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Статті в журналах з теми "Psychoanalytic Therapy – methods – Case Reports"
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Hadziahmetovic, Nina, Sabina Alispahic, Djenita Tuce, and Enedina Hasanbegovic-Anic. "Therapist’s interpersonal style and therapy benefit as the determinants of personality self-reports in clients." Vojnosanitetski pregled 73, no. 2 (2016): 135–45. http://dx.doi.org/10.2298/vsp140911141h.
Повний текст джерелаАнотація:
Background/Aim. In (counter)transference relationship therapist?s interpersonal style, implying the perceived relation of therapist to a client (patient) in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist?s interpersonal style and clients? personality self-reports. Within therapist?s interpersonal style, preliminary validation of the Therapist?s Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components. Methods. This research was conducted on a group of 206 clients, attending one of the four psychotherapy modalities: psychoanalysis, gestalt therapy, cognitive-behavioral and systemic family therapy. Beside Therapist?s Interpersonal Style Scale, Big Five Questionnaire and Therapy Benefit Scale were administered, showing good internal consistency. Results. Principal component analysis of therapist?s interpersonal style singled out two components Supportive Autonomy and Ignoring Control, explaining 42% of variance. Two-factor model of the therapist?s styles was better fitted in confirmatory factor analysis than the original 4-factor model. Structural model showing indirect and direct effects of therapist?s interpersonal styles on selfreports in clients indicates good fitness (?2(12) = 8.932, p = 0.709; goodness-of-fit index = 0.989), with Ignoring Control having direct effect on Stability, Supportive Autonomy on Therapy Benefit, and Therapy Benefit on Plasticity. Conclusion. The results of this study indicate the importance of further research on therapist?s interpersonal style, as well as further validation of the instrument that measures this construct. Besides, a client?s perception that the therapy is being helpful could instigate more explorative and approach-oriented behavior, what indirectly might contribute to a client?s stability.
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Nurjannah, Intansari. "Sujok triorigin therapy for vaginitis: case reports." International Journal of Research in Medical Sciences 12, no. 1 (December 28, 2023): 249–52. http://dx.doi.org/10.18203/2320-6012.ijrms20234011.
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Vaginitis cases are the most frequently encountered cases of gynaecologists in women who seek treatment at health facilities. Various therapies are sought by sufferers to overcome this condition. This case report discusses the use of Sujok triorigin therapy with the mudra method to treat the symptoms of vaginitis. Mudra method is the therapy only by using the thumb placed on certain knuckles based on the tri-origin concept and the respondents meditate for 15-20 minutes. There was no charge applied for the therapy were given to the patient. Two female patients on their 40s contacted researcher through social media to get help for their vaginitis problems. Researcher sent the instruction through picture how to apply the therapy on patients’ fingers. In the first case, this extreme vaginal itching condition had been experienced for 1 year with various treatment methods tried but none were successful. In this respondent, it took 9 days for the itching to completely disappear with therapy being done 4 times a day for about 15 minutes. The second respondent complained of extreme itching in the vagina, with a severity scale of 5 (from 1-5) and bleeding because of scratching. After 4 minutes of doing mudra, the itching went down to scale 3 and after 20 minutes the itching went down to a score of 1-2 and then was completely gone after that. In conclusion, Sujok triorigin therapy can reduce vaginitis symptoms in two respondents in a relatively short time of therapy.
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Caruso, Norma. "Sexual aversion disorder: a case study, conceptualised and treated from a psychodynamic perspective." Couple and Family Psychoanalysis 12, no. 2 (October 15, 2022): 166–82. http://dx.doi.org/10.33212/cfp.v12n2.2022.166.
Повний текст джерелаАнотація:
This article relies on psychoanalytic theory and technique to examine the dynamics of a couple with a sexual aversion disorder in one partner and to provide treatment. It uses the language of object relations, including Ogden’s (1989a,b) reformulation of Freud’s notions about the oedipal complex. In doing so, it defies the popular trend in sex therapy to employ behavioural methods, as well as the less commonly used approach to integrate psychoanalytic with behavioural techniques. The outcome supports the prospect of psychoanalytically oriented therapists reclaiming sexual difficulties as entities that are within the domain of their clinical expertise. Additionally, it adds to the literature on sexual desire disorders and because the partner, in this case, who presents with the sexual problem is male, it counters commonly held myths about male sexuality and recognises the complexity of their sexual functioning.
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Soares, Marcia Britto de Macedo, Ricardo Alberto Moreno, and Doris Hupfeld Moreno. "Electroconvulsive therapy in treatment-resistant mania: case reports." Revista do Hospital das Clínicas 57, no. 1 (February 2002): 31–38. http://dx.doi.org/10.1590/s0041-87812002000100006.
Повний текст джерелаАнотація:
Electroconvulsive therapy is known to be effective in the treatment of mood disorders, more specifically for depression and mania. Although a large body of evidence confirms the efficacy of electroconvulsive therapy in the treatment of mania, few prospective studies have been done to assess its effectiveness in treatment-resistant manic episodes. These case reports describe the initial results of a study that is being conducted to evaluate the efficacy of Electroconvulsive therapy among treatment-resistant bipolar patients. METHODS: Three manic patients (according to DSM-IV criteria) who were considered treatment-resistant underwent a series of 12 bilateral Electroconvulsive therapy sessions. Before the treatment and then weekly, they were evaluated with the following rating scales: Young Mania Rating Scale, Hamilton Rating Scale for Depression, Brief Psychiatric Rating Scale, and Clinical Global Impressions-Bipolar Version. RESULTS: The 3 patients showed a satisfactory response to Electroconvulsive therapy, although some differences in the course of response were observed. CONCLUSION: These case reports suggest that Electroconvulsive therapy needs further evaluation for the treatment of resistant bipolar patients.
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Floros, Georgios, and Ioanna Mylona. "A Psychoanalytic Approach to Internet Gaming Disorder." International Journal of Environmental Research and Public Health 20, no. 15 (August 7, 2023): 6542. http://dx.doi.org/10.3390/ijerph20156542.
Повний текст джерелаАнотація:
Background: Internet Gaming Disorder (IGD) is now an official diagnosis and significant public health challenges have been already identified regarding the provision of appropriate care to patients of all ages and the preparedness of mental health professionals to manage the disorder. Despite the existence of psychotherapeutic treatment modalities available for some time now, there is a paucity of any psychoanalytically driven treatments and the disorder is widely regarded and classified as being ‘behavioral’. This has profound implications for patients with long-standing character pathology and psychiatric comorbidities, who are underserved by the provision of health services that could efficiently address their issues. Methods: This study presents a psychoanalytic perspective on IGD, based on Kohut’s Self Psychology as applied in the treatment of other addictions. An outline of the theory, assessment and treatment modalities is presented with two case reports that illustrate its application. Results: The presentation outlines the challenges in treating IGD, expanding on the concept of guided imagery, resistance to treatment, selfobject transference and comorbidity with marijuana use and bipolar disorder. Conclusions: A psychoanalytically driven protocol can be effective in treating IGD, especially in cases with marked character pathology and low motive to engage in other treatment modalities.
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Kim, Hyunjoong, Seungwon Lee, Namjeong Cho, and Seonghyeok Song. "A Systematic Review of Case Reports on the Neck-Tongue Syndrome." Medicina 57, no. 10 (October 13, 2021): 1097. http://dx.doi.org/10.3390/medicina57101097.
Повний текст джерелаАнотація:
Background and Objectives: Neck-tongue syndrome (NTS) is rare, and characterized by unilateral upper neck or occipital pain and paresthesia in the ipsilateral hemisphere of the tongue due to neck movement. Treatment for NTS is mainly conservative, but the symptoms, causes, and rationale for treatment remain controversial. This study aimed to provide a framework for NTS treatment in clinical practice based on recent treatment directions. Materials and Methods: Case reports published from the past 20 years to August 2021 were searched through MEDLINE, EMBASE, and PEDro databases. Since there is no established management for NTS, the search terms were neck-tongue syndrome and case reports. The Critical Appraisal Checklist for Case Reports was used for the quality assessment of case reports. Through descriptive analysis, NTS symptoms, interventions, and results were reviewed. Results: Among the 16 studies searched, six case reports were selected and analyzed based on eight criteria. Symptoms included neck pain and ipsilateral tongue paralysis when the head was turned. As an intervention, six and four studies showed immediate symptom relief through manual therapy and exercise, respectively. Conclusions: Based on the reviewed evidence, management through physical therapy and chiropractic therapy with conservative methods such as manual therapy and exercise for patients with neck-tongue syndrome is recommended.
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Streeck-Fischer, Annette, Charline Logé, and Simone Salzer. "The Psychoanalytic-Interactional Method (PiM) for Adolescents with Borderline Personality Disorder." Adolescent Psychiatry 10, no. 3 (December 21, 2020): 172–81. http://dx.doi.org/10.2174/2210676610666200327164953.
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Background: Studies have shown the practicality of diagnosing borderline personality disorder (BPD) in children from the age of 12 years (cf. ICD-11, DSM-5). Research in the psychodynamic therapy of adolescents with BPD has been rare to date, however, there do exist some studies on the efficacy and effectiveness of psychodynamic therapy in adults with borderline personality disorder. Methods: We adapted the psychoanalytic-interactional method (PiM), originally developed in the treatment of severely disturbed adults, to the conditions of adolescents diagnosed with borderline personality disorder or structural deficits. Randomized controlled trial in an inpatient setting (Salzer et al., 2013; Salzer et al., 2014) showed that PIM is efficacious for adolescents with BPD symptoms. We describe the approach to treatment in detail. Results: The results of the therapeutic study and the short case vignette show that PiM is a useful method in both inpatient and outpatient treatment and meets the specific requirements of adolescent treatment.
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Poulton, James, and Sefi Hassin. "Hate in the service of love: the negative therapeutic reaction revisited in couple therapy." Couple and Family Psychoanalysis 12, no. 2 (October 15, 2022): 149–65. http://dx.doi.org/10.33212/cfp.v12n2.2022.149.
Повний текст джерелаАнотація:
For many years, the negative therapeutic reaction (NTR) was regarded as a form of resistance arising solely in individual psychoanalytic treatment. The possibility, however, that the NTR may also appear in couples has recently emerged as worthy of exploration. After presenting a case in which NTR dynamics predominate, and reviewing analytic literature about the NTR, the authors propose a conceptualisation of a couple-based form of the NTR that relies upon both paradoxical motivations and paradoxical uses of projective and introjective identification. The countertransference reactions these couples tend to induce in therapists will also be explored, and methods for their management will be suggested.
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Timpe, Erin M. "Nephrotoxicity with Combination Vancomycin-Aminoglycoside Therapy." Journal of Pediatric Pharmacology and Therapeutics 10, no. 3 (July 1, 2005): 174–82. http://dx.doi.org/10.5863/1551-6776-10.3.174.
Повний текст джерелаАнотація:
OBJECTIVES The purpose of this paper is to review the medical literature regarding vancomycinaminoglycoside induced nephrotoxicity in the pediatric population. METHODS MEDLINE (1966 through June 2005), EMBASE (1980 through 1st quarter 2005), and International Pharmaceutical Abstracts databases were reviewed using appropriate search terms for articles related to nephrotoxicity with vancomycin and aminoglycoside use. Case reports, letters to editors, retrospective and prospective studies evaluating nephrotoxicity with the agents in pediatric patients were compiled and summarized. Studies in animals and adults were also briefly reviewed. RESULTS One case report, two letters to editors, one retrospective study, and two prospective studies evaluated the nephrotoxicity of combination aminoglycoside and vancomycin therapy in pediatric patients. The collective number of patients in the reports was 165. Patients ranged in age from 3 days to 19 years old. Four out of the six reports, including all of the prospective studies, concluded that combination therapy does not potentiate nephrotoxicity. CONCLUSIONS Although vancomycin and the aminoglycosides have been associated with drug induced nephrotoxicity, reports in the literature do not appear to support the idea that the combination of vancomycin and an aminoglycoside is more nephrotoxic than either medication alone.
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Nwabudike, Lawrence Chukwudi. "Homeopathy as Therapy for Mycosis Fungoides: Case Reports of Three Patients." Homeopathy 108, no. 04 (July 25, 2019): 277–84. http://dx.doi.org/10.1055/s-0039-1687822.
Повний текст джерелаАнотація:
Background Mycosis fungoides (MF) is an uncommon, indolent, form of cutaneous T cell lymphoma, of which there are various types according to international classification. Various treatment modalities are available; however, these are fraught with potentially severe adverse effects. Methods Three cases of immunohistochemically confirmed MF were treated with classical individualized homeopathy. Each case was followed up with photographic documentation and was reported according to the criteria set out in the HOM-CASE guidelines. Based on the WHO-EORTC (World Health Organization–European Organization for Research and Treatment of Cancer) criteria, the patients were classified as T1b, T1a/T1b and T2b respectively. Results All cases remitted following homeopathic treatment and remained in remission. Side effects were not reported in these cases. Conclusions MF may respond to individualized homeopathic medicine. Although the case number here is small, MF is not a common disorder, spontaneous remission is not usually expected, and the disease may progress to a more severe form. Hence, these findings could serve as a basis for further research into the role of individualized homeopathic medicine in the treatment of MF.
Книги з теми "Psychoanalytic Therapy – methods – Case Reports"
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Kächele, Horst. From psychoanalytic narrative to empirical single case research: Implications for psychoanalytic practice. New York: Analytic Press, 2008.
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Alayarian, Aida. Trauma, torture, and dissociation: A psychoanalytic view. London: Karnac Books, 2011.
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Savege, Scharff Jill, and Tsigounis Stanley A. 1950-, eds. Self-hatred in psychoanalysis: Detoxifying the persecutory object. Hove, East Sussex: Brunner-Routledge, 2002.
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Della Selva, Patricia Coughlin, 1954-., ed. Lives transformed: A revolutionary method of dynamic psycotherapy. London: Karnac, 2006.
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Kächele, Horst. From psychoanalytic narrative to empirical single case research: Implications for psychoanalytic practice. New York: Routledge, 2009.
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Socarides, Charles W. Homosexuality: Psychoanalytic therapy. Northvale, N.J: J. Aronson, 1989.
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Mike, Thomas, and Mandy Drake. Cognitive behaviour therapy case studies. Los Angeles: SAGE, 2012.
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Schoenewolf, Gerald. Turning points in analytic therapy: The classic cases. Northvale, N.J: J. Aronson, 1990.
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Lynn, Hoffman, ed. Techniques of family therapy. Northvale, N.J: Aronson, 1994.
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Schoenewolf, Gerald. Turning points in analytic therapy: From Winnicott to Kernberg. Northvale, N.J: J. Aronson, 1990.
Знайти повний текст джерелаЧастини книг з теми "Psychoanalytic Therapy – methods – Case Reports"
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Blaise, Didier, and Sabine Fürst. "Post-CAR-T Cell Therapy (Consolidation and Relapse): Lymphoma." In The EBMT/EHA CAR-T Cell Handbook, 169–71. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94353-0_33.
Повний текст джерелаАнотація:
AbstractEven after a decade of use, CAR-T cell therapy for non-Hodgkin lymphoma (NHL) is still evolving, and disease control is now the main concern in the majority of experienced centres. Indeed, despite highly appealing objective response (OR) rates in refractory patients, the long-term overall survival (OS) of this population has only slightly improved. Pivotal studies have suggested that 2-year OS rates do not surpass 30%, even though results improve when complete response (CR) is achieved within the first 3 months after treatment (Wang et al. 2020; Schuster et al. 2019; Neelapu et al. 2017). Although achieving this exceptionally high level of OR is praiseworthy, similar improvements have not been made regarding OS, and current OS probabilities are not satisfactory. Of course, there are multiple reasons for this; a substantial proportion of patients either do not achieve an initial response or experience progression very soon after treatment, with poor OS (Chow et al. 2019). Both populations present with disease burden or aggressive cancer prior to CAR-T cell therapy, possibly having been referred too late in the course of treatment or waited too long before CAR-T cells were processed for them. Both of these issues have potential solutions, such as more widely publicizing the efficacy of CAR-T cells, which may increase referrals at an earlier stage, and developing methods, which are already being heavily investigated, for shortening the manufacturing process (Rafiq et al. 2020). In the latter case, the use of allogeneic lymphocytes could allow for already prepared cells to be readily used when needed and would most likely be the most efficient strategy as long as the risk of graft-versus host disease is offset (Graham and Jozwik 2018). Thus, achieving CR is a crucial step in increasing OS, as patients with partial response (PR) or stable disease (SD) present with lower OS, while currently, recurrence appears to be rare when CR is maintained for more than 6 months (Komanduri 2021). However, the disease will likely recur in more than half of patients in the months following treatment, possibly due to issues such as the poor persistence of CAR-T cells (which may not be as crucial as once thought for acute lymphoblastic leukaemia (Komanduri 2021)) or the loss of target antigen expression (which has been regularly documented (Rafiq et al. 2020)). Both of these mechanisms could potentially be used to develop methods that reduce recurrence after CAR-T cell therapy. In fact, the most popular approaches currently being investigated are attempting to either use two CAR-T cell types that each target different antigens or to create CAR-T cell constructs that target either multiple antigens or an antigen other than CD19 (Shah et al. 2020). The concomitant infusion of CAR-T cells with targeted therapies is also being explored in other B-cell malignancies and appears to both increase the CR rate and decrease recurrence (Gauthier et al. 2020). When recurrence does occur, patient OS is rather dismal, and the best remaining option would most likely be inclusion in a clinical trial. If this option is not available, salvage therapy may be attempted, although cytotoxic treatments are extremely limited given that most diseases have been refractory to numerous lines of treatment prior to immunotherapy. A few case reports and studies with a small patient population receiving anti-PD-1 antibodies, ibrutinib, or ImiDs have been reported with largely anecdotal supporting evidence (Byrne et al. 2019). However, even in the case of a new objective response (OR), the subsequent risk of recurrence is substantial and may invite further consolidation with allogeneic haematopoietic stem cell transplantation (Byrne et al. 2019), which has already been performed in patients treated for acute lymphoblastic leukaemia (Hay et al. 2019). However, the efficacy of this strategy remains to be validated in NHL patients in clinical trials. Further supporting evidence, although limited, has recently been reported concerning an additional treatment with CAR-T cells inducing an OR. Of the 21 NHL patients included in the study, the OR rate after the second infusion was 52% (CR, n = 4; PR, n = 7), with some durable responses inviting further investigations (Gauthier et al. 2021). Overall, with such poor outcomes after recurrence, current efforts are also focused on predicting the patients most likely to experience disease progression and that are potential candidates for preemptive consolidation therapy, although there is no doubt that patients who do not achieve a rapid CR should be the first candidates. Additionally, immune monitoring should encompass not only CAR-T cell survival but also the detection of circulating tumour DNA (Komanduri 2021) because this could aid in detecting subclinical recurrence and in deciding whether consolidation or maintenance therapy should be administered. However, currently, all these approaches are highly speculative and require further clinical study.
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Thomä, Helmut, and Horst Kächele. "1 Case Histories and Treatment Reports." In Psychoanalytic Therapy, 23–58. Psychosozial-Verlag, 2021. http://dx.doi.org/10.30820/9783837976496-23.
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Levy, Kenneth N., Kevin B. Meehan, Tracy L. Clouthier, Frank E. Yeomans, Mark F. Lenzenweger, John F. Clarkin, and Otto F. Kernberg. "Transference-Focused Psychotherapy for Adult Borderline Personality Disorder." In Case Studies Within Psychotherapy Trials, 190–245. Oxford University Press, 2016. http://dx.doi.org/10.1093/med:psych/9780199344635.003.0007.
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Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 5 of the book applies this model to a study of an individually based psychoanalytic therapy—called “transference-focused psychotherapy” (TFP)—to treating borderline personality disorder (BPD). Finding TFP equivalent to dialectical behavior therapy, the evidence-based benchmark of BPD treatment, the authors subsequently analyze and compare the positive-outcome case of Ms. J with the negative-outcome case of Ms. V, both drawn from the TFP condition.
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Abrams, Richard. "Efficacy of Electroconvulsive Therapy." In Electroconvulsive Therapy, 17–42. Oxford University PressNew York, NY, 2002. http://dx.doi.org/10.1093/oso/9780195148206.003.0002.
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Abstract It is axiomatic that rigorous experimental methods are required to demonstrate the efficacy of a medical treatment. Whether the comparison is with placebo (sham treatment) or with an alternative active therapy, a prospective design with random assignment of consecutive patients to treatment groups and blind assessment of outcome using objective measures are absolute requirements. Both the diagnostic criteria and the precise treatment parameters must be specified, and appropriate statistical analyses must be employed (or the data presented in sufficient detail for readers to perform their own calculations). Scrupulous adherence to these rules is especially crucial when studying an emotionally charged and physiologically active treatment such as ECT, for it is often used for illnesses (depression, mania) with a high spontaneous remission rate. The first part of this chapter assesses the efficacy of ECT by reviewing the evidence from controlled trials in the three disorders for which such data are available: depression, schizophrenia, and mania. The results of uncontrolled or otherwise methodologically weak studies, anecdotal reports, and case history studies are referred to in the second part.
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Bateman, Anthony W., and Peter Fonagy. "Psychotherapy for personality disorder." In New Oxford Textbook of Psychiatry, 892–901. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0113.
Повний текст джерелаАнотація:
Psychotherapy has historically been the mainstay of treatment for personality disorder (PD). It remains so. Psychoanalysis was probably the earliest formal treatment for PD, which led to the first clinical descriptions of borderline personality disorder. A parallel but linked development was the application of psychoanalytic ideas in therapeutic communities which have been in existence for over 60 years and remain a treatment context and method for patients with PD. It was only in the 1960s that modified psychotherapeutic treatments were developed. Initially these were based on psychodynamic understanding of PD, but gradually other theoretically and practically driven models have developed, leading to the current situation in which there are behavioural, cognitive, dynamic, and supportive treatments offered in a range of contexts. Some of these methods have more empirical support than others. These methods will be described in this chapter. Psychological therapies for personality disorders take place against the background of the natural course and outcome of the disorder. Until recently, the natural history of personality disorder had not been systematically studied. Several major cohort follow-along studies have yielded surprising data concerning the rate of symptomatic remissions in a disorder that was assumed to have a lifelong course. For example, over a 10-year follow-along period, 88 per cent of those initially diagnosed with borderline personality disorder appeared to remit in the sense of no longer meeting DIB-R or DSM-III criteria for BPD for 2 years. The symptoms that remit most readily, irrespective of treatment, appear to be the acute ones, such as parasuicide and self-injury, which are the most likely to trigger psychotherapeutic intervention. Temperamental symptoms, such as angry feelings and acts, distrust and suspicion, abandonment concerns, and emotional instability, appear to resolve far more slowly. In the Collaborative Longitudinal Personality Disorder Study (CLPS), when remission was defined as 12 months at two or fewer criteria for PDs, over half of BPD and 85 per cent of major depressive disorder (MDD) patients were reported to remit over a 4-year period. Psychosocial functioning recovered far more slowly than acute symptoms. There is a considerable body of literature on psychotherapeutic interventions for personality disorders, but significant evidence for effective treatment remains sparse. Much of the literature is dominated by expert opinion, which is not invariably the most helpful guide. In this chapter, we focus on psychological treatments where at least some evidence for treatment effectiveness exists. The evidence is strongest for borderline personality disorder (BPD). Treatment of some other personality disorders, for example schizoid, narcissistic, obsessive–compulsive, dependent, is evidenced mainly by clinical case reports in which theory is combined with clinical description and where, if outcome is measured at all, it is measured for the purpose of illustration and has little probative value.
Тези доповідей конференцій з теми "Psychoanalytic Therapy – methods – Case Reports"
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Sgrott, Francine Fischer, Jaqueline Munaretto Tim Baiocchi, and Francilma Catão. "PHOTOBIOMODULATION AND MANUAL LYMPH DRAINAGE FOR THE TREATMENT OF NIPPLE NECROSIS IN BREAST CANCER PATIENT: TWO CASE REPORTS." In Brazilian Breast Cancer Symposium 2022. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s2092.
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Introduction: Breast cancer is the most common malignant neoplasm among women in the world and in Brazil, accounting for approximately 28% new cases each year. Recently, breast reconstruction after mastectomy with preservation of the nipple has been an alternative breast cancer treatment. However, despite its efficacy and esthetic superiority, the preservation of the nipple has been associated with several complications in the postoperative period. The therapy of photobiomodulation, formerly known as low-level laser therapy, has been demonstrated to promote repair of tissues by cellular repair biostimulation, angiogenesis, and anti-inflammatory effects. These characteristics suggest a potential role for the repair of chronic wounds and may be applicable in the treatment of necrosis. Objective: This study aimed to observe the effects of physiotherapeutic intervention through photobiomodulation therapy in two patients with nipple necrosis after mastectomy. Methods: Two Brazilian females with necrosis of more than 40% of the nipple on the right breast after breast mastectomy and reconstruction were referred to physical therapy (PT). PT sessions were composed of manual lymph drainage, manual therapy, and exercises of strength and flexibility, followed by photobiomodulation. Patient 1 received laser therapy with a laser at 660 nm, 3 joules per point every 1 cm. The device used was the Laser Therapy DMC, with a power output of 100 mw. The therapy was implemented 12 times in total, and a reevaluation was performed monthly until 12 months of follow-up. Patient 2 received led therapy at 660 and 850 nm, 3 joules per point every 2 cm. The device used was the Ledtherapy Cosmedical, with a power output of 5 mW, for a total of 24 treatments, and follow-up was performed until 6 months post-therapy. Conclusion: Photobiomodulation was helpful for wound healing. Confirmation of the sustained effects of photobiomodulation was shown in a 6-month follow-up.
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Diniz, Maria Ondina Machado, Jordana Gaudie Gurian, Amanda Nascimento Bispo, Aline Boaventura Ferreira, Paulo Sérgio Machado Diniz, and Marco Túlio Araújo Pedatella. "Vertebral arterial dissection in a young patient, case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.356.
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Introduction: Cervical artery dissection accounts for 1–2% of all ischemic strokes and is a common cause of stroke in young people, in which it represents 10–25%. Some studies have reported an increased risk of stroke in patients who present with a dissection, with most occurring soon after the onset of symptoms. Objectives: To report a case of Vertebral Arterial Dissection in a young patient after Direct Trauma, treated at the Hospital Geral de Goiânia. Methods: Information was obtained through clinical follow-up in a Neurology ward and outpatient clinic. Results: Patient, female, 45 years old, reports direct trauma in the right cervical, frontal and left occipital regions. After one day, he suddenly presented right hemiparesis, right peripheral facial paresis, diplopia, vertigo and nausea, dysarthria. On examination, right horizontal gaze palsy, diplopia, right peripheral facial paresis, right curtain sign, tongue deviation to the left. Complete hemiparesis provided grade 3 on the right, tetrasegmental hyperreflexia, Trommer, Hoffman and Babinski on the right. Evidenced on Brain Magnetic Resonance Imaging recent ischemia in the base and pontine tegment lower right and higher left. Cervical Magnetic Resonance Angiography with signs of dissection of segment V3 of the Right Vertebral Artery. Antiplatelets therapy was proposed, evolving with good recovery of the deficits. Conclusion: The literature shows that patients with arterial dissection have head or neck pain, stroke and Horner’s syndrome. Vertebral artery dissection is believed to be a multifactorial process, intrinsic factors present in the setting of an exacerbating extrinsic factor (low-speed car accident, direct trauma, heavy lifting, or a rotational sports injury). As for therapy, more research is needed, there is no evidence of superiority of anticoagulation or antiplatelets therapy.
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Menezes, João Lucas Pordeus de, João Victor Bezerra Ramos, Louyse Jerônimo de Morais, and Maurus Marques de Almeida Holanda. "Regression of Tumor in the Pineal Gland after Exclusive Radiotherapy: Case Report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.569.
Повний текст джерелаАнотація:
Background: Brain tumors are the most common solid neoplasia and the main cause of death from malignancy in children. Germ cell tumors (GCT) of the central nervous system (CNS) are rare. In pediatrics, the main location is close to the pineal gland and germinomas are the most common intracranial GCTs. Objectives and Methods: To describe the case of a patient with a possible germinoma treated exclusively with radiotherapy. The case was studied and came from a referral hospital – João Pesssoa, PB. Results: Reports “impaired failure”, disorientation and headache. Computed tomography: Hydrocephalus and strong tumor suspicion in the pineal region. Alpha-fetoprotein (AFP) and beta-gonadotropin (betaHCG) measurements: Normal. Treatment can be based on radiotherapy or chemotherapy followed by radiotherapy. In this case, radiotherapy was performed at a dosage of 10 Gy, with control, after one month, by means of magnetic resonance imaging that revealed regression of the lesion. The treatment corroborated the hypothesis of a germinoma, which is extremely radiosensitive. However, the regression made it impossible to perform the anatomopathological exam for diagnostic conclusion. Conclusions: It can be seen, then, that primary CNG GCTs are part of a heterogeneous group of extremely rare lesions, with germinoma therapy still controversial. The case shows regression of a possible germinoma only with the use of radiotherapy.
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Baldoni, Gabriela, Gabriela Iribarren, Claudia Garbasz, Pablo Striebeck, Micaela Mayer Wolf, Liliana Fernandez Canigia, and Patricia Galarza. "Persistent and recurrent urethritis due to macrolide-resistant Mycoplasma genitalium: first reports in Argentina." In XIII Congresso da Sociedade Brasileira de DST - IX Congresso Brasileiro de AIDS - IV Congresso Latino Americano de IST/HIV/AIDS. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/dst-2177-8264-202133p044.
Повний текст джерелаАнотація:
Introduction: Mycoplasma genitalium (MG) is responsible for 15%-20% nongonococcal urethritis in men. In Argentina, the diagnosis is only performed by few laboratories. Single-dose 1 g azithromycin (AZM1D) treatment leads to emergence of macrolide resistance (mutations at 23S rRNA gene, region V, position 2058 or 2059). Recommendations include 5-day AZM (AZM5D) regimen, moxifloxacin as second-line therapy. Doxycycline is only 30% effective. Test of Cure (ToC) is advisable. Objective: The aim of this study was to describe the first two clinical cases of persistent and recurrent urethritis due to macrolide-resistant MG in Argentina. Methods: End point polymerase chain reaction (PCR) for diagnosis and ToC. Sanger sequencing analysis of mutations. Results: Case 1: A 26-year-old male patient with occasional heterosexual contacts and no history of sexually transmitted infections (STIs) complained urethral thick purulent discharge and dysuria (January 2018), with negative microbiological cultures and Chlamydia trachomatis PCR. The patient received ceftriaxone/AZM1D. However, symptoms persisted (April 2018). Later, doxycycline was prescribed for 1 month. Five days after treatment, the sample was referred to the STI national reference laboratory (NRL) and results were found positive for MG. The patient was given AZM5D. As a result, symptoms disappeared, posterior ToC was found negative, and retrospectively, sequencing 23S rRNA gene showed A2058G transition. Case 2: An 18-year-old male patient with stable heterosexual relationship complained of previous gonococcal urethritis and urethral serous exudate with inflammatory reaction (September 2017), with negative microbiological cultures. The patient received ceftriaxone and AZM1D as initial treatment. Later, he was given doxycycline for 10 days. On February 2018, symptoms reappeared and sample referred to the NRL was positive for MG (negative for other STIs). With AZM1D treatment, symptoms disappeared. After 1 month, the symptoms recurred. Results showed a new MG-positive sample (April 2018). AZM5D administration induced 2 weeks symptoms free and recurrence, requiring moxifloxacin treatment. Symptoms disappeared completely. Posterior ToC is negative. Subsequently, sequencing both samples referred to the NRL showed A2059G transition. Conclusion: The clinical cases presented notified the importance of early and accurate diagnosis of MG infections and use of adequate treatment schemes. We emphasized the relevance of monitoring and surveillance prevalence of macrolide-resistant MG in Argentina.
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Vaz, Daniela Maria RIbeiro, Adrielle Galanti, Veronica Corrêa César Rodrigues, and Ana Paula Oliveira Borges. "Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.039.
Повний текст джерелаАнотація:
Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic- functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.
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Vaz, Daniela Maria RIbeiro, Adrielle Galanti, Veronica Corrêa César Rodrigues César, and Ana Paula Oliveira Borges. "Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.254.
Повний текст джерелаАнотація:
Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic-functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.
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Lellis, Caio de Almeida, Kamylla Lohannye Fonseca e. Silva, and Weldes Francisco da Silva Junior. "Transcutaneous electrical nerve stimulation (TENS) in the management of post-thoracotomy pain: A systematic review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.220.
Повний текст джерелаАнотація:
Introduction: Thoracotomy is considered one of the most painful operative procedures in surgical practice, and postoperative pain control is a challenge. Objectives: To evaluate transcutaneous electrical nerve stimulation (TENS) as a form of treatment for post-thoracotomy pain. Design and setting: A systematic review conducted at the Pontifical Catholic University of Goiás. Methods: A systematic literature review was performed in the PubMed and Lilacs databases with the terms: “Post-thoracotomy pain AND (Transcutaneous Electric Nerve Stimulation OR TENS)”, being selected randomized controlled trials, clinical trials and case reports. Studies that did not fit the objectives were excluded. Results: TENS was shown to be a safe and effective therapy in the management of acute post-thoracotomy pain in the emergency department; however, the technique did not decrease the length of hospital stay or early pulmonary complications. One such study pointed to decreased shoulder flexion pain in patients undergoing axillary thoracotomy for lung resection, with pain sensation significantly decreased in the experimental group. In consonance, other trials emphasized the importance of the association of TENS with pharmacological therapy already employed in the emergency department, because patients who received fentanyl and bupivacaine associated with TENS perceived an immediate reduction in pain intensity at rest. Conclusion: TENS has proven to be a very effective and safe therapy in the treatment of postoperative pain in patients undergoing thoracotomy, improving their quality of life and reducing the consumption of analgesics.