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Biomedical subjects

E Josse

Publications and source records attributed to E Josse.

7 recordsLinked to original sources
PubMed1991

[Psychiatric intervention in a medical hospitalization unit admitting HIV positive patients].

Description of the intervention of psychiatrists with HIV positive hospitalized patients. An analysis of 26 cases over a six-months period. Attention is drawn on the following characteristics: 1) limited extend of the psychiatrist's intervention when the medical team is organized as to allow the patient's psychological support (psychologists participating to the "staff", supervision by an independent psychiatrist); 2) specificity of the psychiatrist's intervention in such a context, which relate to: a) the differential diagnosis between psycho-organic syndromes and major emotional disorders, b) in difficult cases, the definition of the therapeutical scope; 3) necessary search for a more adapted support of male patients admitted for psychosocial reasons and especially for addicted patients.

Adult↗
PubMed1987

An outbreak of serious Klebsiella infections related to food blenders.

An investigation, including environmental sampling, was undertaken after four leukaemic patients on the same hospital ward developed serious infections with Klebsiella aerogenes, capsular type K14. The source of this organism, common to all four patients, was found to be a food blender used for preparing milk-based drinks on the ward.

Aged↗
PubMed1983

[Operative risk in repeated heart valve replacement].

Eighty three patients aged 7 to 74 years underwent 92 repeat valve replacement procedures on one or more valve prostheses (100 repeated valve replacements). Reoperation was performed for: dysfunction of a mechanical prosthesis (21%), degeneration of a bioprosthesis (13%) progressive prosthetic valve endocarditis (7%), aseptic or sterilised post-endocarditis perivalvular leak (39%), systemic complications (haemolysis or repeated embolism) (20%). Global hospital mortality (30 days) was 12%. Statistical analysis showed three factors were associated with increased operative risk: severe symptoms (Class III or IV) (mortality: 20% compared to 0%, p less than 0,001), emergency reoperation (mortality: 25% compared to 4%, p less than 0,01) and reoperation for a "high risk" indication (dysfunction of a mechanical prosthesis or progressive endocarditis) (mortality: 33% compared to 3%, p less than 0,001). These three factors reflect either the gravity of the complication or the severity of preoperative cardiac failure. On the other hand, when reoperation is carried out at an early stage, mortality is low, the same as that associated with primary valve replacement. The operative risk, therefore, appears to be related to the preoperative cardiac state and not to the technical surgical problems of reoperation. These results underline the necessity of preventing serious acute complications such as acute prosthetic valve thrombosis and endocarditis, and or reoperating chronic complications as soon as possible after diagnosis.

Adolescent↗
PubMedDate not supplied

[Integrated care of HIV-seropositive patients: liaison psychiatry revisited].

Psychiatric, psychologic and psychotherapeutic care of HIV patients is integrated inside a specific medical institution. The psychological representations that AIDS mobilizes pervade the intense medical relationship between internists, nurses and the HIV patients. This relationship becomes the central node for the differentiation of psychologists and psychiatrists function inside the team. We propose here three different functions: the bio-psycho-social integrated care of the patients; the "binding" of psychical representatives inside the HIV patient who is in a death process; the binding of the representatives disseminated inside the medical team by the patient.

Comprehensive Health Care↗