Biomedical subjects
Publications and source records attributed to E Gammon.
A rare blood type, Oh "Bombay," was observed in a 30-year-old Indian primigravida. The genetic mode of inheritance is discussed. The obstetric management, with anticipation for the need for blood transfusion, is outlined and the use of autotransfusion for patients with rare blood type is emphasized.
Depressive illness can be severe, debilitating, and life threatening, but it often responds well to medication. The appropriate agent and dosage depend not only on accurate diagnosis of the type of depression present but also on the age of the patient, previous response to various medications, concurrent medical conditions, other medications being taken, and potential side effects of the antidepressants being considered for treatment.
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Treatment attrition in a psychiatric outpatient department was evaluated. Of eighty-two consecutive new patients, fifty-three (65%) showed up for a second appointment while twenty-nine (35%) failed to return. None of the demographic variables or specific categories of patient requests differentiated continuers from non-continuers; nor was attrition significantly influenced by feeling one's problems were understood, symptomatic improvement or receiving the kind of intervention originally desired. Treatment continuers were more likely to have been referred by other hospital clinics or psychiatric care facilities, and more often had previous outpatient contact, but these differences did not reach statistical significance. The only outcome measures significantly related to continuation were: perceiving one's feelings understood in the initial session, feeling satisfied with the interview, and planning to return for the next appointment. Theoretical and practical implications of these findings are discussed.
Increasingly recognized as a major medical health problem, non-compliant patient behavior remains on e of the least understood and most frustrating phenomena facing today's physicians. Although no single characteristic of behavior adequately defines the potential non-complier, a variety of factors raises the index of physician suspicion. This papaer examined four general categories affecting non-compliant behavior: patient factors, illness factors, therapeutic regimen factors, and physician-patient interaction factors. Based on these elements, a set of management implications is defined and discussed as possible deterrents to non-compliant behavior.