Investigation of sudden deaths from myocardial ischaemia.
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Biomedical subjects
Publications and source records attributed to B Knight.
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An unusual suicide is described where the deceased, a schizophrenic young man in perfect physical health, deliberately injected himself subcutaneously with snake venom, by means of a syringe. The circumstances, autopsy findings and laboratory investigations are recorded.
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Though the child abuse syndrome is usually considered to have been first described in the middle of the present century, references to child abuse occur throughout history and in the 19th century, detailed descriptions were published in the French medical literature.
Fluorescent microscopy is amongst the many techniques devised for the post-mortem detection of early myocardial infarction. The method has the advantage of sensitivity, speed and simplicity, compared with more complex techniques such as enzyme histochemistry and electron microscopy. Disadvantages include the difficulty of permanent preservation of the sections and lack of sharp differentiation between normal and very early infarction--though the latter problem is common to most other methods, except enzyme histochemistry. There are two main techniques in fluorescent microscopy: The examination of sections specifically stained by fluorochrome dyes; The re-examination of haematoxylin-eosin sections for 'autofluorescence'.
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This literature review discusses therapy with the aged person in the community. The discussion is based on the literature published since Rechtschaffen's review in 1959 [1]. The elderly are not receiving mental health services in proportion to their representation in the population or in proportion to their estimated need for such services. Major barriers to the utilization of such services by the aged are the prejudices of care providers, the poverty of the aged, and the lack of public commitment to the provision of services to this special population. A summary of the literature on the goals, content, and techniques of psychotherapy with the elderly client is presented and supports the conclusion that this therapy is different from similar work with the younger adult only in terms of a focus on different content areas. The potential contribution of behavior therapy to treatment programs for the elderly is discussed.
The literature in mental health and aging has long argued that the presumably negative attitudes of therapists toward the aged are a major barrier to the aged receiving psychotherapy services. This investigation compared two measures of attitudes in a college student sample in order to test the reliability and validity of two commonly used measures of attitude in the general population. The same scales were then used in a sample of sixty-six mental health workers. The results suggest that Likert ratings and semantic differentials, although tapping a common dimension, differ in sensitivity to personal experience with the aged, that therapists had more positive beliefs about the elderly than did college students, and that therapist attitudes were not correlated with either proportion of elderly clients seen or desire to work with elderly. Work site emerged as an important predictor of numbers of elderly seen by therapists. It is argued that future research ought to focus on systems level variables in seeking to overcome barriers to therapy.
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