Am J Dis Child. 1988 Oct;142(10):1114-8.
Body image and eating behavior in adolescent girls.
Department of Pediatrics, Madigan Army Medical Center, Tacoma, Wash. 98431-5000.
To determine attitudes toward body weight and shape and eating and weight control practices among adolescent girls, an anonymous questionnaire was administered to 854 adolescent girls and young women aged 12 through 23 years who were seen in a military adolescent outpatient clinic. Overall, 67% were dissatisfied with their weight, and 54% were dissatisfied with their body shape. Dissatisfaction with weight and shape varied positively with increasing body weight but not with increasing age. Binge eating had occurred in 30.4%, and weight control behavior, such as dieting, fasting, vomiting, and stimulant, laxative, and diuretic use, had occurred in 38.2%, 30.7%, 8.5%, 9.5%, 3.3%, and 6.2%, respectively, varying positively with increasing weight. Thirty-six percent of those adolescent girls who saw themselves as overweight desired an inappropriate weight loss, and 61% of these, who desired an excessive loss, exhibited an increased prevalence of weight control behaviors and were less likely to believe that they had an eating problem. Dissatisfaction with body weight and shape, and eating behaviors, such as dieting, binge eating, fasting, and vomiting, are common in adolescent girls, many of whom are attempting weight control without an accurate perception of what is normal.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3177310&dopt=Abstract constipation laxative
Singapore Med J. 2001 Sep;42(9):417-9.
An audit of morphine prescribing in a hospice.
Neo SH, Loh EC, Koo WH.
Dover Park Hospice, Singapore.
AIM OF STUDY: This audit was designed to investigate the morphine prescribing pattern in a hospice. METHOD: A review of 358 medical charts of all existing patients was conducted with a set of questionnaire. The prevailing practice was compared with an established standard guideline. RESULT: One-third (35%) of patients were receiving morphine. Several deficiencies in morphine prescribing were identified.These include omission of breakthrough morphine dosing, use of morphine as p.r.n. (when necessary) alone for chronic pain, absence of review after prescribing treatment, and lack of double dosing at night. Prophylactic laxative and anti-emetics were often not co-prescribed. CONCLUSION: Despite much of what is known about the pharmacology and therapeutic use of morphine, there is much variation and even inappropriate prescription in a palliative care institution. Implementation of recommended European guidelines and education may improve morphine prescribing habits. However, such guidelines may have to be validated in future studies to see if they need to be revised to suit our local population.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11811608&dopt=Abstract constipation laxative
Zhonghua Wai Ke Za Zhi. 1999 Feb;37(2):91-2.
[Slow transit constipation treated by surgery: analysis of 17 cases]
[Article in Chinese]
Zhang S, Huang X, Zhang L, Gao F, Tong W.
Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042.
OBJECTIVE: To explore the operative indications, prognosis, and possible pathogenic factors of slow transit constipation (STC). METHODS: 17 cases with STC who had undergone colectomy were analysed. RESULTS: Bowel movement frequency was once per 4 to 14 days in all of the patients, who had had long-term laxative abuse. Delayed colonic transit was demonstrated in all patients, 82.4% of them were accompanied by outlet obstructive constipation (OOC) and 50% showed abnormal sex hormones. Reduced numbers of argyrophilic neurons and vacuolar degeneration of axons were demonstrated at the myenteric plexus pathologically. Three patients had adhesive ileus postoperatively and one patient suffered from difficult evacuation again 5 years after the operation. CONCLUSIONS: Colectomy is highly effective in alleviating symptoms in patients with STC, and pelvic floor disorder of OOC should be treated simultaneously.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11829789&dopt=Abstract constipation laxative [PubMed - in process]
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