DESCRIPTION A 58-year-old man with a history of surgery for traumatic injury to his right lower extremity developed extensive swelling of the affected extremity consistent with lymphedema after the operation. He presented to the plastic surgeon with continued worsening of the swollen extremity after failing conservative management.

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OBJECTIVE We determined the proportion of pet owners and non-pet owners with serious mental illness, compared their characteristics and their motivations for owning or not owning a pet, and examined the relationship between pet ownership and engagement in meaningful activity and three dimensions of community integration. METHOD Three Assertive Community Treatment (ACT) teams reported on the p...

Injury in children and young people is not inevitable. Accidents and the injuries that result from them, are not chance events. Patterns of injury can be identified that reflect a person’s age, the environment in which children and young people live, and the activities in which they are engaged. Greater understanding of the causes of injury can help us in the development of eVective preventive ...

an effect differing absolutely from the effects of ordinary destructive fulguration, Doyen's electrocoagulation or the diathermy fulguration electrode. All are produced by high frequency currents, but the former requires a unipolar high tension current and a long spark, while the others are produced by low tension currents, generally bi-polar, and with the spark eliminated or very short; the la...

OBJECTIVE To test effectiveness of the Early Detection, Intervention, and Prevention of Psychosis Program in preventing the onset of severe psychosis and improving functioning in a national sample of at-risk youth. METHODS In a risk-based allocation study design, 337 youth (age 12-25) at risk of psychosis were assigned to treatment groups based on severity of positive symptoms. Those at clini...

Patient choice is becoming the centre of health policy in the UK and other countries. But there is ambiguity about what choice means. As the term is used in everyday life, choice is the foundation of the doctrine of patient consent. The doctor is responsible for choosing appropriate treatment, and the patient is responsible for choosing (for consenting to or refusing) what is offered and accept...

Intraoperative anaphylactic shock is an unusual complication. Different causes can be involved. Surgery of hydatid cyst is rarely responsible. About a case report of anaphylactic shock due to hydatid cyst surgery, the authors discuss the mechanisms, principles of treatment, and prevention measures of this complication.

OBJECTIVE We assessed the efficacy and clinical utility of a new occupational time-use intervention, Action Over Inertia, designed to improve occupational balance and engagement among community-dwelling people with serious mental illness. METHOD Using a randomized controlled design, we assigned 24 participants to an intervention group or standard care group. Participants were community-dwelli...

We measured the concentration of erythrocyte protoporphyrin in 43 blood samples by two fluorometric methods. In the indirect method, protoporphyrin was extracted from blood and the fluorescence of the free acid in the extract was determined with a filter-fluorometer. These results were compared with results of direct determination of protoporphyrin in the same samples. In the direct assay the f...