scholarly journals Evidence-based evaluation of repeated cycles of oocyte donation by the same woman: treatment outcomes are not adversely affected by multiple prior donations

2019 ◽  
Vol 112 (3) ◽  
pp. e425-e426
Author(s):  
Carol Lynn Curchoe ◽  
Ashley Geka ◽  
Heather Coulter ◽  
Rebecca Gu ◽  
V. Julie Collier ◽  
...  
Author(s):  
Peter King ◽  
Jennifer M. Martin

This chapter outlines the key features of the diagnosis of borderline personality disorder. This is a diagnosis that has attracted significant levels of stigma and has generally been viewed as difficult to treat. This has resulted in often inadequate service responses for people experiencing high levels of distress. Increased understanding is facilitated by exploring precipitating factors leading to this diagnosis, including invalidating and often traumatizing environments. Available evidence from Australian and international literature is considered, with main treatments identified to inform improved treatment outcomes. The need for attention to biological, psychological factors is highlighted and in particular acknowledgment of the high prevalence of trauma, particularly childhood sexual assault, amongst the mostly women who are given this diagnosis.


2021 ◽  
pp. 1-12
Author(s):  
Len Sperry ◽  
Jon Sperry

In this era of accountability, therapists and other mental health professionals are expected to employ evidence-based interventions to achieve therapeutic change. Case conceptualization is an intervention that many consider one of the most essential clinical competencies. A useful case conceptualization approach, at a minimum, should explain the presenting problem and guide the planning and implementation of treatment. Approaches that are more clinically valuable will include a third function: anticipate and predict challenges in the treatment process. Analogous to the paradigm shift toward personalized treatments in precision medicine based on biomarkers is a similar shift occurring in psychotherapy practice. It will be based on behavioral markers like the ones in the pattern-focused case conceptualization approach and can explain, guide, and predict treatment challenges, as well as optimize treatment outcomes. A case example illustrates key points.


2015 ◽  
Vol 9 (11-12) ◽  
pp. 837 ◽  
Author(s):  
Michael Ordon ◽  
Sero Andonian ◽  
Brian Blew ◽  
Trevor Schuler ◽  
Ben Chew ◽  
...  

The focus of this guideline is the management of ureteral stones. Specifically, the topics covered include: conservative management, medical expulsive therapy, active intervention with either shockwave lithotripsy (SWL) or ureteroscopy (URS), factors affecting SWL treatment success, optimizing success, and special considerations (e.g., pregnancy, urinary diversion). By performing extensive literature reviews for each topic evaluated, we have generated an evidence-based consensus on the management of ureteral stones. The objective of this guideline is to help standardize the treatment of ureteral stones to optimize treatment outcomes.


2018 ◽  
Vol 2 (3) ◽  
pp. 11-21
Author(s):  
Ulysses M. Cutamora

Back pain is common and many people experience long term problems. The goals of physical therapy are to decrease back pain, increase function and provide health education. Low back pain (LBP) is pain, muscle tension, or stiffness localized below the costal margin and above the inferior gluteal folds, with or without sciatica, and is defined as chronic when it persists for 12 weeks or more. The study objective is to enhance the compliance of Patients to Rehabilitation Regimen to achieve better prognosis and treatment outcomes. The respondents of the study were low back pain patients from three (3) different rehabilitation centers, Rehabilitation Medicine of Cebu Velez General Hospital, Rehab Solutions Incorporated in Perpetual Succor Hospital and Rehab Medics of Chong Hua Hospital. To answer the mean characteristics of the respondents, descriptive statistical procedures were utilized. To determine the differentiating factors, discriminant analysis was used while logistic regression was utilized to determine the predictors of therapy outcomes. This study utilized a quantitative descriptive research design which enabled the researcher to determine if there exists a relationship between the therapy outcomes as the dependent variable to the demographic, employment and clinical variables identified in the study. It can therefore be concluded that of the twelve (12) variables explored, only four (4) clinical variables are significant predictors of low back pain treatment outcomes. These are (a) compliance to treatment regimen, (b) Co-morbidity, (c) Surgical history and (d) Type of low back pain. The rehabilitation centers would take into consideration the results of the study and that they will find a better way encourage compliance of patients to rehabilitation treatment utilizing the proposed evidence-based action plan. With this development, the problem with regard to compliance and result of rehabilitation treatment will be addressed and will greatly contribute to overall wellness and successful outcome of low back pain treatment. It is therefore imperative that physical therapists should focus on these clinical variables in treating for patients with LBP and recommended that rehabilitation centers should follow the evidence-based action plan.


2021 ◽  
Vol 13 (02) ◽  
pp. 055-064
Author(s):  
Ilana G. Margulies ◽  
Hope Xu ◽  
Jared M. Gopman ◽  
Matthew D. Freeman ◽  
Etan Dayan ◽  
...  

AbstractLigamentous wrist injuries are common occurrences that require complex anatomical mastery and extensive understanding of diagnostic and treatment modalities. The purpose of this educational review article is to delve into the most clinically relevant wrist ligaments in an organized manner to provide the reader with an overview of relevant anatomy, function, clinical examination findings, imaging modalities, and options for management. Emphasis is placed on elucidating reported diagnostic accuracies and treatment outcomes to encourage evidence-based practice.


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