Invited Commentary on “ITMIG Classification of Mediastinal Compartments and Multidisciplinary Approach to Mediastinal Masses”

BackgroundMedically unexplained physical symptoms (MUPS) can be defined as physical symptoms that have no currently known physical pathological cause. MUPS account for one in five new consultations in primary care and for one third of new patients when neurology consultations are considered.Patients with MUPS present significant distress and impaired function and their diagnosis is sometimes hard to establish. The classification of somatoform disorders has been found to be insufficiently useful for therapeutic and scientific purposes. Some authors suggest that new classifications should attend to clinical utility, defined as (1) the extent to which a diagnosis can help clinicians understand or conceptualize a disorder in their daily work; (2) the extent to which a diagnosis can help the clinician communicate useful information to others, including practitioners, family members, patients, and administrators; (3) the extent to which the presence of a disorder helps the clinician choose effective interventions, and (4) the extent to which a disorder can predict future clinical management needs.AimThis review aims to discuss the management of MUPS in mental health services, attending to the importance of a multidisciplinary approach.MethodsPubmed Medline search on MUPS and review of recent literature.DiscussionThe management of MUPS implies a multidisciplinary approach that can offer different solutions for different degrees of disorder severity and takes into account the perception of the patient about his own illness. New classifications of somatoform disorders that include comprehensible explanations about these symptoms could be helpful for patients and health professionals.

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Management of vascular anomalies: Review of institutional management algorithm

Indian Journal of Plastic Surgery ◽

10.4103/ijps.ijps_245_15 ◽

2017 ◽

Vol 50 (02) ◽

pp. 193-200 ◽

Cited By ~ 1

Author(s):

Lalit K. Makhija ◽

Sameek Bhattacharya

Keyword(s):

Multidisciplinary Approach ◽

Vascular Malformations ◽

Treatment Protocol ◽

Vascular Anomalies ◽

Algorithmic Approach ◽

Institutional Management ◽

Management Algorithm ◽

Biological Classification ◽

Functional Consequences

ABSTRACT Introduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas) and vascular dysmorphogenesis (vascular malformation). The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach. To standardise the treatment protocol, an algorithm has been devised. The study aims to validate the algorithm in terms of its utility and presents our experience in managing vascular anomalies. Materials and Methods: The biological classification of Mulliken and Glowacki was followed. A detailed algorithm for management of vascular anomalies has been devised in the department. The protocol is being practiced by us since the past two decades. The data regarding the types of lesions and treatment modality used were maintained. Results and Conclusion: This study was conducted from 2002 to 2012. A total of 784 cases of vascular anomalies were included in the study of which 196 were haemangiomas and 588 were vascular malformations. The algorithmic approach has brought an element of much-needed objectivity in the management of vascular anomalies. This has helped us to define the management of particular lesion considering its pathology, extent and aesthetic and functional consequences of ablation to a certain extent.

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The Principles of Advocacy Organization and Its Activities

Journal of Advanced Research in Law and Economics ◽

10.14505//jarle.v8.7(29).01 ◽

2018 ◽

Vol 8 (7) ◽

pp. 2068

Author(s):

Boris ALEYNIKOV ◽

Anastasia ALEYNIKOVА

Keyword(s):

Corporate Governance ◽

Conflict Of Interest ◽

Multidisciplinary Approach ◽

Professional Competence ◽

Judicial System ◽

Scientific Study ◽

Advocacy Organization ◽

Organizational Principles

The article gives a scientific study of the principles of advocacy. Formulated the concept and classification of principles of advocacy. On the basis of the sphere of dissemination of the principles of advocacy classified into fundamental principles (independence, professional competence, confidentiality, avoiding conflict of interest), organizational principles (territoriality, dependence of the judicial system, specialization, corporate governance, availability) and principles (efficiency, multidisciplinary approach, differentiated remuneration).

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Comment on “EURACAN/IASLC proposals for updating the histologic classification of pleural mesothelioma: towards a more multidisciplinary approach”

Translational Lung Cancer Research ◽

10.21037/tlcr-2020-14 ◽

2020 ◽

Vol 9 (6) ◽

pp. 2508-2510

Author(s):

Wickii T. Vigneswaran ◽

Muaiad Kittaneh

Keyword(s):

Multidisciplinary Approach ◽

Pleural Mesothelioma ◽

Histologic Classification

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Photocatalytic Membranes in Photocatalytic Membrane Reactors

Processes ◽

10.3390/pr6090162 ◽

2018 ◽

Vol 6 (9) ◽

pp. 162 ◽

Cited By ~ 25

Author(s):

Pietro Argurio ◽

Enrica Fontananova ◽

Raffaele Molinari ◽

Enrico Drioli

Keyword(s):

Large Scale ◽

Advanced Oxidation Processes ◽

Multidisciplinary Approach ◽

Polymeric Membranes ◽

Sustainable Growth ◽

Membrane Reactors ◽

Factors Affecting ◽

Main Factors ◽

Critical Overview

The present work gives a critical overview of the recent progresses and new perspectives in the field of photocatalytic membranes (PMs) in photocatalytic membrane reactors (PMRs), thus highlighting the main advantages and the still existing limitations for large scale applications in the perspective of a sustainable growth. The classification of the PMRs is mainly based on the location of the photocatalyst with respect to the membranes and distinguished in: (i) PMRs with photocatalyst solubilized or suspended in solution and (ii) PMRs with photocatalyst immobilized in/on a membrane (i.e., a PM). The main factors affecting the two types of PMRs are deeply discussed. A multidisciplinary approach for the progress of research in PMs and PMRs is presented starting from selected case studies. A special attention is dedicated to PMRs employing dispersed TiO2 confined in the reactor by a membrane for wastewater treatment. Moreover, the design and development of efficient photocatalytic membranes by the heterogenization of polyoxometalates in/on polymeric membranes is discussed for applications in environmental friendly advanced oxidation processes and fine chemical synthesis.

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Our Experience on Temporal Bone Fractures: Retrospective Analysis of 141 Cases

Journal of Clinical Medicine ◽

10.3390/jcm10020201 ◽

2021 ◽

Vol 10 (2) ◽

pp. 201

Author(s):

Filippo Ricciardiello ◽

Salvatore Mazzone ◽

Giuseppe Longo ◽

Giuseppe Russo ◽

Enrico Piccirillo ◽

...

Keyword(s):

Retrospective Analysis ◽

Temporal Bone ◽

Multidisciplinary Approach ◽

Bone Fractures ◽

Diagnosis And Management ◽

Clinical Presentations ◽

Therapeutic Algorithm ◽

Base Of The Skull

Temporal bone fractures are a common lesion of the base of the skull. The diagnosis and management of temporal bone fractures require a multidisciplinary approach. Variable clinical presentations may arise from such fractures, ranging from an asymptomatic course to very serious consequences. The aim of this study was to report our experience with a series of patients with temporal bone fractures and to propose a diagnostic/therapeutic algorithm. This study enrolled 141 patients, 96 (68.1%) males and 45 (31.9%) females, ranging in age from 20 to 60 (average age: 39 ± 4.1 years), with temporal bone fractures who were referred to Cardarelli Hospital between 2006 and 2018. The present paper presents a classification of temporal bone fractures and typical clinical sequelae and provides an illustration of their prognosis and treatment.

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Cesarean Delivery in the Bronchoscopy Suite in a Patient with an Anterior Mediastinal Mass

Surgical Case Reports ◽

10.31487/j.scr.2021.05.05 ◽

2021 ◽

pp. 1-4

Author(s):

Ursula Galway ◽

Tom Gildea ◽

Evan Parker ◽

Kurt Ruetzler

Keyword(s):

Cesarean Delivery ◽

Multidisciplinary Approach ◽

Mediastinal Mass ◽

Anaesthetic Management ◽

Respiratory Physiology ◽

Anterior Mediastinal Mass ◽

Complicated Case ◽

Significant Challenge ◽

Mediastinal Masses

Mediastinal masses pose a significant challenge for anesthesiologists due to the risk of cardiorespiratory collapse. Pregnancy in of itself causes multiple detrimental changes to respiratory physiology. We present a case of cesarean delivery performed in the bronchoscopy suite followed by bronchoscopic airway evaluation in a patient at 33 weeks gestation with symptomatic anterior mediastinal mass. We discuss the multidisciplinary approach and anaesthetic management of this complicated case.

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Update on Rare Idiopathic Interstitial Pneumonias and Rare Histologic Patterns

Archives of Pathology & Laboratory Medicine ◽

10.5858/arpa.2017-0534-ra ◽

2018 ◽

Vol 142 (9) ◽

pp. 1069-1079 ◽

Cited By ~ 2

Author(s):

Tomonori Tanaka ◽

Kaori Ishida

Keyword(s):

Personal Experience ◽

Multidisciplinary Approach ◽

American Thoracic Society ◽

Limited Evidence ◽

Rare Disorders ◽

European Respiratory Society ◽

International Consensus ◽

Idiopathic Interstitial Pneumonias ◽

Consensus Classification

Context.— In 2013, the revised American Thoracic Society and European Respiratory Society classification of idiopathic interstitial pneumonias (IIPs) described 2 rare IIPs and 2 rare histologic patterns. Because of the rarity of the disease, there is limited evidence related to the histology. Because the rare histologic patterns are provisional criteria, no unanimous consensus on histologic diagnostic criteria has yet been reached. Objective.— To review the histologic features for rare IIPs and rare histologic patterns, and to provide diagnostic aids and discuss the differential diagnosis. Data Sources.— Published peer-reviewed literature and the authors' personal experience. Conclusions.— Following the publication of the international consensus classification, evidence regarding rare IIPs and rare histologic patterns has accumulated to some extent, although to date the amount remains insufficient and further evidence is required. Because the diagnosis is sometimes challenging, a multidisciplinary approach represents the gold standard in reaching an accurate diagnosis for these rare disorders.

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