Early Advice Research Articles

Cranial Computertomography in Children with Tuberous Sclerosis

20 children with tuberous sclerosis were examined by computertomography (CCT). The test is useful to detect cerebral involvement with great certainty. The method is especially helpful in the early diagnosis of the disease. This offers the possibility of giving an early genetic advice. Characteristic CCT scan abnormalities in tuberous sclerosis are multiple densities in the walls and the roof of lateral ventricles. This specific finding can already be seen prior to the occurrence of calcifications in standard roentgenograms.

Early Seventeenth-Century Advice Books: The Female Viewpoint

Early Seventeenth-Century Advice Books: The Female Viewpoint

A LINEAR PROGRAMMING ANALYSIS OF TARIFF PROTECTION

Economic InquiryVolume 8, Issue 2 p. 167-185 A LINEAR PROGRAMMING ANALYSIS OF TARIFF PROTECTION GERALD M. LAGE, GERALD M. LAGE Oklahoma State University *Early advice and encouragement were given by my dissertation advisor. Professor Anne O. Krueger of the University of Minnesota. Later versions have benefited from the comments of Robert Baldwin and Michael Edgmand.Search for more papers by this author GERALD M. LAGE, GERALD M. LAGE Oklahoma State University *Early advice and encouragement were given by my dissertation advisor. Professor Anne O. Krueger of the University of Minnesota. Later versions have benefited from the comments of Robert Baldwin and Michael Edgmand.Search for more papers by this author First published: June 1970 https://doi.org/10.1111/j.1465-7295.1970.tb01086.xCitations: 1 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume8, Issue2June 1970Pages 167-185 RelatedInformation

A Study of Psychiatric Consequences following Road Traffic Accidents

Objectives: Psychiatric consequences are very common following RTA. The study is sought to identify the prevalence of psychiatric morbidity (e.g. depressive symptoms, anxiety symptoms and symptoms related to PTSD(Post Traumatic Stress Disorder) following injury sustained after road traffic accidents and to evaluate the relationshop between severity of injuries of victims and psychiatric symptoms. Methods: The 102 (male=83,female=19) patients were interviewed using a questionnaire to collect the socio- demographic data, the Self Rating Questionnaire (SRQ) -Beck Depression Inventory(BDI),Beck Anxiety Inventory(BAI) and the Impact of Event Scale -Revised (IES-R). Patients were prospectively followed up for 1 month. Patients were aged between 20-69 years. The impact of injury was assessed by ISS (Injury Severity Scale) and ABI (Abbreviated injury Scale). Results:The mean age was 33.93 years (range 20-69). Overall, the prevalence rate o of Anxiety symptoms-19.6%, depressive symptoms-21.6% and PTSD symptoms-35.3%. Females had a higher rate of PTSD symptoms 52.6% (n = 10), compared to the males 31.3% (n=26). The majority of those with PTSD (47.2%) were young, 20 - 29 years. The samples showed maximum symptoms of PTSD in first week 93.1% followed by depressive symptoms 51% and then anxiety symptoms30.4%. The symptoms gradually reduced in the fourth week to PTSD - 35.3%, depression- 21.6% and anxiety-19.6%. The study also showed higher scales of psychiatric symptoms in major injuries in comparison to minor injuries showing direct correlation of psychiatric morbidity with severity of injury. Conclusion: Psychiatric symptoms are frequent and severe after major injuries and less severe after minor RTA. Psychopathology following injury is a frequent and persistent occurrence. Early information and advice might reduce psychological distress and symptoms. Early information and advice might reduce psychological distress and symptoms. DOI: http://dx.doi.org/10.3126/mjsbh.v9i2.5017 Medical Journal of Shree Birendra Hospital Vol.9(2) 2010: 1-7

Oral cancer in women: A study of the increasing incidence

1. 1. An increase in the incidence of oral cancer in women is demonstrated by a study of the records of the Cook County Hospital and the Research and Educational Hospitals of the University of Illinois. 2. 2. Other investigators have found a similar trend. 3. 3. This increased incidence in women is associated with an increasing use of tobacco by women and suggests a causal relationship. 4. 4. A long duration of exposure to the use of tobacco prior to onset of symptoms is a consistent finding. 5. 5. If a degree of prevention of oral cancer is to be achieved, physicians must advocate a program which will: (1) educate their patients to avoid harmful habits such as smoking, to seek early advice and aid if any abnormality is suspected and to practice self-examination of the oral cavity (similar to the self-examination of the breasts which is taught to women); and (2) help to discover and remove or correct noxious influences such as neglected oral hygiene, chronic dental infection and inflammation, mechanical, thermal, actinic and chemical irritants, and early lesions such as leukoplakia and benign growths.

A survey of mental hospitals and mental deficiency institutions in the Birmingham region. I. Mental hospitals.

The problem of providing adequate care and treatment for patients suffering from mental disorder has become more acute in recent years for many reasons, not least amongst them being the increased numbers and longevity of the population in conjunction with their greater willingness to seek early advice and treatment. As a result, mental hospitals are faced with the dilemma of increasing their admission rates and at the same time continuing to look after an increasing proportion of long-stay chronic patients who are living longer. Associated with an increasing psychiatric awareness in the general population, are other social agencies contributing to the increased numbers of patients, such as the unwillingness of families to accept responsibility, and provide a home, for parents too aged or too infirm to look after themselves. All too often therefore, a patient, who is otherwise fit for discharge, remains in hospital because he has nowhere else to go. The problem is a national one. Even before the last war there was a considerable shortage of beds for mental illness, and the inadequate provision of accommodation in the past has been accentuated by apparent deficiencies in planning since the 1946 Act. In August, 1951, regional boards were told by the Ministry of Health that their planning on the mental side was quite incommensurate with the needs of the situation. Furthermore, the problem of mental hospital accommodation is qualitative as well as quantitative. Most accommodation is extremely out-of-date; only a handful of mental hospitals have been built since 1918, and the majority were in existence before the Lunacy Act of 1890. Coincident with greater overcrowding at most hospitals, the general shortage of nursing staff has been aggravated by the loss of trained and experienced personnel; and the continuance of the service even at its present level is made possible only by employing less trained personnel and by using many part-time staff. Future staffing problems will be increased by falling recruitment and the high wastage rate of student mental nurses. The former is closely linked with the present financial situation, in that the hospital service cannot compete with industry in respect of salaries and hours of duty. The latter is largely due to overcrowding, and the vicious circle must be broken before improvements can be expected. The consequences of employing larger numbers of domestic staff call for special consideration, since this would lessen the wastage from employment of nursing staff on non-nursing duties.

Survey of the results of retention of urine treated by immediate Wilson Hey prostatectomy.

SUMMARY The results of immediate Wilson Hey prostatectomy in 150 cases of acute retention are reported. An overall mortality rate of 10 per cent. is considered satisfactory in this unselected group of patients. Infection remains the chief cause of death, and suggestions are made to reduce it in this type of case. It is preferable that operation should be performed before acute and particularly before chronic retention develops. The vast improvement in technique and results of operation in recent years should convince the general practitioner and the public of the necessity for early advice and treatment. In this way only can the mortality and morbidity of prostatectomy be reduced.

EWING'S SARCOMA (ENDOTHELIAL MYELOMA)

The subject of Ewing's sarcoma continues to hold the interest of the medical profession, especially of those members of it who see more than the casual patient with the disease. There are several reasons for this: (1) difficulties in diagnosis, since clinically and roentgenographically the tumor closely resembles other pathologic entities; (2) the fact that the cause is still obscure; (3) the fact that the mortality rate is excessive, and (4) the fact that present methods of treatment are deplorably ineffective. With these problems confronting them, physicians must disseminate the available information in an effort to reduce errors in diagnosis and must constantly strive to make earlier diagnoses. In order to accomplish these objectives, it is essential, first, that the physician inform himself better of the nature and behavior of Ewing's sarcoma and, second, that the lay public be impressed with the necessity of seeking early medical advice concerning symptoms

I. On some circumstances under which the normal state of the knee jerk is altered

For the inception of the following work, which it is hoped will add some further facts to our knowledge of the most important of the “deep reflexes,” the knee jerk, I am greatly indebted to the very kind suggestions of Dr. Hughlings-Jackson. To him I owe my best thanks for proposing the question of the influence of the asphyxial state on the knee phenomenon, as a subject likely to be fruitful. The adoption of his early advice led to the investigation of many other points of noteworthy interest. I am also much obliged to Professor Horsley for suggestions, especially with regard to control experiments and operative procedures. Since Brown- Séquard described the condition expressed by him under the term spinal epilepsy, the so-called deep or tendon reflexes have attracted considerable attention, and have been the object of numerous investigations.