scholarly journals Clinical strategies to manage adult glioblastoma patients without MGMT hypermethylation

2022 ◽  
Vol 13 (1) ◽  
pp. 354-363
Author(s):  
Delin Liu ◽  
Tianrui Yang ◽  
Wenbin Ma ◽  
Yu Wang
Keyword(s):  
Clinical Strategies

Automated Development of Clinical Strategies Using Multistage Decision Analysis

1986 ◽  
Vol 25 (04) ◽  
pp. 207-214 ◽  
Author(s):  
P. Glasziou
Keyword(s):  
Decision Tree ◽  
Decision Analysis ◽  
Decision Trees ◽  
Optimal Strategy ◽  
Cholestatic Jaundice ◽  
Clinical Strategies ◽  
Simultaneous Study

SummaryThe development of investigative strategies by decision analysis has been achieved by explicitly drawing the decision tree, either by hand or on computer. This paper discusses the feasibility of automatically generating and analysing decision trees from a description of the investigations and the treatment problem. The investigation of cholestatic jaundice is used to illustrate the technique.Methods to decrease the number of calculations required are presented. It is shown that this method makes practical the simultaneous study of at least half a dozen investigations. However, some new problems arise due to the possible complexity of the resulting optimal strategy. If protocol errors and delays due to testing are considered, simpler strategies become desirable. Generation and assessment of these simpler strategies are discussed with examples.

scholarly journals The biopsychosocial-digital continuum of foot orthosis practice and research: the VALUATOR model

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Kevin Deschamps ◽  
Chris Nester ◽  
Veronica Newton ◽  
Gabriel Gijon-Nogueron ◽  
Engin Simsek ◽  
...  
Keyword(s):  
Therapeutic Efficacy ◽  
Social Stress ◽  
Clinical Value ◽  
Holistic Model ◽  
Scientific Discussion ◽  
Wide Range ◽  
Clinical Strategies ◽  
Person Centered Approach ◽  
First Time ◽  
Foot Orthosis

AbstractFoot orthoses have been used for decades despite uncertainty surrunding their therapeutic efficacy. Orthoses have been used exclusively to affect neuro-biomechanical input and outcome variables, however, there is emerging evidence that therapeutic efficacy may be affected by a psychological stimulus. Critical appraisal of the literature highlights that there is no holistic model upon which foot orthosis practice is taught, practised nor investigated. This paper introduces a conceptual model of foot orthosis practice (Value Based Foot Orthosis Practice (VALUATOR) model) that embraces a broader range of factors that are pertinent to orthosis practice, incorporating contemporary health service behaviours and values into orthosis practice for the first time.Within the VALUATOR model, foot orthosis design and clinical value is considered along a bio-psycho-social-digital continuum that reflects the reality of foot orthosis practice. The model contextualises the variable outcomes that are observed in research and practice within 6 key areas: 1) value, 2) person-centered approach, 3) zone of optimal bio-psycho-social stress, 4) bio-psycho-social assessment, 5) monitoring, 6) primary and secondary clinical strategies.The VALUATOR model is targeted at students, lecturers, scientists and practitioners and includes carefully chosen terminology to support a robust basis for educational and scientific discussion. It is believed that it provides a contemporary viewpoint and a structured conceptual metaphor that builds on existing evidence from a wide range of sources, invites constructive intellectual debate, and is anchored in the experiences of practitioners too. Stress testing the VALUATOR model will help determine its model and support further developments and evolution of orthotic practice in a evidence based way.

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