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M Morphy

Publications and source records attributed to M Morphy.

9 recordsLinked to original sources
PubMed2000

Compressive orthotics in the treatment of asymmetric pectus carinatum: a preliminary report with an objective radiographic marker.

BACKGROUND/PURPOSE: Pectus carinatum (PC) traditionally has been managed with surgical reconstruction. Compressive orthosis also has resulted in subjective improvement in this defect. The goal of the authors was to develop an alternative brace and an objective radiographic marker to monitor the effects of chest wall compression on sternal protrusion. METHODS: Baseline chest computed tomography (CT) scans were obtained for 5 teenage boys with chondrogladiolar type of PC. The angle at the point of greatest sternal rotation was measured as the baseline deformity. Compressive orthosis was initiated using a custom-fitted brace. Follow-up chest CT scans were obtained to document change in sternal rotation. RESULTS: One patient was lost to follow-up after 6 months with subjective improvement. Another opted for surgical correction after 3 months, having shown a 16% decrease in sternal rotation preoperatively. Two patients showed subjective improvement corroborated by 33% and 44% decreases in sternal rotation. The fifth patient, who discontinued bracing after 1 month, showed a 25% increase 6 months later. CONCLUSIONS: Preliminary results indicate a potential role for compressive orthosis in the management of pectus carinatum. The objective radiographic marker described may be used to monitor the effects of growth or treatment with compressive orthosis.

Adolescent↗
PubMed1982

Emotional problems in psychiatric residency training: recommendations for their reduction.

Working from an initial study, which attempted to quantify the number of serious mental disorders among psychiatric residents, the authors focused on the relationship of these problems to the exigencies of the training experience. Under the auspices of the American Association of Directors of Psychiatric Residency Training's Task Force on Emotional Problems of Residents, a questionnaire was distributed to all residents who completed training in 1975. Respondents in this national survey had an opportunity to rate the stressfulness and the impact on personal and professional growth for many specific aspects of residency training. These ratings, plus the considerable demographic data obtained, suggest high stress levels for many aspects of residency training, but also illustrate the growth promoting effects of most of these experiences. Much of this important data was included in an article recently published in this journal. As a follow-up to this initial report, this article provides a further review of the data and offers guidelines for improving the emotional status of our colleagues in training.

Adult↗
PubMed1981

Stress and growth factors in psychiatric residency training.

Previous studies of emotional stress in psychiatric residency training have been impressionistic, focused on suicide or severe emotional disorder, or derived from small samples. There have been no reports of what large groups of "average" residents consider stressful, and no reports of the relationship of stress factors to personal and professional growth. The authors, working with a Task Force of the American Association of Directors of Psychiatric Residency Training, developed a questionnaire that was distributed to all residents who completed their training in 1975. Summarized in this paper are many of the more significant results obtained from this very detailed survey. The 148 variables examined include considerable demographic data. This is analyzed and correlated with the impact on stressfulness and impact of personal and professional growth rated for many specific aspects of residency training. Concrete data and recommendations that might prove useful to all psychiatry programs are provided. It is hoped that this may stimulate similar research in other areas of postgraduate medical education.

Adult↗