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Biomedical subjects

E Frey

Publications and source records attributed to E Frey.

At least 55 records · Page 3Linked to original sources
PubMed1989

[The superego or conscience. On the difference between the 2 concepts and its significance for psychotherapy of children and adolescents].

Proceeding from the matter-of-fact equation of conscience to superego in recent psychoanalytical papers the author first describes the phenomenon of conscience which is subdivided in manifestations attributed to the good and the bad conscience. By means of the Freudian conception developing from egoideal via idealego to superego Freud's reception of conscience is examined. In this connection the author demonstrates an obvious onesidedness in Freud's use of the term of conscience which leans towards the accusing, punishing, bad conscience. Among Freud's successors, on the part of the psychology of the proprium, heed is paid to those aspects of conscience neglected by Freud, the implicit total aspect of the phenomenon of conscience, however, was lost. Finally the author discusses the double aspect of conscience, the good and the bad conscience, with respect to its impact on the psychotherapy of children and adolescents.

Adolescent↗
PubMed1988

Use of the barium enema in the diagnosis of necrotizing enterocolitis.

Necrotizing enterocolitis (NEC) is associated with considerable morbidity and mortality in infants. The diagnosis relies heavily upon radiographic and clinical features. Failure to accurately diagnose NEC is associated with a risk of complications and death, however overdiagnosis also causes both morbidity and mortality as well as excessive medical costs. This report documents the use of barium enema to evaluate suspected clinical or radiographic NEC in 31 premature infants with ambiguous clinical and radiographic signs. The enema was normal in 26 infants and no treatment for NEC was given. Only one of these infants developed signs of NEC subsequent to the examination. Five infants had radiographic evidence of colitis including small ulcerations, spasm, intramural extravasation of barium and mucosal irregularity. Two of the five positive cases are pathologically documented. The barium enema can represent a significant improvement in the specificity of the diagnosis of NEC. Its greatest value is in the exclusion of NEC in ambiguous cases.

Barium Sulfate↗
PubMed1988

Hippel-Lindau disease: MR imaging.

Hippel-Lindau disease is an auto-somal-dominant disorder characterized by tumors arising from the central nervous system and abdominal viscera. Because of its progressive nature, frequent multisystem radiologic evaluation of affected persons and family members at risk is desirable for early detection and treatment. During a 2-year study, magnetic resonance (MR) imaging of the head, spine, and abdomen was used for screening and follow-up in 26 members of nine families with the disease. In addition to 13 previously diagnosed cases, five cases were newly diagnosed during the study. Lesions causing significant morbidity and mortality--such as cerebellar and spinal cord hemangioblastoma, renal cell carcinoma, and pheochromocytoma--were correctly depicted with MR imaging, sometimes before symptoms had developed and before the lesions could be seen with other imaging modalities. Central nervous system abnormalities were most clearly shown, but MR imaging also adequately demonstrated abdominal visceral abnormalities. It is therefore highly useful in the diagnosis and follow-up of Hippel-Lindau disease.

Adolescent↗
PubMed1988

[Carotid endarterectomy: an intervention not without risk].

The authors report the result of 141 carotid endarterectomies, 6 of which were done for total occlusion, performed on 128 patients (97 men and 31 women). Mortality was 4.9%, decreasing to 2.9% after a more rigorous selection of the patients. Morbidity was 11.3% without evolution along the years and local complications were 12%. 83 patients were controlled with ultrasounds from 12 to 123 months after operation (mean delay: 50.6 months). There were 15% of more than 50% restenosis and 7.6% of occlusions. These results are compared with those of literature. They make the necessity of endarterectomy very controversial. At the moment, as long as the results of randomised multicenter studies are not known, each case must be thought of very cautiously before deciding any operation.

Adult↗
PubMed1988

[Carotid endarterectomy: long-term ultrasonic evaluation].

Among 128 patients operated for atherosclerosis of the internal carotid artery, 83 (59 males, 24 females, mean age 64 years) were controlled by Doppler ultrasonography, spectral analysis and Duplex. They had been submitted to 86 endarterectomies and 5 operations for total occlusion. In 23 cases, the stenosis was asymptomatic. The delay between operation and control varied between 12 and 123 months (mean follow-up: 50.6 months). 75 patients remained asymptomatic, whereas 8 suffered TIAS. Ultrasound examinations revealed 57 normal arteries or with thickened walls (62.6 p. 100), 9 stenoses less than 50 p. 100 (10 p. 100), 14 stenoses more than 50 p. 100 (15 p. 100) among which 8 were reoperated and 11 occlusions (4 failures of desocclusion and 7 postoperative occlusions: 7.6 p. 100). Recurrent stenoses occurred more frequently in females, mean age lower than in the whole group, as has been already reported. They determined minor symptomatology (vertebro-basilar insufficiency in 2 cases, TIA in 1 case). Three postoperative occlusions were acute and gave rise to a severe neurological deficit, whereas the other ones remained generally asymptomatic. These results are compared to reported series. Ultrasonography is a technique of choice to follow endarterectomised patients. The high rate of recurrent stenoses after endarterectomy raises questions about endarterectomy.

Adult↗
PubMed1986

Cine CT diagnosis of pulmonary artery sling.

This report documents the use of a Cine CT scanner for documentation of pulmonary artery sling. The examination can be carried out on outpatients and involves only a peripheral venous contrast injection. Excellent visualization of the anatomy is obtained.

Cineangiography↗
PubMed1983

[Epidemic leg myalgia: a complication of influenza-like infections].

Following an influenza-like illness four patients developed severe pains in the calf muscles. All patients showed elevated levels of serum-creatinin-phosphokinase (CPK) and Coxsackie-B-virus-titers; with the exception of electromyographic abnormalities the other laboratory findings were normal. Because of the diagnosis, myalgia cruris epidemica, only symptomatic treatment was performed. Differential diagnostic and aetiological aspects are discussed.

Blood Sedimentation↗
PubMed1983

[Elevated prolactin reserves in gonadal dysgenesis and agonadism].

Prolactin-reserve before and after TRH-stimulation was studied in 12 patients with gonadal dysgenesis and 2 children with agonadism. 7 patients (50%) had moderately increased basal PRL levels and 13 (93%) showed exaggerated PRL-responses to TRH at 30 min. The increased prolactin-reserve was independent of age and karyotype of our patients. Cause and significance of this observation remains to be clarified. It is speculated that elevated PRL-levels could be only a side-effect of hypergonadotropism in hypo- and agonadal subjects.

Adolescent↗
PubMed1977

[Prevention of postoperative thrombo-embolism by heparin/dihydroergotamine (author's transl].

Using the radiofibrinogen test and perfusion lung scanning (2-phase pharmacoscintigraphy), the incidence of postoperative thrombosis and pulmonary embolism was determined in a group of 362 operated patients. Low-dose heparin administration (twice 5000 IU daily) was given to 162, combined heparin and dihydroergotamine administration (5000 IU heparin and 0.5 mg dihydroergotamine daily) to 150, while 50 patients received no prophylactic treatment. There was a significant decrease in thrombo-embolism in the heparin/DHE group (8.7% deep-vein thrombosis; 2.7% pulmonary embolism) compared with the heparin group (19.8% and 5.5%, respectively) and the control group (30% and 14%, respectively).

Adult↗