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PubMed1975

Color essays.

Webster's New Collegiate Dictionary defines "essay" first as "an effort to do something; attempt; trial." Only second it is defined as "a literary composition, analytical or interpretative, dealing with its subject from a more or less limited or personal standpoint." This article is an essay (second meaning) about a few essays (first meaning) that have been made to understand color. Genesis, Aristotle, Plato, Newton, Palmer, Young, Helmholtz, Maxwell and Frederic Ives are represented.

Color↗
PubMedDate not supplied

A pleasure to work with--an analysis of written comments on student evaluations.

OBJECTIVE: Studies assessing rating scales on student evaluations are available. However, there are no data related to the written comments on these evaluations. This study was designed to evaluate these comments. METHODS: A content analysis was performed on the narrative section of pediatric clerks' evaluations. Final evaluations were obtained from 10 outpatient clinical sites staffed by full-time faculty over 14 months. A coding dictionary containing 12 categories (7 linked to clinical skills) was used. RESULTS: One thousand seventeen comments on 227 evaluations were coded. The mean number of comments per evaluation was 4. Learner and personal characteristics were the largest categories. Normative comments, such as "good physical exam," as opposed to more specific comments, such as "complete presentation," predominated in all categories. CONCLUSIONS: Evaluation comments were infrequently related to basic clinical skills and were not often specific enough to lead to effective change in a student's performance. Faculty development is needed to make final evaluation comments more useful for students.

Clinical Clerkship↗
PubMedDate not supplied

To care is to coprovide.

Although primary care, including family medicine, recognizes different types of clinician-patient interaction, I argue that only interactions characterized by coprovision define care. By coprovision I mean that clinicians and patients each provide the expertise in health care that they have the capacity to contribute in any given situation. I argue that paternalism and consumerism cannot signify care in any real sense. Some implications of this analysis include a reconceptualization of family medicine and its defining attributes; support for features of caring relationships, such as mutual responsiveness and responsibility; and an acknowledgment that clinicians and patients need to be self-regarding as well as other-regarding. In a previous issue of the Annals, I called for a new dictionary for family medicine, one that would redefine attributes of family medicine in ways not exclusively clinician-centric. Specifically, it would acknowledge the role of patients and their informal caregivers as coproviding, not merely consuming, health care.

Continuity of Patient Care↗
PubMed2003

NeuroNames 2002.

NeuroNames is a nomenclature designed as a tool for indexing digital databases of neuroscientific information. It can be used, for example, as the entry point to a digital dictionary of neuroanatomy, to a brain atlas, or to a database of information referenced to specific brain structures. The user can query with terms from many different nomenclatures. One can create a neuroanatomic ontology from NeuroNames by relating an appropriate subset of terms to a conceptual model represented by structures illustrated in a brain atlas. At the conceptual core of NeuroNames are primary structures, the elementary units of the brain in the spatial domain. Each primary structure is associated with a set of synonyms that represent the structure in the symbolic domain. One of the synonyms is designated the default name for use in verbal definitions of other structures. A unique abbreviation based on the default name is provided for labeling images. Neuroscientists classify structures in different contexts reflecting different attributes of interest. Thus, the name of a given structure can appear in any number of hierarchical contexts. In NeuroNames all primary structures are now represented in at least two hierarchies. The first is a nine-level "Brain Hierarchy," in which volumetric structures are grouped by proximity to form successively larger units that represent the brain at different levels of dissection. Secondly, primary structures are categorized in a three-level "spatial attribute hierarchy" used to color- code them for visual display. Grouped structures in the nine-level volumetric hierarchy are designated superstructures, each of which has synonyms, a default term, and an abbreviation. All names of structures not in the hierarchy are designated ancillary terms and are defined in words using the default names of hierarchy structures. With NeuroNames as entry point, we have developed BrainInfo (http://braininfo.rprc.washington.edu), a website that allows searchers to proceed intuitively in a few steps to descriptions and images of specific structures. Currently NeuroNames resides in a Microsoft ACCESS database and includes some 12,200 terms in seven languages.

Abstracting and Indexing↗
PubMedDate not supplied

On the origin of protein biosynthesis.

There is a very close steric relationship between the codon-anticodon site which accounts for the genetic code dictionary and a polynucleotide replicase site. Protein biosynthesis must therefore have arisen out of a primaeval polynucleotide replicase system.

Anticodon↗
PubMed2004

Quality of depressive experiences in borderline personality disorders: differences between patients with borderline personality disorder and patients with higher levels of personality organization.

Clinical observations suggest that depressive experiences in patients with borderline personality disorder have a specific quality. These experiences are characterized by emptiness and anger ("angry depression") and are associated with primitive forms of object relations. In this study, this observation was tested empirically. A sample of borderline inpatients (N=30) was compared with a sample of inpatients with higher levels of personality organization suffering from neurotic disorders (N=30). Depression and other affects were assessed by the Affective Dictionary Ulm (Dahl, Hölzer, & Berry, 1992). The quality of object relations was assessed by a scale developed by Urist (1977), which was applied to responses in the Holtzman Inkblot Technique (Holtzman, Thorpe, Swartz, & Herron, 1961). Correlations were assessed between depression, on the one hand, and anger, anxiety, and the quality of object relations, on the other hand. The clinical observations were confirmed: In the patients with borderline personality disorder, depression showed significant correlations with the affects of anger, anxiety, and fear, and with primitive forms of object relations. In the patients with higher levels of personality organization, no such correlations were found. The results are discussed with regard to the understanding of borderline disorders, diagnosis, and therapy.

Adult↗
PubMedDate not supplied

[Humanistic theory: semantic analysis of the community concept].

The humanistic theory in Nursing introduces the word community, which can be understood as community and communion. The aim of this study is to critically analyze the true semantic meaning of community. This study was conducted through bibliographic research in dictionaries, Linguistics literature and Phenomenology by using Meleis' model of theory analysis. After carefully reading about Humanistic Theory, we have clipped some passages where communion and community replaced the word community. We then inferred that community is indistinctly used by authors and can be understood as community and communion, and we reached the conclusion that although theorists commonly use the term 'community' to refer to phenomena which would be better characterized by the term 'communion', 'community' can be totally comprehended as a perfect union between the beginning-words ME-YOU giving rise to US.

Humanism↗
PubMedDate not supplied

[Profile of nursing schools graduates according to the National Curriculum Guidelines: an approach].

The curriculum restructuration in the nursing graduation course, that is necessary according to the National Curriculum Guidelines (NCG), starts its activities with a critical reading of the Resolution 03/2201. In this Resolution, there is, besides others orientations, the egresses profile. This critical review of literature aimed at reflecting about the words or categories that the egresses profile contains, according to the NCG. It will be made by using dictionaries (of Portuguese language and philosophy) and literature diverse (of the nursing course and others subjects) to understand them better and perceive them relevant to the nurse professional formation and, consequently, essential in the Pedagogical Political Project (PPP). The values of the egresses profile proposal in the nurse's formation are recognized, but it is important to realize that it is not a matter of establish new marks, prioritize new objectives, change the profile, restructure subjects, reestablish functioning conditions or schedule only, but realize a collective work with a group growth.

Brazil↗
PubMed1999

Bioethical language and its dialects and idiolects.

In their search for answers to the relevant theoretical questions on importing knowledge in practical ethics, the authors take an instrumental approach to metaphor. This figure of language allows one to compare language and linguistic variants to bioethics and knowledge. As defined by the dictionary, an 'idiom' is the official language of a nation, a 'dialect' is a regional variant of an idiom, and an 'idiolect' is an individual variant of a dialect. The bioethical idiom is thus seen as a linguistic set constituting a 'bioethical nation'. Since it is situated above particular dialects, it exercises more than a regulatory role over the discipline. In this article, in order to focus on the process of transmission of knowledge in bioethics, the authors chose Diego Gracia's work as a paradigmatic reference to the question on the transculturation of dialects and the relations in bioethics which are considered 'peripheral' or 'central'. Although this researcher found the key question pointing to the core of the problem of importing dialects, he is still searching for a proper answer to the cultural/bioethical context/contradiction.

Bioethics↗
PubMed2004

Application of an empiric Bayesian data mining algorithm to reports of pancreatitis associated with atypical antipsychotics.

STUDY OBJECTIVE: To compare the results from one frequently cited data mining algorithm with those from a study, which was published in a peer-reviewed journal, that examined the association of pancreatitis with selected atypical antipsychotics observed by traditional rule-based methods of signal detection. DESIGN: Retrospective pharmacovigilance study. INTERVENTION: The widely studied data mining algorithm known as the Multi-item Gamma Poisson Shrinker (MGPS) was applied to adverse-event reports from the United States Food and Drug Administration's Adverse Event Reporting System database through the first quarter of 2003 for clozapine, olanzapine, and risperidone to determine if a significant signal of pancreatitis would have been generated by this method in advance of their review or the addition of these events to the respective product labels. MEASUREMENTS AND MAIN RESULTS: Data mining was performed by using nine preferred terms relevant to drug-induced pancreatitis from the Medical Dictionary for Regulatory Activities (MedDRA). Results from a previous study on the antipsychotics were reviewed and analyzed. Physicians' Desk References (PDRs) starting from 1994 were manually reviewed to determine the first year that pancreatitis was listed as an adverse event in the product label for each antipsychotic. This information was used as a surrogate marker of the timing of initial signal detection by traditional criteria. Pancreatitis was listed as an adverse event in a PDR for all three atypical antipsychotics. Despite the presence of up to 88 reports/drug-event combination in the Food and Drug Administration's Adverse Event Reporting System database, the MGPS failed to generate a signal of disproportional reporting of pancreatitis associated with the three antipsychotics despite the signaling of these drug-event combinations by traditional rule-based methods, as reflected in product labeling and/or the literature. These discordant findings illustrate key principles in the application of data mining algorithms to drug safety surveillance. CONCLUSION: The optimal place of data mining algorithms in the pharmacovigilance tool kit remains to be determined, requires consideration of numerous factors that may affect their performance, and is highly situation dependent.

Adverse Drug Reaction Reporting Systems↗
PubMed1975

Vocalizations of White Carneaux pigeons during experiments on schedule-induced aggression.

Two types of vocalizations of White Carneaux pigeons were identified in experiments on schedule-induced aggression and were given pictorial representation in sound spectrograms. Characteristics of these vocalizations are examined in the context of previous descriptions of vocalizations of several varieties of pigeons during aggressive and sexual encounters in naturalistic settings. These earlier descriptions portrayed vocalizations with mnemonic phrases and the symbolds of dictionary pronunciationmdata are presented that indicate that the analysis of social encounters between pigeons during schedule-induced aggression may be aided by employing these and other vocalizations as dependent variables.

Acoustic Stimulation↗
PubMed1991

Characteristics of maternal employment during pregnancy: effects on low birthweight.

BACKGROUND: Although maternal employment is considered a risk factor for low birthweight (LBW), the manner in which employment might affect birthweight is poorly understood. In this analysis, selected characteristics of employment during pregnancy were examined for effects on pregnancy outcomes. METHODS: Work characteristics included the number of hours per week, physical activities, and environmental conditions. The outcomes of interest were fetal growth retardation (less than 2500 grams at term) and preterm delivery (less than 37 weeks). The study population consisted of 2711 non-Black, married mothers who participated in the 1980 National Natality Survey (NNS). The NNS data were merged with data from the 1977 revision of The Dictionary of Occupational Titles (DOT) from which measures of occupational physical activities and environmental exposures were obtained. Logistic regression was used in the analysis. RESULTS: Those who worked 40 or more hours per week were more likely than women who worked fewer hours to have a low birthweight delivery at greater than or equal to 37 weeks. No physical or environmental characterics of work were associated with low birthweight or preterm delivery. CONCLUSIONS: Non-Black married American women may face a risk of delivering low-birthweight babies at or near term only if they work 40 or more hours each week. However, the lack of risk associated with other characteristics of work may be a function of measurement error in the DOT data source or of low levels of exposure in the analysis population.

Adult↗
PubMed1994

The effects of occupational class transitions on hypertension: racial disparities among working-age men.

OBJECTIVES: This study was undertaken to examine how the interaction between occupational class transitions and race affects the incidence of hypertension. METHODS: A cohort of 1982 men (183 Black), ages 25 to 55, received a baseline medical exam between 1971 and 1975 and a follow-up between 1982 and 1984. Logistic regressions were estimated for hypertension at follow-up controlling for hypertension at baseline, other risk factors associated with blood pressure, and interaction terms identifying specific occupational class transitions among Blacks and Whites. The occupational class matrix was based largely on scores of US Census Bureau occupations from the Dictionary of Occupational Titles. RESULTS: Relative to Whites who remained in professional and technical jobs between baseline and follow-up, Blacks and Whites who remained in lower occupational classes or made specific transitions--notably into the lowest class--had significantly higher incidence rates of hypertension. These differences were greater among Blacks, who are also more concentrated in and less likely to move upward from the lower end of the occupational class matrix. CONCLUSIONS: Widening racial disparities in high blood pressure over the period of study may be partly attributable to characteristics associated with occupational class position and dynamics.

Adult↗
PubMed2005

Anthropoaesthetics as an aspect of anthropoecology.

The source of activity of every individual or group is to a great extent determined by the necessity of interaction with other individuals or groups (Afanasiev, 1990), i.e. with the diversity of anthropological surroundings. This manifests itself in the participation of individuals in the organization of their ecosystems, including the ethnocultural and physical conditions of life (Sukharev, 1998). Therefore it is possible to single out certain ecological aspects of perception of anthropological specificity of the surrounding population by an individual (group), leaning upon the definition of anthropoecology as a discipline, studying the laws of interaction between human communities and the system of natural, social and other factors, (Anthropological dictionary, 2004) as well as the coevolution of humans with their environment, in the process of adaptation (Lisseyev, 2001). At the same time it is usually emphasized that the ecological approach is best of all realized on the base of the principle of reciprocity of development of an individual and the surrounding reality, on the perception of the objects of this reality (including other people) with due regard to the reasons for the preference and corresponding values orientation. This represents the subject of ecological psychology (Sergeyenko, 2002; Pavlenko, 2002). In this context the relations between the individual and the environment (autoecology) as well as between the individual and a group (sinecology) are considered (Lisseyev, 2001). The study of the aesthetic perception of anthropological types by individuals belonging to different ethnoterritorial and age groups is the subject matter of a special branch of physical anthropology-anthropoaesthetics, which studies the peculiarities of the aesthetic preference of human facial features in modern populations, analyzing the dependence of human perception on the anthropological environment (Haldeyeva, 2004).

Anthropology, Cultural↗
PubMed2002

Prescription-event monitoring in Japan (J-PEM).

In prescription-event monitoring in Japan (J-PEM), patients are identified by prescriptions in individual pharmacies where drugs are dispensed. The methodology is somewhat different to that used by the Drug Safety Research Unit in the UK, in that two questionnaires, one to the pharmacist and the other to the doctor are sent for each patient and the method of concurrent control is employed in J-PEM. In the data analysis, the list of events reported as a suspected reaction or a reason for stopping the drug is made to generate a signal. In addition, a signal may be generated for some events with the statistically significant difference of crude rates followed by the regression analysis or a follow-up study. In J-PEM, Medical Dictionary for Regulatory Activities (MedDRA) terminology is used for data entry and data analysis. Lowest level terms (LLTs) in MedDRA are used in data entry while a signal is generated using preferred terms (PTs). However, to generate a signal effectively, some PTs may be grouped as one term. In addition, if two terms are so similar, it may be instructed that one of those two terms is normally selected in data entry to avoid confusion. Many more PEM studies could be undertaken to determine if MedDRA can be used for effective signal generation, but the usefulness of MedDRA in J-PEM is still to be determined.

Adverse Drug Reaction Reporting Systems↗
PubMed2002

Therapeutic ineffectiveness: heads or tails?

Reporting of therapeutic ineffectiveness through adverse drug reaction spontaneous reporting systems has been proposed by some authors. In the WHO Adverse Reactions Terminology (WHO-ART) and Medical Dictionary for Regulatory Activities (MedDRA) terminology, the term therapeutic ineffectiveness includes drug interactions, resistance, tolerance and tachyphylaxis, as well as pharmaceutical defects such as substandard, adulterated, and counterfeit drugs. Under certain circumstances, reporting therapeutic ineffectiveness may contribute to identifying pharmaceutical defects. However, the best approach to avoid their occurrence would be implementing good manufacturing practices and strengthening quality control activities. This would prevent the misuse of spontaneous reporting of adverse drug reactions (e.g. when reporting of therapeutic ineffectiveness is 'suggested' by interested parties, especially when a generic product has been substituted for a branded original product).

Adverse Drug Reaction Reporting Systems↗
PubMed2002

Comparison of losartan with ACE inhibitors and dihydropyridine calcium channel antagonists: a pilot study of prescription-event monitoring in Japan.

INTRODUCTION: Two pilot studies for prescription-event monitoring in Japan (J-PEM) were launched in 1997 and 1998. Here we present data regarding adverse events that were reported in the second pilot J-PEM study where losartan was compared with ACE inhibitors and dihydropyridine calcium channel antagonists. STUDY DESIGN: We conducted a cohort study with a concurrent control. METHODS/PATIENT GROUP: Study subjects prescribed losartan, an ACE inhibitor or a calcium channel antagonist were identified from prescriptions in hospital or community pharmacies. Events and other information were collected from doctors and pharmacists by mailed questionnaires. Events were coded and analysed using the Medical Dictionary for Regulatory Activities (MedDRA) terminology. Crude event rates were calculated and compared between patients treated with losartan and those receiving control drugs. When the difference was statistically significant, the event was further examined in several ways, including follow-up studies and by comparison with the data of the UK PEM study on losartan. RESULTS: Pharmacists were sent 4344 questionnaires and returned 3591 (83%), while doctors were sent 3517 questionnaires and returned 1380 (39%). In the doctors' data, the adverse event rate for losartan treatment was greater than that for ACE inhibitors and/or calcium channel antagonists for the following seven events: headache, palpitations, anaemia, insomnia, feeling abnormal, increased blood pressure and asthma. Most of these are known adverse drug reactions (ADRs) of losartan except for two events: increased blood pressure and asthma. In pharmacists' data, the event rate for losartan was significantly greater than that for control drugs for the following ten events: hot flushes, abnormal hepatic function, oedema, peripheral swelling, decreased blood pressure, increased blood pressure, rhinitis, contact dermatitis, dry skin and heat rash. The first five events were known ADRs of losartan but the other five were not. When the two sets of data were combined, the rate of an additional event, increased blood creatinine phosphokinase, which is a known ADR of losartan, was significantly greater than that for the control drugs. The six events that were not documented as ADRs for losartan were not judged to be ADRs based on the results of follow-up studies and comparison with the UK PEM study on losartan. The crude rate of cough with losartan treatment was similar to that with calcium channel antagonists, but was significantly less than that with ACE inhibitors. CONCLUSION: No novel safety problems were found in this observational cohort study on losartan. The rates of some known ADRs differed significantly between patients treated with losartan and those in the control groups.

Aged↗
PubMed2004

The periodic safety update report as a pharmacovigilance tool.

The periodic safety update report for marketed drugs (PSUR) was designed to be a stand-alone document that allows a periodic but comprehensive assessment of the worldwide safety data of a marketed drug or biological product. The PSUR can be an important source for the identification of new safety signals, a means of determining changes in the benefit-risk profile, an effective means of risk communication to regulatory authorities and an indicator for the need for risk management initiatives, as well as a tracking mechanism monitoring the effectiveness of such initiatives. For these reasons, the PSUR can be an important pharmacovigilance tool. Numerous steps are involved in the PSUR process including: intake of adverse drug reaction information, case processing, data retrieval, data analysis, and medical review and risk assessment. These processes are heavily reliant on the availability of adequate resources. An overarching principle throughout the PSUR process is the need for a proactive approach in order to identify the critical steps in the process and to have a clear understanding of the consequences of any critical 'mis-step'. With this information comes appropriate planning, building quality into each step of the PSUR process and monitoring performance will maximise the likelihood of generating a quality report. Any failure of a key PSUR process will have the opposite effect - a poor quality report that will give little insight into emerging safety signals or provide misleading information that can adversely affect public health. A pragmatic approach that will avoid or minimise these pitfalls includes the following: adequate resource planning, training, development of 'scripts' designed to maximise the capture of key information for medically important reactions, standardised and harmonised Medical Dictionary for Regulatory Activities (MedDRA) coding procedures, pre-specified search criteria for data retrieval, ongoing medical review, and metrics to evaluate the effectiveness and efficiencies of these processes. With these quality measures in place, the utility of the PSUR as an effective pharmacovigilance tool is enhanced.

Adverse Drug Reaction Reporting Systems↗