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Biomedical subjects

J F Morgan

Publications and source records attributed to J F Morgan.

At least 37 records · Page 2Linked to original sources
PubMed1999

Eating disorders and gynecology: knowledge and attitudes among clinicians.

BACKGROUND: Eating disorders are common, responsive to treatment and affect women at a peak age of reproductive function, often presenting via gynecological and obstetric sequelae. The author wished to examine gynecologists' knowledge and attitudes towards them. METHOD: Following a pilot study, a questionnaire concerning eating disorders was designed covering aspects of diagnosis, characteristic gynecological manifestations, treatment, and attitudes. All gynecologists and obstetricians with more than 1 year of experience from four teaching hospitals in Australia and the United Kingdom were sent the anonymous, confidential postal questionnaire. One hundred and fifteen doctors replied, with a response rate of 86%. RESULTS: Only 20% of respondents were confident of diagnosing eating disorders. Various diagnostic misconceptions were revealed; for example, 42% overestimated weight loss in anorexia nervosa by 20% or more, and 28% wrongly believed that a sense of strict dietary control' was a feature of bulimia nervosa. Clinicians had least knowledge of bulimia nervosa, underestimating its treatment response. Surprisingly, the greatest deficits in knowledge were of endocrinology and gynecological sequelae. For example, 79% underestimated amenorrhea in anorexia nervosa by 25%, and 85% wrongly believed that regular menses was characteristic of bulimia nervosa at normal weight. Consultants demonstrated significantly more knowledge than junior grades. Thirty-one percent of respondents held pejorative attitudes to eating disorders, which over-represented men (p=0.045) who were also more likely than women to see bulimia nervosa as untreatable (p=0.01). CONCLUSION: The author suggests that these deficits might be addressed by development of simpler screening questionnaires for non-specialists, and elucidation of the interface between eating disorders and reproductive physiology.

Australia↗
PubMed1998

HIV-1 seropositivity and eating disorders: a case report.

We report a case of bulimia nervosa in a 21-year-old HIV-positive woman whose seropositivity provoked sustained motivation for recovery from her eating disorder. To the authors' knowledge, this is the first report of HIV-1 seropositivity leading to a clinical improvement in an eating disorder. We review the literature, in which the negative impact of seropositivity has been emphasized, and we explore the complex interaction between eating disorders and HIV-1 infection, considering both nutritional and psychological factors.

Adult↗
PubMed1998

Gender issues in the management of multi-impulsive bulimia: a case-study.

We describe the management of multi-impulsive bulimia nervosa in a 27-year-old man. Inpatient treatment was attempted using a standardized focal-interpretative (psychodynamic) and cognitive-behavioral approach, with an emphasis on ward milieu. The value of this approach has been proved for female patients in the past. To our knowledge, this is the first report of its usage for a male with multi-impulsive bulimia, and the problems encountered highlight the impact of gender on behavioral symptoms, ward culture, and the predominantly female patient group.

Adult↗
PubMed1998

DVLA and GMC guidelines on 'fitness to drive' and psychiatric disorders: knowledge following an educational campaign.

This paper reports on a questionnaire study of psychiatrists' knowledge of DVLA and GMC guidelines on 'fitness to drive', following the distribution of a synopsis of the DVLA regulations by the DVLA and the Royal College of Psychiatrists. In the context of a high response rate (74%) the results indicated a better level of knowledge than in previous studies. However, understanding of GMC guidelines on breaking confidentiality and the general knowledge of driving regulations amongst junior trainees remain areas of concern. Ways of addressing these deficits are suggested.

Automobile Driving↗
PubMed1984

Irregular astigmatism in patients with anterior membrane dystrophy (map-dot-fingerprint type).

Irregular astigmatism, the clinical manifestation of corneal warpage, was evaluated as a cause of decreased visual acuity in 24 patients with anterior membrane dystrophy (map-dot-fingerprint type). Qualitative ophthalmometry demonstrated corneal warpage in 20 of the patients. The best corrected visual acuity was improved with contact lenses over that achieved with spectacles in 14 of the 20. This appeared to confirm corneal warpage to be an important cause of decreased visual acuity in patients with anterior membrane dystrophy. Although the long-term use of contact lenses may be limited by these patients' tendency to corneal epithelial erosion, 18 of the 24 patients in this series had been wearing contact lenses and tolerating them well.

Adult↗
PubMed1979

Complications associated with contact lens solutions.

The complications that have been seen when hydrophilic lenses are cared for by chemical decontamination are reviewed. The findings that help to differentiate lens-induced changes from chemical-care-produced changes are presented. Incompatibilities between care methods are illustrated. The complications are discussed in terms of changes produced in the cornea, conjunctiva, flora of the cul-de-sac, and lens.

Chlorhexidine↗