Sickness and accident-related absenteeism in Poland between 1984 and 1986.
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Experimental and clinical studies have demonstrated that psychosocial factors may influence various immune responses. Recently, the relationship between psychologically stressful events and immunomodulation in humans has been reported. Few studies, however, have demonstrated clinically significant increases in infectious illness, or delayed recovery from infectious illness among humans as a result of stressful events. This study was undertaken to determine if children who experienced the greatest difficulty adjusting to kindergarten entry, a common event which is differentially stressful, would have the highest frequency of school absence (an index of illness). A randomly selected sample of 49 children entering kindergarten for the first time, and their families (patients of a suburban pediatric practice), were studied over a 6-month period utilizing health diaries, interviews with parents, parent ratings, physicians' records and ratings, and teacher ratings of children's behavior. We were unable to demonstrate a relationship between psychosocial factors and school absence among our sample of children. A possible explanation for this finding may be the relatively nondeviant character of the subjects studied. Another possibility is that kindergarten entry was not experienced as a stressful event for the children, most of whom had attended nursery school.
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Of the 3382 leprosy patients taking treatment in Hemerijckx Rural Centre Area, 150 randomly selected patients, who were irregular for treatment, were matched with 150 patients who were regular for treatment, by age, sex and type of disease. The characteristics and the reasons for regularity/irregularity in treatment of these 300 patients were studied. There were more Lepromatous patients (20%) among regulars. A greater proportion of irregulars belonged to backward (54%) and scheduled castes (35%). The proportion of irregulars were more (32%) in the initial phase of the disease. There were more irregular patients among the illiterate group (61%). The knowledge of the irregular patients about early sign, causation, spread, curability and duration of treatment were found to be lacking. The clinic timing was unsuitable for 33% of irregular patients. 23% of irregulars experienced some intolerance to DDS. When 94% of regulars attended clinic in order that they may be 'cured', 63% of irregulars stayed away because of 'work'.
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