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Biomedical subjects

G Adams

Publications and source records attributed to G Adams.

168 records · Page 10Linked to original sources

Back pain with a congenital cyst of the esophagus.

We report a 31-year-old man with a bronchogenic type of congenital esophageal cyst, which was discovered in the course of diagnostic evaluation for thoracic back pain, fever, and diarrhea. He was treated successfully by surgical excision of the cyst. The embryology, classification, and symptoms of esophageal cysts are reviewed, along with useful diagnostic tests and procedures. Ordinary radiography, computed tomography, sonography, and magnetic resonance imaging contribute to diagnostic accuracy. Special mention is made of percutaneous fine needle aspiration biopsy (PNAB) as an adjunct diagnostic procedure. Surgical excision is the treatment of choice.

Adult↗

Dietary intake and the extraction of third molars: a potential problem.

The most common form of oral surgery is extraction of impacted third molars. The patient may suffer a period of impaired food intake before extraction because of the discomfort caused by the impacted tooth. This may compound poor intake for other reasons, for example poverty. After surgery, the patient undergoes several days of pain and swelling, which delays a return to normal eating. The relationship between surgery for impacted third molars and diet has not been documented, nor is dietary advice routinely offered. The aim of this study was to describe the diet of patients before and after extraction of third molars. Patients recorded everything they ate for 7 days before and after surgery. These records were converted into estimates of nutrient intake. A substantial fall in energy intake occurred which had not been corrected even a week after surgery. The nutritional implications of this are not yet clear. Practitioners are strongly advised to warn patients of the likelihood of serious disturbance to their lifestyle and to offer them simple dietary advice.

Adolescent↗

Parent relationships and compliance in cystic fibrosis.

INTRODUCTION: Marital adjustment, family characteristics, and parent-child stress and compliance with treatment were investigated in 41 families with a preadolescent child (age 3 to 11 years) who had cystic fibrosis (CF). METHOD: Mothers completed the Dyadic Adjustment Scale, the Family Adaptability and Cohesion Evolution Scale, and the short form of the Parenting Stress Index. Parents and medical staff completed questionnaires assessing the child's compliance with diet/nutritional intake, vitamins, pancreatic enzymes, other medications (such as oral antibiotics), and chest physiotherapy. RESULTS: Preadolescents with CF were viewed as generally cooperative with most aspects of treatment. Parental ratings of compliance with dietary and nutritional intake were associated with increased marital consensus and decreased parenting stress. Medical staff ratings of dietary compliance, medication compliance, and chest physiotherapy compliance were associated with lower parenting stress. DISCUSSION: Parent-child stress and lack of agreement between parents is associated with problems in compliance with treatment, which may have an adverse impact on the disease and health status of the child with CF.

Adaptation, Psychological↗