{"title":"The doctor-patient relationship III: a way of listening--the Balint group revisited, 2008.","authors":"Ursula Snyder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel A Millstein, Hsin-Chieh Yeh, Frederick L Brancati, Marian Batts-Turner, Tiffany L Gary
{"title":"Food availability, neighborhood socioeconomic status, and dietary patterns among blacks with type 2 diabetes mellitus.","authors":"Rachel A Millstein, Hsin-Chieh Yeh, Frederick L Brancati, Marian Batts-Turner, Tiffany L Gary","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>High diabetes prevalence among low-income and urban African American populations. OBJECTIVES & MAIN OUTCOME MEASURES: This study aimed to determine associations between neighborhood-level food sources and socioeconomic status (SES), and dietary patterns and body-mass index (BMI). The hypotheses were that the presence of food stores in neighborhoods would be associated with better dietary habits and BMI, and that the presence of convenience stores, and lower neighborhood SES, would be associated with poorer dietary habits and BMI. DESIGN, SETTING, & PATIENTS: Black adults (n = 132) with type 2 diabetes in Project Sugar 2 (Baltimore, Maryland) underwent the Ammerman dietary assessment: total dietary risk score and subscores for meat, dairy, starches, and added fat. Food source availability (food stores, convenience stores, other food stores, restaurants, and other food service places) and SES data from the 2000 US census at the tract-level were linked to individual-level data. Linear mixed-effects regression models with random intercepts were used to account for neighborhood clustering and for individual-level SES and potential confounders.</p><p><strong>Results: </strong>The presence of restaurants and other food service places in census tracts were associated with better dietary patterns (adjusted added fat subscore beta = -1.1, 95% confidence interval [CI] = -1.8, -0.4, and beta = -1.0, 95% CI = -1.7, -0.3, respectively). The presence of convenience stores and lower neighborhood SES was not significantly associated with worse dietary patterns or body-mass index, although trends were in the hypothesized direction.</p><p><strong>Conclusions: </strong>These findings provide some evidence for structural improvements to food environments in urban and low-income black neighborhoods.</p>","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A reader responds to \"Passive dissemination of printed educational materials in medicine has no or negligible effect on patient outcomes\".","authors":"Sue Robb","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cases in pediatric gastroenterology from The Children's Hospital of Philadelphia: a 2-year-old boy with diarrhea, failure to thrive, and hepatomegaly.","authors":"Daniel H Leung, Catherine T Chung","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global maternal mortality: an unspeakable yet avoidable human tragedy.","authors":"Eli Y Adashi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clear cell adenocarcinoma of the ovary associated with in utero diethylstilbestrol exposure: case report and clinical overview.","authors":"Constantin A Dasanu, Thomas J Herzog","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Clear cell adenocarcinoma of the vagina and cervix were previously shown to be tumors occurring in female offspring exposed prenatally to diethylstilbestrol. This report describes the first clinical case of clear cell adenocarcinoma of the ovary linked to early diethylstilbestrol exposure in utero.</p><p><strong>Case: </strong>A 45-year-old woman presented with a self-discovered lump in the lower abdominal quadrant. She underwent surgery and staging that revealed clear cell adenocarcinoma confined to the left ovary. Foci of high-grade squamous neoplastic proliferation, inflammation, and a paratubal cyst were also present on the pathology specimen. Medical records established unequivocally that the patient's mother received diethylstilbestrol therapy throughout the pregnancy.</p><p><strong>Conclusion: </strong>Our case is consistent with clear cell adenocarcinoma, probably related to diethylstilbestrol exposure in utero. It reinforces the need for continued vigilance in individuals prenatally exposed to this drug.</p>","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A reader and author respond to \"The end of peer review and traditional publishing as we know it\".","authors":"Val Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"17; author reply 17"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Born at the wrong time? Timing of infant birth and the risk for childhood asthma.","authors":"Tina V Hartert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skin-to-skin contact provides analgesia to neonates.","authors":"George D Lundberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}