Interdisciplinary Treatment

2015 ◽  
pp. 260-283
Keyword(s):  
Interdisciplinary Treatment

The Role of Surgery in Interdisciplinary Treatment of Tibial Orbital Rhabdomyosarcoma

Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Christopher Mohr ◽  
J. Esser ◽  
R. Wieland
Keyword(s):  
Interdisciplinary Treatment

scholarly journals Geriatric fracture centre vs usual care after proximal femur fracture in older patients: what are the benefits? Results of a large international prospective multicentre study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e039960
Author(s):  
Michael Blauth ◽  
Alexander Joeris ◽  
Elke Rometsch ◽  
Kathrin Espinoza-Rebmann ◽  
Pannida Wattanapanom ◽  
...  
Keyword(s):  
Adverse Events ◽  
Multicentre Study ◽  
Usual Care ◽  
Proximal Femur ◽  
Interdisciplinary Treatment ◽  
Proximal Femur Fracture ◽  
Geriatric Fracture ◽  
Femur Fractures ◽  
Prospective Multicentre Study ◽  
Registration Number

ObjectiveThe aim of this study was to determine the effect of treatment in geriatric fracture centres (GFC) on the incidence of major adverse events (MAEs) in patients with hip fractures compared with usual care centres (UCC). Secondary objectives included hospital-workflow and mobility-related outcomes.DesignCohort study recruiting patients between June 2015 and January 2017. Follow-up was 1 year.SettingInternational (six countries, three continents) multicentre study.Participants281 patients aged ≥70 with operatively treated proximal femur fractures.InterventionsTreatment in UCCs (n=139) or GFCs (n=142), that is, interdisciplinary treatment including regular geriatric consultation and daily physiotherapy.Outcome measuresPrimary outcome was occurrence of prespecified MAEs, including delirium. Secondary outcomes included any other adverse events, time to surgery, time in acute ward, 1-year mortality, mobility, and quality of life.ResultsPatients treated in GFCs (n=142) had a mean age of 81.9 (SD, 6.6) years versus 83.9 (SD 6.9) years in patients (n=139) treated in UCCs (p=0.013) and a higher mean Charlson Comorbidity Index of 2.0 (SD, 2.1) versus 1.2 (SD, 1.5) in UCCs (p=0.001). More patients in GFCs (28.2%) experienced an MAE during the first year after surgery compared with UCCs (7.9%) with an OR of 4.56 (95% CI 2.23 to 9.34, p<0.001). Analysing individual MAEs, this was significant for pneumonia (GFC: 9.2%; UCC: 2.9%; OR, 3.40 (95% CI 1.08 to 10.70), p=0.027) and delirium (GFC: 11.3%; UCC: 2.2%, OR, 5.76 (95% CI 1.64 to 20.23), p=0.002).ConclusionsContrary to our study hypothesis, the rate of MAEs was higher in GFCs than in UCCs. Delirium was revealed as a main contributor. Most likely, this was based on improved detection rather than a truly elevated incidence, which we interpret as positive effect of geriatric comanagement.Trial registration numberClinicalTrials.gov: NCT02297581.

scholarly journals Implementing an Interdisciplinary Committee to Reduce Psychotropic Drug and Increase Behavioral Intervention Use

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 306-306
Author(s):  
Lauren Hess Conrad ◽  
David Portman
Keyword(s):  
Psychotropic Drug ◽  
Behavioral Intervention ◽  
Psychotropic Medication ◽  
Behavioral Interventions ◽  
Psychotropic Medications ◽  
Interdisciplinary Treatment ◽  
Fiscal Year ◽  
Term Care ◽  
Care Plans ◽  
And Behavior

Abstract In Fiscal Year (FY) 2018, the Butler VA Health Care System’s Psychotropic Medication and Behavior Management Committee was identified as a Veterans Integrated Service Network 4 Best Practice. The goal of this committee is to reduce unnecessary psychotropic medication use and polypharmacy and to increase behavioral intervention implementation among Community Living Center (CLC) Veterans. This committee meets quarterly to review Psychotropic Drug Safety Initiative data, behaviors and behavior care plans, and all psychotropic medications prescribed to Veterans. Psychiatric diagnoses, changes to psychotropic medications, and appropriate behavioral interventions are discussed. Committee members take responsibility for action items in accordance with their discipline; documentation of recommendations are made in quarterly behavioral health assessments in CPRS; and follow-up on action items is completed at twice weekly interdisciplinary treatment team meetings, weekly behavior rounds, and/or as needed. From the first quarter (Q1) of FY16 to Q1 FY20, the Butler VA CLC has seen decreased prescriptions of 2 or more anticholinergics (6.6% to 0.80%), antihistamines (12.5% to 5.9%), benzodiazepines (24.7% to 11.0%), and benzodiazepines or sedative hypnotics (23.2% to 9.0%). While prescription of antipsychotic use has increased (Q1 FY20 = 23.8%), the committee will follow Long Term Care Institute guidelines for gradual dose reductions, behavioral interventions, and as needed psychotropic medication PRN use. This committee provides an interdisciplinary forum to discuss and implement beneficial changes to pharmacological and non-pharmacological interventions among all CLC Veterans. The committee is a valuable process for monitoring and reinforcing best practices that may be easily replicated across VA CLCs nationwide.

scholarly journals Technology and Corporate Social Responsibility

2021 ◽  
Vol 13 (15) ◽  
pp. 8658
Author(s):  
Vojko Potocan
Keyword(s):  
Sustainable Development ◽  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
New Technologies ◽  
Social Issues ◽  
Technological Development ◽  
Sustainable Use ◽  
Interdisciplinary Treatment ◽  
Sustainable Technologies ◽  
Corporate Social

This study examined the importance of technologies in advancing modern organizations’ corporate social responsibility (CSR). Drawing upon environmentalist and technological theories, we analyzed the shift from the traditional development of technology to the development of sustainable technologies for the further sustainable advancement of organizations. Technology has decisively influenced the development of humankind, but its research has traditionally excluded sustainable development issues. Newer technological visions have addressed the incorporation of technologies in all industries more comprehensively to solve social issues related to environmental protection and sustainable economic development. Such an orientation is followed by several conceptual solutions, such as the sustainable use of traditional technologies, development of sustainable technologies, and interdisciplinary treatment of sustainable technology to extend the CSR model. The results of our study have theoretical implications, highlighting the effects of technological development and new technologies on the course of further societal sustainable development. Practical implications include extending CSR’s Triple Bottom model with a technological dimension to improve organizations’ further sustainable operating and behavior.

UP-2.095: Long Term Assessment of Interdisciplinary Treatment of T3c Renal Cell Carcinoma with Atrial Thrombus

Urology ◽  
2009 ◽  
Vol 74 (4) ◽  
pp. S260-S261
Author(s):  
Z. Dobrowolski ◽  
W. Lipczynski ◽  
B. Dobrowolska-Glazar ◽  
S. Bak ◽  
J. Sadowski ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Interdisciplinary Treatment ◽  
Atrial Thrombus
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