The role of dietitian in multidisciplinary treatment of PCOS

Author(s):  
Olga Nemchikova ◽  
Simona Frontoni
2021 ◽  
Vol 38 (03) ◽  
pp. 356-363
Author(s):  
Anel Yakupovich ◽  
Shankar Rajeswaran ◽  
Jared Green ◽  
James S. Donaldson

AbstractBiliary and gallbladder diseases in infants and children often present unique diagnostic and therapeutic challenges that require a fundamental understanding of notable biliary diseases and anatomical variations. Surgical and endoscopic approaches that are often the gold standard in adult biliary treatment may be technically challenging and are associated with a high morbidity that may warrant a multidisciplinary treatment approach. This article will provide a comprehensive overview of the biliary conditions where interventional radiology can play a vital role in the diagnosis, management, and treatment. Differences in approach or technique between children and adults will be highlighted.


2020 ◽  
Vol 13 (7) ◽  
pp. e235764
Author(s):  
Amira Elshikh ◽  
Niraj Gowda ◽  
Lisa Glass ◽  
Robert B Maximos

Emphysematous osteomyelitis (EO) is a rare infection associated with intraosseous gas. EO is an often fatal disease with an estimated 34% mortality. We present a case of a 63-year-old man with sternoclavicular EO with pleural involvement and significant subcutaneous emphysema diagnosed by CT. Extension of intraosseous gas into the pleural cavity is an extremely interesting presentation that has not been previously reported. The patient underwent a multidisciplinary treatment approach with surgical debridement and an extended antibiotic course. Intraoperative cultures of the pectoralis muscle and bone biopsy grew pan-sensitive Escherichia coli. Prompt recognition and treatment are paramount to avoid a potentially fatal outcome. A review of the literature of the previous 46 cases of EO is presented for associated risk factors, the role of surgical management and antibiotic therapy.


2009 ◽  
Vol 100 (7) ◽  
pp. 580-584 ◽  
Author(s):  
Nazario Portolani ◽  
Gian Luca Baiocchi ◽  
Arianna Coniglio ◽  
Luigi Grazioli ◽  
Eleonora Frassi ◽  
...  

2003 ◽  
Vol 37 (3) ◽  
pp. 501-507 ◽  
Author(s):  
Mira Milas ◽  
Ruth L. Bush ◽  
Peter Lin ◽  
Kathy Brown ◽  
Greg Mackay ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Panagiotis Paliogiannis ◽  
Carlo Pala ◽  
Renato Versace ◽  
Claudio Pusceddu

We describe in this report a case of successful radiofrequency ablation of an unresectable stage III-type B3 thymoma, and we discuss the role of this novel approach in the management of patients with advanced stage thymoma. The patient, a 59-year-old Caucasian male underwent neoadjuvant chemotherapy with only a slight reduction of the mass. Subsequently, an explorative sternotomy and debulking were performed; before closing the thorax, radiofrequency ablation of the residual tumor was carried out and a partial necrosis of the mass was achieved. A further percutaneous radiofrequency ablation was performed subsequently, obtaining complete necrosis of the lesion. Successively, the patient underwent adjuvant radiotherapy. As a result of this multidisciplinary treatment, complete and stable response was obtained. It is hard to say which of the single treatments had the major impact on cure; nevertheless, the results obtained suggest that radiofrequency ablation must be taken into account for the treatment of advanced stage thymomas, and its effectiveness must be further assessed in future studies.


2017 ◽  
Vol 24 (4) ◽  
pp. 31-39
Author(s):  
Raed R. Gholman ◽  
Omar A. El Meligy

A seven-year-old boy was presented with discontent of his teeth appearance, mild teeth sensitiveness, bad masticatory effectiveness, difficulty in speech and low self-esteem. The clinical and radiographic results indicated amelogenesis imperfecta. Because of uncooperative behavior, treatment was accomplished under general anesthesia. The use of composite resin and stainless steel crowns produced effective and satisfying improvement of the patient’s aesthetic looks, in addition to prevention of further sensitivity and wear so enhancing his functional needs. The lastingness of the thorough management of this patient needed powerful stress on careful oral hygiene. There is a major role of multidisciplinary team to the effective management of patients with hypomaturation type of amelogenesis imperfecta. Many factors have a significant part in treatment planning of amelogenesis imperfecta cases such as patient’s age, socioeconomic condition, seriousness of the defect, the patient’s collaboration and association with other medical conditions.


2000 ◽  
Vol 2 (4) ◽  
pp. 37-42 ◽  
Author(s):  
Robert Kerns

Abstract The high prevalence of pain associated with MS is increasingly well documented. Although MS-related pain may be managed satisfactorily with pharmacologic and other medical interventions, many individuals still suffer from persistent pain. A multidimensional model of chronic pain may be applicable for MS-related pain in these circumstances. This model encourages specific attention to identification and treatment of the source of pain and efforts to provide pain relief, but also encourages assessment and a treatment plan targeting associated disability and emotional distress. The model further encourages attention to numerous psychological and interpersonal contributors to the experience of pain, disability, and distress. Psychological interventions, often provided in the context of a multidisciplinary treatment approach, are particularly encouraged. Additional research is needed to increase understanding of the role of psychosocial factors in the perpetuation of MS-related pain and to examine the effectiveness of psychological treatment approaches in the development of optimum pain management strategies.


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