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1.
Jaime C. Sapag Brena F. Sena Inés V. Bustamante Sireesha J. Bobbili Paola R. Velasco Franco Mascayano 《Global public health》2018,13(10):1468-1480
Stigma towards mental illness and addictive disorders is a global problem and one of the main obstacles in tackling this issue remains the effective integration of mental health services into primary health care (PHC). In Latin America, information has significantly increased on the existence of stigma; however, little is known about effective interventions to prevent stigma and promote recovery-oriented practices in PHC. The aim of this study is to understand the existing evidence regarding mental health stigma in PHC with a special focus on the Latin American region. A scoping review of the literature related to mental health stigma in PHC was conducted. Two hundred and seventeen articles were evaluated; 74 met inclusion criteria and 14 additional articles were selected from references of search results. Results were subdivided into five different perspectives: users, family members and significant others, health professionals, contextual factors, and potential effective interventions. Only nine studies were based in Latin America, and only one described an intervention to reduce stigma in mental health services, not specifically in PHC. We found an urgent need to develop interventions to understand and reduce stigma in PHC settings, especially in Latin America. 相似文献
2.
Mitchell A. Rees Cara E. Morin Gerald G. Behr J. Christopher Davis Hollie Lai Ajaykumar C. Morani Marguerite T. Parisi Gaurav Saigal Sudha Singh Sireesha Yedururi Alexander J. Towbin Barry L. Shulkin 《Pediatric blood & cancer》2023,70(Z4):e29973
Adrenal tumors other than neuroblastoma are uncommon in children. The most frequently encountered are adrenocortical carcinoma and pheochromocytoma. This paper offers consensus recommendations for imaging of pediatric patients with a known or suspected primary adrenal malignancy other than neuroblastoma at diagnosis and during follow-up. 相似文献
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Carla Aparecida Arena Ventura Bruna Sordi Carrara Sireesha Bobbili Kelly Graziani Giacchero Vedana Akwatu Khenti Miyeko Hayashida 《Issues in mental health nursing》2017,38(9):712-716
People who use drugs are continuously subjected to harsh stigmatization through a process of relational and social degradation, which limits their possibility for recovery. This quantitative study explores the perspectives of family members or significant others of illicit drug users, regarding general beliefs about illicit drug use and their stigma. Respondents agree that most people do not trust people who use drugs, disregard individuals who have been hospitalized due to drug problems and do not think people who use drugs are as intelligent as the general population. These findings reveal a high level of public stigma regarding illicit drug use. 相似文献
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Sireesha Koneru FRACS Mifanwy M. Reece MPhil FRACS Dulani Goonawardhana BMed MD Pierre H. Chapuis DS FRACS Krishanth Naidu FRACS Kheng-Seong Ng PhD FRACS Matthew J. F. X. Rickard MMed Dip Paed FRACS 《ANZ journal of surgery》2023,93(6):1646-1651
Backgrounds
Surgery remains mainstay management for colon cancer. Post-operative anastomotic leak (AL) carries significant morbidity and mortality. Rates of, and risk factors associated with AL following right hemicolectomy remain poorly documented across Australia and New Zealand. This study examines the Bowel Cancer Outcomes Registry (BCOR) to address this.Methods
A retrospective cohort study was undertaken of consecutive BCOR-registered right hemicolectomy patients undergoing resection for colon cancer (2007–2021). The primary outcome measure was AL incidence. Clinicopathological data were extracted from the BCOR. Factors associated with AL and primary anastomosis were identified using logistic regression. AL-rate trends were assessed by linear regression.Results
Of 13 512 patients who had a right hemicolectomy (45.2% male, mean age 72.5 years, SD 12.1), 258 (2.0%) had an AL. On multivariate analysis, male sex (OR 1.33; 95% CI 1.03–1.71) and emergency surgery (OR 1.41; 95% CI 1.04–1.92) were associated with AL. Private health insurance status (OR 0.66; 95% CI 0.50–0.88) and minimally-invasive surgery (OR 0.61; 95% CI 0.47–0.79) were protective for AL. Anastomotic technique (handsewn versus stapled) was not associated with AL (P = 0.84). Patients with higher ASA status (OR 0.47; 95% CI 0.39–0.58), advanced tumour stage (OR 0.56; 95% CI 0.50–0.63), and emergency surgery (OR 0.16; 95% CI 0.13–0.20) were less likely to have a primary anastomosis. AL-rate and year of surgery showed no association (P = 0.521).Conclusion
The AL rate in Australia and New Zealand following right hemicolectomy is consistent with the published literature and was stable throughout the study period. Sex, emergency surgery, insurance status, and minimally invasive surgery are associated with AL incidence. 相似文献8.
Yasir Faraz Abbasi Ooi Guat See Ng Yen Ping Ganesh Pandian Balasubramanian Yap Cheng Hoon Sireesha Paruchuri 《Diabetes & Metabolic Syndrome: Clinical Research & Reviews》2018,12(6):1057-1063
Diabetes is among leading public health concerns in Malaysia due to premature and preventable mortality involving macro and microvascular complications. Diabetes knowledge, attitude, and practice (KAP) are vital in diabetes management. The present study assessed the level of diabetes KAP among type 2 diabetes patients with associated and correlated factors through a self-administered questionnaire-based study on a convenience sample of 386 type 2 diabetes mellitus patients in Kuala Muda District, Kedah, Malaysia. Majority of the respondents possessed levels above the cut-off points for poor levels in knowledge (63.21%), attitude (62.69%), and practices (58.03%). Age, academic qualification, occupation, monthly income, current therapy type, comorbid diseases, and therapy preference were associated with KAP whereas the associations of disease duration, the best source of information about diabetes, and health status satisfaction were witnessed for attitude and practice. Academic qualification had strongest correlation for knowledge (r?=?0.785), attitude (r?=?0.725), and practice (r?=?0.709). Knowledge level was significantly correlated with attitude level (r?=?0.735), practice level (r?=?0.786), income (r?=?0.556), occupation (r?=?0.358), age (r?=?0.173), current therapy type (r?=?0.133), and diabetes education exposure (r?=?0.113). Attitude level had significant correlations with practice level (r?=?0.679), income (r?=?0.357), occupation (r?=?0.348), health status satisfaction (r?=?0.147), age (r?=?0.145), and gender (r?=?0.109). Practice level correlated significantly with income (r?=?0.448), occupation (r?=?0.317), age (r?=?0.173), health status satisfaction (r?=?0.167), and current therapy type (r?=?0.118). All associations and correlations were significant at P?<?0.005. Although overall having good levels of diabetes KAP, educational interventions are required to further improve diabetes KAP. 相似文献
9.
Naima Khamsi Melissa D. Mendez Patricia Rojas-Mendez Sheralyn Sanchez Sireesha Reddy 《Journal of pediatric and adolescent gynecology》2018,31(6):644-647
Background
Rhabdomyolysis can be the result of vigorous physical activity. Typical signs and symptoms at presentation are muscle pain, weakness, or dark colored urine. There is no scientific literature associating rhabdomyolysis with gynecologic signs and symptoms.Case
We present a case of a 16-year-old girl who presented to our pediatric emergency department with complaints of progressive left vulvar swelling. The patient underwent magnetic resonance imaging, which showed polymyositis in the rectus abdominus, external and internal obliques, and bilateral vastus lateralis muscles. Laboratory evaluation showed elevated liver transaminases, creatine kinase, and myoglobin serum levels.Summary and Conclusion
Exertional rhabdomyolysis is associated with muscular damage after vigorous exercise. This case is an example of a patient with rhabdomyolysis presenting with an unusual external gynecological manifestation, as unilateral labial edema. 相似文献10.