ABSTRACT
A compression method was used as a final stage of surgical treatment of hemorrhoids which was performed with a specially worked out compressing probe (two latex cuffs were mounted on the three-lumen rubber tube). The internal and external hemorrhoids were compressed after introduction of the probe into the anal canal and blowing up the cuffs. Comparative results of 103 operations are shown: in 67 patients the operation was finished with the introduction of an ointment tampon, in 36--with a compressing probe. Postoperative results judged by such symptoms as postoperative pains, bleedings, adaptation of the operation wound edges, retention of urine etc. showed that the compression method had considerable advantages over the control group.
Subject(s)
Hemorrhoids/surgery , Postoperative Care , Surgical Procedures, Operative/methods , Adult , Female , Humans , Male , Postoperative PeriodABSTRACT
BACKGROUND: Although treatment of severe mental disorders should strive to optimize quality of life (QOL) for the individual patient, little is known about variations in QOL domains and related psychopathologic and psychosocial factors in patients suffering from schizophrenia, schizoaffective disorder, and/or mood disorders. We hypothesized that QOL in severe mental disorder patients would have a more substantial relationship with psychosocial factors than with illness-associated factors. METHOD: A case-control, cross-sectional design was used to examine QOL of 210 inpatients who met DSM-IV criteria for a severe mental disorder and who were consecutively admitted to closed, open, and rehabilitation wards. Following psychiatric examination, 210 inpatients were assessed using standardized self-report measures of QOL, insight, medication side effects, psychological distress, self-esteem, self-efficacy, coping, expressed emotion, and social support. QOL ratings for patients and a matched control group (175 nonpatients) were compared. Regression and factor analyses were used to compare multidimensional variables between patients with schizophrenia and schizoaffective and mood disorders. RESULTS: In all QOL domains, patients were less satisfied than nonpatient controls. Patients with schizophrenia reported less satisfaction with social relationships and medication when compared with patients with schizoaffective and/or mood disorders. Regression analysis established differential clusters of predictors for each group of patients and for various domains of QOL. On the basis of the results of factor analysis, we propose a distress protection model to enhance life satisfaction for severe mental disorder patients. CONCLUSION: Psychosocial factors rather than psychopathologic symptoms affect subjective QOL of hospitalized patients with severe mental disorders. The findings enable better understanding of the combining effects of psychopathology and psychosocial factors on subjective life satisfaction and highlight targets for more effective intervention and rehabilitation.
Subject(s)
Health Status , Mental Disorders/diagnosis , Mental Disorders/psychology , Personality Inventory/statistics & numerical data , Quality of Life , Adaptation, Psychological , Adolescent , Adult , Attitude to Health , Case-Control Studies , Cross-Sectional Studies , Expressed Emotion , Factor Analysis, Statistical , Female , Health Status Indicators , Hospitalization , Humans , Male , Middle Aged , Psychotic Disorders/classification , Psychotic Disorders/diagnosis , Psychotic Disorders/psychology , Schizophrenia/classification , Schizophrenia/diagnosis , Schizophrenic Psychology , Self Efficacy , Severity of Illness Index , Social SupportABSTRACT
The article analyses briefly the methods of modern treatment of destructive pancreatitis. The authors apply complex treatment the principal component of which is infusion of a drug mixture into the aorta after its direct puncture at the level of the 8th-9th thoracic vertebra. The mixture consists of procaine hydrochloride solution, heparin, morphocycline, ftorafur , diphenylhydramine hydrochloride, trimeperidine hydrochloride. Before the aorta is punctured, 100-150 ml of a procaine hydrochloride solution is injected into the paraaortic fat to block the celiac and vagus nerves and the solar plexus. In a period of 9 years 138 patients underwent such treatment. Comparative study showed that the method differed favourably from that in which intraaortic infusion of drugs and blockade of the mediastinal nerve elements were not applied. The mortality was 8.33 in the first and 27.8% in the second group.
