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Biomedical subjects

P Kark

Publications and source records attributed to P Kark.

16 recordsLinked to original sources
PubMed2001

Direct-to-consumer drug marketing: public service or disservice?

Pharmaceutical industry spending on direct-to-consumer advertising has been increasing rapidly. While the primary goal of direct-to-consumer advertising is to sell drugs, supposed secondary goals include patient education and improved health. However, these benefits of direct-to-consumer advertising are unproved. Moreover, such advertising may create unnecessary tension between the patient and the patient's physician and insurer, and may divert physicians' efforts away from important patient concerns, and toward marketing-generated discussions. On the other hand, direct-to-consumer advertising may lead to patient-doctor encounters that would not have occurred otherwise. Direct-to-consumer advertising should be modified to unambiguously benefit the health-care interests of consumers and patients.

Advertising↗
PubMed2000

Disclosure and prevention of medical errors. Committee on Bioethical Issues of the Medical Society of the State of New York.

Medical errors occur and are sometimes unavoidable. Physicians generally, but not always, have ethical and moral obligations to disclose their errors to the patient. Because common medical errors can be expected, physicians are obligated to work within health systems toward reducing systems flaws that promote errors. However, the obligations of physicians to disclose errors made by others are less clear. This article discusses the professional ethics involved in disclosing and preventing medical errors.

Ethics, Medical↗
PubMed2000

Reporting by physicians of impaired drivers and potentially impaired drivers. The Committee on Bioethical Issues of the Medical Society of the State of New York.

Physicians routinely care for patients whose ability to operate a motor vehicle is compromised by a physical or cognitive condition. Physician management of this health information has ethical and legal implications. These concerns have been insufficiently addressed by professional organizations and public agencies. The legal status in the United States and Canada of reporting of impaired drivers is reviewed. The American Medical Association's position is detailed. Finally, the Bioethics Committee of the Medical Society of the State of New York proposes elements for an ethically defensible public response to this problem.

Age Factors↗
PubMed2000

Communication in caring for terminally ill patients.

Good care for dying patients has always been an obligation in medicine. To fulfill this obligation, physicians must embrace the integralness of dying in life, must recognize when to submit to death and dying with equanimity, and must develop attentive and individualized plans of care for each patient. Approaches to care should have, at their core, a reinvigorated commitment to communication between health professionals and patients and their intimates.

Journal Article↗
PubMed1982

Urodynamic manifestations of cerebellar ataxia.

The urodynamic findings in 15 patients with voiding dysfunction associated with various forms of the ataxia syndrome were reviewed. Urodynamic studies helped segregate the patients into 3 groups: group 1-detrusor hyperreflexia, group 2-normal bladder contractility and group 3-acontractile bladder. Pelvic floor electromyography demonstrated either coordinated or uncoordinated vesicosphincteric function. Although the neurologic findings associated with the ataxia syndrome have been studied extensively the urodynamic findings have not yet been recorded. We emphasize the importance of urodynamic evaluation in the treatment of patients with ataxia and voiding dysfunction.

Cerebellar Ataxia↗