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991.
Ruth Link-Gelles Allison T. Chamberlain Jay Schulkin Kevin Ault Ellen Whitney Katherine Seib Saad B. Omer 《Maternal and child health journal》2012,16(9):1743-1747
The recent reoccurrence of several vaccine-preventable diseases demonstrates the need for new techniques to promote childhood vaccination. Many mothers make decisions regarding vaccination of their children during pregnancy. As a result, obstetricians have a unique opportunity to influence maternal decisions on this crucial component of child health. Our objective was to understand OB/GYNs?? attitudes, beliefs, and current practices toward providing vaccinations to pregnant patients and providing information about routine childhood immunizations during standard prenatal care. We surveyed OB/GYNs in the United States about their vaccination practices and perceptions during the 2009 H1N1 outbreak. Most (84%) respondents indicated their practice would be administering H1N1 vaccines to pregnant patients. While a majority (98%) of responding providers felt childhood vaccination is important, relatively few (47%) felt that they could influence mothers?? vaccination choices for their children. Discussion of routine childhood immunization between obstetricians and their patients is an area for future improvements in childhood vaccination. 相似文献
992.
Odenwald M Lingenfelder B Peschel W Haibe FA Warsame AM Omer A Stöckel J Maedl A Elbert T 《International journal of mental health systems》2012,6(1):8
ABSTRACT: BACKGROUND: In Low and Middle Income Countries, mental health services are often poorly developed due to the lack of resources and trained personnel. In order to overcome these challenges, new ways of care have been suggested such as a focus on community-based services. In Somalia, the consumption of the natural stimulant khat is highly prevalent, aggravating mental illness. At the same time, mental health care is largely unavailable to the vast majority of the population. In a pilot project, we tested possibilities for effective measures in community-based out-patient mental health care. METHODS: Thirty-five patients with chronic psychotic disorders and their carers were involved in a 10-months follow-up study. All of them abused khat. Seventeen outpatients experiencing acute psychotic episodes were recruited from the community and received an intensive six week home-based treatment package. Additionally eighteen patients with chronic psychotic disorders in remission were recruited either following hospital discharge or from the community. In a second phase of the study, both groups received community-based relapse prevention that differed in the degree of the family's responsibility for the treatment. The treatment package was comprised of psycho-education, low-dose neuroleptic treatment, monthly home visits and counseling. The Brief Psychiatric Rating Scale (BPRS) was applied three times. Additionally, we assessed functioning, khat use and other outcomes. RESULTS: Of the 35 patients enrolled in the study, 33 participated in the 10-month follow-up. Outpatients improved significantly in the first six weeks of treatment and did not differ from remitted patients at the start of the second treatment phase. In the preventive treatment phase, we find heterogeneous outcomes that diverge between symptom and functioning domains. With the exception of depressive symptoms, symptoms in all patients tended to worsen. The outpatient group had higher BPRS positive and negative symptom scores compared to the remitted group. Levels of functioning in 20 out of 33 patients significantly improved, with small differences between groups. Most patients experienced improvements in basic functioning, such as communication, self-care etc. Khat use could only be reduced in the group of outpatients. CONCLUSIONS: Community-based out-patient mental health treatment for chronic psychotic disorders has demonstrated positive effects in Somalia and is both feasible and practical, despite facing formidable challenges controlling khat intake. 相似文献
993.
Claudia Put Omer Van den Bergh Maurits Demedts Geert Verleden 《The Journal of asthma》2000,37(6):503-510
We examined the association among self-reported noncompliance and clinical status, symptomatology, functional activity, and psychological variables in asthma. Eighty-five asthmatics, who were hospitalized (H group), outpatients previously hospitalized (OH group), or outpatients not previously hospitalized (O group) completed questionnaires. Compliance was assessed during a structured interview. The higher prevalence of self-reported noncompliance in H group and OH group, compared to O group, was not explained by differences in respiratory function. Self-reported noncompliance was related to symptoms and emotional distress associated with disease and treatment, but not to functional or emotional status. A patient subgroup that catalogued itself as non-compliant may also be at risk for hospitalization, and was characterized by emotional distress associated with disease and treatment. 相似文献
994.
995.
Beyhan Omer Sema Genc Ozguc Takmaz Ahmet Dirican Zeynep Kusku-Kiraz Sinan Berkman Figen Gurdol 《Tumour biology》2013,34(5):2645-2650
The aim of this study was to evaluate the prognostic and predictive efficacy of the human epididymis secretory protein 4 (HE4) and serum amyloid-A (S-AA) together with the other tumor markers (CA 125, CA 15–3, CEA, and CA 19–9) in endometrial cancer patients. The study group consisted of 64 patients with defined stage and grade of endometrial cancer and 60 women with benign uterine diseases. Thirty-four healthy women were defined as the control group. Fasting blood samples were collected prior to surgery and tumor marker levels were determined in blood samples by E170 autoanalyzer. S-AA concentrations were measured by particle-enhanced immunonephelometry. Preoperative serum HE4 and S-AA levels were significantly higher in endometrial cancer patients than in controls, whereas the other measured parameters were not significantly different. Serum levels of HE4 were related to both the stage and grade of tumor. The best cutoff point for HE4 was determined to be 59.7 pmol/L; with 75 % sensitivity and 65.5 % specificity. For S-AA, the cutoff point was 8.8 U/mL, with 68.7 % sensitivity and 58.6 % specificity. The combination of HE4, CA 125, CEA, and S-AA raised the sensitivity to 84 %. Preoperative measurement of serum HE4 and S-AA may be of help in early detection of endometrial cancer. Preoperative screening with these markers may provide important information about the patient’s outcome and prognosis. 相似文献
996.
997.
Ayse Serap Karadag Serap Gunes Bilgili Sevda Onder Omer Calka 《Photodermatology, photoimmunology & photomedicine》2013,29(2):97-99
Eczematid‐like purpura of Doucas and Kapetanakis is a type of pigmented purpuric dermatoses (PPDs) with eczematous changes in the purpuric surface. A 10‐year‐old male and a 44‐year‐old male patients were admitted to our clinics for itching and flaking of the skin rashes. Based on the clinical and histopathological evaluations, the rashes were identified as eczematid‐like PPDs of Doucas and Kapetanakis. Both patients were treated with narrow band ultraviolet B. The lesions were remarkably regressed following the treatment. These cases reported due its rarity and good response to narrow band ultraviolet B. 相似文献
998.
999.
Gul Javid Nazir A. Wani Ghulam M. Gulzar Bashir A. Khan Altaf H. Shah Omer J. Shah Mushtaq Khan 《World journal of surgery》1999,23(11):1191-1194
The prevalence, symptomatology, and outcome of Ascaris-induced liver abscess was studied prospectively in Kashmir, India, which is an endemic area of ascariasis, from December
1987 to December 1997. Of 510 patients with liver abscess admitted during this period, 74 had biliary ascariasis as the cause
(14.51%). Of these 74 patients, 11 had intact ascaridae (live or dead) within the abscess. Six patients had a single abscess,
and five had multiple abscesses. Seven patients had associated worms in the bile ducts. Ultrasonography was the main diagnostic
procedure used. Ten patients were diagnosed based on clinical and ultrasound findings, and one was diagnosed during laparotomy.
Most of the patients were young (age range 3–40 years) with a mean age of 17.20 years. Seven were females, and four were males.
Ten patients underwent surgery; nine recovered completely, and one died postoperatively due to septicemia. Another patient
died as well: a young child who presented late, was in refractory septic shock following suppurative cholangitis and liver
abscess, and could not be taken for surgery. The mortality thus was 9.9%. Liver abscess following invasion of intrahepatic
biliary radicles by ascaridae through the ampulla is an unusual complication of an otherwise common disease in Kashmir Valley,
affecting children and young adults. The outcome depends on early diagnosis and surgical drainage of the abscess with extraction
of worms from the ducts. 相似文献
1000.
Spontaneous sighing is related to subjective relief of negative emotional states. Whether this also applies to instructed sighing is not known. The present study aimed to investigate sEMG and respiratory variability (1) during recovery from mental stress with and without an instructed sigh; (2) before and after spontaneous sighs throughout the experiment. A spontaneous sigh was preceded by increasing sEMG and increasing random respiratory variability, and followed by decreasing sEMG and increased structured correlated respiratory variability. Following an instructed sigh, a smaller reduction in sEMG and an increase in random respiratory variability during recovery from mental stress were observed. Thus, a spontaneous sigh seemed to induce relief. An instructed sigh appeared to inhibit recovery from mental stress. 相似文献