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 Posted: Sat 1:21, 19 Mar 2011 Post subject: clarks shoes outlet Psychological and social facto |
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Suicide by taking poison of Psychosocial Factors
. 7%), family disputes, 18 cases (29%), is the main reason for suicide by taking poison; love obstruction in 10 patients (16.1%), unmarried youth committed suicide by taking poison the main reason; 6 cases of depression, more student . In addition, the original two cases of mental illness, interpersonal conflict I patients, for unknown reasons I cases. I. 8 poison before the performance: 87% before committing suicide had abnormal mood changes, including anger in 21 cases (33.9%),[link widoczny dla zalogowanych], emotional instability 12 cases (19.4%), manic in 11 cases (17.7%), depression 6 (9.7%), hysteria in 4 cases (6.5%), no obvious abnormalities in 8 cases (12.9%). I. 9 poisoning drugs: hypnotics (mainly stability, triazolam, phenobarbital, perphenazine, chlordiazepoxide, etc.) 30 cases, accounting for 48.4%; organic phosphorus pesticides,[link widoczny dla zalogowanych], chlordimeform,[link widoczny dla zalogowanych], herbicides and other pesticides 28 cases, accounting for 45.2%; rodenticide, digoxin, Contac, bananas, water in 1 case. 2 to discuss the survey found that the majority of youth committed suicide by taking poison, women significantly more than men. Life experience of youth is not deep, psychological maturity, and face the marriage family, career choice, job competition, if these contradictions maladjustment, prone to mood swings and psychological conflict. Emotional vulnerability of women, low self-esteem from the dependence on the light and character, closed and sensitive, suspicious, and other psychological characteristics, his inner conflicts often than men. Survey shows that poison are many reasons for suicide. Family discord and a failed marriage, emotional loss is a major factor in the incident caused, mainly by taking poison to sleeping pills and pesticides. These features provide clues to crisis intervention. Tips to strengthen emotional communication among family members, extensive adolescent mental health education and mental health counseling, to improve the quality of national mental control pills issued to strengthen pesticide management is an important part of reducing the incident. Suicide by taking poison before the existence of trauma patients, psychological conflicts and psychological barriers, the vast majority exhibit abnormal mood changes; poison resulting from self-blame, negative, resistance, committed suicide by taking poison that should not be limited to the drug treatment, mental health and behavior guidance is very important. Therefore, medical staff should affable,[link widoczny dla zalogowanych], friendly language to explain the patient, comfort, ease, and help patients to eliminate worry, emotional stability, to overcome low self-esteem, confidence, and to mobilize the active participation of family members of patients,[link widoczny dla zalogowanych], helping patients to return to the common life of courage. Received date :2004-12-20 bladder fistulization complicated by bladder stone in 1 case of multiple Ren-yi (dawn Hospital of Zigong City, Sichuan Zigong 643201) in patients with male, 41 years old, 6 years after bladder colostomy, fistula 1 day admission can not pull out the plug. 6 years before admission, the patient due to mine collapse caused the second and third lumbar vertebrae fracture with paraplegia, the outer court of lumbar fixation and suprapubic bladder fistulization, postoperative improvement in discharge, discharge, lower extremity paraplegia. Fistula after January 1 after the change has not pulls tube. 1 day before admission, the patient can not urinate due to fistula plug, lower abdominal pain and gradually a sense of discomfort, by our clinic for management can not pull out, to keep this hospital the day after catheterization. Admission examination: conscious, back into the ward, extreme weight loss. Median abdominal incision scar and the stoma can be seen, the built-24F stoma catheter a mushroom, color dull black, and no urine outflow; built-16F Foley urethral catheter 1, unobstructed drainage, urine light yellow, clear, and no pus moss, blood clots; seen a thoracolumbar incision of about 18cm of the mark, small limbs, muscle atrophy was, and sensory and motor function disappears. Sacrococcygeal and right at the ischial tuberosity pressure ulcers can be seen, about 5.0cm diameter. Laboratory examinations: routine blood test showed WBC8.1 × IOO / Z, RBC4.52 × 102 / L, HGB156g / L, N0.66, L0.23, M0.11o admission diagnosis: (1) bladder fistula after colostomy plug retention; (2) L2, vertebra old fracture with paraplegia; (3) hip bedsore. Elective admission fistula in the bladder taken under local anesthesia in addition, remove bladder stones and bladder catheter, intraoperative findings: the mushroom is more proximal ureter stones filling plug, remove the difficulties; bladder cavity filled with large stones, large are about 3.5cm × 2.5cm, small in size as sand, the number of about 600 rounds; bladder capacity was significantly reduced, the wall smooth, without palpable mass, diverticulitis and so on. Postoperative diagnosis: (1) bladder fistulization complicated by multiple bladder stones; (2) bladder fistula plug retention; (3) L2 one vertebral fracture with paraplegia old; (4) hip bedsore. A postoperative transfusion, antibiotics, symptomatic, bladder washing, dressing and other local processing, uneventful recovery and discharged. Received date :2004-12-16
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