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Biomedical subjects

B Mahendra

Publications and source records attributed to B Mahendra.

16 recordsLinked to original sources
PubMed1994

Bilateral scrotal urinary extravasation in a transplant recipient mimicking acute filariasis.

Urinary leak following renal transplantation is less common nowadays with better techniques. Bilateral scrotal extravasation following urinary leak is extremely rare. A history of filariasis in an endemic zone could mask and delay the diagnosis. One such case is described wherein ureteroneocystostomy was revised and the patient could be successfully managed following urinary leak.

Acute Disease↗
PubMed1985

Subnormality revisited in early 19th century France.

The generally accepted view that there was neglect of the study of mental handicap before the early 19th century is disputed. It is shown that interest in defect appears to have been evinced several centuries before. The later resurgence of interest is traced to demographic, socio-economic and philosophical changes, and therapeutic advance.

France↗
PubMed1984

Some ethical issues in dementia research.

The ethical problems associated with dementia have been thrown into focus by the ageing population. The elderly form a disadvantaged group in society and the author wonders if it is morally justified to pursue research into ways of arresting pathology without concomitant attention being paid to the quality of life of the surviving elderly. Precise diagnosis of dementia requires invasive, and potentially injurious, brain biopsy. Recent thinking has pointed to some of the advantages of biopsy. The question of consent in a patient with impaired mental function has to be borne in mind. As for the special ethical problems associated with Huntington's chorea, it is argued there is no justification for withholding information from, or for authoritarian direction of, patients and 'at risk' relatives but the importance of full discussion before undertaking predictive procedures is stressed.

Alzheimer Disease↗
PubMed1983

Erotomania in males.

In anglophonic countries erotomania has traditionally been regarded as a female disorder of little more than curiosity value. The French literature recognizes the disorder in males, but as a rarity. In a recently collected group of violent male offenders the syndrome proved to be fairly common. The offending behaviour was invariably triggered by the core symptom. A description is provided of four cases whose level of aggression was low but appeared to be directly related to the firmness with which the delusion of being loved was held. The disorder of these men can be regarded as a variant of one of the major functional psychoses, but for the purposes of predicting behaviour and management there may be advantages in treating it as a syndrome in a similar taxonomic category as that of morbid jealousy.

Adult↗
PubMed1977

Stress and the major psychiatric illnesses.

Sixty patients who had a major psychiatric breakdown following stress were studied. The mode of presentation of one group led to the suspicion of a reactive psychosis and comparison with the other group showed that in terms of the actual or threatened loss of an emotionally significant person, the temporal relationship between stress and illness and the distribution of vulnerable personalities, there was a significant difference between the groups. The sex ratio and frequency distribution for age were also suggestive. In view of the above and the known clinical course of the illness and comparison with the work of major workers in this field, it seems reasonable to believe that grounds exist for accepting the diagnosis of reactive psychoses in Sri Lanka.

Adolescent↗