Browsing by Subject "diagnosis"
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Item A Text-book of Diseases of Women(W.B. Saunders, 1897-01-01) Penrose, CharlesItem A Textbook of Gynecology(D. Appleton and Company, 1901-01-01) Hopkins, R.; Reed, CharlesItem A Textbook of Obstetrics(W.B. Saunders and Company, 1906-01-01) Hirst, BartonItem Abortion and its treatment, from the stand-point of Practical Experience.(D. Appleton and Company, 1890-01-01) Porter, P.; Thomas, T.Item Adult Women and Coronary Heart Disease: Studies on Surgical Procedures and Perception(2010-12-01) Schlorke, Patricia; Bae, Sejong; Biswas, Swati; Chen, OliveSchlorke, Patricia J., Adult Women and Coronary Heart Disease: Studies on Surgical Procedures and Perception. Doctor of Public Health (Biostatistics), December 2010, 124 pp., 12 tables, 3 figures, bibliography, 95 titles. Coronary heart disease (CHD) was the number one cause of death in the United States. The main CHD symptom was a heart attack. The most common form of a heart attack was chest pain and shortness of breath, which occurred in men. However, women did not usually have chest pain, but other symptoms such as abdominal pain or indigestion. This could lead women to perceive or believe that they would not have heart disease or heart attacks. This thought could lead women to not obtaining health care, such as surgical procedures, for CHD. Health professionals knew the signs and symptoms of CHD in men, but they may be uncertain in their diagnosis in women. This could lead to women not asking their health care professional about heart attacks or other symptoms. The purpose of this dissertation analyzed CHD in two areas in all women 18 years and older. These two areas were: (a) comparing hospital length of stay between men and women who had either coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA); and (b) women’s perceptions about CHD. Data for the surgical procedures study came from the 2006 National Hospital Discharge Survey (NHDS) and for the perception study came from the 2007 Behavioral Risk Factor Surveillance System (BRFSS). The results showed for the surgical procedures men and women had increased hospital days of care (DOC) for all surgical procedures. The results for the perception study showed women varied by age, race-ethnicity, education, income, and other factors in heart attack symptom knowledge. These two studies had the following conclusions. The results for increased hospital DOC had implications, such as increased health utilization, for present and future hospitalizations. The results for heart attack symptom knowledge showed a need for more awareness and communication of heart attack symptoms among all women across the United States.Item An Analysis of Osteoporosis-Related Hip Fractures, Using Hospital Discharge Data(2001-12-01) Rubin, Bernard; Antonio A. Rene; Douglas Mains; Muriel MarshallThe purpose of this study is to assess whether a current physician practice may inadequately diagnose osteoporosis in a high risk population of postmenopausal women who have sustained a hip fracture. A review of all patients discharged from Texas hospitals during calendar year 1999 was analyzed, using the Public Use Data File provided through the Texas Health Care Information Council. A total of 13,628 women over the age of 55 were admitted to hospital with a fractured hip. Only 2,233, or 16.3%, of women were also coded with the diagnosis of osteoporosis (P [less than] 0.001). Forty to fifty percent of postmenopausal women have osteoporosis. Therefore, women presenting with a fragility fracture form an even more at-risk subset of the population, such that one would expect a majority of these women to carry a diagnosis of osteoporosis. Percentages of Caucasian, non-Hispanic women in each group were comparable. The age distribution in each group was comparable, implying that the coded diagnosis of osteoporosis was not related to the age of the women when admitted to the hospital. In conclusion, physicians practicing in Texas during calendar year 1999 inadequately diagnosed osteoporosis in a high risk population of postmenopausal women who were admitted to hospital with fractured hip. Future analysis of subsequent analysis databases will be able to identify whether or not continuing medical education efforts will cause physicians to diagnose osteoporosis in this high risk population more frequently.Item Autism Spectrum Disorder with and Without Co-Occurring Attention Deficit Hyperactivity Disorder: An Analysis of Pathways to Diagnosis and Intervention in a National Sample(2018-05) Thomi, Morgan S.; Mathew, Stephen O.; Miller, Haylie L.; Patterson, Rita M.; Lovely, Rehana S.Autism Spectrum Disorder (ASD) is diagnosed in 1 out of 68 children. Recent changes to diagnostic guidelines permit clinicians to assign co-occurring diagnoses of ASD and Attention Deficit-Hyperactivity Disorder (ADHD). It is important for researchers and clinicians to be aware of groups vulnerable to delayed or incomplete diagnosis. In this retrospective review of data from the CDC Survey of Pathways to Diagnostics and Services (SPDS) and the National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome (DTAT), we sought to assess the impact of race, ethnicity, sex, poverty level, and diagnosing provider type on age of first concern and age of final diagnosis in children diagnosed with ASD, ADHD, and ASD+ADHD. We predicted that age of first concern and age of final diagnosis would vary by sex, race, poverty level, identifier of first symptoms, provider type, and comorbidities. Parents/guardians of 5,959 children aged 3-17 completed the surveys; in the current sample, 2,966 cases were from DTAT and 2,993 were from SPDS. We used a series of ANOVAs to assess differences in the variables of interest by group. Age of first concern was significantly impacted (p [less than] 0.05) by Race, Race x Poverty Level, and Race x Poverty Level x Sex for the ASD+ADHD group. Age of final diagnosis was not significantly impacted (p [greater than] 0.05) by Poverty Level, Race x Poverty Level, and Sex x Race x Poverty Level for the ASD group. Identifier of first symptoms significantly impacted (p [less than] 0.05) age of first concern for all groups, while identifier of first concerns only significantly impacted (p [less than] 0.05) the ASD and ADHD groups. Post-hoc analyses revealed specific patterns of risk. Specific combinations of demographic factors increase vulnerability for later diagnosis. These findings suggest that provider- and patient-centered education is needed to increase surveillance in at-risk populations.Item Case Histories in Obstetrics(W.M. Leonard, Publisher, 1914-01-01) DeNormandie, RobertItem Combining Injectable Plasma Scaffold with Mesenchymal Stem/Stromal Cells for Repairing Infarct Cavity after Ischemic Stroke(JKL International, 2017-04-01) Zhang, Hongxia; Sun, Fen; Wang, Jixian; Xie, Luokun; Yang, Chenqi; Pan, Mengxiong; Shao, Bei; Yang, Guo-Yuan; Yang, Shaohua; Zhuge, Qichuan; Jin, KunlinStroke survivors are typically left with structural brain damage and associated functional impairment in the chronic phase of injury, for which few therapeutic options exist. We reported previously that transplantation of human embryonic stem cell (hESC)-derived neural stem cells together with Matrigel scaffolding into the brains of rats after focal ischemia reduced infarct volume and improved neurobehavioral performance. Matrigel is a gelatinous protein mixture extracted from mouse sarcoma cells, thus would not be approved for use as a scaffold clinically. In this study, we generated a gel-like scaffold from plasma that was controlled by changing the concentration of CaCl2. In vitro study confirmed that 10-20 mM CaCl2 and 10-40% plasma did not affect the viability and proliferation of human and rat bone marrow mesenchymal stem/stromal cells (BMSCs) and neural stem cells (NSCs). We transplanted plasma scaffold in combination of BMSCs into the cystic cavity after focal cerebral ischemia, and found that the atrophy volume was dramatically reduced and motor function was significantly improved in the group transplanted with scaffold/BMSCs compared with the groups treated with vehicle, scaffold or BMSCs only. Our data suggest that plasma-derived scaffold in combination of BMSCs is feasible for tissue engineering approach for the stroke treatment.Item Common Infections of the Female Urethra and Cervix(Humphrey Milford, Oxford University Press, 1924-01-01) Simpson, A.; Western, George; Mayou, M.; Kidd, FrankItem Complications of Pregnancy(D. Appleton and Company, 1923-01-01) Davis, EdwardItem Cumulative Supplement and composite index(D. Appleton and Company, 1928-01-01)Item Diseases of the Vulva(D. Appleton And Company, 1923-01-01) Taussig, FrederickItem Diseases of Women(C.V. Mosby Company, 1919-01-01) Crossen, HarryItem Gonorrhea in Women(C.V. Mosby Company, 1908-01-01) Findley, PalmerItem Gonorrhea in Women(W.B. Saunders Company, 1913-01-01) Clark, John; Peters, Dorothy; Norris, CharlesItem Gynecological and Obstetrical Pathology(D. Appleton and Company, 1922-01-01) Frank, RobertItem King's Manual of Obstetrics(Lea Brothers & Co., 1909-01-01) King, A.F.Item Manual of Therapeutics(Parke, Davis, & Company, 1909-01-01)Item Menstruation and it's disorders(D. Appleton and Company, 1921-01-01) Novak, Emil