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Biomedical subjects

B James

Publications and source records attributed to B James.

At least 73 records · Page 4Linked to original sources

Psychological well-being as an outcome variable in the treatment of infertility by Clomiphine.

A sample of twenty-seven patients who had undergone extensive investigation and subsequent treatment for infertility were asked to complete a questionnaire constructed from items demonstrated to be valid components of the subjective states of happiness and well-being. With two exceptions, whose current subjective state seemed likely to have been adversely affected by serious current life-events, the respondents seemed equally happy whether or not their treatment had been successful. Adjustments to the infertility state are briefly discussed.

Adaptation, Psychological↗

Intravenous solutions in parenteral nutrition.

A review of the theoretical basis on which amino acid intravenous solutions are formulated leads to the conclusion that the first class protein model is not ideal for the very small premature infant. Comparison of the serum and urine amino acid levels in a controlled trial between intravenous feeding with "Vamin" and intragastric milk feeding, and further comparison of these values with the cord blood values of premature infants supports the conclusion that the first class protein model is not ideal. The balance studies also support the view that the urinary output of amino acids, as well as the serum levels, should be taken into account in determining the ideal amino acid input.

Amino Acids↗

Case notes as indicators of the prevailing medical model: implications.

The level of recording of relevant psychosocial parameters in 50 randomly selected medical and surgical case notes in a general teaching hospital was measured and compared with that of similar data recorded 10 years ago. In spite of wide acknowledgment of the importance of data of this kind, the frequency of recording was low and the only changes over the 10-year period were modest increases in the frequency of recording of alcohol intake and of occupation. These findings are discussed with reference to the surveyed opinion of the junior hospital medical staff. The suggestion is made that the model of illness currently in use in hospitals has not yet assimilated these dimensions and that belief to the contrary may be illusory. The implications for the role of psychiatrists in undergraduate and continuing education is noted, as is the possible relevance of the findings to medical economics and manpower needs.

Adult↗

Tetanus and psychiatry: unexpected bedfellows.

Six patients who were admitted with the initial diagnosis of tetanus to a general hospital serving 130 000 people over a 10-year period are reviewed. In three of these patients psychogenic factors played a major part in the presenting pictures. These cases followed a markedly different course from the others. Guidelines to the early differentiation of such atypical cases, and to the way psychogenic factors can be identified and their importance evaluated, are discussed.

Adult↗

Anorexia nervosa in a male: comment and illustration.

Attention is drawn to the possible diagnosis of anorexia nervosa in young males with weight loss. The symptoms and signs are described, along with the setting in which the condition may develop. These points are illustrated by reference to a recently treated case. The poor prognosis of anorexia nervosa in males is emphasised.

Adult↗

EEG and other effects of naltrexone and heroin in man.

This paper reviews older results on EEG and behavioral effects of heroin and opiate antagonists in exaddicts, and presents new findings on the effects of naltrexone in men who have never been addicted. Ten normal volunteers were given on three separate occasions placebo, 50 mg or 100 mg of naltrexone. The average alpha frequency was significantly slower after naltrexone than after placebo. Naltrexone elicited a significant reduction of breathing rate and oral temperature. Those results indicate that naltrexone does not act as a pure narcotic antagonist in non-addicted men.

Auditory Threshold↗

Post-infectious encephalopathy simulating functional psychosis.

Three cases of post-infectious encephalopathy are presented in which behaviour changes occurred in the absence of neurological abnormality during convalescence from an influenza-like illness. The symptoms included aggresive behaviour, sleep reversal, sexual disinbition and a catatonic schizophrenia-like state. The prognosis was good.

Adolescent↗