Search results for "Disciplinary approach"

Integration of oncology and palliative care: a Lancet Oncology Commission.

2018

© 2018 Elsevier Ltd Full integration of oncology and palliative care relies on the specific knowledge and skills of two modes of care: the tumour-directed approach, the main focus of which is on treating the disease; and the host-directed approach, which focuses on the patient with the disease. This Commission addresses how to combine these two paradigms to achieve the best outcome of patient care. Randomised clinical trials on integration of oncology and palliative care point to health gains: improved survival and symptom control, less anxiety and depression, reduced use of futile chemotherapy at the end of life, improved family satisfaction and quality of life, and improved use of health-…

European Society for Medical Oncology (ESMO) position paper on supportive and palliative care

2018

Oncology has come a long way in addressing patients' quality of life, together with developing surgical, radio-oncological and medical anticancer therapies. However, the multiple and varying needs of patients are still not beingmet adequately as part of routine cancer care. Supportive and palliative care interventions should be integrated, dynamic, personalised and based on best evidence. They should start at the time of diagnosis and continue through to end-of-life or survivorship. ESMO is committed to excellence in all aspects of oncological care during the continuum of the cancer experience. Following the 2003 ESMO stand on supportive and palliative care (Cherny N, Catane R, Kosmidis P. …

Virtual Clinical and Precision Medicine Tumor Boards-Cloud-Based Platform-Mediated Implementation of Multidisciplinary Reviews Among Oncology Centers…

2021

Background Multidisciplinary tumor boards play a pivotal role in the patient-centered clinical management and in the decision-making process to provide best evidence-based, diagnostic, and therapeutic care to patients with cancer. Among the barriers to achieve an efficient multidisciplinary tumor board, lack of time and geographical distance play a major role. Therefore, the elaboration of an efficient virtual multidisciplinary tumor board (VMTB) is a key point to successfully obtain an oncology team and implement a network among health professionals and institutions. This need is stronger than ever during the COVID-19 pandemic. Objective This paper presents a research protocol for an obse…

ORIGIN AND DEVELOPMENT OF PASTORALISM IN THE MEDITERRANEAN AREA: THE CASE OF VALLONE INFERNO, SCILLATO (PALERMO), SICILY

2014

Gender Confirmation Surgery: Guiding Principles

2016

Abstract Background At this time, no formal training or educational programs exist for surgeons or surgery residents interested in performing gender confirmation surgeries. Aim To propose guiding principles designed to aid with the development of formal surgical training programs focused on gender confirmation surgery. Methods We use expert opinion to provide a “first of its kind” framework for training surgeons to care for transgender and gender nonconforming individuals. Outcomes We describe a multidisciplinary treatment model that describes an educational philosophy and the institution of quality parameters. Results This article represents the first step in the development of a structure…

A Multidisciplinary Approach to the Analysis of Multifactorial Land Mammal Colonization of Islands

2013

A highly debated question that engages paleontologists, zoogeographers, and zoologists is how terrestrial mammals colonize islands. The question’s oversimplification and the subjective and partial responses to it have led to reductionist models. Insular faunas and fossil assemblages result from a complex interaction of geological, biological (in a broad sense), climatic, eustatic, taphonomic, and historical processes. Insular assemblages and their accompanying variables should be investigated on a case-by-case basis. In this article, we discuss not only common misconceptions and their potential origins but also the key issues that should be addressed when dealing with the colonization of is…

Integrated geomorphological mapping in the north-western sector of Agrigento (Italy)

2012

The geomorphological map is an essential tool to perform a proper urban planning in mountainous or hilly areas. In this paper a multidisciplinary approach to derive a 1:2000 geomorphological map is described. The proposed methodology consists of the integration between aerial photographs, acquired in 2003, and four datasets of Persistent Scatterer Interferometry (PSI) measures to update a pre-existing landslide inventory. The integrated data were used to achieve a validated geomorphological map by means of a geomorphological survey. The study area is located in southern Italy (Agrigento, Sicily). The city of Agrigento, included in the World Heritage List of UNESCO in 1997, is located on the…

Group model building: a collaborative modelling methodology applied to critical infrastructure protection

2012

Large crises management, affecting CIs needs multidisciplinary knowledge including technical, economical, social, political, legal and managerial knowledge. Being these crises international a huge variety of agents is involved in their response. This situation concludes in a set of stakeholders who only have fragmented knowledge. In the presence of dispersed and incomplete knowledge, and of fragmented and disrupted crisis management, the collaborative approach group model building (GMB), where modelling experts unify fragmented, tacit knowledge from domain experts, is a valuable option. However, GMB has been little used in CIP. We have done so in the context a European project on crisis man…

Multidisciplinary Approach for Evaluating the Geochemical Degradation of Building Stone Related to Pollution Sources in the Historical Center of Napl…

2020

Natural stones have represented one of the main building materials since ancient times. In recent decades, a worsening in degradation phenomena related mostly to environmental pollution was observed, threatening their conservation. The present work is focused on the minero-petrographic and geochemical characterization of black crust (BC) samples taken from the historical center of Naples, after selecting two pilot monumental areas. The latter were chosen based on their historical importance, type of material, state of preservation and position in the urban context (i.e., high vehicular traffic area, limited traffic area, industrial area, etc.). The building materials used and their interact…

Prenatal diagnosis of cerebral malformation with an uncertain prognosis: a study concerning couple's information and consequences on pregnancy.

2004

Abstract Fetal ultrasound (FU) is used during almost all pregnancies and makes a large contribution to the identification of fetal malformation. It is particularly difficult to announce a malformation, particularly those affecting the brain, because there are often doubts concerning both the diagnosis and the prognosis. Aim. – The aim of this study was to analyze how imaging for prenatal screening is organized and how couples are managed and supported. We concentrated on the procedures used to inform couples: content, method of delivery and consequences. Method. –: Study amongst large multidisciplinary centers in Paris and the Paris region, by semi-directed interviews using a questionnaire.…