RESUMO
PURPOSE: To describe the clinical results of systemic corticosteroid use in a series of patients with orbital lymphangioma. METHODS: Four patients (two adults and two children) were treated with corticosteroids using intravenous, oral, or both routes for 2 days to a month. Corticosteroids were used with and without other therapies for symptomatic exacerbations. RESULTS: The adults showed more improvement with pain than with swelling, whereas the children had improvement with both the signs and symptoms. There were no complications in any patient. CONCLUSIONS: Systemic corticosteroids are a useful therapeutic option for patients with orbital lymphangioma and can be used as an adjuvant treatment to surgery and other modalities. Resolution of symptoms with corticosteroids was expedited compared with the natural history of the disease in the patients studied.
Assuntos
Dexametasona/uso terapêutico , Glucocorticoides/uso terapêutico , Linfangioma/tratamento farmacológico , Neoplasias Orbitárias/tratamento farmacológico , Prednisona/uso terapêutico , Administração Oral , Adolescente , Adulto , Dexametasona/administração & dosagem , Feminino , Glucocorticoides/administração & dosagem , Humanos , Recém-Nascido , Infusões Intravenosas , Linfangioma/diagnóstico , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias Orbitárias/diagnóstico , Prednisona/administração & dosagem , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
The present study evaluated the treatment and generalization effects of implementing a peer social initiation intervention with four severely withdrawn maltreated preschool children. Positive social response and initiation data were collected across the treatment (a playroom) and the natural classroom setting. A reversal design superimposed on a multiple baseline was used to evaluate the effectiveness. The results indicated increases in positive social responses and initiations across treatment and generalization settings. Follow-up data for two children indicated time and setting-time generalization effects. Teacher reports validated treatment gains.
Assuntos
Terapia Comportamental/métodos , Maus-Tratos Infantis/psicologia , Relações Interpessoais , Grupo Associado , Comportamento Social , Creches , Pré-Escolar , Humanos , Jogos e BrinquedosRESUMO
The effectiveness and generality of a parent- and social-skills training program for three mildly retarded mothers identified as child maltreaters were investigated. The program was conducted by one trainer in a community-based facility and included the following components: individualized performance standards, response-specific feedback, self-monitoring, and group rewards. A multiple-baseline design across parenting- and social-skill areas was used to evaluate the training. The findings revealed that the game contingencies effectively increased the mothers' ability to identify the most effective action to take in common problematic parenting and social situations. Generalization and recidivism data supported the efficacy of treatment gains.
