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Biomedical subjects

J Nazarian

Publications and source records attributed to J Nazarian.

4 recordsLinked to original sources

A comprehensive cognitive-behavioral/educational program for schizophrenic patients.

Modern treatment of schizophrenia emphasizes pharmacology and nonspecific rehabilitative strategies, but there is renewed interest in psychologically oriented treatments as well. Borrowing from dynamic, cognitive-behavioral, and psychoeducational traditions, the authors describe a program aimed at teaching patients with schizophrenia about their illness and at addressing key cognitive, social, and emotional areas of difficulty from which they generally suffer. The authors document the enthusiasm of the patients for such an approach and provide a case example.

Adult

Pleurectomy through the triangle of auscultation for treatment of recurrent pneumothorax in younger patients. Evaluation of 60 consecutive cases.

Sixty patients, aged 14 to 35 years, with recurrent pneumothorax were treated with pleurectomy through the triangle of auscultation, with no chest wall muscle transection. The advantages of this approach over a full thoracotomy are that with no muscle transection, a shorter postoperative recovery is expected and, subsequently, early return to normal activity is achieved. The scar may also be more cosmetically acceptable. There was no postoperative mortality, and only one patient required reoperation because of bleeding. The technique is simple, and exposure is adequate. If necessary, this limited thoracotomy can be converted to a full thoracotomy with no difficulty.

Adolescent

Corneal sensitivity in myasthenia gravis.

Corneal touch thresholds were measured in 11 people suffering from myasthenia gravis (MG) and in a control group of 20 subjects. The mean threshold in MG was 75.6 mg (SD 52) and in the control group 18.9 mg (SD 7.3); thresholds were thus significantly (p less than 0.01) raised in MG. Although it is not possible to say whether the sensory deficit is due to MG or to the treatment, the results implicate acetylcholine in sensory transduction in the cornea.

Adult

Marfanoid hypermobility syndrome associated with coarctation of the aorta.

There are intimate interrelations between various elements of connective tissue, viz. collagen, elastin, and glycoproteins. It is not unexpected that Marfan and Ehlers-Danlos syndromes share common features. The condition is labelled as Marfanoid hypermobility syndrome. In the patient described here, the Marfanoid hypermobility syndrome was associated with coarctation of the aorta which was corrected surgically.

Adolescent