Assuntos
Insuficiência Adrenal/diagnóstico , Insuficiência Adrenal/etiologia , Hormônio Adrenocorticotrópico/deficiência , Doenças do Sistema Endócrino/complicações , Doenças Genéticas Inatas/complicações , Arterite de Células Gigantes/diagnóstico , Hipoglicemia/complicações , Insuficiência Adrenal/tratamento farmacológico , Idoso , Biópsia , Comorbidade , Feminino , Arterite de Células Gigantes/tratamento farmacológico , Humanos , Hidrocortisona/uso terapêutico , Prednisona/uso terapêutico , Artérias Temporais/patologia , Resultado do TratamentoRESUMO
OBJECTIVE: To determine whether women with diabetes undergo fewer screening mammograms than matched control subjects. RESEARCH DESIGN AND METHODS: A total of 424 women with diabetes aged 50-75 years who received their primary care from general internists at a large Midwestern multispecialty group practice were retrospectively studied for frequency of mammography from August 1997 to January 2000. Two control subjects without diabetes (n = 845) were matched to each case by age, sex, provider, and date of visit. The main outcome measure was the percentage of subjects undergoing mammography 1 year before and 30 days after an index date, defined as the most recent health care visit after August 1997 and before January 2000. RESULTS: Analysis by conditional logistic regression demonstrated that women with diabetes had significantly lower rates of mammograms than control subjects (78.1 vs. 84.9%, respectively; odds ratio 0.63, P = 0.002). After adjusting for insurance status and race, women with diabetes continued to have significantly lower rates of mammography (odds ratio 0.70, P = 0.027). CONCLUSIONS: Women with diabetes were significantly less likely to undergo screening mammography than control subjects. Considering the increasing incidence of diabetes and the equal incidence of malignancy in women with and without diabetes, it would be beneficial to improve breast cancer screening in this population.
Assuntos
Diabetes Mellitus , Mamografia/estatística & dados numéricos , Idoso , Neoplasias da Mama/prevenção & controle , Feminino , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
This study evaluated the personality characteristics of U.S. Navy divers. Seventy-two active duty Navy divers completed the Million Index of Personality Styles. The sample strongly showed the traits of Enhancing. Modifying, Individuating, Thinking, and Controlling. The results are discussed in terms of adaptation to the environmental demands of military diving. Suggestions for further research are offered.
Assuntos
Mergulho/psicologia , Militares/psicologia , Personalidade , Adulto , Humanos , Masculino , Medicina Naval , Inventário de Personalidade , Estados UnidosRESUMO
A 33-yr-old man came to the emergency department with the chief complaint of a severe headache and decreased sensation in his right hand following a deep dive on scuba. Physical examination before recompression treatment was remarkable only for hypesthesia on the right hand. We diagnosed type II decompression sickness and the patient underwent standard recompression therapy. The patient experienced near-complete resolution of his symptoms, his only residual complaint being that of neck pain with head movement. To investigate other causes of headache, a computed tomography of the head was performed which was normal, and a lumbar puncture was performed which was consistent with viral meningitis. This is the first reported case of recompression treatment on a patient with viral meningitis and decompression sickness.