The Physician Rehabilitation Program of the Medical and Chirurgical Faculty of Maryland: twelve years and going strong.
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Biomedical subjects
Publications and source records attributed to S R Platman.
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MROs need to be knowledgeable and experienced in the area of substance abuse. This relatively new field raises many clinical issues, complicated by legal and ethical issues. It is advisable that MROs be independent from the companies, laboratories, and collection sites with which they contract or to which they relate in the process of performing their evaluations.
The Physician Rehabilitation Program of Maryland has been developed by Med Chi's Committee on Physician Rehabilitation over the last twelve years. Its primary purpose is to assist physicians who are experiencing problems because of substance abuse, physical disability, or psychiatric illness. Rapid changes in the field have challenged the Committee in recent years. New funding which started in July of 1990 will assist Med Chi in meeting these new challenges.
This paper discussed the changing role of state psychiatric hospitals within the mental health system. Important factors included state demographics, the education and training of psychiatric residents, and the revolutionary changes taking place within the medical care system in America. The author emphasized the importance of viewing specific approaches to system problems from a total mental health system perspective.
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The major concern of this study was to identify the personality traits connotated by a number of diagnostic labels such as paranoid, schizoid, hysterical, and cyclothymic. Twenty psychiatrists were given a list of nonpsychotic personality disorders and were asked to indicate what personality traits were typically associated with them. Results showed good agreement among psychiatrists on the personality traits they believed to be implied by the diagnostic terms. A factor analysis of the ratings showed a circular configuration of relative similarity among the different diagnoses. The results are interpreted as indicating that diagnostic labels are types of codes for various sectors of an implicit space of traits, signs, and symptoms.
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After biosynthesis of norepinephrine was inhibited, treatment of rats for 10 days with rubidium chloride (0.6 milliequivalent per kilogram of body weight) caused an increase in the rate of disappearance of norepinephrine in the brainstem but not in the telencephalon. Also the utilization of intracisternally injected tritiated norepinephrine was increased and was accompanied by a shift in the pattern of norepinephrine metabolism to normetanephrine. These data suggest that greater amounts of neuronally stored norepinephrine were released to central adrenergic receptors.
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