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BACKGROUND Investigators have commented on the apparent high prevalence of psychiatric symptoms in pregnancy. In Malta there is lack of epidemiological data and therefore, the prevalence of depression during pregnancy and at 8 weeks postpartum among a community sample of Maltese women was carried out. METHOD A random sample of 239 pregnant women were(More)
The hemophagocytic lymphohistiocytosis (HLH) syndrome is a hyperimmune disorder characterized by lymphohistiocytic infiltrations, elevated cytokine levels in the blood, macrophage activation, and hemophagocytosis, frequently presenting with a febrile septic picture. This unusual disease is more common in infancy and childhood than adulthood. It is(More)
BACKGROUND Focused assessment with sonography for trauma (FAST) as a screening tool in the evaluation of blunt abdominal trauma will lead to underdiagnosis of abdominal injuries and may have an impact on treatment and outcome in trauma patients. METHODS From October 2001 to June 2002, a protocol for evaluating hemodynamically stable trauma patients with(More)
The pathophysiology of the postpartum blues, common transient mood disorders in the first week postpartum, has remained elusive. Recently, however, it has been shown that depression and anxiety disorders are accompanied by activation of the inflammatory response system (IRS). This study was developed to determine whether the postnatal blues is associated(More)
OBJECTIVE There has been no empirical research on the occurrence of antenatal psychiatric morbidity in Maltese women. Epidemiological studies have shown that depressive episodes occur in 10-20% of pregnant women. Furthermore, studies have shown that antenatal psychiatric morbidity can adversely affect maternal and foetal well being. METHOD A random sample(More)
BACKGROUND There is now some evidence that anxiety or anxiety disorders are related to increased activity of serum prolyl endopeptidase (PEP) and that major depression is related to lower serum PEP. The aims of the present study were to examine (i) the effects of pregnancy and delivery on serum PEP and (ii) the relationships between serum PEP and postpartum(More)
Improvements in immunosuppression have increased patient and graft survival in transplant recipients. As a result, there is greater risk of neoplastic processes such as breast cancer. Treatment in this population is complicated by the necessary immunosuppression, vascular accesses, and transplant grafts. General surgeons may expect to encounter more of(More)
  • John L Cox
  • 2011
AIMS This paper considers in outline the complexity of the empathic process from subjective, philosophical and psychological perspectives, and suggests that compassionate empathy is a core requirement of a person-centred approach to health care delivery. Empathy is facilitated by secure attachments in infancy (intersubjectivity) and a subsequent firm sense(More)
E-books are commonly perceived as offering great potential for learner support but also as struggling to compete with print due to poor on-screen presentation, restrictive licencing and limited range of titles offered. The experience of a group of Irish university libraries shows that, with the right combination of product and subjects, e-books can thrive(More)