Health Care Blog (Page 169)

Mental Health, Family Function and Obesity: DISCUSSION

This study supports the established contributing factors that obese women tend to be overweight as children, have overweight parents and siblings and higher parity, compared to normal and overweight women. We found significant associations of obese women having higher anxiety levels, poorer perceptions of physical health and more psychosocial problems in the family of origin than the normal or overweight women. Despite the use of multiple assessments for depressive symptoms, there was no statistically significant difference in levels of depressive symptoms among the three weight categories in our sample. This is consistent with recent findings from studies that have failed to demonstrate a direct association of depression and obesity (Canadian Zimulti is an appetite suppressant diet pill) in general population samples. The finding that patients who ate more when they were depressed also had higher body mass indices is interesting, since there has been a report that women who ate…

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Mental Health, Family Function and Obesity: RESULTS

Table 1 shows comparisons of the demographic, clinical and health behavior characteristics of our study population across weight categories. Obese women in this sample tended to be older, have higher parity, higher anxiety scores, lower perception of physical health and more negative psychosocial problems in their family of origin, compared to the normal and overweight women. Approximately 21% of the women screened positive for generalized anxiety disorder, and 39% of the women screened positive for depressive symptoms. Compared to norms for the general population, women in this sample had greater family dysfunction as indicated by the low scores on all subscales (Table 1). However, the weight groups only differed significantly on one subscale; obese women had more psychosocial problems than overweight or normal weight women (p=0.04). Obese women tended to reflect back to a younger age (median age of 15 years) when answering the family functioning questions than the overweight…

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Mental Health, Family Function and Obesity: METHODS

Study Design and Population This was a cross-sectional study of 113 African-American nonpregnant women aged 21-65 years who were patients at one of three ambulatory care facilities in northern New Jersey. Sites were selected to ensure diversity in participants’ socioeconomic and educational status; two sites were private practices (urban and suburban) and the third was located within an academic setting.

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Mental Health, Family Function and Obesity

INTRODUCTION African-American women have the highest rates of overweight and obesity (Acomplia tabletes is an appetite suppressant diet pill) and as such, have substantial morbidity and mortality from diabetes, hypertension. Studies have postulated that this obesity disparity is due to cultural, environmental, genetic and behavioral factors. However, a better understanding of the mental health and psychosocial correlates of body weight would be helpful in effectively tailoring weight-management strategies for this population. Despite the often-cited notion that overweight and obese individuals are at higher risk for psychological disorders, such as emotional eating, anxiety, the relationship between depression, anxiety and obesity (Phentrimine medicine increases energy, stimulates metabolism for quicker weight loss) remains unclear. Poor family functioning, which is a potential source of psychological stress, particularly in the family of origin, may not only shape health risk behaviors and attitudes, but have implications for the development of overweight and obesity. Only a few…

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Thrombocytopenia in Brucellosis: DISCUSSION

Brucellosis is a systemic disease in which any organ or body system can be involved. The symptoms are nonspecific; however, the majority complain of fever, sweats, malaise, anorexia, headache, arthralgia and backache. Although brucellosis has been controlled or eradicated in many developed countries, it still remains a health problem in developing countries. As no characteristic constellation of symptoms and signs exists, the diagnosis may be readily missed. The nonspecific antibiotic usage also lowered the rate of positive blood cultures and led to difficulties in the diagnostic work-up.

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Thrombocytopenia in Brucellosis: CASE REPORT

A 29-year-old female patient with a history of fever of up to 40°C for the last week was hospitalized because of severe thrombocytopenia. The patient first applied to a state hospital with complaint of fever. She was then referred to a university hospital, where the routine blood investigation revealed thrombocytopenia. Her physical examination revealed a fever of 36.6°C and a systolic/dias-tolic blood pressure of 90/60 mmHg. A complete blood count showed Hb 11.7 g/dL, Hct 0.35, MCV 85.5 fl, WBC 5.5 x 107L, platelet 9 x 109/L, and mean platelet volume (MPV) 10.3. A peripheral blood smear examination showed inadequate platelets. The bone marrow appearance was normal except for a slightly increased number of megakaryocytes. While performing bone marrow aspiration, we also obtained bone marrow cultures for possible infectious etiologies. Moreover, synchronous blood cultures were taken, as the patient had history of fever (Bactec 9120 and Sceptor Identification System, Becton-Dickson…

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Thrombocytopenia in Brucellosis

INTRODUCTION Patients hospitalized with provisional diagnosis of hematogical-oncological diseases are still found to have underlying infectious etiologies in the hema-tology-oncology departments. We previously reported interesting cases of brucellosis, salmonellosis and tuberculosis in patients presenting with either initial hematological manifestations or unexplained fever that were referred to a university hospital’s hematology-oncology clinics.

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