International journal of clinical practice
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Circumcision is a simple operation often performed under general anaesthesia. In this study, we assessed the suitability of local anaesthesia in 38 adult patients, 79.4% of whom suffered little or no discomfort. Infiltration of local anaesthesia caused moderate pain in 10 patients (29.4%) and severe pain in only one. The circumcision itself caused moderate pain in three patients and severe pain in another three (8.8%); 85% of patients expressed complete satisfaction.
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Int. J. Clin. Pract. · Dec 1999
The original sin of madness--or how psychiatrists can stigmatize their patients.
A stigma is a mark of infamy or disgrace. People who are stigmatized are subject to abuse and social exclusion. Negative attitudes towards people with mental illness are attributed to stigma. ⋯ Firstly, it is the person who is regarded as disgraceful, not the illness or diagnosis, and secondly, the diagnosis of mental illness is itself evaluative. Mental illness is by definition bad, so to be diagnosed as mentally ill is to be defined as bad (or somehow wrong). The stigmatization of the mentally ill will not stop until this negative evaluation is removed from diagnosis.
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Int. J. Clin. Pract. · Dec 1999
Case ReportsCystic lymphocytic hypophysitis, visual field defects and hypopituitarism.
A 45-year-old man presented with anterior pituitary failure, requiring thyroxine, hydrocortisone and androgen replacement. An MRI scan revealed a large cystic pituitary mass and thickening of the pituitary stalk. ⋯ Histology revealed lymphocytic hypophysitis, which is rare in men. The presentation with cystic enlargement is unique.