Musculoskeletal pain is one of the main manifestations joint and spine diseases. Chronic poses an enormous burden for patients, society health care system. Patient with musculoskeletal requires multimodal therapy. Risk factors chronic should be identified using biopsycho social model. Review article presents approaches to treatment pain.

Recent studies suggest that robots play an important role to cope Autistic Spectrum Disorder (ASD). This paper presents a multimodal interface based on a multilevel treatment protocol customized to improve eye contact, joint attention, and imitation. An evaluation of the system has been performed involving 6 high functioning children with autism spectrum disorders. The experiments carried out m...

We report a case of a 52-year-old woman presented with atypical central serous chorioretinopathy (CSCR) that had been misdiagnosed as posterior uveitis and treated with systemic corticosteroids and immunosuppressive therapy, with subsequent severe chorioretinal damage. Diagnosis was straightened through multimodal imaging. Anatomical improvement was achieved after discontinuation of corticoster...

  Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...

The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain - a diffuse diagnosis without serious implications. The purpose of thi...

How do English as a lingua franca (ELF) speakers achieve multimodal cohesion on the basis of their specific interests and cultural backgrounds? From a dialogic and collaborative view of communication, this study focuses on how verbal and nonverbal modes cohere together during intercultural conversations. The data include approximately 160-minute transcribed video recordings of ELF interactions ...

conclusions the combination of intravenous paracetamol 1 gr and ketamine 0.5 mg/kg resulted in an overall reduction in pain scores, decreased postoperative analgesic requirements, and lower agitation score compared with intravenous paracetamol 1 gr and tramadol 0.7 mg/kg for patients undergoing renal surgery. results postoperative pain scores were significantly lower in the pk group than in the...

The majority of patients who have undergone surgery experience moderate-to-severe postoperative pain. Asian tend to under-report pain and are consequently under-treated. Poor management increases the risk morbidity, prolonged opioid use, lower quality life outcomes chronic post-surgical Multimodal analgesia is cornerstone management. Non-steroidal anti-inflammatory drugs considered a core compo...

Objective: The growing worldwide prevalence of overweight and obesity, despite treatment strategies remain the health problem. Over the past decade, increasing attention has been paid to psychological factors and a potentially comprehensive, multimodal skills-based treatment. The purpose of this study was to evaluate the efficacy of dialectical behavior therapy (DBT) on weight loss in obese wom...

Purpose In the Gemeinschaftskrankenhaus Herdecke (GKH) children and adolescents with cancer are routinely treated with integrative medicine approaches. In addition to guideline-based conventional treatment a multimodal therapy concept is applied which includes anthroposophic pharmacotherapy (particularly mistletoe extracts) and non-pharmacologic therapies (e.g. art-therapies, external embrocati...