Subject(s)
Drama , Hospitals, Public , Motion Pictures , Hospitals, Public/economics , Public Relations , State Medicine , United KingdomSubject(s)
Nurse-Patient Relations , Psychiatric Nursing , Black or African American , Black People , Culture , Humans , Minority Groups , Prejudice , United KingdomABSTRACT
The authors report a case of thrombosis of the spermatic veins associated with Henoch-Schönlein purpura mimicking an acute scrotum, which responded to a low-molecular-weight heparin treatment.
Subject(s)
IgA Vasculitis/diagnosis , Scrotum/blood supply , Venous Thrombosis/etiology , Child , Humans , MaleSubject(s)
Neoplasms/nursing , Oncology Nursing/trends , Humans , Neoplasms/mortality , Politics , State Medicine , United Kingdom/epidemiologySubject(s)
Conflict, Psychological , Decision Making , Nurse Midwives/psychology , Nursing Assessment/standards , Physician-Nurse Relations , Cardiotocography/nursing , Community Health Nursing/standards , Humans , Medical Staff, Hospital/psychology , Nursing Staff, Hospital/psychology , Obstetrics/standardsSubject(s)
Adaptation, Psychological , Burnout, Professional/prevention & control , Burnout, Professional/psychology , Self Care/methods , Self Care/psychology , Students, Nursing/psychology , Adult , Burnout, Professional/etiology , Causality , Counseling , Female , Humans , Male , Needs Assessment , Student Dropouts/psychology , WorkloadSubject(s)
Accidental Falls/prevention & control , Accidents, Home/prevention & control , Community Health Nursing/methods , Health Education/organization & administration , Safety Management/organization & administration , Accidental Falls/statistics & numerical data , Accidents, Home/statistics & numerical data , Aged , Hip Fractures/epidemiology , Hip Fractures/etiology , Hip Fractures/prevention & control , Humans , United Kingdom/epidemiology , Wounds and Injuries/epidemiology , Wounds and Injuries/etiology , Wounds and Injuries/prevention & controlSubject(s)
Emergency Medical Services/methods , Emergency Medical Services/statistics & numerical data , Emergency Treatment/methods , Emergency Treatment/statistics & numerical data , Pediatrics/methods , Age Distribution , Child , Child, Preschool , Emergency Medical Services/trends , Emergency Treatment/trends , Female , Humans , Infant , Infant, Newborn , Male , Morbidity , Severity of Illness Index , Switzerland/epidemiologySubject(s)
Ill-Housed Persons , Mobile Health Units , Nursing Services , Adolescent , Adult , England , Female , Humans , Male , Primary Health Care , Urban PopulationABSTRACT
To determine the prevalence of tuberculosis infection in Switzerland, standardized tuberculin tests using 2 units of tuberculin Berna PPD RT 23, administered by specially trained personnel, were performed on school leavers in 3 Swiss cantons in 1992/1993. Of the 7036 school leavers, averaging 15 years of age, only 294 (4.18%) were not BCG-vaccinated. Non-vaccinated persons had tuberculin test indurations > 15 mm in 2.04% (6663 BCG vaccinated persons in 1.14%). Calculations of potentially influential factors using stepwise ordinal polychotomous regression showed that tuberculin test indurations are significantly larger after BCG vaccination, as well as with increasing age at immigration from high prevalence tuberculosis countries. Indurations were smaller with increasing time passed since BCG vaccination, as well as in females. Pets at home did not significantly influence the size of tuberculin reactions. Theoretically the positive predictive value of tuberculin tests in Switzerland is small because of the low tuberculosis prevalence. From our data the maximal prevalence of infection in 15-year-olds is estimated at 0.91% (2.48% in the non-vaccinated) in Swiss and 2.54% (9.77% in the non-vaccinated) in foreign born school children. These rates, higher than extrapolated from previous studies, are comparable to data from other industrialized countries. They do not warrant a change in BCG vaccination policy in Switzerland, which since 1987 requires BCG vaccination in children immigrating from countries with high tuberculosis prevalence only.
Subject(s)
Tuberculin Test , Tuberculosis/epidemiology , Adolescent , Age Factors , BCG Vaccine , Child , Emigration and Immigration , Female , Humans , Male , Predictive Value of Tests , Prevalence , Regression Analysis , Sex Factors , Tuberculosis/diagnosis , Tuberculosis/prevention & controlABSTRACT
Genetic differences in HLA phenotypes were studied in coeliac disease to investigate why some patients do not react with mucosal damage after gluten challenge. Forty five children with coeliac disease and 16 with transitory gluten intolerance were typed; 76 subjects served as controls. HLA phenotypes in children with coeliac disease had significantly higher proportions of DR3/X and DR5/7 than controls (48.8% v 11.8% and 26.7% v 5.3%). Children with transitory gluten intolerance had lower DR3/X (43.8%) than children with coeliac disease and there were no DR5/7 phenotypes. Further analysis of similarly well defined cases might show whether genetic differences in the DR3/X and DR5/7 phenotypes can serve as a marker for the permanence of gluten intolerance.
