Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

2 obstetrician-gynecologists from Central Hospital in Karlskrona, Sweden, analyzed official sterilization data and reviewed the literature to determine the development of sterilization in Denmark, Norway, and Sweden. National registration of sterilizations were available from Norway as far back as 1984 and from Sweden as far back as the early 1940s. It is not required in Denmark, so the researchers had to use hospital registrations. New sterilization laws in the 1970s allowed contraceptive sterilization for everyone at least 25 years old; prior to the 1970s, sterilizations were allowed mainly for hereditary or eugenic indications, mentally ill, severely retarded persons, ill women needing to avoid a life-threatening pregnancy, and sometimes people determined to not be able to care for children. Vasectomies are more common in Denmark than Norway and Sweden (in the 1980s: about 40% vs. about 20-25%, respectively), but vasectomy was already somewhat popular in Norway before enactment of its new law. The sharpest increase in female sterilizations after enactment of the new law occurred in Denmark. Either the husband or wife is sterilized by the end of the reproductive years among 10-15% of all couples in Sweden. There were marked differences in sterilization rates between regions in Sweden. 90-95% of sterilized men and women from all 3 Scandinavian countries were satisfied with the operation. Postoperative hematoma or infection were the most frequent short-term complications for sterilized men and women. Men also reported postoperative pain. Some women noted trauma to intra-abdominal organs. Longterm effects were regret/desire for reversal, pregnancy, and negative effects on sexuality. Women also reported bleeding disturbances and pain. Pregnancy rates are .54-1.6% for women and 0.5% for men. These findings suggested that surgeons should pay more attention to preoperative counseling to reduce the likelihood of later regret, especially among young applicants. High quality counseling and accessible services should minimize complications and continue to provide contraceptive sterilization.
 ...
PMID:Experiences of legal sterilization in Scandinavia. 840 12

According to a nationally representative sample of 3,321 men aged 20-39 surveyed in 1991, men appear well aware of the severity of AIDS: Nearly all know that AIDS destroys the immune system and that there is no cure for the disease, but a substantial minority do not think that AIDS will necessarily result in pain and death. Men's perceptions of the disease's severity seem to have little impact on their sexual behavior, with no clear relationship between men's knowledge of AIDS and their recent number of sex acts, their condom use or their participation in anal or casual sex. Men's perceptions of the general risk of human immunodeficiency virus (HIV) transmission also appear to have little impact either on their concerns about AIDS or on their behavior, but their perceptions about the AIDS rate in their local community do affect their concerns and behavior. Men know that certain kinds of behavior place them at risk, and their prior behavior significantly influences their perceptions of their own HIV risk. However, speculation about their own HIV status is only moderately related to their recent sexual behavior.
 ...
PMID:Perceptions of AIDS risk and severity and their association with risk-related behavior among U.S. men. 840 47

12 male (mean age 28) and 11 female (mean age 32) patients treated with lunotriquetral (LT) arthrodesis were reviewed with a median follow-up of 28 months (range 18-40 months) for this retrospective study. At first presentation 12 patients were unable to work, and at follow-up only three men remained out of work. The relief of pain was significant (P < 0.001) and the median Culp (1993) wrist score obtained 74 (min. 45, max. 96); however, only one patient was totally free of pain and seven men had to change their occupations. Men lost 455 working days, women 191, a highly significant difference (P = 0.006). This loss correlated (P = 0.007) with the LT angle measured in the frontal plane: all patients but one with a LT angle of less than 31 degrees returned to work within 1 year, but only four with a greater angle (P = 0.007). This emphasizes the importance of correct positioning of the triquetrum, which seems hard to achieve with two AO lag screws. Furthermore, even two screws seem unable to ensure solid fusion as shown by the high rate of pseudarthrosis (57%). LT fusion cannot be considered as a routine procedure and results are not yet predictable. According to these results, we feel that a bone graft placed in a slot from lunate to triquetrum is the procedure of choice. In the presence of a chondromalacia in the ulnar midcarpal joint, a four bone fusion is primarily recommended.
 ...
PMID:Lunotriquetral arthrodesis. A controversial procedure. 877 Jul 36

In May 1993, at 11 military camps in the upper northern region of Thailand, civilians interviewed 869 men aged 21-29 years (most of whom were 21 years old) so researchers could determine the frequency and variety of self-treatment and self-prophylaxis behaviors for sexually transmitted disease (STD) and the relationship of these behaviors with the prevalence of HIV infection. 12.3% of the men at conscription into the military tested positive for HIV infection. 32.5% had ever had an STD. The leading STDs and syndromes were gonorrhea (16.1%), penile discharge with pus (15.5%), and pain while urinating (11.4%). HIV-positive men were more likely to have had sex with commercial sex workers (CSWs) (odds ratio [OR] = 9.14), to have had an STD (OR = 5.96), and not to use condoms consistently when having sexual intercourse with CSWs (OR = 3.13). 65.2% of men who had ever had an STD self-treated with antibiotics. 8.5% of men who had ever had an STD used antibiotics, particularly chloramphenicol, before having intercourse with a CSW. Among all the men who had sexual intercourse with CSWs, almost all (98.7%) had adopted steps to prevent STDs: increasing urine output (69.2%), washing the genitals with soap and water (28.9%), and using antibiotics (0.9%). Men who self-treated with antibiotics after having intercourse with CSWs were less likely to have HIV infection (OR = 0.53). Antibiotic use before intercourse with CSWs did not have as strong a protective effect as it did after intercourse (OR = 0.74). The protective effect of self-treatment was significant, even when controlling for syphilis, gonorrhea, lymphadenopathy, penile discharge with pus, and condom use with a CSW. These findings show that some sexually active men in northern Thailand are trying to prevent HIV and other STDs and that self-treatment with antibiotics may reduce the HIV risk associated with bacterial STDs in a high prevalence population.
 ...
PMID:Human immunodeficiency virus infection and self-treatment for sexually transmitted diseases among northern Thai men. 883 16

We quantified the lower extremity dynamics developed during the volleyball spike and block jumps to find out if predictive relations exist between jump dynamics and patellar tendinitis. Lower extremity movement biomechanics were analyzed for 10 members of the 1994 Canadian Men's National Volleyball Team (all right-handed hitters). Based on physical examination, 3 of the 10 players had patellar tendon pain associated with patellar tendinitis at the time of testing. In masked biomechanical and logistic regression analyses, we discovered that the vertical ground-reaction force during the take-off phase of both spike and block jumps was a significant predictor of patellar tendinitis-correctly predicting the presence or absence of patellar tendinitis in 8 of 10 players. Deepest knee flexion angle (during landing from the spike jump) predicted 10 of 10 cases correctly for the left knee. The external tibial torsional moment (during the takeoff for the right knee with the spike jump and for the left knee with the block jump) was also a significant predictor of tendinitis. In these players, the likelihood of patellar tendon pain was significantly related to high forces and rates of loading in the knee extensor mechanism, combined with large external tibial torsional moments and deep knee flexion angles.
 ...
PMID:Knee joint dynamics predict patellar tendinitis in elite volleyball players. 888 92

Evidence suggests a reduced pain sensitivity in hypertensive individuals. This study sought to extend this work to normotensive individuals with hypertensive parents. Men with a positive (PH+) or negative (PH-) parental history for hypertension rated their pain every 15 s during a 90-s hand cold pressor test and for 90 s after the cold pressor test. Systolic (SBP) and diastolic (DBP) blood pressures and heart rate were measured throughout. After the cold pressor test, the men recalled their pain using the McGill Pain Questionnaire. PH+ men showed greater SBP and DBP responses to the cold pressor test. Although pain ratings during the cold pressor test did not differ between groups, posttest reported pain receded faster in the PH+ than in the PH- men. The PH+ men also reported less total pain on the McGill. These findings support the hypothesis that risk for hypertension may be associated with attenuated pain responses to nociceptive stimuli.
 ...
PMID:Pain perception and cardiovascular responses in men with positive parental history for hypertension. 896 87

Gender differences in reports of chronic pain, in coping responses to the consequences of painful conditions, and in the use of health care services have recently received considerable attention. This report examines the gender effects of referral practices to a chronic pain specialty clinic and the nature of the relationship between health care needs and use of health care services. This historical cohort analytic survey of 571 patients referred to the pain clinic assessed them by gender for selected referral variables through a chart review, and randomly sampled (n = 222) these patients' current adjustment and health service use through mailed questionnaires or telephone interview. The questionnaire consisted of psychosocial scales (PAIS-SR; Social Support); cognitions, including the Meaning of Illness Questionnaire (MIQ); and a health service utilization inventory designed to assess direct, out-of-pocket, indirect, and cash transfer expenditures. Selected referral demographic characteristics were similar between the gender groups at referral with the exception of three factors: distance from clinic, referring physician, and having a disability pension. At follow-up, the adjustment groups were similar to their gender counterparts on all sociodemographic and clinical variables including a high prevalence of poor psychosocial adjustment. Women's adjustment was accounted for by cognitive variables, whereas men's adjustment was by social variables. There were differential expenditures for health service use by gender with similar health care needs. Women used specific health care services more than men, which was explained in part by psychological need and meaning. Men's use of services, on the other hand, was explained in part by meaning alone. The importance of gender, differences in the role that social support and meaning variables play in predicting psychosocial adjustment to chronic pain is elaborated in this study. The interaction effects between health care need and gender to explain variations in use of health care services indicates that users of services varied in ways that suggest a bias or barrier of their own or of service providers to access services.
Clin J Pain 1996 Dec
PMID:Gender differences in psychosocial adjustment to chronic pain and expenditures for health care services used. 896 73

The care of elderly relatives with dementia is not any longer a job exclusively done by women nevertheless the care for three quarters of patients is mainly provided by women. This study comprises 70 persons consulting the "Alzheimer Advice Centre" in Leipzig. The aim was to examine the difference between nursing men and women with regard to the way they experience their situation. Independent of sex nursing persons experience their job as a strain. Especially spouses suffer from depressive disorders, states of exhaustion and pain in arms and legs. Nursing spouses differ in their ways of coping with regard to their sex. Wives experience the symptoms of dementia and the limitation of personal freedom as stressing whereas husbands pick out as a central theme the worries about their wives. Men use instrumental support in the nursing situation more often than wives. Altogether mainly women provide care. Sometimes they even take care of several persons. Therefore the resulting strains and limitations are to be regarded as special problems of women.
 ...
PMID:["I never feel free"--women care for the demented husband, father or mother]. 901 54

To delineate the demographic features and clinical profile of male and female individuals utilizing a respite, rehabilitation and hospice centre in London, a retrospective study of patient notes was undertaken. The subjects were 59 male and 59 female HIV patients at first admission to the hospice. The study revealed clinically important differences between men and women and also identified special problems for African women and intravenous drug users. Women experienced more constipation, headache and musculoskeletal pain than men. Men suffered more neuropathic pain and visual loss. Lower respiratory tract infections were more common in women, especially in those with a history of injection drug use. Gynaecological morbidity was common. There was no difference in AIDS diagnoses between men and women. HIV encephalopathy developed in 23% of the cohort during the follow-up period which has implications for provider units. There are increasing numbers of HIV-positive women and injection drug users being referred for palliative care services. Multidisciplinary teams should be aware of the particular symptom profile of these groups.
 ...
PMID:HIV infection: the spectrum of symptoms and disease in male and female patients attending a London hospice. 915 12

The aim of this research was to describe men and women who were discharged from the emergency department after having an initial suspicion of acute myocardial infarction ruled out in terms of patient characteristics, symptom reevaluation, electrocardiogram and exercise stress test. Consecutive patients below the age of 65 years who came to the emergency department of Sahlgrenska Hospital with acute chest pain or other symptoms raising suspicion of acute myocardial infarction for whom the suspicion was ruled out either directly in the emergency department or less than 1 day after hospital admission were included in the study. Four hundred and eighty-four patients participated, of whom 295 (61%) were men. Men had a higher prevalence of ischaemic heart disease. The cause of pain was judged similarly at reevaluation compared with in the emergency department in 53% of the cases. Only in 4.6% of the cases were the symptoms judged to be caused by myocardial ischaemia on both occasions. At the initial visit 36.0% of the patients were judged to have uncertain cause of the symptoms. This proportion was lowered to 26.4% at reevaluation. The exercise electrocardiogram at reevaluation revealed clinical and electrocardiographic signs indicating definite myocardial ischaemia in 2.6% of the cases. Early follow-up of patients discharged from the emergency department after acute myocardial infarction was ruled out revealed that a low proportion showed signs of myocardial ischaemia. In about half of the cases the judgement differed from that being made in the emergency department.
 ...
PMID:Patients discharged from emergency care after acute myocardial infarction was ruled out: early follow-up in relation to gender. 922 47


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>