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Biomedical subjects

J C Ramer

Publications and source records attributed to J C Ramer.

25 records · Page 2Linked to original sources
PubMed1988

Multiple pterygium syndrome. An overview.

The longitudinal course of two sisters with multiple pterygium syndrome is reported. The findings in these siblings are compared with those of 27 children described in the medical literature. The longitudinal course of short stature, scoliosis, talipes equinovarus, pterygia, hearing loss, and pubertal and intellectual development in this syndrome is described. Recommendations are made for a multidisciplinary approach to individuals with multiple pterygium syndrome, which includes the services of a primary care physician, orthopedist, physical therapist, and plastic surgeon.

Body Height↗
PubMed1986

Short-term admission for behavior modification.

Twenty-four children with behavioral problems were hospitalized for four days for intensive enhancement of their parents' parenting skills and a behavior modification program. This method was employed as an alternative approach to an ongoing problem. A questionnaire was designed to gauge parent satisfaction with the results. Seventeen children were rated as having improved behavior from four to 36 months after discharge. A standard behavioral checklist was employed before hospitalization (nine patients) and after hospitalization (19 patients) as a measure to document progress in the whole group. There was significant improvement for total disturbed behavior and a decrease on the anxiety scale with a follow-up period of four to 36 months. We conclude that short-term hospitalization is highly successful for carefully selected children with behavioral problems.

Anxiety↗
PubMed1983

Anorexia nervosa: staff subversion of therapy.

The treatment of anorexia nervosa (AN) is often complicated by the subversion of therapy by the patient. We describe the undermining of treatment by ward personnel as a result of their lack of understanding of the psychodynamics of AN and their perception of these patients as not being "sick" in the traditional sense and therefore not entitled to the "sick role." The incidents which occurred in our center are discussed as to their possible origins, the patient's response, and the remediation employed. The remedial approaches which may have the most promise are presented.

Adolescent↗
PubMedDate not supplied

Magnetic resonance imaging in leukodystrophies of childhood.

Magnetic resonance imaging (MRI) is particularly valuable in the diagnosis of childhood brain disorders with abnormal myelination because MRI may identify lesions not always seen with x-ray CT scans. We report the clinical and magnetic resonance findings of six children with leukodystrophy. T2 weighted (spin-echo) images disclosed striking asymmetric involvement of cerebral white matter, particularly in periventricular white matter and visual radiations. Calculated T1 values were significantly elevated in the children with leukodystrophy.

Brain↗
PubMedDate not supplied

Outbreak of salmonellosis in a zoologic collection of lorikeets and lories (Trichoglossus, Lorius, and Eos spp.).

During August 2001, a syndrome characterized by acute lethargy and dyspnea was observed in a population of 45 lorikeets and lories in an open-air zoologic exhibit. The first death occurred on August 10, and within the next 12 days, nine more birds died (22% mortality rate). Hepatomegaly, reddening and congestion of the lungs, and injection of the serosal surface of the intestines were the common gross findings. Histologic changes, including fibrinonecrotic hepatitis and splenitis, bacterial emboli (liver, spleen, lung, kidney, proventriculus), pulmonary congestion and hemorrhage, and enteritis, were indicative of an acute, overwhelming bacterial septicemia. Salmonella typhimurium, with the same antibiogram, was isolated from four birds. Several birds had attacked and killed a snake on July 24, and Salmonella serogroup B (untypeable) was isolated from intestine and kidney samples of a garter snake caught in the open-air exhibit on August 28. Salmonella was also isolated from environmental samples of the exhibit but not from food preparation areas. After antimicrobial therapy, Salmonella spp. was not isolated from the surviving birds. The source of Salmonella in this outbreak remains unknown, but infection either directly or indirectly from snakes in the exhibit is possible. Contact between captive psittacine populations and reptiles should be avoided to prevent the risk of salmonellosis.

Animals↗