Borderline and narcissistic disorders. A selective overview.
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Biomedical subjects
Publications and source records attributed to N Wong.
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The Asian and Asian-American physician in a standard psychiatric residency is faced with discrimination at several levels, as well as special problems of professional role confusion and personal identity, all of which can create barriers to professional development and productivity. Further, most standard psychiatric residencies do not include teaching or supervision specific to treating Asian patients. The author proposes the establishment of a specialized program, focusing on ethnic minority groups, within a general psychiatric residency; he discusses specific features of such a program. This approach may help to alleviate the problem of inadequate resources for handling the mental health problems of Asian-Americans and underutilization of mental health resources by this group.
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Diabetic peripheral neuropathy is a common, painful, and disabling condition that is known to occur by two mechanisms: hyperglycemia and arterial blood flow occlusion. Pentoxifylline (Trental) functions by improving erythrocyte flexibility in blood vessels, which could increase the delivery of oxygen to occluded nerve vessels. This 1-year clinical trial was aimed at ascertaining the effects of pentoxifylline on diabetic sensory neuropathy. Fifty patients with type I or II diabetes were evaluated in a randomized, double-blind, parallel group and placebo-controlled study. Pentoxifylline effectiveness was evaluated by measuring glycated hemoglobin, blood pressure and current perception threshold (CPT). The CPT results showed no statistically significant effect of pentoxifylline on mean nerve sensory perception thresholds in ankle and toe at 5, 250 and 2000 Hz. There were no significant changes in glycated hemoglobin or in systolic and diastolic blood pressure during the trial. Thus, glycated hemoglobin and blood pressure did not explain the lack of pentoxifylline effect on diabetic neuropathy. In conclusion, pentoxifylline appears not to add benefits to the clinical treatment of diabetic sensory neuropathy of the lower extremity.