The goals of this task group are to examine the current high dose-rate (HDR) treatment delivery practices and to prepare a document to assure safe delivery of HDR treatments. The document consists of detailed HDR procedures for design of an HDR brachytherapy program, staffing and training, treatment specific quality assurance, and emergency procedures. The document provides an extensive quality...

When I began my career in dentistry twenty-five years ago, the "fee-for-service" practice was by far the most common approach for delivery of care. Time was not taken to define individuality and purpose, and outside factors such as insurance did not attempt to dictate the direction we took toward a treatment plan. Marketing was not mentioned and practice management as we know it was just beginn...

We diagnosed 50 patients (58 shoulders) with a mean age at presentation of 17.3 years, as having involuntary positional instability of the shoulder. They were managed by a programme consisting of a careful explanation, analysis of abnormal muscle couples and then muscle retraining carried out by a specialist physiotherapist. The mean follow-up was two years. Six shoulders had a poor result, but...

case selection and treatment plan are important aspects of endodontic treatment. dentists should organize the treatment plan based on their knowledge, abilities, skills and more importantly the patients’ preference and dentition. indubitably, the treatment plan for each patient is exclusive and “tailor-made” and cannot be used for all patients. dentists’ self-estimation of their abilities opens...

To promote sun safety by implementing different plans for sunscreen use, different psychological interventions are compared. Self-regulatory strategies such as action planning and coping planning are seen as proximal predictors of actual behavior. The study compares a pure planning intervention with a broader resource communication and examines differential effects at different stages of change...

Assessment of problematic severe asthma in children should be performed in a step-wise manner to ensure an optimal approach. A four-step assessment scheme is proposed. First, a full diagnostic work-up is performed to exclude other diseases which mimic asthma. Secondly, a multi-disciplinary assessment is performed to identify issues that may need attention, including comorbidities. Thirdly, the ...

Chronic and recurrent pain is experienced by many children and adolescents. Treatment of chronic pain using a multidisciplinary approach has been found to be effective for treatment of chronic pain. Parent satisfaction with treatment and treatment providers highly correlates to children's treatment adherence. Parents of children treated at a multidisciplinary chronic pain clinic were interviewe...

Chronic kidney disease (CKD) is a common disorder of cats, particularly those in middle to old age. This article describes a practical approach to the diagnosis of CKD in cats and the additional investigations that will then allow an effective treatment plan to be developed, tailored to the needs of the individual cat. A second article in this supplement covers the approaches to treatment of CK...

OBJECTIVE Although many psychiatric patients experience various forms of pressure or leverage to participate in community treatment, the association between such experiences and treatment participation is controversial. This study evaluated the hypothesis that aspects of the treatment relationship, such as the working alliance, psychological reactance, and perceived coercion, could be important...

In this report, we present the case of a girl with delayed odontogenesis of a lower second premolar for which she was followed up for 8.5 years. Congenital absence of permanent mandibular second premolars was observed at the initial radiographic examination at 8 years and 1 month. One year later, during the treatment period, an unexpected odontogenesis of a right second premolar was diagnosed o...