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Biomedical subjects

B M Korsch

Publications and source records attributed to B M Korsch.

At least 19 recordsLinked to original sources
PubMed1991

Influenza type A and B infections in hospitalized pediatric patients. Who should be immunized?

Medical records of 99 hospitalized pediatric patients whose respiratory viral cultures yielded influenza type A or B during the winter of 1988/1989 were reviewed. We compared the records of patients considered to be at high risk (n = 43) with those of patients considered to be at low risk (n = 56) to determine differences in morbidity and mortality and if vaccination was warranted. Sixty-six percent of high-risk patients had chronic pulmonary disease. Forty-four percent of the high-risk and 11% of the low-risk patients were hospitalized for 14 or more days. Nosocomial influenza infections were identified in 14% of the high-risk and 4% of the low-risk patients. Four of the high-risk patients and only one of the low-risk patients were intubated. Of the three deaths, two occurred in the high-risk group. None of the high-risk patients who experienced significant morbidity had been immunized. We need to immunize high-risk patients, particularly high-risk pulmonary patients.

Cross Infection↗
PubMed1989

Parental opinions on treatment decisions for myelomeningocele infants: a descriptive study.

Parents of MMC patients have strong attitudes and beliefs on specific issues. They believed in the need to be involved in decisions regarding their children and felt strongly that their role was central and was important as that of the physician. They believed also in the importance of providing both medical and nutritional care to handicapped infants with a minimum of government intrusion.

Adolescent↗
PubMed1979

Renal retransplantation in children.

Evaluation of 75 cadaver donor retransplants revealed that the primary factor influencing allograft survival is patient responsiveness as reflected by sensitization with preformed cytotoxic antibodies. Actuarial allograft survival rates for nonpresensitized (less than 5%) and moderately presensitized (5 to 50%) recipients were significantly (P less than 0.01) better than those of highly presensitized (greater than 50%) recipients. Although HLA A&B antigen histocompatibility did not have a statistically significant effect on retransplant outcome, it appeared to influence allograft survival in the highly presensitized recipient. An approach to the management of children who lose an initial or subsequent allograft is indicated by these data.

Adolescent↗
PubMed1979

Attitudes and interpersonal skills during pediatric internship.

The initial phases of a program for analyzing interpersonal skills and attitudes and personal adaptation of pediatric interns at a high-pressure tertiary care hospital are described. Interns found internship stressful and less satisfying in many regards than they expected. They were often unable to cope adaptively with the stresses encountered. There were indications of worsening attitudes toward aspects of patient care. However, interns' confidence increased during the year. A videotape vignette test of interpersonal sensitivity showed no change in sensitivity from beginning to end of the year. Videotapes of interns' visits with clinic outpatients made at three points during the year also showed no improvement in interpersonal or communication skills or attention to psychosocial issues. While parents were generally satisfied with the visit, interns lacked skills in some of these areas. None of the data collected, including sex, marital status, and pre-admission rank by the selection committee, predicted end-of-year performance rating by the chief residents. Sex and marital status were also uncorrelated with measured skills and attitudes.

Adaptation, Psychological↗
PubMed1978

Noncompliance in children with renal transplants.

Fourteen patients (13 of them adolescents) interrupted immunosuppressive treatment following renal transplantation. Twelve were girls and two were boys. Six subsequently lost their allografts and eight had impaired renal function. Noncompliance was suspected when diminution in cushingoid features, unexplained weight loss, or changes in renal function occurred. Noncompliance was comfirmed by interview with psychosocial staff. Available psychosocial data from family interview and personality test obtained earlier as part of systematic follow-up study were analyzed to explore the reasons for noncompliance. Non compliant patient families had lower incomes, more fatherless households, and comunication difficulties within the family and with the medical establishment. Using a stepwise discriminant analysis, a discriminant function was derived which selected 13 of 14 noncompliant patients. Noncompliance may be a preventable cause of allograft failure. These data can aid in identifying high-risk patients and planning intervention programs.

Adolescent↗
PubMed1977

Long-term results of renal transplantation in children.

Of 81 children at risk for 5 to 11 yrs following an initial renal allograft, 62 (77%) are alive and 54 (67%) have a functioning allograft. Growth retardation remains a significant problem following transplantation in children; however, rehabilitation is excellent with 94% of recipients surviving with a functioning allograft engaged in age appropriate activities.

Adolescent↗
PubMed1976

The vulnerability of the medical student: posthumous presentation of L.L. Stephens' ideas.

L.L. Stephens described several critical issues in medical professionalization. The encounter with morbidity and mortality heightens the student's feelings of vulnerability. If he over-identifies with patients, he may suffer more and be unable to provide rational medical care. If he protects himself by dehumanizing patients, humane treatment suffers. Students have surreal perceptions of their responsibility for patients. Recognition of unconscious motivation may be troubling to students. Finally, there are emotional barriers to the recognition of psychosocial elements in disease. To optimize students' personal and professional functioning, medical training should deal with these concerns. Support can be provided by small continuing learning groups for students and clinical faculty, in which these issues, illustrated by videotapes of patient-student encounters and other clinical examples, are discussed in the context of providing comprehensive medical care. Support should continue during internship.

Attitude of Health Personnel↗
PubMed1975

Teaching interviewing.

Explore the source record for details and available documents.

Education, Medical, Undergraduate↗
PubMedDate not supplied

Psychological and social adjustment of obese children and their families.

The psychological and social adjustment of 30 obese children and their families was examined. Mothers completed the Child Behaviour Checklist and the Family Environment Scale; children completed the Self-Perception Profile for Children. The results consistently indicate that the obese children were less socially competent, had more behaviour problems, and had poorer self-perceptions than the non-obese normative samples. Families of obese children differed significantly from families in the non-distressed normative sample in that they interacted in a more negative way. The findings are discussed in terms of an 'at risk profile' and the implications for the behavioural treatment of obese children.

Adaptation, Psychological↗