scholarly journals Congenital Instability of the Shoulder Joint: Assessment and Treatment Options

2009 ◽  
Vol 39 (2) ◽  
pp. 124-134 ◽  
Author(s):  
Patrick Guerrero ◽  
Brian Busconi ◽  
Nicola Deangelis ◽  
Gina Powers
Keyword(s):  
Shoulder Joint ◽  
Treatment Options ◽  
Assessment And Treatment ◽  
Joint Assessment

The Oxford Handbook of Impulse Control Disorders

2012 ◽  
Keyword(s):  
Decision Making ◽  
Impulse Control ◽  
Treatment Options ◽  
Impulse Control Disorders ◽  
Clear Understanding ◽  
Intermittent Explosive Disorder ◽  
Normal Behavior ◽  
Assessment And Treatment ◽  
Decision Making Processes ◽  
Psychopathological Disorders

Impulsivity, to varying degrees, is what underlies human behavior and decision-making processes. As such, a thorough examination of impulsivity allows us to better understand modes of normal behavior and action as well as a range of related psychopathological disorders, including kleptomania, pyromania, trichotillomania, intermittent explosive disorder, and pathological gambling—disorders grouped under the term "impulse control disorders" (ISDs). Recent efforts in the areas of cognitive psychology, neurobiology, and genetics have provided a greater understanding of these behaviors and given way to improved treatment options. The Oxford Handbook of Impulse Control Disorders provides a clear understanding of the developmental, biological, and phenomenological features of a range of ICDs, as well as detailed approaches to their assessment and treatment. Bringing together founding ICD researchers and leading experts from psychology and psychiatry, this volume reviews the biological underpinnings of impulsivity and the conceptual challenges facing clinicians as they treat individuals with ICDs.

Fiddly Fives: Management of Impacted Second Premolars

Dental Update ◽  
2021 ◽  
Vol 48 (5) ◽  
pp. 385-392
Author(s):  
Othman Hameed ◽  
Elizabeth Crawford ◽  
Nigel G Taylor
Keyword(s):  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Options ◽  
Third Molar ◽  
Maxillary Canine ◽  
The Third ◽  
Topic Knowledge ◽  
Assessment And Treatment ◽  
General Dentists

Second premolars are the third most likely teeth to be affected by impaction after third molar and maxillary canine teeth. Although the presence of an impacted second premolar is relatively common, and is a situation that often presents to general dentists in practice, there is relatively little published regarding this topic. Knowledge of this condition is essential for all those involved with the management of these cases. This article explores the aetiology, assessment and treatment options available to manage this condition, using examples from cases treated within our department. CPD/Clinical Relevance: An understanding of the aetiology, assessment and various treatment options available to manage impacted second premolars will inform better treatment planning.

Recurrent Pleomorphic Adenoma

2021 ◽  
pp. 195-212
Keyword(s):  
Pleomorphic Adenoma ◽  
Treatment Options ◽  
Excisional Biopsy ◽  
Primary Site ◽  
Assessment And Treatment ◽  
Radiotherapy Alone ◽  
Anatomical Extent ◽  
Total Parotidectomy ◽  
Recurrent Pleomorphic Adenoma

This chapter discusses the etiology, clinical presentation, assessment, and treatment of recurrent pleomorphic adenoma. Recurrent tumor following surgery (or any other treatment) usually presents as a recurrent swelling at the primary site, with or without local symptoms. The incidence of recurrence following surgery varies depending on surgical technique, surgeon's experience, duration of follow-up, and clinical integrity. A recurrence rate of less than 1% is generally considered acceptable. The best policy to prevent recurrence of pleopmorphic adenoma is excisional biopsy of the tumor with maximal safe margin and functional neurological preservation. Treatment is determined by the age and physical health of the patient, number of pervious operations, and anatomical extent of the recurrence. Treatment options include observation, local excision, superficial parotidectomy, total conservative parotidectomy, total parotidectomy with resection of the involved nerve and immediate nerve graft (any procedure is followed by radiotherapy), and radiotherapy alone.

scholarly journals Iatrogenic delirium on symptom-triggered alcohol withdrawal protocol

2020 ◽  
Vol 12 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Andrew Chunkil Park ◽  
Leigh Goodrich ◽  
Bobak Hedayati ◽  
Ralph Albert ◽  
Kyle Dornhofer ◽  
...  
Keyword(s):  
Alcohol Withdrawal ◽  
Treatment Duration ◽  
Treatment Options ◽  
Alcohol Withdrawal Syndrome ◽  
Signs And Symptoms ◽  
Treatment Modalities ◽  
Content Type ◽  
Assessment And Treatment ◽  
Antiepileptic Medications ◽  
Confusional States

Purpose The purpose of this paper is to illustrate delirium as a possible consequence of the application of symptom-triggered therapy for alcohol withdrawal and to explore alternative treatment modalities. In the management of alcohol withdrawal syndrome, symptom-triggered therapy directs nursing staff to regularly assess patients using standardized instruments, such as the Clinical Institute for Withdrawal Assessment of Alcohol, Revised (CIWA-Ar), and administer benzodiazepines at symptom severity thresholds. Symptom-triggered therapy has been shown to lower total benzodiazepine dosage and treatment duration relative to fixed dosage tapers (Daeppen et al., 2002). However, CIWA-Ar has important limitations. Because of its reliance on patient reporting, it is inappropriate for nonverbal patients, non-English speakers (in the absence of readily available translators) and patients in confusional states including delirium and psychosis. Importantly, it also relies on the appropriate selection of patients and considering alternate etiologies for signs and symptoms also associated with alcohol withdrawal. Design/methodology/approach The authors report a case of a 47-year-old male admitted for cardiac arrest because of benzodiazepine and alcohol overdose who developed worsening delirium on CIWA-Ar protocol. Findings While symptom-triggered therapy through instruments such as the CIWA-Ar protocol has shown to lower total benzodiazepine dosage and treatment duration in patients in alcohol withdrawal, over-reliance on such tools may also lead providers to overlook other causes of delirium. Originality/value This case illustrates the necessity for providers to consider using other available assessment and treatment options including objective alcohol withdrawal scales, fixed benzodiazepine dosage tapers and even antiepileptic medications in select patients.

scholarly journals Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-9
Author(s):  
Noemi Cantone ◽  
Caterina Gulia ◽  
Vittorio Miele ◽  
Margherita Trinci ◽  
Vito Briganti
Keyword(s):  
Case Report ◽  
Diaphragmatic Hernia ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Gastric Volvulus ◽  
Diagnostic Assessment ◽  
Wandering Spleen ◽  
Review Of The Literature ◽  
Morgagni Hernia ◽  
Assessment And Treatment

Wandering spleen and gastric volvulus are two rare entities that have been described in association with congenital diaphragmatic hernia. The diagnosis is difficult and any delay can result in ischemia and necrosis of both organs. We present a case of a 13-year-old girl, previously operated on for anterior diaphragmatic hernia and intrathoracic gastric volvulus, that presented to our service for a subdiaphragmatic gastric volvulus recurrence associated with a wandering spleen. In this report we reviewed the literature, analyzing the clinical presentation, diagnostic assessment, and treatment options of both conditions, in particular in the case associated with diaphragmatic hernia.

scholarly journals Pediatric unilateral spatial neglect: A systematic review

2021 ◽  
Vol 14 (3) ◽  
pp. 345-359
Author(s):  
Emerson Hart ◽  
Emily Grattan ◽  
Michelle Woodbury ◽  
Teri Lynn Herbert ◽  
Patty Coker-Bolt ◽  
...  
Keyword(s):  
Systematic Review ◽  
Treatment Options ◽  
Spatial Neglect ◽  
Pediatric Stroke ◽  
Stroke Survivors ◽  
Unilateral Spatial Neglect ◽  
Current Prevalence ◽  
Clinical Presentations ◽  
Assessment And Treatment ◽  
Poor Outcomes

PURPOSE: Unilateral spatial neglect (USN), an inability to attend to one side of space or one’s body, is commonly reported in adult stroke survivors and is associated with poor outcomes. USN has been reported in pediatric survivors of stroke, but its impact is unclear. The purpose of this systematic review was to summarize and evaluate the literature regarding USN in pediatric stroke survivors. METHODS: PRISMA guidelines, Scopus, CINAHL, PubMed, and other relevant databases were searched with terms including “children”, “stroke”, and “unilateral neglect”, with the ages of participants limited from to birth to 18 years. Data were extracted from studies on the clinical presentation of pediatric USN, the assessment of this condition, treatment options, or USN recovery. RESULTS: A total of 18 articles met inclusion criteria. There were no current prevalence data available. USN presents similarly in children compared to adults. Several different USN assessments were used, however, there were little data regarding treatment options. Furthermore, the data suggest that not all children fully recover. CONCLUSION: This systematic review reveals a lack of quality research to inform the assessment and treatment of children with USN. Although the literature spans decades, there remain no guidelines for standardized assessment or treatment. Similar to adults, paper-and-pencil testing may be less able to identify USN than functional assessments. It is likely that there are children who struggle with undetected USN-related deficits years after their injuries. With a rise of pediatric stroke survivors, there is a pressing need for clinicians to be educated about USN in children, clinical presentations, assessments, and treatments.

scholarly journals Brazilian version of the Overall Assessment of the Speaker's Experience of Stuttering - Adults protocol (OASES-A)

2012 ◽  
Vol 24 (2) ◽  
pp. 145-151 ◽  
Author(s):  
Eliane Lopes Bragatto ◽  
Ellen Osborn ◽  
J. Scott Yaruss ◽  
Robert Quesal ◽  
Ana Maria Schiefer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Brazilian Portuguese ◽  
Emotional States ◽  
Self Assessment ◽  
Brazilian Version ◽  
Assessment And Treatment ◽  
Back Translation ◽  
The Impact

PURPOSE: To verify the applicability of the protocol Overall Assessment of the Speaker's Experience of Stuttering - Adults (OASES-A), translated into Brazilian Portuguese, in a sample of adults who stutter. METHODS: The Brazilian Portuguese version of the OASES-A protocol was individually applied to 18 people who stutter. The classification of stuttering severity was based on the Stuttering Severity Instrument for Children and Adults (SSI-3) protocol. Translation and back-translation processes were carried out by specialists, considering semantic, conceptual, cultural, and idiomatic equivalences. RESULTS: There was no correlation between the severity degrees of stuttering assessed by the SSI-3 protocol and the self-assessment performed using the OASES-A. Subjects reported impairments in perceived fluency; speech ability; level of knowledge about stuttering and treatment options; use of confrontational techniques; quality of life. They also mentioned having difficulty coping with emotional states such as anxiety and embarrassment, and with communication in daily situations. CONCLUSION: The OASES-A protocol is useful in the assessment and treatment of stutterers, as it provides specialized speech-language pathologists with sutterers' self-perception regarding their communication difficulties and the impact of stuttering on their quality of life.

Stress Urinary Incontinence Assessment and Conservative Treatments

2017 ◽  
Author(s):  
Sidhartha Kalra ◽  
Benjamin M Brucker
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Conservative Management ◽  
Treatment Plan ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Well Being ◽  
Surgical Approaches ◽  
Management Options ◽  
Assessment And Treatment

Stress urinary incontinence (SUI) is a prevailing condition affecting women’s physical, psychological, and social well-being. SUI is the most common type of urinary incontinence, with an estimated prevalence of 8 to 33%. Despite increased awareness, it is still commonly underreported. Identifying the problem and developing an individualized assessment and treatment plan are essential for achieving the best outcome and quality of life for these women. Numerous tools exist that may aid clinicians in making an appropriate diagnosis and then selecting the optimal treatment, including behavioral, medical, and surgical approaches. Although a plethora of treatment options exist for SUI, conservative management is considered an effective first-line option for most patients. The purpose of this review is to discuss the current understanding of SUI in women and to outline the evaluations and conservative management options with the best available scientific evidence. This review contains 3 highly rendered figures, 2 tables, and 57 references Key words: Stress Urinary Incontinence, Conservative management, Pelvic Floor Exercises, Pessary, Vaginal inserts, medical treatment

Response

2013 ◽  
pp. 424-424
Author(s):  
Robert Gatchel ◽  
Rob Haggard
Keyword(s):  
Chronic Pain ◽  
Clinical Symptoms ◽  
Treatment Options ◽  
Management Program ◽  
Stepwise Approach ◽  
Symptoms Of Depression ◽  
Pain Management Program ◽  
Medical Evaluation ◽  
Assessment And Treatment

While not clearly spelled out in the reference to the stepwise approach, this entire chapter actually describes the process of the stepwise approach to assessment and treatment of chronic pain populations. This case study was specific to one particular patient’s case, but many of the critical points may be generalized to all patients in an interdisciplinary pain program. Some of these include a thorough medical evaluation for confirmatory findings regarding prior diagnoses and to rule out any comorbid factors that might impair the patient’s rehabilitation. The medical intake evaluation should also evaluate range of motion, areas of tenderness, and neurological symptoms, as well as gate and posture. Intake questions for the behavioral medicine personnel to address include ascertaining whether there are any clinical symptoms of depression, including suicidal ideation, anxiety, or other diagnostic criteria for a comorbid mood disorder that need to be addressed apart from the pain management program. In further defining these comorbid conditions, drug dependence/opioid dependence would be screened for and treatment options explored based upon findings....

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