Abdominal complications from crack cocaine

Abstract

The data of this article 1 summarise the subjective opinion of 74 consultants. Collectively, dissatisfaction with many aspects of Calman training was expressed. Calman training, however, is here to stay. To improve it, we need positive suggestions based on objective data. It follows that this article would have been more helpful had it placed greater emphasis on assessing the surgical ability and experience of trainees and suggesting means of improvement.Regarding training, we note that some of the specialist surgeons surveyed received no training in their specialist interest. Calman training allows for one or more years in specialist training. We agree that Calman training is short in general training and experience but these data suggest with 'Calmanisation' an improvement in the minimum period of specialist training has occurred.Regarding the exit examination, the statement that 'the majority of the respondees felt that such an exam should not be necessary' is not supported by the data shown. Of the 69 replies, 45 (65%) were in favour of an exit examination.

Revisão sistemática sobre crack: aspectos relacionados ao uso e abuso

“…Este tema mostrou que a maior parte das publicações encontradas sobre o crack, tem relação com alterações nocivas na saúde dos usuários, ou seja, 42,8% dos estudos. Nestes artigos, as principais alterações incluem: HIV/AIDS e demais doenças sexualmente transmissíveis, as alterações pulmonares e de todo trato respiratório, as abdominais, as cardiovasculares, o aumento dos níveis séricos de alumínio no sangue, as alterações em nível de sistema nervoso central (SNC) e alterações cognitivas (MANÇANO, 2008;PECHANSKY, 2007;PECHANSKY, 2007;MADDOX, 2005). Estes mesmos estudos ressaltam a importância da prevenção do uso da droga antes que qualquer problema de saúde ocorra.…”

“…Porém, apesar de grande parte dos usuários apresentarem complicações, poucos procuram por assistência médica (MANÇANO, 2008). Entre as principais causas de morte dos usuários de crack os homicídios e o HIV, sendo que menos de 10% deles morrem por overdose, conforme dados de um estudo de 2006 na cidade de São Paulo (RIBEIRO, 2006), além das demais complicações já citadas acima (MANÇANO, 2008;PECHANSKY, 2007;PE-CHANSKY, 2007;MADDOX, 2005).…”

Management of Breast Pain

“…Their results suggested that a significantly smaller proportion of women taking medroxyprogesterone acetate suffer from severe cyclical mastalgia than their age‐matched controls. Conversely, in a double‐blind crossover study, Maddox et al failed to find a significant difference in response rate among 26 women with mastalgia given medroxyprogesterone acetate (20 mg/day) in the luteal phase of the menstrual cycle compared with placebo‐treated controls 35 …”

“…Conversely, in a double-blind crossover study, Maddox et al failed to find a significant difference in response rate among 26 women with mastalgia given medroxyprogesterone acetate (20 mg/day) in the luteal phase of the menstrual cycle compared with placebo-treated controls. 35 Two randomised trials have investigated the efficacy of progesterone vaginal cream for mastalgia and found conflicting results. In the smaller of the two trials, McFayden reported a small but insignificant benefit for women given the placebo cream.…”