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JOSHUA R MANN SUZANNE MCDERMOTT CHUN PAN JAMES W HARDIN 《Developmental medicine and child neurology》2013,55(1):58-64
Aim To examine maternal hypertension, diabetes, and intrapartum fever as potential risk factors for ischemic stroke in infants. Method We conducted a retrospective cohort study of 226 117 children born from January 2000 to December 2007 who were enrolled in the South Carolina Medicaid program. We linked maternal and child Medicaid billing records and birth certificate data. Children with ischemic stroke were identified based on the International Classification of Diseases, Ninth Revision (ICD‐9), code 434 in the child’s billing data. Independent variables and covariates were identified using ICD‐9 codes and birth certificate data. We modeled the odds of ischemic stroke diagnosis in infants, either before 30 days of life or before 365 days. Results Forty‐three children were diagnosed with ischemic stroke before 30 days and 161 before 365 days. Maternal hypertension (odds ratio 2.31 before 30d) and intrapartum fever (odds ratio 3.36 <30d) were significantly associated with odds of ischemic stroke before 30 days and before 365 days; maternal diabetes was not. Interpretation Maternal hypertension and intrapartum fever appear to be risk factors for ischemic stroke in infants. Additional research is needed to determine the mechanism(s) underlying these associations and to develop effective preventive methods for high‐risk infants. 相似文献
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Cognitive-behavioral therapy (CBT) is an efficacious treatment for body-image difficulties and disorders. The current study evaluated two combined components of Cash's (1997) self-administered bodyimage CBT program-psychoeducation and self-monitoring. Twenty-five body-dissatisfied college students enrolled in the threeweek program and were required to hand in homework weekly in brief meetings with the experimenter. From pre- to posttest, participants became significantly more satisfied with their appearance and reported less situational body-image dysphoria, less weightrelated concern, and less investment in their appearance as a source of self-evaluation. Changes generalized to improved self-esteem, eating attitudes, and social anxiety. Better self-monitoring compliance predicted greater reductions in body-image dysphoria. The study's methodological limitations and clinical implications are considered, and mechanisms of change are discussed. 相似文献
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JOSHUA M. SHARFSTEIN 《The Milbank quarterly》2018,96(2):223-226
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G Lavie ; Y Mazur ; D Lavie ; AM Prince ; D Pascual ; L Liebes ; B Levin ; D Meruelo 《Transfusion》1995,35(5):392-400
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