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L J de Souza

Publications and source records attributed to L J de Souza.

At least 19 recordsLinked to original sources
PubMed2006

What's in a Name?

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Hospices↗
PubMed2000

[A family's experience of home accidents--report of an experience].

This study aims at knowing the behaviour of the family facing the home accidents among children, identifying the risk factors in the home environment, in the family's perception and analysing the socioeconomic-cultural context contributing to the occurrence of children's home accident. The work was made in a family that had experienced a case of poisoning of a 4 year-old child. Participant observation and the semi-structured interview were used as methodology. The results evidenced that the family constantly lives among children's home accidents and the socioeconomic-cultural context has a strong influence in the amount and quality of these cases.

Accidents, Home↗
PubMed1999

[Bibliographic review of children's accidents].

The study's proposal was to evidence a bibliography review about children' accidents. The bibliography and documental researches were used as methodology. The data made clear that children accidents are the bigger public health problem in England. In the United States, in 1989, had happened about 2,700 deaths as accident results in children under 14 years old. In Brazil has been registered high index of attendance at pediatric emergencies that involves home accidents. It has been concluded that these cases have been increasing and they need special attention and preventive approach.

Accident Prevention↗
PubMed1994

Symptom control problems in an Indian hospice.

Symptom control is the essence of palliative care but is not without problems, especially in the difficult socio-economic conditions of a developing country. We present our experience with over 2000 hospice admissions over six years in India's first hospice, to highlight our problems and the measures we have taken to solve them. The prevalent habit of tobacco smoking and chewing in India gives rise to a high incidence of head and neck cancers which form 50% of our admissions. Another 24% is formed by breast and gynaecological cancers. The difficult symptoms in head and neck cancers are pain, dysphagia, fungation and trismus. Almost 25% of our head and neck cancers have feeding tubes, which we feel are justified and most useful for medication and basic nutrition. Difficult problems in gynaecological cancers are pain, chronic blood loss, ulcerations and fistulae. The inadequate or sporadic availability of oral and injectable morphine adds to our problems in pain control. Non-compliance of patients to take adequate medications and the resistance from relatives make it sometimes difficult to achieve optimum symptom control. India has many systems of alternate and unorthodox medicine. We find that these are best tried outside the hospice unless they are in fully-studied clinical trials. In the end there is always the difficult choice of either remaining in the hospice for optimal symptom control or going back to their homes, where this may not be available.

Breast Neoplasms↗
PubMed1989

The role of total gastrectomy in locally advanced gastric carcinoma.

The role of total gastrectomy in adenocarcinoma of the stomach has been controversial due to the high morbidity and mortality rates associated with the procedure. A retrospective analysis of all total gastrectomies performed for adenocarcinoma of the stomach, between January 1975 and December 1986 at the Tata Memorial Hospital was undertaken to evaluate the results and establish the usefulness of the procedure.

Adenocarcinoma↗
PubMed1985

Results of operative treatment of displaced external rotation-abduction fractures of the ankle.

One hundred and fifty patients with a displaced fracture of the ankle caused by external rotation-abduction forces were treated by open reduction and rigid internal fixation. After an average follow-up of three and one-half years, the results were satisfactory in 90 per cent. Less satisfactory results were noted in the more severely injured ankles. We found that the ruptured deltoid ligament did not need to be repaired if the lateral side was anatomically and rigidly fixed; in the Maisonneuve fracture, restoration of the fibular length was as important as stabilization of the fracture; with the use of the suprasyndesmotic screw, walking was permissible with the screw in situ; conforming the plate to the bend of the lateral malleolus was essential; and as much as two millimeters of lateral residual displacement of the lateral and medial malleoli was compatible with a satisfactory result, as was a similar displacement of the talus provided there was anatomical restoration of the lateral side.

Adult↗
PubMed1980

The value of laparoscopic liver examination in the management of breast cancer.

One-hundred selected breast cancer patients underwent a laparoscopic liver examination to evalute this procedure in the management of breast cancer. Group I contained patients with primary breast tumors considered to be localized. Group II consisted of cases which had disseminated disease at initial evaluation or had recurrent disease. In group I, 8.5% showed macrometastases less than 1 cm in size at laparoscopy in clinically uninvolved livers. This converted a presumed localized lesion to stage IV disease and was managed accordingly. Cases evaluated as high-risk cases due to local factors, however, were not found to have liver involvement at laparoscopy, and hence adequate local therapy could be undertaken. In group II, metastatic liver involvement detected at laparoscopy was 22.5%. This simple, safe, and short procedure is therefore felt to be a useful complementary investigation in the management of breast cancer.

Adult↗