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[Malignant infiltrating bladder tumors. Comments on 157 cases].

157 cases of malignant infiltrative tumors of urinary bladder admitted and treated in a 5-year interval (1983-1988) are presented. Considerations on age, sex, urological history, associated urological disorders, symptoms and clinical examination, diagnostic methods, surgical procedures and their association with other non-surgical procedures, postoperative evolution, pathological examination of the resection sample, tumoral stage, recurrences are made. Five cases treated by various methods are presented in detail. The clinical and laboratory diagnosis, therapeutical methods and the staged therapeutical indications are also commented upon. In the malignant infiltrative tumors of urinary bladder the authors recommend the partial cystectomy which, when correctly indicated and performed, gave similar results as total cystectomy. It is also underlined that in case of an urographically silent kidney the attitude should be conservative and the treatment of the malignant infiltrative tumors of urinary bladder should be multimodal.

Aged↗

[Otic cholesteatoma. Some comments].

Comments of the AA regarding the diagnosis and management of cholesteatoma and description of their current surgical procedure are presented.

Cholesteatoma↗

Comment on "The employed uninsured and the role of public policy".

Monheit, Hagan, Berk, and Farley, in an earlier issue of this journal, made a major contribution to our understanding of health system problems of access and uncompensated care by correcting the widespread misimpression that lack of health insurance coverage is predominantly related to unemployment. Their research, based on the 1977 National Medical Care Expenditure Survey, indicated that 75% of the uninsured were workers and their dependents. The authors observed that industry, unionization, full- or part-time status, and geographic region are among the interrelated factors that influence the availability of employment-related health insurance coverage. This comment augments their findings through an examination of U.S. employment trends since 1977 as well as projections of future employment.

Employment↗

Naturally occurring mood and learning: comment on Hasher, Rose, Zacks, Sanft, and Doren.

We comment on the article by Hasher, Rose, Zacks, Sanft, & Doren (1985) in which they failed to find mood-congruent learning (MCL). MCL occurs whenever subjects learn more about materials that are congruent with their moods (e.g., depressed subjects learn more sad material). Hasher et al. failed to observe MCL with normal college students who scored high versus low on the Beck Depression Inventory and an affect checklist; in contrast, positive MCL has been observed with clinically depressed patients and with normals given laboratory mood inductions. Hasher et al. argue that moderately depressed normal students may be qualitatively different from clinically depressed patients and mood-induced subjects. Although we accept the findings of Hasher et al., we think it is also plausible that MCL may be a general though small effect which is present among normal college students as well.

Depression↗

Comments on 'Auditory brainstem responses to middle- and low-frequency tone pips'.

This article contains critical comments on data described in a recent paper dealing with differences between click- and tone-pip-evoked auditory brainstem responses (ABR) by Maurizi et al. [Audiology 23: 75-84, 1984]. The primary criticism relates to the lack of validity of comparing ABR obtained with different input filter settings. When utilizing identical input filter settings, click- and tone-pip-evoked brainstem responses exhibit similar morphologies: both consist of a slow vertex-positive wave with faster superimposed vertex-positive components.

Acoustic Stimulation↗

Parents and their children comment on adolescence.

The authors completed research on over 700 twelve-year-olds and their parents concerning their attitudes toward the ensuing teenage years. Their responses and written comments reflect and support in large measure the developmental tasks expounded by Robert Havighurst. These include the need to achieve independence, their concern with social relationships, and the acceptance of physical appearance. Parents' concerns about their children becoming teenagers centered on communication and peer pressure.

Adolescent↗

[Our future selves: individual behavioral aspects. Discussion and comments].

We will summarize this part of the plan against a historical background (Havighurst, 1969, 1071; the second White House Conference on Aging, 1971) and compare some parts (personality and adaptation, death and dying) with the list of priorities in the 'summary report'. Policy- making and planning research appear to be too different tasks. Our comments concern especially: - the choice of the design for the research-plan; - too little is said in the plan on the conditions (money, research centers, education, necessary for realization); - themes missing: the meaning of old age, given by the individual older person in connection to time-experience; sexuality and aging; suicide and pre-aging mortality; - the splitting of the research-plan in three parts has advantages but also disadvantages. There are three (independent) fields with not enough overlap, i.e. not enough interdisciplinary research-proposals; - another point is the unequal level of testability of the different proposed themes; - the last point is, that the concept of aging, which forms the background, [corrected] is a rather negative one. Therefore, few proposals concern the positive aspects of growing older and being old. This is perhaps related to the handicap, that there is not one general theory on aging (if that is possible?).

Adaptation, Psychological↗

[Services for the aged in the new world. Comments on 'Our future selves: research-plan towards understanding aging'].

A comment is given on the report 'Our future selves; a research-plan towards understanding aging', concerning the human services and delivery systems. The title of the report seems to promise a picture of the aged in the future. It is regretted that the contents of the report only gives some ideas to improve the current services for the elderly. About the procedure in which the report was achieved is said, that the use of a panel of experts requires a very careful choice of the experts. Next to that, you cannot use the saying of a panel as they are, but you have to work them up, if you want to make a research-lan. As it seems that this is not sufficiently done, the results is not a plan, but a mere collection of subjects. Out of this collection five subjects are described (cultural factors, religion-ethics, nutrition, legal services, commerce), on which in the Netherlands little or no research is done. Participation in geronotology by anthropologists, theologians, and jurists is pleaded.

Aged↗

[Peutz-Jeghers syndrome. comments on a new case (author's transl)].

Authors report a new case of Peutz-Jeghers syndrome which is the earliest of the 20 cases published in our country. Out of 450 rectoscopies carried out in their hospital, they found 64 patients with polyps in the rectum and sigma, and in only one case this was associated with pigmentation on the lips establishing the diagnosis of Peutz-Jeghers syndrome. A review of the literature and comments on pathogenesis, hereditary aspects, clinical signs, prognosis and treatment are made.

Child, Preschool↗

[Crohn's disease in childhood. Comments on one case (author's transl)].

Chronic inflammatory diseases of the bowel are specially frequent in the adult, with peak incidence during adolescence and early adulthood. There are, however, increasing number of reports in the pediatric age group, mainly coming from anglosaxon countries although more recently also from countries of Southern Europe. Authors present a case of Crohn disease occuring in a child, with typical clinical, radiological and pathological features, since they are not aware of any report in the Spanish literature. Comments are made upon pathogenesis, clinical features and pathological findings and specially upon the treatment established in the present case in relation with the indications of other authors.

Child↗

Helplessness, illusions, and depression: final comment.

Abramson and Alloy's reply to my comment suggests that we are in broad agreement. However, they suggest there is evidence that nondepressed people detect noncontingency accurately. That evidence seems weak at best. They also criticize me for faulting helplessness as being neither necessary nor sufficient for depression when it never actually claimed to be either. My concern was not with necessity or sufficiency, but with relevance.

Cognition↗

[Comments on the international classification of oncologic diseases].

The original English version of ICD-O was slightly revised in German edition. Nevertheless, following inaccuracies remained: 1. Not other specification (NOS) should point but to the fact that there exist further possibilities for closer determination of coded tumour. That is why the abbreviation should not be used where other specification is concerned e. g. a histologenetical one. If the abbreviation is used instead of a code covering special forms (SF) they are to be specified by name. 2. Tumours with uncertain biological behavior are not coded consistently. They should be signed by 1 in denominator, not by word e. g. adding NOS. An idea is not allowed that increasing malignancy results in closer determination of tumours. 3. Isomorphic groups of tumours are not confined sufficiently by sequence of codes and a reserve is recommended to presumed absolute relation of code and unique localisation. If there are doubts it would be better keep code open as for localisation. 4. Real errors are in confusing synonyms especially of papillomas, in choice of the first-listed term, code duplicity (tumour: non-tumour), separation of diffuse and nodular tumours, and in incorrect translation. Most insufficiences could be avoided by proper comments which cannot solve obvinous conceptual and real errors.

Humans↗

Comment on ethical issues in Malamuth, Heim, and Feshbach's "Sexual responsiveness of college students to rape depictions: inhibitory and disinhibitory effects".

Malamuth, Heim, and Feshbach's concern about presenting "totally false" rape depictions to students and editorial request for comment led to review of the following: (a) possible effects of exposure and debriefing, which were not evaluated; (b) responsibilities in interpretation when data differ from expectations and for males and females; and (c) communications to the public. A reviewer questioned classroom testing on rape depictions.

Affect↗

[Comments about use of polychemotherapy MOPP associated with radiotherapy in the treatment of early stages of Hodgkin's disease. Preliminary report of 58 patients (author's transl)].

58 patients with early stages of Hodgkin's disease (I, II, III l) were treated by 3 courses of MOPP chemotherapy followed by extended field irradiation. After 31 to 72 months follow up 87,8 p. 100 of patients are alive in complete remission. The study of the group deserves two comments: 1. Adjuvant MOPP polychemotherapy may be useful, only when a complete response is obtained after 3 courses, when it is so a complete remission of long duration may be hoped in nearly 100 p. 100 of cases. 2 After complete remission induced by combined chemotherapy and radiotherapy, maintenance chemotherapy seems to be useless.

Adolescent↗

Avoiding the question approach: making direct comments in manuscript reviews.

Some reviewers place questions to the author in their manuscript reviews. These questions leave the author uncertain about what to do to revise the manuscript. Reviewers who provide clear directions, instead of posing questions, help the author revise the manuscript and assist the editor in obtaining a quality manuscript for publication. This article provides tips for reviewers and authors on writing or using comments on the manuscript.

Humans↗

Steps in planning and developing health communication campaigns: a comment on CDC's framework for health communication.

This reviews the efforts of the Centers for Disease Control and Prevention to integrate effective health communication into its programs that are designed to change behaviors. Although the 10-step framework for developing and implementing the Centers' health communication programs is both practical and comprehensive, it is suggested that a reversal of steps 2 and 3 is a more logical sequence, is more consistent with the literature and, more importantly, could avoid misapplications of the framework by less experienced practitioners. Comment is also made on the dynamic nature of health communication planning and development, a point not made explicit in the Centers' framework.

Centers for Disease Control and Prevention, U.S.↗

Postnatal psychosis: a patient's experience with comments by the consulting psychiatrist.

The article describes a patient's experience of postnatal psychosis, a form of bipolar mood disorder which presents as the most severe form of psychological disorder suffered in the postnatal period. Accompanying the patient's description are comments from the consulting psychiatrist involved in the case and description of the three forms of postnatal mood change, i.e. the baby blues, postnatal psychosis and postnatal depression. The article is designed to assist in early recognition of postnatal psychosis, appreciation of the patient's altered state of mind, and encouraging acceptance of psychiatric treatment, all of which are essential for good management of postnatal mood disorders.

Anxiety↗