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Biomedical subjects

L E Hoffman

Publications and source records attributed to L E Hoffman.

10 recordsLinked to original sources
PubMed1995

Diffuse idiopathic skeletal hyperostosis (DISH): a review of radiographic features and report of four cases.

OBJECTIVE: To discuss the diagnostic criteria, clinical findings and radiographic findings of diffuse idiopathic skeletal hyperostosis (DISH). CLINICAL FEATURES: DISH is a disease that affects elderly persons and is characterized by a bone-forming tendency with prominent radiographic findings, including proliferation of bone throughout the ligaments and tendons of the spine and extremities. Clinical symptoms are often mild and include mild pain and stiffness. DISH can coexist with other articular diseases, such as degenerative joint disease and rheumatoid arthritis, or can be complicated with myelopathy and fracture. INTERVENTION AND OUTCOME: All four patients were men over the age of 75 and had DISH with associated neurological signs and symptoms. Three patients showed improvement after chiropractic manipulative treatment. One patient was referred for a surgical consultation for atlantoaxial instability from rheumatoid arthritis and was subsequently lost to follow-up. CONCLUSION: DISH is a common disease of the elderly; clinicians should recognize its radiographic and diagnostic features.

Aged↗
PubMed1981

War, revolution, and psychoanalysis: Freudian thought begins to grapple with social reality.

Psychoanalytic theory and practice have been affected by external events as well as by internal development. Specifically, the period of the Great War and its aftermath was a turning point in the history of psychoanalysis. These experiences emphasized the inadequacy of the libido theory alone, accelerated Freud's impetus toward metapsychology, and encouraged the articulation of theories of innate destructive urges, of ego instincts, of the superego, and of social interaction. Discussions of war neuroses, of aggression and the death instinct, of the reality principle, and of the mechanisms of social psychology undermined Freud's original biologism in favor of a social-scientific approach. Psychoanalytic theory began to take more account of social experience and was profoundly changed in the process.

Austria↗