Search PubMed⌕ Search

Biomedical subjects

E Lewis

Publications and source records attributed to E Lewis.

At least 127 records · Page 7Linked to original sources
PubMed1982

Real-time ultrasonographic evaluation of normal fetal adrenal glands.

Using real-time ultrasonography, the normal fetal adrenal glands can be consistently imaged after 30 weeks of gestational life. It was found that the normal fetal adrenals had specific size, shape, and echogenicity and could be consistently separated from the adjacent kidneys. The long axis of the adrenal gland had a range of 14 to 22 mm, compared with a range of renal lengths of 27 to 42 mm, with a ratio of the long axes of fetal adrenal to fetal kidney of .48 to .66. These figures compare favorably with dimensions of the adrenals and kidneys found in newborn autopsies. Since certain in utero abnormalities change the size and shape of normal fetal adrenal glands, these data should serve as a reference to evaluate adrenal disturbances. In addition, it would be expected that failure to image either the kidney or adrenal gland after 30 weeks would strongly imply abnormality in that gland.

Adrenal Glands↗
PubMed1980

Porter training: the key is 'keep it practical'.

Just over two years ago, Edward Lewis, personnel officer, Mid Glamorgan HA, described in the Journal how a training programme for head and deputy head porters was received in Wales. At that stage only the first module had been devised. Now with Nigel Bryant, lecturer in the department of management studies, Polytechnic of Wales, and William Brown, Welsh Office advisor, he reports on further progress.

Curriculum↗
PubMed1980

A simple ultrasonic method for assessing renal size.

The relation between renal length (L) and the distance between the first four lumbar transverse processes, (4TP) as measured by sonography and intravenous urography, has been studied in 20 adults with normal urograms. The ratio of L/4TP (Mean +/- 2.S.D.) was 1.04 +/- 0.22 for sonograms and 1.25 +/- 0.26 for urograms. The possible reasons for these differences are discussed. It is suggested that measurement of the distance between the 4TP is a simple method for estimating expected normal renal size in patients referred for renal ultrasonography.

Anthropometry↗
PubMed1980

Impaired sexual maturation associated with sleep apnea syndrome during puberty: a case study.

A 20-year-old hypogonadal man was discovered to have had obstructive sleep apnea syndrome--secondary to hypertrophied tonsils, adenoids, and uvula--spanning the years of puberty. All-night polysomnographic recordings and 24 hr measurements of plasma luteinizing hormone (LH) concentrations (sampling at 20 min intervals) were performed before and after combined tonsillectomy, adenoidectomy, and uvulectomy. Two weeks preoperatively, nocturnal sleep was markedly disturbed by 407 apneic episodes, and the patient was found to be hypogonadotropic. Daytime LH concentrations were in the low-normal range for an adult male, and concentrations fell dramatically during nocturnal sleep. This contrasts with both the sleep-related elevation of LH normally seen in puberty and the adult pattern, where no difference is observed in mean concentrations during waking and sleep. Two week and 6 month postoperative evaluations revealed complete alleviation of the sleep apnea syndrome and normalization of the 24 hr pattern of plasma LH, although LH values remained in the low-normal range. Plasma testosterone concentrations were in the low to low-normal range both pre- and postoperatively. No evidence of continued sexual development, beyond that achieved preoperatively, was observed 20 months after surgery, despite continued relief from apnea. These data suggest that sleep apnea during puberty may impair sexual development by preventing the sleep-related elevation in LH secretion normally observed during a critical period spanning puberty.

Adenoidectomy↗
PubMed1979

Inhibition of mourning by pregnancy: psychopathology and management.

A bereavement during pregnancy is difficult to mourn: a pregnant woman is so increasingly preoccupied with the new life that mourning is interrupted and often impossible to resume later. This may lead to idealisation of the child as a reincarnation of the dead person or child abuse. A bereaved woman should be helped to mourn at the time of death and to keep alive the expectation of future mourning once her baby is thriving.

Aged↗
PubMed1979

Mourning by the family after a stillbirth or neonatal death.

Failure of the parents to mourn after the sorrow of a stillbirth or neonatal death can result in dire consequences for the well-being of the family. Doctors and nurses should learn how to facilitate mourning and should accept the strange and sometimes bizarre forms this may take. When mourning is facilitated, the family is likely to adjust better to its bereavement.

Attitude to Death↗
PubMed1978

Violence: outside the safety of the hospital.

The DHSS has issued guidelines on how to deal with violent and potentially violent patients in hospital. Author argues that it fails to give effective advice to ancillary staff dealing with patients in casualty departments and outside the hospital.

Accident Prevention↗
PubMed1978

Research as an educational tool: experience from Balint groups.

The educational and professional value of research is real but may be deceptive and costly. The history and theory of Balint groups for GPs are reviewed. The value of research in the context of Balint groups is examined and some implications of this experience are discussed in relation to a professional ethos for doctors and their teachers.

Education, Medical, Continuing↗