The Ceylon medical journal
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We describe two cases of children who were victims of illness fabricated by their mothers. Such clinical situations are identified as Munchausen syndrome by proxy (MSP). ⋯ One mother had a major psychiatric disorder, and the other had serious marital problems. Maintaining a high degree of suspicion regarding inexplicable illness in a child with inappropriate or incongruous symptoms and signs, even when parents behave in an exemplary manner, would help in early diagnosis and management.
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Biography Historical Article
Psychedelia-music relationships in the writings of Aldous Huxley (1894-1963).
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1. To determine the incidence and the prevalence of pesticide poisoning in Kelaniya Medical Officer of Health (MOH) area. 2. To establish causes of pesticide poisoning in the community. ⋯ Lack of knowledge on pesticides and inability to afford protective clothing are the major factors contributing to pesticide poisoning.
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Comparative Study Clinical Trial Controlled Clinical Trial
Subcutaneous morphine for postoperative analgesia.
a. To confirm the efficacy of subcutaneous morphine infusion for postoperative analgesia and compare this effect with three-hourly subcutaneous bolus injections of morphine. b. To evaluate the suitability of a simple micro-infusion set to deliver subcutaneous infusion, as conventional infusion pumps are expensive and not readily available. ⋯ Intermittent subcutaneous bolus injections of morphine given through an indwelling butterfly needle is a simple, safe, and effective method for postoperative analgesia after major abdominal surgery. Simple infusion sets are not suitable to deliver subcutaneous infusions, and the need for infusion pumps makes the infusion technique unsuitable for routine use in wards.