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Biomedical subjects

P Guedj

Publications and source records attributed to P Guedj.

At least 19 recordsLinked to original sources
PubMed1997

Perceived social support and treatment retention on an inpatient addiction treatment unit.

The authors measured perceived social support among patients and their families as a predictor of retention in an inpatient addiction rehabilitation program. After detoxification from all substances of abuse, 66 sequentially admitted inpatients gave demographic and diagnostic information and completed scales of perceived social support from the program and their own families. Scales were completed at 7, 14, and 21 days. A total of 46 subjects completed the 21-day program, and 20 did not. Homeless status, initial weak perceived social support from family, and a relatively shorter history of crack-cocaine use were correlated with completion of the program. Patients with stronger connections to shelter and family were less likely to complete an inpatient addiction rehabilitation program. Patients who reported more years of crack-cocaine use were also less likely to complete the program. The authors discuss implications for treatment.

Adult↗
PubMed1997

Differences between men and women in dual-diagnosis treatment.

The authors reviewed the charts of all women and a randomly selected sample of men over a 6-month period on two addiction treatment units at Bellevue Hospital Center in New York. The men were more likely to be admitted with schizophrenia and to have used substances of abuse other than alcohol, and the women were more likely to be admitted with affective disorders. Also, the women on the dual-diagnosis ward were more likely to be domiciled (i.e., not homeless), and the women on both units were significantly more likely to report having been crime victims. These findings suggest that dually diagnosed women need a substantially different treatment paradigm from men.

Adult↗
PubMed1996

Successful outcome of idiopathic nonimmune hydrops fetalis treated by maternal digoxin.

Nonimmune hydrops fetalis (NIHF), occurring in 1 in 2,500-3,000 live births has a reported mortality rate of 50-98%. A similar mortality rate for intrauterine death of fetuses with NIHF probably exists. Many fetal pathological entities have been implicated as causing the condition, but to date, treatment has only been found for cases of fetal tachycardia complicated with hydrops. During a routine ultrasonographic survey of a woman at 32 weeks of gestation, we detected a fetus with severe ascites. There was no apparent etiology, and although no tachycardia was evident, low dosage transplacental digoxin therapy was immediately initiated. The hydropic condition completely resolved within 17 days and at 39 weeks of gestation, a perfectly normal baby was born after a spontaneous and uneventful labor. This is the first report of successful treatment of idiopathic NIHF with maternal digoxin.

Administration, Oral↗
PubMed1995

Evaluation of combinations of procedures in cesarean section.

OBJECTIVE: To evaluate a procedure for cesarean section, consisting of a number of surgical techniques adopted from various sources and further developed. METHODS: The principal elements of the cesarean section procedure followed were: the Joel-Cohen method for opening the abdomen, suturing the uterus in one layer, and non-closure of the visceral and parietal peritoneal layers. The postoperative recovery of women who underwent this procedure (JCl--group) was compared with that of women who had undergone a Pfannenstiel incision, in which the uterus is sutured in two layers, and both peritoneal layers sutured (Pf2++ group). RESULTS: The incidence of postoperative febrile morbidity was 7.7% in the JCl--group compared with 19.8% in the Pf2++ group (P < 0.05). Adhesions were found in 6.3% of repeat operations after the JCl--operation compared with 28.8% after the Pf2++ operation (P < 0.05), and there was a non-significant trend toward fewer postoperative analgesics in the JCl--group. CONCLUSION: The cesarean section procedure we have devised is not only safe, but has a lower risk of long- and short-term complications.

Adult↗
PubMed1994

Conservative treatment with successful outcome of a triplet pregnancy after the miscarriage of one fetus in the second trimester.

Due to the increased availability of infertility treatment, multiple pregnancies, with various resulting complications have become more common. A woman in the 19th week of a triplet pregnancy came to the hospital after the miscarriage of one of the fetuses at home. In keeping with our philosophy of minimal intervention in childbirth, we treated the woman conservatively. After confirming that the remaining two fetuses were in good condition, the woman was released home under ambulatory observation, with no antibiotics or tocolytic drugs. No further complications developed, and the woman gave birth in her 31st week to healthy twin girls 82 days later. The successful outcome of this case demonstrates that non-interventional, conservative methods could be a feasible alternative to invasive intervention. We hope that our case will encourage more physicians to try out and report noninterventional methods, so that enough information could be gathered to help make correct management decisions in the future.

Abortion, Spontaneous↗
PubMed1992

[Anesthesia for cesarean section].

Of 684 parturients who underwent cesarean section between July 1985-August 1990, 371 (54.2%) were given epidural anesthesia; 50 (7.3%) required general anesthesia after a failed attempt at epidural anesthesia; and 5 (0.7%) underwent inadvertent spinal anesthesia because of dural penetration by the epidural needle. In 258 (37.7%) general anesthesia was decided on before operation. The intentional avoidance of spinal anesthesia for cesarean section in this university hospital is criticized.

Anesthesia, Epidural↗