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The Journal of the Florida Medical Association最新文献

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Accidents on the waterways: another focus for injury prevention. 水路事故:伤害预防的另一个重点。
The Journal of the Florida Medical Association Pub Date : 1997-10-01
D V Shatz, B D Norton
{"title":"Accidents on the waterways: another focus for injury prevention.","authors":"D V Shatz, B D Norton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 7","pages":"458-60"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Water safety: prevention and treatment of water-related injuries and illnesses. 水安全:预防和治疗与水有关的伤害和疾病。
The Journal of the Florida Medical Association Pub Date : 1997-10-01
R J Howard
{"title":"Water safety: prevention and treatment of water-related injuries and illnesses.","authors":"R J Howard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 7","pages":"426"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20291387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Water-related disease in Florida: continuing threats require vigilance. 佛罗里达州与水有关的疾病:持续的威胁需要警惕。
The Journal of the Florida Medical Association Pub Date : 1997-10-01
R S Hopkins, S Heber, R Hammond
{"title":"Water-related disease in Florida: continuing threats require vigilance.","authors":"R S Hopkins, S Heber, R Hammond","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 7","pages":"441-5"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal diagnosis: chances, choices. 产前诊断:机会，选择。
The Journal of the Florida Medical Association Pub Date : 1997-08-01
S F Roberts
{"title":"Prenatal diagnosis: chances, choices.","authors":"S F Roberts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Genetic counseling for prenatal diagnostic testing should provide accurate, unbiased, and value-sensitive information to women and their families, enabling them to make decisions most consistent with their personal values and circumstances.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"374-8"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's health care: cross-cultural encounters within the medical system. 妇女保健:医疗系统内的跨文化接触。
The Journal of the Florida Medical Association Pub Date : 1997-08-01
L S Lieberman, E P Stoller, M A Burg
{"title":"Women's health care: cross-cultural encounters within the medical system.","authors":"L S Lieberman,&nbsp;E P Stoller,&nbsp;M A Burg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Women, particularly minority women, have inadequate health care and treatment outcomes caused by a number of extrinsic and intrinsic factors. Salient external systems factors addressed in this article include the lack of health insurance and the inadequate organization and delivery of health care services, for example, difficult-to-reach clinic locations and limited hours of operation. The multiple family roles of women often necessitate alterations in adherence and treatment activities to fulfill competing time and resource demands. Furthermore, culturally widespread lay therapeutic activities, and more culturally limited ethnomedical practices, are routinely employed by patients, yet often are unknown or not acknowledged by physicians. Internal factors, that is, beliefs and attitudes and their behavioral outcomes, are described for African-American, Latino-American, Haitian-American, Asian-American and Native American patients. Suggestions are made for the enhancement of interethnic physician-patient communication. The medical encounter is the nexus for many factors that influence the quality of women's health care.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"364-73"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's health care for the coming millennium. 为即将到来的千年提供妇女保健。
The Journal of the Florida Medical Association Pub Date : 1997-08-01
H W Foster
{"title":"Women's health care for the coming millennium.","authors":"H W Foster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In examining ways to improve female health care access and utilization, the magnitude of health problems must be examined before the design of solutions. Two types of barriers interfere with health care: attitudinal barriers blocking motivation to seek health care services and organizational barriers which block actual use of needed services. The major health problems of women in the United States are heart disease, cancer, stroke, lung-related diseases, intentional injuries, diabetes and HIV/AIDS. Public health has had a greater impact than high technology on the health of our nation. Balancing health care reform, changes in legislation and funding for medical education should help the United States be responsive to the challenge to move from substandard health for many women to superlative health care for all women and their family members.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"358-63"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why women still die from cervical cancer. 为什么女性仍然死于子宫颈癌。
The Journal of the Florida Medical Association Pub Date : 1997-08-01
S Masood
{"title":"Why women still die from cervical cancer.","authors":"S Masood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cervicovaginal cytology, known as Pap smear, is the most effective screening test in medical oncology. Introduced by Dr. George Papanicolaou in 1940, the Pap smear is now being recognized as a major contributor to the remarkable decrease in cervical cancer morbidity and mortality among women throughout the world. However, there are still significant numbers of women who lose their lives to cervical cancer every day. To overcome this major problem, first, we must search for the reasons for these lost lives and then take appropriate measures to resolve the existing issues. There is now substantial evidence that emphasizes the importance of an effective screening program. This program must integrate education and accessibility to health care for all women regardless of age, race, ethnic background and socioeconomic status. The public, the media, the government and health care providers must also become acutely aware of the inherent difficulties involved in providing a high-quality Pap smear. Compounded by medicolegal pressures and reimbursement issues, the Pap smear has become one of the more difficult tests to perform. Current reimbursement mechanisms are not appropriate for the cost of providing the service and cannot guarantee the resources necessary for a high-quality Pap smear. Congress should consider mandating direct billing to the patient for the service, so that cervicovaginal cytology could be reimbursed on a level commensurate with the requirements of providing quality service. A concerted effort should also be made to enhance the level of public knowledge about the issues surrounding Pap smear. This could be achieved by fostering the idea of designating a \"Cervical Cancer Awareness Month,\" and by encouraging the spirit of community networking.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"379-83"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Symbolic expression of feelings and depressive symptoms in high-risk pregnant women. 高危孕妇的象征性情感表达与抑郁症状
The Journal of the Florida Medical Association Pub Date : 1997-08-01
K Wobie, F D Eyler, M Behnke, M Conlon
{"title":"Symbolic expression of feelings and depressive symptoms in high-risk pregnant women.","authors":"K Wobie,&nbsp;F D Eyler,&nbsp;M Behnke,&nbsp;M Conlon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pregnant women using rural health departments for prenatal care often experience chronic stressors (minority status, poor education, low income, young age, and single parenting of young children) that contribute to depression. Yet these same women may be reluctant to express their feelings. Because depression has been related to negative patterns of motherchild interaction and even newborn irritability, it is important to identify symptoms in high-risk mothers. For years, symbolic methods of expression have been used to reveal psychological traits or to identify clinical diagnoses, but few have been used to evaluate pregnant women. Women attending a rural health department were administered a comprehensive health and psychosocial questionnaire, including the Center for Epidemiologic Studies-Depression Scale (CES-D). They were then asked to complete a drawing expressing their feelings regarding their pregnancy. The relationship between CES-D scores and drawing ratings determined by two different methods of interpretation (expert, non-expert) was then examined. Non-expert art analysis was able to distinguish those women with the highest scores on the depression index, while expert analysis was able to discern racial differences consistent with risk status. Suggestions for the use of this drawing measure in the clinical setting are discussed. Alternative (non-verbal) methods of assessment that may improve communication with pregnant women are important for optimizing maternal and infant health and well-being and child development.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"384-90"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Help for health decision challenges. 帮助解决健康决策方面的挑战。
The Journal of the Florida Medical Association Pub Date : 1997-08-01
L Doty
{"title":"Help for health decision challenges.","authors":"L Doty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medical care is becoming more technically challenging and community-based. The majority of patients and family health gatekeepers (the family member who regulates health care services for the family unit) are female, while the majority of physicians are male. Therefore, differences in female versus male methods of decision making add to the difficulty in making health choices. The female patient and family health gatekeeper may need new knowledge, skills and time to help them deal with difficult medical choices. They may benefit from a multidisciplinary, unbiased group of experts in the form of a Community Healthcare Committee. Trained to be responsible for the general health of the community, the primary care practitioner is ideal to take a leadership role in developing such a committee. A Community Healthcare Committee that understands different methods of health decision making could serve as a resource by providing community health education and private case reviews intended to help individuals with health care decisions.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 6","pages":"391-6"},"PeriodicalIF":0.0,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel, simplified and cost effective protocol for superovulation and intrauterine insemination. 一种新颖、简化和成本有效的超排卵和宫内人工授精方案。
The Journal of the Florida Medical Association Pub Date : 1997-06-01
R S Williams, S Kipersztok, D Hills, M Dattilo
{"title":"A novel, simplified and cost effective protocol for superovulation and intrauterine insemination.","authors":"R S Williams,&nbsp;S Kipersztok,&nbsp;D Hills,&nbsp;M Dattilo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine the efficacy and cost of a simplified superovulation regimen compared with traditional control ovarian hyperstimulation with gonadotropins (HMG).</p><p><strong>Study design: </strong>This was a retrospective study in a university referral center with 99 infertile couples undergoing 225 treatment cycles. The outcome was compared to outcomes of previously published studies. The simplified superovulation regimen included clomiphene citrate 100 mg on cycle days 5 through 9 and HMG 75 IU on cycle days 5, 7, 9, and 11, with estradiol and ultrasound monitoring on day 13. If adequate follicular maturity was documented, HCG 10,000 IU was administered, followed by intrauterine insemination 40 hours later.</p><p><strong>Results: </strong>Fecundity rates were assessed by life table analysis. Average cycle fecundity was 8%, with a cumulative rate of 29% over 4 cycles, compared to 10% monthly fecundity with HMG/IUI and background rates of 1 to 3%. Costs averaged $662 per cycle compared to $1,854 with HMG/IUI.</p><p><strong>Conclusion: </strong>A simplified protocol of CC/HMG/ IUI is almost as effective as HMG/IUI and costs only one-third as much.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 5","pages":"316-9"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20203666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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