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Fearon D, Perlman CM, Leatherdale S, Hirdes JP, Dubin J. Classification of traumatic life events and substance use among persons admitted to inpatient psychiatry in Ontario, Canada. J Psychiatr Res 2024; 172:236-243. [PMID: 38412786 DOI: 10.1016/j.jpsychires.2024.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 01/09/2024] [Accepted: 02/01/2024] [Indexed: 02/29/2024]
Abstract
BACKGROUND Trauma is commonly overlooked or undiagnosed in clinical care settings. Undetected trauma has been associated with elevated substance use highlighting the need to prioritize identifying individuals with undetected trauma through common characteristics. OBJECTIVE The purpose of this study is to identify classifications of traumatic life experiences and substance use among persons admitted to inpatient psychiatry in Ontario and to identify covariates associated with classification membership. STUDY DESIGN A population-based retrospective cohort study was conducted using interRAI Mental Health (MH) assessment data. Individuals were included who experienced traumatic life events (N = 10,125), in Ontario, Canada between January 1, 2015, to December 31, 2019. RESULTS Eight latent classes were identified that ranged from low (i.e., Class 1: Interpersonal Issues, Without Substance use) to high (i.e., Class 8: Widespread Trauma, Alcohol & Cannabis Addiction) complexity patterns of traumatic life events and substance use indicators. Classifications with similar trauma profiles were differentiated by patterns of substance use. For example, individuals in Class 2: Safety & Relationship Issues, Without Substance use and Class 3: Safety & Relationship Issues, Alcohol & Cannabis both had many estimates centered around the experience of victimization (e.g., victim of sexual assault, victim of physical assault, victim of emotional abuse). Multinomial logistic regression models highlighted additional factors associated with classifications such as homelessness, where those who were homeless were 2.09-4.02 times more likely to be in Class 6: Widespread Trauma & Substance Addiction. INTERPRETATION Trauma exposures are complex and varied among persons in inpatient psychiatry and can be further differentiated by substance use patterns. These findings provide a population-based estimate of the trauma experiences of persons in inpatient settings in Ontario, Canada. Findings demonstrate the importance of using comprehensive assessment to support clinical decision making in relation to trauma and substance.
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Affiliation(s)
- Danielle Fearon
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
| | | | - Scott Leatherdale
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - John P Hirdes
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Joel Dubin
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada; Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario, Canada
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Hammond D, Vanderlee L, White CM, Acton RB, White M, Roberto CA, Cameron A, Sacks G, Kirkpatrick S, Dubin J, Adams J, Jauregui A, Thrasher JF. The Conceptual Framework for the International Food Policy Study: Evaluating the Population-Level Impact of Food Policy. J Nutr 2022; 152:1S-12S. [PMID: 35274695 PMCID: PMC9188864 DOI: 10.1093/jn/nxac042] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 02/16/2022] [Accepted: 02/20/2022] [Indexed: 11/14/2022] Open
Abstract
An unhealthy diet is among the leading global causes of death and disability. Globally, a range of policies are being implemented to support healthy food choices at a population level, including novel polices in the areas of food marketing, nutrition labeling, and taxation of less healthy foods. There is a need to evaluate and inform the implementation of these policies, including their impacts on marginalized population subgroups. The International Food Policy Study (IFPS) consists of repeated cross-sectional surveys conducted in 5 high- and upper-middle-income countries: Australia, Canada, Mexico, the United Kingdom, and the United States. In each country, approximately 4000 adults and 1200 children and youth (aged 10-17) were recruited from a global commercial panel to complete an online survey using consistent measures and methodologies across countries. The first annual IFPS surveys were conducted in 2017 with adults; annual surveys for young people aged 10-17 were launched in 2019 in the same countries, as well as in Chile. The design of the IFPS surveys creates a framework for evaluating "natural experiments" in food policies, including comparisons over time within countries implementing the policy and comparisons with countries in which the policy was not implemented. IFPS surveys have 3 primary areas of focus: 1) knowledge, attitudes, and beliefs associated with specific policies; 2) diet-related behaviors; and 3) dietary intake, including 24-hour dietary recalls for adults in 4 of the 5 countries. Surveys also assess food insecurity, income adequacy, sex and gender, race/ethnicity, and a range of other measures to assess trends among priority subgroups. Overall, the IFPS project has the potential to address important gaps in national monitoring surveys for dietary patterns, and to evaluate the impacts of novel food policies implemented in any of the 5 countries over the study period.
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Affiliation(s)
| | - Lana Vanderlee
- École de Nutrition, Centre Nutrition, santé et société (Centre NUTRISS), and Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Québec, Canada
| | - Christine M White
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Rachel B Acton
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Martin White
- Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| | - Christina A Roberto
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Adrian Cameron
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Gary Sacks
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Sharon Kirkpatrick
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Joel Dubin
- Department Statistics and Actuarial Science, University of Waterloo, Waterloo, Canada
| | - Jean Adams
- Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| | - Alejandra Jauregui
- Centre for Health and Nutrition Research, National Institute of Public Health, Cuernavaca, Mexico
| | - James F Thrasher
- Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
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Dubin J, Patel S, Seldon C, Yechieli R, Ramasamy R, Kava B. Survey of Oncology Providers' Attitudes and Practices in Evaluating Sexual Health in Cancer Care. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Dubin J, Rainer Q, Balaji N, Shoag J, Greer A, Paz L, Kava B, Troesch V, Monga V, Clifford L, Terry W, Alperstein W, Pearlman A, Ramasamy R. 019 Sexual Health Among Adolescent Young Adult Males with Cancer: An Update. J Sex Med 2021. [DOI: 10.1016/j.jsxm.2021.01.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Dubin J, Balaji N, Rainer Q, Wyant W, Efimenko I, Mora B, Guevara A, Paz L, Winter A, Ramasamy R. 131 Sexual Health Influences in Women: A Cross-Sectional Survey. J Sex Med 2021. [DOI: 10.1016/j.jsxm.2021.01.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Dubin J, Balaji N, Rainer Q, Efimenko I, Wyant W, Mora B, Paz L, Winter A, Ramasamy R. 132 Female Perceptions of Erectile Dysfunction and the Role of Male Blame on Female Sexual Health: A Cross-Sectional Survey. J Sex Med 2021. [DOI: 10.1016/j.jsxm.2021.01.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dubin J, Rainer Q, Shoag J, Greer A, Nackeeran S, Rodriguez A, Patel P, Kava B, Alperstein W, Ramasamy R. 167 Barriers to Evaluate Sexual Health Among Adolescent Young Adult Males with Cancer. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2019.11.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Greer A, Ramos L, Dubin J, Ramasamy R. 118 Effect of Limiting Narcotic Prescription on Pain Control Following Ambulatory Scrotal Surgery. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2019.11.064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Dubin J, Greer A, Ramasamy R, Kava B. 166 Attitudes, Practices, and Barriers to Sexual Health Assessments of Patients Amongst Practicing Oncologists: Survey Data from a Group of Local Oncology Healthcare Providers. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2019.11.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Ratay M, Dubin J, Wilson M, Davis-Allen P, Gillam M, Izzo J, Maloy K, Davis J, Goyal M. 50 Multi-Center Implementation of Automated Age-Adjusted D-Dimer Cutoffs Reduces Unnecessary CTPE Imaging. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Dubin J, Rawal H, Ipaye O, Kalaria A, Vij R, Camire L, Weisman D. 29 Effects of Practice Site, Physician Experience, and Number of Tests Ordered Per Physician on the Diagnostic Yield of Computed Tomography Pulmonary Angiogram Ordered in the Emergency Department. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dubin J, Greer A, Valentine C, O'Brien I, Leue E, Paz L, Winter A, Ramasamy R. 148 Evaluation of Female Sexual Dysfunction in Adult Entertainers. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.01.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Dubin J, Greer A, Carrasquillo R, O'Brien I, Leue E, Ramasamy R. 018 Erectile Dysfunction Among Male Adult Entertainers: A Survey. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Woo S, Brenner N, Chong S, Benz P, Dubin J, Wilson M, Thorne J, Goyal M. 239 Advance Care Planning Among Patients With In-Hospital Cardiac Arrest. Ann Emerg Med 2018. [DOI: 10.1016/j.annemergmed.2018.08.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Keller H, Mcnicholl T, Valaitis R, Laur C, Xu Y, Dubin J. SUN-P193: Assessing and Preventing Barriers to Food Intake in Acute Care Medical Patients: Findings of the More-2-Eat Study. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30435-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dubin J, Blumenthal J, Milzman D. Emergency Department Crowding and Physician Inexperience are Synergistically Associated With Increased Physician Errors. Ann Emerg Med 2013. [DOI: 10.1016/j.annemergmed.2013.07.416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bhat R, Maloy K, Dubin J. 116 Impact of Learners on Emergency Medicine Attending Physician Productivity. Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Hack E, Tyas S, Dubin J, Fernandez M, Riley K. P3‐149: Does multilingualism reduce the risk or delay the onset of dementia?: Findings from the Nun Study. Alzheimers Dement 2012. [DOI: 10.1016/j.jalz.2012.05.1368] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Erica Hack
- University of WaterlooWaterlooOntarioCanada
| | | | - J Dubin
- University of WaterlooWaterlooOntarioCanada
| | | | - Kathryn Riley
- University of KentuckyLexingtonKentuckyUnited States
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Hobin E, Leatherdale S, Manske S, Dubin J, Elliott S, Veugelers P. A multilevel examination of factors of the school environment and time spent in moderate to vigorous physical activity among a sample of secondary school students in grades 9-12 in Ontario, Canada. Int J Public Health 2012; 57:699-709. [PMID: 22322666 DOI: 10.1007/s00038-012-0336-2] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2011] [Revised: 10/31/2011] [Accepted: 01/16/2012] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To examine associations between students' time spent in moderate to vigorous physical activity (MVPA) and the school built environment while also considering features of the schools' social environment and student-level characteristics. METHODS Using surveys and GIS measures, multilevel linear regression analysis was applied to examine the environment- and student-level characteristics associated with time spent in MVPA among grade 9-12 students (n = 22,117) attending 76 secondary schools in Ontario, Canada as part of the SHAPES-Ontario study. RESULTS Statistically significant between-school random variation in student MVPA was identified [[Formula: see text] = 9,065.22 (250.64)]; school-level differences accounted for 3.0% of the variability in student MVPA. Students attending a school that offered daily physical education or provided an alternate room for physical activity spent more time in MVPA than students attending a school without these resources. Moreover, as land-use mix diversity and walkability of the school neighbourhood increased, students' time spent in MVPA decreased. CONCLUSION Developing a better understanding of the environment- and student-level characteristics associated with students' time spent in MVPA is critical for informing school-based physical activity intervention programmes and policies.
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Affiliation(s)
- Erin Hobin
- School of Public Health and Health Systems, University of Waterloo, ON, Canada
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Dubin J, Blumenthal H, Roseman D. 30 Reducing Length of Stay for Discharged Patients During Peak Weekday Times in the Emergency Department. Ann Emerg Med 2011. [DOI: 10.1016/j.annemergmed.2011.06.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Delasobera B, Dubin J, Childs C, Gostine A, Klement M, Gatewood J. 374: Effect on Emergency Department Patient Satisfaction of a Simple In-Room Information Computer Display. Ann Emerg Med 2010. [DOI: 10.1016/j.annemergmed.2010.06.558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Dubin J, Frohna B, Goyal M, Milad R, Desai S, Milzman D. 146: Reducing the Emergency Department Door to Intensive Care Unit Bed Occupancy Time for Critically Ill Patients Admitted Through the Emergency Department: Intervention and Improvement. Ann Emerg Med 2010. [DOI: 10.1016/j.annemergmed.2010.06.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dubin J, Nassar C, Sharretts J, Youssef G, Curran J, Magee M. 55: STEP-DC: Stop Emergency Department Visits for Hyperglycemia Project -DC. Ann Emerg Med 2009. [DOI: 10.1016/j.annemergmed.2009.06.076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Laccourreye L, Breheret R, Rohmer V, Dubin J, Bizon A. Abord transoral d’une adénopathie rétropharyngée métastatique d’un carcinome thyroïdien papillaire. ACTA ACUST UNITED AC 2008; 125:309-12. [DOI: 10.1016/j.aorl.2008.10.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2008] [Accepted: 10/13/2008] [Indexed: 10/21/2022]
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Dubin J, Gebreyes K, Milzman D. 217: Antibiotic Use in Uncomplicated Bronchitis: Now Change is a Needed Change Through Motivational Intervention. Ann Emerg Med 2008. [DOI: 10.1016/j.annemergmed.2008.01.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Milzma D, Dubin J, Grebreyes K, Ameha M. 127: Targeted Feedback Through BMI to Influence Emergency Physicians Prescribing Patterns for Appropriate Treatment of Uncomplicated Bronchitis and Upper Respiratory Infection. Ann Emerg Med 2007. [DOI: 10.1016/j.annemergmed.2007.06.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Legros JM, Hitoto H, Garnier F, Dagorne C, Dubin J, Fanello S. [Reliability of the diagnosis of acute otitis media by general practitioners]. Arch Pediatr 2007; 14:427-33. [PMID: 17289358 DOI: 10.1016/j.arcped.2006.12.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2006] [Accepted: 12/22/2006] [Indexed: 12/17/2022]
Abstract
OBJECTIVES To assess reliability of the diagnosis of Acute Otitis Media (AOM) given by General Practitioners (GPs) compared with the diagnosis of Otorhinolaryngologists (ORLs) considered as the reference diagnosis. METHODOLOGY Every GP had to include 6 children aged 1 to 4 years for whom he suspected or diagnosed AOM. Parents had to accept to consult the ORL participating in the survey within 48 h. RESULTS 24 GPs took part in the survey and included at least 1 child, which amounts to a final 57% acceptability rate. Two hundred and eight eardrums were included in the survey. 21.9% of assumptions or diagnosis of AOM (30/137) were declared null by the ORL. GPs diagnose AOM with certainty only in 54% of all cases. The diagnosis and the assumption of AOM were respectively confirmed in 83.8% of all cases and 71.4% by the ORL. The combination of redness and bulge and isolated redness accounted for respectively 44.3% and 26.2% of the main otoscopical factors reminiscent of the AOM according to GPs. In the case of redness plus bulge, the diagnosis was confirmed in 83% of all cases by the ORL as opposed to 75% regarding the isolated redness. AOM was suspected in 57.1% of the eardrums little or not visible with no sign of infection and was not confirmed in 25% of all cases. CONCLUSION The global overdiagnosis was 21.9% and 25% when the otoscopy is hindered by the presence of cerumen or when the eardrums show inflammation alone. Even though the overdiagnosis was lower than the reported one in literature, post-graduate teaching on the various cerumen removal techniques and the use of pneumatic otoscopy should contribute to improve the quality of diagnosing AOM.
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Affiliation(s)
- J-M Legros
- Département Universitaire de Santé Publique, CHU d'Angers, 49933 Angers cedex 09, France
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Dubin J, Raul JS, Guy G. [The March 4, 2002 law and patient information. The legal text and practical application]. Neurochirurgie 2004; 50:123-6. [PMID: 15213642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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Abstract
After a brief review of Rendu-Osler-Weber disease, we present the results from a series of 13 patients treated by Ethibloc injections for epistaxis. Based on a review of the literature, typical treatments are presented along with discussion of their efficacy and side effects. In our series, 90% of patients improved after only one injection. All patients reported a decrease in hemorrhage, especially patients with recurrent epistaxis. Five of nine patients reported a decrease in the length of the bleeding episodes. Improvement was reported by 85% of patients within one month following Ethibloc injection. Fifty percent of these patients have persistent good results at 4 Year follow-up. Our results indicate that Ethibloc injections are safe and effective as an alternative treatment for patients that have failed standard treatment options.
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Affiliation(s)
- S Roux-Vaillard
- Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Centre Hospitalier et Universitaire d'Angers, 49033 Angers cedex 01, France.
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Sancho PO, Barré J, Gaubert ML, Laccourreye L, Dube L, Dubin J, Berrut G. Dysphagie subaiguë chez une personne âgée : un corps étranger bien caché…. Rev Med Interne 2004; 25:168-9. [PMID: 14744654 DOI: 10.1016/j.revmed.2003.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Dubin J. Modern Applied Biostatistical Methods Using S-PLUS. J Am Stat Assoc 2001. [DOI: 10.1198/jasa.2001.s393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Berrut G, Barré J, Laccourreye L, Dubin J, Emile J. Un corps étranger bien caché. Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)90281-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Noyon P, Portmann D, Dubin J, Bordure P, Benassayag C, Chambrin A, Darrouzet V, Jaussaud P, Laporte J. [External otitis]. Rev Laryngol Otol Rhinol (Bord) 1998; 118:213-9. [PMID: 9637114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Dubin J. [Pharyngitis. Etiology, diagnosis, course, treatment]. Rev Prat 1997; 47:451-6. [PMID: 9114532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- J Dubin
- Service d'ORL et de chirurgie cervico-faciale, CHU, Angers
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Chaplain A, Gouello JP, Dubin J. [Acute cervical necrotizing fasciitis of pharyngeal origin: possible role of steroidal and non-steroidal anti-inflammatory agents. Apropos of 5 cases]. Rev Laryngol Otol Rhinol (Bord) 1996; 117:377-80. [PMID: 9183910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Within 20 cases of cervical acute necrotizing fasciitis treated in the intensive care unit and hyperbaric oxygen therapy department between 1986 and 1995, the authors report five cases of pharyngeal origin. 4 have been initially treated with anti-inflammatory drugs: non steroidal (1 case), steroidal (2 cases), non steroidal and steroidal (1 case). The five patients have been operated. They needed at least 30 days of endotracheal intubation and hyperbaric oxygen therapy. No death outcome but a important morbidity is reported. The immunosuppressive features of the two type of anti inflammatory drugs are exposed. Different publications suggesting the possible association between non steroidal anti inflammatory drugs and non cervical necrotizing fasciitis are reported. It is not possible to prove a direct link because of the number of our cases, because of the wide number of pharyngitis treated in the area, and because the absence of precise data about the use of anti inflammatory drugs in the initial treatment of this pharyngitis. Existence of other type of antalgic and non immunosuppressive drugs make the use of anti inflammatory drugs not justify.
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Rifflet H, Calés P, Oberti F, Fouchard I, Rousselet MC, Cottereau J, Deugnier Y, Dubin J, Masson C. [Severe sicca syndrome associated with primary biliary cirrhosis. Value of an immunosuppressive treatment]. Gastroenterol Clin Biol 1995; 19:445-6. [PMID: 7672532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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37
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Abstract
Pseudorabies virus glycoproteins gE and gI are required to infect some, but not all, regions of the rodent central nervous system after peripheral injection. After infection of the retina, pseudorabies virus mutants lacking either gE or gI can subsequently infect neural centers involved in the control of circadian function but cannot infect visual circuits mediating visual perception or the reflex movement of the eyes. In this study, we used genetic complementation to test the hypothesis that gE and gI are required for entry into the specific retinal ganglion cells that project to visual centers. These data strongly suggest that gE and gI must function after the viruses enter primary neurons in the retina.
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Affiliation(s)
- L W Enquist
- Department of Molecular Biology, Princeton University, New Jersey 08544
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Dubin J. [Dysphagia. Diagnostic orientation]. Rev Prat 1992; 42:2349-52. [PMID: 1296305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- J Dubin
- Service d'oto-rhino-laryngologie, CHRU d'Angers
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Abstract
Numerous Doppler echocardiographic methods to measure stroke volume have been proposed in experimental or clinical studies, but their relative accuracy in patients compared with an invasive reference standard remains uncertain. Accordingly, we compared Doppler with thermodilution stroke volume measurement in 18 hospitalized patients, 16 with an acute manifestation of coronary artery disease and two with chronic cardiomyopathies. Doppler time-velocity integrals were measured by darkest line (modal velocity) and the leading edge (maximal velocity) techniques at the aortic annular plane, the mitral orifice, and the mitral annular plane. Two-dimensional echocardiography was used to measure cross-sectional areas (M-mode-corrected at the mitral orifice). The combination of aortic annular cross-sectional area and the leading edge technique of measuring the time-velocity integral of blood flow at this site provided the most accurate measure of stroke volume (r = 0.87, p less than 0.0001, standard error of estimate = 11 cm3; mean difference from thermodilution = 2.8 ml +/- 8.9 ml, p = NS). It also resulted in the most accurate measurement of cardiac output (r = 0.88, p less than 0.0003; mean difference from thermodilution = 0.11 L/min +/- 0.69 L/min, p = NS). Other methods yielded values that correlated less closely and deviated systematically from thermodilution measurements. We therefore conclude that of the six common methods evaluated, the aortic annular leading edge method measures stroke volume with the best accuracy and is most suitable for clinical application.
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Affiliation(s)
- J Dubin
- Division of Cardiology, New York Hospital-Cornell Medical Center, NY 10021
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Dubin J, Buisson P. [Rhinoendoscopy]. Allerg Immunol (Paris) 1990; 22:194. [PMID: 2375828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- J Dubin
- Service d'ORL-Endoscopie, Angers
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Wallerson DC, Dubin J, Devereux RB. Assessment of cardiac hemodynamics and valvular function by Doppler echocardiography. Bull N Y Acad Med 1987; 63:762-96. [PMID: 2962685 PMCID: PMC1629312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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42
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Moreau MF, Chretien MF, Dubin J, Rebel A, Malkani K. Transposed ciliary microtubules in Kartagener's syndrome. A case report with electron microscopy of bronchial and nasal brushings. Acta Cytol 1985; 29:248-53. [PMID: 3873769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Report is made of the case of a 44-year-old white woman with Kartagener's syndrome marked by respiratory disorders and repeated serous otitis since infancy. The technique of cell sampling through bronchial and nasal brushings facilitated observation of ciliary structures in electron microscopy. The results revealed a specific anomaly in the organization of the ciliary microtubules. The doublet transposition observed may be associated with ciliary dyskinesia.
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Dubin J, Darsonval V, Desnos J. [Altered food pathways of neurologic origin in the adult]. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1982; 31:719-24. [PMID: 6218242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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44
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Desnos J, Dubin J. [Intrinsic congenital stenosis of the trachea]. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1981; 30:649-656. [PMID: 6459411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Dubin J, Desnos J. [Otorhinolaryngology and experimental microsurgery : arteriovenous anastomosis in the rat (apropos of 150 cases)]. Rev Laryngol Otol Rhinol (Bord) 1981; 102:511-7. [PMID: 7339756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Desnos J, Andrieu-Guitrancourt J, Dehesdin D, Dubin J. [Stenoses of the trachea and bronchi of vascular origin in young children]. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1981; 30:313-20, 323-33. [PMID: 6453951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Chevalier JM, Enon B, Cronier P, Dubin J, Pillet J. [By-pass from sub-clavian to carotid artery. A rescue procedure in the treatment of common carotid artery hemorrhage (author's transl)]. J Chir (Paris) 1981; 118:247-52. [PMID: 7228931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Rupture of a carotid artery in an infected or irradiated environment is a tragic event that frequently causes immediate death. Plain ligature, when possible, for these patients in a state of shock, leads to cerebral ischemia in 65% of cases. This can be prevented, if one operates soon enough by an extra-anatomic by-pass, avoiding the infected or irradiated area, between the subclavian artery and the homolateral carotid artery. (Study of 2 cases). Such a procedure could be used preventively when the risk for the carotid is highest (particularly septic surgery followed by irradiation).
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Desnos J, Dubin J, d'Ornano G. [Bronchial foreign bodies]. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1980; 29:651-3. [PMID: 6450267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Dubin J, Desnos J, Saint Andre JP, Penneau D. [Necrotizing angiitis in O.R.L]. J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1980; 29:211-6, 219-22. [PMID: 6445941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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