Causes of clinic drop-out among Iranian pill users.
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Biomedical subjects
Publications and source records attributed to M M Khan.
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The occurrence of cephalothin induced neutropenia in 3 patients with infective endocarditis is described. In each patient, withdrawal of cephalothin was followed by rapid haematological recovery. It is apparent that granulocytopenia may frequently occur in patients receiving prolonged, high dose, intravenous cephalothin for the treatment of bacterial endocarditis.
Reproductive intentions of white mothers with no more than three children in 1965 and in 1970 were analyzed for their stability and change with respect to such factors as parity, age of the youngest child, wife's employment, and husband's education. Parity and age of the youngest child were found to have a much more important effect on the intent to have additional children than were such socioeconomic variables as wife's employment and husband's education. Parity and the interval since the latest birth (or the age of the youngest child) were found to have a nonlinear effect and to interact in affecting the reproductive intention. This suggests a convergence to a two-child family as the threshold size and that the lenght of childspacing is contingent on the parity. Change during 1965--1970 in this direction was found to be greater among mothers with husbands having college or higher educations.
A patient with severe Mycoplasma pneumonia developed polyradiculoneuritis and respiratory failure. The acute phase of the illness was complicated by a myocarditis, and recovery of neurological function was slow. Residual left hemidiaphragmatic paralysis was present 1 year after onset of the illness.
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The capacity for lying fallow is discussed as a nonconflictual affective state and as a function of the process of personalization and growth. The qualities and achievements of the fallow mood are indicated, as are the factors on which this state is dependent.
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An epidemic of severe dysentery occurred on St. Martin Island in the Bay of Bengal at a time when the island, with a population of 1,318, was isolated from the mainland because of the monsoon season. There were 434 cases and 28 deaths within a three-month period. Mortality (2%) was limited to the very young and the elderly. Shigella dysenteriae type 1 (Shiga bacillus) was isolated from 12 of 65 rectal swab specimens. All strains gave similar biochemical reactions and were resistant to tetracycline, chloramphenicol, streptomycin, and the sulfonamides but were sensitive to ampicillin, kanamycin, and gentamicin. No other organism was implicated in the outbreak. The disease disappeared from the island after institution of chlorination of the sources of drinking water and effective treatment of patients.
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