Biomedical subjects

S Porter-Levy

Publications and source records attributed to S Porter-Levy.

3 recordsLinked to original sources

PubMed1997

Surgical treatment of focal epilepsy in children: results in 37 patients.

This report concerns 37 children and teenagers operated upon for intractable seizures between 1990 and 1994. Follow-up is at least 3 years. Fourteen children underwent pure temporal lobe resections; 71% are seizure free, and 93% have a better than 90% decrease in seizure frequency. The presence of a lesion on magnetic resonance imaging, the side of the lesion, or the presence of abnormal pathology had no influence on the result of resection. 28% of the children who had extratemporal resections are seizure free, and 83% have a greater than 90% decrease in seizure frequency. There was a trend to better results in those with a lesion on magnetic resonance imaging. In the small group with temporal plus extratemporal foci, the results were poor with only 60% showing a greater than 90% reduction in seizure frequency.

Adolescent↗

PubMed1996

How Prepared is Prepared Enough?

A 17-year-old female was in the final stage in treatment of right unilateral cleft lip and palate. She had undergone a number of previous surgeries. Hearing and speech were good on evaluation, and her social and family situation were deemed excellent. After preparatory orthodontics she underwent a Lefort I maxillary advancement. Surgery was successful and she was admitted into postoperative recovery. However, the lack of adequate preoperative preparation caused traumatic reaction from the patient and her parents: anxiety over appearance, crying, refusal of oral fluids and oral care, refusal of analgesia, and refusal to mobilize. The patience and persistence of hospital staff slowly overcame all adversities and the patient moved on to full and successful recovery, but this case prompted changes in preoperative procedures and involvement of patients and their families in postoperative meal selection, planing, and preparation.

Journal Article↗

PubMed1993

Psychological and Psychiatric Emergencies: Strategies for Providers.

Given the recent increase in suicide rate among adolescents, mental health concerns constitute an area in need of systematic evaluation. Common sources of psychological stress include family conflict, depression, sexual abuse and assault, and eating disorders. Any of these problems may result in visits to the emergency department. Important ingredients for successful diagnosis and referral include careful screening, basic family therapy skills, and sensitivity to treating adolescents with respect.

Journal Article↗