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Biomedical subjects

G E Porter

Publications and source records attributed to G E Porter.

9 recordsLinked to original sources

An independent assessment of a supraregional pain management programme and comparison of patients' and general practitioners' perceptions of the effects.

This study was designed to evaluate the therapeutic response, as perceived by patients and their general practitioners, to a supraregional residential pain management programme (INPUT). Twenty patients who completed the INPUT programme and their general practitioners, were sent locally designed questionnaires. Eighteen patients and 16 general practitioners responded. Patients were assessed for the effects of the programme on a wide variety of treatment targets reflecting quality of life. General practitioners were questioned about changes in dependence upon healthcare services. The mean time from attending INPUT to assessment was 11.4 (5.7) months. Thirteen patients indicated a moderate or maximal improvement in quality of life. General practitioners reported a reduced use of healthcare services and improvement in quality of life. The majority of our patients attending INPUT gained benefits that improved their quality of life. Healthcare services appeared to benefit from the patients' greater independence in managing their symptoms.

Adult↗

Munchausen syndrome by proxy: unusual manifestations and disturbing sequelae.

Since the initial description of Munchausen Syndrome by Proxy (MSBP) (Meadow, 1977), numerous cases have been reported varying from as simple as the complaint of a nonexistent symptom to those as complicated as altered laboratory tests leading to the false diagnosis of cystic fibrosis (Orenstein & Wasserman, 1986; Rosenberg, 1987). We report three findings previously unreported: esophageal perforation, retrograde intussusception, and tooth loss. Bradycardia has been previously reported associated with suffocation (Meadow, 1984), but in our case may have been caused by carotid artery massage. We also suggest possible induction by the mother of premature rupture of fetal membrane leading to delivery of infected infants.

Bradycardia↗

Slipping rib syndrome: an infrequently recognized entity in children: a report of three cases and review of the literature.

Slipping rib syndrome is a sprain disorder produced by trauma to the costal cartilages of the 8th, 9th, and 10th ribs. The symptoms are neuritic pain, autonomic symptoms, and a perception of a slipping movement of the ribs. It is frequently confused with intraabdominal disorders. Diagnosis is made by a positive hooking maneuver or demonstration of tenderness over the affected cartilages. Three case reports, a review of the literature, and a discussion of the syndrome are presented.

Adolescent↗