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1.
Arch Womens Ment Health ; 8(4): 214-20, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15959622

RESUMO

BACKGROUND: The World Health Organization predicts that by 2012, depression will be the number one disease in the world. Thus, many women who become pregnant will require treatment with antidepressants. We are aware that women and their health care providers remain hesitant to prescribe and take these drugs during pregnancy, despite evidence of the relative safety. OBJECTIVES: 1) To determine perception of risk of antidepressant drugs by pregnant women with depression, 2) to determine the efficacy of evidence-based counseling, and 3) to identify determinants that influence women in their decision making regarding the continuation/discontinuation of antidepressants during pregnancy. METHODS: Women who called The Motherisk Program requesting information about the safety of an antidepressant during pregnancy were compared with two other groups: 1) Women who called about antibiotic use (i.e., non-teratogenic drugs used short-term) and 2) women who called about gastric medications (i.e., non-teratogenic drugs used long-term). Their perception of risk was measured before and after evidenced-based information was given and determinants of decision making was also evaluated. RESULTS: We recruited 100 women taking antidepressants during pregnancy and 100 in each comparison group. Despite receiving evidence-based reassuring information, 15% of antidepressant users, compared to 4% using gastric drugs and 1% using antibiotics, chose to discontinue their medication. The main determinants of decision making were based on: information received prior to calling Motherisk, family and friends advice, the internet, sequence of advice given and if a women was undecided at the time of call. CONCLUSIONS: Women continue to fear taking antidepressants during pregnancy, more so than non psychiatric drugs, however, evidence based counseling can lower this fear, although not totally. Deciding whether to continue to take a medication or not during pregnancy, is a complex decision for women and their healthcare providers to make.


Assuntos
Antidepressivos/uso terapêutico , Atitude , Aconselhamento/métodos , Tomada de Decisões , Depressão/tratamento farmacológico , Medicina Baseada em Evidências/métodos , Adulto , Feminino , Humanos , Gravidez , Fatores de Risco
4.
Radiol Med ; 72(4): 218-21, 1986 Apr.
Artigo em Italiano | MEDLINE | ID: mdl-3715073

RESUMO

Plain films and direct magnification radiographs of the hands were performed in 34 patients affected by rheumatoid arthritis, using mammographic x-ray tube, achieved with 0.1 mm microfocus, and 1.85 X magnification factor. Direct magnification radiography has provided essential or useful diagnostic data in 44% of cases, particularly in recognizing early skeletal erosions. Nevertheless direct magnification radiography must be used only in those cases in which traditional mammographic techniques do not supply satisfactory results.


Assuntos
Artrite Reumatoide/diagnóstico por imagem , Mãos/diagnóstico por imagem , Ampliação Radiográfica/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
5.
Radiol Med ; 71(6): 403-8, 1985 Jun.
Artigo em Italiano | MEDLINE | ID: mdl-4070698

RESUMO

The physical patterns ruling the information of a xeroradiographic image allow the visualization of the arterial system with a lower concentration of contrast medium. So you can visualize the arterial branches both with intravenous injection of the usual angiographic concentration of contrast medium or with intraarterial injection of diluted contrast medium at a very low concentration. A prerequisite to successful xeroangiography was the commercial diffusion of a changer for xerox cassettes allowing several exposures according to standardized programs.


Assuntos
Angiografia/métodos , Meios de Contraste , Difusão , Humanos , Injeções Intra-Arteriais , Injeções Intravenosas , Fotografação/métodos
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