RESUMO
This paper addresses the problem of adverse pregnancy outcome in relation to periodontal disease. There is compelling evidence that a link exists between pre-term low birth weight (PLBW) and periodontitis. Although 25% to 50% of PLBW deliveries occur without any known aetiology, there is increasing evidence that infection may play a significant role in pre-term delivery. A model explaining the plausible relationship is proposed based upon the concept of infection leading to a cascade of inflammatory reactions associated with pre-term labour and periodontal disease. Current evidence has pointed to an interest in dental intervention studies to control periodontal disease as one of the potential strategies to reduce pre-term labour. This paper reviews the potential association between periodontal infection and adverse pregnancy outcomes.
Assuntos
Recém-Nascido de Baixo Peso , Doenças Periodontais/complicações , Nascimento Prematuro/etiologia , Animais , Feminino , Humanos , Recém-Nascido , Gravidez , Complicações na Gravidez/etiologia , Fatores de RiscoAssuntos
Proteínas de Transporte/genética , Dependência de Heroína/genética , Glicoproteínas de Membrana/genética , Proteínas de Membrana Transportadoras , Repetições Minissatélites , Proteínas do Tecido Nervoso , Polimorfismo Genético , China/etnologia , Genótipo , Dependência de Heroína/tratamento farmacológico , Humanos , Valores de Referência , Serotonina/metabolismo , Proteínas da Membrana Plasmática de Transporte de Serotonina , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , SingapuraRESUMO
AIM OF STUDY: To study the description of callers using a telephone helpline to improve support to patients in between appointments. METHOD: This includes creating a helpline in the department and getting psychiatrists, medical officers, psychologists and social workers trained to man this line during office hours. Information from callers were recorded and analysed using SPSS for MS Windows version 6.0. RESULTS: The callers were mainly females calling about personal problems, namely psychiatric symptoms and sleep difficulties. Half were given specialist appointments and one-fifth were discharged after telephone counselling. CONCLUSIONS: Telephone counselling is useful in clarifying medical instructions and supporting psychiatric patients in between outpatient appointments.
Assuntos
Aconselhamento/métodos , Linhas Diretas/organização & administração , Transtornos Mentais/prevenção & controle , Psiquiatria/métodos , Aconselhamento/estatística & dados numéricos , Intervenção em Crise/métodos , Feminino , Hospitais Universitários , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Singapura , Apoio SocialRESUMO
Naltrexone is of proven efficacy as a treatment modality in the relapse preventive programme of opiate abusers. It complements the other interventions such as individual counselling, family therapy and self-help groups. The initiation of naltrexone therapy after detoxification would be of vital importance in maintaining an individual's drug-free state. Naltrexone has no intrinsic opiate activity and has no resale value in the black market unlike methadone.
Assuntos
Naltrexona/uso terapêutico , Antagonistas de Entorpecentes/uso terapêutico , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Alcoolismo/prevenção & controle , Dependência de Heroína/prevenção & controle , HumanosRESUMO
This study is the first to document the prevalence of insomnia in Malays and Chinese in a Singapore community. The overall rate of insomnia was low at 15.3% with females and Malays at higher risk. Patients with insomnia had significantly higher sleep latency, awakenings at night, as well as a report of not feeling fresh throughout the day. There was an association between insomnia patients with increased stress levels, especially at home, and a higher rate of co-morbid minor psychiatric disorder. However, most patients do not seek medical help, and even less resort to sleeping pills.
Assuntos
Povo Asiático , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Distribuição por Sexo , Singapura/epidemiologia , Distúrbios do Início e da Manutenção do Sono/etnologia , Estresse PsicológicoRESUMO
Interviews regarding sexual function were conducted with patients suffering from cervical cancer and who were previously sexually active. Eighty-Seven patients who were treated surgically were compared with 40 patients who had radiotherapy. Both groups had reduced sexual activity and decreased sexual enjoyment although the post-radiotherapy group fared worse. Reasons for not having sexual relations were explored and most cited decreased libido and poor physical condition rather than fear of cancer transmission through sexual activity.
Assuntos
Comportamento Sexual , Neoplasias do Colo do Útero/psicologia , Adulto , Feminino , Humanos , Libido , Pessoa de Meia-Idade , Neoplasias do Colo do Útero/radioterapia , Neoplasias do Colo do Útero/cirurgiaRESUMO
This is a study of 54 patients referred for treatment of drinking problems. They were from two age groups--20 to 39 years and 40 to 59 years. More of the younger patients were referred by their families and older patients by their doctors or other health professionals. The younger patients had a mean duration of 8.2 years of drinking and were more severely dependent on alcohol (higher mean SADQ score). The older patients' mean duration of drinking was 14.1 years and had a lower mean SADQ score. More younger patients had work and family problems, but did not differ significantly from the older patients in alcohol-related physical or mental disabilities.
