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Biomedical subjects

H Bloom

Publications and source records attributed to H Bloom.

At least 19 recordsLinked to original sources
PubMed2001

A reading list for Bill Gates--and you. A conversation with literary critic Harold Bloom. Interview by Diane L. Coutu.

In today's technology-driven world, who has time to pick up a 400-page novel? Most executives don't--they have urgent e-mails to answer, training seminars to attend, meetings to lead, and trade publications to scan. But according to Harold Bloom, one of America's most influential scholars, they should make time in their hectic schedules to read great works. In a wide-ranging conversation with HBR senior editor Diane Coutu, Bloom discusses the importance of literature: every individual--regardless of profession--needs to stretch his or her mind and reflect now and again on the human condition. "By reading great imaginative literature, you can prepare yourself for surprise and even get a kind of strength that welcomes and exploits the unexpected," he says. Because there are so many great works and there is so little time, Bloom presents a reading list for busy executives. Shakespeare's King Lear can teach businesspeople about change. Ralph Waldo Emerson's essays capture the ethos of the American spirit--individualism and inventiveness. Bloom says Sigmund Freud's conceptions "form the only Western mythology that contemporary intellectuals have in common." And people will never fully understand some aspects of themselves until they read Miguel de Cervantes's Don Quixote. In short, Bloom believes the humanities have much to offer businesspeople: great books broaden their awareness and their range of sensibility, he says. But reading literature will not make businesspeople more moral, he cautions. Bloom also discusses other topics such as how to read well, the state of popular fiction, the role of irony, and the subject of change.

Administrative Personnel↗
PubMed1999

Compartment syndrome of the forearm as the initial symptom of systemic Vibrio vulnificus infection.

Sepsis, cellulitis, and necrotizing fasciitis rarely have been described as causes of compartment syndrome. We report a case in which forearm compartment syndrome presented as the initial symptom of systemic infection. Vibrio vulnificus, the etiologic pathogen of the compartment syndrome, was isolated from wound and blood cultures. The patient was treated with systemic antibiotic treatment and multiple forearm fasciotomies. The infectious process progressed rapidly, however and due to underlying liver insufficiency, the patient died of hepatorenal syndrome. This case illustrates the nature of V. vulnificus infections, which are characterized by shellfish transmission, predilection for soft tissue seeding, and a fulminant course in the compromised host.

Animals↗
PubMed1996

Closed reduction of coronal fractures of the capitellum.

Closed reductions of displaced coronal fractures of the capitellum were successfully obtained for nine patients. The method involves spontaneous reduction by allowing the elbow to fully extend under anesthesia and then gradually flexing the elbow while distracting the elbow joint. Distraction allows the radial head to capture the capitellar fragment in the joint rather than push it proximally. The elbow is immobilized at 90 degrees for 3 weeks. Gentle active motion is then started. Closed reduction is often or usually obtained, but open reduction and internal fixation are performed in those cases in which a closed reduction cannot be obtained.

Adult↗
PubMed1991

Unconscious fantasies: from the couch to the court.

No single unifying theory exists that explains the plethora of behaviors that bring individuals before the courts on a daily basis. No biological, social, or familial model for criminal behavior is without limitations, or exempt from controversy and criticism. We suggest, however, that it is appropriate, and often necessary, for the psychiatric expert to advance lucid, intelligible, and simplified psychodynamic formulation, either alone or in conjunction with another explanatory model of criminal behavior, to assist the court in its understanding and disposition of a given case. In some cases, apparent criminal behaviors result when unconscious motivating factors, particularly unconscious fantasies, find expression in conscious life. In this article, we consider the etiologic role of unconscious fantasy in certain seemingly inexplicable criminal behaviors. The concept of unconscious fantasy is explained and a detailed case description and formulation are provided in order to illustrate the central role of unconscious fantasy in some of these behaviors. Recommendations are offered for the manner in which psychodynamic formulation should be presented in reports and in courtroom testimony through reference to the author's experience.

Adult↗
PubMed1989

The use of contracts in the inpatient treatment of the borderline personality disorder.

This paper reviews and describes the clinical, administrative, and psychodynamic aspects of the use of contracts. The particular focus is on how the characteristic difficulties which borderline personality disorder patients encounter on inpatient services are helped by contracting. The use of contracts facilitates the therapeutic alliance, and aids in the avoidance of excessive regression and acting out. The improved stabilization of the patient permits a more constructive use of transference and countertransference, and facilitates a clearer examination of Axis I diagnosis and the use of medication. The contracting process can be a useful addition to the inpatient treatment of borderline personality disorder patients.

Acting Out↗
PubMed1989

Patient satisfaction within an emergency department: the impact of a hospital volunteer program.

During the past decade, the proliferation of managed care plans and the reduction of governmental reimbursement has seriously eroded hospital revenues. As a result, hospitals are managing with less resources yet confronting more complex patient problems, particularly in the Emergency Department of the hospital. Since the Emergency Department is frequently the major interface between the hospital and the community, it is essential that patients have a positive experience while obtaining care. This study explores the impact of a hospital-based volunteer program upon patient satisfaction within an Emergency Department and the implications for hospital administrators.

Consumer Behavior↗
PubMed1989

[Transference, taboo and truth].

The author re-examines the development of the concept of transference in Freud's work. He gives special attention to Totem and Taboo published in 1912-13. He notes that Freud's totally unsupported hypotheses within this model become illuminating and intelligible if "totem" is translated as "psychoanalyst" and "taboo" as "transference (neurosis)".

Freudian Theory↗
PubMed1985

Fractures of the capitellum.

Forty intact cadaver elbows were studied to determine the contribution of the capitellum to elbow stability. With the elbow at 10 degrees of flexion, valgus motion of the elbow after capitellum excision demonstrated a minimal increase. Although some increase in valgus motion did occur after capitellum excision and radial head resection it was not until the ulnar collateral ligament was released that a severe valgus deformity was produced. In addition, isolated capitellum excisions occurring with release of the medial collateral ligament produced severe valgus motion, demonstrating the importance of medial structures to elbow stability. The cadaver study suggests excision of the capitellum in the otherwise intact elbow has little effect on valgus motion. Over the past 15 years, 17 patients with fractures of the capitellum were treated. Followup at greater than 1 year utilizing various treatment modalities is reported. Although closed reduction gave the best result, acceptable results were also obtained by open reduction and internal fixation and excision. Our clinical findings corroborated the cadaver findings in that valgus instability of the elbow only occurred when fracture of the capitellum was associated with medial ligament injuries.

Adolescent↗
PubMed1979

Organochlorine pesticide residues in animals of Tasmania, Australia-1975-77.

Animals taken in Tasmania including duck (Anas superciliosa), eel (Anguilla australis), English perch (Perca fluviatilis), white-faced heron (Ardea pacifica), brown trout (Salmo trutta), European starling (Strunus vulgaris), cat (Felis cattus), cormorant (Phalacrocorax sp.), mutton bird (Puffinus tenuirostris), Tasmanian devil (Sarcophilus harrisii), rainbow trout (Salmo gairdnerii), Tasmanian raven (Corvus mellori), tench (Tinca tinca), and quail (Coturnix sp.) were sampled for p,p'-DDE, pp,p'-TDE, p,p'-DDT, lindane, dieldrin, and hexachlorobenzene. Pesticide residue levels exceeded 0.1 ppm in at least one animal from each area and in the majority of animals sampled from all areas. Pesticide sources could not be determined, partly because migratory species such as ducks, mutton birds, cormorants, and eels may have ingested pesticides outside of Tasmania.

Animals↗
PubMed1976

A survey of blood lead levels in dogs and cats.

The blood of 206 dogs and 26 cats was analyzed for lead by non-flame atomic absorption giving mean levels of 6.4 mug/100 ml for dogs and 5.2 mug/100 ml for cats. Statistical treatment of the results using a paired Students' t-test showed significant differences by age for dogs but not for cats. Urban dogs had significantly higher blood lead levels than country dogs (P less than 0.05) thus indicating that dogs can be regarded as useful environmental monitors for lead pollution.

Age Factors↗