Articles: treatment.
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Oral rehydration therapy (ORT), has been considered the major advance in the treatment of the diarrheal diseases, and has been the single most important factor in the decrease of mortality and decreased morbidity in childhood diarrheal. ORT, is not limited to the administration of oral rehydration solution; it also includes feeding techniques and community education and participation. ⋯ In México there have been two national surveys to evaluate the ORT program. This policy has allowed for participating countries to reduce the cost of treatment of diarrheal disease.
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Aust N Z J Obstet Gynaecol · May 1989
Abruptio placentae at the University of Nigeria Teaching Hospital, Enugu: a 3-year study.
A total of 81 cases of abruptio placentae treated in a 3-year period at the University of Nigeria Teaching Hospital, Enugu is reported. The incidence of 0.44% found in the study is low when compared to reports from Europe. ⋯ Management was by rapid and adequate resuscitation by blood transfusion and delivery as soon as the diagnosis was made. The absence of maternal mortality amongst mothers who received antenatal care at the University Teaching Hospital emphasizes the need for adequate antenatal and intrapartum care in order to eliminate the complications of this obstetrical enigma.
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During the 1960s, it was observed that the tricyclic antidepressant imipramine was effective in the treatment of neuralgia, myalgia, and pain in carcinoma. Similarly, in other studies, clomipramine was also found to have an analgesic effect. The sedative antidepressant amitriptyline has proved effective in migraine prophylaxis, chronic tension headache, and psychogenic musculoskeletal and neuralgic facial pain. ⋯ The remaining tricyclic and the tetracyclic antidepressants have not been sufficiently well evaluated. This is also true of monoamine oxidase inhibitors, of which individual reports to date suggest are probably also effective as analgesics. A scientific investigation into the possible differences in the effectiveness of various antidepressants in specific chronic pain conditions is an important task for the future.
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An outpatient treatment programme for pain control was applied in 25 chronic pain patients in three general medical practices, supervised by a medical psychologist as a group therapist. The patients has been suffering from headaches, migraines, cervical pain, shoulder and arm pain, and low back pain for at least 6 months. A sample of 20 patients with the same disorders served as a control group which waiting for treatment. ⋯ Nonetheless, all the subjects treated showed improvements in their average scores for trait anxiety, depression and symptoms complaints compared with the untreated controls. Our results indicate a long-term improvement in well-being as a result of the treatment. Treatment adherence seems to be the most important factor in the maintenance of long-term reduction of pain intensity.