ABSTRACT
There are many problems in traditional medical personnel training model. The artificial division of specialities and subspecialities could make the trainees informed within the specialty/subspecialty but not beyond.This consequently results in biases and narrowed vision in their diagnosis and treatment of some illness. And what is even worse,this could be passed on from clinicians to medical students.In this paper,we introduce a novel model of medical teaching at Chinese PLA General Hospital,in which multidisciplinary team (MDT) work is involved.We found the MDT model beneficial not only to the patients but also the medical students.
ABSTRACT
OBJECTIVE: The present paper highlights a case where the patients presented with spacing in the upper anterior region due to missing right lateral and peg shaped left lateral incisor. METHOD AND RESULTS: The initial treatment was standard edgewise fixed orthodontic appliance to distalize the canine, correct the bite and create space for the lateral incisors and correct the midline. CONCLUSION: After the active phase of fixed orthodontic treatment, an implant was placed and the peg shaped lateral incisor was built up with composite.
OBJETIVOS: O presente artigo refere-se a um caso em que o paciente apresentava espaços na região anterior da maxila devido à ausência de incisivo lateral direito e incisivo lateral esquerdo com coroa deformada. MÉTODO E RESULTADO: O tratamento inicial foi ortodontia fixa (edgewise) para distalizar o canino, corrigir a mordida e criar espaço para o incisivo lateral e corrigir a linha média. CONCLUSÃO: Após a fase ativa da ortodontia, utilizou-se um implante adequado na região do lateral direito e reconstruiu-se a coroa deformada do incisivo lateral esquerdo com compósito.
Subject(s)
Humans , Male , Young Adult , Anodontia/rehabilitation , Orthodontic Space Closure/methods , Dental Implants , Dental Prosthesis , Treatment OutcomeABSTRACT
Liver metastases in colorectal cancer are a frequent and lethal complication. Although hepatic resection is an effective treatment for patients with liver metastases in colorectal cancer, only 10-20% of the patients with liver metastases in colorectal cancer are indicated on hepatic resection. However, over the past several decades, liver resection has evolved as a safe and potentially curative treatment for liver metastases in colorectal cancer. Currently the absolute number of patients amenable to resection is large and is growing with better imaging, better surgery, and improvements in systemic therapies to reduce the risk of both intrahepatic and extrahepatic recurrences. The development of active chemotherapy and molecular targeted therapies, together with newer modalities like radiofrequency ablation, have expanded the indications for hepatic resection and improved survival. Also, although initially unresectable, a hepatic resection of colorectal liver metastases after down-sizing by using the above mentioned treatment modalities and chemotherapy can provide a hope for long-term survival that is similar to that of primarily resectable patients. To achieve this objective, for patients with liver metastases, a multidisciplinary team approach has become mandatory, with routine re-evaluation of patients and with adequate timing for each treatment.
Subject(s)
Humans , Colorectal Neoplasms , Liver , Molecular Targeted Therapy , Neoplasm Metastasis , RecurrenceABSTRACT
Sex identification may be described in terms of some characteristics. Any individual with testicular formation and contraindiction of any of the anatomical criteria of sex may be considered as a male pseudohermaphrodite. Most of them have genitalia that are more feminine than masculine, are best raised as females. We report a 26-year-old male pseudohermaphrodite who was phenotypically female with amenorrhea, little breast development and little sexual hair. For treatment, multidisciplinary team approach including pubic hair transplantation is needed to enhance self-image and confidence in intersexuality.