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Biomedical subjects

M Maisami

Publications and source records attributed to M Maisami.

6 recordsLinked to original sources
PubMed1992

Munchausen syndrome by proxy.

This study examined the indicators of possible presence of Munchausen Syndrome by Proxy (MSBP) in pediatric inpatients discharged against-medical-advice (AMA), in cases transferred to another hospital, and in regular discharges. In a two-year period, there were fourteen AMA discharges and twenty-four transfer cases. These were compared to a randomly selected sample of forty-one regular discharges occurring during the same time period, matched for age, sex and pediatric service. The records were scored for the presence or absence of six MSBP characteristics, which had been developed from a review of MSBP literature. The findings indicated a suspicion for MSBP in 64 percent of the AMA cases, 8 percent of the transfer cases, and none in regular discharges. The findings suggest that AMA discharges need to be examined for the possible presence of MSBP.

Depressive Disorder↗
PubMed1987

Conversion reactions in children as body language: a combined child psychiatry/neurology team approach to the management of functional neurologic disorders in children.

Conversion reactions in children represent a form of "body language," a plea for help in a child who has no alternative method of communicating stress. Although conversion reaction may take many forms, this report focuses on those presenting as neurologic dysfunction. The parallel evaluation and treatment of these symptoms by a child psychiatry/pediatric neurology team has demonstrated success in removing the symptom while simultaneously evaluating the underlying stress. Unnecessary medical tests have been avoided and perpetuating factors have been eliminated. Continued family treatment has emphasized health rather than disease and seems to have prevented recurrence.

Adolescent↗
PubMed1986

Prospective study of intake procedures in a child psychiatry clinic.

Two methods of patient intake in a child psychiatry outpatient clinic were compared. In one, appointments were made immediately upon request; in the second, completion of a parental questionnaire was required before an appointment was made. Results indicated that a commitment from the parent/guardian evidenced by completing a parent-questionnaire prior to the screening appointment 1) significantly increased the attendance rate at first appointments, and 2) increased compliance in follow-up treatment. These findings indicate the importance of improved communication between parents and clinic personnel in facilitating the treatment of children.

Appointments and Schedules↗