RESUMO
This study, the first of its kind in the English-speaking Caribbean, investigated the efficacy of modified brief family therapy in the treatment of alcoholism. Thirty men were treated with family therapy and milieu therapy and compared with 30 sex- and aged-matched patients treated with milieu therapy alone. Follow-up over a period of 1 year showed significant levels of improvement in those treated with family therapy. The treatment group did not revert to their original drinking pattern. This can be attributed to family therapy. Family therapy was brief and inolved seeing all significant members for 3 session, each session lasting 90 min. The role of the family therapy and importance of culture in management of these patients are discussed. Our study confirms that a time-limited problem-solving family therapy approach is of use in these ethnic groups (AU)
Assuntos
Adulto , Humanos , Masculino , Alcoolismo/reabilitação , Terapia Familiar , Hospitalização , Psicoterapia Breve , Comparação Transcultural , Alcoolismo/psicologia , Terapia Combinada , Família/psicologia , Seguimentos , Terapia Ambiental , Trinidad e TobagoRESUMO
A brief look at the aims of radiation therapy, interactions with other modalities and recent advances. Although an ideal radiation beam capable of destroying only the cancer cells has not yet been found, the author examines the existing beams and the specific types of treatment for which they are used
Assuntos
Radioterapia/efeitos adversos , Radioterapia/tendências , Neoplasias/diagnóstico por imagem , Neoplasias/radioterapia , Terapia Combinada , Cirurgia GeralRESUMO
An endodermal sinus tumour of the anterior mediastinum is described in a 19-year-old man. This very rare condition is reported for the Caribbean literature (AU)
Assuntos
Humanos , Adulto , Masculino , Mesonefroma/patologia , Neoplasias do Mediastino/diagnóstico , Terapia Combinada , Mesonefroma/patologia , Mesonefroma/terapia , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/terapia , PrognósticoAssuntos
Humanos , Masculino , Feminino , Queimaduras/complicações , Infecção dos Ferimentos/complicações , Infecção dos Ferimentos/prevenção & controle , Meio Ambiente , Terapia Combinada/enfermagem , Anti-Infecciosos Locais/administração & dosagem , Imunização , Cicatrização/fisiologia , Administração dos Cuidados ao PacienteRESUMO
Since Kawasaki in 1969 described the first case of mucocutaneous lymph node syndrome which presented as an acute febrile illness in young children, the syndrome has occasionally been reported in adults in the U.S.A. The present communication describes the first adult case reported from the West Indies. (AU)
Assuntos
Humanos , Adolescente , Masculino , Síndrome de Linfonodos Mucocutâneos/diagnóstico , Ampicilina/uso terapêutico , Aspirina/uso terapêutico , Repouso em Cama , Relatos de Casos , Terapia Combinada , Síndrome de Linfonodos Mucocutâneos/terapia , Trinidad e Tobago , Vitaminas/uso terapêuticoRESUMO
The limitation of the traditional institutionally-based model of rehabitlitation and the competing rationale for introducing a community-based model of services are examined. Problems with the World Health evaluation of CBR are discussed. The results of a CBR programme with 53 pre-school disabled children in rural areas of Guyana are presented. Quantitative and qualitative methods are combined to analyse the results. Portage and Griffiths pre/post test results showed improvement as a result of the training programme. Noticeable changes in the attitudes of the parents toward the child, the community and towards themselves are presented. The effective involvment of the community is analysed. (AU)
Assuntos
Humanos , Pré-Escolar , Criança , Deficiências do Desenvolvimento/reabilitação , Agentes Comunitários de Saúde , Países em Desenvolvimento , Educação Especial , /educação , Terapia Combinada , Seguimentos , Guiana , Serviços de Assistência Domiciliar , Mães/educação , Meio Social , Organização Mundial da SaúdeAssuntos
Humanos , Dor/terapia , Doença Crônica , Terapia Combinada , Neoplasias/terapia , Dor Intratável/terapiaRESUMO
In summary, one may state that many cases of abdominal pain in children may have a psychosomatic origin, but one must also be aware and look for abdominal as well as extra-abdominal causes of abdominal pain. Loss of weight and anaemia are signs of organic disease in patients with abdominal pain. X-ray and laboratory studies should be kept to a minimum. Patients who are considered to have non-organic abdominal pain must be followed up to avoid unnecessary additional procedures and psychotherapy should be instituted if necessary. A psychosomatic diagnosis means more than a diagnosis by exclusion. It means the utilization of physiological and psychological techniques simultaneously in preparation for comprehensive medical care. Diagnosis by exclusion is dangerous in these cases and leads to greater invalidism. The physician may perpetuate the illness by his well meaning but mistaken and never-ending efforts to find a "physical cause" (AU)
