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Biomedical subjects

R Clermont

Publications and source records attributed to R Clermont.

9 recordsLinked to original sources
PubMed1995

Parental reaction and adaptability to the prenatal diagnosis of fetal defect or genetic disease leading to pregnancy interruption.

The objective of the study was to evaluate the psychological reaction of two groups of parents to a pregnancy termination after they had undergone a prenatal diagnostic procedure. The analysis involved interviews with a study group of 76 patients who were at risk of giving birth to a child with a genetic disease or defect and a comparison group of 124 who had a pregnancy termination after a major anomaly had been detected by routine ultrasound and who were not at known risk for a genetic disease. Only patients in the study group had received counselling before the prenatal diagnosis and were aware that the fetus could be affected. The overall reaction of the comparison group was one of shock, denial of fetal abnormality, and guilt over 'abandoning the fetus'. A feeling of guilt was expressed by patients in the comparison group (73 per cent versus 29 per cent) in the period immediately following the interruption. One-third of patients in both groups felt obliged to undergo a therapeutic abortion. More patients in the study group than in the comparison group expressed the need to see a psychiatrist at the time of the study (19 per cent versus 7 per cent) and viewed future pregnancies as a replacement for the lost pregnancy (63 per cent versus 19 per cent). The recommendations of the study focus on information sessions to personnel, nursing support, analgesia during the expulsion period, an atmosphere of respect that should be present at the time that the fetus is viewed, the anticipation of mourning, and the long-term follow-up of the couple to ensure that counselling for future pregnancies and psychological support are provided when needed.

Abortion, Therapeutic↗
PubMed1989

More on RCTs.

Explore the source record for details and available documents.

Allied Health Personnel↗
PubMed1986

Language functioning after bilateral prefrontal leukotomy.

Three groups of patients with orbital frontal lesions secondary to leukotomy were compared to psychiatric and normal control groups on a series of tasks involving language. The results indicated that chronic orbital frontal lesions, at least in the patients in this study, do not affect language as defined by the tasks used in the study. The frontal lobes, when implicated in language, appear to require dorsal-lateral or medial cortical involvement.

Aphasia↗
PubMed1982

[Intestinal bilharziasis in Quebec tourists: parasitologic and diagnostic aspects].

Intestinal bilharziasis (or schistosomiasis) is becoming more and more frequent among Canadian travellers who come in contact with natural soft waters in tropical countries. The clinical signs accompanying contamination, the prodrome and the chronic phase are inconstant, but eosinophilia is often the warning sign, and specific seroparasitologic findings suggest the diagnostic investigation, Five tourists from Quebec became infected while travelling in Martinique. The clinical, parasitologic and serologic features that led to the diagnosis are described. The prodome (a flu-like syndrome with eosinophilia) is underlined. Treatment with niridazole was effective, as confirmed by the absence of Schistosoma mansoni eggs (or the presence of dead eggs) in specimens from rectal biopsies performed subsequently.

Adult↗
PubMed1979

Lidocaine plasma concentrations during and after endoscopic procedures.

Plasma lidocaine concentrations were intermittently measured in 8 upper gastrointestinal endoscopy and 12 bronchoscopy patients. The highest individual concentration was 0.98 microgram/ml in the upper gastrointestinal endoscopy patients and 3.79 microgram/ml in the bronchoscopy patients. Highest concentrations were reached at 15 minutes in the gastrointestinal endoscopy patients and at 30 or 60 minutes in the bronchoscopy patients. Thus, since lidocaine does not produce toxic effects at concentrations inferior to 6 microgram/ml, doses of this topical anaesthetic up to 16 mg/kg can be safely given during endoscopic procedures to patients with normal hepatic and cardiovascular functions. However, patients with liver metastases should be considered at high risk even if their liver function tests are normal. Patients at high risk of developing lidocaine toxicity should receive lower doses and be closely watched for at least 60 minutes after the end of the procedure.

Anesthetics, Local↗
PubMedDate not supplied

A celebration of cultures in a long-term care facility. A day of cultural awareness may help staff and residents forge stronger relationships through greater understanding.

Cultural interaction is older than the spice route. Groups of people require little encouragement to share "how we do things back home," as well as favorite foods, customs, and beliefs. This interchange is important in decreasing myths and stereotypes that occur between cultures. Identification of differences is an essential as the discovery of how people are alike. The acknowledgement of sameness promotes unity, but recognition of differences promotes cooperative effort. There is enormous strength in cultures working together, supplementing the limitations and talents of each other. This celebration of cultures was our attempt to encourage staff-resident interactions and strengthen relationships among staff, residents, and all departments. Although several years have passed, staff still speak of Cultural Awareness Day as having been a positive force in promoting good relationships. The day provided entertainment and valuable lessons for all.

Aged↗