169,984 research outputs found

    Tridimensional computed tomography (TC 3D) in plastics: First personal experience

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    Traditional diagnosis of craniofacial malformations is based on standard radiography, cephalometry and computed tomography. Tridimensional reconstructions (TC 3D) have been useful for a better clinical and therapeutic approach to the complex craniocephalic pathology. This study shows first experiences of use of 3D Siemens programme on Somatom HiQ in the Radiodiagnostic Department of Policlinico S. Matteo of Pavia. Pros and cons of such method in diagnostic and surgical planning of some traumatic, neoplastic and malformative pathologies are reported and discussed. Cephalic dyssymetries are more easily studied because of a better sight of skeletal and soft parts alterations. Better knowledge of relations between skeleton and adjoining soft parts and more accurate cephalometric mensurations, even considering prosthetic treatment, make preoperative planning easy. Limits of such a method are: necessity of sedation for pediatric patients, in order to get complete immobility; exposition to a relative high dose of radiations and some technical artifacts

    A MODEL OF A SINGLE COMPREHENSIVE MENTAL HEALTH SERVICE FOR A CATCHMENT AREA: A COMMUNITY ALTERNATIVE TO HOSPITALIZATION

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    The possibility of overcoming the Psychiatric Hospital with a single Community Service consisting of a network of territorial activities for the total population of a defined area is described. An evaluation is made from 1971 to 1983. Handicapped children are treated essentially in the family and normal educational structures. Diagnostic prevalence of more serious cases, modes of treatment, scholastic facilities and rejection of special schools are described. Work methods and community facilities, mean-year incidence and one-year prevalence of patients aged 15 + are examined. The latter convalidates priority towards serious risk situations. Specific rehabilitation and work-reintegration are programmed for handicap and disability patients. Release of long-stay psychiatric patients continues through alternative programmes with housing facilities. By 1985 the Psychiatric Hospital should close down. The population is treated by the C.M.H.S. when hospitalized in the General Hospital where no psychiatric ward exists. Crisis intervention, alternative treatment and hospitalization statistics are described
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