Prescribing for the elderly in NB.
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Biomedical subjects
Publications and source records attributed to J McSherry.
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Using a computerized self-report questionnaire format incorporating the Eating Attitudes Test-26 (EAT-26) and a modification of the McKendry criteria for the diagnosis of idiopathic edema (IE), the authors surveyed a population of women students to determine the prevalence of IE symptoms and their relationship to abnormal eating attitudes and behaviors (AEAB). The mean age of 177 respondents was 20.8 years. IE symptoms were reported by 12.4% of respondents, and AEAB by 16.4%. The prevalence of IE symptoms was 37.9% in respondents with AEAB and 7.4% in normal respondents (p = .0001). A score of 11 or greater on the modified McKendry IE criteria had a sensitivity of .37, specificity of .93, positive predictive value of .5, and a negative predictive value of .89 for an abnormal EAT-26 score. Body mass index (BMI) scores were similar for all respondent groups.
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Chronic fatigue syndrome (CFS), an organic disease of unexplained origin, affects about three people in 100,000. Symptoms last approximately 2 1/2 years, and most CFS patients return to normal health. Diagnosis of CFS is by exclusion. No single remedy has yet proven consistently beneficial. Family physicians can help by providing medical validation of disability to persons who might otherwise be seen as malingerers.
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BACKGROUND: The clinical symptoms and durations of illness of patients with infectious mononucleosis (IM) are variable and are poorly documented in the scientific literature. METHODS: Patients who presented for care at the Student Health Service of a Canadian university between September 1985 and May 1988 and had been diagnosed as having IM were surveyed. Health experience during the acute and convalescent phases of IM was compared with that of a group of patients matched for age, sex, date of diagnosis, and year of study, who had suffered acute upper respiratory tract infections (URI), other than Epstein-Barr virus (EBV)-induced, during the same period. RESULTS: Students were sicker for longer after IM than after non-EBV-induced URI. During the acute phase of illness, the symptoms of fatigue (P = less than .000001), night sweats (P = .000001), and painful neck swelling (P = .00003) were seen significantly more often in the IM group. The severity and duration of these symptoms were also significantly worse in IM patients. Getting tired easily (P = .002), diurnal somnolence (P = .002), and depression (P = .002) were significantly more common postacute symptoms. Eleven percent of IM patients reported persistence of symptoms longer than 100 days, and in 6% of patients the symptoms had persisted after 1 year. Convalescent cases showed a trend toward reduced alcohol intake and, perhaps, reduced alcohol tolerance. CONCLUSIONS: IM involves excessive morbidity in a student community compared with URI that was other than EBV-induced, during both the acute and the postacute phases of infection.
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