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Biomedical subjects

J Reis

Publications and source records attributed to J Reis.

At least 73 records · Page 4Linked to original sources
PubMed1987

Family planning for inner-city adolescent males: pilot study.

The results of a pilot family planning program (FPP) in a pediatric practice are reported for 66 inner-city male adolescents. The FPP was designed to eliminate registration barriers to the procurement of contraceptives by adolescent males, and to prompt the community neighborhood health center (CNHC) providers to initiate discussion of birth control with their male adolescent patients. Utilization data show that males were more likely to receive contraceptives if the provider first raised the topic of birth control to them. Unstructured follow-up interviews with 27 adolescent male FPP users identified a desire for anonymity/confidentiality and embarrassment or discomfort as the key reasons for not seeking contraceptives from the CNHC. If health care providers are sensitive to male adolescents' feelings about birth control, community health centers potentially could serve as a cost-effective source of contraceptives for sexually active male adolescents.

Adolescent↗
PubMed1986

Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale.

The factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale was examined for a sample of 116 parents who were participating in family support programs designed to prevent child abuse and neglect. Participants' self-reports of depressive symptoms as measured by the CES-D were analyzed in relation to their self-esteem (measured with the Rosenberg Self-Esteem scale) and state and trait anxiety (measured with Spielberger's State-Trait Anxiety Inventory). Factorial validity was adequate, and results indicated a moderate correlation between the CES-D and self-esteem and state anxiety. However, a high correlation was obtained between the CES-D and trait anxiety, which suggests that the CES-D measures in large part the related conceptual psychological domain of predisposition for anxiousness.

Adolescent↗
PubMed1986

A baseline evaluation of family support programs.

This paper presents a baseline evaluation of four demonstration family support programs located in communities identified as having a disproportionate number of families at risk for malfunctioning. In this baseline evaluation, a one year cohort of 422 family support participants were assessed along key dimensions of parenting known to contribute to child well-being and potentially to the incidence of child abuse or child neglect. These dimensions include parents' attitudes toward child rearing, knowledge of child development, level of perceived social support, and level of depression. Black participants and teenage parents had more punitive attitudes toward child rearing, less knowledge of child development, and less perceived social support than white or older parents. Overall, attitudes, knowledge, level of perceived social support and depression are interrelated in accordance with previous clinical observations and developmental theory, e.g., depressed parents are less knowledgeable, more punitive and have less support than nondepressed parents. The results of the baseline evaluation suggest that the demonstration projects are successful in reaching some subgroups of families at risk for parenting problems.

Adolescent↗
PubMed1986

A new distally based fasciocutaneous flap of the leg.

A distally based flap on the medial side of the lower leg is described. In ten cadaver dissections two perforating arteries from the posterior tibial artery were a constant finding and a flap has been designed based on these. It has been used successfully in four patients.

Adult↗
PubMed1986

International dermatosurgery: use of medial plantar based skin flaps for correction of foot defects.

The recently described instep island flap can be used to restore foot tissue deficits, however, its usefulness is limited by the length of the neurovascular pedicle and by the small surface of the flap. This flap can also be used as a free or as a cross-foot flap. We describe our experience with 10 patients. Heel defects in seven of them were corrected by the instep island flap. In the other three cases, the technique was modified, and the flap was obtained from the contralateral side, by a cross-foot flap. In these last three cases, sensibility was obtained by neurorrhaphy, with excellent results.

Adult↗
PubMed1985

[Confusional form of Chlamydia psittaci encephalitis. Diagnostic value of microimmunofluorescence. A case].

A rare case of Chlamydia psittaci encephalitis is reported. The disease started with anxiety, agitation and fever (38.5 degrees C) accompanied with hallucinations and regressed within 48 hours, but a confusional syndrome persisted for 9 days. Alterations in the blood-brain barrier with low CSF protein levels and signs of lateralization could be demonstrated. The inflammatory syndrome remained discrete. The cause of the disease was disclosed by serology and epidemiological investigations. The spontaneous outcome was favourable, thus confirming that neurological forms of psittacosis are benign. This case shows that microimmunofluorescence is more sensitive than the complement fixation test and that significant levels of antibodies directed against Chlamydia psittaci may persist for almost one year in the absence of treatment.

Adult↗
PubMed1985

Antiepileptic drug evaluation in a new animal model: spontaneous petit mal epilepsy in the rat.

One-third of Wistar rats bred in our laboratory present recurrent seizures whose EEG and clinical symptomatology resemble those of human petit mal. Bilateral cortical synchronous spike- and wave discharges (7-11 c/s; 200-600 microV, lasting 0.5 to 40 s) accompany behavioral arrest and are associated frequently with facial myoclonia. These seizures, observed as long as the animals survive, appear spontaneously and seem to be unrelated to surgical procedures. Antiepileptics in common clinical use were tested. Ethosuximide (greater than 12.5 mg/kg), diazepam (greater than 0.5 mg/kg), trimethadione and sodium valproate (greater than 50 mg/kg) suppressed these discharges in a dose related manner. Carbamazepine and phenytoin were ineffective or aggravated the seizures. Phenobarbital, effective at 2.5 to 10 mg/kg, was ineffective at 20 mg/kg. The similar effects of these antiepileptics on both the rats' seizures and human petit mal confirm the hypothesis that this phenomenon constitutes a valid pharmacological model of petit mal epilepsy. Its predictive value appears to be superior to that of other currently used models.

Animals↗
PubMed1984

[A genetic form of petit mal absence in Wistar rats].

One-third of the Wistar rats bred in the Centre of Neurochemistry in Strasbourg, France, develop spontaneous epileptic seizures which from their clinical manifestations, pharmacological responses, and electroencephalographic findings are suggestive of Petit Mal absences. These fits are genetically determined since in two lines selected from affected animals they occurred in 90 p. cent of three generations. The selection of a pure strain should assist in the use of this pharmacologic and neurophysiologic model of Petit Mal epilepsy.

Animals↗
PubMed1983

[Hyperthermia with acute rhabdomyolysis in a psychotic treated with neuroleptics].

A 36 year old psychotic man receiving treatment with slow-release pipotiazine and trihexyphenidyl developed nine days after addition of droperidol signs suggestive of a malignant neuroleptic syndrome: altered general condition, diffuse hypertonia, akinesia, fever and vomiting. Results of biologic tests and a muscle biopsy were suggestive of a severe rhabdomyolysis. Cessation of neuroleptic therapy and the administrative of nifedipine brought a gradual return return to normal conditions, and progressively increasing doses of neuroleptic could be given without complications 12 days later. Onset of hyperthermia during neuroleptic treatment raises two questions: 1) is the etiology related to a malignant neuroleptic syndrome or acute catatonia, or a heat stroke? 2) to what extent are neuroleptics responsible for these disorders?

Adult↗
PubMed1982

Spontaneous paroxysmal electroclinical patterns in rat: a model of generalized non-convulsive epilepsy.

During quiet wakefulness of 63 adult Wistar rats, 24 exhibited synchronous paroxysmal bursts consisting of spikes and spike and wave discharges, recorded in the amygdala and frontoparietal cortex. Discharges were associated with a sudden immobility of the rat and rhythmic twitches of vibrissae or cervicofacial musculature. As soon as the phenomena stopped, the animal resumed its previous behavior. Paroxysmal electroclinical attacks could be observed as long as the animal survived. Similar electrical discharges have been observed previously in rodents by other authors and interpreted as an epileptic phenomenon. Preliminary pharmacological results confirm this interpretation and emphasize the similarity between our findings and the human petit mal epilepsy.

Animals↗
PubMedDate not supplied

A new approach in axillary hidradenitis treatment: the scapular island flap.

The scapular island flap technique has been used in the treatment of seven cases of axillary hidradenitis suppurativa. This flap, providing a smooth skin surface with good elastic properties, easily covers the axilla and permits the cutaneous reconstruction of the involved axillary tissue excision with satisfying aesthetic, functional results and a rapid local cicatrization. The donor site was closed by primary suture.

Adolescent↗
PubMedDate not supplied

Further experience with the posterior interosseous flap.

This paper describes and discusses some of the clinical applications of the posterior interosseous forearm flap in hand reconstruction, including the fact that larger areas of skin than previously reported can be used safely. It is based on a series of 21 patients, 50 anatomical dissections and 10 injection studies.

Adolescent↗