Electrical Treatment of Anxiety States

1955 ◽  
Vol 101 (424) ◽  
pp. 577-592 ◽  
Author(s):  
J. D. Montagu ◽  
L. S. Davies

During the past five years a number of reports have acclaimed Subconvulsive Electrostimulation as a therapeutic measure for the relief of states of anxiety and tension. In general, these accounts have proved unconvincing, since the authors have seldom provided either controls or even details of their results. The report of Hargrove, Bennett and Ford (1953) has been the only exception to both of these criticisms—and the only adverse account. The present investigation was therefore conducted as a “blind” trial in order to provide an unbiassed evaluation of the subject. The series comprised 100 patients, half of whom received the electrical treatment while the other half were subjected to a control procedure. Objective evidence was furnished by psychometric tests. An autonomic test of reputed prognostic significance, and a follow-up study, were also included.

PEDIATRICS ◽  
1973 ◽  
Vol 51 (1) ◽  
pp. 26-35
Author(s):  
Åke Lundberg

A follow-up study of 47 individuals with paroxysmal tachycardia in infancy is reported. The incidence of recurrence decreases from 55% during infancy to 17% up to 10 years of age; a slight increase to 23% is then observed in adolescence. There is a higher incidence of paroxysm in cases with preexcitation in the ECG. Physical overexertion may be a triggering factor in recurrences, but exemption from school physical education and sports should only be granted exceptionally. No signs of reduced physical working capacity were found in this group. The results of maintenance therapy do not appear to have improved in the past decade.


2016 ◽  
Vol 69 (4) ◽  
pp. 691-696 ◽  
Author(s):  
Suzele Cristina Coelho Fabrício-Wehbe ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Vanderlei Jose Haas ◽  
Jack Roberto Silva Fhon ◽  
Marina Aleixo Diniz

ABSTRACT Objective: to investigate the association between frailty with hospitalization and institutionalization in a follow-up study of elderly residents. Method: the follow-up study was performed in 2008 and 2013 with elderly of both genders, aged 65 years and older who were living in the community-dwelling. The sampling procedure performed was probabilistic, with dual-stage clustering. In 2008, 515 elderly people were interviewed and, in 2013, 262. We used the socioeconomic and demographic data, self-reported morbidity, specific data of hospitalization and institutionalization. Frailty was measured by the Edmonton Frail Scale (EFS), and functional capacity through the Functional Independence Measure. Results: we found the mean gross EFS score was higher among resident elderly who were hospitalized and institutionalized and was statistically significant in both investigated years. Conclusion: the confirmation of association between frailty and hospitalization and institutionalization reinforces the importance of the subject, and highlights frailty as an important tool for risk estimates for these adverse events.


1992 ◽  
Vol 82 (1) ◽  
pp. 21-24 ◽  
Author(s):  
AJ Selner ◽  
MD Selner ◽  
RA Tucker ◽  
G Eirich

The authors propose the use of the tricorrectional bunionectomy as an alternate correction of severe deformity in juvenile hallux valgus. In the past, hallux valgus surgery in juveniles has been avoided. A follow-up study of the tricorrectional bunionectomy as the surgical treatment for juvenile bunion deformity in seven patients is presented.


Rural History ◽  
1990 ◽  
Vol 1 (2) ◽  
pp. 219-247 ◽  
Author(s):  
Barry Reay

More bad history has been written about sex than any other subject. Our ignorance about the sexual attitudes and behaviour of people in the past is compounded by a desire to rush to rash generalisation. This is unfortunate, for (consciously or not) our perceptions of the present are shaped by our assumptions about the past. Britain's current preoccupation with ‘Victorian values’ is but a politically visible example of a more general phenomenon. And, more specifically, we do not know a great deal about lower-class sexuality in nineteenth-century England. There are studies of bourgeois desires and sensibilities, but little on the mores of the vast bulk of the population.As Jean Robin has demonstrated recently, one of the most fruitful approaches to the subject is the detailed local study – the micro-study. It may not appeal to those with a penchant for the broad sweep, but such an approach can provide a useful entry into the sexual habits of the people of the past. This article is intended as a follow-up to Robin's work. It deals with a part of rural Kent and, like Robin's work, it covers an aspect of nineteenth-century sexuality – in this case, the social context of illegitimacy. More particularly, this study (and here I differ from Robin) will question the usefulness of the concept of a ‘bastardy-prone sub-society’ (more of which later), a term still favoured by many historical sociologists. The experience of rural Kent suggests that bearing children outside marriage should be seen not as a form of deviancy but rather as part of normal sexual culture.


1985 ◽  
Vol 10 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Y. IKUTA ◽  
K. TSUGE

Primary or delayed suture was performed on 174 patients involving 234 digits with flexor tendon injury on the day of injury to a maximum of 486 days after injury during the past eight years from 1974. In the treatment a 4-0 or 5-0 looped nylon suture was used. Follow-up study was made on 121 patients involving 164 digits in whom at least six months had elapsed since the operation. The evaluation showed the results in 53.0% excellent, 15.3% good, 18.9% fair and 12.8% poor. Discussion is made of a number of factors which have effects upon the results of treatment of flexor tendon injury of the hand.


Author(s):  
Sarah A. Morrow ◽  
J. Alexander Fraser ◽  
David Nicolle ◽  
Marcelo Kremenchutzky

Background:The ability to predict conversion to multiple sclerosis (MS) accurately when assessing a patient with a clinically isolated syndrome (CIS) is of paramount importance.Magnetic resonance imaging (MRI) is the best paraclinical tool currently available; however the significance of a history of an event suggestive of demyelination prior to CIS presentation has not been evaluated.Methods:Aretrospective chart review of all optic neuritis cases presenting as CIS to a single neuro-ophthalmologist in London, Ontario between 1990 to 1998 was performed. Data were collected regarding demographics, past medical history, history of present illness, and family history. Conversion to MS was determined by the McDonald criteria after ten years of follow-up. Bayesian statistics and logistic regression were used to determine the best predictors of conversion to MS from CIS.Results:One hundred and sixteen optic neuritis subjects were included in the analysis. After ten years, 42.2% had converted to MS. The best predictor of future conversion remained at least one brain lesion, disseminated in space, on MRI (sensitivity 0.90, specificity 0.75). However, if the subject additionally had a history suggestive of a demyelinating event in the past that had not been confirmed clinically, the specificity increased to 0.96. These two traits taken together had an odds ratio of 27.8 for conversion to MS in the next ten years (p<0.001).Conclusions:A history of an event suggestive of demyelination prior to presenting with optic neuritis as CIS increases the ability of the clinician to predict conversion to MS in the next ten years.


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