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Biomedical subjects

S Bloch

Publications and source records attributed to S Bloch.

211 records · Page 12Linked to original sources
PubMedDate not supplied

Family grief therapy: a preliminary account of a new model to promote healthy family functioning during palliative care and bereavement.

The family is usually the primary provider of care for the terminally ill patient with cancer or other serious progressive illness. The way in which such a family functions is a major determinant of psychological well-being for its members. Through screening with the Family Relationships Index (FRI) (Moos and Moos, 1981), dysfunctional families and those at risk can be identified, and then helped to achieve better family functioning, thus improving psychosocial outcome of their grief. In this paper, we describe the techniques and themes involved in the application of our empirically developed model of family grief therapy, designed as a preventive intervention for use in the setting of palliative care and bereavement.

Adaptation, Psychological↗
PubMedDate not supplied

A qualitative analysis of emotional effector patterns and their feedback.

This paper is devoted to the study of the relationship between the subjective component (feelings) and the behavioral aspect of emotions. The following emotions were studied: fear-anxiety, anger-aggression, joy-laughter, love-eroticism, love-tenderness, and sadness-tears. The observations were performed with three different groups of people: patients with anxiety neurosis, students under hypnosis, and drama students. Each emotion was characterized by a specific set of reactions in the respiratory pattern, heart activity, muscular activity, and facial expression. The feelings were correlated with the behavioral patterns and each time the behavioral patterns were interfered with a concomitant modification of the subjectivity component was observed. The direct performance of the behavioral emotional patterns in the absence of the emotogenic stimulus produced the feeling corresponding to the mimicked emotion. If the subjects were stimulated with an emotogenic stimulus during the direct performance of the behavioral patterns of another emotion, they confessed to have the feeling corresponding to the mimicked emotion, and not to the emotion belonging to the emotogenic stimulus. The role played by the feedback from the effector organs in the determination of the subjective emotional states is discussed.

Adolescent↗
PubMedDate not supplied

Cerebrovascular evaluation: assessment of Doppler scanning of carotid arteries, ophthalmic Doppler flow and cervical bruits.

In 38 patients who underwent cerebrovascular evaluation followed by angiography the Doppler ultrasound scanning technique was found to be an excellent screening procedure for detecting marked stenosis (greater than 50%) or occlusion of the internal carotid artery (93% correlation). It is noninvasive, easily reproducible and can be performed by a qualified technician. The major problems are: the inability to detect ulcerated plaques without marked stenosis, the requirement for patient cooperation (lying still for periods of 15 minutes), and the fact that it assesses only the extracranial circulation. Screening with just the directional ophthalmic Doppler flow signal yielded a high percentage of false negatives (13%). The presence of a cervical bruit may indicate an underlying stenosis of the internal carotid artery, but may also be due to stenosis of the external carotid artery or other factors such as increased blood flow, vessel tortuosity, etc. (12% false positives). Absence of a cervical bruit does not exclude internal carotid artery disease (ulcerated nonstenotic plaque or occlusion).

Arterial Occlusive Diseases↗
PubMedDate not supplied

Can patients safely read their psychiatric records? Implications of freedom of information legislation.

OBJECTIVE: To assess how suitable psychiatric medical records are for access by patients. DESIGN: We examined a random selection of psychiatric records to identify features which we thought might be confusing or injurious to a patient reading his or her own record. RESULTS: Potentially offensive, alarming or upsetting entries were found in most records. CONCLUSION: Clinicians need to take care in recording information in medical records lest patients be adversely affected by the experience of reading their notes. Access should always be arranged in conjunction with a medical supervisor.

Adolescent↗
PubMedDate not supplied

[Apolipoprotein B and LDL cholesterol: which parameter(s) should be included in the assessment of cardiovascular risk?].

High level of plasma apo B lipoproteins is a risk factor for coronary artery disease. However, which lipid parameters should be routinely assayed is a question still in debate. For this purpose, the authors have studied issues since 1992 comparing predictive and discriminative values of LDL-cholesterol and apo B in order to assess coronary artery disease. Indeed the respective advantages of these markers were still being discussed after an exhaustive review had been completed in 1992. Despite the number of the debates, none of the few studies about this topic rise any decisive arguments. In conclusion it is proposed that a true comparison of the predictive values of LDL-cholesterol and apo B should be carried out before making definitive recommendations concerning their clinical utility.

Apolipoproteins B↗