scholarly journals Working alliance predicts symptomatic improvement in public hospital–delivered psychotherapy in Nairobi, Kenya.

2019 ◽  
Vol 87 (1) ◽  
pp. 46-55 ◽  
Author(s):  
Fredrik Falkenström ◽  
Mary Kuria ◽  
Caleb Othieno ◽  
Manasi Kumar
2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Nirali Shah ◽  
Sandhya Iyer

Background. Gastroesophageal reflux disease currently accounts for the majority of esophageal pathologies. This study is an attempt to help us tackle the diagnostic and therapeutic challenges of this disease. This study specifically focuses on patients in the urban Indian setup.Materials and Methods. This study was a prospective interventional study carried out at a teaching public hospital in Mumbai from May 2010 to September 2012. Fifty patients diagnosed with gastroesophageal reflux disease (confirmed by endoscopy and esophageal manometry) were chosen for the study.Results. Fifty patients were included in the study. Twenty patients showed symptomatic improvement after three months and were thus managed conservatively, while 30 patients did not show any improvement in symptoms and were eventually operated.Conclusion. We suggest that all patients diagnosed to have gastroesophageal reflux disease should be subjected to 3 months of conservative management. In case of no relief of symptoms, patients need to be subjected to surgery. Laparoscopic Toupet's fundoplication is an effective and feasible surgical treatment option for such patients, associated with minimal side effects. However, the long-term effects of this form of treatment still need to be evaluated further with a larger sample size and a longer followup.


2020 ◽  
Vol 7 (3) ◽  
pp. 69-71
Author(s):  
Angelica Gomes de Carvalho ◽  
Heloyse Nascimento Lima ◽  
Clara Leticia Rocha Silva ◽  
Pedro Miranda Portugal Junior ◽  
Julia Artiaga de Carvalho Coelho ◽  
...  

Iliopsoas Abscess (IA) is a rare condition that predominantly affects young adults. It is a purulent collection that forms inside the iliopsoas muscle for several reasons. The primary form is due to hematogenous or lymphatic dissemination and the secondary form is the direct expansion of an infectious focus near the iliopsoas muscle. It is an insidious disease with a dragged clinical course, presenting with fever, thigh pain associated with abdominal and/or lower back pain, and there may be limitation of movements in the hip joint. The aim of this study is to demonstrate a case of IA in a 32-year-old female patient, admitted to the Palmas General Public Hospital (HGPP). After treatment, the patient evolved with symptomatic improvement and good clinical outcome.


2019 ◽  
Vol 66 (1) ◽  
pp. 83-93 ◽  
Author(s):  
Seini O'Connor ◽  
Dennis M. Kivlighan ◽  
Clara E. Hill ◽  
Charles J. Gelso

2008 ◽  
Author(s):  
Jared A. DeFife ◽  
Rebecca L. Drill ◽  
Jack Beinashowitz ◽  
Ash Turnbull ◽  
Elizabeth B. Naughter

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