Assuntos
Experimentação Animal , Animais Domésticos , Financiamento Governamental , Apoio à Pesquisa como Assunto , Pesquisa , Agricultura/economia , Animais , Pesquisa Biomédica/economia , Revisão da Pesquisa por Pares , Política Pública , Pesquisa/economia , Apoio à Pesquisa como Assunto/tendências , Estados Unidos , United States Department of Agriculture/economia , United States Dept. of Health and Human Services/economiaAssuntos
Infecção Hospitalar/prevenção & controle , Programas de Rastreamento/métodos , Resistência a Meticilina , Infecções Estafilocócicas/epidemiologia , Infecções Estafilocócicas/prevenção & controle , Portador Sadio , Análise Custo-Benefício , Infecção Hospitalar/economia , Humanos , Controle de Infecções/economia , Controle de Infecções/métodos , Prevalência , Fatores de Risco , Infecções Estafilocócicas/economia , Staphylococcus aureus/isolamento & purificaçãoRESUMO
Intensive outpatient programs are designed to promote patients' functioning in the community by offering a more intensive level of structure and support than was previously available for outpatients. This paper describes the intensive outpatient program at McLean Hospital in Belmont, Massachusetts, which is tailored for patients with borderline personality disorder. These patients are susceptible to control struggles and regressive behaviors in more restrictive treatment settings. Through frequent contact with clinicians and other patients in this group-oriented program, patients with borderline personality disorders appear to feel sufficiently "held" and understood to develop their functional capacities as outpatients.
Assuntos
Transtorno da Personalidade Borderline/terapia , Serviços de Saúde Mental/organização & administração , Assistência Ambulatorial , Transtorno da Personalidade Borderline/economia , Análise Custo-Benefício , Humanos , Massachusetts , Serviços de Saúde Mental/economia , Serviços de Saúde Mental/normasRESUMO
During one year, 77 patients had oral cholecystography within five days of the onset of acute upper abdominal symptoms. These patients were not severely ill, as evidenced by the fact that only 18 were hospitalized. The patients were unselected and the results were reviewed in retrospect. Accordingly, the data cannot be critically analyzed. Nonetheless, diagnostically useful information was obtained in 57 of these cases. In 44 patients, a normal gallbladder was visualized, and in 13 patients gallstones were seen. Three conclusions are derived from this study. First, oral cholecystography can be performed within five days of the onset of acute upper abdominal symptoms with a reasonable expectation of obtaining diagnostically useful information. Second, the usually recommended delay of four to six weeks is unnecessary. Finally, this diagnostic study should be performed in the acute situation when it is not precluded by nausea, vomiting, or a severely ill patient.