'focal approach' is a correct and usable phrase in written English.
It is used to describe a particular strategy or plan of action that concentrates primarily on one area or aspect. For example, "The organization took a focal approach to the issue, focusing on the most pressing concerns first."
First, it describes the operationalization of a theoretical concept, together with its potential subdimensions and observable indicators, to determine if the focal approach offers a good measurement notion in relation to the latent trait.
A focal approach may also allow for an intermediary management option between active surveillance and initiating whole-gland therapy.
9 The successful experience and established dose response with whole-gland LDR brachytherapy, 5, 30 along with acceptable toxicities, may have reduced the motivation toward a focal approach.
9 Much of the experience with a focal approach in itself has been seen with ablative techniques that include high-intensity focused ultrasound (HIFU) and cryotherapy.
Specifically, patients with clinically significant disease localised only in one area of the prostate should be considered the optimal candidates for a focal approach.
Focal treatment using LDR brachytherapy has been relatively unexplored, but it may offer advantages over other modalities that have established experiences with a focal approach.
There are ongoing trials evaluating hemigland and focal approaches in selected patients, 7, 8 and there has been experience with delivering LDR brachytherapy to the peripheral zone alone.
CGP 35348 treated female had increased direct, scanning, and focal search approaches for platform indicating better learning while saline treated control females despite having increased direct and focal approaches to platform, they had also increased channing and focal incorrect approaches indicating poor learning.
While there is limited data for the use of partial-gland LDR brachytherapy, there are ongoing studies evaluating hemigland and focal approaches, and further analysis and studies are required to establish the validation and feasibility of offering focal LDR brachytherapy as an option to selected patients.
Decision-makers are encouraged to consider a multi-focal approach that effectively incorporates a network and social capital approach in planning and evaluating primary healthcare reform.
It is increasingly apparent that sustained change within health systems requires a multi-focal approach that attends to four elements: (a) motivation of key stakeholders; (b) resources for change; (c) opportunities for change, and; (d) outside motivators [ 16].
