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Artículos de revistas sobre el tema "Amputation – Psychologie"

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Autor: Grafiati

Publicado: 18 de mayo de 2024

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1

PINZUR, MICHAEL S., GERALDINE GRAHAM y HELEN OSTERMAN. "Psychologic Testing in Amputation Rehabilitation". Clinical Orthopaedics and Related Research &NA;, n.º 229 (abril de 1988): 236???240. http://dx.doi.org/10.1097/00003086-198804000-00033.

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2

Pédelaborde, Quentin y Françoise Cluzeaud. "Accompagnement psychologique après une amputation". L'Aide-Soignante 34, n.º 220 (octubre de 2020): 16–17. http://dx.doi.org/10.1016/j.aidsoi.2020.08.014.

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3

Fung, Amy S. M. y Peter W. H. Lee. "Sacrificing a Limb for Life: Psychological Interventions in Osteosarcoma". Behavioural and Cognitive Psychotherapy 24, n.º 3 (julio de 1996): 283–86. http://dx.doi.org/10.1017/s1352465800015137.

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Psychological management is a crucial part of the overall treatment plan involving therapeutic amputations in children. Therapeutic work aims to facilitate the implementation of a coordinated treatment plan taking into account the patient's physical and psychological needs. Psychological contact at the early stage is advocated to minimize the patient's distress and to forestall potentially handicapping emotional disturbances. The paper highlights important issues at different phases of the patient's treatment, including coming to terms with the initial diagnosis, acceptance of the amputation plan, and the final process of rehabilitation and normal life adjustment. Psychological interventions with one adolescent girl treated with therapeutic amputation for osteosarcoma are used to illustrate the therapeutic process.

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4

Ranker, Alexander y Isabelle Eckhardt. "Rehabilitation nach Major-Amputation der unteren Extremität". Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 31, n.º 03 (junio de 2021): 158–60. http://dx.doi.org/10.1055/a-1462-8826.

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Amputationsrehabilitation ist eine Kernkompetenz in der Rehabilitationsmedizin. Sie zeigt mustergültig die nötige Teamarbeit in der PRM auf, sowohl interprofessionell (Orthopädietechniker, Physiotherapeuten, Ergotherapeuten, Psychologen, Ärzte, usw.) als auch medizinisch interdisziplinär (Rehabilitationsmedizin, Chirurgie, Angiologie, Diabetologie, usw.) sowie zwischen den Sektoren. Der Facharzt für PRM kann dabei sowohl Bindeglied zwischen allen Professionen und Disziplinen als auch selbst wichtiger Teil der ICF-orientierten Therapie der Patient/innen mit Major-Amputation der unteren Extremität sein. Ein grundlegendes Wissen zum Prothesenaufbau, Arten von Prothesenversorgungen, Amputationshöhen, spezifischer klinischer Parameter sowie typischer Komplikationen ist dabei essenziell.

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5

Pomares, Germain, Henry Coudane, François Dap y Gilles Dautel. "Impact psychologique des amputations traumatiques du membre supérieur". Revue de Chirurgie Orthopédique et Traumatologique 106, n.º 2 (abril de 2020): 146–50. http://dx.doi.org/10.1016/j.rcot.2020.01.026.

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6

Pomares, G., H. Coudane, F. Dap y G. Dautel. "Impact psychologique des amputations traumatiques du membre supérieur". Hand Surgery and Rehabilitation 38, n.º 6 (diciembre de 2019): 415–16. http://dx.doi.org/10.1016/j.hansur.2019.10.069.

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7

Fitzpatrick, Michael C. "The Psychologic Assessment and Psychosocial Recovery of the Patient With an Amputation". Clinical Orthopaedics and Related Research 361 (abril de 1999): 98–107. http://dx.doi.org/10.1097/00003086-199904000-00014.

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8

Rodrigues, Diana, Rosa Silva, Sofia Castanheira, Luís Carvalho y Cristina Pinto. "Needs of Family Caregivers of People with Lower Limb Amputations: A Scoping Review". Behavioral Sciences 14, n.º 4 (15 de abril de 2024): 326. http://dx.doi.org/10.3390/bs14040326.

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Lower limb amputation affects several parameters of a patient’s life. Family caregivers providing care for these patients experience multiple feelings and needs; knowing caregivers’ needs is essential to prepare them for this new role, as well as the health planning of this type of care. This scoping review aimed to identify and map the needs of family caregivers of people with lower limb amputations. This scoping review was conducted in accordance with the JBI methodological framework and the PRISMA-ScR reporting guidelines. A bibliographical search was carried out on the needs of family caregivers of lower limb amputees in 15 databases. Two independent reviewers extracted data using a data extraction tool developed for this scoping review. Eight studies were included in the present review (n = 6 quantitative studies; n = 2 reviews). Results indicate that family caregivers of people with lower limb amputations may experience an extensive range of needs, as follows: (i) mental health and psychological support, (ii) physical health, (iii) health and well-being, (iv) supportive care, (v) social support, and (vi) educational/informational support. The needs identified in this review can help to develop interventions and programs that provide better support during the situational transition process.

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9

Jean Marie, Okou Kouakou, Kanga Adouakoua Aka Brice y Tra Bi Tra Isidore. "Repercussions du Maintien de l’Activité Sexuelle sur l'Intimité et l'Adaptation des Militaires Amputés à l'Hôpital Militaire d'Abidjan". European Scientific Journal, ESJ 19, n.º 33 (30 de noviembre de 2023): 34. http://dx.doi.org/10.19044/esj.2023.v19n33p34.

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Cet article scientifique vise à décrire les dimensions psychologiques et relationnelles de l'expérience sexuelle des militaires ayant subi une amputation de la jambe à l'Hôpital militaire d'Abidjan. À l'aide d'une méthodologie qualitative fondée sur des entretiens semi-directifs réalisés avec 21 participants militaires, l'étude explore les processus d'adaptation, les stratégies d'ajustement et les ressources mobilisées par ces individus face aux défis psychologiques résultant de l'amputation. En s'appuyant sur les théories du stress post-traumatique et de l'adaptation, les résultats mettent en évidence une configuration complexe de la dimension sexuelle liée aux facteurs affectifs, cognitifs et la dynamique du couple. Ces résultats suggèrent la prise en compte de la dimension sexuelle dans la réhabilitation psychologique, en intégrant les mécanismes de stress post-traumatique et d'adaptation dans les approches cliniques. This scientific article aims to describe the psychological and relational dimensions of the sexual experience of military personnel who have undergone leg amputation at the Abidjan Military Hospital. Using a qualitative methodology based on semi-structured interviews with 21 military participants, the study explores the coping processes, adjustment strategies and resources mobilized by these individuals in the face of the psychological challenges resulting from amputation. Drawing on post-traumatic stress and coping theories, the results highlight a complex configuration of the sexual dimension linked to affective, cognitive and couple dynamics. These results suggest that the sexual dimension should be taken into account in psychological rehabilitation, by integrating post-traumatic stress and coping mechanisms into clinical approaches.

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10

Biktimirova, F. M., N. P. Nichiporenko y E. I. Aukhadeev. "Quality of life in disabled patients with the diseases of limbs depending on individual psychological traits". Kazan medical journal 94, n.º 3 (15 de junio de 2013): 392–96. http://dx.doi.org/10.17816/kmj2192.

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Aim. To study the quality of life, characteristic traits and emotional features in disabled patients with functional and structural damage of limbs. Methods. Disabled patients with functional and structural damage of limbs who addressed to the center of prosthesis and ortopedy for limb prosthesis were studied. 318 patients (males - 267 (83.3%), females - 51 (16.7%), aged 18 to 66 years) with limb stumps (including congenital limb defects) who addressed to the centre since 2008 to 2010 were randomly picked out to be included in the trial. The complex study of the following context factors included in the International Classification of Functioning, Disability and Health: quality of life, individual psychological traits, emotional sphere and motivation, social, cultural and nature environment. Patients were divided into 5 groups: aged 19 to 29 years, 30 to 39 years, 40 to 49 years, 50 to 59 years, over 60 years of age. Results. In the group of patients aged 19 to 29 years, the most intimately related to the quality of life were: situational anxiety and pedantic types demonstrative and of accentuated personality. In the group of patients aged 30 to 39 years the limitations due to amputations increased the influence on depression formation. In the group of patients aged 40 to 49 years the conjugacy of patients’ emotional and personal traits with the quality of life strengthened. Meanwhile, the influence of depression on patients’ quality of life and personality increased. n the group of patients aged 50 to 99 years the most influential was the triad of situational anxiety, personal anxiety and depression. In patients over 60 years of age quality of life was strongly related to patient’s psychologic and emotional condition, especially with situational anxiety. Conclusion. Different age groups of the patients who underwent a limb amputation, need an individualized and specialized rehabilitation programs, considering the interrelation between emotional, individual and psychological personal traits and parameters of quality of life.

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11

Predebon, John. "The Role of the Angle Components in the Wings-in and Wings-out Forms of the Müller-Lyer Illusion". Perception 25, n.º 7 (julio de 1996): 773–81. http://dx.doi.org/10.1068/p250773.

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The effect of selective amputations of the angle components in the wings-in (underestimated) and wings-out (overestimated) forms of the Müller-Lyer illusion was examined in two experiments. The stimulus figures consisted of one, two, or four angles. In experiment 1 the method of paired comparisons was used to scale the figures on the psychological continuum of length, and in experiment 2 the method of reproduction was used to obtain quantitative measures of illusion magnitude. There was good agreement between the scaling and the length-reproduction measures of the illusion. The illusory effects in all figures were significant, and the extent of the underestimation and overestimation of the wings-in and wings-out figures, respectively, increased as the number of angles increased. In general, selective amputation of the angle components produced similar patterns of illusory effects in the wings-in and wings-out figures. These findings are discussed with reference to the issue of whether the two forms of the conventional (ie four-angle) Müller-Lyer illusion are similar or distinct illusion types.

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12

Akhmedov, Ulugbek, Diloramkhon Rasulova, Gulmira Kassymova, Israilov Rajabboy y Zakirhodjaev Sherzod. "Cortical Morphological Characterization of the Cerebellar Stingray Slice in Amputation". International Journal of Psychosocial Rehabilitation 24, Special Issue 1 (28 de febrero de 2020): 426–30. http://dx.doi.org/10.37200/ijpr/v24sp1/pr201174.

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13

de Godoy, J. M. P., D. M. Braile, S. H. G. Buzatto, O. Longo y O. A. Fontes. "Quality of life after amputation". Psychology, Health & Medicine 7, n.º 4 (noviembre de 2002): 397–400. http://dx.doi.org/10.1080/1354850021000015212.

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14

Cohen, Emily. "Disciplining Pain". Body & Society 21, n.º 3 (29 de junio de 2015): 91–114. http://dx.doi.org/10.1177/1357034x15586241.

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Colombia, a country at civil war for over 50 years, has one of the highest rates of landmine injury in the world. This article is based on ethnographic research conducted at the Amputation and Rehabilitation Unit of Bogota’s Central Military Hospital. Through an ethnographic description of surgical amputation and rehabilitation, I examine medical understandings of vitality and masculinity in respect to the senses – primarily that of pain in the act of amputation.

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15

FIRST, MICHAEL B. "Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder". Psychological Medicine 35, n.º 6 (23 de agosto de 2004): 919–28. http://dx.doi.org/10.1017/s0033291704003320.

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Background. The objective of this paper is to describe and conceptualize an unusual and probably rare condition: the intense longstanding desire to have an amputation.Method. Structured interviews were conducted by telephone of 52 subjects (mean age: 48·6, range 23–77 years; 47 male, 4 female, 1 intersexed) self-identified as having had a desire to have an amputation.Results. Seventeen per cent (n=9) had an arm or leg amputated with two-thirds using methods that put the subject at risk of death and one-third enlisting a surgeon to amputate their healthy limb. The most common reported reason for wanting an amputation was the subject's feeling that it would correct a mismatch between the person's anatomy and sense of his or her ‘true’ self (identity). None were delusional. For all but one subject age at onset was during childhood or early adolescence. For those who had psychotherapy or medication there was no change in the intensity of the desire for amputation. The six subjects who had an amputation at their desired site reported that following the amputation they felt better than they ever had and no longer had a desire for an amputation.Conclusions. These preliminary results suggest the existence of an extremely unusual clinically distinct condition characterized by a lifelong desire to have an amputation of a particular limb. The condition is associated with serious negative consequences: amputation attempts, impairment and marked distress. Reflecting similarities between Gender Identity Disorder and this condition, the author suggests that it may be conceptualized as an unusual dysfunction in the development one's fundamental sense of anatomical (body) identity.

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16

Pedras, Susana, Rui Carvalho y M. Graça Pereira. "Predictors of quality of life in patients with diabetic foot ulcer: The role of anxiety, depression, and functionality". Journal of Health Psychology 23, n.º 11 (17 de julio de 2016): 1488–98. http://dx.doi.org/10.1177/1359105316656769.

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The goal of this study was to analyze the relationships between anxiety, depression symptoms, and functionality as predictors of quality of life, in patients with diabetic foot ulcer taking in consideration clinical variables. A sample of 202 participants indicated for a lower limb amputation surgery, were assessed before the surgery, on physical and mental quality of life, functionality, a anxiety and depression symptoms. Anxiety and depression symptoms, as well as functionality level were predictors of mental quality of life. Pain, having a first amputation, depression symptoms, and functionality were predictors of physical quality of life. In order to promote quality of life, psychological variables should be targeted, in clinical practice.

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17

Hawley, Carolyn E., Amy J. Armstrong, Benjamin J. Darter, Adam Sima y Kevin Fields. "Veterans of Operation Enduring Freedom and Operation Iraqi Freedom: Employment Status Following Traumatic Amputation". Journal of Applied Rehabilitation Counseling 53, n.º 1 (1 de marzo de 2022): 68–80. http://dx.doi.org/10.1891/jarc-d-20-00027.

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Purpose:The population of veterans experiencing traumatic amputation grows at a rate disproportionate to the general population. This study explores the current employment experience of veterans living with traumatic amputation and the relationship among demographic, health and amputation related characteristics, employment status and service utilization, and perceived barriers to employment.Methods:Survey data from veterans of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) were gathered on health and amputation, employment, service utilization, and perceived barriers to employment. Pearson chi-square tests, Fisher’s exact tests, and one-way analysis of variance were used to compare these measures between the employment categories.Results:Education level, annual household income, and disability benefit income were significantly related to employment status. Pain was found to significantly, negatively relate to employment status. Level of amputation and prosthesis use did not relate to employment status.Conclusions:Given the role of employment and the impact of an amputation on functional and psychosocial well-being, comprehensive supports to include pain management, exploration of one’s sense of meaning and achievement, including how veterans may contribute to their community, educational or skill-based opportunities, greater education on Veteran disability benefits, support utilization, and employment options including workplace accommodations should be considered and offered to veterans in a customized manner.

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18

Russell, Mark C. "Treating Traumatic Amputation-Related Phantom Limb Pain". Clinical Case Studies 7, n.º 2 (abril de 2008): 136–53. http://dx.doi.org/10.1177/1534650107306292.

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19

Berger, Bertrand D., Jon A. Lehrmann, Gunnar Larson, Luca Alverno y Carol I. Tsao. "Nonpsychotic, nonparaphilic self-amputation and the internet". Comprehensive Psychiatry 46, n.º 5 (septiembre de 2005): 380–83. http://dx.doi.org/10.1016/j.comppsych.2004.12.003.

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20

Хмиляр, О. Ф., В. В. Краснов, Л. В. Пянковская, Г. Б. Гандзилевская y В. И. Осьодло. "Servicemen in the Phantom Pain «Captivity»: Associative-Narrative Analysis of the Problem". Психиатрия, психотерапия и клиническая психология, n.º 3 (28 de octubre de 2020): 632–43. http://dx.doi.org/10.34883/pi.2020.11.3.019.

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В статье раскрыты особенности функционирования психики военнослужащих, которые потеряли конечность в результате боевого ранения и переживают фантомную боль. Выяснено, что психическое состояние военнослужащего, который перенес травматическую ампутацию конечности, отождествляется с состоянием острого горя. Факт ампутации приводит к краху всех жизненных перспектив военнослужащего, переоценке собственного «Я», существенному снижению уровня притязаний и часто к потере смысла жизни. Установлены особенности выражения фантомной боли через тело и речь пациента. Фантомная боль «скрепляет» тело, обеспечивает его «телесность» и сигнализирует человеку о том, что «боль имеет тело». Показано, что фантомную боль испытывают от 50 до 80% пациентов с ампутированными конечностями в течение 25 лет после ампутации.Для участия в исследовании привлечено 16 военнослужащих с боевыми травмами различной степени тяжести, которые привели к ампутации конечности. В качестве инструментария использован метод наблюдения, ассоциативный эксперимент и нарративное интервью.Послеампутационный фантомный болевой синдром констатирован в 69% левосторонних и 31% правосторонних ампутаций. Выявлено, что пациент, чувствуя ампутированную конечность, продолжает ее считать полноценным органом, но с болью. Наличие боли – активизирует чувство неповрежденности утраченной конечности. Фантомная боль локализуется в особой форме выражения – символе и носит иррадиирующий характер.Нарративные рассказы об ощущениях, связанных с фантомной болью, открывают психологам и медицинскому персоналу особенности поведения людей, живущих с этой болью. Установлено, что военнослужащие с ампутированной конечностью ощущают пренебрежение и ненависть к сочувствию со стороны друзей и родных лиц, переживают глубокое чувство одиночества, что приводит к своеобразной внутренней изоляции. Раскрыто, что невидимые (иллюзорные, призрачные) признаки фантомной боли составляют бóльшую опасность, чем настоящая рана. Показано, что пациенты с фантомной болью часто прибегают к отрицанию, пассивному протесту, отчуждению, проекции как специфическим разновидностям психологической защиты.Доказано, что фантомная боль активизирует «непрошеные воспоминания», которые привели к травматизации военнослужащего и которые в свою очередь порождают постоянный внутренний дискомфорт. Фантомная боль в своей основе содержит разрушительное воздействие, которое сложно поддается пониманию и декодированию. The article is devoted to the peculiarities of functioning of psyche of the servicemen, who have lost their limbs as a result of combat injury and are experiencing phantom pain. It was found that the mental state of a serviceman, who had a traumatic limb amputation, can be identified with a state of acute grief. The fact of amputation leads to the collapse of all life prospects of a serviceman, reassessment of one’s self, significant decrease of the level of claims, and often to the loss of the meaning of life. The peculiarities of phantom pain manifestation through the body and speech of the patient were revealed. Phantom pain "strengthens" the body, provides it with "physicality", and signals to the person that "pain has a body". It was showed that 50 to 80 % of patients with amputated limbs experience phantom pain within 25 years after amputation.The study included 16 soldiers with combat injuries of various severity, which led to amputation of the limb. The methods of observation, associative experiment, and narrative interview were implemented.Post-amputation phantom pain was reported in 69% of left-sided and 31% of right-sided amputations. It was found that the patient, who is feeling the amputated limb, continues to consider it a complete organ, but with pain. The presence of pain intensifies the feeling that the lost limb was not damaged. Phantom pain is localized in a special form of expression – a symbol, and it is irradiating.The narrative stories about the feelings associated with phantom pain reveal to psychologists and medical staff the peculiarities of behavior of people, who live with this pain. It was revealed that servicemen with an amputated limb feel neglection and hatred, concerning the compassion of colleagues, friends, and relatives, and experience a deep sense of loneliness, which leads to a kind of internal isolation. It was found that the invisible (illusory, ghostly) signs of phantom pain are much more dangerous than a real injury. It was showed that patients with phantom pain can often experience denial, passive protest, alienation, projection as specific varieties of psychological protection.It was proved that phantom pain activates the "intruding memories" that had traumatized the serviceman, and generate, in turn, a permanent internal discomfort. Phantom pain has devastating effects that are difficult to understand and decode.

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N, Aghoutane, y Bakzaza, O. "Evaluation of Infrapopliteal Revascularization for Ischemic Diabetic Foot in Hemodialysis Patients". Saudi Journal of Medicine 7, n.º 6 (18 de junio de 2022): 346–49. http://dx.doi.org/10.36348/sjm.2022.v07i06.003.

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Objective: To evaluate the outcomes of infrapopliteal revascularization for diabetic hemodialysis patients with ischemic diabetic foot. Methods: From 2017 to 2021, 250 patients with diabetic foot identified as stage C (ischemia) or D (ischemia and infection) of Texas Wound Classification underwent successful infrapopliteal surgical and endovascular revascularization at the vascular surgery department of Moulay Ismail Military Hospital in Meknes. The outcomes were retrospectively compared in hemodialyzed patients (HD group: 48 patients), and not hemodialyzed patients (not HD group: 202 patients) during the same period. Results: Outcomes were expressed as healing, major amputation, revascularization patency and mortality rate. Hemodialysis was a negative predictor of healing and a positive predictor of major amputation. Outcomes for HD and not HD groups were respectively: healing (62.5 vs 82 %), major amputation (37.5 vs 18 %). There was no significant difference in revascularization primary patency between the two groups (70 vs 73.6%). The mortality rate was higher in the HD group than in the not HD group (21 vs 10%). Conclusions: Our study shows that ischemic diabetic foot associated with hemodialysis have a bad prognosis with a higher risk of major amputation and death. Infrapopliteal revascularization with infection control should be performed to enhance the rate of limb salvage in this risk group.

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22

Duff, Eugene, Heidi Johansen-Berg, Jan Scholz, Tamar Makin, David Henderson Slatere, Nicola Filippini y Irene Tracey. "(Non)sensory reorganisation following arm amputation". Multisensory Research 26, n.º 1-2 (2013): 93. http://dx.doi.org/10.1163/22134808-000s0065.

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Lenggenhager, Bigna, Leonie Hilti, Antonella Palla, Gianluca Macauda y Peter Brugger. "Vestibular stimulation does not diminish the desire for amputation". Cortex 54 (mayo de 2014): 210–12. http://dx.doi.org/10.1016/j.cortex.2014.02.004.

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24

Aruin, Alexander S. "Adaptive changes in postural reactions after unilateral leg amputation". Behavioral and Brain Sciences 19, n.º 1 (marzo de 1996): 68–69. http://dx.doi.org/10.1017/s0140525x00041479.

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25

Cavanagh, Sarah R., Lisa M. Shin, Nasser Karamouz y Scott L. Rauch. "Psychiatric and Emotional Sequelae of Surgical Amputation". Psychosomatics 47, n.º 6 (noviembre de 2006): 459–64. http://dx.doi.org/10.1176/appi.psy.47.6.459.

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Henderson, Alison W., Aaron P. Turner, Rhonda M. Williams, Daniel C. Norvell, Kevin N. Hakimi y Joseph M. Czerniecki. "Sexual activity after dysvascular lower extremity amputation." Rehabilitation Psychology 61, n.º 3 (agosto de 2016): 260–68. http://dx.doi.org/10.1037/rep0000087.

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Loucas, Caitlyn A., Sarah R. Brand, Sima Zadeh Bedoya, Anna C. Muriel y Lori Wiener. "Preparing youth with cancer for amputation: A systematic review". Journal of Psychosocial Oncology 35, n.º 4 (20 de marzo de 2017): 483–93. http://dx.doi.org/10.1080/07347332.2017.1307894.

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28

Cohen, Steven P., Michael J. Caterina, Su-Yin Yang, Mariano Socolovsky y Claudia Sommer. "Pain in the Context of Sensory Deafferentation". Anesthesiology 140, n.º 4 (8 de marzo de 2024): 824–48. http://dx.doi.org/10.1097/aln.0000000000004881.

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Pain that accompanies deafferentation is one of the most mysterious and misunderstood medical conditions. Prevalence rates for the assorted conditions vary considerably but the most reliable estimates are greater than 50% for strokes involving the somatosensory system, brachial plexus avulsions, spinal cord injury, and limb amputation, with controversy surrounding the mechanistic contributions of deafferentation to ensuing neuropathic pain syndromes. Deafferentation pain has also been described for loss of other body parts (e.g., eyes and breasts) and may contribute to between 10% and upwards of 30% of neuropathic symptoms in peripheral neuropathies. There is no pathognomonic test or sign to identify deafferentation pain, and part of the controversy surrounding it stems from the prodigious challenges in differentiating cause and effect. For example, it is unknown whether cortical reorganization causes pain or is a byproduct of pathoanatomical changes accompanying injury, including pain. Similarly, ascertaining whether deafferentation contributes to neuropathic pain, or whether concomitant injury to nerve fibers transmitting pain and touch sensation leads to a deafferentation-like phenotype can be clinically difficult, although a detailed neurologic examination, functional imaging, and psychophysical tests may provide clues. Due in part to the concurrent morbidities, the physical, psychologic, and by extension socioeconomic costs of disorders associated with deafferentation are higher than for other chronic pain conditions. Treatment is symptom-based, with evidence supporting first-line antineuropathic medications such as gabapentinoids and antidepressants. Studies examining noninvasive neuromodulation and virtual reality have yielded mixed results.

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29

Schmidt, Morgan y Amanda Ries. "(144) Pathologic Skin Picking Resulting in Successive Bilateral Transmetatarsal Amputation". Journal of the Academy of Consultation-Liaison Psychiatry 64 (noviembre de 2023): S70—S71. http://dx.doi.org/10.1016/j.jaclp.2023.11.614.

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30

Stutts, Lauren A., Sarah E. Bills, Savannah R. Erwin y Jessica J. Good. "Coping and posttraumatic growth in women with limb amputations". Psychology, Health & Medicine 20, n.º 6 (9 de febrero de 2015): 742–52. http://dx.doi.org/10.1080/13548506.2015.1009379.

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31

Geurts, Alexander C. H. y Theo W. Mulder. "Attention Demands in Balance Recovery following Lower Limb Amputation". Journal of Motor Behavior 26, n.º 2 (junio de 1994): 162–70. http://dx.doi.org/10.1080/00222895.1994.9941670.

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32

Coffey, Laura, Pamela Gallagher, Deirdre Desmond y Nicola Ryall. "Goal pursuit, goal adjustment, and affective well-being following lower limb amputation". British Journal of Health Psychology 19, n.º 2 (17 de mayo de 2013): 409–24. http://dx.doi.org/10.1111/bjhp.12051.

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33

Carlson, Rose L. y Shruti P. Mutalik. "(66) Amputation Over Objection in a Patient with Marchiafava-Bignami Disease". Journal of the Academy of Consultation-Liaison Psychiatry 63 (noviembre de 2022): S145. http://dx.doi.org/10.1016/j.jaclp.2022.10.069.

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34

Behrens, Carolin, Pauline Friel, Anja Grocholewski, Elisa Dombert, Antonia Brühl, Erich Kasten y Nina Heinrichs. "Kognitive und affektive Prozesse bei Body Integrity Dysphoria (BID): Eine Pilotstudie". PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie 70, n.º 09/10 (11 de marzo de 2020): 386–95. http://dx.doi.org/10.1055/a-1099-9925.

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ZusammenfassungPersonen mit Body Integrity Dysphoria (BID) haben den starken Wunsch nach einer Amputation (BID-A) oder Lähmung (BID-L). Erkenntnisse über psychische Aspekte von BID basieren fast ausschließlich auf Selbstberichten. Diese Pilotstudie soll anhand experimenteller Paradigmen Erkenntnisse zu kognitiven und affektiven Prozessen, die über den Verbalbericht der Betroffenen hinausgehen, gewinnen. Dafür wurden n=5 Personen mit BID-A, n=3 mit BID-L, n=22 psychisch gesunde Personen und n=8 Personen mit körperdysmorpher Störung (KDS, eine andere Gruppe mit starken Körpermodifikationswünschen) erhoben. Es wurde die selektive Aufmerksamkeit (Eyetracking-Paradigma), die Anfälligkeit für fehlerhafte Erinnerungen (DRM-Paradigma) und die affektive Nichtbeteiligung am unerwünschten Körperteil (Induzierung und Zerstörung einer Rubber-Hand/Foot-Illusion) untersucht. Im deskriptiven Vergleich blickten die hier teilnehmenden Personen mit BID-A schneller und länger auf abgebildete Amputationsstümpfe als alle anderen Gruppen und zeigten eine geringere Schreckreaktion auf die Zerstörung ihrer Körperillusion. Für eine erhöhte Anfälligkeit für fehlerhafte Erinnerungen gab es keine Hinweise. Die kleine Stichprobengröße lässt keine Generalisierung zu. Trotzdem zeigen die Ergebnisse dieser Pilotstudie, dass Symptome von BID und darunter liegende Prozesse auch über Selbstberichte hinaus erfassbar sind und sie geben erste Hinweise darauf, dass die selektive Aufmerksamkeit und die affektive Beteiligung am unerwünschten Körperteil bei Personen mit BID-A im Vgl. zu Personen, die sich keine Amputation wünschen (inkl. Personen mit BID-L), abweicht. Die zugrundeliegenden Prozesse besser zu verstehen, könnte dabei helfen ein Störungsmodell zu entwickeln, Subgruppen zu identifizieren und Behandlungsansätze abzuleiten.

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35

Kohrman, Samuel I., James K. Rustad, Timur Suhail-Sindhu, Thomas A. Fortney, Dipak B. Ramkumar, Lance G. Warhold, Devendra Thakur, Christine T. Finn y Theodore A. Stern. "Self-inflicted Limb Amputation: A Case of Nonparaphilic, Nonpsychotic Xenomelia". Psychosomatics 61, n.º 1 (enero de 2020): 70–75. http://dx.doi.org/10.1016/j.psym.2019.03.004.

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36

Antonucci, Gabriella, Daniela Fanzon, Donatella Spinelli y Pierluigi Zoccolotti. "Visual Factors Affecting the Rod-And-Frame Illusion: Role of Gap Size and Frame Components". Perception 24, n.º 10 (octubre de 1995): 1119–30. http://dx.doi.org/10.1068/p241119.

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In two studies the effect of the distance between the tip of the rod and the frame sides (gap) in the rod-and-frame (RF) illusion was examined and the effect of a full-square condition was compared with that of two different frame amputations. In both studies, there were more rod-setting errors in the direction of the tilt of the inducing figure with a small gap than with a large one. These findings are consistent with the idea that in the case of small gap size local interactions contribute to determining the RF illusion. The actual length of the rod was varied in order to keep the gap constant across different frame tilts; therefore these findings cannot be due to the co-variation between gap size and frame tilt which is typical of standard apparatuses. The effect of frame amputations was compared to the full-square condition. According to Wenderoth and Beh, amputations that maintain the two orthogonal contours of the square produce the typical angular function of the RF illusion. This prediction was confirmed in both studies. However, results indicate that the full square has a stronger illusory effect in the case of a small degree of tilt of the inducing stimulus, irrespective of gap size. It is suggested that this ‘square superiority’ effect is related to global, not local, mechanisms. To pursue Wenderoth and Beh's observations, amputations close to the vertical meridian were used in one experiment and those close to the horizontal meridian in the second experiment. Contrary to predictions, these conditions produced overlapping results.

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37

Aarathi Reddy, Tummala. "Homoeopathy in Diabetic Foot". Galore International Journal of Health Sciences and Research 8, n.º 3 (20 de diciembre de 2023): 49–52. http://dx.doi.org/10.52403/gijhsr.20230309.

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Diabetes mellitus is chronic disorder. Due to poor diabetes control leads to one of the complications like neurological impairment because of which there may be ulceration over the foot and legs called as Diabetic foot ulcer. Most of the cases may even lead to foot amputation. Homoeopathy plays a major role in treating cases of Diabetic foot ulcer. Keywords: Diabetic foot ulcer, Diabetes, Homoeopathy

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38

Seliverstov, P. A. y Yu G. Shapkin. "Application of damage control tactics in combat injuries of limbs at the advanced stages of medical evacuation in modern war settings (literature review)". Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, n.º 1 (4 de mayo de 2023): 42–52. http://dx.doi.org/10.25016/2541-7487-2023-0-1-42-52.

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Relevance. Limb injuries occupy the first place in the structure of modern combat injuries and are one of the main reasons for the decline in fitness for military service and disability. In the conditions of conducting largescale hostilities, the role of the advanced stages of medical evacuation, where surgical care is provided according to the principles of damage control, increases. Features of the tactics of damage control in combat injuries of the extremities determine the need for special training of military surgeons.The objective is to consider the features and effectiveness of the provision of surgical care according to the principles of damage control in combat injuries of the extremities at the advanced stages of medical evacuation in armed conflicts of the last two decades (in the countries of the Middle East and Africa, Afghanistan, Ukraine).Methodology. A search was made for scientific articles in the PubMed database and the Scientific Electronic Library (eLIBRARY.ru), published from 2013 to 2023.Results and Discussion. Modern combat trauma of the extremities is characterized by a high frequency of vascular damage, extensive destruction of soft tissues and bones from the impact of damaging factors of explosive ammunition. Surgical interventions for combat injuries of the extremities (external fixation of bone fractures with rod devices, ligation or temporary vascular shunt of damaged vessels, fasciotomy, amputation) were the most frequent of all operations performed at the advanced stages of medical evacuation during modern military conflicts. The volume of surgical interventions corresponded to the first stage of orthopedics and vascular control of injuries and was determined by the severity of the condition of the wounded, the degree of ischemia and severity of limb injuries, and the medical and tactical situation.Conclusion. Assistance at the advanced stages of medical evacuation according to the principles of orthopedics and vascular damage control can significantly reduce the frequency of amputations and improve the functional results of treatment for combat injuries of the extremities.

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39

ISLAMOV, S. A., V. U. SATAYEV, YU V. TARASOV, P. A. SABLIN, D. I. YUNUSOV y R. R. FATKHULISLAMOV. "Gunshot wound of a lower third of the left forearm in a 9-year-old child with a hunting shotgun. Amputation or reconstruction?" Practical medicine 20, n.º 4 (2022): 123–26. http://dx.doi.org/10.32000/2072-1757-2022-4-123-126.

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The article presents and describes a clinical case of a gunshot wound of the left forearm of a 9-year-old child — a rare case in the practice of traumatologists and pediatric surgeons in peacetime, which occurred during hunting. The child had an open multi-splintered fracture of the lower third of both bones of the left forearm with damage and defect of the radial and ulnar artery, radial, ulnar and median nerves, damage and defect of over 15 cm of the extensor tendons of the left hand and fingers, soft tissue defect and the presence of foreign objects. There was no blood supply, movement and sensitivity on the left hand. Radiographs of the left forearm and hand in front and lateral projections revealed multi-splintered fractures of the lower third of both bones of the left forearm with the presence of foreign objects (pellet). There was a question of reconstruction or amputation of the forearm. Collectively, at a consultation of doctors consisting of: an orthopedic traumatologist, an angiosurgeon, a neurosurgeon, a pediatric surgeon and a pediatric anesthesiologist-resuscitator, it was decided to reconstruct the forearm. Primary surgical treatment of a gunshot wound, restoration of the radial and ulnar arteries, radial median and ulnar nerves were performed; extra-focal osteosynthesis of the left forearm was performed according to G.A. Ilizarov technique. One month after cleansing the wound and the formation of granulations, free autodermoplasty with a full-layer skin flap was performed. An objective examination 4 months after the dismantling of the Ilizarov apparatus revealed that the limb was warm, moderate swelling of the hand remained, and tactile and motor sensitivity were registered. With extensive defects of the soft tissues, vessels and nerves of the limb with gunshot wounds, it is necessary to involve an orthopedic traumatologist, an angiosurgeon, a neurosurgeon, a combustiologist, an anesthesiologist, a plastic surgeon and a medical psychologist.

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40

Rybarczyk, Bruce, J. J. Nicholas y D. L. Nyenhuis. "Coping with a leg amputation: Integrating research and clinical practice." Rehabilitation Psychology 42, n.º 3 (1997): 241–56. http://dx.doi.org/10.1037/0090-5550.42.3.241.

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41

Gozlan, Oren. "Has Psychoanalysis Reached Its Limits in the Question of the Trans Child and Adolescent?" Psychoanalytic Review 109, n.º 3 (septiembre de 2022): 309–32. http://dx.doi.org/10.1521/prev.2022.109.3.309.

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New medical advances and options for transitioning along with an array of gender representations have provided gender diverse children and adolescents liberating possibilities. The transitioning youth's demands for recognition and/or support for initiation of medical intervention pushes against the analyst's theories of gender and challenges conservative understanding of sexual identity, moving it closer to the multidetermined nature of dreamwork. In this article, the author traces recurrent metaphors in discussions about gender transitioning with a focus on selected articles recently published in the International Journal of Psychoanalysis, particularly an essay authored by David Bell (2020) entitled “First Do No Harm.” The author focuses on three images—contagion, the naturality of gender, and amputation—to ask, what do these apparently disparate signifiers reveal about the anxieties in the field?

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42

Benedetti, Fabrizio. "Reorganization of Tactile Perception following the Simulated Amputation of One Finger". Perception 20, n.º 5 (octubre de 1991): 687–92. http://dx.doi.org/10.1068/p200687.

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43

Vonasch, Andrew J., Tania Reynolds, Bo M. Winegard y Roy F. Baumeister. "Death Before Dishonor". Social Psychological and Personality Science 9, n.º 5 (21 de julio de 2017): 604–13. http://dx.doi.org/10.1177/1948550617720271.

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Predicated on the notion that people’s survival depends greatly on participation in cooperative society, and that reputation damage may preclude such participation, four studies with diverse methods tested the hypothesis that people would make substantial sacrifices to protect their reputations. A “big data” study found that maintaining a moral reputation is one of people’s most important values. In making hypothetical choices, high percentages of “normal” people reported preferring jail time, amputation of limbs, and death to various forms of reputation damage (i.e., becoming known as a criminal, Nazi, or child molester). Two lab studies found that 30% of people fully submerged their hands in a pile of disgusting live worms, and 63% endured physical pain to prevent dissemination of information suggesting that they were racist. We discuss the implications of reputation protection for theories about altruism and motivation.

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44

Kline, Julia E., Abigail M. Clark, Brenda L. Chan, Caitlin L. McAuliffe, Kenneth M. Heilman y Jack W. Tsao. "Normalization of horizontal pseudoneglect following right, but not left, upper limb amputation". Neuropsychologia 47, n.º 4 (marzo de 2009): 1204–7. http://dx.doi.org/10.1016/j.neuropsychologia.2009.01.005.

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45

Perez, Céline, Inès Gillet-Ben Nejma, Sébastien Allali, Mehdi Boudjadja, Florent Caetta, Olivier Gout, Julien Savatovsky, Michaël Obadia y Sylvie Chokron. "Hémianopsie latérale homonyme : amputation du champ visuel, perception implicite et hallucinations visuelles". Revue de neuropsychologie Volume 6, n.º 4 (5 de enero de 2015): 238–55. http://dx.doi.org/10.1684/nrp.2014.0319.

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46

Pedras, Susana, Estela Vilhena, Rui Carvalho y M. Graça Pereira. "Psychosocial adjustment to a lower limb amputation ten months after surgery." Rehabilitation Psychology 63, n.º 3 (agosto de 2018): 418–30. http://dx.doi.org/10.1037/rep0000189.

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47

Oaksford, Karen, Neil Frude y Richard Cuddihy. "Positive Coping and Stress-Related Psychological Growth Following Lower Limb Amputation." Rehabilitation Psychology 50, n.º 3 (2005): 266–77. http://dx.doi.org/10.1037/0090-5550.50.3.266.

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48

Ivanusa, S. Ya, B. V. Risman, A. V. Yanishevsky, R. E. Shayakhmetov y I. S. Matveev. "Treating diabetic foot syndrome at the General Surgery Clinic of the S.M. Kirov Military Medical Academy". Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko 2, n.º 3(5) (14 de octubre de 2021): 20–29. http://dx.doi.org/10.53652/2782-1730-2021-2-3(5)-20-29.

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We examined 180 patients with purulent-necrotic complications of diabetic foot syndrome, in whom the proposed diagnostic algorithm was used. Magnetic resonance imaging of the feet, ultrasound Doppler with duplex angioscanning, magnetic resonance and computed angiography of the lower extremities, as well as assessment of transcutaneous oxygen tension were performed. Surgical treatment tactics depended on the form of the diabetic foot syndrome, as well as the severity of the disease. As a local treatment, physical methods were used to accelerate the course of the wound process. The proposed diagnostic algorithm for the diagnosis and selection of surgical treatment for various forms of diabetic foot syndrome has made it possible to reduce the number of “high” amputations and maintain a supporting limb. Purpose of the study is to improve treatment outcomes for purulent-necrotic complications of diabetic foot syndrome by developing and applying a diagnostic algorithm and differentiated treatment tactics. The main group consisted of 180 patients with purulent-necrotic complications of diabetic foot syndrome, in whom the developed diagnostic algorithm and differentiated tactics of surgical treatment were used, as well as physical methods of influencing the wound process (ultrasonic cavitation and local ozonation) were used as local treatment. The control group included 40 patients with purulent-necrotic complications of diabetic foot syndrome, whose treatment involved the use of drugs that improve the rheological properties of blood and tissue microcirculation (rheopolyglucin, trental, actovegin) according to conventional schemes. Local treatment included sanitation and treatment of wound and ulcerative surfaces with antiseptic solutions and ointments, depending on the phase of the wound process. Data analysis in this group was carried out based on a retrospective study of case histories and an assessment of long-term results of treatment by follow-up examinations and telephone interviews. Control group included 25 (63%) men and 15 (37%) women; the average age was 67.3±10.3 years. The developed unified approaches in diagnosing and treating patients with purulent-necrotic complications of diabetic foot syndrome, who, in complex treatment, underwent staged necrectomy with simultaneous ultrasonic cavitation of purulent wounds and their ozonization, can reliably reduce the number of ulcer recurrences from 28% to 2.7%, high amputations by 34%, and the number of re-amputations ― 10 times. The use of minimally invasive surgical technologies for the rehabilitation of deep purulent foci of the foot, in comparison with the classical principles of treatment of purulent wounds, makes it possible to achieve a complete cleansing of wounds, preparation for plastic surgery, and an increase in the number of functional supportable lower limbs by 42.7%. According to the data obtained, it is optimal to perform sanitizing operations after revascularization of at least one artery no earlier than 3–4 days, which makes it possible to increase their efficiency and reduce the number of repeated surgical interventions. The approach to managing patients with diabetic foot syndrome at all stages of treatment and rehabilitation should be interdisciplinary and include the following specialists: endocrinologist, orthopedist, surgeon, psychologist, trained nursing staff.

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49

Ivanusa, S. Ya, B. V. Risman, A. V. Yanishevsky, R. E. Shayakhmetov y I. S. Matveev. "Treating diabetic foot syndrome at the General Surgery Clinic of the S.M. Kirov Military Medical Academy". Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko 2, n.º 3(5) (14 de octubre de 2021): 20–29. http://dx.doi.org/10.53652/2782-1730-2021-2-3(5)-20-29.

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We examined 180 patients with purulent-necrotic complications of diabetic foot syndrome, in whom the proposed diagnostic algorithm was used. Magnetic resonance imaging of the feet, ultrasound Doppler with duplex angioscanning, magnetic resonance and computed angiography of the lower extremities, as well as assessment of transcutaneous oxygen tension were performed. Surgical treatment tactics depended on the form of the diabetic foot syndrome, as well as the severity of the disease. As a local treatment, physical methods were used to accelerate the course of the wound process. The proposed diagnostic algorithm for the diagnosis and selection of surgical treatment for various forms of diabetic foot syndrome has made it possible to reduce the number of “high” amputations and maintain a supporting limb. Purpose of the study is to improve treatment outcomes for purulent-necrotic complications of diabetic foot syndrome by developing and applying a diagnostic algorithm and differentiated treatment tactics. The main group consisted of 180 patients with purulent-necrotic complications of diabetic foot syndrome, in whom the developed diagnostic algorithm and differentiated tactics of surgical treatment were used, as well as physical methods of influencing the wound process (ultrasonic cavitation and local ozonation) were used as local treatment. The control group included 40 patients with purulent-necrotic complications of diabetic foot syndrome, whose treatment involved the use of drugs that improve the rheological properties of blood and tissue microcirculation (rheopolyglucin, trental, actovegin) according to conventional schemes. Local treatment included sanitation and treatment of wound and ulcerative surfaces with antiseptic solutions and ointments, depending on the phase of the wound process. Data analysis in this group was carried out based on a retrospective study of case histories and an assessment of long-term results of treatment by follow-up examinations and telephone interviews. Control group included 25 (63%) men and 15 (37%) women; the average age was 67.3±10.3 years. The developed unified approaches in diagnosing and treating patients with purulent-necrotic complications of diabetic foot syndrome, who, in complex treatment, underwent staged necrectomy with simultaneous ultrasonic cavitation of purulent wounds and their ozonization, can reliably reduce the number of ulcer recurrences from 28% to 2.7%, high amputations by 34%, and the number of re-amputations ― 10 times. The use of minimally invasive surgical technologies for the rehabilitation of deep purulent foci of the foot, in comparison with the classical principles of treatment of purulent wounds, makes it possible to achieve a complete cleansing of wounds, preparation for plastic surgery, and an increase in the number of functional supportable lower limbs by 42.7%. According to the data obtained, it is optimal to perform sanitizing operations after revascularization of at least one artery no earlier than 3–4 days, which makes it possible to increase their efficiency and reduce the number of repeated surgical interventions. The approach to managing patients with diabetic foot syndrome at all stages of treatment and rehabilitation should be interdisciplinary and include the following specialists: endocrinologist, orthopedist, surgeon, psychologist, trained nursing staff.

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50

Zounon, Ornheilia, Aristote Hans-Moevi Akué, Gildas Cohovi Quenum, Paul Clay Sorum y Etienne Mullet. "Why people in Benin are reluctant to undergo amputations? A systematic inventory of motives". Journal of Health Psychology 21, n.º 11 (10 de julio de 2016): 2753–61. http://dx.doi.org/10.1177/1359105315586212.

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