scholarly journals Constructing evidence-based treatment strategies using methods from computer science

2007 ◽  
Vol 88 ◽  
pp. S52-S60 ◽  
Author(s):  
Joelle Pineau ◽  
Marc G. Bellemare ◽  
A. John Rush ◽  
Adrian Ghizaru ◽  
Susan A. Murphy
Author(s):  
William Breitbart ◽  
Anna L. Dickerman

Fatigue is commonly reported by persons with HIV and AIDS and is associated with impaired physical function, reduced quality of life, and suboptimal treatment adherence. Patients regard fatigue as an important condition to be addressed because it is disabling and distressing. In the past, fatigue was overlooked and undertreated by physicians, but clinicians caring for persons with HIV and AIDS have been giving more attention to symptom management and patients’ quality of life. Increased attention to symptom management in HIV and AIDS warrants familiarity with major issues in evaluation and treatment of fatigue. This chapter reviews the definition and assessment of fatigue, prevalence of fatigue in HIV/AIDS and its impact on patients, medical and psychological causes of fatigue, and evidence-based treatment strategies.


Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  

The therapy manuals included in this volume—the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A)—include evidence-based treatment strategies to assist child and adolescent clients to function better in their lives. The manuals include specific guidelines for treatment delivery, and they also contain information about how to introduce parent-directed strategies to help promote long-term uptake of youth-directed therapy skills. The evidence-based treatment skills presented may be applied by therapists to children and adolescents with a wide variety of emotional disorders. This treatment guide takes a transdiagnostic approach to the treatment of emotional disorders. Some of the disorders that may be targeted include anxiety disorders and depressive disorders. This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for children and adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.


2020 ◽  
Vol 55 (9) ◽  
pp. 824-832
Author(s):  
Hiroshi Nakase ◽  
Takayuki Matsumoto ◽  
Kenji Watanabe ◽  
Tadakazu Hisamatsu

2015 ◽  
Vol 21 (4) ◽  
pp. 90
Author(s):  
Umesh G Lalloo

Asthma treatment has advanced tremendously in the last 3 decades. Medical science has provided evidence based treatment strategies to control over 90% of persons afflicted with asthma. Evidence of the efficacy of this strategy is manifest significantly by a reduction in asthma mortality globally. South Africa, despite being one of the most resourced country on the African continent still has an unacceptably high mortality (1).


2019 ◽  
Author(s):  
Cylie Williams ◽  
Kelly Gray ◽  
Nina Davies ◽  
Marybeth Barkocy ◽  
Michael Fahey ◽  
...  

Abstract Background Idiopathic toe walking (ITW) is an exclusionary diagnosis and varies in severity, from those children with full range of ankle motion, to those with associated ankle equinus. In the absence of a consensus in the treatment for this gait pattern, many clinicians are faced with challenges in understanding available evidence-based treatment options. The research aim was to understand agreement between health professionals’ knowledge of evidence for common treatment strategies for idiopathic toe walking (ITW) and if health professionals supported these strategies being used in clinical practice. Methods: An international online survey was opened to registered health professionals who treat children with ITW between July 2017 and March 2018. The survey had two components: 1) demographic variables and variables relating to knowledge of evidence about ITW treatments and 2) support for common treatment strategies. Additional data on strategy use, referrals, and preference were collected. Kappa statistics described intra-rater agreement between evidence knowledge and support. Multivariable regression analyses identified factors associated with the 10 most commonly preferred treatments. Results: There were 908 international responses. Kappa agreement for paired correct responses determined a fair agreement for evidence support knowledge for four strategies including Watch and Wait (Kappa=0.24), Stretching (Kappa=0.30), Sensory Integration Strategies (Kappa=0.40) and Motor Control Strategies (Kappa =0.24) and moderate responses for thirteen others. No strategies had greater than moderate agreement between correct knowledge of evidence and strategy support. Profession, location, number of children seen in practice, and not correctly identifying the evidence factored into many of the most commonly used strategies for ITW (p<0.05). Conclusions: The results from this study confirm a variety of interventions are utilised in the management of ITW around the world. Furthermore, there remains a disconnect between clinicians understanding of the evidence of common treatment strategies of ITW and a consensus for the treatment of this condition.


2021 ◽  
Vol 9 (3) ◽  
pp. 50-52
Author(s):  
Khalid Al Jalahma ◽  
Najib Al Qsous

Background: Depression affects around 121 million people world wide according to the world health organization (WHO) and is the second leading cause of disability globally. Metabolic syndrome is defined as a combination of conditions that predispose individuals to several diseases, mainly cardiovascular diseases. The association between metabolic syndrome and depression represents a major social issue for its increasing prevalence. However, proper treatment strategies for patients who have the two overlapping conditions are not yet established. Case report: We report a challenging but successful treatment strategy of a 60 year old male, with metabolic syndrome, diagnosed with depression. Aim: The aim of the report is to highlight the need of developing evidence based treatment strategies for patients with depression overlapping with metabolic syndrome. Conclusion: Treating patients with depression and metabolic syndrome requires a multidisciplinary team, and cautious decisions as to which antidepressant to start in order to avoid deterioration in their comorbidities. More research is needed in this field as both metabolic syndrome and depression are increasing in prevalence and are among the leading causes of burden to the healthcare system.


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