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[Controversies in the substitute hormonal treatment of menopause].

Recent publications in magazines of the maximum impact raise serious and big doubts among the gynecologists. Of a side, the substitute hormonal therapy (THS) doesn't seem to have value like preventive of the heart attack neither of the osteoporosis. Of other, it can carry thrombosis in the first months of treatment, besides the already acquaintance increment of the mamma cancer risk starting from the fifth year of THS. In the present communication the systematic one is exposed continued so far, and the possible alternatives that we should adopt to avoid presumed complications, and the subsequent reclamations that the patients could file.

Estrogen Replacement Therapy↗

Communications. This year's model.

Guy's and St Thomas' has launched its own magazine to improve community relations. 30,000 copies are distributed across Lambeth and Southwark. The front cover features local people rather than celebrities or models.

Community-Institutional Relations↗

[Advertisements for the treatment of obesity or deceit without limits].

In magazines the advertisements for slimming diets or products are more and more frequent. The study of these advertisements shows that most of them do not give any indication on the composition of products or on the nature of the proposed methods. The selling arguments are the most often fallacious: freely diminution of body weight without dieting and physical activities, lack of checks, no successive increase of body weight, dramatic and quick slimming, debatable informations on the mechanisms of actions. In addition these treatments are followed without medical supervision. They are the antithesis of the right therapeutics of obesities. The diffusion of these methods as that of the numerous books on the slimming diets or technics in various European countries requires a study in order to protect the patients against their exploitation and a proposal of legislation for the European Countries in the whole which will make up the future Great European Community.

Advertising↗

Body dysmorphic disorder: diagnosis and treatment.

Our society constantly sees images of athletes and models in movies and magazines and on television. These people often are presented as representing the ideals of the human body. These images can have a significant effect on people who already are predisposed to being preoccupied with their appearance, those who suffer from body dysmorphic disorder (BDD). People who have this disorder are preoccupied with certain aspects of their bodies and often seek to remedy their perceived flaws with cosmetic treatment. A general dentist may be the first health care worker who has an opportunity to intervene and assist these people in getting treatment. Patients may have unrealistic expectations for certain procedures, so assessing their psychological status is an important part of treatment planning and diagnosis. Patient expectations should be determined and the ability to provide care that meets those expectations should be discussed.

Adult↗

[Mother/child affective bond at the unit of the pediatric ward].

This study presents the importance of the mother-son relationship in the child physical and emotional development. It aims at contributing to the construction of knowledge in nursing, by rescuing the importance of the mothers' stay in the units of the pediatric ward. It is a bibliographical research using as sources: books, scientific articles, journals, magazines, encyclopedias and the Internet. By reading and analyzing the texts it is possible to identify how the consolidation of the mother and son affective bond is processed and to point out the positive aspects of the mother's stay with the hospitalized son.

Child↗

Identity and transculture in Vice Versa.

Quebec's struggle between francophones and anglophones has deeply affected other immigrant communities' identitarian practices. Within Montreal's eighties and nineties nationalist environment some Italo-Quebecois worked as a bridge between the two groups through the transcultural magazine Vice Versa. The article presents some findings from a case study that looks at how Vice Versa challenged dominant perceptions of identity and its role in society. It assumes that identity is negotiated between individuals, that language and ethnicity are key factors for social mobility and symbolic power on the marketplace, and that these function through hegemony. Through its use of untranslated French, English and Italian and its articles' contents Vice Versa's discourse on transculture undermines the assumption that identity is necessary for social interaction and negotiates new categories that dissolve ethnic boundaries. Vice Versa is a unique example of the emergence of a counter-hegemonic movement questioning identity at its roots.

Anthropology, Cultural↗

[Role of mass media during the severe acute respiratory syndrome epidemic].

OBJECTIVE: To understand the impact of effective interaction between public and media on the prevention and control of severe acute respiratory syndrome (SARS). METHODS: Based on the theory of field epidemiology, the traditional and modern technologies were brought forward. In the late period of SARS epidemic, investigation on knowledge, attitude and practice on SARS prevention and control among general population was conducted. RESULTS: During the 3 month period of SARS epidemic in Shenzhen, techniques of the "E-health and public health informatics" as an emerging fields were used to focus on population to eventually improve the health of entire population. Methods as television, radio, newspapers, magazines, printing and distribution of specific materials on SARS were included, and hotlines of telephone and mobile phone, web-based sites, electronic screening advertisements, and consultation or forum for the public etc. were used. Among 3405 subjects interviewed, more than 95% gave right answers on the SARS related questions. Most of them held the optimistic and scientific attitude. 80% of the population had taken the measures as recommended. 82.4% of the citizens were happy about the local government's action and 93.8% thought hospitals and healthcare workers should be respected and honored. CONCLUSION: Dealing with the urgent public health problems and emerging infectious diseases outbreak, epidemiologists need to keep good relations with media, and making use of modern electronic technologies to communicate with the public.

Adolescent↗

Strategies for combating dental anxiety.

Dental anxiety and subsequent avoidance of dental care and deterioration of oral health pose a significant problem for the dental profession. In an attempt to elucidate preferences of anxious dental patients, we gathered survey data from 121 persons at a small, private liberal arts college in the mid-Atlantic region of the United States. Half of the respondents experienced dental anxiety, and most of these (66 percent) attributed anxiety to fear of anticipated pain. The majority of anxious patients preferred a dentist to be friendly (93 percent), talkative (82 percent), and to have an office with adorned walls (89 percent) and a slightly cool temperature (63 percent). Patients who identified themselves as anxious also indicated that music in the background (89 percent) and magazines and books in the dental office (75 percent) were helpful. Anxious patients were more likely than non-anxious patients to prefer a male dentist (77 percent versus 52 percent). This finding was especially marked among anxious male respondents, 93 percent of whom preferred a male dentist compared to 73 percent of anxious female respondents. These survey data may assist dental professionals in understanding and combating patients' dental anxiety, in order to increase the frequency of dental visits and to prompt a corresponding restoration or maintenance of oral health.

Attitude to Health↗

Dietary practices of ballet, jazz, and modern dancers.

Ballet dancers have been shown to have nutrition problems and poor dietary practices. We asked dance instructors and dance directors to distribute a questionnaire to dancers involved in three dance types. Of the 106 dancers who completed the questionnaire, 71% participated in ballet, 60% in jazz, and 74% in modern dance; 31% participated in all three types of dance. The body mass index was similar for all types of dancers. More than half (60%) of the dancers used vitamin and mineral supplements, and 18% of the females reported irregular menstruation. Wide ranges existed in intake of foods from each of four food groups, caffeine, and alcohol. Printed media (magazines and books) were the primary sources of nutrition information. Dietitians may encounter many types of dancers and should be aware that dancers involved in ballet and other types of dance may have dietary practices that could improve with nutrition education and counseling.

Adolescent↗

[Structure and content of the radiological report: an audit of 94 reports from a university education center].

Efficient communication between the radiologist and the referring clinician is an essential feature of high quality radiology practice. The written report, the only result of the radiological investigation most clinicians will see, should therefore comply with a number of quality criteria. As far as reporting in Dutch is concerned, these criteria have not been clearly defined. Articles on the radiology report are scarce and mostly focus on reporting in English. We have investigated the quality of radiology reporting in a university hospital in Flanders, the Dutch speaking part of Belgium. A weighed sample of 94 reports of 24 radiologists (staff members and radiologists-in-training) was blinded and evaluated by a qualified radiologist with ten years of experience as a writer and editor-in-chief medical magazines. A scoring system was applied, based on five criteria: comprehensible, problem-oriented, correct Dutch, concise, and direct. This article gives an overview of the results and takes a closer look at three of the 94 reports examined.

Humans↗

[Professionalism: changes in nursing nomenclature].

The nursing professional received different names until 1977 when the curriculum of nursing was established in the University. Up until that time, students enrolled in three different types of professional development designations: "Orderly", "Nurse" as such, and "Technical Health Assistant". From a professional perspective, the authors have made an analysis of the assimilation process of the new name and concept. The authors have studied the announcements of nursing events published in two professional magazines and have concluded that at the start, the adoption of this new name was very confusing among nursing professionals as well as the transmission and development of nursing subject matter.

Nursing↗

Body-image evaluation and body-image investment among adolescents: a test of sociocultural and social comparison theories.

Sociocultural theory and social comparison theory were used to account for variations in body-image evaluation and body-image investment among male and female adolescents (N = 1,543). Exposure to magazines and television programs containing idealistic body imagery as well as frequency of self-comparison to universalistic targets (e.g., fashion models) were measured. Results provided minimal support for sociocultural theory, but fairly strong support for social comparison theory. Specifically, the extent to which males engaged in universalistic social comparison predicted appearance self-esteem, number of diets to gain weight, use of pathogenic weight control practices, and use of steroids to increase muscle mass. For females, universalistic social comparison predicted appearance self-esteem, body dissatisfaction, number of diets to lose weight, and use of pathogenic weight control practices. The possibility that the null effects for sociocultural theory were an artifact of dummy coding for missing data or theoretical interdependence were explored, but did not appear to be valid. Limitations of the present study and directions for future research are outlined.

Adolescent↗

[Sources of women's knowledge relating pregnancy and childbirth].

Future parents have the huge range of possibility to afford theoretical knowledge from different sources: books, periodicals, advice of close, doctor's advice or the midwife in outpatient clinic and more. One of the most professional sources of knowledge preparing to parenthood is the delivery school. The aim of investigations is the analysis of sources of women's knowledge preparing to maternity at schools of childbirth and without such form of education. Investigations were conducted on Maternity Ward at the Chair and Department of Obstetrics and Perinatology of Pomeranian Medical University in Szczecin. Investigations were having taken over 129 women after delivery school. Control group was 165 women, who did not take any antenatal education. Investigations appeared that women participating in activities of the delivery school more often read professional magazines and books, watching films preparing to birth control. This is probably the result of significantly frequent higher education in this group as well as the projection of educational films in delivery school. Moreover woman without preparation in delivery school more often had to need the help of hospital staff during delivery.

Adult↗

[Primary lung cancer; assessment of the disclosed 5-year survival rate by the Internet website].

The disclosed 5-year survival rate for lung cancer in the Internet website represents a various difference by each institution. The better inferiority of the survival has been listed in a table to compare with other institutions and has been reported in magazines and media with a lack of an enough inspection, i.e., with a sufficient considering of a risk adjustment such as patient's background, operative policy, postoperative adjuvant therapy, and statistical background. We report our outcome of the surgical treatment for primary lung cancer. Of 875 patients treated for lung cancer in our department for 23 years between January 1980 and December 2002, 115 patients containing of 42 cases in 1997 and of 48 ones in 1992 and of 25 ones in 1987 were selected and the accumulated survival analysis was treated by Kaplan-Meier method. Eighty males and 35 females were between 15 and 80-year-old (average 63.2 +/- 11.4). The pathological classification was adenocarcinoma (n=69), squamous cell carcinoma (n=32), and others (n=14). The operative procedures were pneumonectomy (n=14), bilobectomy (n=12), lobectomy (n=85), and wedge resection (n=4). The survival time was from 29 days to 182 months (median survival time was 1471+/- 1180 days, the averaged time was 49 months). The 5-year survival rate was 41.4 +/- 9.1% (n=25) in 1987, 35.6 +/- 6.2% (n=48) in 1992, and 56.0 +/- 7.0% (n=42) in 1987, respectively (log-rank test, p = 0.2555). The 10-year survival rate was 24.1 +/- 7.9% in 1987 and 8.5 +/- 3.6% in 1992, respectively. The 5-year survival rate was as follows: IA 81.0 +/- 8.6% (n=20), IB 73.7 +/- 10.1% (n=19), IIA 57.1 +/- 18.7% (n=7), IIB 55.6 +/- 16.6% (n=9), IIIA 28.6 +/- 7.6% (n=35), IIIB 15.4 +/- 10.0% (n=13), IV 16.7 +/- 10.8% (n=12), respectively. The 5-year survival rate was as follows: male 42.8 +/- 5.3% (n=80), female 63.2 +/- 7.3% (n=35), respectively (p = 0.0147). In regard to the histological classification, the 5-year survival rate was as follows: adenocarcinoma 47.2 +/- 5.9% (n=69), squamous cell carcinoma 50.8 +/- 8.9% (n=32), respectively (p = 0.9012). As a rule of the disclosure on the internet website, we report our survival data by accompanying with minimum parameters such as, patient's background, pathological types, gender, pathological stages, and mean survival rate with standard error. When we compare the 5-year survival rate with other institutes, in considering of a risk adjustment, we would carefully have to estimate the determined survival rate with a standard error.

Adenocarcinoma↗

Cruse control.

Linda Cruse has been nominated as Good Housekeeping magazine's Inspirational Woman the Year. Working in remote parts of Asia, she uses all her nursing experience to help 'forgotten' communities and to make a difference.

Attitude of Health Personnel↗

A health plan intervention to improve pneumococcal vaccination in the elderly.

In 1998, the Hawaii Medical Service Association, headquartered in Honolulu, partnered with a pharmaceutical manufacturer to promote pneumococcal immunization of its 33,017 Medicare cost-contract members. They disseminated newsletter articles, magazine advertisements, letters, posters, and broadcast announcements; held injection clinics; and provided physicians reminder postcards with patient labels. Medicare claims indicated that immunization rose by 13.3% in 1997, 20.7% in 1998, and 42.3% in 2000, exceeding rates in a fee-for-service control group. Moreover, the rate of hospitalization for pneumococcal pneumonia dropped after 1998. The data suggest that multimodal promotion of pneumococcal vaccine will result in more extensive immunization and less frequent hospitalization.

Aged↗

[Tables of Moses: nursing research project].

UNLABELLED: A review of literature and in others realities of our country has been done to verify the existence of welfare procedure in stomatherapy. It has been pointed out that the behaviours are not supported by evidence and that the given performances are not measurable. It borns the idea to start a nursing research finalized to define care standards procedures supported by evidence. MATERIALS AND METHOD: Once the project group is formed with nurses, ET nurses and surgeons, the research is structured in the following points: predisposition of nursing protocols; predisposition of evaluation tools for each protocol; experimentation of the tools with 150 national investigators specifically trained; gathering, elaboration and interpretation of the data; on 13.172 forms picked up, 2.034 has been regularly fulfilled; distribution of the knowledge through a text, the associative magazine, presentation at courses and associative congresses; Research development: the critic results analysis has permitted to recognize areas on which continue the research. CONCLUSION: Data confirms the validity of specifics check-lists and protocols even if the research says the achievement of care standards results through codified performances, to disadvantage of a case-control way for example.

Adolescent↗

Who's interested in chiropractic history?

OBJECTIVE: To determine the extent of interest in chiropractic history among chiropractors in various nations, states and provinces. DATA SOURCES: The worldwide chiropractor population distribution was determined by noting the circulation of the biweekly magazine, Dynamic Chiropractic. Interest in chiropractic history among chiropractors was implied by inclusion in the Membership Directory of the Association for the History of Chiropractic (AHC). DATA EXTRACTION: An interest index was derived by expressing the number of members of the AHC as a percentage of the chiropractor population in each region. DATA SYNTHESIS: Worldwide membership in the AHC involves less than 1% of the total estimated chiropractor population; Canadian chiropractors demonstrated twice as much interest proportionately compared to all other members of the profession. CONCLUSIONS: Reasons for the minimal interest in chiropractic history are considered, and recommendations for increasing historical interest and scholarship are provided.

Australia↗