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Biomedical subjects

J D Frank

Publications and source records attributed to J D Frank.

At least 55 records · Page 3Linked to original sources
PubMed1986

Morbidity and mortality in duodenal atresia.

98 babies were admitted to the Hospital for Sick Children, Great Ormond Street, London, with duodenal atresia between 1967 and 1981. The overall mortality was 32%, although it fell from 39% in the first half of the series to 26% in the second half. This reflected the better management of babies in risk group C (Watterson et al 1962). However, the high incidence of associated anomalies, involving particularly the alimentary tract, was demonstrated to carry a grave prognosis.

Duodenal Obstruction↗
PubMed1986

Psychotherapy--the transformation of meanings: discussion paper.

This paper presents the hypothesis that psychotherapy seeks to produce changes in attitudes and behaviour through transformation of meanings. Patients come to psychotherapy because they are demoralized by the menacing meanings of their symptoms. The psychotherapist collaborates with the patient in formulating a plausible story that makes the meanings of the symptoms more benign and provides procedures for combating them, thereby enabling the patient to regain his morale. As a result, he feels better and functions more effectively, leading to progressive improvement. Various implications and limitations of this hypothesis are explored.

Behavior↗
PubMed1985

The outcome of antenatally diagnosed urological abnormalities.

Twenty-eight patients undergoing routine antenatal screening by ultrasound were found to have a fetus with a major urological abnormality. In addition, two babies suspected of having an enlarged bladder were found post-natally to be normal. Seven of the 28 pregnancies were terminated before 26 weeks' gestation as a result of the ultrasound findings and all these fetuses had lethal renal abnormalities. Of the remaining 21 babies, four died of renal failure following delivery. Fifteen of the 17 babies who are alive and well had an ultrasound scan before 24 weeks' gestation. Only one of these scans revealed the abnormality. In the remaining patients the abnormality was first detected after 28 weeks. No patient had surgery in utero. Our data suggest that renal abnormalities detected prior to 24 weeks' gestation are associated with severe renal impairment. It appears that the role of antenatal drainage procedures may be of limited value.

Female↗
PubMed1984

Nuclear death: an unprecedented challenge to psychiatry and religion.

The growing danger of a nuclear holocaust has intensified two aspects of the human predicament that concern both religion and psychiatry: the inevitability of death and the disastrous consequences of the characteristic termed "pride" by theologians and "narcissism" by psychiatrists. For the first time, humans have power to exterminate themselves and death threatens all ages equally. Pride of power causes leaders to exaggerate their ability to control nuclear weapons; moral pride leads to demonizing enemies. The author considers implications for psychiatrists and clergy, with special reference to preventing a nuclear holocaust.

Attitude of Health Personnel↗
PubMed1982

An approach to undiversion in children.

This report reviews our experience in enabling 21 patients to dispense with their urinary drainage bags. Seventeen patients have undergone reconstruction of their urinary tracts; 14 of these patients are continent, one is wet at night and 2 are totally incontinent. Three patients have been converted to a ureterosigmoidostomy: 2 of these are dry and one is wet at night. One patient catheterises a continent stoma and is dry. The length of follow-up is short (average 1 1/2 years) but renal function and the upper tracts have remained stable.

Child↗
PubMed1981

The surgical correction of erectile deformities of the penis of 100 men.

The Nesbit operation gave excellent results in 85% of 22 men with erectile deformities of the penis due to various congenital causes. The dermal graft procedure has been abandoned for the treatment of Peyronie's disease as a result of an unacceptably high incidence of post-operative erectile problems. The Nesbit technique successfully corrected the erectile deformity in 77% of 62 men with Peyronie's disease. Those patients with Peyronie's disease and erectile impairment due to cavernous fibrosis are best treated by the insertion of a penile prosthesis.

Adult↗
PubMed1981

Reply to Telch.

Explore the source record for details and available documents.

Humans↗
PubMed1980

Spina bifida.

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Adolescent↗
PubMed1978

A method of treating post-irradiation rectovaginal fistulas.

A sphincter-saving operative method of treating post-irradiation rectovaginal fistulas is presented. The technique involves the peranal anastomosis of healthy colon to the mid-anal canal using a 'sleeve' anastomosis. Four patients have been treated with cure of the fistula and a return to normal bowel habit. A fifth, with an irradiation ulcer causing intractable pain, also obtained complete relief of symptoms.

Aged↗
PubMed1978

Thermometers and rectal perforations in the neonate.

Three neonates with rectal perforations probably caused by the use of the rectal thermometer, are reported. The dangers of this condition and the difficulty of diagnosis even at laporatomy are emphasised. It is suggested that since the axillary temperature in the neonate is an adequate reflection of the core temperature the routine use of the rectal thermometer, except in exceptional circumstances, should cease.

Female↗