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Biomedical subjects

B M Korsch

Publications and source records attributed to B M Korsch.

At least 37 records · Page 2Linked to original sources
PubMed1978

Noncompliance in children with renal transplants.

Fourteen patients (13 of them adolescents) interrupted immunosuppressive treatment following renal transplantation. Twelve were girls and two were boys. Six subsequently lost their allografts and eight had impaired renal function. Noncompliance was suspected when diminution in cushingoid features, unexplained weight loss, or changes in renal function occurred. Noncompliance was comfirmed by interview with psychosocial staff. Available psychosocial data from family interview and personality test obtained earlier as part of systematic follow-up study were analyzed to explore the reasons for noncompliance. Non compliant patient families had lower incomes, more fatherless households, and comunication difficulties within the family and with the medical establishment. Using a stepwise discriminant analysis, a discriminant function was derived which selected 13 of 14 noncompliant patients. Noncompliance may be a preventable cause of allograft failure. These data can aid in identifying high-risk patients and planning intervention programs.

Adolescent↗
PubMed1977

Long-term results of renal transplantation in children.

Of 81 children at risk for 5 to 11 yrs following an initial renal allograft, 62 (77%) are alive and 54 (67%) have a functioning allograft. Growth retardation remains a significant problem following transplantation in children; however, rehabilitation is excellent with 94% of recipients surviving with a functioning allograft engaged in age appropriate activities.

Adolescent↗
PubMed1976

The vulnerability of the medical student: posthumous presentation of L.L. Stephens' ideas.

L.L. Stephens described several critical issues in medical professionalization. The encounter with morbidity and mortality heightens the student's feelings of vulnerability. If he over-identifies with patients, he may suffer more and be unable to provide rational medical care. If he protects himself by dehumanizing patients, humane treatment suffers. Students have surreal perceptions of their responsibility for patients. Recognition of unconscious motivation may be troubling to students. Finally, there are emotional barriers to the recognition of psychosocial elements in disease. To optimize students' personal and professional functioning, medical training should deal with these concerns. Support can be provided by small continuing learning groups for students and clinical faculty, in which these issues, illustrated by videotapes of patient-student encounters and other clinical examples, are discussed in the context of providing comprehensive medical care. Support should continue during internship.

Attitude of Health Personnel↗
PubMed1975

Teaching interviewing.

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Education, Medical, Undergraduate↗