The subject of therapist's crying in therapy (TCIT) has been virtually ignored in the literature, with only 1 qualitative dissertation and 3 case studies devoted to the topic. This mixed-method survey study explored therapists' experiences with and attitude toward TCIT. Six hundred eighty-four U.S. psychologists and trainees filled out the survey online, revealing that 72% of therapists report ...

with a -flow fever in 'March, 1759^ by which, in eight weeks, he was reduced to a very weak ftate. He was a ftranger to any intemperance; and although of a grave difpofition, there was no reafon whatever to fufpedt infanity. On the 29th of May a company of young perfons pafied by the houfe, carrying oaken boughs, .and playing upon a, fiddle: he no fooner heard the rnulic than he Harted up in be...

in endemic regions visceral leishmaniasis is one of the most common opportunistic infections in hiv positive patients. simultaneous infection with leishmania and hiv has been reported in some countries but there's no such report from iran in medical literature. patient was a 27-year-old man admitted with chief complaints of intermittent abdominal pain, anorexia and vomiting since 6 months ago. ...

Thrombotic microangiopathies (TMA) encompass various diseases characterized by a microangiopathic hemolytic anemia, platelet clumping, and organ failure of variable severity. Thrombotic thrombocytopenic purpura (TTP) is a particularly severe form of TMA characterized by systemic organ failure which results from a severe defect in ADAMTS13, a plasma enzyme specifically involved in the cleavage o...

Neuroendocrine tumors (NETs) are a rather uncommon cause of chronic non-bloody diarrhea and therefore often left undiagnosed for prolonged periods time. In this case, 46-year-old man was inappropriately treated with antibiotics months by various doctors, the time diagnosis NET made, tumor had already metastasized to entire skeleton. The patient refused surgery started on octreotide, which resol...

A 29-yr-old homosexual man with acquired immunodeficiency syndrome presented with watery diarrhea and fever. Upper gastrointestinal endoscopy was performed to obtain duodenal aspirates and biopsies. A 4-cm submucosal mass in the gastric antrum was identified. Subsequent abdominal CT scan confirmed the presence of this antral mass. An attempt at CT guided needle biopsy was nondiagnostic. Because...

acquired Clostridium difficile colitis (CA-CDI): Orville D. Heslop, Karen RoyeGreen, Kathleen Coard, and Michael R. Mulvey Department of Microbiology, University of the West Indies, Jamaica, Department of Pathology, University of the West Indies, Jamaica, National Microbiology Laboratory 1015 Arlington St. Winnipeg, MB R3E 3R2 Abstract Background: Clostridium difficile is the major cause of no...

scherichia coli is both the most abundant facultative commensal of the human gastrointestinal tract and the most common bacterial cause of human diarrhea (1). However, precise recognition of E. coli pathotypes remains problematic. Enteropathogenic E. coli (EPEC), classically associated with outbreaks of infant diarrhea, harbors distinctive chromosomal (the locus of enterocyte effacement, or LEE...

India's National Program for Control of Diarrheal Diseases has established Diarrhea Training and Treatment Units (DTUs) to reduce diarrhea-related morbidity and mortality. The cost-effectiveness and impact of oral rehydration therapy (ORT) were evaluated prospectively in all children presenting to the DTU of I.G. Medical College (Shimla, India) in 1993-94. During the 2-year study period, a to...