About: Devon General Hospital is a healthcare organization based out in Devon, Alberta, Canada. It is known for research contribution in the topics: Anal fissure & Anal canal. The organization has 2 authors who have published 2 publications receiving 73 citations.
TL;DR: In this article, a kulturell angepasste kognitive Verhaltenstherapie (KA-KVT) is described, in which the author beschreibt zwolf Leitideen einer kultursensitiven kognitiven Verhalterapie fur traumatisierte Personen aus nicht westlichen Kulturen.
Abstract: Dieses Kapitel beschreibt zwolf Leitideen einer kultursensitiven kognitiven Verhaltenstherapie fur traumatisierte Personen aus nicht westlichen Kulturen. Dazu wurde ein spezifisches Vorgehen entwickelt, das als „kulturell angepasste kognitive Verhaltenstherapie“ (KA-KVT) bezeichnet wird. Die Schwerpunkte liegen dabei auf ganz verschiedenen Formen der Korperwahrnehmung und der Emotionsregulation. Um den Prozess der kulturellen Anpassung dieses Ansatzes nachvollziehbar zu machen, werden im Verlauf dieses Kapitels auch die zugrunde liegenden Modellvorstellungen erwahnt, die fur diese Behandlungsform grundlegend sind.
TL;DR: This position statement recommendidence-based practice associated with these treatmentoptions, which includeateral sphincterotomy, advancement procedures andfissurectomy for anal tone reduction.
Abstract: Anal fissure is a linear ulcer in the squamous epithelium ofthe anal canal located just distal to the dentate line. It isusually located in the posterior midline but occursanteriorly in a fifth or more or patients. It typically causespain during defaecation which may last for 1–2 hafterwards [1]. The most consistent finding on physicalexamination is spasm of the anal canal due to hypertoniaof the internal anal sphincter. It has been postulatedthat this may either be due to or be the result ofischaemia [2]. All management options aim to reduceanal tone. They include general measures such as dietaryfibre supplements, adequate fluid intake, and topicalanalgesics, medical treatments such as glyceryl trini-trate(GTN) ointment, calcium channel blockers (egdiltiazem cream) and botulinum toxin. Surgery includeslateral sphincterotomy, advancement flap procedures andfissurectomy. This position statement recommendsevidence-based practice associated with these treatmentoptions.