Implementation In Everyday Practice Research Articles

БИОЛОГИЧЕСКИЕ МЕТОДЫ ЛЕЧЕНИЯ В ТРАВМАТОЛОГИИ И ОРТОПЕДИИ

Background: conduct an analytical review of modern biological methods for treating diseases of the musculoskeletal system. Material and methods: аn analysis of foreign and domestic sources on this topic was carried out. Results: based on the latest scientific data, the presented review describes key orthobiological methods for treating diseases of the musculoskeletal system, and studies the effectiveness of their use. The most effective methods for clinical practice are recommended. Conclusion: our analysis indicates that the treatment of diseases of the musculoskeletal system using orthobiological methods is an urgent problem and requires further study along with its active implementation in everyday practice.

Libraries between censorship and information rights (impact on library practice in the segment of library material acquisition and creation of funds)

Libraries as supposed to be the most democratic places in the world have a clearly defined role and purpose in society. They are obliged to provide equal access to information for all, but also to get an impact on reader preferences and at the same time to perform an educational role. In that gap between the imperative to obey the law and follow democratic principles – providing the right to information on the one hand, and the dictates of the market on the other, libraries found themselves in an unenviable position when it comes to the segment of acquiring library materials and creating funds. Although, in principle, this business segment is regulated through various professional recommendations and by legal and internal acts of libraries, there still remains an unresolved dilemma related to the treatment of publications and/or authors that can be classified on a certain basis as problematic from ethical or aesthetic aspects. The aim of this paper is to contribute to the theoretical understanding of specific manifestations of censorship that can occur in certain segments of library practice such as creating funds, purchasing library materials, or meeting user requirements. This is being achieved by comparing what are real dilemmas in practice and what the legislation prescribes or what is recommended by professional organizations. By focusing on questioning the boundaries in solving the aforementioned problems, through an attempt to open specific issues, it seeks to point out the shortcomings of existing solutions and a certain discrepancy between the offered legal-theoretical framework and its implementation in everyday practice.

Erector spinae plane block for perioperative pain management in neurosurgical lower-thoracic and lumbar spinal fusion: a single-centre prospective randomised controlled trial

BackgroundErector spinae plane block is a locoregional anaesthetic technique widely used in several different surgeries due to its safety and efficacy. The aim of this study is to assess its utility in spinal degenerative and traumatic surgery in western countries and for patients of Caucasian ethnicity.MethodsPatients undergoing elective lower-thoracic and lumbar spinal fusion were randomised into two groups: the case group (n = 15) who received erector spinae plane block (ropivacaine 0.4% + dexamethasone 4 mg, 20 mL per side at the level of surgery) plus postoperative opioid analgesia, and the control group (n = 15) who received opioid-based analgesia.ResultsThe erector spinae plane block group showed significantly lower morphine consumption at 48 h postoperatively, lower need for intraoperative fentanyl (203.3 ± 121.7 micrograms vs. 322.0 ± 148.2 micrograms, p-value = 0.021), lower NRS score at 2, 6, 12, 24, and 36 h, and higher satisfaction rates of patients (8.4 ± 1.2 vs. 6.0 ± 1.05, p-value < 0.0001). No differences in the duration of the hospitalisation were observed. No erector spinae plane block-related complications were observed.ConclusionsErector spinae plane block is a safe and efficient opioid-sparing technique for postoperative pain control after spinal fusion surgery. This study recommends its implementation in everyday practice and incorporation as a part of multimodal analgesia protocols.Trial registrationThe study was approved by the local ethical committee of Romagna (CEROM) and registered on ClinicalTrials.gov (NCT04729049). It also adheres to the principles outlined in the Declaration of Helsinki and the CONSORT 2010 guidelines.

ROR1 and BMI-1 proteins as potential predictors of the effectiveness of hormone therapy in luminal breast cancer

The purpose of the study was to generalize information regarding the molecular and biological mechanisms involved in the resistance to endocrine therapy with aromatase inhibitors in patients with luminal breast cancer. Material and Methods. The literature search was conducted using Medline, Cochrane Library, Elibrary and PubMed databases. Results. The review highlights the results of international studies on molecular and biological characteristics of breast tumors and their relationship with the effectiveness of hormone therapy. Particular attention was paid to the description of modern studies on ROR1 and BMI-1 proteins and their contribution to the development of tumor resistance to treatment. Conclusion. The analysis of the world literature confrms the relevance of studying the molecular and genetic characteristics of tumor tissue in patients with luminal breast cancer. The data obtained were compared to the clinical course and response to hormone therapy in order to standardize them for implementation in everyday practice as the “gold standard of diagnosis”.

AWARENESS AND LIMITATIONS OF MEASURING VASCULAR AGEING IN EVERYDAY PRACTICE. A PILOT QUALITATIVE ANALYSIS FROM VASCAGENET(CA18216)

Objective: Despite current evidence demonstrating the important role of Vascular ageing (VA) in cardiovascular risk assessment, its awareness and mostly implementation in everyday practice still lags significantly. To effectively assess the need for future target strategies for health providers, a qualitative questionnaire was developed. The aim of this analysis was to identify perceptions and factors associated with omitting VA assessment in a group of clinicians and researchers. Design and method: An online qualitative questionnaire based on intentionally left open-ended key questions identified by a Network for Research in Vascular Ageing (VascAgeNet) COST Action(CA18216) expert working group was developed and distributed to participants working in the field of VA, in order to globally assess knowledge and perceptions. Importance of VA was evaluated on a scale 0(least important)-5(very important). Results: Out of the 127 responses, 104 questionnaires were complete. The mean age of participants was 42.5 ± 10.5 years, 60.6% male. 43.3% were clinicians (mostly cardiologists, internists, and endocrinologists) and 56.7% were other scientists (mostly computer scientists and physiologists). Although participants were aware of the role of VA and scored median 5/5 (very important) on the evaluation scale, only 53.8% measured it in the research setting and only 16.3% in everyday clinical practice. Amongst the most frequently identified limiting factors regarding clinical setting were time(31.5%), lack of reimbursement of tests(22.3%), cost of equipment(16.7%), guidelines(13%),validation data(5.6%) and devices(9.4%). 15.6% considered that there was no clinical benefit. Participants who measured VA in clinical practice considered VA significantly more important than those who didn’t measure it (0% vs.3.3%(1–2), 17.6% vs.39.3%(3–4), 82.4% vs.57.4%(5), respectively, p = 0.029). Similar were the results in research setting (1.8% vs.4.5%(1–2), 28.6% vs. 50.0%(3–4), 69.6% vs. 45.5%(5), respectively, p = 0.053). Table 1 presents the main results, according to the participants’ status. Conclusions: Although aware of the importance of VA in cardiovascular risk assessment, participants are still unable to implement it in their clinical practice. Our results identify for the first time some important factors, which informed the construction of a quantitative questionnaire for confirmation in larger populations, and could constitute a small startup for future experts’ recommendations.

Documenting research software in engineering science

The reuse of research software needs good documentation, however, the documentation in particular is often criticized. Especially in non-IT specific disciplines, the lack of documentation is attributed to the lack of training, the lack of time or missing rewards. This article addresses the hypothesis that scientists do document but do not know exactly what they need to document, why, and for whom. In order to evaluate the actual documentation practice of research software, we examined existing recommendations, and we evaluated their implementation in everyday practice using a concrete example from the engineering sciences and compared the findings with best practice examples. To get a broad overview of what documentation of research software entailed, we defined categories and used them to conduct the research. Our results show that the big picture of what documentation of research software means is missing. Recommendations do not consider the important role of researchers, who write research software, whose documentation takes mainly place in their research articles. Moreover, we show that research software always has a history that influences the documentation.

Assessing Neonatal Pain with NIPS and COMFORT-B: Evaluation of NICU's Staff Competences.

Background Pain is considered “the 5th vital sign” that should be regularly assessed in the neonatal intensive care setting. Although over 40 pain assessment tools have been developed for neonates, their implementation in everyday practice is challenging. Epidemiological studies demonstrate that pain is still underassessed and undertreated in European NICUs. Purpose To evaluate the interrater and intrarater reliability of the NIPS and COMFORT-B scales among the tertiary NICU's staff members 4 years after their implementation in local pain guidelines with no prior dedicated training. Methods Physicians and nurses were invited to evaluate 5 video recordings of infants hospitalized in the intensive care settings, using the NIPS and COMFORT-B scales. The assessment took part twice at a 3-month interval. Interrater reliability was calculated for both scales using Kendall's W coefficient of concordance and Krippendorff's alpha coefficient. Cohen's kappa was used to assess intrarater reliability. Results 17 physicians and 19 nurses took part in the study. Interrater agreement for the COMFORT-B scale was above 0.8 for Kendall's W coefficient (p < .01) and above 0.667 for Krippendorff's alpha coefficient. Kendall's W coefficient for the NIPS scores ranged between 0.7 and 0.8 (p < .01). Krippendorff's alpha was above 0.667. Intrarater agreement for both the COMFORT-B and NIPS scales was 0.693 and 0.724, respectively. Conclusions Overall, the agreement between our staff members was moderately good for both scales. This is not enough to avoid inadequate pain assessment. More training is needed to improve NICU's staff competences in using pain scales.

Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers.

Background: Individualized nursing care as a form of person-centered care delivery is a well-known approach in the health care context and is accepted as best practice by organizations and professionals, yet its implementation in everyday practice creates serious challenges. The aim was to assess and compare the perceptions of health professionals and older diabetes patients on their individual care in regard to the patient’s clinical situation, personal life situation, and decisional control. Methods: The quantitative study with a cross-sectional survey design was conducted from March 2019 until January 2021. The Individualized Care Scale was applied for the data collection. Health professionals (nurses and physicians, n = 70) and older diabetes patients (n = 145) participated in the study. The average duration of diabetes was 15.8 years (SD = 10.0) and type 2 diabetes was the most common (89.0%). The current glucose-lowering therapy for 51.0% of the patients was oral medications, 37.9% used injected insulin, and 11.1% were treated by combined therapy. Results: The highest-rated aspects of individualized care on both dimensions of the scale from the health professionals’ perspective related to the clinical situation, and the scores for provision were significantly higher than those for support. The highest means of patients’ ratings on the support dimension related to the clinical situation and the decisions over care sub-scale; for the care provision dimension, the highest individuality in care was assigned to the decisions over care sub-scale. The lowest ratings of individualized care, both in the health professionals’ and patients’ samples, related to the personal life situation sub-scale. Conclusions: Health professionals are more positive in regard to individualized care support and provisions for older diabetes patients than the patients themselves. Patient characteristics, such as the type of glucose-lowering therapy, education, and nutritional status, make a difference in patients’ understanding and experience of individuality in care.

Особенности конфликтов руководителей органов внутренних дел и их проявление в профессиональной деятельности

The authors reveal the psychological determinants of the constructive behavior of police officers in interpersonal conflicts with various categories of citizens, as well as the development of algorithms for psychologically competent actions of an employee in typical emotionally intense interpersonal situations.&#x0D; In order to study the peculiarities of conflicts and their manifestations in the activities of the heads of the internal affairs bodies of the Russian Federation, an empirical study was carried out, in which 104 respondents took part - the heads of the territorial bodies of the internal affairs of the Russian Federation, both acting and temporarily undergoing training in various educational programs of the Academy. Department of the Ministry of Internal Affairs of Russia.&#x0D; The study showed that modern chiefs of internal affairs bodies are focused on the implementation in everyday practice of interaction with subordinates of the subject-cooperating approach, since it is close to the national mentality and contributes to effective prevention and settlement of conflicts.&#x0D; The most important task of the head of the internal affairs bodies in the process of managing socio-psychological conflicts is their objective complex analysis in order to use the positive experience of resolving conflicts and preventing the development of destructive socio-psychological conflicts.&#x0D; The process of managing socio-psychological conflicts involves the implementation of modern psychotechnologies. To effectively solve emerging problems, each police officer must master the necessary minimum of theoretical knowledge and practical skills of behavior in a conflict, i.e. get conflictological training.

Engaging stakeholders to improve social validity: intervention priorities for students with complex communication needs

Many factors impact intervention implementation in everyday practice, including the social validity of these interventions. As a way of addressing social validity, this study aimed to understand the perspectives of multiple stakeholders of school-aged children and adolescents who use aided and unaided augmentative and alternative communication (AAC) on their key intervention priorities for these children. Semi-structured interviews were conducted with 19 parents and professionals, which included special education teachers, paraprofessionals, and speech-language pathologists (SLPs). Qualitative content analysis focused on (a) identifying a framework of intervention priorities for children with complex communication needs and (b) understanding stakeholders’ underlying values and attitudes that influenced perceptions about these priorities. Participants shared many intervention priorities and several core values. These intervention priorities included approaches focused on improving children’s intrinsic abilities (i.e., skills-focused) and on improving children’s extrinsic supports and opportunities (i.e., environment-focused). However, participants often portrayed diverging attitudes about different aspects of intervention, particularly self-efficacy (e.g., persistence in the face of challenges; confidence about inclusive education) and perceptions of students (e.g., keeping high expectations). These findings have important implications for practice and future research related to how attention to social validity can help bridge the research-to-practice gap.

Российское предпринимательство ориентирующееся в своей деятельности на принципы исламской экономике

Relevance and purpose. Entrepreneurship in the Russian Federation, focusing in its activities on the implementation of the principles of the Islamic economy, has great potential for implementation in everyday practice and further development. However, insufficient theoretical elaboration of the problem, the lack of terminological unity in the interpretation of definitions, the imperfection of legal regulation and the almost complete absence of the practice of creating and successfully functioning entrepreneurial structures do not allow us to talk about such entrepreneurship as a fait accompli. The purpose of the study is a literary review of bibliographic sources on the Islamic economy, aimed at introducing the terminological certainty of definitions and determining the possibility of using entrepreneurship in the Russian Federation that focuses on the implementation of the principles of the Islamic economy. Methods and materials of the study - cabinet analysis of studies on the Islamic economy presented in the bibliographic database of scientific publications of Russian scientists “Russian Science Citation Index”. Results of the study: the content of the concept of “Islamic economy” is disclosed, the restrictions on the use of the concept of “Islamic business” in the Russian Federation are identified, the concept of “entrepreneurship in the Russian Federation focusing on the implementation of the principles of the Islamic economy” is clarified, the features are identified, the possibilities for its development in of Russia.

ФОРМУВАННЯ ІНТЕЛЕКТУАЛЬНОЇ ТЕХНІКИ СПЕЦІАЛІСТА НА ОСНОВІ МАТЕМАТИЧНИХ КАТЕГОРІЙ

Досліджено основні типи та рівні математичної компетентності, що застосовуються до вивчення математичних дисциплін в економічних ЗВО. Актуалізовано питання науково-технічного і соціально-економічного розвитку сучасного суспільства, удосконалення і повної реалізації в повсякденну практику новітніх комунікаційних технологій (ІКТ), використання яких дозволяє значно збільшити ефективність комп’ютерних процесів: систематизації, збирання, опрацювання, аналізу, зберігання, узагальнення, пошуку, передавання і подання різноманітних даних і відомостей. Запропоновано шляхи та умови ефективного впровадження в навчальний процес нових ІКТ для підвищення якості знань і рівня підготовки майбутніх фахівців-економістів. Проаналізувавши теоретичну і практичну частини математичної підготовки майбутніх спеціалістів фінансово-кредитної сфери діяльності, виділено основні функції застосування комп’ютерних технологій в освіті: організація пізнавальної діяльності методом внутрішнього і зовнішнього моделювання; створення нових методик освітнього процесу; своєчасні корекція і контроль системи освітніх дій; моделювання спільної діяльності викладача і студента. Застосування систем комп’ютерних технологій у ході вивчення математичних дисциплін суттєво підвищить математичну освіченість студентів в економічних ЗВО.

«Chaos and Clues» algorithm in routine practice of analyzing dermatoscopic image

The article describes theoretical bases and practical aspects of the use in clinical practice of the «Chaos and Clues» algorithm of dermatoscopic diagnostics of pigmented skin lesions developed by a group of scientists from different countries of the world. The article provides a detailed description of the application of this algorithm in conditions of real clinical practice. It was emphasized that the use of dermatoscopy as a simple and non­invasive method of research in the practice of a dermatologist allows a more accurate assessment of skin tumors with a careful review of important additional details of their morphology, which in turn increases the accuracy of the diagnosis. For the most part, the dermatoscopy is performed for the purpose of differential diagnosis and visualization of the pigmentary or vascular structures of the epidermis and upper layers of the dermis. Increasingly, dermatoscopy is successfully used to diagnose unpigmented elements, but this article focuses on the diagnostic algorithm for pigmented neoplasms of the skin. The purpose of this publication is to inform specialists about a clear, concise, understandable and consistent algorithm, necessary for the analysis of patterns visible in dermatoscopy. The article proves that the structure of the «Chaos and Clues» algorithm is extremely simple and convenient for implementation in everyday practice. It is noted that the main advantage of this algorithm is the clarity and logic of using terminology to name elements of a dermatoscopic picture, and an original way to use these characteristics for the purpose of establishing a diagnosis. These characteristics are extremely relevant today, when in various sources of information we come across many visual and descriptive terms that, instead of explaining, introduce misunderstandings in the diagnostic process, unreasonably complicate the terminology, which may mislead an insufficiently experienced medical specialist.

Implementation of home blood pressure monitoring among French GPs: A long and winding road.

BackgroundTo explore the perception of home blood pressure monitoring (HBPM) by general practitioners (GPs) in everyday practice in order to identify facilitators and barriers to its implementation in daily practice.MethodsA qualitative study comprising the conduct of six focus groups between October 2016 and February 2017, gathering 41 general practitioners in primary care practice in Lorraine (North Eastern France), with thematic and comprehensive analysis.ResultsThe first reasons given by GPs to explain their difficulties with HBPM (Home Blood Pressure Monitoring) implementation were the usual lack of time, material and human resources. However, all of these motives masked other substantial limiting factors including insufficient knowledge regarding HBPM, poor adherence to recommendations on HBPM and fear of losing their medical authority. GPs admitted that HBPM use could enhance patient observance and decrease therapeutic inertia. Despite this observation, most GPs used HBPM only at the time of diagnosis and rarely for follow-up. One explanation for GP reluctance towards HBPM may be, along with guidelines regarding hypertension, HBPM is perceived as being a binding framework and being difficult to implement. This barrier was more predominantly observed among aging GPs than in young GPs and was less frequent when GPs practiced in multidisciplinary health centers because the logistical barrier was no longer present.DiscussionIn order to improve HBPM implementation in everyday practice in France, it is necessary to focus on GP training and patient education. We must also end "medical power" in hypertension management and turn to multidisciplinary care including nurses, pharmacists and patients.

Prediction of Nocturnal Hypoglycemia From Continuous Glucose Monitoring Data in People With Type 1 Diabetes: A Proof-of-Concept Study.

Intensive insulin therapy has documented benefits but may also come at the expense of a higher risk of hypoglycemia. Hypoglycemia is associated with higher all-cause mortality and nocturnal hypoglycemia has been associated with the sudden dead-in-bed syndrome. This proof-of-concept study sought to investigate if nocturnal hypoglycemia can be predicted. Continuous glucose monitoring, meal, insulin, and demographics data from 463 people with type 1 diabetes were obtained from a clinical trial. A total of 4721 nights without or with hypoglycemia (429) were available including data from three consecutive days before the night. Thirty-two features were calculated based on these data. Data were split into 20% participants for evaluation and 80% for training. The optimal feature subset was found from forward selection of the 80% participants with linear discriminant analysis as basis for the classifier. The forward selection resulted in a feature subset of four features. The evaluation resulted in an area under the receiver operating characteristics curve (ROC-AUC) of 0.79 leading to a sensitivity and a specificity of, e.g., 75% and 70%. It was possible to predict nocturnal hypoglycemic episodes with a ROC-AUC of 0.79. A warning at bedtime about nocturnal hypoglycemia could be of great help for people with diabetes to enable preventive actions. Further development of the proposed algorithm is needed for implementation in everyday practice.

Cost sensitivity - Anemia algorithm implementation in every day practice

A large body of observations indicate that there is an inconsistent knowledge of Transfusion Medicine among health care professionals as well as inconsistent knowledge in all aspects of the transfusion process, from blood donation to transfusion on the ward. It is obvious to consider that appropriate education in Transfusion Medicine should be achieved in the education of specialists who will prescribe transfusion on a regular basis (hematologists, critical care specialists, anaethesiologists and others.) However,we also believe that education in Transfusion Medicine should also be delivered to almost all other medical specialists who may prescribe blood components. The variability in education of undergraduates in medical schools is universal most likely due to an absence of a predefined common platform. This paper, therefore, focuses on education at the undergraduate level and advocates coverage of the essential physiology and pathophysiology of blood as applied to blood transfusion as well as the medical and societal aspects of issues related to blood donation. It proposes incremental levels of training in Transfusion Medicine, with what is being therefore referred to as ‘A’, ‘B’, ‘C’ etc. curricula in ascending order of complexity; for example, ‘A’ and ‘B’ levels would involve medical, midwifery and nursing students, covering a broad base of the subject: they will be detailed in the present essay; ongoing further curricula will focus on physicians and other professionals working within the area or with responsibility for different aspects of the transfusion chain. It is intended that these courses include aspects of donor care, patient care and the appropriate use, safety and effectiveness of blood products. Next, it is advocated that curricula are addressed not only for high-income countries but also for middle- and low-income ones.

Development and Implementation of a Mental Health Work Rehabilitation Program: Results of a Developmental Evaluation.

Purpose Long-term work disability due to common mental disorders (CMDs) is a growing problem. Yet optimal interventions remain unclear and little is known about implementation challenges in everyday practice. This study aimed to support and evaluate, in real time, the development and implementation of a work rehabilitation program (WRP) designed to promote post-CMD return-to-work (RTW). Methods A 2-year developmental evaluation was performed using a participatory approach. At program outset, the researchers held five work meetings to revise the program's logic model and discuss its underlying change theory with clinicians. Data collection tools used throughout the study period were structured charts of activities conducted with workers (n = 41); in-depth interviews with program clinicians and managers (n = 9); and participant observation during work meetings. Quantitative data were analyzed using descriptive statistics. Qualitative data underwent thematic analysis using a processual approach. Results Three types of activity were developed and implemented: individual and group interventions targeting workers, and joint activities targeting partners (physicians, employers, others). While worker-targeted activities were generally implemented as planned, joint activities were sporadic. Analysis of the implementation process revealed five challenges faced by clinicians. Determinants included clinicians, host organization, sociopolitical context and resources provided by the evaluation. Conclusion The program studied is original in that it is based on the best available scientific knowledge, yet adapted to contextual particularities. The identified implementation challenges highlight the need for greater importance to be placed on the external, non-program context to ensure sustainable implementation in everyday practice.

Delivering Intensive Rehabilitation in Stroke: Factors Influencing Implementation.

The evidence base for stroke rehabilitation recommends intensive and repetitive task-specific practice, as well as aerobic exercise. However, translating these -evidence-based interventions from research into clinical practice remains a major -challenge. The objective of this study was to investigate factors influencing implementation of higher-intensity activity in stroke rehabilitation settings. This qualitative study used a cross-sectional design. Semi-structured interviews were conducted with rehabilitation therapists from 4 sites across 2 Canadian provinces who had experience in delivering a higher-intensity intervention as part of a clinical trial (Determining Optimal post-Stroke Exercise [DOSE]). An interview guide was developed, and data were analyzed using implementation frameworks. Fifteen therapists were interviewed before data saturation was reached. Therapists and patients generally had positive experiences regarding high-intensity interventions. However, therapists felt they would adapt the protocol to accommodate their beliefs about ensuring movement quality. The requirement for all patients to have a graded exercise test and the use of sensors (eg, heart rate monitors) gave therapists confidence to push patients harder than they normally would. Paradoxically, a system that enables routine graded exercise testing and the availability of staff and equipment contribute challenges for implementation in everyday practice. Even therapists involved in delivering a high-intensity intervention as part of a trial wanted to adapt it for clinical practice; therefore, it is imperative that researchers are explicit regarding key intervention components and what can be adapted to help ensure implementation fidelity. Changes in therapists' beliefs and system-level changes (staffing and resources) are likely necessary to facilitate higher-intensity rehabilitation in practice.

Development of logging methods in solving hydrogeological problems on the basis of the Alexander

In this paper, the results of development and implementation in everyday practice, including at the MSU well, digital logging complex, discusses the complex interpretation of the data in relation to the tasks of hydrogeology. The complex, in addition to the obligatory types of log- ging (GK, PZ, PS, DS, a thermometer), using new developments, for example, videokarotazha device and high-frequency induction probe (VIC), which is used in plastic-cased wells.

New Frontiers in Transdiagnostic Treatment: Youth Psychotherapy for Internalizing and Externalizing Problems and Disorders

Comorbidity is common among youths referred for mental health treatment. Yet, the majority of evidence-based treatments (EBTs) for young people are focal, addressing one or a homogeneous cluster of disorders or problems. In addition, most of these EBTs have been developed and tested in research settings under controlled conditions that are useful experimentally but may limit the generalizability of findings to referred youths in clinical practice treated by real-world practitioners. Recently, researchers have begun to develop transdiagnostic treatments that may support implementation in everyday practice. Here, we describe a transdiagnostic program called MATCH (Modular Approach to Therapy for Children With Anxiety, Depression, Trauma, or Conduct Problems; MATCH-ADTC), which employs a modular design to facilitate personalizing treatment to fit individual youths. We summarize evidence to date supporting the effectiveness of MATCH with youths treated by practitioners in community clinic and school settings....