[Radiographic diagnosis of acoustic neurinomas].
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Biomedical subjects
Publications and source records attributed to M Trujillo.
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PURPOSE: The United States Hispanic population has tripled since the mid-1950s and is projected to be the largest growing segment of the population through the year 2000. The traditional support group model has not been effective in reaching this population. Healthcare professionals must become innovative to better understand and provide programs for Spanish-speaking cancer patients. DESCRIPTION OF PROJECT: At the M.D. Anderson Cancer Center, a group program titled "Platicas y Merienda" was developed that derived from several group modalities: education, social, and peer support. The program is coordinated and facilitated by Spanish-speaking social workers and uses other professionals within the institution as speakers to promote a multidisciplinary approach to providing support services. FINDINGS: Participants experienced an increased sense of social and emotional well-being, expanded their knowledge of health-related information, and became aware of other services and benefits available to them. CLINICAL IMPLICATIONS: During this time of change in the healthcare environment, innovation in clinical practice and program development is necessary to address the needs of the growing Hispanic population.
An 18-month-old Caucasian female began with a high fever. She developed swelling in one finger and one toe. Abdominal ultrasound revealed multiple abscesses in her spleen. Multiple blood culture and splenic abscess aspirations grew no pathogens. She had transient response to multiple antibiotics and splenic abscess drainage, but fever returned along with subcutaneous nodules. Culture of splenic tissue from her second splenic drainage eventually grew one organism identified as Actinomyces naeslundii. Therapy with high dose penicillin followed by amoxicillin p.o. and total splenectomy led to complete recovery.