Treatment Modalities Used for Maladaptive Behaviors

Open surgical repair of lesions of the descending thoracic aorta, such as aneurysm, dissection and traumatic rupture, has been the state-of-the-art treatment for many decades. However, in specialized cardiovascular centers, thoracic endovascular aortic repair and hybrid aortic procedures have been implemented as novel treatment options. The current clinical results show that these procedures can be performed with low morbidity and mortality rates. However, due to a lack of randomized trials, the level of reliability of these new treatment modalities remains a matter of discussion. Clinical decision-making is generally based on the experience of the vascular center as well as on individual factors, such as life expectancy, comorbidity, aneurysm aetiology, aortic diameter and morphology. This article will review and discuss recent publications of open surgical, hybrid thoracic aortic (in case of aortic arch involvement) and endovascular repair in complex pathologies of the descending thoracic aorta.

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Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽

10.1024/1023-9332.9.2.55 ◽

2003 ◽

Vol 9 (2) ◽

pp. 55-62 ◽

Cited By ~ 7

Author(s):

Bartanusz ◽

Porchet

Keyword(s):

Spinal Cord ◽

Surgical Techniques ◽

Cord Compression ◽

Treatment Modalities ◽

Surgical Approaches ◽

Spinal Stabilization ◽

Management Algorithm ◽

Specific Manner ◽

Extensive Surgery ◽

Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

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“Paint It Black”

Journal of Individual Differences ◽

10.1027/1614-0001/a000264 ◽

2018 ◽

Vol 39 (4) ◽

pp. 196-203 ◽

Cited By ~ 1

Author(s):

Oulmann Zerhouni ◽

Johan Lepage

Keyword(s):

Emotion Regulation ◽

Conditioned Stimulus ◽

Evaluative Conditioning ◽

Maladaptive Behaviors ◽

Future Directions ◽

Contingency Awareness ◽

Difficulties In Emotion Regulation

Abstract. The present study is a first attempt to link self-reported difficulties in everyday emotion regulation (ER) with evaluative conditioning (EC). We conducted a within-subject study in which participants (n = 90) filled the Difficulties in Emotion Regulation Scale (DERS) and were exposed to neutral conditioned stimulus (CS) paired with mildly or highly arousing negative unconditioned stimuli (USs) and positive USs. Participants then filled a contingency awareness measure. Results showed (i) that CSs paired with highly arousing negative USs were more negatively evaluated, (ii) that the EC effect with highly and mildly arousing negative USs was stronger among participants with greater self-reported difficulties in everyday ER. Moreover, participants were more likely to be aware of the CS-US contingencies with highly (vs. mildly) arousing negative USs. Implications for the understanding of maladaptive behaviors and for future directions in EC research are discussed.

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