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1

Multimodale Intervention auf der Basis eines Gedächtnistrainings mit älteren Menschen. Frankfurt am Main: P. Lang, 1998.

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2

Multimodal Treatment Of Acute Psychiatric Illness. Columbia University Press, 2013.

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3

M, Justin, and Glendon L. Multimodal Treatment of Acute Psychiatric Illness: A Guide for Hospital Diversion. Columbia University Press, 2013.

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4

Simpson, Justin M., and Glendon L. Moriarty. Multimodal Treatment of Acute Psychiatric Illness: A Guide for Hospital Diversion. Columbia University Press, 2013.

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5

Simpson, Justin M., and Glendon L. Moriarty. Multimodal Treatment of Acute Psychiatric Illness: A Guide for Hospital Diversion. Columbia University Press, 2013.

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6

Soloe, Cindy, Lauren McCormack, Katherine Treiman, and David Driscoll. Informed decision making about prostate-specific antigen (PSA) testing: Findings and implications from formative testing of a multimodal intervention. RTI International, 2009. http://dx.doi.org/10.3768/rtipress.2009.rr.0006.0902.

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7

Hochman, Michael H. The Multimodal Treatment Study of Children with Attention Deficit/Hyperactivity Disorder (MTA). Edited by Ish P. Bhalla, Rajesh R. Tampi, Vinod H. Srihari, and Michael E. Hochman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190625085.003.0007.

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This chapter provides a summary of a landmark study in child and adolescent psychiatry. What is the most effective long-term management strategy in children with attention-deficit/hyperactivity disorder: medication management, behavioral treatment, a combination of medication management and behavioral treatment, or routine community care? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.
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8

Meer, Carolyn Dorothy Vander. Effects of a multimodal group counseling intervention on the adjustment of intermediate school-age African American children from changing families. 1995.

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9

Baracos, Vickie E., Sharon M. Watanabe, and Kenneth C. H. Fearon. Aetiology, classification, assessment, and treatment of the anorexia-cachexia syndrome. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0205.

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Anorexia-cachexia is a heterogeneous and multifactorial syndrome most likely driven by systemic inflammation and neuroendocrine activation. Key diagnostic features include reduced appetite, weight loss, and muscle wasting. Key clinical problems include management of anorexia without resort to artificial nutritional support, and muscle wasting that cannot be completely arrested/reversed even with such intervention. Assessment should cover domains such as body stores of energy and protein, food intake, performance status, and factors resulting in excess catabolism. Intervention should be early rather than late, informed by the assessment process and focused on a multimodal approach (nutrition, exercise, and pharmacological agents). This chapter aims to discuss these issues and provide (a) the reader with some background principles to classification, (b) a simple approach to patient assessment and a robust algorithm for basic multimodal treatment, and (c) an overview of the evidence base for different pharmacological interventions.
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10

Pfiffner, Linda J., and Lauren M. Haack. Nonpharmacologic Treatments for Childhood Attention-Deficit/Hyperactivity Disorder and Their Combination with Medication. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780199342211.003.0003.

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Of the nonpharmacological treatments for childhood attention-deficit/hyperactivity disorder (ADHD), behavioral interventions have the largest evidence base. Current behavioral interventions include behavioral parent training, behavioral classroom management, child skills training, behavioral multicomponent interventions, and multimodal treatment, which combines behavioral interventions and medication. This updated review of studies reveals significant behavioral treatment effects from randomized controlled trials on a wide range of child outcomes including ADHD and oppositional defiant disorder symptoms as well as areas of functional impairment such as homework, organizational, and social behaviors. Combined behavioral and medication treatments appear to reduce the needed dose or intensity of each intervention.
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11

Yang, Sarah T., and Tariq M. Malik. Chronic Shoulder Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0009.

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Chronic shoulder pain has multiple etiologies, including tendon tears (rotator cuff or biceps tendon), subacromial impingement (leading to subacromial bursitis or tendinitis), osteoarthritis, and shoulder joint instability. The condition is often associated with limited mobility; therefore, most interventions aim at preserving range of motion. Among the various treatment modalities, physical therapy is an effective first intervention. Corticosteroid injections do not necessarily help all chronic shoulder pain but may allow effective physical therapy for functional improvement. Multimodal analgesics and modulating agents (anti-inflammatories, antiepileptics, etc.) can also be used as part of a conservative regimen. Surgery is recommended when conservative therapy fails.
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12

Eddy, J. Mark, Betsy J. Feldman, and Charles R. Martinez. Short- and Long-term Impacts of a Coercion Theory–Based Intervention on Aggression on the School Playground. Edited by Thomas J. Dishion and James Snyder. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199324552.013.21.

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Aggression between students at school is a common problem, particularly within the context of the school playground. Key mechanisms in coercion theory, including positive and negative reinforcement for aggression and peer deviancy training, can operate with abandon on school playgrounds without adult supervision, monitoring, and appropriate intervention. The Linking the Interests of Families and Teachers (LIFT) multimodal preventive intervention, designed to address aggression on the playground, is described. The short-term and intermediate follow-up findings from a randomized controlled trial of LIFT on aggression on the playground as well as other forms of child antisocial behavior are overviewed. Long-term follow-up findings on the relations between playground aggression and antisocial behaviors during mid-adolescence and emerging adulthood are then reported. It is argued that to be effective, coercion theory–based prevention programs like LIFT need to continue across elementary school and into secondary school, rather than be delivered at only one point in time.
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13

Swarm, Robert A., Menelaos Karanikolas, Lesley K. Rao, and Michael J. Cousins. Interventional approaches for chronic pain. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0098.

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Severe, uncontrolled pain remains common in populations with serious or life-threatening illness. Despite the availability of oral opioid therapy in most developed countries, an estimated 10-30% of people with advanced cancer have inadequate pain control. Published guidelines endorse the view that these patients should be considered for procedural, or so-called interventional, pain therapies. Generally accepted indications for interventional pain therapies include (a) uncontrolled pain despite systemic analgesics and (b) unacceptable systemic analgesic adverse effects. This chapter describes these therapies and discusses how they are best used within a multimodal strategy for symptom management. Interventional pain therapies are now incorporated into best practices for cancer pain management. These therapies, especially spinal analgesics, neurolytic coeliac plexus block, and vertebroplasty, have become essential components of palliative care, to control pain that cannot be safely and effectively managed with systemic analgesics.
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14

Carter, Jessica, and Srinivas Pyati. Nonpharmacologic Management of Postsurgical Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190457006.003.0014.

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As a component of a multimodal analgesic approach, psychological and behavioral interventions are gaining popularity and importance with a goal to reduce the doses of the analgesics consumed during the perioperative period. This chapter reviews the use of neurostimulation, including transcutaneous electrical stimulation (TENS), in the postoperative period. The goal is to broaden perspectives on possible components of a multimodal, patient-centered regimen that includes pharmacologic and nonpharmacologic therapies to improve the postoperative experience.
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15

Döpfner, Manfred, and Saskia van der Oord. Cognitive–behavioural treatment in childhood and adolescence. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198739258.003.0036.

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Cognitive–behavioural treatment (CBT) in children and adolescents includes: (1) psychoeducation of the patient and their parents/teachers; (2) family-based psychosocial interventions, in particular behavioural parent training; (3) psychosocial interventions in school settings (e.g. classroom interventions and teacher training; academic interventions); (4) cognitive behaviour therapy of the child/adolescent (e.g. social skills training, organizational skills training). A multimodal psychosocial treatment approach, utilizing a combination of several of the CBT interventions, is described. ADHD aims at reducing the ADHD symptoms, psychosocial impairments associated with ADHD, and the related behavioural and emotional problems. Overall, most of these interventions are empirically based interventions that have been shown to be effective in several trials.
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16

Muñoz, George E., and Isabella Leoni Garcia. Functional Medicine Approach to Addiction. Edited by Shahla J. Modir and George E. Muñoz. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190275334.003.0018.

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The functional medicine protocol complements and enhances the traditional approach to recovery. Seen from a functional medicine perspective, the path to substance/and or food addiction recovery involves a multimodal approach. It shifts the focus from the imbalances in the brain and neurotransmitters to treat the whole person. It does so by considering the metabolic, hormonal, psychologic, immunologic, and neurologic functions that have been disturbed by addiction and that further perpetuate the inflammatory state of active addiction and during recovery phases. The gut-brain axis is reviewed from all aspects. Specific microbiome interventions, micronutrient, and vitamin deficiency support is reviewed. These interventions can be addressed through lifestyle modifications (including stress-reduction techniques), nutrition, supplementation, and in-depth case protocols, which will be further reviewed in the chapter.
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17

Espinel, Zelde, and Jon A. Shaw. PTSD in Children. Edited by Charles B. Nemeroff and Charles R. Marmar. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190259440.003.0012.

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This chapter reviews the psychobiological effects on children and adolescents upon exposure to a traumatic happening where there is a real or imaginary threat of bodily harm or death to the self and/or others. Morbidity may involve the classic symptoms associated with post-traumatic stress disorder such as a readiness to re-experience the psychological and physiological effects of trauma exposure, autonomic arousal, somatic ills and subsequent avoidant behavior as well as a host of other psychological morbidities such as depression, mood dysregulation and other internalizing and externalizing symptoms. Multimodal treatment approaches implementing family and social supports, psychoeducation, and cognitive behavioral techniques have the strongest evidence base. Psychopharmacologic interventions are not generally used, but may be necessary as an adjunct to other interventions for children with severe reactions or coexisting psychiatric conditions.
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18

Souza, Dmitri, Denis Snegovskikh, and Julia K. Hunter. Patients with Substance Abuse and Chronic Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0032.

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Treating chronic pain in patients with a substance abuse history is challenging. Patients abusing opioids may have a high pain tolerance, making pain control difficult. Available treatments for acute pain include regional and multimodal analgesia. Non-opioid and nonpharmacological analgesia (including interventional modalities, physical rehabilitation, chiropractic manipulations, and pain psychology) can be used to treat chronic pain. Patients’ past and present opioid use—illicit drug or nonmedical prescription opioid use, maintenance on medication-assisted treatment, or abstinence—should be taken into consideration when choosing between chronic pain treatments. Consultation with an addictionologist can facilitate this population’s successful treatment.
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19

Meyer, Monica. Understanding Sexual Addiction and Hypersexuality (DRAFT). Edited by Madeleine M. Castellanos. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190225889.003.0015.

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Various terms such as sexual addiction and hypersexuality have been used to describe a problematic and destructive pattern of excessive sexual behavior that persists despite negative consequences. Proposed diagnostic criteria are presented and several typologies are described in terms of their clinical presentation and associated consequences. Pornography addiction is discussed in terms of its typical course and observed impact on sexual arousal, sexual functioning, and the romantic partnership. Interpersonal neurobiology is used to conceptualize sex addiction from the three interacting theoretical perspectives of dysfunctional neural reward circuitry, maladaptive affect regulation, and disordered intimacy (or insecure attachment). A set of standard multimodal, multidisciplinary treatment recommendations are presented in the context of the three dimensions of interpersonal neurobiology that draw upon interventions that can be integrated into a unique, client-specific treatment plan. Complimentary, alternative, and integrative methodologies are explored to form a more comprehensive approach to treatment.
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20

Buckenmaier, Chester C., Michael Kent, Jason C. Brookman, Patrick J. Tighe, Edward R. Mariano, and David Edwards, eds. Acute Pain Medicine. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190856649.001.0001.

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Acute Pain Medicine tackles a large array of diagnostic and treatment consideration across a variety of surgical and nonsurgical acute pain conditions. It reviews a variety of acute pain–modulating factors followed by interventional and pharmacologic treatment options. For each applicable condition, perineural and neuraxial considerations are given when appropriate along with nociceptive anatomic complements. Pharmacologic modalities are described, stressing the use of multimodal analgesia and a variety of opioid-based options if necessary. The book reviews cases that commonly are associated with significant acute pain but also highlight the role of acute pain medicine physicians in the postdischarge phase. Finally, the book includes a critical update of the Military Advanced Regional Anesthesia and Analgesia handbook. This update serves as an essential bedside tool in the performance of regional anesthetic techniques and their corresponding anatomic considerations.
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21

Maani, Christopher V., and LT Col Edward M. Lopez. Pain Management Procedures. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0030.

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Patients referred to pain clinics are often those with the most severe pain, who have failed more conservative approaches or strictly medical modalities. In other instances, the patients are referred for concerns of comorbidities or lack of pain management resources such as a clinic and procedure room with fluoroscopic capabilities. While the goal for these percutaneous interventions is improved pain control, they should be considered adjuncts and not replacements for a comprehensive pain management strategy. Most patients benefit from multimodal pain medication strategies, physical therapy, stress management and relaxation training, occupational therapy, acupuncture, or other treatment therapies. This chapter provides an overview and discussion of several of the most common pain procedures encountered in clinical pain management practices today. Each procedure is discussed with an initial description of the strategy, including technical aspects, medical indications, and relevant complications important for the pain management physician to understand. This will be followed by a section on considerations for anesthetic management.
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22

Landelle, Caroline, and Didier Pittet. Definition, epidemiology, and general management of nosocomial infection. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0283.

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Nosocomial infection or ‘healthcare-associated infection’ (HAI), is one of the most common medical complications affecting patients in intensive care units (ICUs). The prevalence of HAI generally exceeds 25% in ICUs worldwide and ICU-acquired HAI accounts for more than 20% of all HAI in general. HAI depends on the patient’s underlying disease, the presence of invasive devices, use of antimicrobial therapy, type of ICU, and workload and training of healthcare workers. Surveillance has a major impact on the incidence of infections. HAI rates are used to assess patient safety and healthcare systems’ effectiveness, but adjustment for case-mix and standardization of surveillance method are needed. Prevention must be guided by the measurement of indicators, such as HAI rates, structure indicators, process indicators, and audits using checklists to assess if correct procedures and equipment are in place. Routine hand hygiene is the most important feature of infection control. Although the optimal approach to reducing HAI in critically-ill patients remains unclear, recent studies and large quality improvement initiatives have shown that education-based strategies with multimodal interventions, including some bundle approaches, can decrease HAI rates in ICUs.
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23

Jabbour, Pascal, and Eric Peterson, eds. Radial Access for Neurointervention. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197524176.001.0001.

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Although femoral artery catheterization has been the mainstay of arterial access for cerebral angiography, there has been a recent increase in the use of transradial access among neurointerventionalists. Despite its widespread use among interventional cardiologists, there is a paucity of evidence for its use in the neurosurgical literature. With the constant evolution of device technology and the need of multimodal treatments for complex neurovascular pathologies, most neurointerventionalists resort to femoral artery access because of the vessel’s larger diameter and having been trained with that approach. However, transradial access confers a number of benefits, most notably lower risk of vascular complications, shorter recovery, and increased patient satisfaction and cost reduction. Femoral artery catheterization requires patients to tolerate a painful and uncomfortable procedure, with associated potential complications such as pseudo-aneurysm formation, retroperitoneal hematoma, and artery occlusion. Compared with groin access, radial artery catheterization has been shown to confer a lower risk of local neurovascular complications and improved quality-of-life metrics. This book is the first of its kind, detailing step by step all the technical nuances of the transradial approach in the neurointerventional world, from diagnostic cerebral angiograms to neurointerventional procedures. This is the perfect book for physicians who decided to make the transition of their practice to transradial.
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