RESUMO
Peyote is a substance with varied potential. Used properly it may be a spiritual aid but used in excess, it can be a hallucinogenic agent with teratogenic potential. There is a growing community of devout people who use it as part of their religious observance. The active ingredient, mescaline, has been linked to a specific group of fetal abnormalities when the substance is used inappropriately.
Assuntos
Anormalidades Induzidas por Medicamentos/etiologia , Alucinógenos/efeitos adversos , Medicina Tradicional , Mescalina/efeitos adversos , Efeitos Tardios da Exposição Pré-Natal , Teratogênicos , Anormalidades Induzidas por Medicamentos/prevenção & controle , Feminino , Alucinógenos/administração & dosagem , Humanos , Mescalina/administração & dosagem , Gravidez , Complicações na Gravidez/prevenção & controle , Cuidado Pré-Natal/métodos , Medição de Risco , South Dakota , Transtornos Relacionados ao Uso de Substâncias/prevenção & controleRESUMO
Supernumerary nipples and supernumerary breast tissue are often dismissed as cosmetic curiosities. These structures have the potential for pathologic degeneration and may be associated with significant congenital abnormalities. In a prospective comparison of 100 Native American women to 100 non-Native American women, these accessory organs were found much more commonly in Native American women. Careful attention should be given to thorough evaluation and long term follow-up of any patient in whom this anomaly is found.
Assuntos
Mama , Coristoma/cirurgia , Indígenas Norte-Americanos , Mamilos/anormalidades , Neoplasias da Mama/patologia , Transformação Celular Neoplásica/patologia , Coristoma/etnologia , Coristoma/patologia , Comparação Transcultural , Feminino , Humanos , Mamilos/patologia , Fatores de Risco , South DakotaRESUMO
An extended visit at a small community hospital in Thailand provided an opportunity to observe and learn about rural health care in an emerging nation. Several aspects of gynecologic and obstetric care are compared.
Assuntos
Ginecologia , Obstetrícia , Missões Religiosas , Feminino , História do Século XX , Humanos , Missionários , Gravidez , Saúde da População Rural , TailândiaRESUMO
In 1991, the University of South Dakota School of Medicine initiated the use of a problem based educational method for the junior students at the Yankton Campus. This program was innovative for both the students and the faculty. In order to prepare the faculty for their role in the management of the small group sessions, workshops were arranged. The students that made up the groups were chosen from the senior class at Yankton High School. Since these students needed appropriate prompting, the faculty gained experience in the management of a problem based small group learning session.
Assuntos
Docentes de Medicina , Aprendizagem Baseada em Problemas , Humanos , Faculdades de Medicina , South Dakota , Ensino/métodosRESUMO
Changes in medical education towards a student-centered, problem-based learning, with continuity care experience in ambulatory settings have been recommended. The University of South Dakota School of Medicine has developed such an educational model for third year medical students named the Yankton Model Program and is herein described.
Assuntos
Educação Médica , Currículo , Avaliação Educacional , Estudos de Avaliação como Assunto , South DakotaRESUMO
The poor health status of Sioux Indians residing on reservations in South Dakota has been recognized for many years. The present report documents evidence of a high incidence of socioeconomic health-related disorders and pregnancy-related complications by comparing 342 pregnant white women and 405 pregnant Sioux Indian women. In collaboration with the Aberdeen Area Indian Health Service, beginning in 1976, a program was initiated to identify, assess risks, and provide patient management for pregnant Sioux Indians. This prenatal consultative program has proved effective in the reduction of fetal and infant mortality.
Assuntos
Indígenas Norte-Americanos , Complicações na Gravidez/epidemiologia , Adulto , Alcoolismo/epidemiologia , Feminino , Morte Fetal/epidemiologia , Humanos , Gravidez , Cuidado Pré-Natal , Risco , Fumar , Fatores Socioeconômicos , South Dakota , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Incompetência do Colo do Útero/epidemiologia , População BrancaAssuntos
Ruptura Prematura de Membranas Fetais , Parto Obstétrico , Feminino , Ruptura Prematura de Membranas Fetais/epidemiologia , Idade Gestacional , Humanos , Recém-Nascido , Trabalho de Parto Induzido , Masculino , Gravidez , Síndrome do Desconforto Respiratório do Recém-Nascido/prevenção & controleRESUMO
Extraperitoneal gas collections were routinely found in the pelvic soft tissues following abdominal hysterectomies in 35 patients. These collections have the typical appearance of extraperitoneal gas, are absorbed gradually, and should not be confused with pelvic abscesses or bowel injury. There was no trapping of gas in the pelvic soft tissues following vaginal hysterectomies in 15 patients.
Assuntos
Abscesso/diagnóstico por imagem , Gases , Intestinos/lesões , Pelve , Complicações Pós-Operatórias/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Humanos , Histerectomia , RadiografiaRESUMO
Extraperitoneal gas collections are routinely found in pelvic soft tissues following abdominal hysterectomy. These collections have the typical appearance of extraperitoneal gas but should not be confused with pelvic infection or bowel injury. Similar collections are not routinely found following vaginal hysterectomy.