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Query: UMLS:C0162473 (Frey)
 2,599 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A study is made of indices which predict the outcome of psychotic mental illness among migrant patients who had become ill in England and who were repatriated home to Jamaica. The findings of a field survey among 55 cases showed that a poor outcome had taken place in 32. This may have been predicted by indices of chronicity and the resulting poor employment history in England. Prediction in Jamaica is associated with socio-economic hardship and psychological attitudes of relatives who had agreed to accommodate patients. Diagnosis of illness and a history of this in the family are not associated with outcome. It is of interest that evidence of adequate intelligence predicts a poor outcome. These findings are discussed. The purpose of the present paper is to make an investigation of those factors which may be of significance in predicting the outcome of psychosis among patients who had been repatriated to Jamaica from England. It is widely believed that in countries like Jamaica the socio-cultural environment of the predominantly rural areas allows higher rates of recovery from psychosis than will be found in industrial cities in the western world (Barahona Fernandes et al., 1967; Murphy and Raman, 1972). These findings would indicate that when patients become ill in these developed countries their repatriation may be in their medical interest. None the less, in an early study of this problem Frey (1961) concluded that returning home had not altered the course of illness among Algerian mine-workers who had become acutely psychotic in France. Asuni (1968) traced 70 per cent of a group of Nigerian students who had become psychotic in London and who were repatriated home because of the unlikelihood that they would have been able to complete their courses of study. He concluded that repatriation had been of therapeutic benefit in the majority of these students. The most recent study of this problem was carried out in Jamaica by the present author. The findings indicated that a poor outcome had occurred among three-fifths of a consecutive series of patients (Burke, 1982). If these findings are found to be associated with diagnosis then particular groups of patients would be considered to be eligible for repatriation.
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PMID:Outcome of mental illness following repatriation: a predictive study. 684 Sep 89

Gender dysphoria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is characterized by a marked discrepancy between one's birth-assigned sex and one's gender identity and is sometimes addressed by gender-affirming surgery. As public visibility and institutional support for the transgender and gender non-conforming population continue to increase, the demand for competent multidisciplinary teams of medical professionals equipped to care for this population is expected to rise-including plastic surgeons, urologists, gynecologists, endocrinologists, and breast surgeons, among others. Genital reconstruction procedures for the male-to-female and female-to-male transgender patient present unique surgical challenges that continue to evolve from their respective origins in the 19th and 20th centuries. A historical review of surgical techniques and standards of care attendant to gender-affirming medicine is presented, with foremost emphasis placed on how techniques for genital reconstruction in particular continue to evolve and advance. In addition, the current status of transition-related health care in the United States, including research gaps and contemporary clinical challenges, is reviewed. Frey JD, Poudrier G, Thomson JE, Hazen A. A Historical Review of Gender-Affirming Medicine: Focus on Genital Reconstruction Surgery. J Sex Med 2017;14:991-1002.
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PMID:A Historical Review of Gender-Affirming Medicine: Focus on Genital Reconstruction Surgery. 2876 Feb 57