x Is this really dyspepsia? Ask about epigastric pain; heartburn and acid regurgitation; attitudes towards meals; lying flat; and response to antacids. Consider biliary or cardiac pain. Predominant bloating may indicate aerophagia or the irritable bowel syndrome. x Be alert to “alarm symptoms” (weight loss, anaemia, vomiting, jaundice, and epigastric mass); patients aged 55 and over with recent...

were appointed (two men and two women) who were all psychotherapists. There are now six. Most of them are also working with children or adolescents during the day. Each, with the exception of the Director, works two and a half sessions at the Centre. Two sessions are used for seeing clients, and the extra half session for staff discussion and recording. The procedure at the Centre is very simpl...

OBJECTIVE To investigate cognitive function, symptoms, disabilities and life satisfaction of patients with mild traumatic brain injury who accepted consultation one year post-trauma. DESIGN Prospective study. PATIENTS Sixty-nine patients (16 accepted the consultation offered, 53 declined). METHODS At follow-up, the patients answered questionnaires about symptoms, disabilities (RHFUQ) and ...

OBJECTIVES We sought to evaluate pregnant women's knowledge about features of second-trimester screening for Down syndrome and to assess whether knowledge and educational level influence their attitude toward amniocentesis before receiving test results. METHODS Pregnant Caucasian women (n = 300) <35 years old with no personal or family history of Down syndrome were surveyed. Women were random...

BACKGROUND The aim of this study was to examine factors associated with the use of mental health consultation for depressive symptoms. METHODS We used data from the 2013 Community Health Survey, which included responses from 13,269 individuals who reported that they had experienced depressive symptoms for more than 2 weeks in Korea. We investigated associations between mental health consultat...

OBJECTIVE Consultation of another physician is an important method of review of the practice of euthanasia. For the project "support and consultation in euthanasia in Amsterdam" which is aimed at professionalising consultation, a protocol for consultation was developed to support the general practitioners who were going to work as consultants and to ensure uniformity. PARTICIPANTS Ten experts...

INTRODUCTION While previous reports examine various aspects of Family Medicine in Japan, there is sparse research on consultation lengths. A common phrase permeates throughout Japan, sanjikan machi, sanpun shinsatsu that means, "Three hour wait, three minute visit." The purpose of this study is to examine consultation length in Japan, and how it is affected by patient variables. CASE DESCRIPT...

OBJECTIVE In 2001, the province of Ontario expanded cancer genetic testing eligibility to include all women with high-grade serous ovarian carcinoma (HGSC) of the ovary, fallopian tube, and peritoneum. The aim of this study was to determine the proportion of women who attended genetics counseling for consideration of BRCA1/2 gene analysis. We also sought to examine if regional differences in co...