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At least 595 records · Page 33Linked to original sources
PubMed1992

Smoking habits before, during and after pregnancy among Swedish women and their partners in suburban Stockholm.

Smoking habits of pregnant women and their partners at three health centres in Stockholm, Sweden, were monitored by a postal questionnaire. Of 582 women enlisted at the antenatal clinics, 433 (74%) were included. 253 (58%) women and 230 (53%) partners responded. 30% of the women were smokers at the start of pregnancy, compared with 27% of the men. During pregnancy 18% continued to smoke, and after the birth of the child 21% were smokers. The male partners stopped or decreased smoking less often. Fewer women aged 25 or more were smokers. The number of heavy smokers decreased considerably during and after pregnancy. The women were more prone to stop smoking if the partner was a non-smoker. 87% made some restriction in their smoking habits after the baby was born.

Adult↗
PubMed1996

Drug detection in a suburban psychiatric emergency room.

This study evaluated the yield and utility of urine toxicological screening (UTS) in psychiatric emergency room patients. We also assessed the effect of race, gender, and cocaine and/or alcohol detection on clinical symptoms and diagnoses. The study's null hypothesis is that recent use of cocaine and/or alcohol in psychiatric emergency patients does not change rates of psychiatric symptoms at evaluation. We did a retrospective chart review of 325 consecutive psychiatric emergency room patients and of 112 consecutive patients with benzoylecgonine (BE; major metabolite of cocaine) on UTS. At assessment clinicians were blind to the results of UTS in most cases. UTS was positive in about one-fourth of cases who submitted urine for toxicological testing. Alcohol, cocaine, and cannabis accounted for the majority of positive cases, and simultaneous detection of these drugs was common. Very few patients with BE on UTS were younger than 18 and none was older than 45. In patients with BE on UTS, substance use was missed in about one out of seven cases, and cocaine use in about one out of four cases. Patients with BE on UTS showed decreased rates of aggressive and bizarre behavior. Cocaine use increased rates of suicidality in males and rates of paranoia in black male patients. Black patients had more hallucinatory experiences than white patients, regardless of cocaine use. Principal diagnoses of psychotic disorders were frequently assigned to black patients with cocaine use, and principal diagnoses of affective disorders rarely. Patients with both BE and alcohol on UTS and patients with only BE on UTS had low rates of aggression, but patients with only alcohol on UTS were frequently aggressive. This study's findings show distinct clinical effects of cocaine and/or alcohol use on psychiatric emergency room patients, contrary to the null hypothesis. These effects differed according to race and gender. We conclude that there is little support to advocate routine toxicological testing in the psychiatric emergency room. Instead, selective testing based on empirical evaluation of risk factors might be more profitable to improve detection rates of cocaine and alcohol.

Adjustment Disorders↗
PubMed1975

An examination of patterns of drug use in six suburban groups.

An investigation into the patterns of drug use of drug users was conducted across six specific groups in a northeatern suburb and at a state university. Information was obtained concerning past and present frequency of use, location of use and procurement, and availability and source of procurement. Relative similarities and differences in patterns of drug use an understood through the resulting group and drug matrix is discussed.

Adolescent↗
PubMed1999

A survey on environmental contamination of suburban parks and playgrounds in Harare, Zimbabwe, with canine helminths of zoonotic significance.

In an attempt to assess the possible risk to humans of soil-transmitted canine helminths of of zoonotic significance, 161 faecal samples and 81 soil samples were collected from 6 public parks and playgrounds in Harare between March and June 1998 and examined for nematode ova. Of the 161 faecal samples collected, 17.4% were positive for Ancylostoma sp. ova and 5.6% were positive for T. canis ova. No other nematode species ova were found. Over 50% of the faecal samples positive for Ancylostoma sp. ova were 'moist', and this suggests that the moisture content of faeces contributes to the development and survival of this parasite in the environment. Only 3 of the 81 soil samples collected were positive for T. canis. The low levels of contamination of public playgrounds and parks with T. canis ova suggests that environmental contamination might not be important in the aetiology of human toxocarosis in Harare.

Animals↗
PubMed1999

Management of childhood diarrhea and use of oral rehydration salts in a suburban West African community.

In a household survey in Guinea-Bissau, 319 episodes of diarrhea in children were followed by interviews every second day with the aim of investigating perceived morbidity and subsequent actions taken. The majority of the mothers had good knowledge of oral rehydration salts (ORS). However, only 58% of the episodes were treated with ORS and the amount given was insufficient. Mothers with no knowledge of ORS did not use it during the observed attack of diarrhea regardless of contact with a health center, which suggests that maternal knowledge is an important determinant of whether health personnel provide ORS. Children with diarrhea considered to be caused by teething were less likely to receive ORS in the acute phase (risk ratio = 0.6, 95% confidence interval [CI] = 0.5-0.9). Univariate analyses showed that the use of ORS was related to number of reported symptoms, the mother being the care taker, consultations, previous use of ORS, good knowledge of ORS, and having ORS sachets at home. Multivariate Cox regression analyses showed that the presence of ORS sachets at home at the onset of diarrhea was the strongest predictor of use (hazard ratio = 3.3, 95% CI = 1.9-3.6). Improved health education should focus more on the quantity of ORS needed, early signs of dehydration, treatment of teething diarrhea, and breast feeding, and address mothers who have no prior knowledge of ORS. Management of diarrhea may be improved by a more liberal distribution of ORS sachets.

Administration, Oral↗