Recent findings
Up to 50% of patients in pediatric care will complain of medically unexplained symptoms with significant functional and emotional impairment. Such patients place heavy burdens on the healthcare system (frequent utilization of health resources and
hospitalizations, specialist consultations, unnecessary investigations, and treatments). Somatoform disorders in pediatric care are associated with risks for psychiatric co-morbidity (anxiety and depressive disorders), family conflict, parent-perceived ill health, and school problems/absenteeism.
Summary
Gaining expertise in addressing pediatric psychosomatic illness can make a great difference in patients’ life and in physicians’ professional satisfaction. Effective treatment approaches involve a multidisciplinary approach to consolidate care and facilitate communication,
target the patient/family’s understanding selleck products of the mind-body relationship and their acceptance of the bio-psycho-social formulation and treatment, and utilize functional LY3039478 purchase rehabilitation and cognitive behavioral therapy for the individual and family and management guidance for schools.”
“OBJECTIVES: To survey knowledge and attitudes about intrauterine contraception among reproductive-aged women in the area of Saint Louis, Missouri.
METHODS: We mailed an eight-page written survey to 12,500 randomly selected households in the St. Louis area that asked English-literate, reproductive-aged, adult women to respond. The survey asked about obstetric and contraceptive history and effectiveness of contraceptive methods, as well as appropriate candidates for, side effects of, and perceived risks of intrauterine contraception.
The results from 1,665 (13.3%) returned surveys were weighted GSK2245840 ic50 for the analysis, which included descriptive statistics and polynomial logistic regression.
RESULTS: Almost 8% of respondents were currently using or had previously used intrauterine contraception, and use was higher in women who reported discussing the method with their health care provider (adjusted odds ratio [OR] 13.4, 95% confidence interval [CI] 6.5-27.8). Sixty-one percent of respondents underestimated the effectiveness of intrauterine contraception, and up to one half of survey respondents were unable to correctlyanswer knowledge questions about intrauterine contraception use and safety. An additional 11%-36% of respondents indicated concern that intrauterine contraception is associated with complications such as infection, infertility, and cancer. Current and past intrauterine contraception users were more likely to be knowledgeable about intrauterine contraception. Women who were currently using intrauterine contraception were more likely to correctly estimate the effectiveness of intrauterine contraception (adjusted OR 7.