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Biomedical subjects

R W Christie

Publications and source records attributed to R W Christie.

13 recordsLinked to original sources

The ultimate audit.

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Attitude of Health Personnel

Immunization roulette: influenza occurrence in five nursing homes.

Immunization with A/Bangkok 1/79 (H3N2) vaccine appeared to be protective for immunized nursing home residents during an influenza outbreak in 1983. All thirteen deaths during the 4-month period of the study were among residents of two of five nursing homes where influenza immunization was low or nonexistent. Death certificates included a diagnosis of I-ILI for only six of the 13 decedents, showing that I-ILI may be greatly underreported as a cause of death, and skewing statistical evaluation of the impact of influenza in nursing home populations. The cost of protection is only a small fraction of the cost to society of caring for seriously ill nursing home residents with I-ILI who must be admitted to a hospital.

Aged

Cancer data.

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Autopsy

Hippocrates recycled.

Medical education in the United States has at least three serious deficiencies: its focus on medical under-graduate education rather than on medical education as a continuum throughout the career of a physician; its failure to recognize the basic incompatibility of highly sophisticated medical research and the education of the practicing physician; and its extremely high cost. The Hippocratic concept of preceptor education as an alternative has much to recommend it in replacing the present system, which underwrites the cost of student education through research grants and subsidies, but greatly neglects the continuing education of the practicing physician.

Education, Medical