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At least 1,099 records · Page 61Linked to original sources

An epidemological study of smoking at Abbottabad.

BACKGROUND: Smoking is a type of environmental pollution and is injurious to health. We conducted an epidemiological study of different forms of smoking like cigarette, Hookah (Hubble-Bubble) and cigar in Abbottabad. METHODS: 600 randomly selected subjects residing in different localities of Abbottabad were included. A specifically designed questionnaire was filled. RESULTS: Out of the study population 200 (33%) were found to be smoking. CONCLUSIONS: A significant proportion of Abbottabad population smokes. This city is supposed to be a relatively less polluted hill station where a lot of people come for vacations.

Humans↗

Employer supports for parents with young children.

The competing interests of employers, working parents, and very young children collide in decisions over work schedules, child care arrangements, promotions, children's sicknesses, and overtime hours. With the rising number of women in the labor force, more and more employers are concerned about how their workers balance work and family priorities. This article examines the supports that employers provide to help parents with young children juggle demands on their time and attention. It reviews the availability of traditional benefits, such as vacation and health insurance, and describes family-friendly initiatives. Exciting progress is being made in this arena by leading employers, but coverage remains uneven: Employers say they provide family-friendly policies and programs to improve staff recruitment and retention, reduce absenteeism, and increase job satisfaction and company loyalty. Evaluations demonstrate positive impacts on each of these valued outcomes. Employee benefits and work/family supports seldom reach all layers of the work force, and low-income workers who need assistance the most are the least likely to receive or take advantage of it. Understandably, employer policies seek to maximize productive work time. However, it is often in the best interests of children for a parent to be able to set work aside to address urgent family concerns. The author concludes that concrete work/family supports like on-site child care, paid leave, and flextime are important innovations. Ultimately, the most valuable aid to employees would be a family-friendly workplace culture, with supportive supervision and management practices.

Child Care↗

A study of dengue imported to Kuwait during 1997-1999.

This study was carried out on sera from 210 patients in Kuwait in 1997-1999. All of the patients were suffering from febrile illness and had recently visited dengue- (DEN) endemic areas. The sera were screened for DEN virus by inoculation into cultures of the Aedes albopictus cell clone C6/36 (virus isolation) and by IgM capture ELISA (detection of DEN virus-specific IgM antibodies). In the cell cultures, DEN virus could not be isolated from any of the patients' sera. However, sera from 19 patients were positive for DEN virus-specific IgM antibodies. All these 19 sera were tested for the presence of DEN virus-specific RNA by reverse transcription-PCR (RT-PCR) using DEN virus types-common (consensus) primers. In addition, the type of DEN virus was identified by using type-specific primers in a semi-nested PCR. The results showed that two of the 19 patients were infected with DEN virus type 2. This report of 19 patients with serological evidence of DEN infection indicates that imported DEN is a real threat to Kuwait, a country non-endemic for DEN but with a large portion of the population vacationing in DEN-hyperendemic areas during the peak DEN season and then returning to Kuwait.

Antibodies, Viral↗

[Correlation between eating disorders and sleep disturbances].

Anorectics and bulimics often complain sleep onset insomnia and disrupted sleep. During awakenings bulimics can have binges. Conversely, eating disorders can be a clinical expression of a concomitantly occurring sleep disorder. Two clinical entities have been recently described: the Night Eating Syndrome (NES) and the Sleep Related Eating Disorders. The main goal of this literature review was to better characterize the relationships between eating disorders and sleep disturbances. No specific EEG sleep pattern emerges in anorectic and bulimic patients. However, all studies include several methodological limitations: a few number of patients, heterogeneous patient groups, various diagnostic criteria. The results of studies evaluating the impact of depression on sleep EEG in eating disorder patients are also subject to controversy. The only study examining the relationship between sleep EEG and morphological alterations in anorectics and normal weight bulimics shows that patients with enlarged cerebrospinal fluid spaces spent more time in slow wave sleep and that the duration of rapid eye movement (REM) sleep was reduced. The ventricular brain ratio was negatively correlated with REM sleep. The Night Eating Syndrome consists in insomnia, binge eating and morning anorexia. Other criteria are proposed to characterize the NES: more than 50% of the daily energy intake is consumed after the last evening meal, awakenings at least once a night, repetition of the provisional criteria for more than 3 months, subjects do not meet criteria for bulimia nervosa or binge eating disorder. Patients have no amnesia nor alteration of alertness, and no other sleep disorder. There is no modification of sleep EEG except sleep maintenance. The prevalence of the NES is 1.5% in the general population. Some neuroendocrine disturbances have been found in the NES. The delimitation with eating disorders is not yet clearly established. If it shares the compulsive features with eating disorders, particularly the "Binge Eating Disorder", and occurs during full awakenings, the night eating syndrome may be recognized as a specific eating disorder. The sleep related eating syndrome is also characterized by compulsive binge eating during awakenings. But in this case, night eating is linked with a reduced consciousness and sleep disorders, mainly somnambulism. Patients never experience hunger, abdominal pain, nausea or hypoglycemia. Night-eating takes place invariant across weekdays, weekend and vacations. Patients consumed high caloric foods and fluids but never alcohol and purging does not occur. Diurnal bulimia is frequently associated with the sleep-related eating disorder. In conclusion, the sleep related eating disorder seems rather be a clinical subtype of sleep disorders whereas the NES could be considered as an eating disorder.

Adult↗

A novel case of mealworm-induced occupational rhinitis in a school teacher.

A 47-year-old African American female elementary schoolteacher presented with itchy, watery eyes, rhinorrhea, postnasal drainage, and nasal congestion complicated by recurrent epistaxis for 2 months. She had similar symptoms the previous year from September to May but was symptom free during the summer. Her symptoms began within 1 hour after entering the classroom and improved in the evening at home, on weekends, and vacation. She denied symptoms around dust, freshly cut grass, or pets and had no prior history of underlying allergic rhinitis and asthma. She had a 20-pack-a-year smoking history but quit 1 1/2 years ago. A detailed history of her classroom environment revealed the presence of mealworms that were used to teach the children about life cycles. Physical exam revealed swollen, erythematous nasal turbinates but was otherwise unremarkable. Prick skin testing was positive for oak tree, grasses, feathers, and cockroaches. Mealworm whole body extracts were prepared using standard methodology. Titration intracutaneous skin testing revealed a positive reaction at a 1:1000 concentration associated with a large delayed reaction 8 hours later that persisted for 24 hours. Specific nasal provocation using acoustic rhinometry revealed a dose response change in nasal volume (48% decrease at 1:100; 53% decrease at 1:50) and cross-sectional area (32% decrease at 1:100; 48% decrease at 1:50) in response to mealworm challenge compared with a saline control. Removal of the mealworms from the classroom resulted in complete relief of her symptoms. This is the first reported case of mealworm-induced rhinitis in a schoolteacher. Because mealworm demonstrations are now part of the standard curriculum in public school elementary classrooms in Ohio, it is important that school administrators recognize the sensitizing nature of these insects and their potential for causing allergic rhinitis and asthma in the workplace.

Animals↗

Managing the individual and family in crisis.

Thorough assessment of the crisis requires skilled use of interviewing techniques, such as facilitating the flow of verbalization, selective focusing, ventilation and catharsis. Family interviewing is especially challenging. Conveying interest and preserving neutrality are essential while deciphering relationships among family members. Treatment modalities include individual and family counseling, psychoactive drugs, environmental manipulation (hospitalization, vacation) and the use of community resources. Intervention at the appropriate time can break a vicious cycle of repetitive disorganization and crisis.

Affective Symptoms↗

Issues in summer safety: a call for sun protection.

Summer is associated with vacation and time spent in the outdoors. It is also a time when parents and children need to be reminded of the dangers and long-term health effects of being exposed to hazards of the sun. It has been estimated that the regular use of sunscreen during childhood would reduce the lifetime incidence of certain types of skin cancer by 78%. Selecting a sunscreen may be a difficult task. Pediatric nurses and other health care professionals are in a pivotal position to educate both parents and children on the benefits of sun protection and offer information about strategies for enjoying a safe summer.

Adolescent↗

Registration and reregistration application fees. Final rule; remanded for further notice and comment.

On October 6, 1992, Congress passed the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act of 1993, Pub. L. No. 102-395, 106 Stat. 1828 (1992) (codified at 21 U.S.C. 886a) (Act). In section 886a(3) of this Act, Congress directed that "fees charged by the DEA under its Diversion Control Program (DCP) shall be set at a level that ensures the recovery of the full costs of operating the various aspects of the (diversion control) program." On December 18, 1992, DEA published its proposal to adjust the existing registration fee schedule. 57 FR 60,148. After notice and comment, DEA published a Final Rule on March 22, 1993, setting the new registration fees. 58 FR 15,272. Following publication of the final rule, a complaint was filed by the American Medical Association (AMA) and others in the United States District Court for the District of Columbia. On July 5, 1994, the district court issued its final order granting the government's motion for summary judgment, and thus disposed of all claims with respect to all parties. American Medical Association v. Reno, 857 F. Supp. 80 (D.D.C. 1994). The AMA appealed. On June 27, 1995, the United States Court of Appeals for the District of Columbia Circuit issued its decision holding that DEA's rulemaking was inadequate and that the rule must be remanded, without being vacated, to the DEA for further proceedings in which DEA provides both an opportunity for meaningful notice and comment on, and an explanation of, the components of the diversion control program. 57 F.3d 1129 (D.C. Cir. 1995) On August 29, 1995, the United States Court of Appeals for the District of Columbia Circuit remanded this action to the district court with instructions. On November 22, 1995, the District Court remanded the matter to DEA for proceedings consistent with the opinion of the United States Court of Appeals for the District of Columbia Circuit. This document responds to that requirement and provides a description of the components of the fee-funded diversion control program.

Drug and Narcotic Control↗

Registration and reregistration application fees. Confirmation of final rule, remanded for further notice and comment, and response to comments.

DEA is publishing a final rule regarding the registration and reregistration fees charged to controlled substances registrants. DEA is required to charge reasonable fees relating to the registration and control of the manufacture, distribution, and dispensing of controlled substances. To address this mandate, on March 22, 1993 DEA published a final rule in the Federal Register, establishing registration fees for controlled substances registrants (58 FR 15272). Following publication of the final rule, the American Medical Association (AMA) and others filed a complaint in the United States District Court for the District of Columbia objecting to the new fees. The district court issued its final order granting the government's motion for summary judgment and disposing of all claims. The AMA appealed. The United States Court of Appeals for the District of Columbia Circuit found DEA's rulemaking to be inadequate. The appeals court remanded, without vacating, the rule to DEA, requiring the agency to provide an opportunity for meaningful notice and comment on the fee-funded components of the Diversion Control Program. DEA responded to the remand requirement through a document published in the Federal Register on December 30, 1996 (61 FR 68624). This Final Rule supplements the December 30, 1996 Federal Register document and with that document, constitutes the final rule on the Drug Diversion Control Fee Account.

Congresses as Topic↗

The SIDIIEF and globalization.

Ah, summer, with its long days, bright colours, fragrances, warmth and wandering spirits. Vacations take us away from our usual haunts, sometimes to other lands. And on this international theme, I'd like to talk about the Secrétariat International des Infirmières et Infirmiers de l'Espace Francophone (SIDIIEF), an international association of nurses in the French-speaking world, still quite young, that needs your support.

Humans↗

Court lifts ban on enforcing Miss. anti-abortion law.

A federal court order yesterday made Mississippi the first state to get permission under the Supreme Court's new abortion ruling to start enforcing a law designed to limit women's rights to end pregnancy. Without saying why, the 5th US Circuit Court of Appeals in New Orleans put into immediate effect a ruling it had issued just hours earlier permitting Mississippi to carry out an antiabortion criminal law that had been passed last year over the governor's veto. State prosecutors said they would start enforcing the law at midnight Saturday. They set that deadline after the appeals court refused a plea by 2 clinics and 2 doctors to delay its ruling for at least a month. The law requires doctors to wait for 24 hours to perform an abortion, with only a narrow exception for medical emergencies. It also requires doctors to give pregnant women advice--before they can get an abortion--about financial aid if they continue the pregnancy and have a baby, about the age of the fetus they are carrying, and about the medical risks of abortion and of carrying the pregnancy to term. The Mississippi case was the first one in which lawyers had a chance to debate the effect on other states laws of the Supreme Court's latest ruling about 5 weeks ago, in a Pennsylvania case. Lawyers challenging the Mississippi law contended that it is more restrictive than similar provisions of Pennsylvania antiabortion laws that the Supreme Court tentatively upheld in its June 29 decision. In the Pennsylvania ruling, the Supreme Court spelled out by a 5-4 vote a more relaxed constitutional standard for judging state abortion curbs. Under the Mississippi law, the 24-hour wait for an abortion would apply even in most medical emergencies confronted by a pregnant woman. The only time it would not apply was when the pregnancy threatened immediate loss of some bodily function. Pennsylvania's law would allow doctors more discretion in emergencies to go ahead with an abortion. The Mississippi law forbids doctors to avoid giving the mandated advice, even if the doctor believes that the advice itself posed a psychological risk to the woman. There is no "therapeutic exception" to the duty to give the advice, while there is in the Pennsylvania law. Although the advice mandated in Mississippi includes assurances that, if the pregnancy continues to birth, the father will be obliged to provide support, lawyers for the challengers offered evidence that only 5% of the women in Mississippi seeking child support from fathers get it. The appeals court in New Orleans said it would explain its action on the Mississippi law in a formal opinion later. Its 2-sentence order simply wiped out a federal judge's year-old order for forbidding Mississippi to enforce its law. The appeals court also gave no immediate explanation for refusing to postpone its ruling. Rachel Pine, a lawyer for the Center for Reproductive Law and Policy and one of the attorneys handling the Mississippi case, described the court orders as "step 1 in the fallout" from the Supreme Court's June 29 ruling. She predicted that court orders now in effect against state antiabortion laws "are going to be vacated, all across the country." Ms. Pine and other attorneys in the Mississippi case wanted the appeals court to send their case back to a trial judge, so they could try to challenge it anew as unconstitutional even under the latest Supreme Court ruling. They told the appeals court that the Mississippi law was different enough from the Pennsylvania law that it could not survive under the new standards.

Abortion, Induced↗

Resolution on Creating Family-Style Children's Homes, August 1988.

This Resolution approves a proposal of the V.I. Lenin Soviet Children's Fund for setting up "family-style" children's homes in the Soviet Union. Children's homes are to consist of a) children's towns--single-family, multiroom homes occupied by families raising at least ten orphaned children and children left without parental care; and b) premises of individual families raising at least five such children while occupying separate multiroom units in regular apartment buildings, specialized buildings, or groups of buildings. In addition to residential buildings, children's towns are to contain a secondary school, a sports and fitness center, preschool facilities, housekeeping and preventative health care buildings, auxiliary farming plots, and other land where children and adults can work together. Thirty homes are to be built in the period 1988-1991. The Resolution also approves proposals establishing an All-Union Wardship Council; charging public health officials with providing permanent, qualified health care, consultation, mental health care, and diagnostics to every family assuming the responsibility of raising children; setting the task of organizing expanded research on children's health and treatment; recommending that enterprises, organizations, and institutions provide transportation service to family-style children's homes and families of employees raising these children and give them passes to sanatoriums, preventoriums, recreation centers and vacation complexes; and pledging the Council of Ministers' participation in the financing, construction, outfitting, and equipping of these homes and in providing material assistance to families raising orphaned children and children left without parental care. The Council of Ministers also decided that the time foster parents spend in raising five or more such children will be added to their overall continuous work record for the purposes of pensions and benefits and to their length of service in their specialty.

Adolescent↗

Human scrotal myiasis: botfly infestation.

Cutaneous infestation of the scrotum with botfly larva from the order Dioptera, family Cuterebridae, species Dermatobia hominis is extremely rare. The first reported case of scrotal myiasis in the United States of America is described here. There is increased potential for human infestation with botfly larva (Dermatobia hominis), due to a more affluent and mobile population traveling to tropical areas for exotic vacations where the botfly is endemic. Urology nurses in a clinical setting should be aware of patients with unusual clinical presentations involving the genitourinary system.

Animals↗

[Nurses on strike, waiting lists and waiting time at a regional hospital].

BACKGROUND: From 22 January to 6 March 2002, Norwegian hospitals were struck by the longest strike among nurses ever. The strike strategy was aimed at creating the least possible effect on patient treatment by mainly including nurses in administrative positions and in outpatient departments. However, several reports of increasing numbers of patients in line for treatment and of operations cancelled caused the minister of health to finally order the nurses back to work. MATERIAL AND METHODS: To get a more comprehensive view on the effect of the strike, patients in line for treatment at St. Olavs Hospital, a large regional university hospital, were analysed for the months January and February. RESULTS: Surprisingly, no major negative effects on the volume of treated patients and on the number of patients waiting for treatment were found. In fact, the total number of patients in line for treatment as well as the number of patients waiting more than 12 months were reduced during the strike. The mean waiting time for treatment was also reduced. INTERPRETATION: A limited strike may improve the selection of patients with high priority. Furthermore, the yearly summer vacation in hospitals, that also includes doctors, probably represents a larger health threat to patients than a limited and well planned strike among one single health profession.

Hospital Departments↗

Optimization of clinical teaching unit call schedules at the Ottawa hospital through tabu search heuristics.

The task of scheduling medical staff for evening rounds in the Clinical Teaching Unit of the Ottawa Hospital is a long complicated task due to its complexity. Three main classifications of staff, combined with various rotations, skill sets, clinical teams and vacation periods have combined to create a difficult scheduling problem. As there were no commercial packages available to solve this particular task, a study was made of heuristic scheduling and optimization techniques and a program based on a variation of the tabu search heuristic was written and tested. This system is being used to schedule medical staff at the Ottawa Hospital.

Algorithms↗

[A sociomedical portrait of tuberculosis control service workers].

The social and medical causes of occupational tuberculosis were analyzed by using the results of questionnaire surveys in 300 workers of tuberculosis controlling service. Low salaries, high working load, unbalanced nutrition, poor rehabilitation on vacation are the most important risk factors leading to high rates of both somatic and occupational morbidity in the staff of antituberculosis service.

Adult↗

Determinants of the interval between diagnosis and treatment in patients with digestive tract cancer.

The main objective was to analyze the influence of social factors on the interval from diagnosis to treatment in a cohort of 217 patients with digestive tract cancer. From the clinical charts data were obtained for: date of the beginning of illness, dates of medical attendance, type and date of diagnostic tests, characteristics of the disease (symptoms, stage), and date of treatment. From the personal interview we gathered information lacking in the clinical charts such as socio-demographic factors, other underlying diseases, and variables related to life style. The information on hospital admission, diagnosis, and treatment was prospectively gathered, whereas data before hospitalization were retrospectively assessed. In statistical analysis the Kruskal-Wallis test and Cox regression were used. The predictors associated with a shorter diagnosis-treatment period were: low social class, lymphatic involvement at diagnosis, first visit at secondary/tertiary level of health care, no car availability, two or more symptoms at the beginning of disease, sex (male), age (less than 74 years), and diagnosis out of vacation periods. In conclusion, several socio-demographic variables (age, gender, social class, and car availability) influence the interval diagnosis-treatment.

Aged↗

Second-line treatment of small-cell lung cancer. The case for systemic chemotherapy.

Small-cell lung cancer is an aggressive tumor associated with high rates of regional or distant metastases at diagnosis. Although highly chemosensitive to agents given in the first-line setting (e.g., etoposide and cisplatin), most patients relapse and have a poor prognosis. Treatment options for relapsed patients include radiotherapy for limited-stage disease and chemotherapy or combined modalities for advanced-stage disease. In clinical practice, however, some oncologists maintain that chemotherapy provides an insufficient survival benefit to justify the sometimes debilitating toxicity associated with the more active regimens in particular. Other potential barriers to further treatment include patient comorbidities, performance status, site(s) of progression, progression-free interval, and previous treatments. However, numerous clinical trials demonstrate that some patients benefit from treatment, achieving prolonged survival, symptom palliation, improved quality of life, and the opportunity, albeit rare, for durable remission. Additionally, several novel chemotherapeutics are available that alone or in combination help patients lead an improved quality of life. Finally, alternative routes and schedules--oral formulations, weekly administration, and prolonged treatment vacations--have been developed to deliver chemotherapy to patients with poor performance status or multiple comorbidities. This article reviews the advantages and disadvantages of treating recurrent small-cell lung cancer and summarizes the utility of several active agents.

Antineoplastic Combined Chemotherapy Protocols↗