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Biomedical subjects

M Greenblatt

Publications and source records attributed to M Greenblatt.

At least 73 records · Page 4Linked to original sources

Success rates in psychiatry and neurology certification examinations.

The authors traced the progress of a sample of 200 psychiatrists and 150 neurologists on the ABPN examination. Overall success rates were high-64% of psychiatrists and 75% of neurologists became Board-certified. Performance on the written exam was a significant predictor of outcome for both groups-88% of psychiatrists and 94% of neurologists who passed Part I on their first try eventually obtained certification. Given the criticism that has been directed toward the oral exam, it was interesting that only 10% of psychiatrists and 5% of neurologists failed to become diplomates because of difficulties with Part II. Future research will deal with the validity and reliability of the oral exam.

Achievement↗

Illustrious psychiatric administrators.

The authors found several common themes in intensive interviews with 20 prominent psychiatric administrators. The decision to go into administrative work resulted from strong interest in public service, frustration in other roles, and/or situational factors. Administration was learned by doing and by interaction with colleagues in the field or other knowledgeable individuals. The job of administrator is often perceived as stressful, but it offers rewards such as increased autonomy, opportunities for self-growth, prestige, and the potential for a broader contribution to mental health.

Administrative Personnel↗

Efficacy of ECT in affective and schizophrenic illness.

The author reports on studies of the comparative efficacy of ECT, the newer psychotropic drugs, and combinations of both in the treatment of depression and schizophrenia. He concludes that ECT is indicated for acutely suicidal and other severely impaired depressive patients but not necessarily for schizophrenic patients, although ECT has been successful with some schizophrenic patients for whom drugs were ineffective.

Amitriptyline↗

Psychiatry: the battered child of medicine.

Psychiatry has had a troubled history. After the French Revolution "moral treatment" brought to America a period of effective and humane hospital treatment, but this progress was corrupted by the Industrial Revolution, and psychiatry was rejected by society as well as by medicine. Although the Freudian enlightenment and the introduction of social psychiatry have led to greater acceptance, today's criticisms are strident. Psychiatry is criticized for imprecise diagnosis, conceptual vagaries, jargon, therapeutic impotence and class bias. The American system of mental-health care is seen by many as a disaster. The federal comprehensive Community Mental Health Act has been aborted at an early stage. Skills involved in the practice of psychotherapy are not unique to the profession. Social ills, over which psychiatry has little control, play a large part in causing mental disability and retardation. Nevertheless, though embattled, psychiatry has contributed to medical practice and to the humane consciousness of society.

Attitude of Health Personnel↗

The phasing out of mental hospitals in the United States.

The authors view the current wave of closing state mental hospitals against the background of trends in mental health services during the past 20 years. Although a small number of hospitals has been totally closed, the overall number of institutions has remained stable due to the opening of new hospitals, and many states will be forced to consider phasing out additional hospitals in the immediate future. The closing of hospitals is a social phenomenon that involves the lives and welfare of patients, personnel, families, and the community and poses a substantial political and logistical challenge. The authors make a few suggestions for those who are contemplating closing hospitals in the future.

Follow-Up Studies↗

PSRO's and peer review: problems and opportunities.

Legislation passed in 1972 mandated the establisment of Professional Standards Review Organizationa to review the quality of medical services to beneficiaries of the Medicare, Medicaid, and the Maternal and Child Health programs. Physicians in all 203 designated PSRO areas must show a viable organization by January 1976, or a nonphysician group may be designated as a PSRO. The author discusses the provisions of the law, reactions of physicians and others, the law's alleged shortcomings, and the questions that arise as a result of its passage. He cites some preliminary studies in the psychiatric literature that report positive effects of reviews of patient care.

Child Health Services↗

Psychopolitics.

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Attitude↗

Malignant transformation of BHK21 clone 13 cells in vitro by nitrosamines--a conditional state.

All the BHK(21) Clone 13 cells transformed by dimethylnitrosamine or nitrosomethylurea, and a single "spontaneously" transformed clone obtained in our laboratory, exhibit a conditional state of the transformed phenotype. Upon growth at 38.5 degrees , they have a transformed phenotype (clonal morphology and the ability to plate in soft agar); when grown at 32 degrees , their phenotype is normal. The conditional state of these cells, however, does not extend to their growth characteristics; their plating efficiency at the two temperatures in liquid medium is similar. Conversion from the normal to the transformed phenotype and the reverse is possible by temperature shifts. A working hypothesis is proposed suggesting that this phenomenon may be caused by a temperature-sensitive mutation of a cellular gene whose product is responsible for maintaining the normal phenotype. The high temperature would then affect either the synthesis or the function of the protein carrying the temperature-sensitive alteration and, as a consequence, the transformed phenotype would be expressed.

Animals↗