Search PubMed⌕ Search

Biomedical subjects

S Sullivan

Publications and source records attributed to S Sullivan.

At least 127 records · Page 7Linked to original sources
PubMedDate not supplied

Effects of a systematic approach to tobacco cessation in a community-based practice.

Studies suggest that the absence of a systematic approach is a barrier to the provision of tobacco cessation counseling services in clinical practice. A systematic intervention was shown to be feasible and effective at a faculty practice site. Our pilot study examined the feasibility of implementation at a community-based practice and assessed the effect of the tobacco cessation counseling system on our patients' smoking behavior. Systematic assessment (smoking status, "readiness to quit"), brief counseling at each visit, and follow-up (for those ready to quit) were provided by a physician and nurse team. Our results suggest that the office-based tobacco cessation counseling system can work in a community-based practice and is an effective strategy for helping smokers quit and in preparing to quit.

Adult↗
PubMedDate not supplied

Consanguinity and early mortality in the Muslim populations of India and Pakistan.

Empirical information from studies conducted in Pakistan has indicated a high level of offspring mortality that can be attributed to parental consanguinity even when non-biological variables are controlled. However, with the exception of some small and geographically restricted studies, few comparable data are available on the influence of inbreeding in child survival among the Muslim population of India, which numbers between 100 and 120 million. The present study compares deaths during the first 5 years of life among the offspring of first cousin (F = 0.0625) and non-consanguineous unions (F = 0), using data collected in the 1992-1993 Indian National Family Health Survey (NFHS) and the 1990-1991 Pakistan Demographic and Health Survey (PDHS). The focus was on determinants of mortality in live-born children to age 5 years. In both countries, bivariate analyses indicated that mortality was significantly increased in the offspring of first cousin unions during the neonatal and post-neonatal, total infant, and under-5 year periods. The findings were confirmed by multivariate regression, which incorporated control for a range of biological and demographic factors.

Case-Control Studies↗
PubMedDate not supplied

Marlex mesh erosion: a complication of horizontal banded gastroplasty.

One-hundred and thirty-eight obese patients underwent horizontal banded gastroplasty. The stoma in each case was reinforced with Marlex mesh. Fifty of these patients developed upper gastrointestinal symptoms sufficiently severe to require endoscopy. At endoscopy 12 were found to have erosion of the Marlex mesh into the stoma. Mesh erosion was found at various intervals postoperatively ranging from 5 weeks to 55 months with a mean of 23 months. Nine of the 12 had associated stenosis of the stoma and three had dehiscence of the staple line. There were no symptoms peculiar to Marlex erosion. Seven patients required surgical revision of the stoma, four were treated medically, and one was treated with a combination of stomal dilation and medical therapy.

Female↗