Comparing the efficacy of prophylactic P6 acupressure, ondansetron, metoclopramide and placebo in the prevention of vomiting and nausea after strabismus surgery

To compare the efficacy of acupressure wrist bands, ondansetron, metoclopramide and placebo in the prevention of vomiting and nausea after strabismus surgery. Two hundred patients, ASA physical status I or II, aged between 10 and 60 years, undergoing strabismus surgery in Farabi Hospital in 2007-2008 years, were included in this randomized, prospective, double-blind and placebo-controlled study. Group I was the Control, group II received metoclopramide 0.2 mg/kg, group III received ondansetron 0.15 mg/kg iv just before induction, in Group IV acupressure wristbands were applied at the P6 points. Acupressure wrist bands were placed inappropriately in Groups I, II and III. The acupressure wrist bands were applied 30 min prior to the induction of anesthesia and removed six hours after surgery. Postoperative nausea and vomiting [PONV] was evaluated within 0-2 hours and 2-24 hours after surgery by a blinded observer. Results were analyzed by chi-square test. A P value of < 0.05 was taken as significant. The incidence of PONV was not significantly different in acupressure, metoclopramide and ondansetron during the 24 hours. Acupressure at P6 causes a significant reduction in the incidence of PONV 24 hours after strabismus surgery as well as metoclopramide 0.2 mg/kg and ondansetron 0.15 mg/kg iv for patients aged 10 or more

Successful treatment of ego dystonic homosexuality, Paraphilia and transsexualism using cognitive -behavioral techniques

Gender identity disorder and paraphilia and related therapies are of debatable issues in psychiatry. The authors introduce some of the disorders which to be cured via behaviorial techniques. In all of patients the diagnosis was compatible with DSMIV criterion. Therapeutic method considered for them was cognitive behaviord regardless of any type of comorbidities. The mentioned therapeutic technique resulted in considerable improvement signs [except for one case] in these patients. Positive effects of CBT in almost all of these patients mean that morbiological treatment could be considered as an effective therapeutic approach. Although good compliance in patients was not ignorable for successful results, considering CBT in any patients should be a role before nonreversible treatments such as surgery or stigmatizing patients as treatment resistant case