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Biomedical subjects

H M Meier

Publications and source records attributed to H M Meier.

7 recordsLinked to original sources
PubMed1995

[Ovarian metastasis of malignant melanoma--case report].

Malignant melanoma is a rare encounter in gynaecological practice; when it does occur it is most commonly as a primary tumor of the vulva. Primary manifestation of generalised metastatic spread in both ovaries ten years after treatment for a low risk malignant melanoma is a rare finding. In the absence of a appropriate previous history, classical histopathological methods can sometimes lead to an uncertain diagnosis. However, by permitting a combination of various markers, supplemental immunohistochemical examination will facilitate the correct diagnosis.

Biomarkers, Tumor↗
PubMed1995

[Extensive vaginal carcinoma with total prolapse--a therapeutic problem].

We report on a patient with a total prolapse of the uterus and extensive local vaginal carcinoma. The different therapeutic possibilities are discussed with reference to the case in hand. The primary therapeutic considerations encompass surgery, radiotherapy or chemotherapy. Surgery is preferred in early cases especially when the tumor is located high in the vagina. Due to early invasion of bladder or rectum and particularly in older patients primary radiotherapy is very common. In this case radiotherapy and not surgery was performed in spite of total uterine prolapse, thus achieving a NED-stage of tumor together with retraction of the prolapse.

Aged↗
PubMed1992

Psychogeriatric hospitalization: terminable or interminable?

This paper takes issue with the stereotype of psychogeriatric patients in the general hospital using beds unnecessarily. With appropriate organization of services involving integrated teamwork, comprehensive patient assessment, early discharge planning and liaison with community resources, a positive outcome and early discharge was achieved with the majority of a group of psychogeriatric patients.

Activities of Daily Living↗
PubMed1977

Psychiatric hospitalization in Ontario: the revolving door in perspective.

Ontario government statistics have indicated that during the 1960s the proportion of readmissions to psychiatric hospitals doubled to form two thirds of all admissions. Since this pertained to events rather than to individuals, a cohort of patients first admitted in 1969 was followed for 4 years to trace the pattern of readmission and the characteristics of patients at risk of readmission. Routinely returned data were linked and a sample from the greater metropolitan Toronto area was randomly selected. Of the cohort, 31% were readmitted, 8% three or more times. Age and diagnosis distinguished those readmitted. Most with multiple readmissions were under 25 years of age. Although diagnoses were equally distributed on first admission among psychotic, neurotic and other nonpsychotic disorders, with no significant change on readmission or multiple readmission, there was a predictably greater proportion of functional psychoses among the high-risk group and also an equal representation of personality, addictive and the remaining nonpsychotic conditions. The vulnerable few are identifiable early in their intermittent hospital career. It can be concluded that statistics suggesting that two thirds of admissions are readmissions are misleading.

Adult↗