Articles: disease.
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To determine the prevalence of domestic violence among female patients and to identify clinical characteristics that are associated with current domestic violence. ⋯ In a large, diverse, community-based population of primary care patients, 1 of every 20 women had experienced domestic violence in the previous year; 1 of every 5 had experienced violence in their adult life; and 1 of every 3 had experienced violence as either a child or an adult. Current domestic violence is associated with single or separated status, socioeconomic status, substance abuse, specific psychological symptoms, specific physical symptoms, and the total number of physical symptoms.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison between ketorolac and diclofenac in laparoscopic sterilization.
We compared ketorolac and diclofenac for the prevention and treatment of post-operative pain in patients undergoing laparoscopic sterilization. Fifty ASA I or II women were allocated randomly to receive either diclofenac 75 mg or ketorolac 30 mg intramuscularly 30-90 min before general anaesthesia. Pain scores were assessed half-hourly in the recovery room and then at 2 h and 4 h in the ward. ⋯ Pain at the injection site was more common after diclofenac than ketorolac (12 vs. 3, P < 0.05). In conclusion, both intramuscular diclofenac and ketorolac were relatively ineffective in controlling the pain after laparoscopic sterilization. The drugs were equally well tolerated, but more patients complained of pain at the injection site after diclofenac.
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A 30-year-old woman presented to the emergency department with nonspecific abdominal pain 17 days after voluntary vacuum aspiration interruption of a first-trimester pregnancy. Physical examination and laboratory evaluation demonstrated mild diffuse abdominal tenderness without peritoneal signs and a mildly increased WBC count, respectively. ⋯ Although uterine perforation with intraabdominal injury is a well-described complication of vacuum aspiration termination of pregnancy, most postabortion perforations go undetected. Delayed presentation of an acute complication is rarely observed.
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This survey examined the relationships of sexual risk taking to substance use and AIDS knowledge in pregnant adolescents (n = 58) and nonpregnant young mothers (n = 93). Subjects were from predominantly minority backgrounds, were single, and ranged in age from 12 to 20 years (M = 16.64). A number of high-risk behaviors were reported, including substance use during pregnancy and early parenthood, unprotected sexual relations, and multiple (lifetime) sex partners. ⋯ Conversely, young mothers were more likely to have multiple sex partners and less likely to have unprotected sex than were pregnant adolescents. Those with a history of marijuana use were more likely to have had multiple sex partners than were adolescents who had never used this drug. AIDS knowledge was not a significant predictor of high-risk sexual behavior.