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Selected AbstractsInnovative approach to health promotion for the over 45s: using a health check logINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 4 2008BAppSc (AN), June N. Sheriff CM, MHPEd Objectives., To determine effectiveness of the health check log (HCL) in promoting health-related quality of life and health awareness, health monitoring skills and timely consultation with health professionals for a cohort of community-dwelling people over 45 years, compared with a similar cohort not recording the HCL. Design., An exploratory longitudinal study using a quasi-experimental methodology and data triangulation. Outcome measures included the SF-36 health survey; a semi-structured participant feedback survey and participant focus group discussions. Sample., A convenience sample (n = 309) of community dwellers over the age of 45 living in the South Eastern Sydney/Illawarra Area Health Service, Sydney, Australia. Results., The majority of participants recording the HCL reported health benefits. The SF-36 health survey found younger age is a predictor for positive change in ,social functioning' (, = ,0.14, t = 2.25, P < 0.05), while non-pension income was a predictor of positive ,physical functioning' (, = 0.12, t = 2.02, P < 0.05) and ,general health' (, = 0.13, t = 2.11, P < 0.05). Alternatively, full-time employment (, = ,0.12, t = 2.02, P < 0.05) and not living alone (, = 0.18, t = 3.09, P < 0.01) predicted negative change in ,role , physical'. Participant reactions to recording the HCL via feedback survey and focus group discussions were mostly positive. Conclusions., The majority who maintained the HCL benefited by achieving improved health and knowledge of health monitoring, which was, however, moderated by age, income source, employment status and living arrangements. [source] Outcomes for subsequent pregnancy in women who have undergone misoprostol mid-trimester termination of pregnancyAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2009Vadim MIRMILSTEIN In Australia, the most common method of mid-trimester termination of pregnancy (TOP) is by medical induction with the prostaglandin E 1 analog misoprostol. This study was undertaken to compare the pregnancy outcomes of women who had undergone a misoprostol mid-trimester TOP in their last pregnancy with those of a similar cohort of women without a history of misoprostol TOP. This study suggests a possibility that medical mid-trimester TOP with misoprostol increases the risk of preterm or very preterm delivery in a subsequent pregnancy but larger studies are needed to confirm or dismiss this. [source] Total laparoscopic hysterectomy as a primary surgical treatment for endometrial cancer in morbidly obese womenBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 1 2005C.K.H. Yu To evaluate the feasibility of total laparoscopic hysterectomy as the primary treatment for endometrial cancer in morbidly obese women, an audit was carried out during an 18-month period in a tertiary referral centre for gynaecological oncology. Four women who had laparoscopic surgery were compared with a similar cohort who had open surgery. The mean operating time was equivalent, without evidence of excess morbidity with the laparoscopic approach. However, inpatient stay was longer with open versus laparoscopic surgery (11.5 vs 4 days). Laparoscopic surgery is safe to use in morbidly obese women with endometrial cancer. [source] Cerebral MRI findings in a cohort of ex-preterm and control adolescentsACTA PAEDIATRICA, Issue 6 2009Zoltan Nagy Abstract Aim: Newborn infants were entered between 1988 and 1993 into a prospective, long-term, follow-up study. We aimed to investigate how the outcome of preterm-born individuals on cerebral magnetic resonance imaging (MRI) compared to that reported on similar cohorts internationally. Methods: The 74 ex-preterm (12.38,17.7 years, 51% girls) and 69 control participants (12.18,16.47 years, 53% girls) underwent a MRI examination on a 1.5T scanner. Two experienced neuroradiologists examined the T1- and T2-weigthed images first independently and then in consensus without knowledge of group adherence. Results: Only 21 (4 controls) of the 143 sets of scans showed any abnormalities. All but one of these were of mild extent. Among the ex-preterm adolescents two showed only incidental findings while the other 15 had either gliosis or white matter loss. Eleven subjects had white matter loss, seven of which had no other abnormalities. Four subjects had gliosis, three of which had no other abnormalities. The extent, severity or frequency of injury was not related to being born small for gestational age. Conclusion: Although the rate of structural abnormalities was higher in the group of adolescents born preterm, this rate was well below that reported from other centres around the world. We attribute this to the minimally invasive neonatal care and to different social structures in Sweden compared to that of other reports on similar cohorts. [source] |