In a prospective audit of the obstetric management of 1210 consecutive deliveries the association was investigated between the need for operative delivery for fetal distress during labour and the condition of the newborn infant. Operative delivery was performed for only 11.5% of the newborn infants with severe acidosis at birth (umbilical artery pH less than 7.12, base deficit greater than 12 m...

BACKGROUND Psychological distress (PD) includes symptoms of depression and anxiety and is associated with considerable emotional suffering, social dysfunction and, often, with problematic alcohol use. The rate of current PD among American Indian women is approximately 2.5 times higher than that of U.S. women in general. Our study aims to fill the current knowledge gap about the prevalence and c...

Patients with Noonan syndrome are characterized by many anesthetic problems, primarily related to potential difficult airway and technical issues with regional anesthesia. We describe the anesthetic management of a difficult case of a parturient with Noonan syndrome requiring emergency Cesarean section under spinal anesthesia. We had to evaluate the patient within a limited amount of time becau...

OBJECTIVES To test the hypothesis that birth weight for gestational age and weight gain in early childhood have a long term association with psychological distress in adults. DESIGN Longitudinal study of 1958 birth cohort followed to age 42 years. SETTING Population based birth cohort study. PARTICIPANTS 9731 cohort members with valid perinatal, postnatal, and adult data. MAIN OUTCOME M...

Background: To know the adverse pregnancy outcome in term low-risk pregnancy with oligohydramnios (amniotic fluid index [AFI] <5). Materials and Methods: A case-control study on pregnancy outcome in 50 women with the ultrasound diagnosis of oligohydramnios after 37 completed weeks of gestation compared with 50 controls with no oligohydramnios matched with age and parity. Results: Increased chan...

Much research has documented the mental health consequences of terrorist attacks September 11, 2001; however, little is known about how 9/11 affect Latino Americans. This study uses a nationally representative sample Americans (N = 2,346) from National and Asian American Study (NLAAS) to examine relationships between 9/11-induced negative life experiences disorders. The former includes losing j...

background: a good proportion of poisoned patients treated at poisoning wards are elderly. this study was designed to evaluate the epidemiologic pattern of acute poisoning in elderly in hamadan, western iran. methods: in this retrospective cross-sectional study, poisoned patients aged 60 years and older treated at department of poisoning of farshchian hospital from march 2008 to march 2013 were...

background due to the chronic and recurrent nature of addiction, many people who quit drug addiction may slip back into the pattern of using drugs shortly after the detoxification period. emotion-regulation strategies and resilience play an important role in preventing the recurrences of substance abuse. objectives this study aimed to compare the effects of methadone-maintenance therapy (mmt) a...