PubMed Health⌕ Search

Biomedical subjects

G M French

Publications and source records attributed to G M French.

6 recordsLinked to original sources
PubMed1994

Blowing away shot pain: a technique for pain management during immunization.

OBJECTIVE: To study the effect of an active distraction technique on pain in preschool children receiving diphtheria, pertussis, and tetanus immunization. DESIGN: Randomized, unblinded controlled study. SETTING: Columbus Public Health Department Immunization Clinics. PARTICIPANTS: One hundred forty-nine 4- to 7-year-old children. INTERVENTION: Children were taught to blow out air repeatedly during the injection, as if they were blowing bubbles. RESULTS: Children who were taught to blow out air during their shots had significantly fewer pain behaviors (P < .04) and demonstrated a trend toward lower subjectively reported pain (P = .06). There was no significant difference in the nurse or parent visual analog scale scores. CONCLUSIONS: A simple distraction technique can be effective in helping children cope with the pain of immunization. The use of such a technique to relieve the pain and distress associated with even a brief painful procedure should be encouraged.

Child↗
PubMed1992

Outcome of corticotropin stimulation testing in women with androgen excess and ovulatory dysfunction.

OBJECTIVE: Our objective was to evaluate women with clinical signs or chemical evidence of androgen excess by corticotropin stimulation testing. STUDY DESIGN: Seventy-six women with evidence of androgen excess were evaluated by corticotropin stimulation testing. Results were examined by plasma levels of dehydroepiandrosterone sulfate, androstenedione, and testosterone. Conception in those infertile women with androgen excess was also assessed. Data were evaluated with Fisher's exact test. RESULTS: Of 41 women with dehydroepiandrosterone sulfate levels greater than 2.8 micrograms/ml, 17 (41.5%) had a positive corticotropin stimulation test (stimulated 17 alpha-hydroxyprogesterone value exceeded baseline value by 2.7 times). No statistically significant association was found between androstenedione or testosterone excess and a positive corticotropin stimulation test. In 14 infertile women with dehydroepiandrosterone sulfate levels greater than 2.8 micrograms/ml and a positive corticotropin stimulation test, 7 (50%) conceived when given low-dose prednisone (p less than 0.005). CONCLUSION: Corticotropin stimulation testing is warranted in women with clinical signs of androgen excess and dehydroepiandrosterone sulfate levels greater than 2.8 micrograms/ml.

Adrenal Hyperplasia, Congenital↗