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At least 1,099 records · Page 61Linked to original sources
PubMed2004

The perils of paying academic physicians according to the clinical revenue they generate.

Proponents of paying academic physicians according to the clinical revenue they generate cite the dangers of failing to reward high-performing faculty members, the unfairness of equally compensating physicians who generate very different amounts of revenue, and the positive role variable compensation can play in promoting the financial health of the organization. Yet there are caveats in revenue-based compensation (RBC). Amount of clinical effort and the revenue it generates are not necessarily tightly linked. Such approaches emphasize revenue-producing activities such as patient care at the expense of other academic missions such as education. By focusing attention on pay, RBC may distract our best faculty members from the intrinsic rewards of academic medicine. And by fostering financial competition within the academic health center, RBC jeopardizes mutual dedication to the larger missions of the organization as a whole. Debates over how to compensate medical school faculty members represent nothing less than a battle for the heart and soul of academic medicine.

Academic Medical Centers↗
PubMedDate not supplied

[Punishment--"the work of God"--forensic accounts of crime and punishment].

INTRODUCTION: This paper deals with coincidental deaths of persons previously engaged in violent behaviour. In victimology, violent deaths rest on legal authorities and public prosecutor. In some cases the clearance of circumstances is "sui generis", as a consequence of "vis maior". However, in some cases, depending of circumstances, perpetrators are uncovered without further investigations. CASE REPORT: This paper presents some of the most interesting cases from our Forensic practice: infanticides, "jealousy" killing, other murders. All crimes were recovered and sanctioned. History is full of cases like these described. Man is the only primate who kills and tortures other men. Nothing can fill the soul as hatred. Hatred is stronger than love. Love can easily lead to hate. Man is afraid of being killed, but often acts like a victim. The man proves himself worthy through his life, not death.

Forensic Medicine↗
PubMed1992

["Death of beautiful youth" or youthful suicide in Geneva in the 18th century].

Whether it is the unhappy ending of family grief, the only solution to an unrequited love or due to some pathological behaviour, juvenile suicide horrifies the community of the Ancien Régime, which tends to interpret it as an "illness of the soul" characteristic of a youth that combines bodily vitality with moral frailty, but whose role would be nonetheless to ensure the morrows of mankind. Juvenile suicide underlines the flaws of social solidarity in the tightly knit community of the Ancien Régime, and it deepens the social resentment against willful death which, since 1774, has often been attributed to the harmful influence of the kind of "philosophy" or free will advocated by Goethe's unfortunate Werther.

Adolescent↗
PubMed1992

[Disease models and models of handicap in psychiatry].

Throughout psychiatric history, the handicap model has been referred to a mineral image as opposed to the vegetal image of disease. The structural model, after Freud, seeks to overcome the opposition between disease and handicap. Present day disregard for this model, especially in the United States, stems from economical and ideological reasons. The come-back of a psychopathology of "faculties" linked to the notion of deficiency and reinforced by fascination with computers, also represents the need of humankind to believe in an incorruptible soul.

Persons with Disabilities↗
PubMed2003

[The traditional and the technological way to die].

The process of dying is that which takes a living organism from a state of life to one of death. This process can be adequately described as part of the process and transformation of organic material. But the act of dying for a human being, just as a human being's process of life, is not something merely biological; it also has an element essential in humans: a social aspect. When a human being meets death, various people are involved: the person who dies who is said to leave, who goes somewhere, and those who remain, who perhaps have to help this first person at a moment when that person might require collaboration. Both the person who dies and those who remain must come to terms, must assimilate, the act of dying. All participants in the process of death have to come to grasp with the reality that by this event one of them abandons his/her place in their social relation network. Associated with this radical abandonment, one comes face to face with a tradition which relates this parting with the ideas of a soul, God and immortality. One also faces how to socially organize the process of death, the direct meeting of man with death, which we call the way of dying, as part of this final event in one's life.

Death↗
PubMed2001

What's your specialty, Doc? Perioperative nursing.

Perioperative nurses who are contemplating the pursuit of a doctoral degree in nursing need information about the current status and characteristics of doctoral education to make informed decisions. This article addresses questions both philosophic and pragmatic that should be addressed by prospective students. Information sources are identified for assistance with making the selection from the 75 plus programs that offer a nursing doctorate nationwide. Suggested sources include professional organizations as well as current students, faculty, and alumni. Determinations should be based on academic information, such as similarities and differences in degrees awarded; the program of studies leading to the degree; admission and progression standards; research interest of the student relative to identified focus and expertise of program faculty, dissertation process, and university and nursing education resources and services, including financial and technological support. Attainment of the doctorate is presented as an enriching experience that prepares nurses for leadership in both education and health care as clinicians, educators, and administrators. Particular attention should be paid to selecting programs that compare favorably with the published American Association of Colleges of Nursing quality indicators for doctoral programs. There must be strong support in the program from both faculty mentors and peer colleagues, reflective of a community of scholars, pursuing not only individual but also collective wisdom, whereas engaging an individual's mind and soul in the pursuit of new knowledge and skills in an atmosphere of mutual trust and respect.

Academic Dissertations as Topic↗
PubMed2004

[Protection of tooth protecting spray against dental carries].

OBJECTIVE: To investigate the growth, adherence and soul production of streptococcus mutans incubated with olitin tooth protecting spray and the effect of specific sample against dental caries. METHODS: Streptococcus mutans were cultured with the sample of Olitin tooth protecting spray. After culturing, S. mutans were observed by Gram stain and by spectrophotometer, and the percentages of the adherent S. mutans were calculated. 40 Wistar rats were divided into 4 groups: group A was control group; group B,C,D was low, middle, high test group respectively. All test groups received samples. The sum of the caries scores was assessed by the Keyes' procedure. RESULTS: The sample did not inhibit the growth of S. mutans, but the long chain was occurred. The adherence of S. mutans cells on the glass was decrease, the pH value was increase to above 6.0. There was a significant lower mean of caries score of test group than control group. CONCLUSION: The sample can prevent the development of dental caries in this experiment. The mechanism may relate with the decrease of adherence of S. mutans.

Animals↗
PubMedDate not supplied

[Guillaume Dupuytren 1777-1835].

Dupuytren's behaviour as a professor, citizen and man can be understood through his psychoanalytical study. Account of a childhood and teenage years without love his exceptional termper led him to realize an innovative work. As a Balzac's hero he never used any compromise either diplomatic solution and his callousness was at the root of his success in life and his practise and he died in the same way as a real wolf. In fact beyond his obvious coldness he concealed a great sensibility which fascinated Parisian people's soul and provoked the admiration of his master or his students. In the Journal des Débats the chronicler described him as a "a man who was more suffering his grieves than proud of his glory". Thanks to his clever stubbornness he succeeded in leading his surgery school form art to science. As a frenzied actor he left the surgical stage with panache if not without remorse.

Autobiographies as Topic↗
PubMed1992

[Some dimensions of the forgotten body in psychoanalysis and psychosomatic medicine].

Bodily Experience is well reflected in psychoanalysis and psychosomatic medicine, the body is not forgotten. The first part of the paper summarizes the general and clinical knowledge on bodily experience. The second part deals with some still neglected dimensions of bodily experience. The first two dimensions are clinical perspectives. 1. The (ill) body can be functionalized as a help to stabilize fragile body boundaries. 2. The body is determined not only by intrapsychic conflicts but also by social influences, so that bodily behavior might not necessarily reflect intrapsychic attitudes but social (hyper-)adaptation. The following two dimensions may be important for psychosomatic research. 3. Causal and unidirectional models of body-soul influences lack complexity and should be replaced by differentiated interactional models. 4. Empirical studies on body experience have to take into account its subjective and unconscious character. Qualitative methods might be very helpful here.

Body Image↗
PubMed2000

Integrated approach to yoga.

Yoga is a science of Holistic living and not merely a set of Asanas and Pranayama. It is a psycho physical and spiritual science, which aims at the harmonious development of the human body, mind and soul. Yoga is the conscious art of self-discovery. It is a process by which animal man ascends through the stages from normal man to super man and then the divine man. It is an expansion of the narrow constricted egoistic personality to an all-pervasive eternal and blissful state of reality. Yoga is an all round development of personality at physical, mental intellectual, emotional and spiritual level.

Holistic Health↗
PubMed1992

Advances in the management of orbital fractures.

Great progress has been made in both the basic science and the clinical knowledge base used in orbital reconstruction. With this, increasing complex orbital reconstructive problems are better managed. The diagnosis, treatment plan, and the actual reconstruction have evolved to a higher level. Several areas of progress are of note: the greater appreciation of the intimate relation between the bony orbit's shape and the position of the globe; application of computer technology in orbital injuries; effect of rigid fixation on autogenous and alloplastic graft; and the use of advanced biocompatible synthetic materials in orbital reconstruction. Although this progress has great impact on treatment of orbital injuries, there are many unanswered challenges in the treatment of the fragile frame of the window to the human soul.

Adult↗
PubMed2004

Social and cultural issues in organ transplantation in Islamic countries.

The importance of religion In Islamic countries is undoubted. Fatwas (opinion from religious scholars) have been passed in most Islamic countries approving the concepts of brain death and organ transplantation. There are some specific points that have be considered while talking of organ transplantation in Islamic countries. They include public attitude, taking organ(s) from donors who have committed suicide, the influence of local Imams as well as feeding breast milk, concept of spousal donation, timing of death as well as soul departure and extended families that exist in these countries. Sound knowledge of these factors is mandatory to any transplant coordinator and lack of sensitivity to these issues could be disastrous.

Cultural Characteristics↗
PubMed2004

[Medico-psychology in Huang di nei jing (Yellow Emperor's Inner Canon)].

Huang di nei jing (Yellow Emperor's Inner Canon) discusses spirit, mood, soul, idea, will, anxiety, worry, wisdom, morale and their relations with human life, physiology, and body-mind health. It also expounds the developmental rule of human body and mind, methods for keeping fit. These simple thinking of medico-psychology reflects that Chinese doctors had advocated science since ancient times. The methodology of systematically and comprehensively discussing the relationship among nature, human body, visceral functions, and emotional activities reflects, again, the rather strong physiological dialectical thinking of ancient people.

History, Ancient↗
PubMed1992

[Body and existence].

The intention of this article is to introduce a complement to the natural science paradigm by giving medicine, especially general practice, a dimension of understanding inspired by existential philosophy. The presuppositions of natural science regarding human nature dividing body and soul, subject and object, are discussed and found insufficient for an understanding of what it means to be human. Case studies illustrate that for the patient, the meaning of symptom in existential terms has vast practical consequences for deciding treatment.

Body Image↗
PubMed2004

Leading change when business is good. Interview by Paul Hemp and Thomas A. Stewart.

Lou Gerstner's was a hard act to follow. As CEO in what were arguably IBM's darkest hours, Gerstner brought the company back from the brink. After nearly ten wrenching years, in which the big-machine manufacturer remade itself into a comprehensive software, hardware, and services provider, business was looking good. So the challenge for Sam Palmisano, when he took over as CEO in 2002, was to come up with a mandate for a second act in the company's transformation. His primary aim was to get different parts of the company working together so IBM could offer customers "integrated solutions"--hardware, software, services, and financing--at a single price. As part of this effort, he asked all of IBM's 320,000 employees, in 170 countries, to weigh in on a new set of shared corporate values. Over a 72-hour period, thousands of IBMers throughout the world gave Palmisano and his executive team an earful in an intranet discussion dubbed "Values-Jam," an often-heated debate about the company's heart and soul. Twenty-four hours into the exercise, at least one senior exec wanted to pull the plug. The jam had clearly struck a chord with employees, but it was a dissonant one, full of rancor and discontent. Palmisano let the discussion continue, and the next day, the mood began to shift. The criticism became more constructive. Out of the million words generated by the jam grew a set of values that, as Palmisano explains in this interview, are meant to guide the operational decisions made by IBM's employees-and, more important, to serve as Palmisano's mandate to continue the reinvention of the company.

Administrative Personnel↗
PubMed2004

[Spiritual care].

The essence of spirituality and spiritual care is too complex for clear definition. Topics of personal religious belief about life and death, an understanding or sensing of the process of dying, and the various means of influencing a patient's s body and mind may all be implied by the term "spiritual care". All care involving the patient's s thoughts or emotions tends to be put in the same basket, without any distinction between psychic needs, spiritual nature and religious belief. Spirituality connotes a person's s wholeness (body, mind and soul). Spirituality not only affects the individuals psychosocial activities, but also his or her physical condition and behavior. So, what is the scope of spiritual care? Does it include physical and psychological elements? Using clinical examples, the author seeks to clarify the role of spirituality in the process of adapting to a disease, and to expound a definition and goals of spiritual care. In addition, human spiritual needs and the elements of spiritual care are also outlined. It is hoped that this article will be helpful to nurses in their spiritual growth and to those who practice holistic care.

Adaptation, Psychological↗
PubMedDate not supplied

[Spanish wines in the Liber de arte medendi (1564) by Cristóbal de Vega (1510-1573)].

OBJECTIVE: The Liber de arte medendi (Lyon, 1564) is the most relevant book of Prima Professor of The Faculty of Medicine of Universidad de Alcalá, doctor Cristóbal de Vega (1510-1573). It is a treatise--674 pages in folio--of theoretical and practical medicine. This doctrinal expose, scholar and bookisk, changes its tone in the second of the three parts, the liber II, that deals with "no natural things" of galenism, which necessarily affect the organism and that, depending on how they are used, they may strengthen or weaken its health: air, physical activity, foods and drinks, sleep, evacuations and passions of the soul. SCOPE: Within the section dedicated to foods and drinks, we have studied the interesting chapter about wines, where the author makes a hygienic assessment about wine. MATERIAL: The chapter on spanish wines consigned at the Liber de arte medendi and some other references about the therapeutic capabilities of some of the wines described by the author. INTERVENTIONS: He we undertaken a critical analysis of that chapter, glossing the most significant texts about spanish wines mentioned by the author. RESULTS: In this chapter vega praises the class and hygienic applications of white Alcarrian wines from Yepes, Lillo and Santorcaz, of the Galician from Rivadavia, from Cantalapiedra in the Salamanca region, and the Andalusians from Jerez, Cazalla and Alanís. He also extols the smooth reds from Santorcaz; though the best in this category would be, for the adaptation of its temperament to the human nature, the Illana wine. DISCUSSION: at Liber de arte medendi, wines from Cantalapiedra (Ded Castille), Rivadavia (Galicia), Jerez, Ca- zalla and Alanís (Andalusia), Santorcaz, Corpa, Yepes, San Martín de Valdeiglesias, Villalbilla, Illana and Lillo (New Castille) are mentioned.

History, 16th Century↗