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Biomedical subjects

D F Darko

Publications and source records attributed to D F Darko.

27 records · Page 2Linked to original sources

The diagnostic dilemma of myxedema and madness, axis I and axis II: a longitudinal case report.

A patient with presumed chronic paranoid schizophrenia had chronic thyroiditis and Grade I hypothyroidism. Psychosis cleared following treatment with thyroid replacement. The probable presence of two axis II disorders may have contributed to the missed medical diagnosis and the patient's eventual suicide. The personality disorders were a major problem in the patient's medical and psychiatric care. The differential diagnosis among hypothyroidism and primary axis I psychotic and depressive psychopathology has always been problematic. When axis II pathology is also present, the diagnostic dilemma is increased.

Adult↗

Folie à famille: shared paranoid disorder in a Vietnam veteran and his family.

Reports of folie à famille are rare; this may be the first reported case involving a Vietnam veteran. Expression of his paranoid schizophrenia involved delusions and hallucinations relating to Vietnam, and his wife and children shared his paranoia. Typical of folie à famille were the dominant family member, the threat of violence, and the family's social isolation, frequent crises, and stable membership. Although the veteran's intrusive recollections of his Vietnam experience were typical of posttraumatic stress disorder, he acted on rather than avoided them. Treatment focused on the entire family, partly to minimize future problems in the children.

Adolescent↗

Analysis of 585 burn patients hospitalized over a 6-year period. Part I: Demographic comparison with the population of origin.

There has been a large number of studies on the epidemiology, aetiology and demography of burn injury. However, no previous study has been able to compare the burn population with detailed data on the general population from which it derived. Data on the Standard Metropolitan Area (SMSA) of San Diego provided by the US Census Reports of 1970 and 1980 have made this possible. In this paper we have examined age, sex, ethnic origin, level of education, gross family income and occupation in a population of 585 burn patients taken from this SMSA.

Accidents, Occupational↗

Analysis of 585 burn patients hospitalized over a 6-year period. Part II: Aetiological data.

In a population of 585 burn patients from a well-defined urban area, the contribution of a number of factors to the occurrence of the burn injury is examined. These are: place where burned; activity of the patient at the time; contribution of various appliances and materials; the influence of clothing on the extent of the injury. These findings should prove helpful in future efforts at burn prevention.

Accidents, Occupational↗

Analysis of 585 burn patients hospitalized over a 6-year period. Part III: Psychosocial data.

We have examined the physical and psychosocial aberrations found in a series of 585 hospitalized burn patients. The implications of this data have been discussed as they apply to identifying persons at high risk for burn injury, and as they apply to estimation of the prognosis in severe burn injury. This is a step towards identifying a psychosocial profile for the evaluation of burned patients.

Adult↗

Prevalence of postburn depression following burn injury.

We examined the prevalence of depression after burn injury in 139 adults treated at a major burn center. Interviews were held from one to eight years following the burn. Our subsample, taken from 882 patients treated over a six-year period, comprised all patients with 30% total body surface area burns and a random sample of those with burns of lesser severity. We considered 17 possible predictors of depression (including the severity and placement of the burn and the patient's age, educational background, medical history, employment status, income level, and emotional and psychiatric history). We found that it is the person, rather than the injury, that best predicts postburn depression. The factor most strongly linked with depression was a past history of emotional disturbance. However, after being burned, a significant number of even previously well-adjusted patients show clinical postburn depression.

Adjustment Disorders↗