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Somatization Management

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1. Patient management algorithm combining processed electroencephalographic monitoring with cerebral and somatic near-infrared spectroscopy: a case series. (PubMed)

Patient management algorithm combining processed electroencephalographic monitoring with cerebral and somatic near-infrared spectroscopy: a case series. Cerebral oximetry is a monitoring tool used in the perioperative care of cardiac surgery patients to ensure adequate cerebral perfusion and oxygenation. When combined with somatic oximetry, the differential diagnosis of cerebral desaturation can be better identified and managed more specifically, as somatic oximetry serves as a global (...) or localized perfusion monitor (depending on its regional position). The use of processed electroencephalography (pEEG) in cardiac surgery could further guide the management of desaturation episodes, as reductions in pEEG activity without a change in the anesthetic agent level indicate potential cerebral ischemia. Continuous integration of multiple monitoring modalities are thus desirable to assess organ perfusion and organ function.Four clinical cases are presented in which the combination of pEEG

2019 Canadian Journal Of Anaesthesia

2. Somatic Cancer Panel Reporting in Ontario

Somatic Cancer Panel Reporting in Ontario Sept 2019 Somatic Cancer Panel Reporting in Ontario Introduction As the use of panel testing for molecular oncology expands in Ontario clinical labs, there is an opportunity to develop a standardized approach for the generation of clear, concise reports to reduce variation in report content and format. This standardization will support clinical management decisions by providing clear summaries of genomic findings that can be easily understood by experts (...) Care Ontario’s (CCO) Pathology and Laboratory Medicine Program (PLMP). The purpose of the working group was to establish a standardized approach to: ? Variant reporting for somatic cancers ? Determine which findings and associated quality metrics should be included in a report ? Report formatting, including layout and content Need for Standardization The standardization of pathology reporting has been shown to improve the overall quality of pathology reporting and benefit clinical management

2019 Cancer Care Ontario

3. Conversion and somatic symptom disorders

psychiatric conditions benefit overall functioning and recovery. Long-term management involves interrupting perpetuating factors, maintaining the same doctor, and providing strategies for self-efficacy, distress tolerance, coping, and modulating the interaction of anxiety, stress, and physical symptoms. Definition Conversion and somatic symptom disorders are psychiatric conditions that fall under the somatic symptoms and related disorders category of the DSM-5. Somatic symptom and related disorders (...) Conversion and somatic symptom disorders Conversion and somatic symptom disorders - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Conversion and somatic symptom disorders Last reviewed: February 2019 Last updated: March 2018 Summary Conversion and somatic symptom disorders are both categorised as somatic symptom and related disorders, previously termed somatoform disorders. Somatic symptom and related disorders

2018 BMJ Best Practice

4. Cost-utility of collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: A cluster-randomized controlled trial (the SMADS trial). (PubMed)

Cost-utility of collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: A cluster-randomized controlled trial (the SMADS trial). Anxiety, depressive and somatoform disorders are highly prevalent and cause a huge economic burden. A nurse-led collaborative care intervention has been set up in order to improve self-management of patients with these mental disorders in primary care in Hamburg, Germany. The aim of this study (...) was to determine the cost-utility of this nurse-led intervention from the health care payer perspective.This analysis was part of a 12-month cluster-randomized controlled trial aiming to increase perceived self-efficacy of primary care patients with anxiety, depressive or somatic symptoms by collaborative nurse-led self-management support compared with routine care. A cost-effectiveness analysis using quality-adjusted life years was performed. Net-monetary benefit regressions adjusted for baseline differences

2018 International journal of nursing studies

5. Management of Functional Somatic Syndromes and Bodily Distress. (PubMed)

Management of Functional Somatic Syndromes and Bodily Distress. Functional somatic syndromes (FSS), like irritable bowel syndrome or fibromyalgia and other symptoms reflecting bodily distress, are common in practically all areas of medicine worldwide. Diagnostic and therapeutic approaches to these symptoms and syndromes vary substantially across and within medical specialties from biomedicine to psychiatry. Patients may become frustrated with the lack of effective treatment, doctors may (...) experience these disorders as difficult to treat, and this type of health problem forms an important component of the global burden of disease. This review intends to develop a unifying perspective on the understanding and management of FSS and bodily distress. Firstly, we present the clinical problem and review current concepts for classification. Secondly, we propose an integrated etiological model which encompasses a wide range of biopsychosocial vulnerability and triggering factors and considers

2018 Psychotherapy and Psychosomatics

6. Real-world insights on the use of transversus abdominis plane block with liposomal bupivacaine in the multimodal management of somatic versus visceral pain in the colorectal surgery setting (Full text)

Real-world insights on the use of transversus abdominis plane block with liposomal bupivacaine in the multimodal management of somatic versus visceral pain in the colorectal surgery setting 29942149 2018 11 14 1178-7090 11 2018 Journal of pain research J Pain Res Real-world insights on the use of transversus abdominis plane block with liposomal bupivacaine in the multimodal management of somatic versus visceral pain in the colorectal surgery setting. 1141-1146 10.2147/JPR.S168817 Connolly (...) Nicholas C NC Bend Anesthesiology Group, Bend, OR, USA. eng Editorial 2018 06 15 New Zealand J Pain Res 101540514 1178-7090 Disclosure Nicholas C Connolly has received consulting fees for providing advisor services to Pacira Pharmaceuticals, Inc. The author reports no other conflicts of interest in this work. 2018 6 27 6 0 2018 6 27 6 0 2018 6 27 6 1 epublish 29942149 10.2147/JPR.S168817 jpr-11-1141 PMC6007189 J Pain Palliat Care Pharmacother. 2013 Mar;27(1):62-70 23302094 J Manag Care Spec Pharm. 2014

2018 Journal of pain research PubMed

7. Management of somatic symptom disorder (Full text)

Management of somatic symptom disorder This review paper gives an overview of the management of somatic symptom disorder. It starts with a description of the clinical problem of patients with persistent bodily distress, discusses classificatory, epidemiological, and etiological issues and then describes the evidence and practical principles of dealing with these patients who are often seen as "difficult" to treat. It is concluded that the best-suited approach is stepped care with close (...) cooperation of primary care, a somatic specialist, and mental health care professionals operating on the basis of a biopsychosocial model of integrating somatic as well as psychosocial determinants of distress and therapeutic factors.

2018 Dialogues in Clinical Neuroscience PubMed

8. Management of comorbid mental and somatic disorders in stepped care approaches in primary care: a systematic review. (PubMed)

Management of comorbid mental and somatic disorders in stepped care approaches in primary care: a systematic review. Stepped care models comprise a graded treatment intensity and a systematic monitoring. For an effective implementation, stepped care models have to account for the high rates of mental and somatic comorbidity in primary care.The aim of the systematic review was to take stock of whether present stepped care models take comorbidities into consideration. A further aim was to give (...) for depression and further somatic and/or mental comorbidity and one-third for conditions other than depression. In 39% of the studies comorbidities were explicitly integrated in treatment, mainly via transdiagnostic self-management support, interprofessional collaboration and digital approaches for treatment, monitoring and communication. Most care teams were composed of a primary care physician, a care manager and a psychiatrist and/or psychologist. Due to the heterogeneity of the addressed disorders

2018 Family Practice

9. Two cases of somatic-type malignancy as a very late relapse of testicular cancer successfully managed by surgical resection (Full text)

Two cases of somatic-type malignancy as a very late relapse of testicular cancer successfully managed by surgical resection A late-relapse germ cell tumor might contain malignant non-germ cell tumors, known as 'somatic-type malignancy (SM)'. The development of a secondary SM is rare, and this phenomenon remains poorly understood. Case 1 developed lung metastasis 13 years after chemotherapy followed by retroperitoneal lymph node dissection for stage IIA non-seminoma. The tumor increased in size

2017 Journal of surgical case reports PubMed

10. Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study). (Full text)

Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study). Collaborative, nurse-led care is a well-established model of ambulatory care in many healthcare systems. Nurses play a key role in managing patients' conditions as well as in enhancing symptom- and self-management skills.The SMADS trial evaluated the effectiveness of a primary care-based, nurse-led, complex (...) intervention to promote self-management in patients with anxiety, depressive or somatic symptoms. Change in self-efficacy 12 months post baseline was used as the primary outcome.The SMADS trial set up a two-arm, cluster randomised controlled trial in the city of Hamburg, a large metropolitan area in the North West of Germany.We randomly allocated participating primary care practices to either the intervention group (IG), implementing a nurse-led collaborative care model, or to the control group (CG), where

2016 International journal of nursing studies PubMed

11. Somatic GPR101 duplication causing X-linked acrogigantism (X-LAG) - diagnosis and management. (Full text)

Somatic GPR101 duplication causing X-linked acrogigantism (X-LAG) - diagnosis and management. Recent reports have proposed that sporadic or familial germline Xq26.3 microduplications involving the GPR101 gene are associated with early-onset X-linked acrogigantism (XLAG) with a female preponderance.A 4-year-old boy presented with rapid growth over the previous 2 years. He complained of sporadic headaches and had coarse facial features. His height Z-score was +4.89, and weight Z-score was +5.57 (...) . Laboratory testing revealed elevated serum prolactin (185 μg/L; normal, <18 μg/L), IGF-1 (745 μg/L; normal, 64-369 μg/L), and fasting GH > 35.0 μg/L. Magnetic resonance imaging demonstrated a homogenous bulky pituitary gland (18 × 15 × 13 mm) without obvious adenoma. A pituitary biopsy showed hyperplastic pituitary tissue with enlarged cords of GH and prolactin cells. Germline PRKAR1A, MEN1, AIP, DICER1, CDKN1B, and somatic GNAS mutations were negative. Medical management was challenging until

2016 Journal of Clinical Endocrinology and Metabolism PubMed

12. A pathogen-specific approach towards udder health management in dairy herds: Using culture and somatic cell counts from routine herd investigations (Full text)

A pathogen-specific approach towards udder health management in dairy herds: Using culture and somatic cell counts from routine herd investigations A dedicated udder health diagnostic programme was developed and used over a 15-year period in South Africa to analyse milk samples based on microbiological and cytological patterns within various groups and for individual cows and udder quarters in dairy herds. These pathogen-specific analyses are utilised for pro-active improvement and management (...) of udder health in South African commercial dairy herds. The programme acts as a monitoring tool and identifies management areas at risk and individual cows with udder disease and uses both quarter and composite milk samples. Intra-mammary infection (IMI) is a dynamic situation and depending on the time a milk sample is taken, false-negative results may be obtained. A new IMI and an infection that is curing may both have low somatic cell counts (SCCs), masking the true bacterial status. SCC

2016 The Onderstepoort journal of veterinary research PubMed

13. Somatization Management

Somatization Management Somatization Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Somatization Management Somatization (...) Management Aka: Somatization Management , Somatoform Disorder Management , Somatic Symptom Disorder Management From Related Chapters II. Management: Strategies to avoid See Do not suggest "it's all in your head" Do not order endless testing without indications Avoid unnecessary invasive tests or medications Avoid over referring to specialists Do not focus on symptoms (focus on function instead) III. Management: Protocol Assign a single designated physician Establish long-term empathetic relationship

2018 FP Notebook

14. Multiple somatic symptoms in primary care patients: a cross-sectional study of consultation content, clinical management strategy and burden of encounter. (Full text)

Multiple somatic symptoms in primary care patients: a cross-sectional study of consultation content, clinical management strategy and burden of encounter. Consultations involving patients with multiple somatic symptoms may be considered as challenging and time-consuming by general practitioners (GPs). Yet, little is known about the possible links between consultation characteristics and GP-experienced burden of encounter. We aimed to explore consultation content, clinical management strategies (...) , time consumption and GP-experienced burden of encounters with patients suffering from multiple somatic symptoms as defined by the concept of bodily distress syndrome (BDS).Cross-sectional study of patient encounters in primary care from December 2008 to December 2009; 387 GPs participated (response rate: 44.4 %). Data were based on a one-page registration form completed by the GP and a patient questionnaire including the 25-item BDS checklist for somatic symptoms. Using logistic regression analyses

2016 BMC Family Practice PubMed

15. REMAP – A Resilience Resources Measure for Prediction and Management of Somatic Symptoms (Full text)

REMAP – A Resilience Resources Measure for Prediction and Management of Somatic Symptoms Patients with symptoms but without an identified disease are a challenge to primary care providers. A 22-item measure is introduced and evaluated to offer medical care providers with an instrument to assess and discuss possible deficiencies in resilience resources that may contribute to symptoms without identifiable pathology. This instrument highlights psychosocial and lifestyle resources that serve

2016 International journal of behavioral medicine PubMed

16. Somatic mutations in solid tumors: a spectrum at the service of diagnostic armamentarium or an indecipherable puzzle? The morphological eyes looking for BRAF and somatic molecular detections on cyto-histological samples (Full text)

Somatic mutations in solid tumors: a spectrum at the service of diagnostic armamentarium or an indecipherable puzzle? The morphological eyes looking for BRAF and somatic molecular detections on cyto-histological samples This review article deals with the analysis and the detection of the morphological features associated with somatic mutations, mostly BRAFV600E mutation, on both cytological and histological samples of carcinomas. Few authors demonstrated that some architectural and specific (...) cellular findings (i.e. polygonal eosinophilic cells defined as "plump cells" and sickle-shaped nuclei) are able to predict BRAF V600E mutation in both cytological and histological samples of papillary thyroid carcinoma (PTC) as well as in other carcinomas. In the current review article we evaluated the first comprehensive analysis of the morphological prediction of BRAFV600E and other somatic mutations in different malignant lesions with the description of the possible mechanisms beneath

2016 Oncotarget PubMed

17. Somatic mutations and immune checkpoint biomarkers. (PubMed)

Somatic mutations and immune checkpoint biomarkers. The development of molecular testing for identifying somatic mutations and immune checkpoint biomarkers has directed treatment towards personalized medicine for patients with non-small cell lung cancer. The choice of molecular testing in a clinical setting is influenced by cost, expertise in the technology, instrumentation setup and sample type availability. The molecular techniques described in this review include immunohistochemistry (IHC (...) and discuss the future of molecular platforms underpinning clinical management decisions.© 2019 Asian Pacific Society of Respirology.

2019 Respirology

18. Psychometric evaluation of the Heart Failure Somatic Perception Scale in a European heart failure population. (PubMed)

Psychometric evaluation of the Heart Failure Somatic Perception Scale in a European heart failure population. The Heart Failure Somatic Perception Scale (HFSPS) is a four-factor instrument used to assess how bothersome are 18 physical signs and symptoms of heart failure. To date, construct validity and reliability of the HFSPS have been evaluated in only one American study and never in a European population.To evaluate psychometric properties (validity and reliability) of the HFSPS (...) are in order to improve their management.

2019 European Journal of Cardiovascular Nursing

19. Squamous cell carcinoma as a somatic-type malignancy in an extragonadal immature teratoma of the sinonasal region. (PubMed)

Squamous cell carcinoma as a somatic-type malignancy in an extragonadal immature teratoma of the sinonasal region. Somatic-type malignancy arising in a teratoma of the sinonasal region is extremely unusual, creating a diagnostic dilemma. There are no definite guidelines for management of such cases. A 15-year-old male with a maxillary mass was misdiagnosed as angiomyolipoma, maxillary carcinoma, mucoepidermoid carcinoma, and teratocarcinosarcoma, followed by the final diagnosis of squamous cell

2019 International Journal of Pediatric Otorhinolaryngology

20. Parallel Analyses of Somatic Mutations in Plasma Circulating Tumor DNA (ctDNA) and Matched Tumor Tissues in Early-Stage Breast Cancer. (PubMed)

Parallel Analyses of Somatic Mutations in Plasma Circulating Tumor DNA (ctDNA) and Matched Tumor Tissues in Early-Stage Breast Cancer. Early detection and intervention can decrease the mortality of breast cancer significantly. Assessments of genetic/genomic variants in circulating tumor DNA (ctDNA) have generated great enthusiasm for their potential application as clinically actionable biomarkers in the management of early-stage breast cancer.In this study, 861 serial plasma and matched tissue

2019 Clinical Cancer Research

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