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Body pain and treatment response in late-life depression. 总被引:2,自引:0,他引:2
Jordan F Karp Debra Weiner Karen Seligman Meryl Butters Mark Miller Ellen Frank Jacqueline Stack Benoit H Mulsant Bruce Pollock Mary Amanda Dew David J Kupfer Charles F Reynolds 《The American journal of geriatric psychiatry》2005,13(3):188-194
OBJECTIVE: The authors investigated the influence of body pain on 1) time to treatment response and 2) suicidal ideation, in late-life depression. They hypothesized that higher levels of body pain would predict a longer time to and lower likelihood of response, and increased levels of suicidal ideation. METHODS: Subjects (N=187) were older adult outpatients (age > or =69 years), with current episodes of major depression, who were openly treated with paroxetine up to 40 mg daily and weekly interpersonal psychotherapy. Response was defined as 3 consecutive weeks of Hamilton Rating Scale for Depression at < or =10. Body pain was measured with the Bodily Pain Index of the SF-36 quality-of-life assessment. Authors used survival-analysis models on the responder sample to test the effect of body pain on response, after controlling for severity of depression. RESULTS: Overall response rate was 75.4%. Nonresponders reported more severe pain at baseline. After covarying for severity of baseline depression, no effect was found for physical pain on time-to-response or degree of suicidality. Bodily pain remained stable during acute treatment for responders, independent of depression response to combination psychotherapy and antidepressant treatment. CONCLUSIONS: Older adult patients with higher levels of physical pain can still respond to antidepressant treatment; however, reported bodily pain may be associated with a more difficult-to-treat depression. 相似文献
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Steven Stack 《Archives of Suicide Research》2004,8(4):379-388
Occupations have been a relatively neglected risk factor in the etiology of suicide. Client-oriented occupations are often thought to contribute to suicide by increasing psychological stress. The present study tests this thesis for the case of social work. Data were collected from 21 reporting states in the year of 1990. Controls are introduced for possible covariates of social work including gender, race, region, age, and marital status. The results of a preliminary logistic regression analysis found that being a social worker increased the odds of death by suicide by 55.6%, compared to the rest of the working age population. However, when controls for other occupations were incorporated into the analysis, social workers were no longer at elevated odds of death by suicide relative to other professional-managerial occupations. The psychological resources and training of social workers may act as buffers against occupational stress. Being Caucasian, male, younger, and being non-married all increased the odds of death by suicide. 相似文献
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Alan B. Storrow MD Lawrence B. Stack MD Phred Petersen 《Academic emergency medicine》1994,1(5):454-462
In the emergency department, photography requires an expedient, portable, adaptable, and relatively simple camera system to take advantage of fleeting opportunities for recording visually educational material. These prerequisites are different from those for traditional medical photography, for which relatively plentiful time and advanced equipment are routinely available. Medical photography departments provide an invaluable service, but are rarely convenient for immediate or spontaneous emergency. department photographs. Although no single system or technique is optimal in all these areas, the authors find certain components and approaches work well. They review photographic equipment, paying attention to speed, ease of use, and quality of output. They also review simple techniques such as film choice, lighting, close-up photography, standardization, copy work, and radiographs. Attention to these details can help the inexperienced photographer obtain a system and begin to enjoy the rewards of effective photography in the emergency department. 相似文献
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Brendan C Stack J Paul Hansen James M Ruda Jeff Jaglowski Joseph Shvidler Christopher S Hollenbeak 《Otolaryngology--head and neck surgery》2004,131(1):54-60
OBJECTIVE: A new class of carboxylic acids has tumoricidal activity for head and neck squamous cell cancer (HNSCC). Fusaric acid (FA) can chelate divalent cations, especially zinc, and inactivate zinc finger proteins involved in DNA repair and protein synthesis. METHODS: 2 squamous carcinoma lines were utilized for in vitro and in vivo portions of this study. Cell counting and flow cytometry were used to analyze cells in culture in treatment and control groups over 96 hours. HNSCC subcutaneous implants were created in treatment and control groups of BALB-c nude mice (N = 30). RESULTS: In vitro studies demonstrated significant changes in cell numbers and cell cycle. In vivo studies of daily intralesional therapy for 1 month also showed reduced onset of growth and overall growth compared to controls. CONCLUSION: FA appears to have a tumoristatic/tumoricidal effect on HNSCC. Further nude mice studies are needed to optimize dosing and administration regimens for FA in anticipation of clinical trials. 相似文献
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Plexiform trigeminal neurofibroma 总被引:3,自引:0,他引:3
Neurofibromas of the trigeminal nerve are uncommon tumours which usually present in patients in the third or fourth decade of life as a localised mass in the posterior or middle cranial fossa. A case is described of a plexiform neurofibroma of this nerve with unusual clinical and radiological features. 相似文献