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Biomedical subjects

D M Atkins

Publications and source records attributed to D M Atkins.

6 recordsLinked to original sources
PubMed1993

Clinical spectrum of anorexia nervosa in children.

A retrospective review of 21 patients ages 12 years and younger (age of onset range 7 to 12 years) with anorexia nervosa showed diagnostic delay in the youngest ones, high incidence of family psychiatric history, a remarkable severity of illness, and positive response to intensive treatment. Additional findings included significant comorbidity, a distinct subgroup with personality disorder and another with features of the "vulnerable child syndrome." This broad clinical spectrum of anorexia nervosa in children may explain the great variability in outcome. The development of anorexia nervosa in children relates to a complex combination of etiological and trigger factors. Precipitants identified in this study were physical maturation, entry into junior high, loss, or some combination thereof.

Anorexia Nervosa↗
PubMed1981

Evaluation of a preadmission preparation program: goals clarification as the first step.

Support for the importance of psychological preparation for pediatric patients and their families prior to hospitalization has resulted in the widespread development of preadmission preparation programs. Research aimed at evaluating these preparation programs has typically not utilized a systematic program evaluation approach. This study uses a qualitative method of goal clarification as a first step in evaluating one specific preparation program. Structured interviews were conducted with 20 respondents, 19 of whom were staff members at Children's Hospital National Medical Center in Washington, D.C. Interview questions consisted of two major categories: (1) specific program goals and the means to accomplish them; (2) personal views on the impact of hospitalization and effects of preparation. Responses were grouped according to common themes and are reported in a descriptive format. The importance of goal clarification is stressed, both as an evaluation tool and as an intervention in itself.

Child↗
PubMed1975

Bladder explosions during transurethral surgery.

Gases liberated during transurethral electrosurgery are common to all tissues with hydrogen produced in high concentration. We postulate that the majority of hydrogen is derived from electrolysis of intracellular water. Only with the addition of outside oxygen does the gaseous mixture become potentially explosive.

Electrolysis↗