The Relationship of Chronic Fatigue to Psychiatric Illness in Community, Primary Care and Tertiary Care Samples

Physicians who encounter patients in the emergency department with chest pain, palpitations, or shortness of breath may often find it difficult to differentiate diagnosis of panic attacks from acute coronary syndrome or Takotsubo Cardiomyopathy. Redefining and understanding the pathophysiological relationship of psychiatric illness including anxiety, depression, or panic attacks and Takotsubo Cardiomyopathy may help clinicians implement a more effective and beneficial model of care for this affliction that is being found to be increasingly more common in today’s age.

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Cesarean scar defect and its association with clinical symptoms, uterine position and the number of cesarean sections

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204293 ◽

2020 ◽

Vol 9 (10) ◽

pp. 4091

Author(s):

Madhangi V. B. ◽

Ramany C.

Keyword(s):

Clinical Symptoms ◽

Transvaginal Ultrasound ◽

Multiple Logistic Regression Analysis ◽

Tertiary Care ◽

Cesarean Sections ◽

History Of ◽

Caesarean Scar Defect ◽

Relationship Of ◽

The Relationship

Background: Caesarean scar defect (CSD), also called isthmocele or niche is a long-term complication, which can be asymptomatic or can give rise to chronic pelvic pain, dyspareunia and postmenstrual spotting. The objective of this study was to assess the association of CSD with clinical symptoms, position of the uterus and the number of caesarean sections.Methods: This was a prospective observational study done at a tertiary care teaching hospital from January 2019 to December 2019. The study included women with history of previous one or more caesarean sections with demonstrable CSD on transvaginal ultrasound. Various scar dimensions noted were width and depth of the scar. A deficiency ratio was calculated as a ratio of residual myometrium at the scar to the adjacent myometrium.Univariate analysis was done to assess the relationship of clinical symptoms with the defect parameters and number of previous caesarean sections. Multiple logistic regression analysis was done to find out the association between symptoms and number of previous caesarean sections with the scar defect dimensions.Results: The width, depth and deficiency ratio of the CSD were significantly higher in study subjects with a greater number of caesarean sections. Retroflexed uteri had larger CSD. There was no association of clinical features with the defect dimensions and the position of the uterus.Conclusions: CSD dimensions and deficiency ratio correlate with the number of previous caesarean sections and the position of the uterus. There was no association of clinical symptoms with the defect parameters.

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The relationship of body mass index and blood pressure in primary care pediatric patients

The Journal of Pediatrics ◽

10.1016/j.jpeds.2005.10.030 ◽

2006 ◽

Vol 148 (2) ◽

pp. 195-200 ◽

Cited By ~ 134

Author(s):

Bonita Falkner ◽

Samuel S. Gidding ◽

Gabriela Ramirez-Garnica ◽

Stacey Armatti Wiltrout ◽

David West ◽

...

Keyword(s):

Blood Pressure ◽

Primary Care ◽

Body Mass Index ◽

Body Mass ◽

Pediatric Patients ◽

Relationship Of ◽

The Relationship

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THE RELATIONSHIP OF GLUCOSE TOLERANCE TEST RESULTS WITH MAJOR CARDIOVASCULAR EVENTS AND NEUROPSYCHIATRIC DISORDERS BY MINI INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW IN PRIMARY CARE

Journal of Hypertension ◽

10.1097/01.hjh.0000539856.66619.33 ◽

2018 ◽

Vol 36 (Supplement 1) ◽

pp. e293

Author(s):

J. Peceliuniene ◽

L. Kazlauskiene ◽

I. Zukauskaite ◽

A. Norkus ◽

J. Butnoriene

Keyword(s):

Primary Care ◽

Glucose Tolerance ◽

Cardiovascular Events ◽

Glucose Tolerance Test ◽

Tolerance Test ◽

Test Results ◽

Mini International Neuropsychiatric Interview ◽

Major Cardiovascular Events ◽

Relationship Of ◽

The Relationship

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Validation of a Breastfeeding History Questionnaire for the Risk of In-Hospital Formula Supplementation Among Multiparous Women

Journal of Human Lactation ◽

10.1177/0890334419868157 ◽

2019 ◽

Vol 35 (4) ◽

pp. 665-671

Author(s):

Whitney R. Bender ◽

Nathanael C. Koelper ◽

Mary D. Sammel ◽

Celeste Durnwald

Keyword(s):

Hospital Stay ◽

Care Center ◽

Tertiary Care ◽

Categorical Variables ◽

Chi Square ◽

Multiparous Women ◽

Chi Square Test ◽

Student’S T ◽

Relationship Of ◽

The Relationship

Background: A woman’s prior breastfeeding history may influence future decisions regarding infant feeding. Few quantitative tools utilizing this information have been demonstrated to predict breastfeeding success. Research aim: To evaluate the efficacy of a prenatal breastfeeding history (BAP) questionnaire administered in prenatal care to predict in-hospital formula supplementation among multiparous women. Methods: This is a prospective observational study of multiparous women with singleton pregnancies who presented to a Baby-Friendly urban tertiary care center for 1st prenatal visit at < 20 weeks’ gestation. The BAP tool generates a numerical score, with higher score (≥ 2) indicating prior successful breastfeeding experiences. The primary outcome was occurrence of non-medically indicated formula supplementation during the postpartum hospital stay. Student’s t test and Pearson’s chi-square test were used to compare continuous and categorical variables. A multivariable logistic regression was performed to assess the relationship of BAP score to formula supplementation. Of 587 women screened, 433 (73.8%) mother–infant dyads were analyzed. Results: Rates of formula supplementation in women with BAP scores ≤ 1 were 67% (156/234) compared with 37% (73/199) in women with higher scores ( p < 0.0001). After controlling for race/ethnicity, insurance, and obesity, women with BAP scores of ≤ 1 were 2.6 times more likely to supplement formula than women with higher scores (a OR 2.62, 95% CI [1.70, 4.04], p < .0001). Conclusion: In this prospective validation study, women with negative prior breastfeeding experiences, as evidenced by a lower BAP score, were more likely to supplement formula during the postpartum hospital stay.

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