b013e3181b67544.

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Zettle, Robert D., and Steven C. Hayes. "Component and Process Analysis of Cognitive Therapy." Psychological Reports 61, no. 3 (December 1987): 939–53. http://dx.doi.org/10.2466/pr0.1987.61.3.939.

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A component and process analysis of cognitive therapy was conducted. Three components, distancing, cognitive restructuring, and behavioral homework, were presented in various sequential combinations during 12 wk. of treatment to 12 women between 22 and 64 yr. of age ( M = 41.5 yr.). Time-series analyses of individual improvement suggested that components combined in an additive rather than interactive manner. The mechanisms through which components initiated therapeutic change were evaluated by measures assessing both cognitive and behavioral processes specific to depression. The results of the component and process analysis differed from predictions derived from cognitive theory. Replication with a larger sample is needed. Implications for the practice of and further research in cognitive therapy are discussed.

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Liddle, Howard A. "Multidimensional Family Therapy." SUCHT 56, no. 1 (February 2010): 43–50. http://dx.doi.org/10.1024/0939-5911/a000011.

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Background: Multidimensional family therapy is the most researched family based intervention for adolescent substance abuse. Research and coverage: Funded continuously since 1985 in a series of controlled trials, process studies, economic analyses, and implementation studies, MDFT has achieved positive outcomes at post treatment and at various follow-up periods at one year and beyond when compared to a variety of active treatments, including cognitive behavior therapy, group counseling, multifamily groups, as well as in comparisons against services as usual. MDFT is a treatment system rather than a one size fits all model, having been adapted for testing and implementation in a variety of U.S. locations and in a multinational controlled trial in Europe over the past 5 years (Berlin, Paris, Brussels, The Hague, and Geneva). Studies have tested MDFT in juvenile justice settings such as drug courts, detention centers, residential treatment, as well as in outpatient treatment offered in drug and juvenile justice outpatient settings.

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Bussière, Marc R., and Judith A. Adams. "Treatment Planning for Conformal Proton Radiation Therapy." Technology in Cancer Research & Treatment 2, no. 5 (October 2003): 389–99. http://dx.doi.org/10.1177/153303460300200504.

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Clinical results from various trials have demonstrated the viability of protons in radiation therapy and radiosurgery. This has motivated a few large medical centers to design and build expensive hospital based proton facilities based proton facilities (current cost estimates for a proton facility is around $100 million). Until this development proton therapy was done using retrofitted equipment originally designed for nuclear experiments. There are presently only three active proton therapy centers in the United States, 22 worldwide. However, more centers are under construction and being proposed in the US and abroad. The important difference between proton and x-ray therapy is in the dose distribution. X-rays deposit most of their dose at shallow depths of a few centimeters with a gradual decay with depth in the patient. Protons deliver most of their dose in the Bragg peak, which can be delivered at most clinically required depths followed by a sharp fall-off. This sharp falloff makes protons sensitive to variations in treatment depths within patients. Treatment planning incorporates all the knowledge of protons into a process, which allows patients to be treated accurately and reliably. This process includes patient immobilization, imaging, targeting, and modeling of planned dose distributions. Although the principles are similar to x-ray therapy some significant differences exist in the planning process, which described in this paper. Target dose conformality has recently taken on much momentum with the advent of intensity modulated radiation therapy (IMRT) with photon beams. Proton treatments provide a viable alternative to IMRT because they are inherently conformal avoiding normal tissue while irradiating the intended targets. Proton therapy will soon bring conformality to a new high with the development of intensity modulated proton therapy (IMPT). Future challenges include keeping the cost down, increasing access to conventional proton therapy as well as the clinical implementation of IMPT. Computing advances are making Monte Carlo techniques more accessible to treatment planning for all modalities including proton therapy. This technique will allow complex delivery configurations to be properly modeled in a clinical setting.

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Zilversmit, Charlotte. "Teaching Family Therapy." Social Casework 69, no. 8 (October 1988): 511–17. http://dx.doi.org/10.1177/104438948806900806.

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Family agencies are faced with the task of teaching new workers to use a family model. The author presents a model for training in which aspects of the training group's process are used as a training tool that parallels the family treatment process.

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Fasoli, Susan E., and Christine C. Chen. "What Do Clinicians Need From a Rehabilitation Treatment Taxonomy? An Alternate Approach for Describing Treatment Content Versus Process." Archives of Physical Medicine and Rehabilitation 95, no. 1 (January 2014): S74—S76. http://dx.doi.org/10.1016/j.apmr.2013.06.037.

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Speckens, Anne E. M., Philip Spinhoven, Albert M. van Hemert, Jan H. Bolk, and Keith E. Hawton. "Cognitive Behavioural Therapy for Unexplained Physical Symptoms: Process and Prognostic Factors." Behavioural and Cognitive Psychotherapy 25, no. 3 (July 1997): 291–94. http://dx.doi.org/10.1017/s1352465800018580.

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The aims of this study were to examine the construct validity of a cognitive behavioural treatment model for medically unexplained physical symptoms and to examine potential predictors of treatment outcome. In concordance with the treatment model we used, the extent of hypochondriacal cognitions and psychological distress at baseline appeared to be associated. Change in hypochondriacal cognitions was related to change in psychological distress. The extent of hypochondriacal cognitions after treatment was predictive of the level of psychological distress at one year follow-up. The only baseline variable that predicted a negative treatment outcome was illness behaviour.

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Jolly, Rachel. "Book Review: Engaging Boys in Treatment: Creative Approaches to the Therapy Process." Dramatherapy 34, no. 1 (March 2012): 52–54. http://dx.doi.org/10.1080/02630672.2012.658212.

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McLendon, Tara, Don McLendon, and Luke Hatch. "Engaging Families in the Residential Treatment Process Utilizing Family-Directed Structural Therapy." Residential Treatment For Children & Youth 29, no. 1 (January 2012): 66–77. http://dx.doi.org/10.1080/0886571x.2012.643679.

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Turkington, Douglas, and Ronald Siddle. "Cognitive therapy for the treatment of delusions." Advances in Psychiatric Treatment 4, no. 4 (July 1998): 235–41. http://dx.doi.org/10.1192/apt.4.4.235.

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Traditionally, delusions have been viewed as false, unshakeable beliefs which arise out of internal morbid processes and are out of keeping with a person's educational and cultural background (Hamilton, 1978). Primary delusions appear to arise without understandable cause, and secondary delusions appear more understandable in relation to the prevailing affective state or cultural climate (Sims, 1995), for example. However, during the cognitive therapy process we would expect that even primary delusions might become more understandable as the patient's life history and belief profile are gradually disclosed.

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Fawber, Heidi L., and James F. Wachter. "Job placement as a treatment component of the vocational rehabilitation process." Journal of Head Trauma Rehabilitation 2, no. 1 (March 1987): 27–33. http://dx.doi.org/10.1097/00001199-198703000-00006.

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Frantz, Robert P. "Treatment Considerations for Pulmonary Arterial Hypertension and Assessment of Treatment Response." Advances in Pulmonary Hypertension 16, no. 3 (January 1, 2018): 120–24. http://dx.doi.org/10.21693/1933-088x-16.3.120.

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The process of considering initial treatment options for a patient with pulmonary arterial hypertension (PAH), implementing that treatment, and reassessing response can be conceived as a 7-step process. A patient-centered approach, conducted in the context of a pulmonary hypertension care team, implements these steps in a thoughtful and well-organized fashion.Step 1: Perform a thorough diagnostic evaluationStep 2: Consider patient PAH classification and comorbiditiesStep 3: Assess risk profileStep 4: Develop a nuanced understanding of patient goals and preferencesStep 5: Create an initial treatment strategyStep 6: Implement a proactive longitudinal follow-up care planStep 7: Adjust treatment approach based on clear metrics of effectiveness and tolerability The burgeoning array of treatment options for PAH provides the opportunity to tailor therapy to the needs of individual patients, but also demands that the clinician develop a cogent strategy for initiating therapy, monitoring therapeutic response, and addressing side effects of therapy. In this review, we seek to provide a practical framework for approaching this challenge.

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Gornas, M., and C. Szczylik. "Oral treatment of metastatic breast cancer (MBC) with capecitabine (X): What influences the decision-making process?" Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 1111. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.1111.

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1111 Background: MBC may be considered a chronic disease. Many treatments require frequent clinic visits or hospitalization. Oral X is active, well tolerated, and offers several opportunities per cycle for dose adjustment. This observational study assessed patient (pt) preferences determining treatment choice. Methods: Female MBC pts eligible for X answered a questionnaire about influences on their preference for oral therapy: desire to continue their job, possibility of staying at home during treatment, more convenient way of taking medication, medical contraindications for i.v. treatment, and/or contraindication for combination therapy. Data on medical history (stage, treatment, metastatic sites) were also collected. Results: 218 questionnaires were analyzed. Median age at diagnosis was 52 years (range 27–77). Prior therapy included neoadjuvant chemotherapy (CT; 32%), surgery (93%, including 5% breast-conserving), adjuvant CT (62%), adjuvant endocrine therapy (ET; =52%), and ET for MBC (48%). X was given 1st-line for MBC in 38 pts (17%), 2nd-line in 85 (39%), and =3rd-line in 95 (44%). The most common reason for choosing oral X was more convenient form of drug delivery (154/218; 71%). 147 pts (67%) gave >1 reason for choosing oral therapy. In pts with only one reason (n=71), the most common were possibility of staying at home during treatment (30/71; 42%) and more convenient form of drug (15/71; 21%). Pts receiving 2nd-line X preferred to receive drugs in a more friendly way (62/85; 73%) and stay at home during therapy (63/85; 74%). Corresponding values in pts receiving =3rd-line X were 68/95 (72%) and 53/95 (56%), respectively. Conclusions: MBC causes many psychologic and social problems. Pts prefer to receive drugs in a more friendly way at home. Therefore exploration and introduction of new, effective oral drugs into MBC treatment is vital. No significant financial relationships to disclose.

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Muxitdinova, T. "ЭФФЕКТИВНОСТЬ ИСПОЛЬЗОВАНИЯ ОЗОНОТЕРАПИИ В КОМПЛЕКСНОМ ЛЕЧЕНИИ НЕВЫНАШИВАНИЯ БЕРЕМЕННОСТИ." Doctor's Herald/ Доктор ахборотномаси /Вестник врача 93, no. 1 (March 30, 2020): 52–54. http://dx.doi.org/10.38095/2181-466x-2020931-52-54.

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The results of clinical studies on the biological effects of ozone therapy are summarized. A critical analysis of the data obtained using ozone therapy in obstetrics was performed. It is argued that the action of reactive oxygen species is determined, firstly, by the concentration of ozone, and secondly, by the stage of the pathological process. The problems of ozone therapy are analyzed and suggestions are made on the prospects for the development of ozone technologies in medicine.

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Zajęcka, Beata. "The Role of Family Therapy in the Process of Treatment Youth Addicted to Drugs." Prace Naukowe Akademii im. Jana Długosza w Częstochowie. Pedagogika 26, no. 2 (2017): 173–86. http://dx.doi.org/10.16926/p.2017.26.35.

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Holdman, Y. I., and E. V. Titovich. "HUMAN BODY ANTHROPOMORPHIC PHANTOM UTILISATION FOR THE COMPLEX TESTING OF RADIATION THERAPY TECHNOLOGICAL PROCESS." Doklady BGUIR, no. 7-8 (December 29, 2019): 133–40. http://dx.doi.org/10.35596/1729-7648-2019-126-8-133-140.

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The rapid development of technologies in the field of radiation therapy allows us nowadays to implement precision and most clinically effective radiotherapy techniques for oncological patient’s treatment to minimize the irradiation of normal tissues and improve local tumor control. An important condition for the implementation of the justification principle is strict compliance with the requirements for the accuracy of the dose delivered. High standards of radiation treatments performed are guaranteed by the development and strict compliance with the quality assurance (QA) program in the radiological department. However, due to QA programmes specificity, standardized and worldwide used tests included in the quality management system are trivial mechanical and dosimetric tests that can’t define the presence and magnitude of the integral error in the dose delivered to the patient, which arises as a result of the execution of sophisticated radiation therapy procedures, as well as to take into account the complexity of the implementation of modern methods of treatment. The aim of the work is to develop a method of complex dosimetric testing of the radiation therapy process (end-to-end audit), based on the utilization of the anthropomorphic phantom of the original design. The result of this work is the creation of the modified anthropomorphic phantom for precision dosimetric measurements, designed for testing the following technological procedures of the radiation therapy process: a computer tomography acquisition; a computerized treatment planning system, including a contouring module and dose distribution calculation algorithm; imaging systems integrated with radiation treatment units; dosimetric and technical characteristics of the radiation treatment units. Regular dosimetric testing of the radiation therapy technological process (end-to-end audit) with utilization of the technique proposed by the authors, based on the developed anthropomorphic phantom usage, will allow to assess the accuracy of dose distribution delivered to patients with all major malignant tumors localizations.

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Paul Urban, Peter, Christian Jacobi, and Sebastian Jander. "Treatment Standards and Individualized Therapy of Myasthenia Gravis." Neurology International Open 2, no. 02 (April 2018): E84—E92. http://dx.doi.org/10.1055/s-0043-124983.

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AbstractA wide range of established treatment options is currently available for myasthenia gravis. These include cholinesterase inhibitors for symptomatic treatment and a broad spectrum of immunosuppressive, immunomodulating or cell-depleting options to modify the underlying immunological process. Appropriate use allows the great majority of patients to lead a normal life. Specialized centers integrating outpatient and in-hospital resources as well as interdisciplinary competences offer important advantages for optimum individualized therapy.

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Kivlighan, Dennis M. "Career Group Therapy." Counseling Psychologist 18, no. 1 (January 1990): 64–79. http://dx.doi.org/10.1177/0011000090181003.

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In this article. the career group literature is examined in terms of the group process variables of therapeutic factors, client composition, and leadership variables in order to determine the use of group properties in the conduct of career group treatment. Two dimensions, "used" and "examined, " denote the function of the process variables within the group studies. A conceptual group career counseling model and research recommendations articulating and demonstrating group properties are given.

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Hofmann, Stefan G., and Steven C. Hayes. "The Future of Intervention Science: Process-Based Therapy." Clinical Psychological Science 7, no. 1 (May 29, 2018): 37–50. http://dx.doi.org/10.1177/2167702618772296.

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Clinical science seems to have reached a tipping point. It appears that a new paradigm is beginning to emerge that is questioning the validity and utility of the medical illness model, which assumes that latent disease entities are targeted with specific therapy protocols. A new generation of evidence-based care has begun to move toward process-based therapies to target core mediators and moderators based on testable theories. This could represent a paradigm shift in clinical science with far-reaching implications. Clinical science might see a decline of named therapies defined by set technologies, a decline of broad schools, a rise of testable models, a rise of mediation and moderation studies, the emergence of new forms of diagnosis based on functional analysis, a move from nomothetic to idiographic approaches, and a move toward processes that specify modifiable elements. These changes could integrate or bridge different treatment orientations, settings, and even cultures.

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Perlamutrov, Y. U., and E. V. Katushonok. "Fotophoresis and laser treatment in patients with chroniceczema." Russian Journal of Allergy 7, no. 2 (December 15, 2009): 28–31. http://dx.doi.org/10.36691/rja877.

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The aim. To evaluate the efficiency of physiotherapeutic methods and combine therapy on immune system and on oxidation process in patientes with chronic eczema. Materials and methods. There were 32 patients with severe chronic eczema, who were treated with standard systemic and topical therapy plus photophoresis with mometasone furoat (1 mg) and supracutaneus laser irradiation of blood (1 procedure). The efficiency of therapy was detected by the changes of EASI index, cell and humoral immunity parameters, antioxidation status. Results. After using of combine therapy in severe eczema patients positive changes in severity of cutaneous process and prolongation of remission periods were found out as well as normalization of immune status and levels of oxidation processes. Conclusion. The combine treatment of patients with severe chronic eczema is effective, available method of therapy of chronic eczema patients.

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Wagner, Henry, Maria Singer, Jamie Knipple, Amy Aurand, Paulette Repella, and Michele Ferenci. "Evaluation of process control in radiation oncology treatment planning." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 186. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.186.

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186 Background: ROTP extends from simulation (SIM) through the start of treatment and constitutes a sequence of processes. Accurate implementation of each of these is essential for proper treatment. Prior guidelines had been proposed in our department for conformal treatment and intensity modulated radiation therapy (IMRT) or Volumetric Modulated Arc Therapy (VMAT); these were often not met leading to dissatisfaction by staff and patients. To improve this we evaluated the current steps in ROTP in an effort to improve our process. Methods: We analyzed the records of 157 eligible patients who underwent CT simulation from 1/1/12 through 3/30/12, excluding patients treated for benign disease, brachytherapy, or patients who never started treatment. The departmental standard was for urgent cases to start within 4 days (d), non-IMRT cases to start in 5d and IMRT/VMAT/SBRT cases to start in 10d. We defined three intervals, from SIM to start of treatment, SIM to approval of the plan by the physician, and approval to treatment start. Results: The median interval between planning landmarks in work-days and the % exceeding planning standards plus 2 days are shown below. Almost half of cases exceeded departmental standards for timeliness of ROTP. Much of the variability occurred after the physician had approved the plan. Conclusions: To improve timeliness of ROTP we have introduced changes in our planning process: 1. Strict definition of urgent cases. 2. Assigning a start date at the time of simulation. 3. Case planning review by the Radiation Oncologist, dosimetrist (+/- Physicist) at SIM. 4. Daily review of task list by Chief of Physics and Department Chair. These changes have been implemented in our department and results of the first two months of their use will be presented. [Table: see text]

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Samusenkov, V. O., V. N. Tsarev, E. V. Ippolitov, A. V. Yumashev, and I. A. Yudin. "Photodynamic therapy in the treatment of periodontal diseases." Stomatology for All / International Dental review, no. 2020 4 (93) (December 2020): 12–14. http://dx.doi.org/10.35556/idr-2020-4(93)12-14.

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The article presents an overview of the use of photodynamic therapy in modern dentistry based on the literature sources. Various types of photosensitizers are presented, the action of which has a good effect on the course of the process in periodontal pockets. The conclusion is made about the vantages of using this method in the treatment of inflammatory periodontal diseases, as well as the effect of photodynamic therapy on the periodontal microbiota, which has a positive effect on the treatment of patients.

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Hogue, Aaron, Howard A. Liddle, and Cynthia Rowe. "Treatment adherence process research in family therapy: A rationale and some practical guidelines." Psychotherapy: Theory, Research, Practice, Training 33, no. 2 (1996): 332–45. http://dx.doi.org/10.1037/0033-3204.33.2.332.

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Agazaryan, Nzhde, Phillip Chow, James Lamb, Minsong Cao, Ann Raldow, Phillip Beron, John Hegde, and Michael Steinberg. "The Timeliness Initiative: Continuous Process Improvement for Prompt Initiation of Radiation Therapy Treatment." Advances in Radiation Oncology 5, no. 5 (September 2020): 1014–21. http://dx.doi.org/10.1016/j.adro.2020.01.007.

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Bucci, Wilma. "The Referential Process as a Common Factor Across Treatment Modalities." Research in Psychotherapy: Psychopathology, Process and Outcome 16, no. 1 (August 17, 2013): 16–23. http://dx.doi.org/10.4081/ripppo.2013.86.

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The paper emphasizes the need for a process component in psychotherapy re-search, and the need for a theoretical framework within which process measures may be designed and validated. The referential process, defined in the context of multiple code theory, provides a general psychological framework for understand-ing the mechanisms of therapeutic change in different treatment modalities. The referential process includes three major phases: arousal/activation; narra-tive/symbolizing and reorganizing/reflection. The paper reviews the theoretical roots of psychodynamic treatments, and several forms of cognitive behavioral treatments, including schema therapy for borderline personality disorder and expo-sure treatments for post-traumatic stress disorder, and shows how the phases of the referential process provide common mechanisms of change in each of these ap-proaches. Computerized measures of the referential process, in English and Italian versions, which have been applied and validated in clinical and experimental studies, are discussed.

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Hamdan, A.-L., E. Khalifee, H. Jaffal, and A. Ghanem. "Interarytenoid botulinum toxin A injection for the treatment of vocal process granuloma." Journal of Laryngology & Otology 133, no. 12 (November 12, 2019): 1041–45. http://dx.doi.org/10.1017/s0022215119002159.

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AbstractObjectivesTo report on the efficacy and adverse effects of interarytenoid botulinum toxin A injection for the treatment of vocal process granuloma.MethodsA retrospective chart review was conducted of eight patients with vocal process granuloma resistant to anti-reflux therapy who underwent interarytenoid botulinum toxin A injection. The mean dosage of botulinum toxin A injected was 6.56 U.ResultsFifty per cent of patients had complete regression of the lesion and 50 per cent had partial regression. The main side effects were breathiness (n = 4), voice breaks (n = 1) and aspiration (n = 1).ConclusionInterarytenoid botulinum toxin A injection for the treatment of vocal process granuloma is an effective mode of therapy, with transient vocal and swallowing side effects.

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Vakrinou, Paraskevi, and Ioanna Tzonichaki. "Animal assisted therapy and occupational therapy." Health & Research Journal 6, no. 3 (July 14, 2020): 85. http://dx.doi.org/10.12681/healthresj.25152.

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The therapeutic relationship between the therapist and the client is considered as a primarily goal for treatment and a significant factor for the programme success. In recent years, the scientific community has brought to light more and more findings concerning the human-animal bond. Many therapists are already incorporating Animal Assisted Therapy into their program as a complementary method. The Occupational Therapist, by introducing an animal to his sessions and using it as a therapeutic tool to achieve communicative, motor, mental, emotional and sensory goals can greatly benefit the patient. Scientific studies should be carried out in Greece in order to draw conclusions that will help all members of the interdisciplinary team to integrate an animal into the pre-treatment process taking into account factors that affect both one's health and ethical use of the animal.

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Maass, Kelsey, and Minsun Kim. "A Markov decision process approach to optimizing cancer therapy using multiple modalities." Mathematical Medicine and Biology: A Journal of the IMA 37, no. 1 (March 13, 2019): 22–39. http://dx.doi.org/10.1093/imammb/dqz004.

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Abstract There are several different modalities, e.g. surgery, chemotherapy and radiotherapy, that are currently used to treat cancer. It is common practice to use a combination of these modalities to maximize clinical outcomes, which are often measured by a balance between maximizing tumor damage and minimizing normal tissue side effects due to treatment. However, multi-modality treatment policies are mostly empirical in current practice and are therefore subject to individual clinicians’ experiences and intuition. We present a novel formulation of optimal multi-modality cancer management using a finite-horizon Markov decision process approach. Specifically, at each decision epoch, the clinician chooses an optimal treatment modality based on the patient’s observed state, which we define as a combination of tumor progression and normal tissue side effect. Treatment modalities are categorized as (1) type 1, which has a high risk and high reward, but is restricted in the frequency of administration during a treatment course; (2) type 2, which has a lower risk and lower reward than type 1, but may be repeated without restriction; and (3) type 3, no treatment (surveillance), which has the possibility of reducing normal tissue side effect at the risk of worsening tumor progression. Numerical simulations using various intuitive, concave reward functions show the structural insights of optimal policies and demonstrate the potential applications of using a rigorous approach to optimizing multi-modality cancer management.

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Brach, Jennifer S., and Jessie M. VanSwearingen. "Physical Therapy for Facial Paralysis: A Tailored Treatment Approach." Physical Therapy 79, no. 4 (April 1, 1999): 397–404. http://dx.doi.org/10.1093/ptj/79.4.397.

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AbstractBackground and Purpose. Bell palsy is an acute facial paralysis of unknown etiology. Although recovery from Bell palsy is expected without intervention, clinical experience suggests that recovery is often incomplete. This case report describes a classification system used to guide treatment and to monitor recovery of an individual with facial paralysis. Case Description. The patient was a 71-year-old woman with complete left facial paralysis secondary to Bell palsy. Signs and symptoms were assessed using a standardized measure of facial impairment (Facial Grading System [FGS]) and questions regarding functional limitations. A treatment-based category was assigned based on signs and symptoms. Rehabilitation involved muscle re-education exercises tailored to the treatment-based category. Outcomes. In 14 physical therapy sessions over 13 months, the patient had improved facial impairments (initial FGS score=17/100, final FGS score=68/100) and no reported functional limitations. Discussion. Recovery from Bell palsy can be a complicated and lengthy process. The use of a classification system may help simplify the rehabilitation process.

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Barris, Roann. "Clinical Reasoning in Psychosocial Occupational Therapy: The Evaluation Process." Occupational Therapy Journal of Research 7, no. 3 (May 1987): 147–62. http://dx.doi.org/10.1177/153944928700700302.

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This qualitative study attempted to explore and describe the initial evaluation process in psychosocial occupational therapy. Observation of 19 therapists interviewing patients, detailed transcripts of those interviews, interviews with the therapists, and two questionnaires on therapists' beliefs and attitudes about psychosocial occupational therapy and mental illness were analyzed. Results suggested that the initial evaluation interview process varies in terms of content and format; links exist between interview formats and types of treatment programs; communication of therapist beliefs seems to be an important facet of the interview; as with other health professionals, much routinization seems to exist in clinical decision making; and the environment appears to be a more pervasive influence on clinical reasoning than personal beliefs and attitudes.

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Browne, Kevin O., Daniel G. Saunders, and Kathryn M. Staecker. "Process-Psychodynamic Groups for Men who Batter: A Brief Treatment Model." Families in Society: The Journal of Contemporary Social Services 78, no. 3 (June 1997): 265–71. http://dx.doi.org/10.1606/1044-3894.774.

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The prevailing method of working with men who batter is through structured psychoeducational groups and cognitive-behavioral therapy. The authors contrast the assumptions of cognitive-behavioral with those of process-psychodynamic approaches in working with men who batter. They describe a process-psychodynamic treatment model that was implemented at an abuser-treatment program. The major phases of the group process are illustrated with excerpts of group dialogue.

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Grigoryevskaya, Z. V., V. B. Matveev, D. A. Sergeev, I. V. Tereshchenko, V. D. Vinnikova, V. A. Vershinskaya, I. N. Petukhova, N. S. Bagirova, and N. V. Dmitrieva. "ANTIMICROBIAL THERAPY DURING CANCER TREATMENT: A CASE REPORT." Siberian journal of oncology 20, no. 4 (August 30, 2021): 160–65. http://dx.doi.org/10.21294/1814-4861-2021-20-4-160-165.

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Introduction. Penile cancer (pc) is a rare cancer. The standardized incidence rate of pc in russia is 0.82 cases per 100,000 males. On average, 58 % of patients (20–96 %) with pc have a local infection process: tumor decay, the presence of erosion, tumor ulceration, inflammatory changes in regional lymph nodes, etc. During hospitalization nosocomial pathogens may be possible causes of infection in ulcerative lesions.The aim of the study was to present the results of the treatment of tumor ulcer in a patient with penile cancer infected with multiresistant acinetobacter baumannii and klebsiella pneumoniae.Material and methods. We present a clinical observation of 54-year-old patient diagnosed with penile cancer pt4n3m0, with ulceration of the tumor, localized at the root of the penis and ulceration of metastatic lymph nodes in the left inguinal region and subsequent infection with highly resistant nosocomial microorganisms.Results. The patient received 6 courses of paclitaxel, ifosfamide and cisplatin with clinical effect, such as significant reduction of the tumor and therapeutic pathomorphosis of 3-rd degree. Then ileo-inguinal lymphadenectomy was performed on the left. A few months later the tumor continued to grow in the left groin area. During the 2nd line of chemotherapy (cisplatin, docetaxel and capecitabine), the patient had grade iii–iv neutropenia, febrile neutropenia. High fever and localized infection in the area of tumor ulceration with multiresistant hospital microorganisms was detected. Combined antibiotic therapy had temporary effect. After isolation of multiresistant carbapenemresistant k. Pneumoniae from the ulcer, the patient was prescribed ceftazidim/avibactam 2.5 g 3 times a day. Clinical effect, such as defervescence and significant reduction of the ulceration zone was seen subsequently.Conclusion. Etiotropic antibacterial therapy of the infected tumor ulcer resulted in a significant reduction in the manifestation of the infection process, allowing antitumor therapy to be continued, as well as surgery to be performed.

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Chen, Yuan-Chuan, Hwei-Fang Cheng, and Ming-Kung Yeh. "Cell Therapy Regulation in Taiwan." Cell Transplantation 26, no. 3 (March 2017): 483–92. http://dx.doi.org/10.3727/096368916x693293.

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Cell therapy is not only a novel medical practice but also a medicinal product [cell therapy product (CTP)]. More and more CTPs are being approved for marketing globally because of the rapid development of bio-medicine in cell culture, preservation, and preparation. However, regulation is the most important criterion for the development of CTPs. Regulations must be flexible to expedite the process of marketing for new CTPs. Recently, the Taiwan Food and Drug Administration (TFDA) updated the related regulations such as regulation of development, current regulatory framework and process, and the application and evaluation processes. When the quality of CTPs has been improved significantly, their safety and efficacy are further ensured. The treatment protocol, a new design for adaptive licensing to current clinical practice, is a rapid process for patients with life-threatening diseases or serious conditions for which there are no suitable drugs, medical devices, or other therapeutic methods available. The hospital can submit the treatment protocol to apply for cell therapy as a medical practice, which may result in easier and faster cell therapy development, and personalized treatment for individual patients will evolve quickly.

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Campos, Marcelo Ferraz, Mariane de Barros Ribeiro da Silva, Maria Aparecida Silva Pinhal, Thiago Salati, Luciano Miller Reis Rodrigues, and Carina Mucciolo Melo. "CELL THERAPY IN THE TREATMENT OF INTERVERTEBRAL DISC DEGENERATION." Coluna/Columna 20, no. 2 (June 2021): 101–4. http://dx.doi.org/10.1590/s1808-185120212002229178.

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ABSTRACT Approximately 80% of the world population experiences some type of back pain at some point in their life, and in 10% of this population the pain causes chronic disability resulting in a high cost for the treatment of these patients, in addition to compromising their work and social interaction abilities. Current treatment strategies include the surgical procedure for degenerated intervertebral disc resection, the nerve root block and physiotherapy. However, such treatments only relieve symptoms and do not prevent the degeneration of intervertebral discs. Therefore, new therapeutic strategies have emerged and include manipulating cells to recover the degenerated disc. This article will discuss the possible cell therapy alternatives used in the disc regeneration process, featuring a descriptive study of translational medicine that involves clinical aspects of new treatment alternatives and knowledge of basic research areas, such as cellular and molecular biology. Level of evidence V; Expert Opinion.

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Kyrmanov, O. S., and A. V. Lemeshko. "REMINERALIZING THERAPY IN THE PROCESS OF TEETH WHITENING." Ukrainian Dental Almanac, no. 1 (March 23, 2021): 10–14. http://dx.doi.org/10.31718/2409-0255.1.2021.02.

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Resume. Nowadays, aesthetics plays an important role in dentistry due to the increased attention of people to the beauty and attractiveness of the smile, which is known as an effective tool in achieving both personal and professional purposes. Therefore, the whitening of discolored teeth is one of the promising directions in aesthetic dentistry. To date, there is much controversy among dentists about the effectiveness and, the most importantly, the safety of teeth whitening. The prevention of dentin hypersensitivity is among the main tasks associated with the safe and comfortable treatment and follow-up period for patients. In order to avoid the negative consequences of hyperesthesia, the teeth whitening procedure should be finished with remineralizing therapy. Thought there are a large number of techniques and products for the treatment of hyperesthesia, the question of their most appropriate selection and combination is remaining unresolved and is relevant to meet the steadily growing population demands. Purpose: to highlight the latest views on techniques and products for remineralizing therapy in the process of teeth whitening based on the analysis of relevant literature. Results. Numerous bleaching methods are mainly based on applying high concentrations of hydrogen peroxide. At present, the safety of whitening methods remains controversial and thus requiring further research. The problem of improving techniques aimed at preventing the side effects of professional whitening on the oral tissues and organs are remaining relevant. The problems associated with professional whitening include the decreased resistance of hard dental tissues, the appearance of areas of demineralization and hyperesthesia in the hard dental tissues. At present, a wide range of products has been proposed to treat and prevent the development of teeth hypersensitivity. However, the most effective of them, which could be offered to patients after professional whitening have not been identified yet. To prevent and treat dental hyperesthesia effectively, fluoride-containing remineralizing remedies are widely used to diminish dentin sensitivity. There are studies demonstrating the highest incidence of teeth hyperesthesia during light catalytic and chemical bleaching Therapeutic and prophylactic agents, which contain calcium, phosphorus and fluoride ions, which promote dental enamel remineralization, have been proposed. The use of remineralizing gels before the procedure of medical teeth whitening reduces the occurrence of dental hyperesthesia. That is why many manufacturers of bleaching systems have begun to add desensitizing components to their composition. Thus, Opalescence Boost PF gel contains potassium nitrate and fluorine, Philips Zoom whitening gel contains amorphous calcium phosphate, in addition; remineralizing gel Relief ACP with amorphous calcium phosphate is offered to reduce the occurrence of teeth hypersensitivity during whitening procedure. The results of our research have shown the most significant changes expressed by a decrease in organic acids, maximum increase in concentrations of calcium ions in oral fluid, occur when using photo-bleaching system Beyond Polus, while minimal changes are observed when using chemical activation system Opalescence Xtra Boost. The combination of a reminalizign remedies based on zinc-substituted hydroxyapatite carbonate with laser phonophoresis can be recommended be apply after any bleaching techniques and they have been proved to be the most effective. Conclusion. There is a wide range of techniques and products of remineralizing therapy applied in the process of teeth whitening. Various options of remineralizing therapy and applying different compounds reducing teeth sensitivity after teeth whitening procedure are described in the article. Many formulas have been already developed to ensure patient comfort after a whitening procedure, and in particular to prevent the development of hyperesthesia. Some manufacturers incorporate remineralizing remedies in the whitening system that allows dentists to solve the problem of teeth hypersensitivity effectively.

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Powlis, W. D., Y. Censor, and M. D. Altschuler. "Radiation therapy treatment planning using a mathematical model to semi-automate the planning process and satisfy treatment goals." International Journal of Radiation Oncology*Biology*Physics 13 (October 1987): 118–19. http://dx.doi.org/10.1016/0360-3016(87)91078-9.

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Journal articles on the topic 'Therapy Treatment Process'

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