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    Background: driving anxiety and fear can have a marked impact on mobility and independence, although there is no data on the prevalence of this problem, and specific information about the rate of driving anxiety and fear in older adults is unknown. Methods: the present study examines the prevalence of self-reported driving anxiety and fear in a sample of 2,491 adults aged 55–72 from a longitudinal survey of health and ageing in New Zealand. Results: most of the sample (90%) described themselves as drivers who drove daily or weekly. Around 70% of the sample reported no driving anxiety or fear, yet 17–20% endorsed a mild and 4–6% rated a moderate to severe level of driving anxiety and fear. Women reported higher levels of anxiety and fear about driving than men, but there were no age differences. Those who reported some level of driving anxiety engaged various alternative modes of transport, and a small number (2.4%) reported that their driving anxiety had affected their usual activities or work for at least a day in the previous month. Duration of driving anxiety was highly variable, from relatively recent onset to being present for much of some participants' lifetimes. Conclusion: driving anxiety and fear may be a significant problem for some young older adults that is likely to affect their independence and mobility. Further research to clarify the content and nature of driving anxiety, pathways to driving anxiety and the effect of factors associated with ageing on driving anxiety is needed in order to better understand this experience for older adults and develop effective interventions.
    Affect
    Citations (45)
    Objective : To evaluate the distributing and expression of insulin-like growth,factor-1 receptor of LN( - ) breast cancer, UN( + ) breast cancer and normal breast tissue. Methods: The IGF-1R expression on LN( - )breast cancer, LN( + ) breast cancer and normal breast tissue was tested by im-munohistochemistry. Results: The positive rateon LN( - ) breast cancer was 94.12%o(16/17), on LN/( + )breast cancer was 91.30%o(21/23) ,and on normal breast tissue was 58.33% (7/12) . The number of strongstein was 12 on LN( - )breast cancer(strong stein rayte70.59%) , and 8 on LN( + ) breast cancer(strong stein rate 34.78% ) . The positive rate on the LN( - )breast cancer and LN( + ) breast cancer was higer than it on the normal breast tissue( P 0.05) , the overexpression rate on the LN ( - ) breast cancer was higher than it on LN ( + ) breast cancer( P 0.05 ) . Conclusion : These data suggested that IGF-1R play an important role in pathogenesis and development of breast cancer. IGF-1R maybe a adjuvant indexfor diagnosing to breast cancer and estimating prognosis.
    CA 15-3
    Citations (0)
    The authors evaluated 5623 cases of primary breast cancer followed for 1 to 21 years. Overall and breast cancer death rates were determined and compared to expected rates. Breast cancer patients showed overall and breast cancer death rates significantly higher than expected and which persisted at long-term follow-up. The observed/expected overall death ratios for follow-up periods of 0-5, 6-10, 11-15 or 16-20 years were 3.61, 2.55, 1.60 and 2.11, respectively. Death rates from breast cancer at 5, 10, 15 and 20 years were 20%, 32%, 40% and 48% respectively. The evidence of a persistent excess mortality even after long-term follow-up suggests the hypothesis that breast cancer is a systemic disease when clinically diagnosed. This study provided no evidence of a "clinical" cure for breast cancer patients. Even for N- patients the 5, 10, 15 and 20 year death rates from breast cancer were 12%, 20%, 28% and 38%, respectively. N- breast cancer, which is currently considered as a localized disease cured by surgery in most cases, would be better regarded to as a slow-growing metastatic disease, although "personal" cure may be achieved in many subjects dying of causes other than breast cancer.
    MRI breast is designed to diagnose breast cancer in female.MRI has a great role in diagnosis of early breast cancer.MRI has a great role in differentiation between postoperative scar and post-operative recurrence in cases of surgically removed cancer breast.MRI also used in follows up the response of chemotherapy in cases of advanced breast cancer.Few literatures explain the use of MRI in male breast cancer.In this case report we present a case of male breast cancer and demonstrate MRI characters, enhancement and diffusion patterns similar to that occur in female breast cancer.In our case report we concluded that MRI morphologic features of cancer breast in male were the same MRI morphologic features of cancer breast in female.Cancer breast in male showed the same enhancement kinetic similar to that occurred in female with cancer breast.Cancer breast in male showed a similar enhancement curves like that in female with breast cancer.Cancer breast in male has the same diffusion patterns that occur in female with cancer breast.
    Breast MRI
    Male Breast Cancer
    In order to help nurse to identify the difference between anxiety reaction and nervous anxiety, grasp the key points of anxiety's identification and interference skills of anxiety, and offer scientific and effective psychological nursing to patients, the paper stated clinical features and identification of common anxiety systematically, focusing on clinical features and countermeasures of hospitalization anxiety, operative anxiety, separation anxiety, comprehensive anxiety.
    Identification
    Citations (0)
    Objective To investigate the incidence of type 2 diabetic inpatients' anxiety and depression,and discuss the treatment effect of health education.Methods We investigated the anxiety and depression of type 2 diabetic inpatients between January 2009 and May 2012,gave health education to the anxious and depressed patients,and reevaluation was carried out when the patients were discharged from the hospital.Results The result showed that 22.45% of the type 2 diabetic inpatients had anxiety,and 11.37% of them had depression.After the health education,the number of anxious patients was markedly reduced(P 0.05),especially in patients with mild and moderate anxiety,but it had no distinct improvement in severely anxious patients.To all the depressed patients,health education had bad curative effect,especially in those with moderate and serious depression.Conclusion Anxiety and depression have high incidence in type 2 diabetic inpatients,and health education is an effective treatment for patients with mild and moderate anxiety.
    Depression
    Anxiety score
    Citations (0)
    Abstract Conflicting results are reported regarding the prevalence of depression in myasthenia gravis (MG) compared to the general population. One suggestion is that the psychiatric instruments used to assess depression confounded symptoms of disease activity with common features of depression. Objectives: We investigated the prevalence of depression in MG using psychiatric instruments that allowed for delineation between a patient's medical and psychological state. Methods: Thirty-six patients with MG and 20 patients with neurologic and neuromuscular diseases (NNMD) were evaluated with 3 self-administered depression scales and a psychiatric interview. Results: Patients with MG had a similar prevalence of depression as that of patients with NNMD. Both groups showed a higher prevalence of depression compared to the general population, which was a frequency similar to a population with chronic illness. No difference was observed between the 2 groups in the physical symptoms of depression. Conclusion: This suggests the physical symptoms of depression do not influence the depression rates in MG when compared to NNMD.
    Depression
    Prevalence