scholarly journals Emerging Developments in Management of Melanoma During the COVID-19 Era

2021 ◽  
Vol 8 ◽  
Author(s):  
Andraia R. Li ◽  
Manuel Valdebran ◽  
Daniel Y. Reuben
Keyword(s):  
Skin Cancer ◽  
Multidisciplinary Approach ◽  
Economic Cost ◽  
Modern Medicine ◽  
Healthcare Rationing

In March 2020, the designation of the COVID-19 outbreak as a worldwide pandemic marked the beginning of an unprecedented era in modern medicine. Facing the possibility of resource precincts and healthcare rationing, leading dermatological and cancer societies acted expeditiously to adapt their guidelines to these contingencies. Melanoma is a lethal and aggressive skin cancer necessitating a multidisciplinary approach to management and is associated with significant healthcare and economic cost in later stages of disease. In revisiting how the pandemic transformed guidelines from diagnosis and surveillance to surgical and systemic management of melanoma, we appraise the evidence behind these decisions and their enduring implications.

scholarly journals When is a surgical multidisciplinary approach required in the management of head and neck non-melanoma skin cancer and in advanced head and neck pathologies involving skin?

2021 ◽  
Vol 41 (Suppl. 1) ◽  
pp. S145-S157
Author(s):  
Giovanni Almadori ◽  
Eugenio De Corso ◽  
Stefano Settimi ◽  
Giovanni Di Cintio ◽  
Dario Antonio Mele ◽  
...  
Keyword(s):  
Skin Cancer ◽  
Head And Neck ◽  
Multidisciplinary Approach ◽  
Advanced Head ◽  
Non Melanoma Skin Cancer ◽  
Melanoma Skin

Facial Reconstruction following Mohs Micrographic Surgery: A Report of 622 Cases

2014 ◽  
Vol 18 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Eline C. Grosfeld ◽  
Jeroen M. Smit ◽  
Gertruud A. Krekels ◽  
Julien H.A. van Rappard ◽  
Maarten M. Hoogbergen
Keyword(s):  
Skin Cancer ◽  
Reconstructive Surgery ◽  
Multidisciplinary Approach ◽  
Patient Characteristics ◽  
Facial Reconstruction ◽  
Surgical Reconstruction ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Plastic And Reconstructive Surgery ◽  
Aesthetic Unit

Background: Around 100 to 200 patients undergo surgical reconstruction every year at our department of plastic and reconstructive surgery after Mohs micrographic surgery for nonmelanoma skin cancer. Objective: The aim of this report is to provide an overview of the type of facial reconstructions performed and investigate whether we achieved increased, definitive closure rates of the defect on the day of the excision after further improving the collaboration between the involved departments. Methods: All patients who underwent facial reconstruction at the Department of Plastic and Reconstructive Surgery following Mohs micrographic surgery between January 2006 and January 2011 were retrospectively systematically reviewed. Results: A total of 564 patients with 622 defects were identified. The different reconstructions used per aesthetic unit are described. The number of cases in which a reconstruction was performed on the same day as the resection significantly increased from 31 to 81% ( p < .001). Conclusion: Facial reconstruction following Mohs micrographic surgery is challenging. The type of reconstruction used depends on the type of defect and patient characteristics. A structured multidisciplinary approach improves the process from defect to reconstruction and can facilitate referrals.

scholarly journals Basal cell skin cancer: modern clinical and diagnostic aspects and the role of early diagnostics

2020 ◽  
Vol 23 (1) ◽  
pp. 12-16
Author(s):  
G. N. Tarasenko ◽  
N. G. Kolenko ◽  
Yu. G. Tarasenko
Keyword(s):  
Skin Cancer ◽  
Basal Cell ◽  
Modern Medicine ◽  
Diagnostic Methods ◽  
Skin Tumor ◽  
Cancer Type ◽  
Early Diagnostics ◽  
Non Invasive ◽  
Diagnostic Aspects

Skin cancer is the leading cancer type (12.6%) in both men and women in Russian Federation. Basal cell skin cancer is the most common non-melanoma, malignant epithelial skin tumor. The identification of skin tumors in the early stages is one of the priority purposes of modern medicine because it facilitates the radical treatment of these diseases. Notably, an examination by a dermatologist should be performed in conjunction with non-invasive diagnostic methods.

Biochemical Markers with Predictive Value in Polytrauma Patients with Femoral Fractures

2018 ◽  
Vol 69 (10) ◽  
pp. 2762-2767
Author(s):  
Doriana Lupescu ◽  
Maria Greabu ◽  
Alexandra Totan ◽  
Mihail Nagea ◽  
Gheorghe Ion Popescu ◽  
...  
Keyword(s):  
Predictive Value ◽  
Biochemical Markers ◽  
Multidisciplinary Approach ◽  
Femoral Fractures ◽  
Modern Medicine ◽  
Systemic Complications ◽  
Mortality And Morbidity ◽  
Polytrauma Patients ◽  
Active Patients ◽  
Monitoring Algorithm

Polytrauma represents one of the most challenging aspects of modern medicine, due to its high mortality and morbidity, affecting especially young, active patients. Therefore, research is nowadays directed towards optimising the treatment for these patients, which is extremely difficult, as polytrauma is characterized by a complicated pathophysiology with intricate pathways, potentially generating local and general complications and requiring a multidisciplinary approach. An essential issue for these patients is a careful monitoring algorithm, able to determine an appropriate therapeutic response in due time, so objective, measurable and reproducible elements able to do this have been sought. Since biochemical markers have these properties, and the most important pathogenic element in polytrauma is the Systemic Inflammatory Response Syndrome (SIRS), the authors of this paper evaluate the predictive value of inflammatory markers in order to improve the monitoring algorithm of these patients. The results of this prospective study demonstrate some statistically significant correlations, such as those between lactate (at admission and 24 hours later) and mortality, as well as between IL-6 and early systemic complications, which are of great value because they can concentrate the efforts of the multidisciplinary team and save the life of the poytrauma patient.

scholarly journals Skin Cancer and Its Treatment: Novel Treatment Approaches with Emphasis on Nanotechnology

2017 ◽  
Vol 2017 ◽  
pp. 1-20 ◽  
Author(s):  
Kristjan Orthaber ◽  
Matevž Pristovnik ◽  
Kristijan Skok ◽  
Barbara Perić ◽  
Uroš Maver
Keyword(s):  
Skin Cancer ◽  
Treatment Options ◽  
Modern Medicine ◽  
World Health ◽  
Western World ◽  
Treatment Approaches ◽  
Long Time ◽  
Theranostic Agents ◽  
Diagnostic Modalities ◽  
Health Organization

The life expectancy in the Western world is increasing for a long time, which is the courtesy of a higher life standard, a more thorough hygiene, and, of course, the progress of modern medicine. Nevertheless, one of the illnesses that still proves to be a great challenge regardless of the recent advancements in medicine is cancer. Skin cancer is, according to the World Health Organization, the most common malignancy for the white population. The beginning of the paper offers a brief overview of the latest available information concerning epidemiology, aetiology, diagnostics, and treatment options for skin cancer, whereas the rest of the article deals with modern approaches to skin cancer treatment, highlighting recent development of nanotechnology based treatment approaches. Among these, we focus especially on the newest nanotechnological approaches combined with chemotherapy, a field which specialises in target specificity, drug release control, and real time monitoring with the goal being to diminish unwanted side effects and their severity, achieving a cheaper treatment and a generally more efficient chemotherapy. The field of nanotechnology is a rapidly developing one, judging by already approved clinical studies or by new theranostic agents that combine both the therapeutic and diagnostic modalities.

AAC Supports for Individuals With Rett Syndrome Across the Lifespan

2015 ◽  
Vol 24 (3) ◽  
pp. 74-85
Author(s):  
Sandra M. Grether
Keyword(s):  
Rett Syndrome ◽  
Communication Skills ◽  
Preliminary Analysis ◽  
Multidisciplinary Approach ◽  
Motor Deficits ◽  
Complex Profile ◽  
Communication Behaviors ◽  
The Individual

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.

Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

Percutaneous Tracheostomy: A Multidisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Data Collection ◽  
Health Care Professionals ◽  
Multidisciplinary Approach ◽  
Percutaneous Tracheostomy ◽  
Johns Hopkins Hospital ◽  
Prospective Data ◽  
Comprehensive Service ◽  
Over Time

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.

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