Today's young dentist: graduation--transition--ownership.
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A chimpanzee, named Ai, received feeding training with two other apes. Ai was always fed with the green bowl; the other two apes were fed with different colored bowls. After this training, Ai could make symbolic associations between objects and individuals by using an artificial visual language, based only on her observation of bowls used in feeding without specific training.
The aim of this paper was to study the effect of pets and other domestic animals on bronchial asthma among United Arab Emirates (UAE) schoolchildren aged 6-14 years. A cross-sectional study of 850 schoolchildren living in both urban and rural areas (average age 9.36 +/- 2.11 years, 46.8% boys and 53.2% girls) was conducted using self-administered questionnaires between October 1992 and May 1993. Prevalence rate for asthma, rhinitis, wheeze, cough, and eczema in children from families with and without animals were investigated. A total of 40.7% of families studied were found to keep animals in their homes. Children from families with animals were found to have a significantly higher prevalence rate of respiratory symptoms than those without. The prevalence rate for asthma in children with animals was found to be twice that of children without (RR: 2.03; 95% CI: 1.40-2.95). The risk of having chronic cough (RR: 1.93; 95% CI: 1.21-3.10), breathlessness/chest tightness (RR: 2.53; 95% CI: 1.59-4.02), chronic wheeze (RR: 2.10; 95% CI: 1.20-3.67), allergic rhinitis (RR: 1.53; 95% CI: 1.17-2.00) was significantly higher in children with animals than in children without. Similarly, the risk of having eczema (RR: 2.55; 95%, CI: 1.74-3.75) was significantly higher among children with animals than among those without. Overall, there was a highly statistically significant difference in the prevalence of asthma, wheeze, nocturnal cough, eczema, and rhinitis between children in families with animals and those without (p < 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)
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Patients expect and deserve quality medical care. Physicians, by nature, want what is best for their patients. With the advent of specialty hospitals, physicians can own, run, and control a superior center designed to deliver the highest quality health care. Neurosurgeons who manage their own hospital may set the standards for medical excellence, with patient satisfaction as their primary focus.
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OBJECTIVE: To describe fall-related injuries due to pets in an older population. DESIGN: Case series. PARTICIPANTS AND SETTING: Patients aged 75 years and over presenting to the emergency department of a metropolitan hospital in northern Sydney over 18 months, with a fracture directly related to their pet. MAIN OUTCOME MEASURES: Type of fracture; circumstances of injury. RESULTS: 16 cases (mean patient age, 81 years) are described; 13 (81%) involved women. Animals of five species were involved, with cats and dogs being the most common pet hazard. CONCLUSIONS: Pets are a potential environmental hazard in the occurrence of fall-related injuries in older people, with dogs and cats most likely to be involved. Women appear more likely than men to be injured.
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You have a plan and you have educated and documented that the patient is cognizant of his/her responsibility. Reality often dictates that problems surface after discharge. How can we prevent the patient from placing the bill on a shelf and forgetting it? As a part of your hospital's bottomline, you have a responsibility to ensure that its fiscal integrity is protected. Afterall, your hospital is also a business as well as a healing institution. Taking the lead in getting the right information at the admission or precertification stage is a vital element in the collection loop. Second, realize that not all, but a majority of patients, are beginning to investigate their benefits and coverage limitations. They may be doing so without a total understanding of insurance terminology or the difference in how much of the hospital/physician charges are paid or what percent rests with them. Last, in Pennsylvania at least, the state requires active participation by hospitals in healthcare cost containment by requiring submission rate and medical outcome information. Why not take this opportunity as an admitting professional to try some of the strategies mentioned. Informing the patient of their insurance benefits and providing an estimate of the bill will increase your department's contribution, and educate the patient about "consumerism". Consumerism is developing within the healthcare industry.(ABSTRACT TRUNCATED AT 250 WORDS)