XML Women & Family Health News

Do primary care physicians coordinate ambulatory care for chronic disease patients in Canada?

published Fri, Aug 29 2014 19:00 GMT
Background: Adults with chronic disease are the most frequent users of the primary healthcare system. In Manitoba, patients are allowed to seek ambulatory (outpatient) care from the provider of their choosing (primary care physician or specialist), with referrals to specialists preferred but not always required. Some patients receive their routine care from specialists. We conducted this study to determine the patterns by which adults with chronic disease access ambulatory care as a prelude to exploring the impact these patterns may ... more

Patients' and physicians' descriptions of occurrence and diagnosis of endometriosis: a qualitative study from Iran

published Fri, Aug 29 2014 19:00 GMT
Background: The prevalence of endometriosis is considerable but its diagnosis is a dilemma. The aim of this study was to explore the perception and experiences of endometriosis patients and physicians about occurrence and diagnosis of endometriosis. Methods: A qualitative research using content analysis was used to obtain data from 18 purposely selected endometriosis patients (12 participants) and gynecologists (6 participants) from January to September 2013 in Tehran. Data were coded and analyzed using a thematic approach. Results: Seven themes emerged: ... more

Geographic differences in the distribution of molecular subtypes of breast cancer in Brazil

published Thu, Aug 28 2014 19:00 GMT
Background: To compare the distribution of the intrinsic molecular subtypes of breast cancer based on immunohistochemical profile in the five major geographic regions of Brazil, a country of continental dimension, with a wide racial variation of people. Methods: The study was retrospective observational. We classified 5,687 invasive breast cancers by molecular subtype based on immunohistochemical expression of estrogen-receptor (ER), progesterone-receptor (PR), human epidermal growth factor receptor 2 (HER2), and Ki-67 proliferation index. Cases were classified as luminal A (ER and/or ... more

The safety and efficacy of the tetanus vaccine intramuscularly versus subcutaneously in anticoagulated patients: a randomized clinical trial

published Wed, Aug 27 2014 19:00 GMT
Background: In patients treated with oral anticoagulants, subcutaneous injections of anti-tetanus vaccine are usually recommended to reduce the risk of bleeding, although the effectiveness of the vaccine has only been proven for intramuscular injection. The objective of this study was to compare the safety and efficacy of intramuscular and subcutaneous injections of tetanus-diphtheria vaccine in patients treated with oral anticoagulants. Methods: We present a prospective, double blinded, clinical trial comparing two groups of patients with oral anticoagulants: one group was ... more

Predictors of regular mammography use among American Indian women in Oklahoma: a cross-sectional study

published Wed, Aug 27 2014 19:00 GMT
Background: There are significant disparities in breast cancer screening and survivorship between American Indian (AI) and non-Hispanic white women. This study aimed to identify the salient beliefs AI women from Oklahoma have on regular mammography screening, and to determine which beliefs and health- related practices are associated with past mammography screening behavior. Methods: This study used an integrated model of the Theory of Planned Behavior as the guiding theoretical framework. Data were collected from 255 (mean age = 51 years, ... more