17 P Colonoscopy as first choice investigation of patients between the ages of 31 and 50 years, with no family history of colo-rectal cancer presenting with haematochezia

Abstract Purpose : This study aims to know the seeking help behavior (including seeking help or not, first choice, influential factors and barriers in seeking help) of individuals with SZ in Hunan province of China. Methods : The participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results : 1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. 2) The help-seeking behavior ratio (seeking help individuals/total sample size) is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. And the first choice of help is largely related to education level. 3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). Conclusion : About one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.

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Rectal Cancer Diagnosed after Cesarean Section in Which High Microsatellite Instability Indicated the Presence of Lynch Syndrome

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/479753 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

Tomohiro Okuda ◽

Hiroshi Ishii ◽

Sadao Yamashita ◽

Sakura Ijichi ◽

Seiki Matsuo ◽

...

Keyword(s):

Colorectal Cancer ◽

Rectal Cancer ◽

Family History ◽

Cesarean Section ◽

Lynch Syndrome ◽

Microsatellite Instability ◽

Birth Canal ◽

Emergency Cesarean ◽

History Of ◽

Revised Bethesda Guidelines

We report a case of rectal cancer with microsatellite instability (MSI) that probably resulted from Lynch syndrome and that was diagnosed after Cesarean section. The patient was a 28-year-old woman (gravid 1, para 1) without a significant medical history. At 35 gestational weeks, vaginal ultrasonography revealed a 5 cm tumor behind the uterine cervix, which was diagnosed as a uterine myoma. The tumor gradually increased in size and blocked the birth canal, resulting in the patient undergoing an emergency Cesarean section. Postoperatively, the tumor was diagnosed as rectal cancer with MSI. After concurrent chemoradiation therapy, a lower anterior resection was performed. The patient’s family history revealed she met the criteria of the revised Bethesda guidelines for testing the colorectal tumor for MSI. Testing revealed that the tumor did indeed show high MSI and, combined with the family history, suggested this could be a case of Lynch syndrome. Our findings emphasize the importance of considering the possibility of Lynch syndrome in pregnant women with colorectal cancer, particularly those with a family history of this condition. We suggest that the presence of Lynch syndrome should also be considered for any young woman with endometrial, ovarian, or colorectal cancer.

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Help-Seeking Behavior of Individuals With Schizophrenia in the General Population of Hunan, China

10.21203/rs.3.rs-20778/v2 ◽

2020 ◽

Author(s):

Jing Ma ◽

Qiongjuan Zheng ◽

Yun Zhang ◽

Chunyu Liu ◽

Xuefei Tian ◽

...

Keyword(s):

Family History ◽

Mental Disorders ◽

Help Seeking ◽

Hunan Province ◽

Help Seeking Behavior ◽

First Choice ◽

Education Levels ◽

Seeking Behavior ◽

History Of ◽

Seeking Help

Abstract Background This study aims to know the seeking help behavior (including seeking help or not, first choice, influential factors and barriers in seeking help) of individuals with SZ (Schizophrenia) in Hunan province of China. Methods The participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) The help-seeking behavior ratio (seeking help individuals/total sample size) is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. And the first choice of help is largely related to education level. (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). Conclusions About one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etcTrial registration This study is approved by ‘the ethics committee of the Brain Hospital of Hunan Province’,the committee’s reference numberis ‘Z2019045’.

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Help-seeking Behavior of Individuals with Schizophrenia in the General Population of Hunan, China

10.21203/rs.3.rs-20778/v3 ◽

2021 ◽

Author(s):

Jiawen Hu ◽

Qiongjuan Zheng ◽

Yun Zhang ◽

Chunyu Liu ◽

Xuefei Tian ◽

...

Keyword(s):

Family History ◽

Mental Disorders ◽

Help Seeking ◽

Hunan Province ◽

Help Seeking Behavior ◽

First Choice ◽

Education Levels ◽

Seeking Behavior ◽

History Of ◽

Seeking Help

Abstract PurposeThis study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. MethodsThe participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. 2) The help-seeking behavior ratio is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. 3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services（47.0%）.ConclusionAbout one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.

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Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China

Scientific Reports ◽

10.1038/s41598-021-01819-w ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Jiawen Hu ◽

Qiongjuan Zheng ◽

Yun Zhang ◽

Chunyu Liu ◽

Xuefei Tian ◽

...

Keyword(s):

Family History ◽

Mental Disorders ◽

Help Seeking ◽

Influential Factor ◽

Hunan Province ◽

Help Seeking Behavior ◽

First Choice ◽

Seeking Behavior ◽

History Of ◽

Seeking Help

AbstractThis study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. Individuals (age > 15) with schizophrenia were recruited in the study after a two-stage diagnosis procedure (including questionnaire screening and face-to-face SCID interview by psychiatrists) in Hunan province. A self-designed questionnaire was used to investigate their help-seeking behavior. (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n = 163) pursued professional psychiatric services and 30.8% (n = 78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) Family history of mental disorders is significantly related to whether or not the individual with SZ seeks help, and the first choice of help is significantly related to education level. (P < 0.05). (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). About one-third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospitals and relatives as their first choice. Among the factors we investigated, family history of mental disorders is the most influential factor associated with help-seeking behavior. Individuals with more education tend to seek professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.

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Help-Seeking Behavior of Individuals With Schizophrenia in the General Population of Hunan, China

10.21203/rs.3.rs-85018/v1 ◽

2020 ◽

Author(s):

Jing Ma ◽

Qiongjuan Zheng ◽

Yun Zhang ◽

Chunyu Liu ◽

Xuefei Tian ◽

...

Keyword(s):

Family History ◽

Mental Disorders ◽

Help Seeking ◽

Hunan Province ◽

Help Seeking Behavior ◽

First Choice ◽

Education Levels ◽

Seeking Behavior ◽

History Of ◽

Seeking Help

Abstract Background This study aims to know the seeking help behavior (including seeking help or not, first choice, influential factors and barriers in seeking help) of individuals with SZ (Schizophrenia) in Hunan province of China. Methods The participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) The help-seeking behavior ratio (seeking help individuals/total sample size) is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. And the first choice of help is largely related to education level. (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). Conclusions About one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etcTrial registration This study is approved by ‘the ethics committee of the Brain Hospital of Hunan Province’,the committee’s reference numberis ‘Z2019045’.

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Language Onset and Concomitant Speech and Language Problems in Subgroups of Stutterers and Their Siblings

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.2504.482 ◽

1982 ◽

Vol 25 (4) ◽

pp. 482-486 ◽

Cited By ~ 12

Author(s):

Robin A. Seider ◽

Keith L. Gladstien ◽

Kenneth K. Kidd

Keyword(s):

Family History ◽

Same Sex ◽

Speech And Language ◽

Negative Family History ◽

Late Talkers ◽

Language Problems ◽

History Of ◽

Language Onset

Time of language onset and frequencies of speech and language problems were examined in stutterers and their nonstuttering siblings. These families were grouped according to six characteristics of the index stutterer: sex, recovery or persistence of stuttering, and positive or negative family history of stuttering. Stutterers and their nonstuttering same-sex siblings were found to be distributed identically in early, average, and late categories of language onset. Comparisons of six subgroups of stutterers and their respective nonstuttering siblings showed no significant differences in the number of their reported articulation problems. Stutterers who were reported to be late talkers did not differ from their nonstuttering siblings in the frequency of their articulation problems, but these two groups had significantly higher frequencies of articulation problems than did stutterers who were early or average talkers and their siblings.

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