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41.
S Chaudhury S Sharma AA Pawar BK Kumar Mrs K Srivastava S Sudarsanan D Singh 《Medical Journal Armed Forces India》2006,62(3):220-223
Background
Psychological effects of Coronary Artery Bypass graft (CABG) have been of interest all over the world but there is a paucity of Indian work.Methods
30 patients undergoing CABG at a service hospital were included. All patients filled a specially designed proforma. Mini Mental Status Examination, Hospital anxiety and depression scale, Coronary scale, Seattle angina questionnaire and Euro-QOL 5D were performed before and seven days after CABG.Results
43.3% had significant anxiety and 30% had significant depression before CABG. Following CABG, 36.67% of the patients had significant anxiety while 40% had significant depression. On the Seattle angina questionnaire, physical limitation reduced from 71.6 ± 7.9 to 53.1 ± 14.6. There was significant improvement in treatment satisfaction from 37.8 ± 6.1 to 59.4 ± 4.2 following CABG. On th euro quality of life scale (EQ5D) health status improved from 38.17 ± 9.51 before CABG to 68.5 ± 5.28 after CABG.Conclusion
There is a significant incidence of anxiety and depression in patients undergoing CABG, both before and after surgery.Key Words: CABG, anxiety, depression 相似文献42.
The details of a clinical and laboratory investigation of a family in which ataxia was present in members of three generations are presented. The major features of this illness include the onset of gait disorder in the first two years of life, distal weakness, areflexia, impaired deep sensibility, tremor of the hands, pes cavus, and a slowly progressive course. The disease in this family appears to be transmitted by an autosomal dominant gene. All laboratory data, except for low levels of serum triglycerides, were normal and provided no insight into the biochemical defect present in this family. The clinical features of the illness in this family are almost identical to those of a previous family reported by Roussy and Lévy. A brief discussion of the relevant literature concerning the Roussy-Lévy syndrome is presented. The authors believe that the present family and certain other families recorded in the literature are sufficiently similar to each other and distinct from other heredo-familial ataxias to justify their nosological separation. A satisfactory classification of the various forms of hereditary ataxia can be established only by the determination of the basic biochemical defect at the molecular level in the case of each homogenous genetic disorder. Meanwhile, a classification based upon a careful study of the clinical, pathological and genetic similarities and differences existing between families with ataxia will provide the most meaningful data now available for genetic counseling and as a guideline for research activities. 相似文献
43.
Epidemiology of headache 总被引:5,自引:0,他引:5
BK Rasmussen 《Cephalalgia : an international journal of headache》1995,15(1):44-67
44.
45.
Wassenaar E Johnston N Merati A Montenovo M Petersen R Tatum R Pellegrini C Oelschlager B 《Surgical endoscopy》2011,25(12):3870-3876
Background
Some patients with gastroesophageal reflux disease (GERD) suffer from laryngopharyngeal reflux (LPR). There is no reliable diagnostic test for LPR as there is for GERD. We hypothesized that detection of pepsin (a molecule only made in the stomach) in laryngeal epithelium or sputum should provide evidence for reflux of gastric contents to the larynx, and be diagnostic of LPR. We tested this hypothesis in a prospective study in patients with LPR symptoms undergoing antireflux surgery (ARS). 相似文献46.
47.
Erika A Goldstein Ramoncita R Maestas Kelly Fryer-Edwards Marjorie D Wenrich Anne-Marie Amies Oelschlager Amy Baernstein Harry R Kimball 《Academic medicine》2006,81(10):871-876
Despite considerable attention to professionalism in medical education nationwide, the majority of attention has focused on training medical students, and less on residents and faculty. Curricular formats are often didactic, removed from the clinical setting, and frequently focus on abstract concepts. As a result of a recent curricular innovation at the University of Washington School of Medicine (UWSOM) in which role-model faculty work with medical students in teaching and modeling clinical skills and professionalism, a new professionalism curriculum was developed for preclinical medical students. Through student feedback, that curriculum has changed over time, and has become more focused on the clinical encounter. This new and evolving curriculum has raised awareness of the existence of an "ecology of professionalism." In this ecological model, changes in the understanding of and attention to professionalism at one institutional level lead to changes at other levels. At the UWSOM, heightened attention to professionalism at the medical student level led to awareness of the need for increased attention to teaching and modeling professionalism among faculty, residents, and staff. This new understanding of professionalism as an institutional responsibility has helped UWSOM teachers and administrators recognize and promote mechanisms that create a "safe" environment for fostering professionalism. In such an institutional culture, students, residents, faculty, staff, and the institution itself are all held accountable for professional behavior, and improvement must be addressed at all levels. 相似文献
48.
49.
Dhage Pundalika Rao Narayan Suvarna V Biradar Mayurnath T Reddy Sujatha BK 《世界急诊医学杂志(英文)》2015,6(2):118-122
BACKGROUND: Life-threatening emergencies can occur at anytime, at anywhere and in anyone. Effective management of an emergency situation in the dental office is ultimately the dentist's responsibility. The lack of training and inability to cope with medical emergencies can lead to tragic consequences and sometimes legal complications. Therefore, health professionals including dentists must be well prepared to deal with medical emergencies. This study was undertaken to assess the knowledge about and attitude towards basic life support(BLS) among dental interns and postgraduate students in Bangalore city, India.METHODS: A cross sectional survey was conducted among dental interns and postgraduate students from May 2014 to June 2014 since few studies have been conducted in Bangalore city. A questionnaire with 17 questions regarding the knowledge about and attitude towards BLS was distributed to 202 study participants.RESULTS: The data analyzed using the Chi-square test showed that dental interns and postgraduate students had average knowledge about BLS. In the 201 participants, 121(59.9%) had a positive attitude and 81(40.1%) had a negative attitude towards BLS.CONCLUSIONS: Cardiopulmonary resuscitation should be considered as part of the dental curriculum. Workshops on a regular basis should be focused on skills of cardiopulmonary resuscitation for dental students. 相似文献
50.
Montenovo MI Ahad S Oelschlager BK 《Surgical laparoscopy, endoscopy & percutaneous techniques》2010,20(5):e182-e184
Wandering spleen is a rare condition in which the spleen lacks retroperitoneal fixation, thus its vascular pedicle can twist resulting in ischemia. Although splenectomy has traditionally been used for this condition, splenopexy is increasingly used in the pediatric population to anchor the spleen and preserve splenic function. We report an unusual case of wandering spleen in an adult with chronic torsion managed with laparoscopic splenopexy, suggesting splenic preservation is possible in adults with this presentation as well. 相似文献