Articles: disease.
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Emerg. Med. Clin. North Am. · Feb 1991
ReviewPsychological reaction to hospitalization and illness in the emergency department.
Each personality type presents with different methods of coping. Physicians should be aware of the impact on a patient's psychological functioning and ability to cope with illness and hospitalization, to understand and more effectively manage the patient. The physician must try to assess the patient's baseline personality from their past and present behavior. ⋯ The stress of medical illness and/or hospitalization can be overwhelming for some patients and is usually followed by some form of psychological response. Current understanding of the psychological impact of illness is based upon psychological defenses, coping mechanisms, and individual personality. It is the ability of the emergency physician to identify defenses, coping skills and personality types that will aid him or her in the medical management of the patients in their time of illness and hospitalization.
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Fifty consecutive unmarried women seeking termination of pregnancy in Toa Payoh Hospital were analysed to determine the prevalence of Chlamydia trachomatis infection as compared to gonococcal infection. Cases harbouring chlamydial infection were followed up to exclude postabortal pelvic infection. ⋯ Results from the data analysed showed that chlamydial infection was significantly more prevalent than gonorrhoea in our local women seeking therapeutic abortion. However, further research to define the exact size of the problem is indicated.
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Public health reports · Jan 1991
Cancer mortality in Cuba and among the Cuban-born in the United States: 1979-81.
The Cuban-born population of the United States, enumerated at 608,000 in the 1980 census, has been little studied with regard to cancer mortality. Being older and rarely migrating back to Cuba, Cuban Americans present a good subject for comparative cancer mortality. Age-adjusted death rates for selected causes of cancer are compared in this paper for Cubans in Cuba, the Cuban-born in the United States, and all whites in the United States. ⋯ Finally, the Cuban-born in the United States have higher death rates from cancer of the liver than do Cubans in Cuba or whites in the United States. In general, the profile found for the Cuban-born in the United States reflects the high socioeconomic status of the pre-1980 migrants as well as their exposure to the U. S. environment.