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[The secret of healers (Brazil)].

The Bresilian civilization presents a mixing of cultures (african, european, amerindian ... ) who are original but complicated in a socio-economical context of a developing country. Psychiater and anthropologist, the author tries to inquire into the secret of traditional practitioners. He thinks that they play a prominent part in the individual medicine near the official medicine and they will be precious assistants in the Bresilian Health System after a complementary formation in the Hospital.

Attitude to Health↗

[A lonely job].

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Humans↗

When the nurse faces separation and loss.

This article discusses the types of separations and losses nurses may experience, factors which affect the reaction to separation and loss. It provides guidelines for the nurse in dealing with separation involving loss in the workplace whether it is personal or is the experience of others.

Bereavement↗

A study of communication between general practitioners and specialists.

A random sample of referral letters from general practitioners to outpatient departments of general medicine, dermatology, neurology, and gastroenterology at an Amsterdam teaching hospital were analysed together with the specialists' replies for 144 referrals. The pairs of letters were judged by a panel of four general practitioners and four specialists. Letters were assessed according to quality and content, clarity, request for return to general practitioner care, time intervals between referral and consultation and between consultation and the specialist's reply. The judges were also asked to assess whether in their opinion the letters were of value in teaching or were discourteous. Though in general intraobserver agreement on what constitutes a good letter was low, deficiencies were revealed in the quality of letters and there were delays in transmission and missed educational opportunities.

Clinical Competence↗

Professional relationships between general practitioners and pharmacists in health centres.

The inclusion of pharmacies in health centres has created opportunities for general practitioners to become better acquainted with the potential contribution of pharmacists to health care. A qualitative study has been made to explore the extent to which this potential has been realized. Ten health centres with an integral pharmacy were selected, one from each of the regional health authorities in England which had at least one such health centre. Interviews were conducted with 13 general practitioners and 10 pharmacists working in the health centres. Nine general practitioners working in health centres without pharmacies and 10 community pharmacists were also interviewed. General practitioners' attitudes towards health centre pharmacists appeared to differ markedly from the attitudes of colleagues working in relative isolation from pharmacists. It appears that general practitioners working closely with the pharmacist develop a collaborative approach to health care.

Ambulatory Care Facilities↗