Ninety patients with severe anorexia nervosa fulfilling DSM–III–R criteria were assessed in depth terms of their family developmental psychopathology and then randomly allocated to either one three treatment groups or no treatment. In regimes, a behavioural approach diet weight gain was coupled individual psychotherapy directed at the adolescent maturational problems. All regimes highly significantly effective year gain, return menstruation, aspects social sexual adjustment. Body weights...

We have studied the association of muscle strength (quadriceps, biceps, handgrip), measured by a portable chair technique, with functional status (Barthel Index, manual dexterity, Mental Test Score, history falls, fracture, prescribed drugs), in sample 92 elderly subjects attending Local Authority Day Centre and Hospital. Anthropometric measurements hand-grip were also 30 young controls. Muscle area, mass significantly greater Elderly men had than women. correlated several measures status....

While research has shown community-based psychiatric care to be as good as, or better than, hospital-based care, generalisation clinical practice been difficult. This prospective, randomised controlled study examined a approach feasible within NHS conditions. Ninety-four patients were randomly allocated experimental and 78 control treatments followed for one year. The groups well matched apart from an excess of psychotic patients. No differences in social functioning outcome found. Both...

The clinical characteristics of a consecutive series 36 male anorectics were compared with those similar 100 female cases. Social class background and mean age onset found to be as the majority features at presentation. Anorexia nervosa was associated diminished differences between sexes in terms physical, experiential behavioural directly related condition, general psychoneurotic characteristics. condition is one within which individual sadly reduced an existence rooted experience,...

<h3>Objective</h3> Depression and anxiety are up to three times more prevalent in cardiac patients than the general population linked increased risks of future events mortality. Psychological interventions for vary content often associated with weak outcomes. A recent treatment, metacognitive therapy (MCT) has been shown be highly effective at treating psychological distress mental health settings. This is first study explore qualitatively, rehabilitation (CR) patients’ experiences...

The notions of 'early-onset' and 'prepubertal' anorexia nervosa are reviewed, with particular reference to the role pubertal process within condition. A database 650 female cases is utilized identify a small sub-group (n = 30) who developed condition before menarche. Many clinical, familial, social precipitating factors distinguish this group from post-pubertal as whole, post-menarcheal 42) matched for age. An explanation previous inconsistent findings in advanced.

Acute renal failure (ARF) occurs in wide range of conditions, making the evaluation its prognosis a difficult task. Data regarding prognostic factors ARF general population developing countries are scarce. The objective study was to describe predictors mortality that relevant world. This prospective carried out over one-year period; all hospitalized adults with were included study. Predictors studied causes ARF, pre-existing diseases, and severity as well complications ARF. Of 33,301...

Social, demographic and clinical information was collected retrospectively on all 99 people referred to a South London hospital in 1986 under Section 136 of the Mental Health Act (1983), this being last complete year before local changes procedure for assessment cases were initiated. An over-represen tation Afro-Caribbeans confirmed seemed be accounted largely by young men age 30 who with Africans had very high rates previous referral, more likely perceived as threatening, incoherent...

Aerobic bacterial infections often complicate vascular access in patients receiving haemodialysis, leading to Catheter-Related Blood Stream Infections (CRBSI). Various studies report Gram - positive bacteria, Staphylococcus aureus (S. aureus) particular, as the most common aetiologic agent. Studies on microbiological analysis this subset of population from India are very few.To examine clinical and bacteriological profiles haemodialysis developing CRBSI, antibiotic susceptibility bacteria...

Summary This study examines clinical features of late onset anorexia nervosa. involved the scrutiny a large database patients with nervosa comprising data gathered at standardized initial assessments over period 1960–1990. Patients were compared to other selected patient samples. The population comprised 12 first or after age 30, 415 an 15 but before 20 and 9 matched for presentation group. Features studied included menarche, nervosa, presentation, duration illness, weight lowest adult...

Experience and behaviour in anorexia nervosa is subordinate to the need achieve maintain a low body weight presence of impulse, generated by starvation, forage ingest, moreover abundant food supplies. The stance phobic avoidance one. Normal adult attendant post-pubertal 'fatness' feared avoided through process pubertal regression, facilitated primarily dietary carbohydrate (and fat) avoidance, but otherwise less effectively vomiting/purging syndrome. maintenance this requires total...

Twenty-one percent of 246 consecutive female anorexics seen at a specialist clinic were married. Married and single adult (controlled for duration illness) compared on illness personal family background variables. Features similar in both groups, with only an equivocal excess bulimic habits married women. They differed, however, age onset anorexia nervosa background. women became anorexic significantly later than The families origin showed trend toward less conflict avoidance. enmeshed those...

We describe the design of a random allocation prospective treatment study comparing three modalities care and nontreatment control. Problems encountered in execution this are discussed.

The occurrence of renal allograft mucormycosis is uncommon, but its association with papillary necrosis has not been reported. We describe such an in a patient who survived on peritoneal dialysis after nephrectomy and antifungal therapy.

Family size, sex of siblings and birth order were examined in 225 bulimic patients normal weight, all stemming from the same circumscribed catchment area. Although bulimia can occur any size family, all-female sibships significantly over-represented. In small families at least, patient was highly likely to be only or eldest daughter. sibships, a who first-born more have younger sister; if second-born she an elder brother. Despite very large sample no final conclusion made on order.