"Medicine has overdrawn its credit" in American Society by Alvin P. Sanoff.
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Biomedical subjects
Publications and source records attributed to P Starr.
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This paper has been a report of a patient attitude survey with 100 randomly selected parents and/or adult patients. It demonstrates that most consumers of our service were pleased with the humaneness and competence of the professional staff. It identified areas of weakness which needed improvement. Constructive action to correct these weaknesses has been initiated. Therefore, this process has demonstrated the value of client feedback for agency operation. It is important to caution the reader that because of the vulnerability of the patients they learn to be accommodating even if unintentional agency practices embarrass and degrade them. The value of patient satisfaction as a measure of the humanism provided by an agency depends on the population being served--their expectations, fears, and hierarchy of concerns.
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Representation and competition, as democratic and market strategies, have been of small consequence in producing significant improvement in medical care. Membership in an HMO is a greater source of consumer power than is representation in an HSA. Regulation and competition will continue to have limited--often ironic and incoherent--results in the absence of new institutional structures for reform.
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More than 1,200 students, parents, and professionals completed a questionnaire designed to assess knowledge and experience with cleft palate. Professionals knew more about cleft palate and had had more experience with it than either parents or students. Parents, however, knew more about cleft palate and had had more experience with it than had students. There was also an apparent relationship between knowledge and experience because those who knew more about cleft palate had also had more experience and training. The results reemphasize the need for pre-professional and continuing-education programs.
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Previous studies show that the suppression of gonadal function in blind-anosmic rats is dependent on the pineal gland. The present results demonstrate that in young female rats both the pineal gland and dual sensory deprivation have additional independent antigonadal effects.
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A rat model was utilized to compare the nephrotoxic potential of gentamicin and tobramycin. Gentamicin, 40 mg/kg per day, predictably produced renal failure and morphological evidence of proximal tubular necrosis over 14 days of treatment. An identical dosage of tobramycin was associated with only minimal morphological changes and normal concentrations of serum creatinine and blood urea nitrogen. Similar results were obtained even after the tobramycin dosage was tripled to 120 mg/kg per day. A decrease in urine osmolality, mechanism unknown, was observed in all aminoglycoside-treated rats, but the lowest osmolalities were found in the gentamicin-treated rats. According to both histological criteria and renal function measurements, gentamicin was more nephrotoxic than tobramycin in this animal model.
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