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Biomedical subjects

A K Fuller

Publications and source records attributed to A K Fuller.

15 recordsLinked to original sources
PubMed1992

Sadistic and self-defeating personality disorder criteria in a rural clinic sample.

A sample of 176 outpatients at a mental health clinic in rural southern Georgia were rated for the presence or absence of the DMS-III-R sadistic and self-defeating personality disorder criteria. On the basis of these ratings, 48 patients met the criteria for sadistic (n = 14) and self-defeating (n = 41). Surprisingly, half of the patients who met the sadistic criteria also fulfilled the self-defeating criteria. A factor analysis failed to divide the criteria cleanly into sadistic and self-defeating subsets.

Adult↗
PubMed1989

Child molestation and pedophilia. An overview for the physician.

Child sexual abuse is a serious, pervasive problem with clinical, social, moral, and legal implications. Between 100,000 and 500,000 children in the United States are thought to be sexually molested annually. Physicians in all specialties may detect sexual exploitation of youngsters and are mandated to report such cases. Failure to diagnose child molestation and pedophilia and to treat their cause can have serious, long-lasting consequences for innocent victims and continued distress for the perpetrator and for the professional who missed the diagnosis. A single child molester may commit hundreds of sexual acts on hundreds of children. The etiology of paraphilic syndromes is multifactorial. There are substantial differences among sexual abusers of children in their personalities and psychopathologies. Although available interventions are symptomatically palliative rather than curative, many pedophiles can benefit from appropriate treatment. Primary prevention may be the key to reducing the frequency of child sexual abuse.

Adolescent↗
PubMed1989

Masochistic personality disorder. A prototype analysis of diagnosis and sex bias.

The Work Group of the American Psychiatric Association to revise DSM-III in 1985 proposed a new personality disorder titled Masochistic Personality Disorder (MPD). This study concerns the clinical relevance and possible sex bias of MPD. The study was performed with clinicians who analyzed 15 case histories, five of which represented masochistic personality. The results led to the rejection of two hypotheses: a) masochistic personalities can be subsumed under existing DSM-III categories and b) there is a sex bias in the diagnostic use of MPD.

Female↗
PubMed1988

Sexual maturity as a criterion for classification of phallometric stimulus slides.

With the acceptance of behavior modification techniques in the 1970's as the standard modality of treatment of sex offenders, the ability to diagnose the paraphilic arousal patterns became of primary importance. The use of the penile plethysmograph in the assessment of sex offenders is regarded as the most accurate measure of these sexual arousal patterns. This method measures the vasocongestive engorgement of the penile corporea while the offender is exposed to deviant and nondeviant sexual stimuli. The stimuli may be slides of nude males and females of varying ages, audiotaped descriptions of erotic scenarios or videotaped scenes of sexual interaction. Researchers who have used slides to determine the age and gender preference of the sex offenders have typically categorized the slides in arbitrarily established age categories that have varied from one research study to another. The use of age as a criterion does not take into account the variation in growth and maturation among children and adolescents. To increase reliability and standardization of research techniques, the authors propose that the stages of sexual maturity as set forth by Tanner (1962, 1978) be used in lieu of age.

Adolescent↗
PubMedDate not supplied

Suggested guidelines for including or excluding categories in the DSM-IV.

A set of guidelines is proposed for the possible inclusion or exclusion of diagnostic categories in the DSM-IV. For possible inclusion, a new category should meet all of the following five guidelines: adequate literature, specified diagnostic criteria, acceptable interclinician reliability, evidence that the criteria forms a syndrome, and differentiation from other categories. For possible exclusion, a category should possess an inadequate literature, extremely low coverage, or evidence of diagnostic bias. None of the exclusionary guidelines would be invoked if the category refers to a demonstrable disease.

Humans↗
PubMedDate not supplied

Bacterial sepsis secondary to platelet transfusion: an adverse effect of extended storage at room temperature.

In a 3-month period four episodes of bacterial sepsis related to contaminated random donor platelet concentrates were observed. Evaluation incriminated extended (5 or more days) platelet storage. To determine if platelets stored for longer periods were likely to have greater bacterial contamination, platelet concentrates were inoculated with bacteria and daily quantitative bacteriology was performed. In vitro studies using polyolefin bags indicated contamination could occur with a single organism of Staphylococcus epidermidis. By 72 hours, platelet concentrates contained from 10(3) to 10(8) organisms per 0.1 ml depending on the inoculum size. By 6 days all inoculated units contained 10(7) to 10(9) organisms per 0.1 ml.

Blood Preservation↗
PubMedDate not supplied

Septic reactions to platelet transfusions. A persistent problem.

OBJECTIVE: To determine the medical and laboratory characteristics of bacteremia secondary to transfusion of microbiologically contaminated platelet concentrates. DESIGN: Febrile transfusion reactions were prospectively monitored over 42 months. Units involved in reactions were evaluated with Gram's stain and culture tests. SETTING: Comprehensive cancer center. PATIENTS: Patients receiving platelet transfusions for thrombocytopenia secondary to bone marrow failure. RESULT: Seven cases of transfusion-associated sepsis were observed. Multidonor platelet products stored for 5 days resulted in an incidence of sepsis five times higher than those stored for 4 days or less (P less than .01). Investigation indicates that contamination most likely occurred at the time of blood collection. Clinically, septic reactions were associated with greater temperature elevations (average increase, 2.0 degrees C) than febrile reactions to sterile products. CONCLUSIONS: Contamination of platelet concentrates remains a significant clinical problem. Septic episodes may be reduced by transfusion of platelets with shorter storage intervals.

Adult↗