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A decade associated with trouble throughout Madagascar: an explanation regarding 2 hotspot districts.
Procedural-related complications occurred in the group of patients with significantly greater WC and BMI. Multiple linear regression indicates also histological grading (G1-G3), external conjugate, intertrochanteric distance as significant risk factors. The multiple linear regression analysis confirmed also that implementation of sentinel lymph node procedure is related with decreased hemoglobin loss in patients with cancer of endometrium compare to lymphadenectomy without sentinel node biopsy(Est. 0.488; 95% CI 0.083-0.892, p = 0.018).

The most sensitive risk factor of in-hospital outcomes in laparoscopic treatment of endometrial cancer is body mass. The implementation of the sentinel node procedure is associated with reduced surgery time and reduced hemoglobin loss.
The most sensitive risk factor of in-hospital outcomes in laparoscopic treatment of endometrial cancer is body mass. The implementation of the sentinel node procedure is associated with reduced surgery time and reduced hemoglobin loss.We describe the case of a 12-year-old boy that developed invalidating motor symptoms after starting and gradually increasing the dose of quetiapine with extended release and phasing out aripiprazole. The symptoms met the definition of tardive dyskinesia given their duration and presentation. Symptoms decreased spontaneously after discontinuation of neuroleptic treatment. The literature and knowledge among clinicians concerning the occurrence of tardive dyskinesia in children and adolescents treated with atypical antipsychotics are limited. We give an overview of the available scientific findings with special attention to the presentation, the incidence and treatment possibilities.Gamma-hydroxybutyrate (GHB) is a controlled substance that is often abused due to its euphoric, sexual and sedative effects. Both acute intoxication with and withdrawal from GHB are potentially lethal, and need to be treated in an in-patient environment. We report the case of a female patient who used GHB regularly during the first trimester of pregnancy. We subsequently describe available evidence on the impact of GHB on fetal development, and how existing guidelines for GHB detoxification differ in pregnant patients.
Quality systems have become an important and widely used method of monitoring and improving the quality of care in mental health care. However, little is known about the impact of these systems on the daily practice of care.<br/> AIM To determine and explain the impact of quality systems.<br/> METHOD A combination of qualitative (focus groups, document analysis, interviews) and quantitative (questionnaire, literature analysis) data collection and analyses based on different theoretical perspectives.<br/> RESULTS There are many quality systems available, while the impact on the practice of care is limited. Many systems are unknown and are not used or used inadequately. The lack of impact can be explained by role uncertainty and mistrust in the sector. The fact that certain systems are used can largely be explained by the individual preferences of professionals.<br/> CONCLUSION The current deployment of quality systems is very inefficient. There is no common definition of quality and the quality information from the systems is complex. This complicates the application of quality information. BGB-3245 In addition, there is a great deal of mistrust towards the sector, which means that systems are used for control rather than for quality improvement.
CONCLUSION The current deployment of quality systems is very inefficient. There is no common definition of quality and the quality information from the systems is complex. This complicates the application of quality information. In addition, there is a great deal of mistrust towards the sector, which means that systems are used for control rather than for quality improvement.
Sexual abuse in individuals with (above) average iq is associated with a wide range of behavioural and psychological clinical characteristics, including characteristics regarding body experience. However, research on the clinical characteristics of sexually abused individuals with borderline intellectual functioning or mild intellectual disability (bif-mid) is scarce. OBJECTIVE To provide an overview of the literature on the clinical characteristics of sexually abused individuals with bif-mid.<br/> METHOD PubMed, Embase, PsycInfo, cinahl, Cochrane Library and Web of Science were searched for relevant publications using terms related to 'intellectual disability' and 'sexual abuse'. <br/> RESULTS Seven studies were included. The studies in question mostly reported behavioural and psychological characteristics such as challenging behaviour, sexualised behaviour or posttraumatic stress, anxiety or depressive symptoms associated with sexual abuse in individuals with bif-mid. None of the studies repor in body experience as sexually abused individuals with (higher than) average iq needs to be investigated.
Little is known about the influence of mild intellectual disability/borderline intellectual functioning (mid/biF) or posttraumatic stress disorder (ptsd) on treatment results in severely mentally ill (smi). <br/> AIM To investigate whether screeners determining mid/biF or ptsd are associated with less favorable treatment outcome in smi.<br/> METHOD The screener for intelligence and learning disabilities (scil) was used to screen for mid/biF. The trauma screening questionnaire (tsq) was used to detect ptsd. Outcomes of these screeners were associated with repeated measures on the health of the nation outcome scales (HoNOS) in 628 smi at the Mental Care Centre of Oost Brabant.<br/> RESULTS In 628 patients one or more HoNOS was acquired. In 352 (56%) patients a scil was acquired, in 334 (53%) patients a tsq. The largest improvement was observed in patients not meeting the criteria for mid/biF and/or ptsd. Less improvement was observed in patients with ptsd and a suspected iq between 70-85, estimated with the scil. No significant change on the HoNOS was observed in patients with an estimated iq below 70.<br/> CONCLUSION Routine screening for mid/biF and ptsd symptoms is important for early recognition of the disorder, resulting in providing better treatment interventions for patients with mid/biF and ptsd.
CONCLUSION Routine screening for mid/biF and ptsd symptoms is important for early recognition of the disorder, resulting in providing better treatment interventions for patients with mid/biF and ptsd.
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