The relationship between psychosocial factors in the patient-oncologist relationship and quality of care: A study of breast cancer patients.

This study examined the relationship between psychosocial factors in the patient-oncologist relationship and aspects of care among women with breast cancer. Breast cancer patients (N = 118) completed a questionnaire about their relationship with their oncologist, their treatment, and their health. While trust was related to several positive outcomes, physician supportiveness was most strongly related to satisfaction with care, and health care access was most strongly associated with general health.

Clinical and demographic variables related to pain in HIV-infected individuals treated with effective, combination antiretroviral therapy (cART).

Objective: With widespread use of combination antiretroviral therapy (cART), this study tested the hypotheses that: 1) pain would be reported less frequently than in earlier studies; 2) pain would correlate less with markers of disease progression (declining cluster of differentiation 4 [CD4+] count), than with age; and 3) pain would be associated inversely with adherence to cART.

Design: Retrospective data analysis.

Setting: Outpatient center of a university teaching hospital.

When the third degree is necessary: do pediatricians obtain enough information to detect patients at risk for HCM?

This study was designed to see if pediatricians are collecting sufficient data in family histories to be able to ascertain whether children are at risk for hypertrophic cardiomyopathy (HCM). Surveys were returned by 326 general pediatricians who were members of the Second Chapter of the American Academy of Pediatrics. The majority of pediatricians (98.

A controlled study for gender selection using swim-up separation.

Objective: To evaluate the success for gender selection using a sample of semen separated by a modified swim-up technique.

Design: We retrospectively compared the gender outcome of two treatments (A and B) for either a male or female offspring with those who conceived spontaneously.

Setting: Private practice of one author (M.

Accommodative esotropia in adults.

The accommodative convergence/accommodation (AC/A) ratio is thought to be fixed throughout life. We present 11 patients who, in adulthood, show a situational increase in their AC/A ratio. Since all patients had a history of accommodative esotropia with and without a nonaccommodative component, we feel the situational increase in the AC/A ratio is in response to the additional effort needed to correct the patients' facultative hyperopia.

Sex preselection in New York City: who chooses which sex and why.

With its increasing success, sex preselection has become a matter of general concern, and interest in it is growing. Three aspects of sex preselection in New York City were considered. Who is choosing the sex? Which sex is being chosen? Why have the choices been made? In this investigation, 178 couples were studied and all 57 non-American couples chose boys; however, 120 American couples chose boys and girls with equal frequency depending upon the gender of the children at home.

Unusual ocular findings in identical twins.

We report an unusual case of dissimilar strabismus in monozygotic twins and describe the anatomical features which caused it.

Tamoxifen in clomiphene-resistant hypothalamic anovulation.

Seventeen patients with clomiphene-resistant hypothalamic anovulation were given tamoxifen 10 mg per day from cycle day 5 to 9 during two consecutive menstrual cycles. Not included were patients with hyperprolactinemia and PCOD. Treatment was monitored using measurement of follicle size by ultrasound and assessment of serum estradiol.

Iridoschisis and the corneal endothelium.

Iridoschisis has been known as a rare entity for the past 60 years, since its first description by Schmitt. It has been reported most frequently in eyes with a history of trauma or one of the glaucomas. While freely floating fibers of disrupted iris mesenchyma may be seen to brush against the corneal endothelium in many patients, there has never been a report of corneal compromise secondary to iridoschisis.

Paradoxical inferior oblique muscle overaction with A-pattern esotropia.

The presence of overacting inferior oblique muscles in A-pattern esotropia is a rarely documented finding. During the last three decades, three basic schools of thought have evolved to explain A and V patterns. In certain cases an individualized approach synthesizing these three theories is needed.

The preoperative diagnosis of adenomyosis.

The charts of 46 patients between the ages 30-50 years having a hysterectomy for a fibroid uterus were reviewed. The diagnosis of adenomyosis was correctly made preoperatively in four patients. The diagnosis was not made preoperatively in 13 patients in whom adenomyosis was demonstrated on pathologic examination of the surgical specimen.

A new study of intrauterine synechiae.

This study is based on a series of 37 hysteroscopies performed in the knee-chest on patients undergoing culdoscopy as part of an infertility work-up. Local anesthesia was used for the two procedures. All the patients had a thorough infertility work-up that was completely negative.

Habitual abortion. Two factors of increasing frequency.

This paper deals with two major uterine factors in infertility and habitual abortion that are now occurring with increasing frequency. They are Asherman's syndrome and the syndrome of the incompetent internal cervical os. By focusing on the uterus whenever a history is suggestive, it is possible to arrive swiftly at a diagnosis.