The Philippine Humanitarian Contingent for Iraq (PHCI) was the contribution of the Philippine Government in the post war rehabilitation effort to improve the well being of the Iraqi people.
Human ; PSYCHIATRY ; PATIENT CARE TEAM

Disasters ; Earthquakes ; Patient Care Team

Humans ; Maxillofacial Injuries ; therapy ; Patient Care Team

Humans ; Liver Failure ; Patient Care Team

Malignant acute abdomen is a emergency with abrupt onset, rapid progress and often a complex etiology, presenting difficulties for treatment and high mortality. Therefore, multidisciplinary team (MDT) treatment modality is required. Compared with single-discipline diagnosis and treatment modality, diagnosis made from MDT discussion is more accurate, where specialists can improve efficiency and quality of the treatment through better communication. A good MDT can cover all stages from the diagnosis to the assessment and treatment of the disease, and combine them into a more coherent process. This article discusses the development of radiotherapy-related malignant acute abdomen and the role of radiotherapy in the treatment of malignant acute abdomen from the perspective of oncologic radiotherapy. Common causes of radiotherapy-related acute abdomen from gastric cancer include gastric hemorrhage, upper gastrointestinal obstruction and gastric perforation, while those of radiotherapy-related acute abdomen from colorectal cancer include lower gastrointestinal hemorrhage, intestinal obstruction, intestinal perforation and intestinal fistula. For patients with acute bleeding from gastric cancer that can not be treated by surgery, endoscopic hemostasis or embolization, palliative radiotherapy should be considered. Palliative hypofractionated radiotherapy has the advantage of reducing tumor burden in addition to relieving symptoms of gastric cancer. In patients with acute lower gastrointestinal hemorrhage, as relatively few studies have been established, short course of hypofractionated radiotherapy can be selectively applied. For patients with obstruction, palliative radiotherapy may be considered when surgical assessment is not feasible or tolerable. As malignant acute abdomen has rapid onset and progress, complex etiology and high rate of comorbidity MDT should be fully carried out. For patients with mild symptoms and slow development, radiotherapy can be applied with caution. Emergency treatment such as surgery and intervention should be given when necessary. Passive observation can result in missing the treatment opportunity and should be avoided.
Abdomen, Acute ; radiotherapy ; Abdominal Neoplasms ; radiotherapy ; Humans ; Patient Care Team

Head and Neck Neoplasms ; therapy ; Humans ; Patient Care Team ; organization & administration

Multidisciplinary team(MDT) has been considered as the best practice in the treatment planning and care for patients with cancer around the world. With the increased range and number of specialists involved, multidisciplinary coordination and communication have been enhanced, and the efficiency and quality of diagnosis and treatment of cancer have been improved. Neuroendocrine neoplasm (NEN) is a heterogeneous group of tumors originating from neuroendocrine cells located throughout the body, most of which is gastroenteropancreatic neuroendocrine neoplasm (GEP-NEN). Due to the low incidence of GEP-NEN, the knowledge of such rare disease went through a long way of exploration, and a large number of unresolved issues still plagued the clinicians. An effective diagnosis of GEP-NEN requires a multimodal approach that combines evaluation of clinical symptoms and hormone levels, radiological and nuclear imaging, and histological confirmation. The treatment is complex, including surgery, oncology, radiotherapy,peptide receptor radionuclide treatment (PRRT) and interventional therapy, so MDT model should play an important role in the diagnosis and treatment of GEP-NEN to maximize the integration of multidisciplinary resources and improve the life quality as well as survival. A NEN-MDT was organized in 2013 by the Beijing Cancer Hospital, including oncology, surgery, pathology, nuclear medicine and radiology. This paper investigates the significance and management in the implementation of MDT model in the diagnosis and treatment of GEP-NEN, based on the experience of MDT operation in our center.
Diagnosis, Differential ; Humans ; Neuroendocrine Tumors ; diagnosis ; Patient Care Team

The construction of wound healing or wound care center in China is necessary for patients and about 10 wound healing or care centers have already been established during the past years. In this paper, we summarize their experience and expect their development in the future.
China ; Health Facilities ; Humans ; Patient Care Team ; Wound Healing

Large general hospitals currently play an increasingly important role in the diagnosis and treatment for acute critical patients and difficult diseases because of the development of dual referral system and hierarchical diagnosis, as well as the formation of medical treatment alliance. Patients with oral cancers are often associated with systemic diseases, which increases the complexity of the condition. Thus, meeting the demand through the traditional single medical model is difficult. As such, a multidisciplinary team (MDT) model has been proposed and has achieved a good clinical effect. To standardize the application of this model, we organized an event in which relevant experts discussed and formulated a consensus to provide standardized suggestions on the MDT process and the diagnosis and treatment of common systemic diseases as reference for clinical practice.
Consensus ; Humans ; Mouth Neoplasms/therapy* ; Patient Care Team ; Referral and Consultation

Humans ; Glycogen Storage Disease Type II/therapy* ; Patient Care Team