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52. Somatization among Chinese Depressives in General Practice

Author

Cheung, Fanny M., Lau, Bernard W. K., and Waldmann, Edith

Abstract

Depressive illness was a common clinical syndrome found in general practice in Hong Kong. The phenomenon of somatization among Chinese depressives in general practice was investigated. Patients clinically identified as depressed were compared with organic patients in terms of their presenting complaints and responses to a symptom checklist. Sleep disturbances, general malaise, pains and aches, dizziness, and menopausal symptoms were the most frequent disturbances that prompted Chinese depressives to seek help in general practice. When directly asked, these patients admitted having various psychological features including dysphoric mood, self-reproach, loss of interest in social activities and in sex. Subgroup comparisons showed little sex difference in initial complaints and admitted symptomatology among the depressives. Some age differences were observed in the presenting complaints. The discrepancy between the pattern of presenting complaints and admitted symptoms suggested that patients were aware of their emotional disturbance even though they tended to express these disturbances in somatic terms in their help-seeking processes. Distinction between the expression mode and the recognition mode of somatization was discussed.

Published
1981
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53. Answer to the Letter to the Editor of A. Malhotra concerning "The utility of magnetic resonance imaging in addition to computed tomography scans in the evaluation of cervical spine injuries: a study of obtunded blunt trauma patients" by B. P. H. Lau, et al. (Eur Spine J [2017]; doi:10.1007/s00586-017-5317-y).

Author

Hey, Hwee Weng Dennis, Lau, Bernard Puang Huh, and Tan, Wah Tze

Subjects
*CERVICAL vertebrae injuries, *MAGNETIC resonance imaging, *COMPUTED tomography, *BLUNT trauma, *SPINAL injuries
Published
2018
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54. Reassurance Does Not Always Help

Author

Lau, Bernard W. K.

Subjects
Features
Abstract

Reassurance is the most commonly misused form of supportive intervention in medical practice. It is superficial in activity and transient in its effects. It does not appear to be a very powerful therapeutic technique. To be effective, it should be realistic, sincere, given at the right time, directed at the appropriate target, based on sound grounds, and provided by a proper authority. It must always be given judiciously.

Published
1989

56. Impact of maternal obesity and breastfeeding intention on lactation intensity and duration.

Author

Marshall, Nicole E., Lau, Bernard, Purnell, Jonathan Q., and Thornburg, Kent L.

Subjects
*OBESITY complications, *BREASTFEEDING & psychology, *ADIPOSE tissues, *BODY composition, *CONFIDENCE intervals, *INFANT formulas, *INFANT weaning, *INTENTION, *LACTATION, *LONGITUDINAL method, *MATERNAL health services, *MOTHERS, *WEIGHT gain in pregnancy, *RESEARCH funding, *SMOKING, *TIME, *WOMEN'S health, *LOGISTIC regression analysis, *SOCIOECONOMIC factors, *BODY mass index, *CROSS-sectional method, *PRIMIPARAS, *DESCRIPTIVE statistics, *KAPLAN-Meier estimator, *ODDS ratio
Abstract

Exclusive breastfeeding (EBF) has numerous maternal health benefits. However, EBF rates are lower in mothers with obesity. We sought to better understand whether maternal body composition measurements in early pregnancy are also predictive of lower rates of EBF. Healthy pregnant women with prepregnancy body mass index (BMI) of 17.5–51 kg/m2 underwent determination of percent body fat (% body fat) in early (12–16 weeks) and late (37 weeks) gestation. Intent and duration of EBF were determined by surveys completed at 6 weeks and 6 months postpartum (PP). Unadjusted and adjusted analyses were performed to compare EBF rates and weaning by maternal BMI and % body fat. Increasing BMI and % body fat in early pregnancy were significantly associated with lower rates of EBF among women intending EBF. Women with BMI ≥ 25 were less likely to be EBF at 6 weeks and 6 months PP compared with women of normal BMI (67 and 37% vs. 91 and 79%, P value 0.005 and 0.001, respectively). Among primiparous women intending EBF, 100% of women in the lowest two body fat quartiles in early pregnancy were EBF at 6 weeks PP compared with 66.7 and 63.6% of women in the higher quartiles (P = 0.03). Lactation cessation by 6 months PP was higher with increasing maternal BMI (P = 0.001). Maternal obesity in early gestation is associated with lower EBF rates among women intending EBF and earlier weaning. Excess adiposity in early pregnancy may impede EBF. [ABSTRACT FROM AUTHOR]

Published
2019
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60. Measuring The Medical Home Infrastructure In LargeMedical Groups.

Author

Rittenhouse, Diane R., Casalino, Lawrence P., Gillies, Robin R., Shortell, Stephen M., and Lau, Bernard

Subjects
*HOME care services, *PATIENTS, *PHYSICIANS, *MEDICAL care, *PRIMARY care, *TECHNOLOGICAL innovations, *MEDICAL personnel, *GROUP medical practice, *MEDICAL research, *ASSOCIATIONS, institutions, etc.
Abstract

The patient-centered medical home is taking center stage in discussions of primary care innovation as a new delivery model that provides comprehensive, coordinated care across the lifespan. Although the medical home is widely discussed by policymakers, payers, and other stakeholders, the extent to which physician practices have the infrastructure in place to function as medical homes is not known. Using data from the 2006-07 National Study of Physician Organizations, we examine the extent of adoption of medical home infrastructure components among large primary care and multispecialty medical groups and their association with medical group size and ownership. [ABSTRACT FROM AUTHOR]

Published
2008
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