A cecal diaphragm associated with the use of nonsteroidal anti-inflammatory drugs.

In the small intestine, strictures and diaphragms causing obstructive symptoms are well known to occur in patients using nonsteroidal anti-inflammatory drugs. Recently, two cases of nonsteroidal anti-inflammatory drug (NSAID)-associated diaphragm-like colonic stricture were reported as unexpected findings in patients being investigated for iron-deficiency anemia. We present a third such case that occurred in the cecum in a 49-year-old woman with rheumatoid arthritis who had been taking NSAIDs for 5 years.

Perinatal coaching--a new beginning.

A hospital-based perinatal coaching program fosters communication between first-time parents and their infants. Support provided includes learning about babies' individual differences, normal responses, bonding principles, modeling techniques, early childhood development, as well as realistic expectations of new parents.