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Biomedical subjects

J Fine

Publications and source records attributed to J Fine.

At least 109 records · Page 6Linked to original sources
PubMed1980

A study of suicide in state mental hospitals in New York City.

Suicides at five state hospitals for the mentally-ill located in NYC were studied over a 32 month period. The suicide rates at the individual hospitals appeared to be primarily related to the acuteness of inpatient population and secondarily to the socioeconomic-ethnic characteristics of the inpatient population. White young Puerto Rican male, better educated female involuntarily committed, schizophrenic, and affective disordered patients were overrepresented in the suicide group; black patients were underrepresented. From clinical data two profiles of psychiatric inpatients at high risk for suicide were constructed; 1) a male paranoid schizophrenic with previous suicide attempts involuntarily committed due to acute psychosis who hangs himself in his room or bathroom during the first weeks of hospitalization; 2) a chronic undifferentiated schizophrenic often with affective component who has been hospitalized for more than one month and who is considered by staff to be improving, but is having difficulty with discharge planning who commits suicide by jumping while out of the hospital on an authorized pass. Recommendations were made for reducing inpatient suicides.

Adult↗
PubMed1980

Mastocytosis.

Mastocytosis implies involvement by excessive numbers of mast cells, of skin and/or other organs. Symptoms may be absent to severe, even occasionally life-threatening. H1- and H2-blocking agents potentially may relieve symptoms, but do nothing to prevent systemization. At present no specific combination chemotherapy regimen has been shown to be markedly effective in a large controlled study. Mithramycin may be of benefit in relieving localized bone pain, although confirmation of this observation in large numbers of patients is needed. PUVA may be a viable approach to symptomatic treatment of otherwise poorly controlled urticaria pigmentosa. In children, urticaria pigmentosa is a relatively benign disease without an increased risk of later systemic involvement. In adults, however, other organs by be involved, with resultant increased morbidity and mortality. Without specific symptoms to a particular organ system, elaborate and expensive staging work-up is not indicated, at least until there is evidence that a reproducibly effective therapy for systemic disease exists.

Adolescent↗
PubMed1979

Evaluation of nocturnal penile tumescence in the differential diagnosis of sexual impotence. A quantitative study.

Nocturnal penile tumescence (NPT) was assessed in 30 impotent patients for the purpose of differential diagnosis. In 11 psychogenic cases, with several exceptions, NPT was found to be normal, with a marked discrepancy between the NPT findings and the patients' estimates of their daytime erectile capacity. In 19 organic patients, maximal NPT corresponded closely to and mirrored the patient's subjective estimate of his impaired waking performance. Statistically, the figures for frequency, degree, duration, and amount of NPT were found to be significantly and markedly greater in the psychogenic group. Statistical significance was maintained when the 11 psychogenic patients were closely age-matched with 11 of the 19 organic cases. The method is not 100% accurate; some 15% of impotent patients without organic findings have reduced NPT, several of whom were shown to be psychogenic, but others in this group may have undetected organic pathology. The NPT method is very promising, but beset by a number of methodological problems.

Adult↗
PubMed1979

Loeffler's syndrome?

Explore the source record for details and available documents.

Diagnosis, Differential↗
PubMed1978

Overnight admission for psychiatric emergencies.

Patients identified as psychiatric cases on the emergency ward of a 1036-bed teaching hospital are handled in one of three ways: released with outpatient referral, admitted to a psychiatric inpatient facility, or hospitalized in a general medical holding unit with a 24-hour stay. The authors obtained demographic and diagnostic data on 377 psychiatric patients seen consecutively on the ward and then compared those admitted to the holding unit (83) with those released (193) or hospitalized (101). The three groups were demographically similar but the patients in the holding group fell between the other two groups in severity of psychopathology. More than half the patients admitted to the holding unit were released the following day. The authors discuss the advantages of overnight admission as an alternative to hospitalization or release.

Adult↗