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Biomedical subjects

C J Rabiner

Publications and source records attributed to C J Rabiner.

At least 19 recordsLinked to original sources
PubMed1987

"Doom anxiety" and delirium in lidocaine toxicity.

Of 15 patients with psychiatric reactions to lidocaine, 12 (80%) had mood changes, 11 (73%) had "doom anxiety," eight (53%) had overt confusional states, and six (40%) had hallucinations and delusions. The authors contend that morbid fears of impending doom or the belief that death has occurred are specific manifestations of lidocaine toxicity and may be mistakenly attributed to "understandable" fears about death during the course of recovery from a myocardial infarction on the coronary care unit.

Aged↗
PubMed1986

Outcome study of first-episode psychosis. I: Relapse rates after 1 year.

One-year relapse rates were assessed in a group of 64 patients diagnosed by Research Diagnostic Criteria who were hospitalized for their first psychotic episode. Life-table analysis showed that of the 51 remitted patients, 71.4% of the schizophrenic patients (N = 20), 71.4% of patients with affective disorders (N = 10), and 77.8% of patients diagnosed as having either unspecified functional psychosis or other psychiatric disorder (N = 7) remained in remission at 1-year follow-up. Factors associated with relapse or poor outcome (patients who remained in episode) included no maintenance medication, longer duration of illness, and premorbid asociality.

Adult↗
PubMed1985

The Cognitive Deficit subscale of the SCL-90-R and prediction of outcome in first episode schizophrenics.

This study examined the relationship between the Cognitive Deficit scale and psychiatric outcome in a sample of 31 first episode schizophrenics. These patients initially were evaluated during their inpatient hospitalization and thereafter assessed for psychiatric symptomatology at 3-, 6-, and 12-month intervals. At the end of 12 months, 51.6% of the sample were in remission, and 48.4% either remained in their psychotic episode during the follow-up period or relapsed. However, the two Cognitive Deficit scores obtained at baseline showed no relationship with subsequent outcome of psychiatric illness. It is suggested that this scale may not be sensitive enough to be used as a diagnostic tool with this group of patients.

Adult↗
PubMed1983

Reluctance to readmit psychiatric patients.

Psychiatric patients whom staff on an inpatient service were reluctant to readmit were compared to all other patients about whom no such reservations had been expressed. The former group revealed a much greater number of readmissions and a greater proportion of males. Although no statistically significant differences in diagnoses were found, there tended to be a greater proportion of patients with personality and affective disorders and a lesser proportion of those with neurotic and other disorders in this group. There was agreement among clinicians that patients with antisocial and aggressive personalities were difficult to treat, resulting in staff reluctance to readmit them. Marked disagreement about readmitting other patients who did not respond well to treatment efforts indicated differing tolerance among clinicians and also different attitudes toward, and philosophies of, treatment of difficult chronic patients. These data raise further questions concerning factors contributing to chronicity and poor prognosis in psychiatric patients. Recent work indicates that consideration should be given not only to individual characteristics of patients but also to the contribution of the characteristics and attitudes of their families, mental health professionals, and programs in the maintenance of chronicity.

Antisocial Personality Disorder↗
PubMed1978

Congregate living for the mentally ill: patients as tenants.

The authors describe an apartment-living project for chronic mental patients released from the Hillside Division of the Long Island Jewish-Hillside Medical Center. The apartments, which are rented by the hospital and sublet to the patients, are located in modern, well-maintained high-rise buildings within commuting distance from the hospital. To avoid creating a psychiatric ghetto, the project rents no more than two apartments in buildings of a hundred or more units. The hospital was able to rent the apartments by assuring the landlords that the hospital would be a financially responsible tenant and that staff would be in continuing contact with the patients, would be available to the landlords if problems arose, and would remove troublesome tenants. Some of the problems encountered by the patients in the program are described, as are guidelines for selecting those who have a reasonable chance of benefiting from such a program.

Adult↗
PubMed1977

Fluphenazine decanoate, fluphenazine hydrochloride given orally, and placebo in remitted schizophrenics. I. Relapse rates after one year.

In a simple remitted, nonpsychotic schizophrenics, the relapse rate within one year was significantly higher for those patients taking placebo as opposed to those taking fluphenazine hydrochloride orally or fluphenazine decanoate. There were no differences in relapse rates between the two active drugs, but there were significantly more terminations due to toxicity from fluphenazine decanoate than from pluphenazine given orally, entirely due to the fact that in 35% of patients receiving fluphenazine decanoate, severe akinesia developed.

Acute Disease↗
PubMed1977

Three types of paranoid processes.

In classical descriptive psychiatry the term 'paranoid' is often used ambiguously -- referring to a variety of clinical processes which should be more clearly differentiated. Specifically, in this paper, we have differentiated three distinct sets of clinical phenomena all usually lumped together as 'paranoid': 1. Paranoid from a Sense of Guilt, 2. Paranoid from a sense of Low Self-Esteem, and 3. Paranoid from a Sense of Persecution. These three processes are distinct descriptively, dynamically and genetically. Further, this differentiation is most significant pragmatically as the treatment is different for each type.

Central Nervous System Stimulants↗
PubMed1976

Analogical reasoning and postoperative outcome. Predictions for patients scheduled for open heart surgery.

We investigated whether postoperative outcome of open heart surgery is related to preoperative cognitive dysfunction. Patients ill enough to require open heart surgery frequently have gravely compromised circulation and, hence, possible brain damage. The Conceptual Level Analogy Test (CLAT), a new, rigorously constructed analogy test, was used to measure cognitive dysfunction. The results indicated that the CLAT, aministered preoperatively to open heart surgery patients, differentiated between patients having different types of postoperative outcome. A significant relationship between type of surgical procedure and poor postoperative outcome was also found; cardiac valvular surgery patients had significantly worse outcome than coronary bypass surgery patients. The incidence of good outcome (survival with no psychiatric complications) was 28% for cardiac valvular surgery patients with extremely poor preoperative CLAT scores, but 74% for valvular surgery patients with higher preoperative CLAT scores.

Cardiac Surgical Procedures↗
PubMed1976

Psychopathology observed on follow-up after coronary bypass surgery.

Forty-six of 51 coronary bypass patients whose inhospital postoperative adjustment was reported earlier, were studied about 18 months postoperatively. In addition, 32 of 46 cardiac valvular surgery patients were seen as a comparison group. The incidence of postoperative psychiatric symptoms observed in the hospital, eight of 51 (16 per cent), and on follow-up, seven of 46 (15 per cent), was very similar; however, the patients who had these psychiatric symptoms comprised two almost entirely different groups. There were no indications that patients who developed psychiatric symptoms in the immediate postoperative period than patients asymptomatic postoperatively. There was a significant relationship between preoperative psychiatric illness and symptoms in the follow-up period.

Aged↗