石家庄地区女性围绝经期综合征发生状况调查

目的 调查分析石家庄地区女性围绝经期综合征状况,为本地区女性围绝经期综合征健康管理工作提供借鉴资料。方法 采用方便取样法抽取2020年1月至2021年1月石家庄地区围绝经期女性进行围绝经期综合征状况调查,采用女性围绝经期症状调查表评估围绝经期综合征发生情况,并收集其年龄、BMI、文化水平、家庭功能、心理弹性、睡眠质量、规律体育锻炼、疾病认知、月经等情况,采用描述流行病学分析方法对石家庄地区女性围绝经期综合征状况进行分析。结果 纳入有效研究对象1 873名,有围绝经期综合征症状391例,发生率为20.88%,其中轻度、中度、重度分别187、139、65例,分别占47.83%、35.55%、16.62%。多因素logistic回归分析结果提示家庭功能（OR=0.568）、心理弹性（OR=0.219）、睡眠质量（OR=0.183）、规律体育锻炼（OR=0.730）、疾病认知（OR=0.960）、月经情况（不规律OR=2.711、已绝经OR=3.043）是石家庄地区围绝经期女性围绝经期综合征发生的影响因素。结论 石家庄地区女性围绝经期综合征发生状况有待改善,可综合相关因素,针对个体特点采取针对...     

盐城市盐都区322名围绝经妇女症状和保健行为调查

目的了解围绝经妇女有关绝经前后症状及影响因素,为围绝经妇女健康水平的提高提供参考依据。方法用随机抽样的方法,以问卷形式调查盐城市盐都区322名40~60岁妇女。结果平均绝经年龄为(47.14±4.07)岁,出现围绝经症状者217例,发生率为67.39%,其中较重度的如睡眠障碍占11.49%,心悸、记忆力下降、抑郁等占19.57%。65.84%的妇女知道有关的围绝经保健知识,在有症状的妇女中,仅有39.44%的人去医院就医;采用雌激素替代疗法后围绝经期妇女有关绝经前后症状明显减轻。结论围绝经期妇女临床症状发生率为67.39%,主要有月经紊乱、潮热出汗、烦躁等。     

成都市小学生抑郁症状检出现状及影响因素分析

目的 了解成都市小学生抑郁现状,探索其相关影响因素,为制定小学生抑郁预防策略及措施提供依据。方法 多阶段随机抽取成都市1682名6~14岁小学生为研究对象,采用问卷调查的方法调查其抑郁症状、社会支持以及负性生活事件等信息,描述抑郁症状检出率,采用多因素logistic回归分析其抑郁症状的影响因素。结果 共调查1682名成都市小学生,总抑郁症状检出率为9.93%,女生检出率高于男生（11.77% vs 8.27%）（P=0.019）,不同年龄小学生抑郁症状检出率不同（P=0.002）,11岁及以上小学生抑郁检出率最高,为16.47%。多因素分析结果显示:男性（OR=0.629,95%CI:0.438~0.905）、社会支持水平越高（低支持水平:OR=0.478,95%CI:0.309~0.741;中支持水平:OR=0.226,95%CI:0.134~0.379; 高支持水平:OR=0.157,95%CI:0.085~0.289）、生活状态越好（生活状态差:OR=0.211,95%CI:0.136~0.327;生活状态中:OR=0.061,95%CI:0.030~0.123;生活状态好:OR=0.093,95%CI:0.052~0.165）是小学生抑郁症状检出的保护因素。结论 成都市小学生抑郁症状有一定检出率,生活状况以及社会支持与其检出率有关。需要强化小学生抑郁症状相关宣传,关注小学生日常表现及心理健康,通过提高父母、学校、教师、好友和整个社会的支持力度以及减少小学生负性生活事件的发生来降低小学生抑郁的风险。     

嘉兴市基层公务员抑郁症状现况及影响因素分析

目的 了解浙江省嘉兴市基层公务员抑郁症状现况及影响因素，为基层公务员心理干预提供理论依据。方法 于2021年11—12月，采用方便抽样方法，由嘉兴市5个县（市、区）的县委组织部随机抽取辖区县级及以下单位进行问卷调查，被抽中单位所有18～60岁5 780名公务员参与调查，采用多因素logistic回归模型分析基层公务员抑郁症状影响因素。结果 共回收有效问卷5 295份，存在抑郁症状1 330人，阳性检出率为25.12%。轻度抑郁症状检出率为17.79%，中度抑郁率为6.04%，重度抑郁率为1.28%。不同性别、单位级别、年龄、学历调查对象抑郁症状阳性检出率差异均有统计学意义（均P <0.05）。二元多因素logistic回归分析结果显示，与男性相比，女性出现抑郁症状的风险较低（OR=0.702,95%CI=0.609～0.809）；与18～30岁的基层公务员相比，31～40岁者出现抑郁症状的风险更高（OR=1.303,95%CI=1.077～1.577）,51～60岁者风险较低（OR=0.592,95%CI=0.451～0.777）。结论 嘉兴市基层公务员抑郁症状现况不容乐观，男性...     

海盐县女性围绝经期症状及相关知识调查

目的分析女性围绝经期症状发生的影响因素,为围绝经期女性健康指导提供依据。方法选择2015—2016年10月在海盐县妇幼保健院妇科门诊就诊的41~60岁本地户籍女性为研究对象,采用改良Kupperman评分表对围绝经期症状进行评估,分析围绝经期症状发生的影响因素。结果共调查1 973名妇女,平均(48.4±4.2)岁。1 353人(68.57%)至少有1项围绝期症状,其中轻度683人(34.62%)、中度185人(9.38%)、重度16人(0.81%)。发生率前5位的围绝经期症状依次是性生活问题(44.50%)、失眠(38.11%)、潮热出汗(35.53%)、疲乏(31.52%)和情绪激动(28.23%)。Logistic回归分析结果显示,年龄增加(OR:1.277~3.237)、月经周期不规律(OR:2.002~2.160)、绝经(OR:2.807~2.263)、痛经(OR:1.310~1.527)、月收入低(OR:1.538~3.150)和自评体质差(OR:1.704~5.404)是围绝经期症状发生的危险因素,适当运动是保护因素(OR:0.586~0.930)。78.10%的调查对象是从媒体、朋友、同事等渠道获取围绝经期相关知识,仅2.23%对围绝经期保健知识达到"了解"程度,80.39%认为围绝经期症状无需治疗。结论海盐县女性围绝经期症状发生率较高,且围绝经期相关知识知晓率低,应积极开展健康教育活动;年龄大、月经周期不规律、绝经、痛经、月收入低和体质差是围绝经期症状发生的危险因素。     

泰安市妇女膳食结构与围绝经期综合征关系

目的 探讨围绝经期妇女膳食结构、绝经综合征发生率及相关因素.方法 抽取就诊于山东省泰安市3家医院妇科门诊、年龄40～ 60岁、有子宫及一侧或双侧卵巢、有月经改变或有绝经期综合征表现的862名妇女为调查对象,采用自制调查表进行调查,使用改良Kupperman评分标准进行绝经症状评分,与《中国居民膳食指南(2007)》(以下简称《指南》)的标准相比较.结果 月经情况:初潮年龄为(14.8±1.9)岁,绝经年龄为(49.2±4.8)岁;799人出现了≥1种绝经症状,占92.69％;Kupperman症状评分与绝经综合征症状得分直线相关分析结果均有相关性(P＜0.05);围绝经期妇女膳食结构与《指南》相应项目比较,均不符合中国居民平衡膳食宝塔建议的推荐值.结论 围绝经期妇女膳食结构不够合理,围绝经期综合征的发生与饮食习惯可能有关.     

女性围绝经期综合征危险因素分析

目的了解45~55岁女性围绝经期综合征患病情况及其危险因素。方法于2015—2016年10月随机抽取在景宁县妇幼保健计划生育服务中心门诊就诊的45~55岁女性1 000人,采用浙江省围绝经期和绝经妇女生活资料调查表及改良Kupperman评分量表进行问卷调查,采用有序Logistic回归模型分析围绝经期综合征严重程度的影响因素。结果发放调查问卷1 000份,回收有效问卷947份,有效率为94.70%。947名调查对象中患围绝经期综合征714例,占75.40%,其中轻度414例(43.72%),中度253例(26.72%),重度47例(4.96%)。常见的症状包括疲乏(70.75%)、失眠(61.03%)、情绪波动(57.66%)、骨关节痛(57.23%)和眩晕(55.76%)。有序Logistic回归分析显示,月经紊乱(OR=2.41,95%CI:1.76~3.32)、绝经(OR=2.21,95%CI:1.57~3.13)、患慢性病(OR=1.45,95%CI:1.13~1.86)及有手术史(OR=1.57,95%CI:1.10~2.24)是围绝经期综合征严重程度的影响因素。结论月经紊乱、绝经、患慢性病和有手术史者的围绝经期综合征更严重,应针对这些危险因素加强对围绝经期女性的早期健康管理。     

675名围绝经期妇女健康状况及影响因素调查

摘要:目的　了解围绝经期妇女的健康状况及影响因素,为围绝经期妇女进行预防保健和健康教育提供参考依据。方法　采用现况调查的方法,随机选取锦州市太和区和凌河区675名40～60岁的妇女进行健康状况问卷调查。问卷内容包括基本资料和改良更年期Kupperman Index（KI）评分量表。结果　该人群围绝经期综合征检出率为74.7%,其中无症状占25.3%,轻度27.6%,中度40.3%,重度6.8% 。主要症状为乏力（70.7%）,关节肌痛（61.9%),烦躁易怒（59.4%）,失眠（55.6%）,眩晕（50.7%）,头痛（50.4%）,潮热出汗（48.7%）。Kupperman总体平均分为（11.28±8.573）分,出现围绝经期症状的妇女主要集中在45～50岁。非条件Logistic回归分析结果显示,年龄增长、分娩次数多、患有慢性病和有妇科疾病手术史是围绝经期综合征的危险因素;月经正常规律、饮食上荤素搭配均衡、服用围绝经期保健品或药物、对围绝经期有良好心态是围绝经期综合征的保护因素。结论　年龄增长、分娩次数多和患有慢性病及有妇科疾病手术史可导致围绝经期综合征症状加重,月经正常有规律、合理饮食,服用围绝经期保健品或药物、坦然面对围绝经期可预防和缓解围绝经期症状。     

关于围绝经期妇女健康情况调查分析

目的：深入研究分析我国围绝经期妇女健康情况,并针对调研结果给出可行的保健措施。方法采用随机抽样调查的方案,在2012年1月至2014年12月期间选取本市530名围绝经期妇女参加调研,采用Kupper-man评分法、抑郁自评表（SDS）、焦虑自评表（SAS）、生存质量自评表（SF-36）等对调查对象的健康情况进行量化评估。结果所有调查对象中52.64%的妇女出现月经异常,64.34%的对象出现各种围绝经期症状,59.79%的对象患有慢性疾病,所有对象出现不同程度焦虑抑郁症状。（P<0.05）结论围绝经期妇女健康形势比较严峻,必须及时采用有效措施提高围绝经期妇女健康水平。     

围绝经期妇女抑郁症状影响因素调查

目的:探讨上海市部分城区围绝经期妇女抑郁症状发生现状、影响因素及其心理保健需求。方法:采用一般情况调查表、改良更年期Kupperman评分量表、社会支持评定量表、病人健康问卷抑郁量表、围绝经期妇女心理卫生保健态度及需求调查表,于2010年12月～2011年2月在上海某社区内对935名参加普查的45～59岁妇女进行调查。结果:①围绝经期妇女抑郁症状呈现率24.8%。上海本地户籍者抑郁症状呈现率22.7%,外地户籍者抑郁症状呈现率50.7%。②与围绝经期妇女抑郁症状发生有关的影响因素包括户籍、痛经程度、1年内子女长期离家、重病、感觉异常、关节肌肉痛、更年期综合征、主观支持评分、客观支持评分等。③围绝经期妇女的保健意识和知识:39.8%的围绝经期妇女不关心心理卫生保健,分别有69.5%和61.9%围绝经期妇女选择视听媒体和报刊杂志作为保健知识的主要获得途径。结论:上海市围绝经期妇女抑郁症状呈现率较高,与多种社会、心理、生物学影响因素有关,为围绝经期妇女提供心理保健应该纳入妇女保健工作内容。     

Performance, proficiency, and value of the dietetics professional: an update

The major focus of the plan is the possible professional development activities provided by the Association and used by members. Ultimately, the Plan offers the Association and members concise and doable tactics for addressing the number one member concern of compensation and benefits.All organizational units of ADA will examine opportunities for developing tools, gathering data, and exploring tactics to build on current programs that will close the gap between performance, proficiency, and value for the profession. Likewise, members are encouraged to use ADA resources, such as the PPV Plan’s tactics to build their professional development plans. Members should also consider investigating outside services or employer resources that compliment the opportunities that ADA offers.The following Professional Development Sessions are planned for the 2003 Food and Nutrition Conference & Expo in San Antonio (October 25–28).Saturday, October 25, 20035:00–7:00 pm—Live Up to Your Dreams: Opening Session Ross Keynote Address, Dot Richardson, MDSunday, October 26, 20038:30–10:00 am—Customer Satisfaction: Creating Demands for our Services8:30–10:00 am—ADA Forum for Students and New Professionals10:30–12:00 pm—Managing your Professional Development Portfolio1:30–3:00 pm—Adding Value Through Differences: Anyone Can Become a Leader3:30–5:00 pm—The Enterprising Dietitian: Building a Diabetes Business with RN Partners3:30–5:00 pm—Business and Communications: Career Opportunities for DietitiansMonday, October 27, 20038:00–9:30 am—Positive Attitude: The Key to Success in Nutrition and Dietetics12:30–1;30 pm—ADA’s Reality Show: Real Stories, Real Members, Real Prizes2:00–3:30 pm—Communications Seminar: How to Manage your Mouth4:00–5:30 pm—You can Have it all: Leadership and Life BalanceTuesday, October 28, 20038:00–9:30 am—Gain-Gain: A New Look at Salary Negotiation10:00 am–11:00 am—Negotiation Skills for Young Professionals10:00–11:00 am—Member Forum: How to Get Involved, ADA Needs You     

BOOK REVIEWS

Book reviewed in this article: H. Goldstein: Social Learning and Change. A Cognitive Approach to Human Services (Tavistock, London 1981/1985 [paper] and H. Goldstein, H. Hilbert and J. Hilbert (eds.): Creative Change. A Cognitive-Humanistic Approach to Social Work Practice E.M. Goldberg, J. Gibbons, L. Sinclair: Problems, Tasks and Outcomes — The Evaluation of Task-Centred Casework in Three Settings Alan Walker: Social Planning. A strategy for Socialist Welfare Ann Brechin and Penny Liddiard: Look at it this way: New perspectives in rehabilitation S. Ayer and A. Alaszowski: Community Care and the Mentally Handicapped Robin Means and Randall Smith: The Development of Welfare Services for Elderly People H.S. Sudak, A.B. Ford and N.B. Rushforth (eds.) Suicide in the Young Boston Women's Health Book Collective: The New Our Bodies Ourselves Jeannette Mitchell: What is to be done about Illness and Health? Erica Bates and Helen Lapsley: The Health Machine: The Impact of Medical Technology G. Henderson and M. Cohen: The Chinese Hospital — A Socialist Work Unit Mark Harwell: Nuclear Winter: The Human and Environmental Consequences of Nuclear War Owen Green, Ian Percival and Irene Ridge: Nuclear Winter: the Evidence and Risks Steven Rose, Leon J. Kamin and R.C. Lewontin: Not in our Genes: Biology, Ideology and Human Nature P.F. Ricci, L.A. Sagan and C.G. Whipple (eds): Technological Risk Assessment J. Cavanagh, F. Clairmonte: Alcoholic beverages: Dimensions of corporate power. Alex Paton (ed.): Handbook on Alcoholism for Health Professionals Marcus Grant: Same Again: A Guide to Safer Drinking B. MacMahon and T. Sugimura (eds.): Coffee and Health. P. Ebbesen, M. Melbye and R.J. Biggar (eds.): AIDS. A Basic Guide for Clinicians Bert Spilker: Guide to Clinical Studies and Developing Protocols P. Leudtke and R. Leudtke: Computers for Medical Offices Tyckoson, David: AIDS (Acquired Immune Deficiency Syndrome).     

Artificial oocyte activation: physiological,pathophysiological and ethical aspects

Infertile couples with low oocyte yield in combination with abnormal semen parameters may experience intra-cytoplasmic sperm injection (ICSI) failure. An established factor associated with ICSI failure is oocyte activation deficiency (AOD). The latter originates from seminal contributors, such as phospholipase C-zeta (PLCζ) that is not adequate to produce calcium (Ca²⁺) oscillations for oocyte activation. Apart from this natural activator, other stimulants, such as A23187, ionomycin, strontium chloride or even electric pulses, have been used in embryological laboratories to overcome AOD and ICSI failure. The aim of the present narrative review is to discuss the role of Ca⁺² oscillations in oocyte activation and summarize the evidence concerning the use of oocyte activators as agents for artificial oocyte activation (AOA). Studies in humans and animals have emerged many physiological, pathophysiological and ethical aspects of AOA. In conclusion, in mammalian eggs, the cytosolic Ca⁺² oscillations derive from a periodic release of Ca⁺² from intracellular pools. PLCζ, as well as artificial stimulants, have been used to produce Ca⁺² oscillations for AOA. As the latter may increase the risk of epigenetic induced malformations, further studies are required to clarify whether AOA constitutes an effective and safe method to overcome ICSI failure.

Abbreviations: AOA: artificial oocyte activation; AOD: oocyte activation deficiency; Ca⁺²: Calcium; CAMKII: Ca⁺²/calmodulin-dependent protein kinase II; CICR: calcium-induced calcium-release; DAG: diacylglycerol; GM-CSF: granulocyte-macrophage colony-stimulating factor; ICSI: intra-cytoplasmic sperm injection; InsP₃R: inositol-trisphosphate receptor; IP₃: inositol 1,4,5-trisphosphate; IVF: in vitro fertilization; MAP: mitogen-activated protein; MII: metaphase II; NADP: nicotinic acid adenine dinucleotide phosphate; NO: nitric oxide; PAWP: post-acrosomal WW-binding domain protein; PIP₂: phosphatidylinositol 4,5-bisphosphate; PLC: phospholipase C; PLCζ: phospholipase C-zeta; SOAFs: spermatozoon-released oocyte-activating factors; Sr⁺²: strontium; TFF: total fertilization failure     

Hepatitis C virus infection in injection drug users in Bavaria: risk factors for seropositivity

Background: Hepatitis C Virus (HCV) infection is the most common disease among intravenous drug users (IDUs). Patients and method: All patients admitted to the detoxification unit 1991–1997 and meeting ICD-10 diagnosis of opioid dependency were tested for anti-HCV serology. Results: Thousand and forty nine patients were included in the study. About 61.3% of the IDUs were anti-HCV positive. Increasing age (PR: 1.46; 95% CI: 1.34–1.60), living with a significant other drug user (PR: 1.17; 95% CI: 1.05–1.31), history of therapy (PR: 1.62; 95% CI: 1.50–1.74), history of imprisonment (PR: 1.48; 95% CI: 1.36–1.61), history of emergency treatment (PR: 1.23; 95% CI: 1.12–1.35), additional daily consumption of benzodiazepines (PR: 1.10; 95% CI: 1.00–2.21) or alcohol (PR: 1.26; 95% CI: 1.14–1.38), frequency of injecting heroin (daily: PR: 0.86; 95% CI: 0.78–0.96; previously: PR: 1.14; 95% CI: 1.03–1.26) and type of opioid dependency (methadone: PR: 1.26; 95% CI: 1.13–1.41) were significant factors, considered as individual factors, for positive anti-HCV serology. Using multiple logistic regression we found that older age (OR: 3.54, 95% CI: 1.30–9.67), longer duration of opioid use (OR: 5.74; 95% CI: 1.82–18.13), living with a significant other drug user (OR: 1.47; 95% CI: 1.01–2.16), history of therapy (OR: 4.87; 95% CI: 1.67–14.20), history of imprisonment (OR: 1.92; 95% CI: 1.12–3.28), history of emergency treatment (OR: 1.45; 95% CI: 1.06–1.99) and additional daily consumption of alcohol (OR: 1.49; 95% CI: 1.04–2.13) remained independently associated with positive anti-HCV serology. Conclusions: These data support the need for early prevention strategies, namely, education of teachers in schools and further training of counsellors informing IDUs of what they can do to minimise the risk of becoming infected or of transmitting infectious agents to others.     

BOOK REVIEWS

Book reviewed in this article: Paul J Feldstein: The Politics of Health Legislation: An Economic Perspective John L. Palmer, Timothy Smeeding and Barbara Boyle Torrey (eds.): The Vulnerable J.R.G. Butler and D.P. Doessel (eds.): Health Economics: Australian Readings Research Unit in Health and Behavioural Change: Changing the Public Health Richard Winett, Abby King, and David Altman: Health Psychology & Public Health: An Integrative Approach Milton Lewis: Managing Madness - Psychiatry and Society in Australia 1788–1980 Robert H. Blank: Life, Death, and Public Policy Diane Wiesner: Alternative Medicine. A Guide for Patients and Health Professionals in Australia. Stuart F. Spicker, Ilai Alon, Andre de Vries and H. Tristram Engelhardt, Jr. (eds.): The Use of Human Beings in Research John M. Freeman & Kevin McDonnell: Tough Decisions: A Casebook in Medical Ethics Neil Thomson and Patricia Merrifield: Aboriginal Health: an annotated bibliography. Nick Heather and Ian Robertson: Problem Drinking: The New Approach Tim Stockwell and Sue Clement: Helping the Problem Drinker: New Initiatives in Community Care Elizabeth Prior Jonson: AIDS: Myths, Facts and Ethics Confronting AIDS: Update 1988 by the Institute of Medicine and the National Academy of Science. McCunney RJ (ed): Handbook of Occupational Medicine D. Christie: A Guide to Occupational Epidemiology. J.A. Baldwin et al. (eds): Textbook of Medical Record Linkage. G.W. Trinca, I.R. Johnston, B.J. Campbell, F.A. Haight, P.R. Knight, G.M. Mackay, A.J. McLean and E. Petrucelli. Reducing Traffic Injury - A global Challenge.     

Cleavage-stage embryo micromanipulation in the clinical setting

Embryo micromanipulation was developed after introduction of microinjection to overcome infertility. Embryo micromanipulation may be performed at any embryo stage from pronuclear to blastocyst. The technique started out as basic and turned out to be increasingly more complex. Embryo micromanipulation at the cleavage-stage includes a wide range of techniques, from opening the zona pellucida in order to improve the chance of implantation, to removing detrimental components from the embryo to enhance embryo development or blastomeres for preimplantation genetic diagnosis and embryo splitting. Evaluating the impact(s) of different micromanipulation techniques on epigenetics of the embryo and considering quality control during these techniques are important issues in this regard. This review aims to discuss the micromanipulation of cleavage-stage embryos in clinical assisted reproductive technology (ART).

Abbreviations: ART: assisted reproductive technology; ICSI: intracytoplasmic sperm injection; IVF: in vitro fertilization; PGD: preimplantation genetic diagnosis; PZD: partial zona dissection; ZP: zona pellucida; SUZI: subzonal insemination; PVS: perivitelline space; AH: assisted hatching; LAH: laserassisted hatching; ZT: zona thinning; UV: ultraviolet; IR: infrared; PCR: polymerase chain reaction; FISH: fluorescent in situ hybridization; NGS: next generation sequencing; QC: quality control; QA: quality assurance     

BOOK REVIEWS

Book reviewed in this article: Helmut Althoff: Sudden Infant Death Syndrome (SIDS) Paul Ahmed (ed.): Living and Dying with Cancer F.C. Rose and M. Gawel: Migraine: The Facts R.B. Scott: Cancer: The Facts D. Barlow: Sexually Transmitted Diseases: The Facts D.W. Goodwin: Alcoholism: The Facts The Royal College of Psychiatrists: Alcohol and Alcoholism L.R. Walton, J.E. Walton, J.A. Scharffenberg: How you can five six extra years S. Areti: Understanding and helping the schizophrenic Neville Drury: The Healing Power — A Handbook of Alternative Medicine and Natural Health in Australia and New Zealand. Andrew Stanway: Alternative Medicine — A Guide to Natural Therapy. N.D. Darby, S. Glaser, I.F. Wilkinson: Health Care and Lifestyle — a Study of Self-Medication in Australia L. Eisenberg, and A. Kleinman (eds.): The Relevance of Social Science for Medicine A.E. Miller and E.G. Miller: Options for Health and Health Care Harold S. Luft: Health Maintenance Organizations K. Stanley, J. Stjernsward, M. Isley: The Conduct of a Cooperative Clinical Trial. J.R.J. Richardson and J.S. Deeble: Statistics of Private Medical Services in Australia, 1976. Avedis Donabedian: The Definition of Quality and Approaches to its Asessment Ann Cartwright and Robert Anderson: General Practice Revisited: A Second Study of Patients and their Doctors. L.E. Burton, H.H. Smith, A.W. Nichols: Public Health and Community Medicine. Torben Bendix and H.J. Wright: The Anxious Patient. Alwyn Smith (ed.): Recent Advances in Community Medicine 2 B.B. Taylor, J.M. Neale and B.C. Allan: Accommodation Change in Old Age C.J. Cooper and J. Marshall (eds.): White Collar and Professional Stress Judi Marshall and Cary L. Cooper (eds): Coping with Stress at Work Robin McKinley: The Care of Children in New Zealand Hospitals Frank Ainsworth and Leon C. Fulcher (eds): Group Care for Children: Concept and Issues. M.L. Wahlqvist (ed.): Food and Nutrition in Australia The Committee for the compilation of materials on damage caused by the atomic bombs in Hiroshima and Nagasaki: Hiroshima and Nagasaki — the Physical, Medical and Social Effects of the Atomic Bombings Gio Wiederhold: Databases for Health Care in D.A.B. Lindberg and P.L. Reichertz (eds.): Lecture Notes in Medical Informatics. A.L. Caplan et. al. (eds.): Concepts of Health and Disease