This study presents a case series of patients with meningococcal purpura fulminans who were treated at a tertiary referral centre within a few days of each other. Presenting with signs and symptoms of florid meningococcal sepsis, they were managed initially by physicians and intensivists, whereas the development of large purpuric areas and tissue necrosis was managed expectantly by plastic surg...

patients in rehabilitation programs, in addition to standard medical management of such patients. In summary, the reader of the book will obtain a large amount of valuable information and practical guidance in the management of patients surviving acute myocardial infarction and coronary bypass surgery. The reader will also be provided with much information that is not relevant to these topics, ...

Traumatic injuries to the dento-alveolar structures are emergencies that compromise the quality of life of the patients. In addition to symptomatic management, definitive functional restoration and suitable rehabilitation becomes a major treatment objective in such cases. The dynamics of the traumatic forces may cause multiple injuries of different grades to the oral and para-oral structures, w...

Dealing with pain is a significant challenge for owners of companion animals and the provider of their medical care. Managing pain goes far beyond the administration of medications. It includes developing a strategy that will increase patient strength and fitness, optimize the pet’s body weight, implement a home exercise program, make appropriate use of safe and effective ambulation assistance ...

High level of periodontal problems of dental caries are frequently observed in mentally handicapped children. This group of patients presents various problems when they face dental treatments. Identification of such population and providing them affordable oral health care is the new concept. A systematic method for identification and screening of persons with mental retardation has been develo...

Vocational rehabilitation is the restoration to health and capability to work of individuals incapacitated by mental or physical disease, or by injury. It is high on the national agenda. Securing Health Together [1], the Health & Safety Executive's (HSE) long-term occupational health strategy for England, Scotland and Wales, has made availability for rehabilitation for all who require it as one...

In the author’s opinion, case management is the coordination and facilitation of services to achieve quality care. Effective case management can be a very positive adjunctive service between the physician, the patient, and the payor. The physician and the case manager can develop a collaborative relationship that can expedite the treatment of the patient. Timely intervention will achieve the be...

Cardiac rehabilitation (CR) is integral to the optimal medical care of patients with coronary heart disease (CHD). Physical exercise, medical management of elevated blood pressure and lipids, nutritional counseling, and smoking cessation are core components of CR in this country. Although no single study has demonstrated definitively that exercise improves clinical outcomes in CHD patients, a r...

This study evaluated the efficacy of adding contingency management techniques to vocational rehabilitation (VR) to improve treatment outcome as measured by entry into competitive employment. Nineteen dually diagnosed veterans who entered VR in the Veterans' Administration's compensated work therapy (CWT) program were randomly assigned to CWT (n = 8) or to CWT with enhanced incentives (n = 11). ...