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Biomedical subjects

A E Slaby

Publications and source records attributed to A E Slaby.

At least 19 recordsLinked to original sources
PubMed1998

Sexualization of the female foot as a response to sexually transmitted epidemics: a preliminary study.

The authors reviewed historical literature and hypothesized a relationship between epidemics of sexually transmitted diseases and foot fetishism. They tested this hypothesis by quantifying foot-fetish depictions in the mass-circulation pornographic literature during a 30-yr. interval. An exponential increase was noted during the period of the current AIDS epidemic. The authors offer reasons for this possible relationship.

Acquired Immunodeficiency Syndrome↗
PubMed1993

Addiction: the treatment of dual diagnosis.

Dual diagnosis is used when two disorders occur simultaneously in one person. The two disorders can refer to two medical illnesses, a psychiatric illness and a medical or surgical illness, or two psychiatric illnesses. The cost of misdiagnosis of dual disorders is high.

Alcoholism↗
PubMed1993

Differential diagnosis and management of suicidal behavior.

Suicidal behavior, like fever and headache, has a differential diagnosis. The physician, confronted with a patient who is suicidal, must identify the etiology of the self-destructive behavior and provide diagnostic-specific treatment. Suicide, in most instances, is a preventable cause of death.

Diagnosis, Differential↗
PubMed1992

Acute treatment of alcohol and cocaine emergencies.

This chapter addresses the acute treatment of alcohol and cocaine. Because of the widespread use of both these drugs, health professionals must recognize the medical complications of alcohol and cocaine abuse and addiction. The biochemistry will be briefly reviewed as an avenue to understand the different treatment targets and modalities.

Alcoholism↗
PubMed1992

Creativity, depression and suicide.

The relationship between suicide and creativity has long been a subject of considerable concern. The author presents evidence indicating that in fact depression, suicide, and creativity are related. Several hypotheses for the relationship are posited. It is suggested that the same changes in the serotonergic system that are associated with depression in general and with impulsive suicides and homicides in the extreme may also be responsible for an element of risk taking that characterizes creativity and innovation in a person psychodynamically predisposed to being creative.

Creativity↗
PubMed1991

De Clérambault's syndrome in sexually experienced women.

De Clérambault's syndrome is said to usually occur in heterosexual women with little overt sexual experience. The authors present five cases of women with considerable sexual experience including, in some instances, homosexual activity and discuss their diagnosis of De Clérambault's syndrome in the context of what has been reported in the literature.

Adult↗
PubMed1987

The emergency treatment of the depressed patient with physical illness.

Approaching individuals in the emergency situation presenting with medical illness and depression requires an understanding of psychologic, biologic, social, and existential factors that converge to create alterations in mood, thought, and behavior. Clinicians must understand how these same factors may be used in managing patient response to treatment of both the depression associated with an illness and the physical illness itself. Whenever a physical illness is present, it is imperative to ascertain the degree to which physical illness and concomitant treatment may be responsible for the psychiatric symptoms.

Brain Diseases, Metabolic↗
PubMed1986

Advantages and disadvantages of cross-hospital consultation-liaison services.

The advantages and disadvantages of a cross-hospital consultation-liaison service are discussed. Factors in support of such a service tend to be primarily administrative and economic. The disadvantages tend to be psychosocial and affect how clinicians perceive themselves and the quality of their work within the social system.

Continuity of Patient Care↗
PubMed1985

Beyond gamesmanship: strategies for coping with prospective payment.

Prospective payment represents a major economic challenge to inpatient psychiatric units. For a unit to survive, increased efficiency of treatment will be crucial but will probably not be enough. Most units will need to alter the percentages of high-cost and low-cost patients they treat (case mix) and set less ambitious treatment goals. When altering case mix, ethical and political concerns must be considered first, followed by careful evaluation of which patients will benefit most from high-cost treatment. The authors recommend several measures for improving efficiency of treatment, including decreasing time to make dispositions, using electroconvulsive therapy when indicated, and strengthening aftercare services. They also recommend negotiating with hospital administrators to redeploy conserved resources within the psychiatry department rather than elsewhere.

Aftercare↗
PubMed1985

The social worker as primary psychiatric consultant to the general hospital emergency room.

Providing coverage for the increasing number of psychiatric and social crises presenting in general hospital emergency rooms presents a challenge during this era of economic contraction. A model is presented for the development of a crisis team without additional funding, utilizing half-day shifts contributed by clinical social workers who hold full-time positions elsewhere in the hospital. Effective and efficient emergency clinical work required that the social workers be taught about biomedical issues pertinent to presentations, along with instruction as to why and when to seek consultation from backup psychiatrists. Quality of care and continued skill development are addressed through the use of a systematic data base and interdisciplinary case conferences using the psychiatrist as a consultant regarding psychopharmacological and diagnostic issues.

Consultants↗
PubMed1981

Emergency psychiatry in the general hospital: staffing, training, and leadership issues.

Psychiatric services in general medical hospitals have increased in the past two decades. More and more, emergency services are being used for less urgent problems, and have created difficulties in health care delivery for all physicians. This is especially true for psychiatrists, since emergency psychiatric care is more time - and staff-intensive, and the need for it is unpredictable. The important issues of staffing, training, and the need for creative leadership for emergency psychiatric services are discussed.

Crisis Intervention↗