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PubMed1997

[Kapoera--popular dance or martial art?].

Kapoera, a combination of acrobatics and coordinated athletic movement, is believed to have been introduced to South America during the 19th century by transported African slaves. The dance does not involve intentional physical contact, but during 6 months, 3 patients were admitted here for injuries induced by the forceful movements of this dance. 2 underwent exploratory laparotomy that revealed bowel perforations and 1 suffered a comminuted nasal bone fracture. Medical personnel should be familiar with the potential hazards of this dance and martial art.

Adult↗
PubMed1997

[Psychoeducational family treatment in schizophrenia--a popular concept? A critical evaluation of different treatment models].

Having outlined the background of psychoeducational intervention in the treatment of schizophrenic disorders the goals of family psychoeducation and of psychoeducation are described. Two formats of family psychoeducation are discussed to illustrate the differences in form of intervention. Especially the underlying illness concept and anthropology are critically assessed: it is worth nothing that patients and relatives are provided with a somatic illness concept not consistent with current research evidence and which may support passive illness-management strategies. Finally, the reduction of psychoeducational treatment to the improvement of medication compliance is discussed.

Caregivers↗
PubMed1997

Peritoneal dialysis: an increasingly popular option.

Vascular surgeons well versed in peritoneal dialysis applications understand the importance of this modality among the limited options afforded to patients in renal failure. Peritoneal and hemodialysis strategies are interdependent and should be considered in concert. Careful assessment often shows that patients with diminishing vascular access have been overlooked as viable peritoneal dialysis candidates. This chapter summarizes peritoneal dialysis in terms of its history, physiological principles, indications, contraindications, catheter placement, types of administration, and the identification and management of complications.

Acute Kidney Injury↗
PubMed1997

Condoms: still the most popular contraceptive.

Condoms can be used as a barrier contraceptive and/or to protect against many sexually-transmitted diseases. They are easy to buy and use and free from medical risk. Carefully used, and used in conjunction with a spermicide, condoms have similar reliability to IUDs, progesterone-only pills and the diaphragm. The condom must be put on before the penis touches the vaginal area. The penis should not touch the vaginal area after the condom has been taken off. Oil-based products, eg baby oil, massage oil, lipstick, petroleum jelly, suntan oil, can damage the condom. If a lubricant is required, use one that is water-based.

Adult↗
PubMed1997

Self-help medical advice was popular in the 1930s, too.

Self-help books proliferate today, but the concept of helping oneself in health matters is certainly not a modern phenomenon, Dr. Mark Clarfield notes. He recently studied a self-help booklet from 1936, What to do until the doctor comes, in which he found not only some sound advice but also some harmless suggestions, useless treatments and dangerous remedies.

Canada↗
PubMed1997

Move into hospital sector another sign of complementary medicine's growing popularity.

Growing demand has led some Canadian hospitals to offer alternative therapies to patients, even though many physicians still question their efficacy. Anita Elash visited Toronto's Sunnybrook Health Science Centre, where staff physicians have been debating the issue. One physician said hospitals have no choice but to offer the treatments. "If you believe in the primacy of patients making their own decisions and you believe in the fundamental of informed consent, you cannot deny them access to this treatment."

Canada↗