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Biomedical subjects

S Menahem

Publications and source records attributed to S Menahem.

107 records · Page 6Linked to original sources

The psychologically orientated pediatrician and the provision of psychoanalytic psychotherapy.

The experiences of a consultant pediatrician attempting to introduce into his practice an additional mode of treatment that he wished to offer to some of his patients, namely psychoanalytical psychotherapy, is described. Having previously operated successfully as an analytic psychotherapist with patients referred to him by a child psychiatrist, he attempted to function formally as an analytic psychotherapist with selected patients from his own pediatric practice. However, this significant change of role was not accepted by the children and their parents. Reasons are looked for to explain this finding, the significance of which may be of importance to pediatric practice in general and may have wider implications in the whole area of the doctor/patient relationship.

Adolescent↗

Complications arising from ritual circumcision: pathogenesis and possible prevention.

Over a period of six years, five seriously ill infants were referred with complications arising from ritual circumcision performed by nonphysicians. Four infants developed systemic infections; in three of them, including one with early meningitis, there was septicemia. The common predisposing factor was an excessively tight dressing over an infected penile wound, leading to urinary retention, urinary tract infection and septicemia. In the fifth infant, the glans had been partially amputated and required a suture; a second dressing tightly applied to control the bleeding was removed without subsequent problems. To prevent the above complications, careful attention should be paid to the baby's voiding within the first 6 to 8 h after circumcision. In addition, it is suggested that all dressings should be removed, or at least replaced, on the day following circumcision, when the likelihood or primary hemorrhage has passed. These two simple maneuvers may avoid the above-mentioned complications.

Bandages↗

Why colic?

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Adult↗

The crying baby--why colic?

All babies cry, but the mother unable to satisfy her infant's distress may experience doubts as to her own mothering ability. Yet 'colic' is often used to explain away many problems of the infant. But to accept such a diagnosis denies mother and infant help at this difficult time.

Colic↗

The deaf child.

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Australia↗

Mitral valve replacement for severe mitral regurgitation in infants with anomalous left coronary artery from the pulmonary artery.

Infants with anomalous left coronary artery from the pulmonary artery (ALCAPA) may present with heart failure, mitral regurgitation, and dilated cardiomyopathy. Reestablishment of a two coronary artery system markedly improves the morbidity and mortality. However, the mitral regurgitation may continue to deteriorate despite surgical correction of the ALCAPA because of previous ischemic damage to the papillary muscles and chordae. Surgical intervention, including mitral valve replacement, may be required even during infancy. We present two infants with ALCAPA who required early mitral valve replacement for severe mitral regurgitation and have done well subsequently.

Coronary Vessel Anomalies↗

Common pulmonary vein atresia: a diagnostic and therapeutic challenge.

Following Doppler echocardiographic evaluation, a 16 hour-old infant underwent successful surgical repair of common pulmonary vein atresia. Investigations for prolonged postoperative ventilatory assistance, including cardiac catheterization and computerized tomography, led to a clinical diagnosis of associated pulmonary lymphangiectasia. Although this has caused continuing tachypnoea, at 16 months of age, he remains otherwise well but with an uncertain prognosis.

Cardiac Catheterization↗

Device closure of an atrial septal defect following successful balloon valvuloplasty in a neonate with critical pulmonary valve stenosis and persistent cyanosis.

Persistent cyanosis after successful balloon valvuloplasty for neonatal critical pulmonary valve stenosis is often related to poor right ventricular compliance and right-to-left shunting at the atrial level. A successful catheter closure of an atrial septal defect was performed with a dramatic increase in systemic oxygen saturation alleviating the need for a surgical systemic-to-pulmonary artery shunt.

Catheterization↗

Conservation-withdrawal reaction in infancy? An underdescribed entity.

Conservation-withdrawal is considered a biological non-pathological process subserving survival in circumstances which pose an extreme threat to an infant, child or adult. Although initially described in an infant, is reported frequency in that age group seems sparse. Four infants are described, three of whom presented with weight loss. Despite their mothers' assertions that their breast feeding was adequate, the three infants gained weight rapidly on complementary feeding and became more responsive. Previously they had passively accepted sub-optimal intakes, crying little and sleeping excessively. When their initial crying and objection went unheeded, they seemed to pass into a conservation-withdrawal state, conserving their energies, biologically adapting to their mothers' inability to provide adequate nutrition. These infants did not appear ill and investigations proved normal. With adequate feeding, rapid improvement was observed in their weight gain, activity and responsiveness with normal development. Their mothers' selective denial of their own inadequate breast supply resulted in their inability to perceive their infants appropriately, depriving them of their nutritional needs. Additional factors of emotional deprivation and neglect may have occurred in the fourth infant. The responses of these infants observed during their period of severe stress, may appropriately be characterised by Engel's conservation-withdrawal state.

Breast Feeding↗