Individual Treatment Plan for Rhinoplasty

The most common comorbidities in patients with diabetes mellitus are cardiovascular diseases, obesity, dyslipidemia, thyroid disorders but other associated diseases may frequently occur. Laboratory tests are useful investigation methods that may reveal the subclinical manifestations of the disease but they are also essential for patient monitoring. The aim of the study was to assess laboratory parameters and associated diseases in diabetic subjects and to implement a scoring system with a predictive role in the evolution of the cases. Material and methods: The study group consisted of 195 subjects with documented type 1 or type 2 diabetes. About half of the cases were collected from the Procardia outpatient unit, and the rest were patients admitted to the Diabetology Clinic in T�rgu Mure�. The study was performed between January - June 2017. The results of the laboratory tests, as well as the information regarding comorbidities and treatment, was collected and patients� body mass index was calculated. Based on the clinical data, a scoring system, called Diabetes Complication Severity Index (DCSI) with a predictive role, was implemented. The diabetic outpatients presented significantly better carbohydrate metabolic balance compared to the hospitalized subjects. No significant differences could be observed regarding kidney function, hepatic status and lipid profile of the two subgroups of diabetic subjects. The most important comorbidity observed in both patient groups was arterial hypertension. The hospitalized diabetic subjects had significantly higher incidence of ischemic heart disease and significantly lower incidence of thyroid disorders compared to the outpatients. The DCSI scoring system revealed that comorbidities are more frequently present in the hospitalized patients compared to the ambulant diabetic subjects. Evaluation of clinical status and laboratory results in diabetic patients followed by implementation of a scoring system based on the data obtained regarding comorbidities could help clinicians to set up an individual treatment plan for these patients, focusing on preventing other complications.

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Development of a prognostic tool: based on risk factors for tooth loss after active periodontal therapy

Clinical Oral Investigations ◽

10.1007/s00784-021-04060-x ◽

2021 ◽

Author(s):

Sonja Rahim-Wöstefeld ◽

Dorothea Kronsteiner ◽

Shirin ElSayed ◽

Nihad ElSayed ◽

Peter Eickholz ◽

...

Keyword(s):

Risk Factors ◽

Decision Making ◽

Tooth Loss ◽

Treatment Plan ◽

Periodontal Therapy ◽

Outcome Variable ◽

Individual Treatment ◽

Risk Indicator ◽

Related Factors ◽

Prognostic Tool

Abstract Objectives The aim of this study was to develop a prognostic tool to estimate long-term tooth retention in periodontitis patients at the beginning of active periodontal therapy (APT). Material and methods Tooth-related factors (type, location, bone loss (BL), infrabony defects, furcation involvement (FI), abutment status), and patient-related factors (age, gender, smoking, diabetes, plaque control record) were investigated in patients who had completed APT 10 years before. Descriptive analysis was performed, and a generalized linear-mixed model-tree was used to identify predictors for the main outcome variable tooth loss. To evaluate goodness-of-fit, the area under the curve (AUC) was calculated using cross-validation. A bootstrap approach was used to robustly identify risk factors while avoiding overfitting. Results Only a small percentage of teeth was lost during 10 years of supportive periodontal therapy (SPT; 0.15/year/patient). The risk factors abutment function, diabetes, and the risk indicator BL, FI, and age (≤ 61 vs. > 61) were identified to predict tooth loss. The prediction model reached an AUC of 0.77. Conclusion This quantitative prognostic model supports data-driven decision-making while establishing a treatment plan in periodontitis patients. In light of this, the presented prognostic tool may be of supporting value. Clinical relevance In daily clinical practice, a quantitative prognostic tool may support dentists with data-based decision-making. However, it should be stressed that treatment planning is strongly associated with the patient’s wishes and adherence. The tool described here may support establishment of an individual treatment plan for periodontally compromised patients.

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The dual-diagnosis concept used by Swedish social workers: limited validity upon examination using a structured diagnostic approach

European Psychiatry ◽

10.1016/s0924-9338(02)00690-9 ◽

2002 ◽

Vol 17 (6) ◽

pp. 363-365 ◽

Cited By ~ 5

Author(s):

Markus Heilig ◽

Kaj Forslund ◽

Marie Åsberg ◽

Ulf Rydberg

Keyword(s):

Social Workers ◽

Social Services ◽

Dual Diagnosis ◽

Psychiatric Symptoms ◽

Treatment Plan ◽

Population Sample ◽

Diagnostic Procedures ◽

Individual Treatment ◽

Self Medication ◽

Axis I

SummaryA co-existence of chemical dependence and other psychiatric syndromes is commonly referred to as “dual-diagnosis.” This categorization is commonly made by social workers in several European countries assigned the primary responsibility for the care of drug and alcohol dependence. Here, we examined the validity of this categorization through systematic, structured patient evaluation following a minimum of 3 weeks of abstinence from drugs and alcohol. Less than one-third of patients originally labelled as suffering from “dual-diagnosis” by the social services did in fact obtain any Axis I DSM IIIR diagnosis, and less than half of the patients had any psychiatric diagnosis other than dependence. Syndromes commonly discussed in the context of self-medication, i.e., unipolar depression and anxiety syndromes, were not over-represented compared to a population sample, while chronic psychoses and bipolar syndromes were highly significantly more common. We conclude that the dual-diagnosis concept, unless substantiated through stringent diagnostic procedures by psychiatrically trained personnel, may be of questionable utility in caring for patients presenting with psychiatric symptoms and substance dependence. A systematic individual evaluation in an alcohol- and drug-free state of sufficient duration is necessary to obtain a basis for an adequate individual treatment plan.

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Onco-specific sleep disorders and fatigue: tactics of psychological test and cognitive behavioral therapy

Neurology Bulletin ◽

10.17816/nb78963 ◽

2021 ◽

Vol LIII (3) ◽

pp. 51-63

Author(s):

Aleksey I. Melehin

Keyword(s):

Cognitive Behavioral Therapy ◽

Sleep Disorders ◽

Cancer Patients ◽

Behavioral Therapy ◽

Treatment Plan ◽

Cognitive Behavioral ◽

Individual Treatment ◽

Team Approach ◽

Oncological Patient ◽

Psychological Assistance

Introduction. Sleep disorders are widespread throughout the entire period of treatment of an oncological patient from the moment of diagnosis, and in many patients persist after completion of treatment. The nature of cancer and its treatment expose patients to many potential provoking and/or supportive factors that are atypical for the general population. In addition, sleep disturbance rarely manifests as a separate symptom, but more often occurs together with such symptoms as fatigue, pain, depression and/or cognitive impairment. This complicates the assessment and often requires an individual treatment plan with a team approach. AIM. of the work is to acquaint mental health specialists, oncologists, chemotherapists with the specifics of the examination of cancer-specific insomnia and fatigue, the construction of team treatment tactics, the organization of psychotherapeutic care for cancer patients. Results. The article describes for the first time the specifics of onco-specific insomnia and fatigue. The general predisposing and supporting factors of insomnia characteristic of cancer patients are systematized. The relationship between onco-specific fatigue and sleep disorders is shown. The role of pro-inflammatory cytokines as a common neuroendocrine-immune mechanism underlying the behavioral symptoms of sleep disorders, fatigue, depression and cognitive dysfunction in people with cancer is noted. Due to the limitations of the pharmacological approach, the purpose, forms, modes and approaches of using cognitive behavioral therapy protocols to minimize insomnia and fatigue are described. Based on the data of our foreign colleagues, we have proposed an algorithm for assessing sleep disorders in a patient with an oncological profile. The effectiveness of the standard protocol of cognitive behavioral psychotherapy of insomnia (SCBT-I) in a patient of the oncological profile Lavini Fiorentino is described in detail and shown; as well as the short protocol of CBT of cancer-specific insomnia by Eric Zo et al.; remote protocol of mindfulness enhancement therapy to minimize onco-specific fatigue Z.by Fieke et al. Conclusions. CBT in the framework of complex treatment has a positive effect on the immune system, reducing inflammation mediated through the hypothalamic-pituitary-adrenal axis. Despite the accumulation of evidence confirming the effectiveness of this form of psychological assistance, its availability in Russia remains extremely limited and not fully appreciated.

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Life-quality of orthognathic surgery patients: The search for an integral diagnosis

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.1.123-137.sar ◽

2014 ◽

Vol 19 (1) ◽

pp. 123-137 ◽

Cited By ~ 22

Author(s):

José Augusto Mendes Miguel ◽

Nathália Barbosa Palomares ◽

Daniela Feu

Keyword(s):

Quality Of Life ◽

Orthognathic Surgery ◽

Social Impact ◽

Treatment Plan ◽

Life Quality ◽

Individual Treatment ◽

Great Satisfaction ◽

Dentofacial Deformities ◽

Functional Components

The decision on whether starting an orthosurgical treatment depends on the negative esthetic, functional and social impact the dentofacial deformity has on the quality of life of each patient. The objective of this article is to demonstrate the importance of assessing the quality of life of these individuals by means of applying specific questionnaires before treatment onset in order to increase the success rate of orthosurgical treatment. These questionnaires assess not only the esthetic factor, but also the functional conditions that may be affected as well as the psychological issues related to self-esteem and sociability, all of which must be assessed in order to enable the development of an individual treatment plan that meets patient's expectations. Thus, a more predictable level of satisfaction can be achieved at treatment completion, not only from a normative standpoint stated by professionals, but also from a subjective standpoint stated by patients. Although not enough comparable data is available in the literature for us to assess the extent of improvements produced by orthosurgical treatment, a few recent reports conducted by different universities around the world reveal a good response from the majority of patients after surgery, demonstrating great satisfaction with regard to esthetic, functional and psychosocial factors. Therefore, it is reasonable to conclude that the current objective of orthodontic treatment associated with orthognathic surgery consists not only in treating the esthetic functional components of dentofacial deformities, but also in considering patients' psychological factor.

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Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽

10.21726/rsbo.v16i1.535 ◽

2019 ◽

Vol 16 (1) ◽

pp. 51-06

Author(s):

Mariane Cristina Sloniak ◽

Sara Regina Barancelli Todero ◽

Luciana Aparecida Lyra ◽

Elenara Beatriz Fontana ◽

Paulo Sérgio Batista ◽

...

Keyword(s):

Oral Health ◽

Periodontal Disease ◽

Hiv Infection ◽

Dental Treatment ◽

Treatment Plan ◽

Healing Process ◽

Special Treatment ◽

Individual Treatment ◽

Dental Surgery ◽

First Case

The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installation of an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental care of these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

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MODERN ASPECTS OF CERVICAL CANCER TREATMENT IN PREGNANCY

V F Snegirev Archives of Obstetrics and Gynecology ◽

10.18821/2313-8726-2019-6-2-70-72 ◽

2019 ◽

Vol 6 (2) ◽

pp. 70-72

Author(s):

M. O Silkina ◽

Elena A. Sosnova

Keyword(s):

Cervical Cancer ◽

Treatment Plan ◽

Gynecologic Oncology ◽

Tumor Stage ◽

Individual Treatment ◽

Actual Problem ◽

The Past ◽

Appropriate Treatment ◽

Pubmed Database ◽

Gynecologic Tumors

Cervical cancer during pregnancy is the actual problem of XXI century in the gynecologic oncology. Statistics data have shown that cervical cancer takes the first place among gynecologic tumors associated with pregnancy. During the past decade a treatment plan for such patients has significantly changed in a favor of pregnancy prolonging and possibility to deliver a healthy child. We have made an informational analysis of PubMed database for 2010-2018 to assess an individual treatment of patient with diagnosed cervical cancer while prenatal screening and revealed progressive and effective therapeutic methods regarding tumor stage and gestational age. Based on learnt scientific articles and literature we have established that now the most appropriate treatment approach is managing platinum-based neoadjuvant chemotherapy to decrease a tumor size and performing opened or laparoscopic uterus-preserving surgeries during pregnancy if needed.

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Individualised cognitive behaviour therapy in patients of substance use disorders: three case studies

Journal of the Pakistan Medical Association ◽

10.47391/jpma.405 ◽

2020 ◽

pp. 1-10

Author(s):

Mafia Shahzadi ◽

Qasir Abbas

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Cognitive Behaviour Therapy ◽

Treatment Plan ◽

Behavioural Therapy ◽

Opioid Withdrawal ◽

Individual Treatment ◽

Behaviour Therapy ◽

Assessment Scores ◽

Cognitive Behaviour

Abstract The current study aims to investigate the effectiveness of Cognitive Behaviour Therapy (CBT) in the treatment of patients with substance use disorders. Three diagnosed patients with substance use disorders were recruited —i.e. 305.20 (F12.10) cannabis used disorder, 291.81 (FI0.239) alcohol withdrawal disorder and 292.0 (F11.23) opioid withdrawal disorder, respectively. The patients were detoxified and individual treatment plan was formulated on the basis of CBT. The CBT therapeutic outcomes were evaluated on the basis of pre- and post-assessment scores. Results indicate that CBT worked effectively in one-on-one session. CBT effectively worked to manage patients’ anger, craving, stress, sleep hygiene and assertive behaviour. It is concluded that CBT is an effective approach to deal with patients’ anger, stress, craving, sleep and assertive behaviour. Keywords: Cognitive Behavioural Therapy; Canabis Used Disorder; Alcohol Withdrwal Disorder; Opioid Withdrawal Disorder. Continuous....

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The Level of Dental Anxiety in Students of the First Year of Studies From Lublin Universities

Current Issues in Pharmacy and Medical Sciences ◽

10.1515/cipms-2018-0018 ◽

2018 ◽

Vol 31 (2) ◽

pp. 94-96

Author(s):

Malgorzata H.J. Sikorska-Jaroszynska ◽

Maria Mielnik-Blaszczak ◽

Dorota Krawczyk ◽

Katarzyna Gromadzka-Blaszczak ◽

Rafal Wrobel ◽

...

Keyword(s):

Treatment Plan ◽

Dental Anxiety ◽

Life Sciences ◽

Individual Treatment ◽

First Year ◽

Developmental Age ◽

Dental Diseases ◽

The Mean ◽

Medical University ◽

First Year University

Abstract Dental anxiety is a very important factor affecting the efficacy of prevention, diagnosis and treatment of dental diseases, both in patients in the developmental age and in young adults. Anxiety is considered an emotional state with negative connotations. The aim of the study was to determine the level of dental anxiety in first year university students, the intent being to help to develop an individual treatment plan in this group of patients. The study involved 280 students including 230 females and 50 males. Of these, 122 patients were from the Medical University of Lublin, 79 from University of Life Sciences and 79 from University of Maria Curie-Skłodowska. The mean age of the study subjects was 21 years and 8 months ± 3,9 months. No differences in the level of dental anxiety between women and men were observed. The highest level of dental anxiety was observed among students of University of Life Sciences, while the lowest level was observed among students of the Medical University

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Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽

10.21726/rsbo.v16i1.785 ◽

2019 ◽

Vol 16 (1) ◽

pp. 51

Author(s):

Mariane Cristina Sloniak ◽

Sara Regina Barancelli Todero ◽

Luciana Aparecida Lyra ◽

Elenara Beatriz Fontana ◽

Paulo Sérgio Batista ◽

...

Keyword(s):

Oral Health ◽

Periodontal Disease ◽

Hiv Infection ◽

Dental Treatment ◽

Treatment Plan ◽

Healing Process ◽

Special Treatment ◽

Individual Treatment ◽

Dental Surgery ◽

First Case

Introduction and objective: The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installationof an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental careof these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

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