Biomedical subjects
M Matthews
Publications and source records attributed to M Matthews.
The ethic of care: stability over time, gender differences, and correlates in mid- to late adulthood.
This article examines the development of Gilligan's care ethic and its correlates in mature adults. Two studies showed that women scored significantly higher on the Ethic of Care Interview (ECI) than did men. More women than men generated interpersonal real-life dilemmas, and more men than women generated impersonal ones. In Study 2, longitudinal data indicated that care levels were moderately stable in mid- to late adulthood. The ECI was negatively related to authoritarianism and positively related to justice levels, role taking, and cognitive complexity. People scoring higher in care also felt more positively about their physical health and experience of aging. These results support the construct validity of the ECI and point to its potential role in adults' personal adaptation.
Making a bad program worse: Clinton's attempt at Medicaid reform.
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Principles of dental ethics and the ethics of managed care.
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"Headache/orofacial pain diagnostic dilemma".
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MEGX (monoethylglycinexylidide): a novel in vivo test to measure early hepatic dysfunction after hypovolemic shock.
A quantitative liver test based on the formation of the lidocaine metabolite monoethylglycinexylidide (MEGX), was used to evaluate the effect of hemorrhagic shock at 40 mmHg for 90 min on Sprague-Dawley rats. After 2 h of stabilization, lidocaine was injected (2 mg/kg). A second group received volume resuscitation with Ringer's lactate over 1 h (15 mL/kg) after shock, and after 1 h of stabilization lidocaine was administered. These groups were compared to control animals. Blood samples were drawn at 0 time (baseline), prior to lidocaine injection, and at 10, 15, 30, and 60 min after lidocaine injection. MEGX values in shocked animals were significantly lower than in the control group; in animals receiving volume resuscitation, levels were higher than the shocked animals without resuscitation, but did not reach control levels. Thus, shock produced a significant depression of hepatocyte function, which was partially reversed by Ringer's lactate resuscitation. The MEGX test appears to be a suitable tool for clinical evaluation and therapeutic intervention after shock.
Fetal telemedicine: interactive transfer of realtime ultrasound and video via ISDN for remote consultation.
Current referral practice for ultrasonically detected fetal abnormalities contributes to parental anxiety, inconvenience to patients, diagnostic inaccuracy, and general service inefficiency. To determine whether telemedicine would reduce these disadvantages, we established a 30-channel ISDN link between a district general hospital on an island and a subspecialty referral centre approximately 120 km away on mainland Britain. Live ultrasound images of the fetus were transmitted in realtime from a commercial scanner in the hospital using a total data transfer rate of 2 Mbit/s. After decompression at the receiving end, there was almost no perceptible loss of picture quality or frame rate. This report describes the technical aspects of the link and our preliminary experience with it. In the first two months of its operation, the link worked well and the consultants who used it found themselves confidently making diagnoses and carrying out counselling over it. If confirmed, the success of this technology has implications for future referral practice in fetal medicine.
Head-to-head on MSAs. The route to real choice.
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Overtreatment or appropriate treatment?
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Dental clinical examining board dilemma.
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Clinical requirements and the dental school blues.
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Confidentiality for an eating disorders patient?
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The impossible dream: Clinton's quest for universal coverage.
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Confidentiality for a pregnant adolescent?
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What would you do? "The pain is really bad and I need something (Percodan) now.".
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"I want the whitest teeth!".
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