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At least 145 records · Page 8Linked to original sources
PubMed1999

Countertransference problems in the treatment of a mixed group of war veterans and female partners of war veterans.

AIM: Analysis of countertransference problems in the treatment of a heterogeneous group of war veterans. METHOD: The method used in this work was psychodynamic clinical observation and analysis of countertransference phenomena in group therapy. RESULTS: In the beginning of our work, we faced with a regressive group, which was behaving as it was re-born. The leading subject in the group was aggression and the need for hospitalization to protect them and their environment from their violence. With the development of group processes, a feeling of helplessness and lack of perspective appeared, together with suicidal ideas, which, because of the development of group cohesion and trust, could be openly discussed. With time, the group became a transitional object for its members, an object that gave them a feeling of safety but also a feeling of dependence. CONCLUSION: The role of the therapist is to support group members in becoming independent. The therapist's function is in controlling, containing, and analyzing of the destructive, regressive part and in encouraging the healthy parts of the patient. With the integration of good therapeutic process, the healthy parts of the patient gain control over his or her regressive parts.

Countertransference↗
PubMed1992

[The open femoral fracture in war--173 external fixators applied to the femur (Afghanistan war)].

During the three years 1988 through 1990, more than 700 external skeletal fixations (AO/ASIF Tubular System) were utilized at the ICRC Hospital for Afghan War Wounded in Peshawar, Pakistan, 173 of which were for femoral fractures. 13% of the fractures were open grade II, and 71% open grade III, mostly due to high velocity gunshot or shrapnel injuries. Usually, the external fixator was left in place until consolidation of the fracture. The average time of external fixation was 128 days. Three major groups of complications have been observed: fracture complications, implant complications, and residual loss of function of the knee joint, probably the most significant permanent complication to the patient. In order to improve the functional results in treating open fractures of the femur, three measures are recommended: unilateral frame with posterolateral insertion of Schanz screws, postoperative positioning of the patient with 90 degrees of flexion of hip and knee joints and mobilization of the patient as soon as possible (on the first or second postoperative day).

Afghanistan↗
PubMed1990

[Strongyloidiasis in former prisoners of war and internees in Southeast Asia during World War II].

A survey was performed to estimate the prevalence of chronic strongyloidiasis among 145 Dutch ex-prisoners of war who had been working on the Burma-Thailand railway in 1943-1945, and 56 ex-internees in civil camps in the former Dutch East Indies. No infections were found in the latter group while in the Burma group 26 men (17.9%) had S. stercoralis larvae in their stools. Many of them suffered from larva currens, an urticarial skin disorder, cured by treatment. Examination of fresh stool specimens with the Baermann concentration technique gave better results than faecal cultures and microscopy of duodenal aspirate. Mean IgE level and eosinophil count were significantly higher in infected persons but the ranges are too wide to use these tests in diagnosing individual cases.

Aged↗
PubMed1995

[The organization of the treatment of the wounded and sick prisoners of war in hospitals at the rear in the USSR during World War II].

The international humane principles were strictly observed by medical workers of our country in providing medical care to the wounded and sick PW during the Great Patriotic war. By February 1, 1945 from the whole number of 671340 beds which were deployed in the hospital system of the strategic rear, several hospitals with the total number of 47770 beds were used for providing medical care to the wounded and sick PW. These hospitals were capable to provide all type of secondary and tertiary care. Medical workers of these hospitals were also accomplishing the missions on sanitary-epidemiological welfare of PW. The detailed studies of the system of medical care in PW hospitals in the region of Middle Volga basin have prove this fact.

Communicable Diseases↗
PubMed1998

Spine and spinal cord war injuries during the war in Croatia.

OBJECTIVE: The present report summarizes the experience of an evacuation hospital in southern Croatia in treating 96 patients with spine and spinal cord war injuries. METHODS: A retrospective review was done for 96 wounded persons (86 soldiers, 10 civilians) with spinal cord injuries from August 1991 through December 1995. The ages ranged from 15 to 59 years (mean, 28.3 years for soldiers, 38.5 years for civilians). Diagnostic procedures were plain radiography, computed tomography, and computed tomographic myelography. However, in most cases a more conservative surgical approach was used. RESULTS: The highest rates of admittance were recorded in 1992 (N = 38) and 1993 (N = 47). The lumbar spine was injured in 55% of the patients, the cervical and thoracic spines in 17.7%. All injuries were caused by projectiles from automatic rifles and sniper fire (51%) and from fragments of explosive devices (49%). Blast injury of the spinal cord was found in 10 patients. The most frequent complications caused by the fragments were wound infection, urinary tract infection, decubitus, and pneumonia. Four patients (4.2%) died in the hospital, and 43.0% of patients survived but were severely handicapped. CONCLUSION: Careful clinical examination combined with modern diagnostic imaging and use of broad-spectrum antibiotics reduced the need for surgical intervention in patients with spinal cord injuries.

Adolescent↗