Twenty per cent of Accident and Emergency department attendance by the elderly in a regional hospital in Hong Kong were deemed 'avoidable' by the attending doctors. The 'avoidable' attendants were younger and physically more independent than the appropriate attendants, and more of them were illiterate. Half of them attended the Accident and Emergency department for somatic complaints. Strategie...

Long-term development of psychological deficits in disability-free early multiple sclerosis (MS) was evaluated in 27 female patients over a period of 7 years and compared with healthy controls. Physical and cognitive parameters deteriorated significantly but not depression scores. In particular, the self-assessed somatic complaints remained non-similar between patients and controls. This indica...

The diagnosis of depression in patients with physical illness is challenging. Symptoms of depression occur commonly but it is not always clear when they merit clinical attention. Depressive illness is more prevalent in patients with medical conditions than in the general population and results in substantial disability and healthcare costs.1 Despite this, there remains a perception that depress...

Ophthalmic outpatients without physical signs have been shown, as a group, to be significantly more anxious and depressed than a control group. They also have a higher incidence of somatic complaints of a kind commonly made by patients with psychiatric 'disorder'. There was a higher incidence of past psychiatric history in the proband group, and they also gave a greater subjective assessment of...

background: training of pediatric residents is a dynamic process which should be changed as the nature and epidemiology of pediatric diseases change. in this study, we compared the training program of the pediatric residents with the disorders of the pediatric patients who had referred to pediatric offices. methods: the study was conducted in pediatric offices in shiraz, south of iran. the main...


 Menopause is a permanent termination of the menstrual cycle caused by loss activity ovarian follicles which enforced when experiencing amenorrhea for 12 months. The mean age women to stop menstruating was 51.5 years. cause menopause decrease in hormones. When ovaries working and estrogen levels drop, woman will experience several complaints such as changes patterns, vasomotor, somatic, p...

OBJECTIVE The exploratory study described in this article followed two groups of patients over a twelve-month period. Subjects were drawn from a pool of patients who had consulted their general practitioner during the three-month selection period. One group consisted of patients who had consulted their general practitioner at least once about a physical complaint that the GP regarded as predomi...