ABSTRACT
Obsessive compulsive disorder (OCD) is a frequent and disabling psychic illness. Along psychiatric history, several etiological models have been successively hypothesized to explain the obsessive compulsive symptoms from a psychological, behavioural or biological point of view. This review aims at presenting OCD etiological models as well as describing OCD clinical and therapeutic aspects.
Subject(s)
Obsessive-Compulsive Disorder , Age Factors , Antidepressive Agents, Tricyclic/therapeutic use , Belgium/epidemiology , Diagnosis, Differential , Drug Therapy, Combination , Humans , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/drug therapy , Obsessive-Compulsive Disorder/epidemiology , Obsessive-Compulsive Disorder/etiology , Prevalence , Psychiatric Status Rating Scales , Risk Factors , Selective Serotonin Reuptake Inhibitors/therapeutic use , Severity of Illness IndexABSTRACT
Electroconvulsive therapy (formerly called sismotherapy, electronarcosis or shock therapy) is a therapeutic tool used in several psychiatric illnesses. It consists in the induction of a generalized convulsive seizure by a transcranial electric stimulation. If it is true that this tool continues to stigmatise the collective imagination in giving rise to dread and suspicion (considered by some people as a barbarian or obsolete therapy), it is however an effective (sometimes irreplaceable) and well tolerated treatment. Over the last decades, ECT has generated renewed interest in psychiatric therapy. It constitutes today the oldest biological therapeutic tool still in use in psychiatry.
Subject(s)
Electroconvulsive Therapy , Mental Disorders/therapy , Electroconvulsive Therapy/adverse effects , HumansABSTRACT
PCA method for postoperative pain management in scoliosis surgery is presented. If the child is capable of understanding the principle of its application and able to perform it the efficacy and safety of PCA depends on pump programming in regard of the single dose and time between doses. PCA has been used in 16 patients aged 11-16 years after C-D surgery for idiopathic scoliosis. Children with vital lung capacity below 50% of the normal value were excluded from this study. Single dose of morphine was between 0.015 to 0.03 mgkg body mass. Minimum time between the doses was 10-20 minutes. In all cases PCA resulted in satisfactory postoperative pain control.
