Vaginal hysterectomy is less invasive than hysterectomy performed via the abdominal approach. The vaginal approach may be made difficult by prior conisation, a need to remove the adnexae or marked uterine enlargement requiring morcellement. In this retrospective study we have investigated the impact of these factors on the incidence of complications in 1912 patients subject to vaginal hysterectomy. We have studied the incidence of intraoperative hemorrhage, bladder damage, hemorrhage up to 48 h after surgery, hemorrhage up to 14 days after surgery, vault abscesses or collections and pelvic peritonitis. In patients with prior morcellement, intraoperative hemorrhage was significantly more frequent. All other complications were not significantly increased by the intraoperative difficulties specified above. Thus even "difficult" vaginal hysterectomy would seem to carry low morbidity.
This paper introduces a research design to measure effects of individual music therapy with mentally ill children and adolescents on symptoms, competencies, and quality of life. In a pilot project, seven children (five boys and two girls, 4 to 11 years of age) who suffered from various mental and behavioural problems were assessed. Five children received music therapy, and two did not. The two groups were compared with regard to the kind and severity of their problems. The main therapeutic aspects of music therapy were the children s needs for relationship and presence and opportunities for emotional expression. At post-treatment, the children who received music therapy were improved in all three outcome domains. Through the pilot study, the sensitivity and relevance of the instruments and the feasibility of a parallel no-treatment control group could be confirmed, and further details of the research design could be clarified. The results support the continuation of this research with a larger sample.
Keyword: effectiveness -child psychiatry -individual music therapy -pilot study
Introductiontraditions). Therefore, there has been a greater development in researching the processes and Music therapy in Europe is usually based on results of music therapy through case studies theoretical models which put the individual client rather than controlled trials (to name only the and his/her unique needs into the centre of their extremes on both ends of the scale). The strength work (e.g., psycliodynamic and humanistic of music therapy in clinical practice is certainly
We report about 38 patients aged between 1 and 19 years (36.8% female, 63.2% male; mean age 7.8 years) admitted as inpatients for further neurorehabilitation mostly 4 weeks after severe acquired brain injury (ABI) of different aetiology. Of the patients, 73.7% were in a state of minimal responsiveness (vigilance score < 7 WVS) on admission. We evaluate the course of rehabilitation and the outcome 6 months after the end of the inpatient-period. The average stay of 15.5 weeks is strikingly low. The average intensity of therapy comes to about 16 units per week including strategies of rehabilitative education. The incidence of good rehabilitation was 21%, whereas almost 45% of patients displayed severe impairment. Although further improvements were found in almost 40% of patients 6 months later, these only slightly changed the overall picture of the GOS values. More than 3/4 returned to their families after rehabilitation, often despite great functional impairment. A return to the former environment outside the family (kindergarten, school) was, however, possible in 2/3 of the subjects. The proportion of minimally responsive patients fell from 73.7% to 18.4% during the stationary rehabilitation phase. After a further 6 months (follow up), 36.4% of the originally minimally responsive patients achieved a GOS value of > 5.
98.5% report experiences of psychic, 96.2% of bodily and 46.9% of sexual violence. 45.5% also report some positive experiences (independent of the form of experienced violence). There are significantly more reports about the frequency of physical violence during 1946-1975, however not about other forms of violence than from the later years. Problems in later life emerge more frequently after experiences of sexual violence, such as instable career trajectories, instable partnerships, psychopathological symptoms and severe turbulences in one's life history. The experiences of physical violence correlate significantly higher with instable career trajectories and (not significantly) with criminal tendencies. The frequency of later psychiatric care is related to the length of time spent in residential care (but not significantly).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.