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Biomedical subjects

M Brolly

Publications and source records attributed to M Brolly.

4 recordsLinked to original sources
PubMed1995

A pilot study of a randomised trial of cognitive analytical therapy vs educational behavioral therapy for adult anorexia nervosa.

The aim of this study was to compare two forms of outpatient treatment, educational behavioural treatment and cognitive analytical therapy for adult anorexia nervosa. Thirty patients were randomly allocated to the two treatments. At one year, the group had gained 6.8 kg, 19/30 (63%) had a good or intermediate recovery in terms of nutritional outcome. The group given cognitive analytical treatment reported significantly greater subjective improvement but there were no differences in other outcome parameters. In conclusion outpatient treatment of adult onset anorexia nervosa leads to an improvement in two thirds of cases. Larger studies will be needed to determine the most effective form of treatment in this group.

Anorexia Nervosa↗
PubMed1993

[Complications from physiological and rate responsive pacemaker implantations].

One hundred eighteen surgical complications of 209 patients underwent 249 physiological and rate responsive pacemaker implantations are discussed. In 27.9% of total complications represented the dislodgement of atrial leads occurred particularly in the early period of the observation time which decreased significantly later in the second period of the survey. This high complication rate of bifocal pacemakers was found due to a high incidence of the generator preerosion beside the dislodgment of the atrial electrodes. Complication rate could be reduced by the improvement of surgical technics, and with the implantations of new types of leads and smaller generators, however the number of complications remained higher compared to the pacemaker systems with one lead. The implantation procedure of ventricular rate responsive pacemakers is simple, and significant improvement in working capacity could be observed by the restoration of the chronotropic capacity during exercise. Physiological and atrial rate responsive pacemakers provide many advantages in the hemodynamic state even at rest which exceed all disadvantage of the expected complications, which might occur.

Atrial Function↗