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481.
Pelvic prolapse: assessment with evacuation proctography (defecography) 总被引:18,自引:0,他引:18
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T Mäkikyrö Dr JT Karvonen H Hakko P Nieminen M Joukamaa M Isohanni P Jones M-R Järvelin 《Public health》1998,112(4):221-228
We studied the comorbidity of psychiatric and physical disorders in a sample (n = 11017) from the unselected, general population, Northern Finland 1966 Birth Cohort. During the period 1982–1994, hospital-treated psychiatric patients were more likely than people without psychiatric diagnoses to have been treated for physical disease in hospital wards, 298 out of 387 (77.0%) vs 6687 out of 10 630 (62.9%) (OR = 2.0, 95% CI = 1.6−2.5). Injuries, poisonings and indefinite symptoms were a more common reason for hospital treatment in people with schizophrenia or other psychiatric disorder as compared with people without a psychiatric disorder. Men with psychiatric disorder had more than a 50-fold risk for poisoning by psychotropic drugs (OR = 52.6, 95% CI = 27.7−99.8), women with psychiatric disorder a 20-fold risk (OR = 19.0, 95% CI = 9.5–38.1) and schizophrenics more than a 30-fold risk (OR = 37.5, 95% CI = 19.1–73.8). Men with psychiatric disorders were more commonly hospitalised for a variety of gastrointestinal disorders and circulatory diseases (OR = 2.3, 95% CI = 1.2–4.4), as compared with men with no psychiatric disorder. Respiratory diseases (OR = 2.2, 95% CI = 1.2–4.2), vertebral column disorders (OR = 4.2, 95% CI = 1.8–9.9), gynaecological disorders (OR = 2.1, 95% CI = 1.2–3.6) and induced abortions (OR = 1.8, 95% CI = 1.2–2.7) were more prevalent in women with psychiatric disorder than in other women. Epilepsy was strongly associated with schizophrenia (OR = 11.1, 95% CI = 4.0–31.6). Nervous and sensory organ diseases in general (OR = 2.5, 95% CI = 1.1–5.8) and inflammatory diseases of the bowel (OR = 12.8, 95% CI = 3.8–42.7) were also overrepresented in schizophrenia when compared with people without a psychiatric disorder. Our results indicate that physicians must be alert for psychiatric disorder, and mental health professionals must be aware of the considerable physical morbidity in their patients. 相似文献
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Vereb M; Agulnik AI; Houston JT; Lipschultz LI; Lamb DJ; Bishop CE 《Molecular human reproduction》1997,3(1):55-59
Sequenced-tagged site (STS) analysis of the Y chromosome long arm (Yq) of
azoospermic males has identified a minimum common deleted region of several
hundred kilobases in approximately 13% of cases. A candidate azoospermia
gene, DAZ (deleted in azoospermia), has been isolated from this region. DAZ
has also been shown to be absent in severely oligozoospermic males albeit
at a much lower frequency. These data, although highly suggestive, do not
constitute formal proof that DAZ actually plays a role in azoospermia, as
no small intragenic deletions, rearrangements or point mutations in the
gene have been found. In this study we report the screening of DNA from 168
azoospermic/oligospermic males for the presence of the DAZ gene. Deletions
involving DAZ were detected in five out of 43 (11.6%) azoospermic males
whereas none were found in the remaining 125 oligospermic patients. We
present the genomic structure of the 5' end of the DAZ gene together with
its sequence analysis in 30 non-obstructed azoospermic males. No mutations
in DAZ were found in any of the patients sequenced. These data provide no
formal proof that DAZ is AZF. Thus the possibility is still valid that
another gene(s) mapping to the deletion interval may be responsible for, or
contribute to, the observed phenotypes. Alternatively, if DAZ is AZF, they
suggest that the most frequent cause of gene inactivation is via large
deletions possibly mobilized by Y chromosome repetitive sequences.
相似文献
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