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21.
Following a thematic analysis of responses, a qualitative study of sexuality and alcohol use was undertaken in three bars/clubs in Oslo. Interviews with two persons (one male, one female) with high rates of sexual partner change were selected for detailed interpretative and contextual analysis, the aim being to examine the underlying motives for this mode of action. The principal motivations underpinning the man's behaviour linked to sex drive, impulsivity, and opportunity. He expressed cynicism, distance, loneliness and an element of narcissism. The woman's sexual activity on the other hand was motivated by intoxication, chance, the desire to offer care, arousal, and love. The data suggest that much more than sexual pleasure is being sought in the kinds of encounters described. A basic motive underpinning this behaviour appears to be a fear of intimacy mixed with the search for a sense of self-worth. 相似文献
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Bywall Karin Schölin Esbensen Bente Appel Lason Marta Heidenvall Marie Erlandsson Inger Johansson Jennifer Viberg 《Clinical rheumatology》2022,41(3):695-704
Clinical Rheumatology - Individualisation of rheumatoid arthritis (RA) treatment needs to take account of individual patients’ preferences to increase patient-centeredness in treatment... 相似文献
24.
Maternal Recall Error in Retrospectively Reported Time‐to‐Pregnancy: an Assessment and Bias Analysis 下载免费PDF全文
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Are disease duration and degree of functional impairment determinants of bone loss in rheumatoid arthritis? 下载免费PDF全文
One hundred and five patients with rheumatoid arthritis treated with a variety of antirheumatic drugs, excepting glucocorticoids, were stratified according to the degree of functional impairment (functional classes I to IV) and duration of the disease (0-3 years; 4-8 years; and greater than 8 years). The variables investigated were distal forearm bone mineral content (BMC), biochemical markers of bone formation: serum alkaline phosphatase and serum bone gamma-carboxyglutamic acid containing protein (BGP) and biochemical markers of bone resorption: fasting urinary calcium and fasting urinary hydroxyproline. Significant relationships were found between BMC and functional impairment and duration of the disease. Indices of bone formation and bone resorption rose with increasing functional impairment, particularly those of bone resorption. It is concluded that disability induces osteopenia in rheumatoid arthritis by increasing the bone turnover with a more marked increased in resorption than in the formation processes. The effect of the disease duration is merely that of adding more years of functional impairment. 相似文献
27.
Discontinuous calcitonin treatment of established osteoporosis--effects of withdrawal of treatment 总被引:3,自引:0,他引:3
K Overgaard M A Hansen V A Nielsen B J Riis C Christiansen 《The American journal of medicine》1990,89(1):1-6
PURPOSE: The purpose of this study was to examine the effects of discontinuous treatments with intranasal salmon calcitonin on bone and calcium metabolism in postmenopausal women and to establish the effects of withdrawing treatment. PATIENTS AND METHODS: This report presents data from 26 postmenopausal women with established osteoporosis (forearm fracture) 12 months after withdrawal of a 1-year double-blind, placebo-controlled therapy with intranasal calcitonin. The women then resumed treatment with calcitonin 200 IU plus calcium 500 mg daily in an open design for an additional 1-year period. A control group of 19 age-matched women (no forearm fracture) did not receive any treatment. RESULTS: At the end of the 3 years, the control group had lost significantly more bone in the forearm (single photon absorptiometry) and spine (dual photon absorptiometry) than had the group treated with intranasal calcitonin for 2 years, whereas the group receiving calcitonin for 1 year had intermediate values. During the year of withdrawal, the rate of bone loss was similar in the women who had received calcitonin and those who had received placebo. Calcitonin was especially effective in women with initially high bone turnover and low bone mass. The bone response in the spine could, furthermore, be estimated by the changes in bone turnover. CONCLUSION: Discontinuous treatment with intranasal calcitonin affects bone and calcium metabolism in established osteoporosis. In women with high-turnover osteoporosis, therapy results in a net gain of bone in both the peripheral and axial skeleton. Response to treatment may be monitored by changes in bone turnover. 相似文献
28.
Renata Nunes Cabral Bente Nyvad Vera Ligia Vieira Mendes Soviero Eduardo Freitas Soraya Coelho Leal 《Clinical oral investigations》2020,24(2):727-734
To describe a new molar-incisor hypomineralization (MIH) severity scoring system (MIH-SSS) that focuses on the defects’ severity and to assess the sy 相似文献
29.
Expression of hypoxia‐inducible factor‐1α and hepatocyte growth factor in development of fibrosis in the transplanted kidney 下载免费PDF全文
Terese Kellenberger Niels Marcussen Jens R. Nyengaard Lise Wogensen Bente Jespersen 《Transplant international》2015,28(2):180-190
Late renal graft loss is associated with interstitial fibrosis. Hypoxia‐inducible factor‐1α (HIF‐1α) is thought to facilitate fibrosis through interaction with TGF‐β1, while hepatocyte growth factor (HGF) may act antifibrotic in the kidney allograft. The aim of this study was to investigate the expression of HIF‐1α and HGF in protocol biopsies as possible prognostic biomarkers for renal fibrosis. Thirty‐nine renal transplant recipients were included in the study. Protocol biopsies performed 1 and 2 years after transplantation were used for immunohistochemistry analysis. The correlation between HIF‐1α/HGF and the Banff score was analysed. In addition, progression in renal fibrosis and graft survival among recipients with high or low expression of HIF‐1α/HGF after transplantation was compared. There was no significant correlation between fibrosis and the HIF‐1α expression 1 and 2 years after transplantation, but an inverse significant correlation between the HGF expression and the fibrosis score 1 year after transplantation was shown. Even when adjusting for human leucocyte antigen mismatches, there was a significant relationship between fibrosis and HGF expression. Graft survival was not significantly correlated to HIF‐1α or HGF at 1 year, although the trend was towards better graft survival with high HGF. HGF may have antifibrotic effects in human renal transplants. (Central.Denmark.Region.Committee number: 1‐10‐72‐318‐13) 相似文献
30.
Children hospitalised with bronchiolitis in the first year of life have a lower quality of life nine months later 下载免费PDF全文