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Biomedical subjects

E Rice

Publications and source records attributed to E Rice.

11 recordsLinked to original sources
PubMed1984

Cancer incidence at a hydrometallurgical nickel refinery.

Sherritt Gordon Mines Limited established hydrometallurgical nickel refining operations at Fort Saskatchewan, Alberta, in 1954. Records of workers with a minimum of one year's employment with Sherritt Gordon Mines were obtained and identification information as well as details of work history were collected and placed on computer. Cancer cases were identified by matching the study records with the computer listings of the Alberta Cancer Registry. Cancer deaths were verified utilizing record-linkage with death registrations of the Alberta Vital Statistics Division. The files of the Alberta Health Care Insurance Commission were used to ascertain the vital status of past employees of Sherritt Gordon Mines Limited. Among the 993 employees in the nickel refining and maintenance groups at Sherritt Gordon Mines, 30 cases of cancer were identified occurring at 13 diagnostic sites. No neoplasms of the nasal cavities or paranasal sinuses were found in the study population. Two cases of lung cancer were detected among maintenance workers. A single case of renal-cell cancer was diagnosed in the nickel-exposure category as well as in the maintenance group. None of the observed-to-expected cancer incidence ratios at the various diagnostic sites were statistically significant at the p less than 0.05 level.

Adult↗
PubMed1979

Computerized tomography in hereditary nonprogressive chorea.

A 56-year-old woman had a 50-year history of childhood-onset chorea without progressive neurologic deficit. The patient's father had a lifelong extrapyramidal disorder characterized by a head-nodding tremor and involuntary movements especially evident with anxiety. The computerized tomographic scan was normal, without evidence of cortical or caudate atrophy. The computerized tomographic scan supports the notion of a functional rather than a structural lesion, and may aid in the discrimination of hereditary nonprogressive chorea from more devastating forms of hereditary chorea.

Adolescent↗
PubMed1978

A computer system for clinical microbiology.

The Department of Clinical Microbiology at St Thomas' Hospital has been producing bacteriological reports on a computer for more than three years and is now producing some 2300 reports per week. The system is operated entirely by laboratory staff without special training, and involves the use of optical mark reader (OMR) forms as worksheets, automatic validation and release of most reports, the use of local terminals, and scrutiny of reports by pathologists using a visual display unit. The OMR worksheet records not only the final result but also most of the tests and observations made on the samples; it is the only working document used by technicians. One specialist clinic submits its laboratory requests on an OMR form, which is subsequently used to record the results. The reports are printed and also filed in the computer to produce analyses for hospital, laboratory, and clinical management.

Computers↗
PubMed1976

Fugue states in sleep and wakefulness: a psychophysiological study.

A patient's refusal to participate in recommended treatment is a problem faced in all branches of medicine. However, psychiatry faces special problems because of its authority to impose hospitalization and treatment on unwilling patients. Nowhere is this more poignant than in the treatment of patients exhibiting suicidal behavior where the potential for imminent self-destruction exists. As part of a prospective study to develop utilization review standards for the hospitalization of suicide attempters, cases were identified where there was independent agreement between both the experts' standards and the treating resident psychiatrists that hospitalization was required. Despite this agreement, the patients were not hospitalized because the patients refused. By most criteria, these patients were a high risk group. They had made repeated suicide attempts, used lethal means which eventuated in serious medical consequences, and were still suicidal when referred for treatment. The emergency room psychiatrists reported feeling confused, anxious, and annoyed in dealing with these patients, and the patients signed out against medical advice. A review of these cases indicates that discussions of social control vs. medical responsibility and clear criteria for hospitalization should be incorporated into residency training programs since the emergency room resident faces these tension-producing issues frequently with several different types of patients. Moreover, utilization review criteria may help to set standards which will assist the psychiatrist in making these difficult decisions.

Dissociative Disorders↗
PubMedDate not supplied

The role of the oedipal fantasy in masturbatory and suicidal phenomena.

The multifaceted syndrome of suicide is viewed as a symptom with a manifest and a latent content. An attempt is made to demonstrate a dynamic reciprocal relationship, in a continuum, among fantasy, masturbation, and suicide. Sadomasochistic phenomena, beating fantasies, and suicidal thoughts and acts are viewed as translations of underlying positive and negative oedipal fantasies. Attention is also paid to how suicidal phenomena are facilitated by immature concepts of death, that is, its perception as a transient and reversible phenomenon, as well as its erotization. Four cases highlighting aspects of these themes are presented and then discussed in terms of how they illustrate the varying vicissitudes and elaborations of the masturbatory and/or oedipal fantasy and act, along separate or simultaneous pathways. In conclusion, there is an exploration of interpretive differences, with special reference to an object relations approach to phenomena, with its emphasis on preoedipal determinants and its attempts to accommodate both the drive/structure and object-relational/structure theoretical orientations.

Adult↗