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Biomedical subjects

J H Shore

Publications and source records attributed to J H Shore.

At least 55 records · Page 3Linked to original sources
PubMed1980

Psychiatric and nonmedical decisions on commitment.

The civil commitment statutes of Oregon were changed in 1973 and 1975 to include nonphysician court examiners and public prosecutors in the commitment hearing. To evaluate the effect of these changes the authors compared the commitment decisions actually made by panels composed of two physicians with those made by panels with one physician and one nonphysician mental health professional. They also compared the commitment decisions made by six groups of medical and nonmedical people involved with the commitment process regarding five case vignettes. They found that decisions made by the nonmedical mental health professionals were not significantly different from those made by the psychiatric examiners.

Adult↗
PubMed1980

Residency curriculum in forensic psychiatry.

The authors describe the development of a curriculum in forensic psychiatry in a general psychiatric residency training program. Educational objectives for both knowledge and skills are presented. The authors detail training experiences at each level of psychiatric residency, including electives available for fourth-year residents. They encourage other training programs to share similar reports with a view toward the development of standards in the training of residents in forensic psychiatry.

Curriculum↗
PubMed1980

Validity of the MMPI with native Americans.

A study was conducted to determine the validity of the MMPI for 142 American Indian patients from Pacific Northwest tribes. All the MMPI profiles were similar and had significant elevations in the Sc, Pd, and Pa scales. There was no significant difference between diagnostic groups on many clinical scales. Nonpsychotic, depressed Indian patients could not be distinguished from schizophrenic patients on any clinical scale, and there were no significant differences between antisocial-alcoholic patients and those with situational reactions. There were minimal differences between the Northwest Coast, Plateau, and Plains cultural groups. The authors believe that the similarity of all subgroup profiles demonstrates a significant cultural influence on the results of the MMPI in this population of American Indians.

Adult↗
PubMed1979

Required educational objectives in community psychiatry.

Community psychiatry is an essential requirement of approved residency training. The authors present a format of required educational objectives for this experience. They feel that recent attempts to limit psychiatric consultation to the consultation-liaison model are restrictive and incomplete. In their view of the psychiatrist's role, community consultation techniques are essential skills for the psychiatric practitioner.

Clinical Competence↗
PubMed1978

The commitment process for psychiatric patients. Changing status in the Western States.

Recent changes in commitment legislation for the mentally ill have had an important impact on the role of physicians in treating these patients. New commitment laws emphasize civil rights at the expense of right-to-treatment concepts, sometimes causing neglect of severely psychotic persons. Only four western states have a high rating of conformity with a model commitment statute.

California↗
PubMed1978

Lithium treatment for psychiatric disorders.

Although used around the world since 1949, lithium has come into extensive use in psychiatry in the United States only within the past decade. Before initiating treatment with this drug, physicians must be familiar with the diagnostic scheme of the major affective disorders, the indications and contraindications to lithium's use, and its principles of treatment, including evaluation before lithium therapy, criteria for monitoring blood levels and signs of impending toxicity. Despite earlier reports about the toxicity of lithium when it was promoted as a salt substitute, lithium is a safe drug. Its use not only has revolutionized the treatment of the major affective disorders, but has opened up new and broad avenues of research into the regulation of man's emotions.

Adolescent↗
PubMed1977

Turbulent airflow meter for long-term monitoring in patient-ventilator circuits.

A new type of flowmeter is described which operates on the principle that pressure drop (deltaP) produced by turbulent volume flow (V) through a simple resistance chamber obeys a relation of V = K (deltaP)0.50. Data are given showing that the device follows a true power law with a single exponent for airflows ranging from 3.5 to 270 l/min. Standard instrumentation and a linearization circuit are used with the new flowmeter to provide linear steady-state and alternating airflow measurements up to peak rates of 150 l/min and frequency to 15 Hz. Data are presented comparing integrated airflow readings from the new turbulent flowmeter and a laminar-type flowmeter. The turbulent airflow meter appears to offer increased reliability for long-term patient monitoring use in patient-ventilator circuits.

Pulmonary Ventilation↗
PubMed1975

Evaluation of a regional Indian alcohol program.

The authors analyzed follow-up data collected by an Indian counselor and a psychiatrist on 83 American Indian alcoholic men. Follow-up status was judged by an interdisciplinary panel according to a six-step rating scale. The 44 percent improvement rate compares favorably with other treatment programs, especially in view of the selection process, which favored difficult patients. The authors suggest that the interdisciplinary rating panel is an approach that can prevent erroneous judgments of the drinking status of American Indians.

Adult↗
PubMed1975

Indian children and tribal group homes: new interpretations of the Whipper Man.

The authors describe a community-based children's home and child welfare program among a tribe of Plateau Indians. The program has been effective because it is compatible with this Indian culture, which accepts extended family and community responsibility for child care. The authors feel that the program demonstrates principles of primary prevention in community mental health.

Alcoholism↗
PubMed1975

American Indian suicide--Fact and fantasy.

This is an epidemiology report on American Indian suicide patterns in the Pacific Northwest. The purpose of this report is to: (1) describe the first three years of a pilot project in suicide epidemiology, (2) demonstrate significant differences in tribal rates, (3) show that the total American Indian population has equally significant differences in tribal comparisons, and (4) clarify previous misconceptions about the "American Indian suicide phenomenon".

Adolescent↗