Short-Term Psychotherapy of Suicides Undergoing Intensive Medical Treatment

1983 ◽  
pp. 751-755
Author(s):  
M. van MOFFAERT ◽  
C. JANNES
Keyword(s):  
Medical Treatment ◽  
Short Term

scholarly journals An unusual case of genital filariasis of the testicular tunics in an Italian patient

2021 ◽  
Vol 41 (3) ◽  
pp. 186-189
Author(s):  
Alessia Fassari ◽  
Andrea Polistena ◽  
Giorgio De Toma ◽  
Enrico Fiori
Keyword(s):  
Medical Treatment ◽  
Adult Worm ◽  
Clinical Examination ◽  
Unusual Case ◽  
Surgical Excision ◽  
Singular Case ◽  
Short Term ◽  
Italian Patient ◽  
Immigrant Patient ◽  
Endemic Areas

At least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Clinical examination and ultrasound detected a mass of 40×18 mm in the scrotum without signs of varicocele, hydrocele and testicular or epididymal abnormalities. After ineffective medical treatment, the patient underwent surgical excision. Histology demonstrated filarial granuloma with thick cuticles pathognomonic of an adult worm in the testicular tunics. Surgery has a fundamental role in localized cases of GF to remove nematodes from the fibrotic nodules. The present manuscript describes a singular case of GF observed in Italy in a non-immigrant patient with evidence of remnants of an adult worm in the testicular tunics. SIMILAR CASES PUBLISHED: 11

10. Visitors: entry for temporary purposes

2018 ◽  
Author(s):  
Gina Clayton ◽  
Georgina Firth ◽  
Caroline Sawyer ◽  
Rowena Moffatt ◽  
Helena Wray
Keyword(s):  
Medical Treatment ◽  
Family Members ◽  
Short Term ◽  
Special Cases ◽  
The Law ◽  
The Uk ◽  
General Conditions

Course-focused and comprehensive, the Textbook on series provides an accessible overview of the key areas on the law curriculum. This chapter discusses the law relating to individuals coming to the UK as visitors for short-term or finite purposes such as tourism, business visits, sporting and entertainment engagements, or for private medical treatment. There is a discussion of the withdrawal, reinstatement, and restriction of rights of appeal for those visiting family members in the UK, and the application of Article 8 ECHR to these situations. The revised visitor rules in Appendix V are described in detail. The chapter also discusses the special cases of marriage visitors, carers and transit visitors, and general conditions such as prohibited activities and the need for maintenance and accommodation.

scholarly journals Cuffitis: is an endoscopic approach possible?

2020 ◽  
Vol 08 (04) ◽  
pp. E544-E547
Author(s):  
Mélanie Serrero ◽  
Aurélia Santoni ◽  
Jean-Charles Grimaud ◽  
Ariadne Desjeux ◽  
Jean-Michel Gonzalez ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Endoscopic Treatment ◽  
Ileal Pouch ◽  
Rectal Mucosa ◽  
Endoscopic Approach ◽  
Short Term ◽  
Persistent Inflammation ◽  
Anal Anastomosis ◽  
Interesting Approach ◽  
Endoscopic Revision

Abstract Background Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the reference surgical treatment for patients with ulcerative colitis (UC) refractory to medical treatment. One of the complications is leaving a strip of rectal mucosa which can be a cause of persistent inflammation or cuffitis. The objective of our study is to present an endoscopic approach for the treatment of cuffitis. Methods This retrospective study included three patients who suffered from cuffitis after a proctocolectomy with IPAA for UC refractory to medical treatment. An endoscopic resection of the cuffitis was performed by the same operator. Two different techniques were used: hybrid endoscopic submucosal dissection (ESD) for one patient and mucosectomy with cap and resection for the two others. Results The endoscopic treatment was performed successfully in all three patients. The only complication observed was rectal bleeding which did not require endoscopic revision. The three patients are now asymptomatic. Conclusion Endoscopic treatment of cuffitis appears to be an interesting approach with few complications in the short term and good clinical efficacy.

scholarly journals Depression and Anxiety Following Deep Brain Stimulation in Parkinson’s Disease: Systematic Review and Meta-Analysis

2014 ◽  
Vol 27 (3) ◽  
pp. 372 ◽  
Author(s):  
Maria Inês Couto ◽  
Ana Monteiro ◽  
Ana Oliveira ◽  
Nuno Lunet ◽  
João Massano
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Depressive Symptoms ◽  
Deep Brain Stimulation ◽  
Medical Treatment ◽  
Brain Stimulation ◽  
Meta Analysis ◽  
Short Term ◽  
Stn Dbs ◽  
Deep Brain

<p><strong>Introduction:</strong> Deep brain stimulation (DBS) is effective in advanced Parkinson’s disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcomes of anxiety and depressive symptoms in Parkinson’s disease patients following DBS, through systematic review and meta-analysis.<br /><strong>Material and Methods:</strong> PubMed was searched until May 2012 to identify studies assessing anxiety and depressive symptoms in PD patients who underwent bilateral DBS of the subthalamic nucleus (STN) or globus pallidus internus (GPi). Random effects metaanalyses were conducted for groups of at least three studies that were homogeneous regarding the design and the instruments used.<br /><strong>Results:</strong> 63 references were selected; 98.4% provided data on depression, and 38.1% on anxiety assessment scales. Two studies did not discriminate the target; from the remaining 61 references, short-term evaluation was performed in 37 (60.7%), mid-term in 36 (59.0%) and long-term in 5 (8.2%). Data on pre to postop variation was available in 57 (93.4%) reports and 16 (26.2%) presented STNDBS versus different comparison groups: GPi-DBS (n = 4 studies, 25.0%), eligible for surgery (n = 6, 37.5%), and medical treatment (n = 7, 43.8%).<br /><strong>Discussion:</strong> Improvement of depression and anxiety is apparent after DBS, more pronounced in the short-term, an effect that seems to wane in later assessments. Concerning depression, STN-DBS shows superiority against medical treatment, but not when compared to eligible for surgery control groups. The opposite is apparent for anxiety, as results favor medical treatment over STN-DBS, and STNDBS over eligible for surgery control group. Superiority of one target over the other is not evident from the results, but data slightly favors GPi for both outcomes.<br /><strong>Conclusion:</strong> The pattern and course of depressive symptoms and anxiety following DBS in PD is not clear, although both seem to improve in the short-term, especially depression following STN-DBS. Results are highly heterogeneous. Efforts should be carried out to standardize assessment procedures across centers.<br /><strong>Keywords:</strong> Parkinson’s Disease; Deep Brain Stimulation; Anxiety; Depression; Meta-Analysis.</p>

10. Visitors: entry for temporary purposes

2021 ◽  
pp. 370-384
Author(s):  
Gina Clayton ◽  
Georgina Firth ◽  
Caroline Sawyer ◽  
Rowena Moffatt
Keyword(s):  
Medical Treatment ◽  
Family Members ◽  
Short Term ◽  
Special Cases ◽  
The Law ◽  
The Uk ◽  
General Conditions

This chapter discusses the law relating to individuals coming to the UK as visitors for short-term or finite purposes such as tourism, business visits, sporting and entertainment engagements, or for private medical treatment. There is a discussion of the withdrawal, reinstatement, and restriction of rights of appeal for those visiting family members in the UK, and the application of Article 8 ECHR to these situations. The revised visitor rules in Appendix V are described in detail. The chapter also discusses the special cases of marriage visitors, carers and transit visitors, and general conditions such as prohibited activities and the need for maintenance and accommodation.

scholarly journals Relationship between age and the impact of revascularization on mortality in patients with non-ST-elevation myocardial infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
T Asano ◽  
Y Mitsuhashi ◽  
J Yamashita ◽  
R Ito ◽  
M Saji ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medical Treatment ◽  
Coronary Revascularization ◽  
The Elderly ◽  
St Elevation Myocardial Infarction ◽  
Hospital Death ◽  
Short Term ◽  
Short Term Mortality ◽  
St Elevation ◽  
The Impact

Abstract Background It is known that the early coronary revascularization in patients with non-ST-elevation myocardial infarction (NSTEMI) was associated with favorable clinical outcomes. However, it is still unclear whether this efficacy is equivalent over all the ages of the patients. Methods Patients with NSTEMI were screened from the database of the Tokyo CCU network registry. Of those, the patients treated without revascularization (medical treatment) were matched with the patients receiving revascularization by propensity score matching. The probabilities of in-hospital death were calculated in the logistic regression model. In two subgroups stratified according to median of the age (elderly and non-elderly subgroups), the odds ratios of revascularization for in-hospital death were calculated. Results In the patients registered between 2013 and 2017, 4,851 patients with NSTEMI were identified. After the screening, 370 patients with medical treatment were matched with 370 patients treated with revascularization. The incidence of in-hospital death was significantly higher in the patients with medical treatment (20.3% vs 13.0%, P=0.01). The two probability curves of in-hospital death in patients with and without revascularization converged as age increased. In the elderly subgroup, the revascularization was not significantly associated with favorable outcome of mortality, whereas it had a significant impact on mortality in the non-elderly subgroup (odds ratio: 0.47 [95% CI 0.23–0.95]). Conclusion The impact of revascularization on short-term mortality in patients with NSTEMI tended to be reduced as age increased. Funding Acknowledgement Type of funding source: None

Patients With Advanced Cancer Choose Less Aggressive Medical Treatment on Vignettes After Using a Computer-Based Decision Aid

2019 ◽  
Vol 37 (7) ◽  
pp. 537-541 ◽  
Author(s):  
Michael J. Green ◽  
Lauren J. Van Scoy ◽  
Andrew J. Foy ◽  
Anne E.F. Dimmock ◽  
Erik Lehman ◽  
...  
Keyword(s):  
Medical Treatment ◽  
End Of Life ◽  
Decision Aid ◽  
Intervention Group ◽  
Specific Treatment ◽  
Group Versus ◽  
Median Number ◽  
Living Will ◽  
Short Term ◽  
Computer Based

Background: Although patients often prefer less rather than more treatment at the end of life, in the absence of contrary instructions, the medical profession’s de facto position is to treat aggressively. It is unknown whether a computer-based decision aid can affect treatment choices. Methods: Secondary analysis of a single-center, single-blind randomized controlled trial of an advance care planning (ACP) intervention among 200 patients with stage IV cancer. Participants were randomized to intervention ( Making Your Wishes Known, a values-neutral, educational, computer-based decision aid) or control (standard living will + brochure). After reading a hypothetical clinical vignette, participants were asked whether they would want 11 medical/surgical treatments in that situation (dialysis, cardiopulmonary resuscitation [CPR], ventilator, feeding tube, etc). The median number of treatments wanted by participants was compared between groups, and logistic regression was used to compare between-group likelihood of not wanting each specific treatment. Results: The median number of treatments wanted was 1 in the intervention group versus 5 in the control ( P < .001). For 6 of 11 treatments, the intervention group was significantly less likely than control to want aggressive treatment. Most notably, compared to control, intervention participants were less likely to want CPR (odds ratio [OR] = 0.31), short-term mechanical ventilation (OR = 0.34), short-term dialysis (OR = 0.38), surgery (OR = 0.37), and transfusion (OR = 0.21). Conclusions: Individuals using an educational ACP decision aid were less likely to want aggressive medical treatment than those completing standard living wills. These findings have implications not only for how to respect patient’s wishes but also potentially for reducing costs at the end of life.

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