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Biomedical subjects

B Raphael

Publications and source records attributed to B Raphael.

At least 127 records · Page 7Linked to original sources
PubMed1984

Ash Wednesday: the effects of a fire.

The psychological effects of bushfires that devastated areas of South Australia on Ash Wednesday 1983 are described. We emphasise the need to assess the various components of a disaster to understand its immediate and long-term impact. In the inventory phase, much of the symptomatic disturbance is different from that seen in psychiatric clinic populations and is best dealt with in the early stages using a consultation model. Providing information about the nature of these reactions is helpful for those affected and for service personnel managing disaster relief. In the reconstruction phase, it is important for relief agencies to be aware of the ways in which grief and psychological morbidity can interfere with people's ability to make decisions and carry out practical tasks.

Adaptation, Psychological↗
PubMed1984

[Primary neuroblastoma of the mandible. Apropos of a case].

Concerning an observation of mandibular neuroblastoma, the problem of a probable primary localization of this neurocristopathy is raised on the face level. Actually, classically speaking, it can only be a question of metastasis revealing a tumor initially located in the abdomen, the thorax, or more rarely in the pelvis or the neck. However, the evolution of the lesion under treatment leading to complete cure within three years denies the secondary nature of the process. Related to the three other cases in the world that have so far been published, our observation enables to assert the reality of the primary development of a neuroblastoma on the mandibular level. The coherent reasoning is founded on the role of neural crests in facial embryogenesis whose vitiation offers a logical explanation to this exceptional phenomenon.

Child↗
PubMed1984

[Malignant transformation of fibrous dysplasia of the orbit].

After a review of the literature, the authors report a case of sarcomatous transformation of orbital fibrous dysplasia and they underline the exceptional unfrequency of it. They discuss above all the diagnostic difficulties and the characteristics of the malignant transformation.

Cell Transformation, Neoplastic↗
PubMed1983

A morphogenetic classification of craniofacial malformations.

A new classification of malformations of the face and cranium is proposed, based on embryologic studies and observations concerning a great number of patients seen by the authors. First of all, one should distinguish between cerebral craniofacial (with brain and/or eyes involved) and craniofacial malformations. Craniofacial malformations may be characterized by dysostosis and by synostosis. Malformations with dysostosis may be produced by transformation as well as differentiation defects. Synostosis is always caused by a differentiation defect. A new nomenclature is introduced.

Craniofacial Dysostosis↗
PubMed1983

Children of alcoholics.

The familial nature of alcoholism is well established, but the interaction of nature and nurture remains unresolved. Other effects of alcoholic parents on the psychopathology of their children are poorly documented, with studies variably claiming that there is no discernible impact or that there is a significantly higher incidence of problems, particularly in the area of antisocial and aggressive behaviour. The relative importance of family disharmony and disruption which so often accompanies alcohol abuse, as against the impact of the alcohol abuse itself, is rarely considered. The literature on the psychopathology of children of alcoholic parents is reviewed and the relevance of the last two issues explored.

Alcoholism↗
PubMed1983

Post-hysterectomy adaptation: a review and report of two follow-up studies.

Hysterectomy, its indications and its consequences for later health, have been prominent topics in recent psychiatric, gynaecological and lay literature. This study describes the results of two recent surveys, one of 216 women less than 45 years old who had a hysterectomy for non-malignant conditions at a major Sydney hospital. These women were interviewed on the seventh to tenth postoperative day. One hundred and ninety-four were then followed up by questionnaire 13 months later. In a later study carried out at a hospital on the outskirts of Sydney, 100 out of 146 women responded to a follow-up questionnaire approximately one year after their operations. These studies and their relevance to recent similar studies are discussed in terms of post-hysterectomy adaptation and prognostic factors associated with poor psychiatric outcome.

Adaptation, Psychological↗
PubMed1983

[Necrotizing sialometaplasia. A rare diagnostic pitfall].

Concerning an observation of necrotizing sialometaplasia the authors make a literary survey, paying particular attention to the clinical and anatomopathological descriptions of the lesion. They insist on its deceptive aspect which led in some cases to important quite useless exeresis, since the lesion heals spontaneously. At last the different etiopathogenical hypothesis are reported.

Adult↗
PubMed1981

Lymphosarcoma in an Eastern king snake and a rhinoceros viper.

An antemortem diagnosis of lymphosarcoma was made in a captive Eastern king snake and a rhinoceros viper. The Eastern king snake died on the 1st day after biopsy of a liver nodule, and necropsy revealed multiple tumor nodules throughout all major organ systems. The rhinoceros viper died after chemotherapy with cytosine arabinoside. The major gross lesion was a large paracolonic coelomic tumor that extended into the adjacent musculature and subcutaneous tissue of the lateral abdominal wall. The immediate cause of death of the rhinoceros viper was believed to be severe renal tubular necrosis.

Animals↗
PubMed1981

Postdisaster morbidity of the bereaved. A possible role for preventive psychiatry?

Immediately following a rail disaster in Sydney, Australia, on January 18, 1977, in which 83 people were killed, an attempt was made to organize a preventive psychiatry outreach program for the relatives of the bereaved and the survivors. Bereavement counseling was offered to all families considered to be at risk for development of postbereavement morbidity. A follow-up study was performed 15 to 18 months later to assess the level of functioning of the bereaved relatives. The next of kin of 36 victims (43 per cent of the total number killed) were interviewed and filled in questionnaires (general health, Goldberg's General Health Questionnaire, loss, and social support). They included 15 widows, nine widowers, 11 mothers, and eight fathers who had lost children. The trends were for the bereaved spouses to have done better than bereaved parents; the widowers to have done better than the widows; those with a supportive network to have done better than those without one; those who saw the body to have done better than those who did not; and, in addition, there was a tendency for those who had bereavement counseling to do better than those who had no such intervention. Examples are given of several types of outcome, and conclusions are drawn about the results and the difficulties of implementing and evaluating such a program.

Accidents↗