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11/13. Massive unifocal cyst of the liver in a drug abuser: case report and review of the literature.

    A 20-year-old white male presented, complaining of abdominal fullness. His previous history was unremarkable except for the use of intravenous illicit drugs. physical examination disclosed a mass filling the upper and lower right quadrants. We evaluated this mass through the use of barium contrast x-ray, sonography and angiography, and made the preoperative diagnosis of hepatic cystic disease. On operative exploration, a large thin-walled cyst was found on the right lobe of the liver and was shown to be free of communication with the biliary tree; 3,000 cc of chocolate colored fluid were aspirated from the cyst. Total removal of the cyst was achieved with careful dissection. The cavity was filled with omentum and closed with drainage. After a benign immediate postoperative course, the patient remains asymptomatic one year later. Although most reports from the literature describe unexpected intraoperative findings, we stress that symptomatic patients can and should be diagnosed prior to laparotomy, and that a thorough search be made for concomitant polycystic disease. Total extirpation of the cyst is the most desirable of the discussed treatments, when tempered by the age and physical condition of the patient. Thorough preoperative evaluation and awareness of different modalities of therapy allow for the correct choice of treatment.
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keywords = communication
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12/13. parenting groups for recovering addicts in a day treatment center.

    This article describes parenting groups that were conducted at a day treatment center in new york city from 1989 to 1992. The population consisted of parents who were recovering from substance and alcohol addiction with backgrounds of poverty, educational deficits, and intergenerational addiction. The approach combined brief dynamic group therapy with the learning of child development, communication skills, and family management concepts in a psychoeducational model. empathy and respect for the struggle of the recovering addict characterized the group culture and the stance of the group leader. The methodology included creative writing through group process, role playing, and values clarification activities. The high number of parenting group graduates who also completed the day treatment program suggests that parenting groups were a significant component in the recovery process. Clients in the groups reported feeling better about themselves as parents and were able to express more positive feelings toward their children.
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keywords = communication
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13/13. Effectiveness of a specialized women's intervention in a residential treatment program.

    "time Out! For Me," a specialized psychoeducational treatment found to be effective with women in an outpatient methadone clinic, was tested for generalizability to a residential drug user treatment program. The 6-session module was first given to an experimental group (n = 11) and compared to a control group (n = 10). The treatment was associated with increases in knowledge of human sexuality, assertiveness and communication skills, more positive attitudes toward being assertive and practicing safer sex, and increased self-esteem. Thus, "time Out" appears to be an effective treatment enhancement for women in residential treatment.
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keywords = communication
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