bluuebunny/crossref_metadata_2025_split huggingface dataset:
Drug utilization pattern in pregnant women in rural areas, India: Cross–sectional observational study
Authors: Adhikari Anjan , Biswas Sharmistha , Gupta Raj K. 
Published: August 2011

AbstractAim:  The aim of this study was to evaluate the drug‐utilization trend of pregnant women in rural areas of central India.Materials and Methods:  This was a prospective, observational study using a questionnaire, face‐to‐face interview and a prescription audit.Results:  The majority of the subjects were primigravida (51.4%), from the lower socioeconomic group (71.3%) and with poor formal education. Although the drugs prescribed for them per prescription (2.66) were within rational limits, there was scope for improvement in generic (21%) and essential drugs (18%), antibiotics (9.6%) and injections (10.97%).Conclusions:  Morbidity and mortality during the antenatal period occur due to different factors. Regular drug‐utilization studies following the guidelines of the World Health Organization and information, education and communication factors related to drug use by pregnant women can be improved.
Effect of pre‐amniocentesis counseling on maternal pain and anxiety
Authors: Balci Osman , Acar Ali , Mahmoud Alaa S. , Colakoglu Mehmet Cengiz 
Published: August 2011

AbstractAim:  The aim of this study was to evaluate the levels of anticipated and perceived pain and anxiety in expectant mothers at the times of pre‐counseling, post‐counseling, and post‐amniocentesis and to investigate the effect of pre‐amniocentesis counseling on the level of pain and anxiety.Materials and Methods:  This prospective study was carried out on 240 women with singleton pregnancies at mid‐trimester. The maternal pain and anxiety levels associated with the procedure were evaluated using the visual analogue scale. Perceived pain and anxiety were assessed before and after counseling the pregnant woman about amniocentesis, and after amniocentesis.Results:  Median anticipated pain levels before (pain 1) and after pre‐procedure counseling (pain 2) were 5 and 4, respectively. The actual pain after the procedure (pain 3) was 3. Median levels of anxiety felt by the patients before (anxiety 1) and after pre‐procedure counseling (anxiety 2) were 6 and 3, respectively, while the median anxiety after the procedure (anxiety 3) was 5. For the pain and anxiety measurements, the results for each of the comparison times were significantly different from the results for the other two comparison times (P < 0.001).Conclusion:  Adequate pre‐amniocentesis counseling effectively reduces the actual level of pain and anxiety felt by the mother undergoing mid‐trimester amniocentesis.
Prevalence and risk factors of lower genital tract infections among women in Beijing, China
Authors: Caiyan Xu , Weiyuan Zhang , Minghui Wu , Songwen Zhang 
Published: August 2011

AbstractAim:  The aim of our study was to estimate the prevalence and risk factors of common female lower genital tract infections (LGTIs) among married women in Beijing.Material & Methods:  A community‐based, cross‐sectional survey was conducted among married women aged 25–54 years. All subjects were interviewed, followed by gynecological examination and laboratory tests.Results:  A total of 6339 women were enrolled. The prevalence of LGTIs was 11.4%, including 8.7% bacterial vaginosis, 1.0% trichomoniasis and 1.7% candidiasis. Three factors were associated with the increased likelihood of LGTIs: age of 30–49 years (odds ratio (OR), 1.39; 95% confidence interval (CI), 1.046–1.840), a high number of sexual partners (OR, 1.47; 95% CI, 0.911–2.173), and failure to use a condom (OR, 1.72; 95% CI, 1.434–2.065). Bacterial vaginosis was significantly associated with the incidence of cervical intraepithelial neoplasia and high‐risk human papillomavirus infection.Conclusions:  Improving women's living standards and knowledge regarding reproductive health issues can help decrease the incidence of LGTIs and cervical intraepithelial neoplasia.
Body mass index and survival in patients with epithelial ovarian cancer
Authors: Suh Dong Hoon , Kim Hee Seung , Chung Hyun Hoon , Kim Jae Weon , Park Noh Hyun , Song Yong Sang , Kang Soon‐Beom 
Published: August 2011

AbstractAim:  There is controversy regarding the effect of obesity on the treatment and survival of ovarian cancer. This study examined the impact of obesity on the treatment and survival outcomes of epithelial ovarian cancer.Methods:  The medical records of patients undergoing surgery for epithelial ovarian cancer (EOC) between January 2000 and February 2010 were reviewed. Patient demographics, surgical outcomes, clinicopathological factors and survival were evaluated and compared according to the body mass index (BMI). The Asian BMI criteria for Koreans were used.Results:  Of a total of 486 patients identified, 31 (6.4%) were underweight (BMI < 18.5), 224 (46.1%) were normal (18.5 ≤ BMI < 23), 179 (36.8%) were overweight (23 ≤ BMI < 27.5) and 52 (10.3%) were obese (27.5 ≥ BMI). All surgical outcome parameters except for wound problems failed to show a significant association with BMI. Similarly, there were no differences in the stage, recurrence rate, pathological features or chemotherapy characteristics, including platinum resistance rates, between the BMI groups. However, overweight and obese patients were significantly older than the underweight and normal body weight patients (P < 0.01). A history of cardiovascular disease and diabetes mellitus were more common in these overweight and obese patients (P < 0.01 for both). There were no differences in progression free survival (P > 0.05) or overall survival (P > 0.05) according to the BMI. No difference in progression free survival (P > 0.05) or overall survival (P > 0.05) could be found, even in the subcohort of stages III and IV.Conclusion:  Obesity itself does not affect the surgical and clinicopathological outcomes or even survival in EOC patients.
Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse
Authors: Hidalgo Grau L. A. , Heredia Budó A. , Llorca Cardeñosa S. , Carbonell Roure J. , Estrada Ferrer O. , García Torralbo E. , Suñol Sala X. 
Published: August 2011

AbstractAim  Stapled anopexy (SA) gives better early postoperative results than classical haemorrhoidectomy. The aim of this study is to demonstrate that SA is a safe and effective procedure for the treatment of haemorrhoids and rectal mucose prolapse in a day‐case surgery programme.Method  From January 2000 to December 2008, 297 SA procedures were performed; 230 (77.4%) were performed in the Day Surgery Unit (DSU). Third‐ and fourth‐degree haemorrhoids, second‐degree haemorrhoids with no response to conservative treatment and several cases of rectal prolapse were included. The mean age of the patients in the series was 48.1 years (range 21–85). Preoperative preparation included phosphate enemas and antibiotic prophylaxis. Patients were operated on mainly under spinal anaesthesia. Day‐case rate, postoperative pain (measured by a visual analogic scale, 1–10), admissions, re‐admissions, early postoperative situation and recurrence were evaluated in the study.Results  The overall DSU rate was 78%, with a progressive increase from 46% to 99% in 2008. One hundred and eighty‐five patients (80%) had pain scores under 2; no patient had a pain score over 7. Eighteen (8%) patients required admission on the day of surgery. Late admission was needed for 3 (3%) patients. Thirty‐three patients reported their situation as excellent, 174 as good, 20 as acceptable and three as bad when they answered a phone questionnaire 24 h after surgery. Overall, 20 (9%) patients had recurrence of symptoms.Conclusion  SA is a safe and effective procedure for prolapsing haemorrhoids in the day case setting. The recurrence rate is higher than that observed in classical haemorrhoidectomy. Most patients can be managed as day‐cases.
A laparoscopic approach reduces short‐term complications and length of stay following ileocolic resection in Crohn’s disease: an analysis of outcomes from the NSQIP database
Authors: Lee Y. , Fleming F. J. , Deeb A.‐P. , Gunzler D. , Messing S. , Monson J. R. T. 
Published: August 2011

AbstractAim  Studies to date examining the impact of laparoscopy in resection for Crohn's disease on short‐term morbidity have been limited by small study populations. The aim of this study was to establish the impact of the operative approach (laparoscopic or open) on outcomes after ileocolic resection for Crohn’s disease.Method  Ileocolic resections for Crohn’s disease were identified using Current Procedural Terminology (CPT) and International Classification of Disease, Ninth Revision, Clinical Modification (ICD‐9‐CM) codes from the National Surgical Quality Improvement Program (NSQIP) database (2005–2009). Complications were categorized as major (organ system damage and systemic sepsis) or minor (incisional and urinary infections). Multivariate 30‐day outcomes and length of stay were determined using linear models adjusting for patient characteristics, comorbidities and operative approach.Results  Of 1917 ileocolic resections, 644 (34%) were performed laparoscopically. At baseline, the open group was significantly older, had more comorbidities, higher American Society of Anesthesiology (ASA) classes, and more intra‐operative transfusions (all variables, P < 0.05). On multivariate analysis, laparoscopic ileocolic resections were associated with a decrease in major (OR = 0.629, 95% CI: 0.430–0.905, P = 0.014) and minor (OR = 0.576, 95% CI: 0.405–0.804, P = 0.002) complications compared with open resections. Laparoscopy was associated with a significant reduction in adjusted length of stay compared with the open approach (−1.08 ± 0.29 days, P = 0.0002).Conclusion  After adjusting for comorbidities and perioperative factors, such as preoperative sepsis, higher ASA class and higher transfusion rates in the open group, laparoscopic ileocolic resection for Crohn’s disease was found to be a safer choice than the open approach, resulting in fewer complications and length of stay. All other things being equal, such patients should be offered the laparoscopic approach as a first‐choice option.
Longitudinal follow‐up of autism spectrum features and sensory behaviors in Angelman syndrome by deletion class
Authors: Peters Sarika U. , Horowitz Lucia , Barbieri‐Welge Rene , Taylor Julie Lounds , Hundley Rachel J. 
Published: August 2011

Background:  Angelman syndrome (AS) is a neurogenetic disorder characterized by severe intellectual disability, lack of speech, and low threshold for laughter; it is considered a ‘syndromic’ form of autism spectrum disorder (ASD). Previous studies have indicated overlap of ASD and AS, primarily in individuals with larger (∼6 Mb) Class I deletions of chromosome 15q11‐13. Questions remain regarding whether intellectual disability solely contributes to ASD features in AS and how ASD features in AS change over time. In this study, we used a dimensional approach to examine ASD symptom severity in individuals with AS Class I versus Class II deletions within the context of cognitive development over time.Methods:  A total of 17 participants with a larger, Class I deletion and 25 participants with a smaller Class II deletion (∼5 Mb) were enrolled (age range = 2–25 years; 5 years 5 months). Standardized measures of cognition, language, motor skills, adaptive skills, maladaptive behavior, autism, and sensory‐seeking behaviors/aversions were given at baseline and after 12 months.Results:  Despite equivalent cognition and adaptive behavior, the results of repeated measures analyses of variance indicate that participants with Class I deletions have greater impairment in social affect (F = 8.65; p = .006) and more repetitive behaviors (F = 7.92; p = .008) compared to participants with Class II deletions. Although both groups improve in cognition over time, differences in ASD behaviors persist.Conclusions:  Despite a lack of differences in cognition or adaptive behavior, individuals with Class I deletions have greater severity in ASD features and sensory aversions that remain over time. There are four genes (NIPA 1, NIPA 2, CYFIP1, and GCP5) missing in Class I and present in Class Il deletions, one or more of which may have a role in modifying the severity of social affect impairment, and level of restricted/repetitive behaviors in AS. Our results also suggest the utility of a dimensional, longitudinal approach to the assessment of ASD features in populations of individuals who are low functioning.
Food consumption patterns and healthy eating across the household life cycle in Hungary
Authors: Neulinger Agnes , Simon Judit 
Published: August 2011

AbstractThe family or household life‐cycle concept has a significant place in the consumer behaviour literature. The ideology reflects the different lifestyle, income and expenditure patterns brought about by family‐form transitions. The household life‐cycle model is accepted as a predictive tool of household expenditures; however, this predictive ability is debated.The different life‐cycle stages may also have an affect on dietary habits and health consciousness. Several studies supported that the family form has a strong influence on children's food consumption. Some examples, which are heavily influenced by the family form and likewise the family life‐cycle stages, are fruit and vegetable intake, breakfast consumption and healthy eating in general.The present study focuses on eating patterns and healthy eating in various stages of the household life cycle. A total of 518 questionnaires were completed in a form of face‐to‐face interviews in Hungary in November 2008, in which the respondents were analysed according to the categories of the household life cycle. Eating patterns and healthy eating were measured by nutrition awareness with statements such as choice of fast food restaurants, the characteristics of meal and the frequency of cooking from fresh ingredients.Current results suggest that the construct of the household life‐cycle model is a valid tool to understand the food intake and healthy eating within different family forms.
The routinely forgotten routine character of domestic practices
Authors: Wahlen Stefan 
Published: August 2011

AbstractIn recent debates on sustainable consumption, consumer's responsibility for the outcome of consumption has been outlined. Even though (co‐)responsibilities have to be acknowledged, a general notion of responsibility is not unproblematic. Consequently, this article challenges conceptions of the responsible and thoughtful consumer. In providing a perspective on theorizing domestic consumption as social practice, the analysis of diary data encompassing a period of 20 years elucidates on the contours of routinized practices. The empirical material consists of diaries kept by a housewife during the years 1970–1990 in a mid‐sized German town. In analysing the data, distinct features such as seasonality and constancy of routines in domestic practices become apparent. In this study, it is possible to stress the longevity of the repetitive and routine character of domestic practices and provide a perspective on often unrecognized and unaware aspects in routines. Assuming that routine consumption processes are taking place as moments in domestic practices, the data analysed here illustrate interesting directions for more sustainable consumption and further developments in home economics and consumer studies.
Home economics in higher education: pre‐professional socialization
Authors: McGregor Sue L.T. 
Published: August 2011

AbstractIt is paramount that higher education programmes in home economics remain ever vigilant regarding how they are designed, because they socialize individuals into the profession, and deeply affect the formation of home economics professional identities, how people see themselves as a home economist and identify with the profession. This paper discusses the link between higher education home economics programmes and future‐proofing the profession through a well‐thought‐out pre‐professional socialization process. Well‐planned socialization processes better ensure a commitment to the home economics professional culture and community, and to deeply entrenched alignment with a positive home economics identity.
Major concepts and perspective of sustainability in housing content area: comparison of Home Economics textbooks of Korea and Japan
Authors: Ju Sueun , Jang Sang Ock , Yoo Taemyung 
Published: August 2011

AbstractKorea and Japan have similar educational systems, and both countries base their curricula on national standards. Textbooks in both countries are published under a government‐authorized system, and the role of textbooks is very important because all students rely on the same materials. The curricula of both countries have been revised recently, and less importance has been accorded to content related to housing than to that related to other areas. The purpose of this study was to examine the content of the Korean and Japanese curricula in terms of their objectives, major concepts and perspectives with respect to the sustainability of housing by analysing the Home Economics curricula and textbooks used in the middle schools in the two countries. An in‐depth content analysis was conducted on the two textbooks that will be used in Korea in 2011 and the two textbooks that are currently being used in Japan. The sections on housing in the middle school Home Economics curricula represented two of a total of 18 units in Korea; they cover ‘Housing and Living Environments’ and ‘Use of Housing Space’. In Japan, housing‐related content is taught in one of 12 units: ‘Maintenance of Indoor Environments and Residential Lifestyles’. Major concepts included in the textbooks in both countries consist of family characteristics related to housing, housing culture, housing for sustainable development, indoor environments and housing safety. Content related to perspectives on sustainability has focussed primarily on environmental and economic components in Korea and primarily on environmental and social components in Japan. Korean textbooks have focussed on transmitting scientific knowledge and understanding major concepts, and the processes underpinning practical reasoning were introduced in the 2007 revised Home Economics curriculum. Japanese textbooks were written to solve problems and cultivate the ability to achieve fulfilment as residents.
‘Talking about my generation’: a state‐of‐the‐art review of health information for men in the andropause
Authors: Harrison Janet 
Published: August 2011

AbstractThe focus of this article is the availability and use of information in the UK about the male menopause or as it’s beginning to be known by the general public and health professionals, the andropause. The experiences of men suffering from the andropause today are reflective of menopausal women some 20 or 30 years ago. Ignorance and fear of the andropause condition abounds in the general public and amongst health professionals. There is a paucity of information in the literature about the symptoms and condition of the andropause. The review considers the provision and use of information available for men in the andropause in the public domain, examining both NHS and condition specific sources. The use of electronic sources is specifically reviewed, including an online forum. The use of electronic sources is indicative of other health information users. The reviewer concludes by suggesting that increased knowledge sharing is required by health professionals and the general public about the symptoms and condition of the andropause. It is recommended that men in the andropause identify a ‘champion’ to assist their cause. This will help in gaining greater recognition and understanding of the condition and attract the most appropriate treatment.
ULTRASOUND‐GUIDED CERVICAL CENTESIS TO OBTAIN CEREBROSPINAL FLUID IN THE STANDING HORSE
Authors: PEASE ANTHONY , BEHAN ASHLEY , BOHART GEORGE 
Published: August 2011

AbstractHorses with intracranial lesions and severe ataxia are not good anesthesia candidates; however, only one method to obtain cerebrospinal fluid (CSF) from the cervical region in a standing horse has been reported. This method is not performed routinely due to the difficulty for sample acquisition. Our hypothesis is that standing cervical centesis can be performed in horses without complication. Ultrasound‐guided centesis of the CSF between C1 and C2 in 11 clinically normal horses and two horses with neurologic signs were performed. Horses were sedated and ultrasound was used to identify the subarachnoid space and spinal cord between C1 and C2. With ultrasound guidance, a needle was introduced into the dorsal aspect of the subarachnoid space using a lateral approach. Ten milliliters of CSF was obtained and analyzed. Two normal horses in this study had moderate red blood cell contamination in the CSF (940 and 612 RBC/μl). One horse had 11 RBC/μl and the remaining horses had <4 RBC/μl. The total procedure time was approximately 2 min. No reaction was observed and no complications were detected up to 48 h after the procedure. Ultrasound‐guided centesis between C1 and C2 is a rapid procedure that causes minimal to no reaction in standing, sedated horses used in this study. The use of ultrasound to guide a standing C1–2 centesis of the subarachnoid space provides an additional route to obtain CSF for analysis in the equine patient.
Thermal Effectiveness of Different IR Radiators Employed in Rheumatoid Hand Therapy as Assessed by Thermovisual Examination
Authors: Rutkowski Radosław , Straburzyńska‐Lupa Anna , Korman Paweł , Romanowski Wojciech , Gizińska Małgorzata 
Published: August 2011

AbstractWe conducted a thermovisual comparison of mean hand surface temperature changes upon local heating with two different IR sources. Sixty‐six patients with rheumatoid arthritis (47 women and 19 men; average age, 56.1 ± 8.6 years) were subjected to topical heat therapy for one hand with either the standard IR radiator (SIR) or the water filter IRA (wIRA). The surface temperature of the dorsal side of both hands was measured, and thermal images were taken before and up to 2 h after treatment. At 1 min after treatment, SIR application increased the surface skin temperature of the heated hand from 31.5 ± 1.9 to 35.0 ± 1.9°C (P < 0.05), while wIRA increased it from 32.1 ± 1.6 to 34.2 ± 1.1°C (P < 0.05). Constant decline in temperature was observed immediately after treatment, with the temperatures reaching baseline in about 30 and 120 min after wIRA and SIR treatment, respectively. Similar temperature changes were observed in the heated hands for wIRA and SIR, except at 1 min after treatment. Changes in the untreated hands indicated contralateral reaction. The temperature of the warmed hand showed a correlation to the body mass index.