Long-term follow-up of the use of the Jones' intestinal tube in adhesive small bowel obstruction.

Introduction: Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique.

Patients And Methods: A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identified as having had the Jones' intestinal tube placed over an 11-year period from 1980 to 1991, with a follow-up to 2003.

Psychopathology in adolescent and young adult criminal offenders (15-21 years) in Sweden.

Background: This study examined rates of psychopathology among adolescent and young adult serious offenders referred to pre-sentence forensic psychiatric services and compared patterns of psychiatric morbidity with adult forensic referrals and age-matched general psychiatric inpatients.

Methods: In Sweden, criminal offenders can be referred for an extensive court-ordered pre-sentence inpatient forensic psychiatric examination (FPE). Data on all 3,058 of these offenders (90% male, mean age = 35.

Technetium Tc 99m dimercaptosuccinic acid renal scintigraphy in diagnosis of urinary tract infections in children with negative culture.

Introduction: The aim of this study was to evaluate the accuracy of Technetium Tc 99m dimercaptosuccinic acid (99mTc-DMSA) renal scintigraphy in the diagnosis of urinary tract infection (UTI) in children with suspected infection but with a negative urine culture.

Materials And Methods: The records of all children with suspected or definite diagnosis of UTI presented during a 2-year period were reviewed in this study. Abnormal findings on renal scintigraphy, voiding cystourethrography (VCUG), and ultrasonography were evaluated and compared between the patients with the definite diagnosis of UTI and those with suspected UTI and negative urine cultures.

Patient employment status and satisfaction following cochlear implantation.

The aim of this study was to look at the effect on employment and employee perception of career opportunities after receiving a cochlear implant. Retrospective analysis based on a patient questionnaire was conducted. Eighty patients were identified: 65 (81.

The effect of dexamethasone on postoperative vomiting and oral intake after adenotonsillectomy.

Objective: Vomiting is one of the most important postoperative complications of adenotonsillectomy. This study was designed to determine the effectiveness of preoperative intravenous dexamethasone on postoperative emesis.

Methods: In a double-blind, placebo-controlled clinical trial, 100 patients aged 5-15 years, ASA classes I and II were randomly selected to receive either 0.

The impact of recurrent abdominal pain: predictors of outcome in a large population cohort.

Aim: Recurrent abdominal pain is one of the commonest complaints of childhood, affecting approximately 10% of children at any one time. This study aims to describe the outcome of recurrent abdominal pain amongst 6-year-old children, and to identify risk factors (in both the children and their parents), which predict these outcomes.

Methods: 7128 6-year-old children in the Avon Longitudinal Study of Parents and Children (ALSPAC) were followed up for 1 year.

Who seeks treatment after a traumatic event and who does not? A review of findings on mental health service utilization.

This review aimed to identify factors associated with seeking treatment from mental health services after a traumatic event. Databases of literature were searched in a systematic manner and 24 relevant articles were found. Although many of the findings are inconsistent, the most important factors associated with treatment seeking appear to be a higher level of psychopathology, the type and level of the traumatic event, and sociodemographic characteristics, in particular female gender.

Overnight intensive recovery: elective open aortic surgery without a routine ICU bed.

Objectives: Most patients are managed on the intensive care unit (ICU) after elective open aortic surgery. We preoperatively identify patients suitable for extubation in theatre with overnight management in theatre recovery before discharge back to the ward (overnight intensive recovery (OIR)). The safety of this was investigated.

Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review.

Background: About 13 million people are classified as refugees worldwide, and many more former refugees have been granted citizenship in their new countries. However, the prevalence of post-traumatic stress disorder, major depression, or psychotic illnesses in these individuals is not known. We did a systematic review of surveys about these disorders in general refugee populations in western countries.

The mental health of refugee children.

The UK is facing a major increase in the number of people seeking asylum each year, of whom approximately a quarter are children. The stressors to which refugees are exposed are described in three stages: (1) while in their country of origin; (2) during their flight to safety; and (3) when having to settle in a country of refuge. The evidence concerning the impact of displacement on children's mental health is reviewed and a framework for conceptualising the risk factors is proposed.

Perceived life quality of older and younger tibetans.

Tibetans have enjoyed a reputation for contentment and a jovial disposition. This study examines the extent to which this positive outlook on life persists despite their 25-year stay as refugees in India, and the transferability of this positive outlook to first-generation, Indian-born Tibetans. With this in mind, older Tibetan refugees (N = 45) and younger Tibetan refugees (N = 45) residing in Himachal Pradesh in India were administered the Life Quality Scale (Q.