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PubMed1991

Traditional and modern medicine working in tandem.

Because of the many problems relating to health care delivery in Africa, it is becoming apparent that neither the exclusive/monopolistic nor the tolerant legislative systems should be tolerated any longer. Especially since the Alma Ata Conference held by the WHO/UNICEF there has been growing impetus towards either inclusive/parallel (the beneficial co-existence of traditional and modern medical systems), or integrated systems. Although the idea of making traditional and modern medicine work in tandem in a united treatment context has its merits, it is also plagued by issues such as the nature of the products of an integrated training, resistance by stubborn protagonists of either of the two systems, or that only lip-service is paid to the idea of co-operation. Nevertheless, it is believed that all interest groups--the authorities responsible for health care delivery, the Western-trained health care workers, the traditional healers and the users of these services--stand to gain from such liaison.

Delivery of Health Care↗

PubMed2001

Herbal medicines today and the roots of modern pharmacology.

The transformation of digitalis from a folk medicine, foxglove, to a modern drug, digoxin, illustrates principles of modern pharmacology that have helped make drugs safer and more effective. Digitalis was improved because its preparation was standardized, first by bioassay and then by chemical methods; however, few of today's herbs are standardized by methods that can ensure a consistent product and, hence, consistent safety and efficacy profiles. Many herbs have been evaluated in randomized, controlled trials, and several-St. John's wort and ginkgo, for example-are apparently effective. Yet, many trials of herbs have limited value because of poor design, small samples, and, above all, use of products of uncertain composition and consistency. The uncertain composition of many herbal products raises questions about their safety, as does evidence indicating that herbs may have harmful interactions with prescription drugs. Such adverse effects of herbs are probably underreported. Meanwhile, systematic studies, such as those identifying adverse reactions to drugs, are hindered because herbal preparations are not standardized-one brand of St. John's wort, for example, will differ chemically from another-and, unlike for prescription drugs, there are no databases linking herb consumption to later medical problems. Since herbal medicines are regulated as dietary supplements, they are not subject to the premarketing regulatory clearance required for drugs. The burden of proof is on the U.S. Food and Drug Administration to show a dietary supplement is unsafe, unlike for drugs, which cannot be approved until the manufacturer has demonstrated safety and effectiveness.

Biological Assay↗

PubMed1987

Effects of fluoride emissions from a modern primary aluminum smelter on a local population of white-tailed deer (Odocoileus virginianus).

The influence of fluoride emissions from a modern aluminum smelter on concentrations of skeletal fluoride and dental fluorosis in a resident population of white-tailed deer was studied. The smelter was located on Mount Holly Plantation in South Carolina, and concentrations of skeletal fluoride in the deer collected at Mount Holly increased approximately five-fold 3 yr after the operation began. Increases in skeletal fluoride of less than two-fold were observed in deer obtained from Medway Plantation which has its nearest boundary 1.6 km from the smelter site. No dental fluorosis was observed in deer collected at Medway Plantation, but mild dental fluorosis was observed in a significant number of deer collected at Mount Holly Plantation. The dental fluorosis that was observed was not associated with incisor wear or with fluoride-induced molar wear. Osteofluorosis of mandibles or metacarpals was not observed in any of the deer obtained from either plantation. The data obtained from this study indicated that the presence of a modern aluminum smelter caused a detectable increase in concentration of skeletal fluoride in the resident population of white-tailed deer, but that no adverse health effects were seen.

Air Pollutants↗

PubMedDate not supplied

Modernization: the role of ward sisters and charge nurses.

BACKGROUND: The nursing profession is being directed by the government to modernize alongside the NHS as an organisation (DoH 2000). The role of ward sister/charge nurse has taken the brunt of increasing managerialization and the reduction in junior doctors' hours. This article examines how the role has developed and explores future opportunities. CONCLUSION: The ward sister/charge nurse role is pivotal to the modernization of the NHS. However, unless the role, responsibilities and expectations of these experienced nurses are clearly defined, the position may cease to be a promotional aspiration of junior nurses. The negative consequences of this for standards of patient care and recruitment and retention of staff are likely to be significant.

Attitude of Health Personnel↗

PubMed1976

[Modern animal nutrition--dangers for the animal (author's transl)].

Undernourishment and malnutrition as well as nutritionally conditioned diseases are still the greatest risk factor for every domestic animal born. In less developed regions, overgrazing and monoculture crops pose new nutrition problems. In developed countries, animal populations are faced with new feedstuffs resulting from new technologies, with risks stemming from contamination and with exposure to various new substances. In order to allow for an evaluation of the modern feeding scene, several examples are given. Since a positive correlation between animal well-being and long term economic success is likely to exist, optimism seems indicated concerning the impact of modern feeding measures on the animal.

Animal Feed↗

PubMed1995

The modernization of Medicare.

The Group Health Association of America, which represents the nation's health maintenance organizations, believes that modernizing and strengthening Medicare are among America's most urgent priorities. HMOs, which offer health care to more than 50 million Americans, are prepared to play a key role in modernizing Medicare.

Aged↗

PubMed1984

Medical facility construction and modernization--PHS. Final rule.

Sections 603(b) and 1620(2) of the Public Health Service Act require the Secretary to prescribe by regulation general standards of construction, modernization, and equipment for projects assisted under Title VI and Title XVI, respectively, of the Act. Since the Title VI and Title XVI grant and loan authority have expired, there is no need to retain the standards in regulations. Projects for which applications were approved or grants awarded under Titles VI and XVI, but for which full project reimbursement has not yet been made, will be subject to continuing compliance with the "Minimum Requirements of Construction and Equipment for Hospital and Medical Facilities" as incorporated by reference in 42 CFR Parts 53 and 124 at the time of initial approval. This Rule amends Part 124 of Title 42, CFR, by removing provisions relating to minimum standards of construction, modernization, and equipment of hospitals and other medical facilities. Similar provisions in Part 53 were deleted earlier.

Hospital Design and Construction↗

PubMed1999

[Modern methods in the diagnosis of tuberculosis: PCR--polymerase chain reaction].

The diagnosis of tuberculosis depends on many factors but essentially on the detection of mycobacteria, their identification to the species level, and their susceptibility to major antituberculous drugs. The classic tests (direct examination-Ziehl-Neelsen, conventional culture and antibiotic susceptibility tests) are combined with modern tests (the molecular tests such as genomic amplification /PCR/ direct from clinical samples). By Polymerase Chain Reaction (PCR) over a billion identical bacteria could be multiplied from a single DNA molecule. These modern tests shortened diagnostics duration from several weeks to one or two days. The sensitivity of PCR test was 97% for Z-N positive, 68% for Z-N negative samples while specificity was 99% either for Z-N positive or negative samples.

DNA, Bacterial↗

PubMed1998

From legacy systems towards modern health information systems.

This article describes an approach of transferring legacy hospital information system to a modern HIS, which would support requirements of modern information age. There are several reasons, which force us to perform such a migration: from the weakness of design of legacy system to the need of covering new technologies (such as Inter/intranet) and new business conditions. The transition should be gradual, therefore a multilevel approach to the data is suggested, enabling us the transition, as well as including of the new, upcoming standards. The process of transition was started by the system covering the doctor's work. Responses to this part were very positive; therefore, we estimate that we are on the right way. We, however, know that the transitions will be neither fast nor cheap and this is the reason we shall have to find some more solutions.

Computer Communication Networks↗

PubMed1999

A view of modern human origins from Y chromosome microsatellite variation.

The idea that all modern humans share a recent (within the last 150, 000 years) African origin has been proposed and supported on the basis of three observations. Most genetic loci examined to date have (1) shown greater diversity in African populations than in others, (2) placed the first branch between African and all non-African populations in phylogenetic trees, and (3) indicated recent dates for either the molecular coalescence (with the exception of some autosomal and X-chromosomal loci) or for the time of separation between African and non-African populations. We analyze variation at 10 Y chromosome microsatellite loci that were typed in 506 males representing 49 populations and every inhabited continent and find significantly greater Y chromosome diversity in Africa than elsewhere, find the first branch in phylogenetic trees of the continental populations to fall between African and all non-African populations, and date this branching with the (deltamu)2 distance measure to 5800-17,400 or 12,800-36,800 years BP depending on the mutation rate used. The magnitude of the excess Y chromosome diversity in African populations appears to result from a greater antiquity of African populations rather than a greater long-term effective population size. These observations are most consistent with a recent African origin for all modern humans.

Animals↗

PubMed1999

Addressing health needs of female adolescents in modernizing countries.

Recent initiatives that focus on health care of female adolescents in the United States have not been adopted by most modernizing countries. Female adolescents, an age and gender group that suffers disproportionately from many behavioral health disorders, can benefit from regional and national health care policies that promote developmentally appropriate education and prevention. This commentary provides recommendations and concrete examples of approaches that improve health outcomes for female teens in modernizing nations. These include health information campaigns, empowerment education, the use of peer educators, and training of health care providers in adolescent-sensitive care.

Adolescent↗

PubMedDate not supplied

[I. P. Pavlov on vivisection and the modern ethical requirements for animal experiments].

It is shown that Pavlov's opinion is in agreement with the modern requirements for experiments in living animals: use of living animals in experiments is recommended only in the cases when there is no alternative and scientific-practical significance of the planned experiments is justified; minimization (as much as possible) of discomfort, distress and pain of animals under study without sacrifice of the quality of scientific research; use of appropriate number of animals necessary for obtaining reliable results which are adequate to a given experimental situation and general state of the animals inadmissibility of using extra number of animals; drawing up a protocol concerning the experimental procedure and results; reflection in the protocol the techniques of sedation, anesthesia, and euthanasia; constant care of the improvement of the theoretical and practical qualification of a researcher in the ethical questions and experimental technique. Pavlov's views led his time and at present they agree with modern concepts on the experimental ethics.

Animal Welfare↗

PubMed1976

[Is hygiene endangered in the modern dental office?].

Hygienic studies of the manual buttons of a modern dental unit show that these buttons are being contaminated during treatment. The number of germs depends on the duration of treatment and on the number of patients treated. As these buttons were pushed with the foot in dental chairs of older design, the ergonomic advantages of modern dental units do not mean hygienic advantages to the same extent.

Dental Offices↗

PubMed1975

[Advances in the diagnosis and therapy of bone tumors with special reference to modern surgical possibilities].

Progress in the diagnosis of bone tumors is primarily to be seen in the possibilities of exact radiological demonstration, the differentiation of morphological characteristics of tumor growthdynamics (tumor vessels) and in the possibilities of modern nuclear methods, which provide preoperative information on the metabolism of the tumor. Remarkable progress could be achieved regarding therapy especially with surgical measures, as combined osteosynthesis and alloplastic, as well as in the development of improved materials for implantation (metal, plastic, cement) and improvement of implantation itself. The implantation of extensive amounts of foreign material in the modern ultrasterile operating rooms with horizontal or vertical flow is today possible with greater safety. In the combination of orthopaedic surgery and cytostatic and immunotherapy there exist today greater chances in the treatment of malignant bone tumors.

Bone Neoplasms↗

PubMed2000

Ethnography and the Meta-Narratives of Modernity.

Current attempts to increase the relevance of sociocultural anthropology encourage anthropologists to engage in the study of modernity. In this discourse dominated by sociologists, the contribution of anthropology is often to reveal cultural diversity in globalization, leading to the notion of multiple modernities. Yet such ethnographic accounts draw upon familiar sociological abstractions such as time-space compression, commodification, individualization, disenchantment, and reenchantment. This article shows how an underlying meta-narrative preempts social scientific argument by making shifts in analytical scales look natural, as in the alleged need to "situate" the particular in "wider" contexts. This analytical procedure undermines what is unique in the ethnographic method-its reflexivity, which gives subjects authority in determining the contexts of their beliefs and practices. Two ethnographic case studies are presented to support this argument, one from Melanesia on current interests in white people, money, and consumption and the other from Africa on born-again Christianity and individuality. The article ends by reflecting not only on the limits of metropolitan meta-narratives in returning relevance to anthropology but also on the contemporary conditions of academic work that undermine the knowledge practices of ethnography and render such meta-narratives plausible.

Journal Article↗

PubMed2000

[European health systems and the integration problem of modern societies].

With reference to the national health systems in Germany and the UK we must acknowledge that it was in particular Bismarck's Reform, originally directed toward a solidarity among the socially weak, which entailed in its development a marked redistribution via progressive health fees and standardized health services. In view of Alfred Marshall's original expectations this has resulted in a specific integration of the socially weak and with some difference for nationally tax-financed and social security financed health systems to a genuine contribution towards integration of modern society. An open research question is whether as a consequence of solidarity and integration through health systems there is a decline of social inequality for health. Equally open is the question as to the socio-structural and economic consequences the expansion of modern health systems has.

Forecasting↗

PubMed2000

Suicide: a 15-year review of the sociological literature. Part II: modernization and social integration perspectives.

This article reviews the findings of 84 sociological studies published over a 15-year period. These studies deal with tests of the modernization and/or social integration perspectives on suicide. Research on modernization, religious integration, and political integration often questioned or reformulated the traditional Durkheimian perspective. A major new theoretical development, Pescosolido's religious networks perspective, gained some empirical support in the 15-year period. The strongest support for social integration theory came from research on marital integration, wherein more than three quarters of the research found a significant relationship. Finally, further research on migration, a force lowering social integration, continued to tend to find a positive link to suicide.

Age Factors↗

PubMed2000

[The early modern state and the responsibility for public health].

The year 2003 will mark the 4th centenary of the Norwegian public health system. The formal occasion is the appointment of Dr. Vilhadius Adamius (c. 1564-1616) as ordinario medico in 1603. He was granted income from the crown's landed property to carry on his work as a doctor in Bergen, at the time a provincial town in the kingdom of Denmark-Norway. Denmark already had 10-12 doctors in similar offices. Dr. Vilhadius was not the first physician in Norway, nor was he the first with public funding. But as the first doctor in a clearly defined office, he stands out as a strong symbol of the rudimentary health care system introduced in Denmark-Norway in the 17th century. In many ways, he represents the formation of the early modern state, and a modernization process in which the appointments of doctors mirrored the state's growing willingness and ability to assume responsibility for the health of its subjects.

Community Health Services↗