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Anne Arundel Medical Center, Annapolis, Md., celebrated its 100th anniversary with a history book, called "A Century of Caring"--an updated version of its 90th anniversary book. The text and photos of the book provided the material for an exhibit and a video to be seen at the medical center's Centennial Gala, at which 10 hospital pioneers were honored.
OBJECTIVE: We looked at a group of patients included in the arterial hypertension (AHT) sub-programme, in order to analyse whether an appointment booked in advance can reduce the number of on-demand consultations requested by the patients themselves. We also assessed whether these patients sought more on-demand consultations than consumers not included in any sub-programme. DESIGN: A retrospective, observational, crossover study, with no random distribution. SITE. Barrio del Carmen Health Centre in Murcia. PATIENTS: 541 consumers not included in any sub-programme and 67 patients involved in the AHT sub-programme. MAIN MEASUREMENTS AND RESULTS: Patients involved in the AHT sub-programme had 9.9 +/- 8.7 on-demand consultations per year, one year before their involvement. In 1987, they had 8.3 +/- 6.2; and in 1989, 7.3 +/- 6.3 (p > 0.05). These patients did not have any more on-demand consultations than those not involved in any sub-programme, except in the 50 to 65 age-group (p < 0.001). CONCLUSIONS: Our model does not show that a booked medical appointment is an adequate tool for reducing demand, even when the number of booked consultations significantly increases.
17th and 19th centuries were particularly important for the development of te Ottoman medicine. Westernization which had already started in the 17th century continued along the 19th and the early 20th centuries. Turkish physicians began to contact with their European colleagues and in this period Latin medical terminology began to appear in the Ottoman medical literature. Sirvanli Semseddin Itaki's work of the 17th century, the Teşrihü'l Ebdan ve Tercüman-i Kibale-i Feylesufan, is the first illustrated Turkish manuscript of anatomy. The illustrations are qualified as developed examples, compared with the medical literature and knowledge of the period. In the 19th century, Sanizade Mehmet Ataullah Efendi (1771-1826) wrote a modern book of anatomy for the Ottoman medical doctors. Miyarü'l Etibba was one of the earliest printed medical books in Turkish. The second volume of Sanizade's Hamse, Miratü'l Ebdan fi Tesrih-i-Azai'l Insan is the first printed Ottoman book on anatomy. In Usulü't-Tabia, the third volume of Hamse, the circulatory system is discussed. In this article, we studied the circulatory system described in Semseddin Itaki's Teşrih-ül Ebdan ve Tercüman-i-Kibale-i Feylesufan and in Sanizade's Usulü't-Tabia and compared them.
BACKGROUND: A preliminary review of antenatal and delivery records of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu revealed that only 47.6% of booked pregnant women subsequently delivered there. This observation stimulated a thought to carry out a study to find out the proportion of pregnant patients who booked in OOUTH and subsequently delivered in OOUTH, patients' preferred place of delivery and factors militating against OOUTH delivery. METHOD: A cross-sectional study was carried out on pregnant patients booked at OOUTH, Sagamu between December, 2001 and May, 2002 to find out factors militating against delivery at OOUTH. Two hundred and sixty six questionnaires were returned properly filled. RESULTS: The age range of the pregnant women was 16 to 42 years with a mean age of 31.2 +/- 3.4 years. The parity ranged from 1-5 with a mean of 2.1 +/- 1.1. The preferred place of delivery was private hospital (58.3%), followed by OOUTH (28%). The higher the educational level, the more they tended to hospital delivery; 57% of the pregnant women who had hospital deliveries had tertiary education. While 52.7% of the pregnant women gave miscellaneous reasons such as relocation, being used for experiment, too many students being present, and frequent strikes by hospital workers for not delivering in OOUTH, as much as 16.5% said the time wasting and bad attitude of the hospital staff were responsible for preferring centres other than OOUTH for delivery. CONCLUSION: OOUTH like most other teaching/government hospitals need to be more user-friendly to encourage better patronage. There is a need to educate the patients that attend teaching hospital on the essence of establishing teaching hospitals and the importance of training medical students and retraining of doctors in order to maintain a continuity and high standard of medical practice.
The population explosion has evoked public interest and concern on the part of demographers. Consideration has been given to a variety of measures designed to curb the growth of population. The book explosion, also menacing, does not seem to have evoked analogous anxiety, and bibliographers, in contrast to demographers, prefer to adapt to the multiplication of books rather than to try to curb it. The intent of this paper is to explore the bibliographic analogies to several of the more popular devices designed to curb population increase. It is concluded that an effective restraint upon the writing and publishing of ever increasing numbers of books has yet to be discovered.
This study of the Arabic 4-volume book of Al-Mukhtar Fi Al-Tibb (Choice Book on Medicine) written by the Muslim physician Muhadhdhab Al-Deen Al-Baghdadi (515-610 H, 1117-1213 AD) aimed at evaluating his contributions to the progress of medicine and urology along with providing English translations of relevant excerpts. Al-Baghdadi laid emphasis on the morals of medical practice and the principles of medical education describing how to select medical students and how to evaluate graduates. He stressed on the need for a long training program directly supervised by skilled expert doctors both in hospitals (Al-Bimaristanat) and during home visits. A good part of volume 1 was allocated to preventive medicine and the whole of volume 2 was devoted to the pharmacy section, which he restricted to what was proven by the experience of his teacher and by his own experiments. Same as all his predecessors in the Islamic era, Al-Baghdadi stressed the importance of clinical medicine and gave more details related to history taking, physical examination, differential diagnosis and prognosis. Similar to them, he also, emphasized that a doctor should be quite knowledgeable in anatomy. Furthermore, the presence of anatomical drawings in Kitab Al-Mukhtar Fi Al-Tibb is a further step forward in illustrating medical text books; a trend that flourished in the Islamic era reflecting the role of direct observations and experience. The detailed description of the functional anatomy of the uretero-vesical junction and the antireflux and micturition mechanisms given by Al-Baghdadi is contrary to that of Galen (130-200 AD) but conforms well to our contemporary understanding. In the conservative management of urinary stones, he described 70 simple and 13 compound drugs while those described by Pulus of Aegina (625-690 AD) were only 20 simple and 3 compound drugs. Furthermore, Al-Baghdadi's description of the instruments and techniques of urethral catheterization, perineal cystolithotomy and perineal cystolithotripsy using Al-Zahrawi's lithotrite is meticulous and reveals originality, dexterity and experience.
There was a prevalence of beriberi in the Meiji era. We found articles about Souhaku ASADA, Syouan TOUDA and Jun MATSUMOTO in the Toukayogeidan, written by Masamichi TERAISHI. The book tells about the treatment and its side effects. This book reveals that Doumei YAKAZU's investigation was correct. It is of interest to learn from this book how one patient consulted doctors in the Meiji era and talked about the treatment and side effects of the doctors.
Unofficial registers or casualty "Black books" have evolved to assist busy casualty department staff in the identification of patients who are suffering from Munchausen's syndrome, are drug abusers or have other "problem" disorders. Fourteen of Melbourne's 17 general public hospitals have such books which contain information on 835 patients. Amalgamation of information from all of these books reduced this to 713 individual patients, of whom 21 were regarded as cases of Munchausen's syndrome, 20 were probable cases, 652 were classified as drug abusers and 20 were classified as dangerous patients. All four groups shared a similar mean age, between 32 and 37 years. Munchausen's syndrome patients showed greater tendency to use aliases. Men predominated in all four groups, especially among dangerous patients. Conventional records rely upon obtaining an honest and accurate name and information from the patient and are quite inadequate for the identification and treatment of patients with Munchausen's syndrome and drug abusers. When these conditions are suspected, a detailed standard identification form, suitable for computerization, should be used at all hospitals.
This study compared the performance of medical students and practicing pediatricians taking a graduate-level examination in pediatrics under open-book vs closed-book conditions. Students performed significantly better under open-book conditions, but there was no significant difference for the practitioner group.
This list of 450 books and 67 journals is intended as a selection guide to be used in a library supporting allied health educational programs and personnel in either an academic or health care setting. Due to the necessity of limiting the scope of coverage because of the large number and wide variety of allied health professions and occupations, the recommended publications are focused mainly on the twenty-six educational programs accredited by the Committee on Allied Health Education and Accreditation of the American Medical Association, in addition to programs in allied dental health and medical secretarial skills. Books are categorized by broad subject followed by an author/editor index; journals are listed alphabetically by title. To purchase the entire collection of books and to pay for annual (1984) journal subscriptions would require a total expenditure of approximately $15,000.
Methodist Medical Center of Illinois Medical Library, a "basic-unit" medical library (i.e., not a resource library) in the Regional Medical Library Program recently completed one year of borrowing and lending books using OCLC. Of the books successfully borrowed through OCLC, 79% were obtained from nonmedical libraries. Forming cost-sharing OCLC clusters among basic units makes OCLC an affordable alternative to borrowing books from overburdened medical resource libraries.
A distinguished group of writers, editors, and teachers have published at least seven books on scientific writing in the past three years. These authors lament the poor quality of writing in scientific manuscripts and argue that many papers are unclear, verbose, confusing, and abusive to the reader. Several of these works are practical, how-to manuals, while others emphasize the art more than the craft of writing. Authors in academic centers often ignore elementary devices such as how-to books because of misplaced pride plus an assumption of natural writing ability. This article reviews these recent books and suggests that medical authors who have something to say may at least learn to say it clearly.
In 1991 the American Psychiatric Association proposed a draft version of the IV edition of the Diagnostic and Statistical Manual of Mental Disorders--the DSM IV Options Book. Authors of this version wanted to increase clarity of the criteria sets and to provide compatibility with the Tenth Edition of the International Classification of Diseases (ICD - 10). The purpose of this Options Book is to propose some changes in wording, diagnostic divisions and to discuss various options concerning the placement of sections and disorders within the classification. The "Disorders of Infancy, Childhood or Adolescence" section was renamed "Disorders Usually First Evident in Infancy, Childhood or Adolescence" and moved to the front of the classification and also was expended to 11 groups of disorders. Several suggestions have been made about including new diagnostic groupings such as: Rett's Disorder, Eating Disorders and Voice Disorder. The Options Book introduces a superior category for Attention Deficit Disorders (with and without hyperactivity) and for Conduct Disorder/Oppositional Defiant Disorder. Several options are proposed regarding The Anxiety Disorders of Childhood or Adolescence. There is no evidence for a distinction in this category according to the age criterion. One option would be to move these disorders into the adult anxiety section (similarly as in the Mood Disorders and Schizophrenia). In the new version the title "Specific Developmental Disorders" is omitted. The suggestion is to include Phonological Disorder (Articulation Disorders) and Elective Mutism into Speech and Language Disorders section.
The physician Julián Gutiérrez de Toledo, born in the Imperial Town halfway through the Fifteenth Century and deceased around 1520, has a great relevance in the History of Urology for being the first writer of a treatise on urological topics in the Castilian language with his work "Cure of the stone and loin pain or/and renal colic" (Editor Melchor Gorricio, Printer Pedro de Hagembach, Toledo 1498). His work marks the transit from The Middle Ages to the Modern Times in what refers to awareness of the urinary tract diseases. The book "Cure of the stone..." has 85 pages written in two columns of 40 lines each with gothic characters. On the cover there is an engraving of the saint physicians Cosme and Damian, and on the last page is the printer's coat-of-arms. The book consists of five parts as all books from late Middle Ages: Of the Causes, Signs and Prognosis, Preservation, Of the Cure, Misgivings. The value of the treaty is that it compiles all that was known at the time on urinary lithiasis showing a marked Avicenna-like Galenism to which the author adds his own observations that show the Renaissance man. An exceptional witness of the reign of the Catholic King and Queen, this incunabular should be known by the Spanish speaking urologist as illustrious predecessor.
In 1991 the American Psychiatric Association proposed a draft version of the IV edition of Diagnostic and Statistical Manual of Mental Disorders--the DSM IV Options Book. Authors of this version wanted to increase clarity of the criteria sets and to provide compatibility with the Tenth Edition of the International Classification of Diseases (ICD-10). The purpose of this Options Book is to propose some changes in wording, diagnostic divisions and to discuss various options concerning the placement of sections and disorders within the classification. The "Disorders of Infancy, Childhood or Adolescence" section was renamed "Disorders Usually First Evident in Infancy, Childhood or Adolescence" and moved to the front of the classification and also was expended to 11 groups of disorders. Several suggestions have been made about including new diagnostic groupings such as: Rett's Disorder, Eating Disorders and Voice Disorder. The Options Book introduces a superior category for Attention Deficit Disorders (with and without hyperactivity) and for Conduct Disorder/Oppositional Defiant Disorder. Several options are proposed regarding The Anxiety Disorders of Childhood or Adolescence. Since there is no evidence for distinction in this category according to the age criterion, one option would be to move these disorders into the adult anxiety section (similarly to the Mood Disorders and Schizophrenia). In the new version the title "Specific Developmental Disorders" is omitted. The suggestion is to include Phonological Disorder (Articulation Disorders) and Elective Mutism in the Speech and Language Disorders section.
Since 1989, the Royal College of Anaesthetists has encouraged trainees to keep log books, although there is little information about the benefits of this practice as a part of anaesthetic training. A postal survey of all grades of trainee anaesthetist in the North West Region of England was conducted to obtain information about the present use of log books. The survey showed that log books are only used diligently by the more junior grades of anaesthetic staff. Although the practice of keeping a log resulted in an increased ability of the trainee to describe his clinical experience, the subsequent exploitation of this information to monitor or correct deficiencies in training was disappointingly low.
The outcome of 3,199 women booked for delivery in six general-practitioner obstetric units in one year was analyzed.Five per cent cancelled their bookings, 26 per cent were transferred to a consultant unit after referral for routine problems of pregnancy (mainly postmaturity), and 14 per cent were transferred for problems arising in labour (principally uterine inertia). One per cent were transferred after confinement.Fifty-four per cent were delivered successfully in the general-practitioner units.There were 3,037 live births, 27 stillbirths and 22 neonatal deaths. Nine stillbirths and nine neonatal deaths resulted from congenital abnormalities, while two stillbirths and 11 neonatal deaths were due to immaturity. There were 25 sets of twins and one set of triplets. Seventy-five babies were abnormal, 105 weighed less than 2,500g, and 198 over 4,000g.In this series almost 60 per cent of eventual perinatal deaths were transferred during pregnancy, and over 85 per cent before delivery.The perinatal mortality of all women initially booked for a general-practitioner unit who delivered was 15.. The perinatal mortality of the 1,795 births in the six general-practitioner obstetric units was 3.9.
Objective assessments of clinical teaching are difficult; in oral surgery students must acquire a wide range of clinical and operative skills before qualifying as independent dental practitioners. A student log book system was introduced in Manchester University to monitor student progress and assess the efficacy of clinical instruction in oral and maxillofacial surgery following the introduction of the new 5-year BDS curriculum. Initial appraisal of third- and fourth year students undertaking 10-week clinical attachments revealed generally high levels of attendance (greater than 80%), and reasonable clinical experience (over 80% of students acquiring regular experience of dentoalveolar surgery and extractions). However, individual variation in both attendance and achievement was wide, and a persistent 8% of students did not appear to gain any practical experience. Students achieving less than the average course performance marks were thus easily identified and measures initiated to identify and correct their difficulties. Log book assessment also facilitated effective audit of teaching staff, clinical sessions and overall course delivery. The use of student log books to record clinical performance is recommended as a versatile aid to clinical teaching practice.