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Experience with modified remotely controlled fluoroscopic equipment for gastrointestinal examination in debilitated patients.

The concept and realization of a highly automated remotely controlled fluoroscopic system, applicable to the examination of debilitated or uncooperative patients, have been described. The addition of a rotating cradle, remotely controlled barium administration, magazine-fed roll film camera, remotely inflated paddle for prone-pressure spot filming, and a vacuum restraining device have been described for the examination of uncooperative as well as cooperative patients. These patients can be examined with as high a degree of sophistication and automation as is now available. Future developments in this area may lie in the realm of multitable remotely controlled fluoroscopic rooms, operation of the above equipment by a super technologist, programmed gastrointestinal examinations utilizing the above equipment and automated programming, and teleremote controlled fluoroscopy from a centralized location with coaxial cable or microwave transmission.

Fluoroscopy↗

Birth of the "chiropractic angel": a Caduceus counterpoint.

Use of the winged angel with raised hands as a chiropractic emblem began circa 1928. Although often attributed to the National Chiropractic Association (NCA), the emblem was created prior to the NCA's formation, and was initially "copyrighted ... for the exclusive use of members of the American Society of Chiropractors." The emblem appeared as part of the ASC's advertising in popular national magazines, including American Legion Monthly, Cosmopolitan, Liberty, and Physical Culture. First use of the chiropractic angel to represent the NCA and its ally, the Internatonal Chiropractic Congress (ICC), took place at the NCA and ICC joint national convention in Denver in 1933. The emblem was formally adopted by the NCA at its 1934 convention in Pittsburgh. This paper reviews some of the early history of the emblem and its use by the ASC and the NCA.

Chiropractic↗

Old Dad Chiro comes to Portland: rediscovering DD in Oregon, 1908-10.

This paper sketches Palmer's Portland period, and relies upon five issues of DD's periodical, the Chiropractor's Adjuster, to supplement traditional sources. The early activities of the D.D. Palmer College of Chiropractic are reviewed, and Palmer's travels throughout the region are noted. Old Dad Chiro's widespread influence in the profession is apparent from the diverse correspondence reprinted in his magazine, including letters from chiropractors in at least 22 states. During his Portland years his intent to "adjust" the "mistaken" ideas of chiropractors and his anger at son BJ became plainly and painfully evident. The founder's activities in Portland gave impetus to chiropractic education in the Northwest, and his schools' successor, the Oregon Peerless College of Chiropractic & Neuropathy, continued to operate for several years until its merger with another forerunner of today's Western States Chiropractic College. Most importantly, Palmer's stay in Oregon saw perhaps the first publication of his final theories of chiropractic, and gave rise to his classic text, The Chiropractor's Adjuster: the Science, Art and Philosophy of Chiropractic.

Chiropractic↗

[Not Available].

The research study work is connected with certain for evaluation. Their knowledge is a precondition for a more qualitative and efficient work. The research study that took place gave us some notion to what extent the Bulgarian scientists in the field of medicine are aware of these criteria. What is the number of their scientific publications in Bulgarian and foreign magazines during the period 1991-96. The study gives an idea about how many of them have doctors<degrees how many of them did attain academic ranks and is there any connection between their academic degrees and ranks and quality of their academic work. The study also gives an answer to the question what qualities the scientists must possess when they evaluate the academic work of other people. An object of study has been also made the approaches for planning and financing of the research study work.

Bulgaria↗

[Paul Duplessis de Pouzilhac].

The author pays tribute to the memory of Docteur Duplessis de Pouzilhac who was one of these old-time venerated practitioners. His thesis entitled "The Goncourt and medicine" received the congratulations of the jury, his litterary vocation came to the fore. Settled in Narbonne, he practised medicine and he wrote. As a doctor he was particularely interested in humble people. As a writer, he was inspired by the plagues which befall human beings. He created and launched the prestigious art magazine "Septimanie". He took part in the creation of the intellectual movement of provincial writers whose annual meetings he organized himself. As a lecturer he knew how to give importance to the rich heritage of the Languedoc country.

Family Practice↗

[Gustaf Retzius, anatomist, poet, intriguer].

Born in 1842 in a family of medical professors, Retzius was himself appointed professor in histology at the Karolinska Institute in Stockholm 1877. His research in anatomy and anthropology resulted in several big theses on human cranies, brain anatomy, hearing organs in the animal series, and anatomy of the retina. He acquired the famous newspaper Aftonbladet, founded by the father of his wife Anna Hierta. As editor he was initially liberal and when Strindberg was accused of indecency, he defended him. Later on he became reactionary and as a member of the Swedish Academy he fought against the modern currents in literature and art. He was a generous donor to the academics and societies to which he belonged. He wrote poetry of rather dubious quality. He was estimated in the scientific societies but was often ridiculed in newspapers and magazines.

Anatomy↗

[The dedicated amateur].

This is the text of an inauguration lecture at Umeå Universitiy (a chair of the history of science and ideas). The lecture is based on a study of magazines like Populär Teknik (Popular Technology), popular science literature, handbooks for mechanical and electrical experimentation, mail-order catalogs etc. from 1920-50, and its theme is that amateurs and hobbyists interested in popular science, technology and "do-it-yourself" have played an important role in modern society. Here we find a world exclusively occupied by boys and men, where it is made a virtue of playing with technological toys, and where mechanical and electrical tinkering becomes a significant part of the construction of masculinity. But the activities of amateurs and hoppyists can also be seen as an important way of self-education where the boy may get in touch with the scientific and technological frontier of the time, and there are many examples (e.g. in early history of radio or personal computers) where amateurs invented and developed new technology. The spirit of amateurs and hobbyists can even contain elements of a modern civic ideal: don't become dependent upon professional experts, don't trust authorities or big business that want to control technology, trust yourself and your knowledge. In short: do it yourself.

Biotechnology↗

Are associative changes in acquisition and extinction negatively accelerated?

Performance to a conditioned stimulus typically shows a negatively accelerated change with Pavlovian conditioning or extinction. This is commonly attributed to negatively accelerated changes in the underlying associative learning. However, the absence of well-specified rules for mapping learning into performance makes it difficult to infer changes in the size of associative changes for stimuli occupying different points on the performance scale. This problem can be addressed by comparing responding to stimulus compounds each consisting of 2 stimuli, 1 of which is poorly conditioned and 1 of which is well conditioned, when either the former or the latter receives a specified amount of additional training. This permits comparison at a common performance level. Two magazine-approach experiments in rats and 2 autoshaping experiments in pigeons used this technique to assess the form of the associative changes in acquisition and extinction.

Animals↗

The response of the Italian press to AIDS: a 22-month analysis.

This study analyses the way in which the Italian press reported Acquired Immunodeficiency Syndrome (AIDS) over a 22-month period from September 1993 to June 1995, when no national AIDS information campaigns were made in Italy. During this period we collected, read, and categorized every article relating to Human Immunodeficiency Virus (HIV) and AIDS in fourteen newspapers and two news magazines with the highest national circulation. Articles were then assigned to one of six content categories: statistics, basic science, cure and vaccine, education/awareness and prevention issue, government or non-goverment organizations response, and people with AIDS (PWA) personal portrayals. A total of 4,228 articles referring to HIV/AIDS were identified. Analysis of the featured topics reveals several clear differences in the coverage of aspects of AIDS. The major category was represented by government or non-goverment organization response which accounted for 1,341 articles. Overall, this analysis suggests that, even long after the beginning of the epidemic, the press continues to see AIDS as an important issue. However, the articles explaining scientifically the AIDS epidemic were very few. The majority of AIDS-related information was spread in consequence of sensational events. Further analysis of PWA coverage shows that most articles discussed news that could provoke a negative feeling towards HIV-infected patients among the general population.

Acquired Immunodeficiency Syndrome↗

Nutrition practices and knowledge of college varsity athletes: a follow-up.

The purpose of this study was to determine nutrition knowledge and behavior of division IA college athletes and to compare such knowledge and behavior with data from a similar survey conducted in 1992. Surveys with distribution instructions and statements of confidentiality were sent randomly to strength and conditioning coordinators (SCCs) at 16 universities. Survey results indicated that women (60.6%) received more nutrition information than men (49.5). SCCs and athletic trainers were the primary nutrition sources for men, whereas university classes and nutritionists were primary for women. Much information was obtained from arguable sources such as magazines, family members, and coaches. Only 3, 11.7, and 29.5% correctly identified recommended percents of total calorie intake for protein, fat, and carbohydrates, respectively. Thirty-seven percent correctly identified the role of vitamins and 54.4% for protein. Creatine and vitamin/mineral supplements were the most common for men and women, respectively. Despite previous recommendations regarding nutrition education of high-level athletes, diminutive changes have occurred in the past 6 years.

Adolescent↗

Nelson: management is a team effort.

Sally I. Nelson, CPA, is executive vice president, chief financial officer, and chief information officer for Texas Children's Hospital in Houston, the largest freestanding pediatric hospital in the United States. It is a part of Texas Children's Hospital and Integrated Delivery System (TCH IDS). Before joining the organization in 1986, Nelson served as a senior manager in the computer services consulting practice of KPMG Peat Marwick-Houston. Nelson recently was named a finalist in CFO magazine's national 2001 CFO Excellence Awards, the first CFO of a not-for-profit organization to be named a finalist since not-for-profits became eligible for the awards. She was cited for her accomplishments in managing expectations and relationships with the community and its leaders, government officials, Baylor College of Medicine, physicians, patients' families, hospital personnel, trustees of the hospital, and investors.

Cooperative Behavior↗

Three specialty hospitals discover 'special' formats.

Each of the winning entries in this category presents a high volume of information in a unique format. First place winner Woman's Hospital, Baton Rouge, La., uses a stand-up desk calendar. Miami Children's Hospital, Miami, Fla., uses a magazine format to round up the hospital's 50th anniversary activities. And, third place winner La Rabida Children's Hospital, Chicago, uses an information-packed set of note cards to spread the good word.

Annual Reports as Topic↗

Correcting the unfavorable outcomes following facelift surgery.

Although many deformities formerly observed after rhinoplasties are seen less because of more sophisticated techniques, the deformities that may occur after conventional facelifts seem to be growing by epidemic numbers because of the widespread and almost universal use of conventional facelift and blepharoplasty techniques. The unfortunate appearance of these patients is the fault neither of the surgeon nor of the patient, but frequently both get blamed. Throughout every step of the history of medicine there have been improvements made that cause the physician to abandon a technique or medications that clearly are shown to be suboptimal. Unfortunately, this has not happened with rejuvenative surgery. More sophisticated techniques like composite rhytidectomy have a steeper learning curve, take more time to perform, and require longer periods of convalescence for the patient. Many experts in aesthetic surgery continue to teach conventional techniques because the public does not seem to know the difference. Fashion magazine articles on aesthetic surgery promote simple and easy techniques without bothering to explain the unfortunate and minimal results that are obtained. The obligation of any surgeon doing aesthetic surgery is the same as any physician must have in any medical field. If any operation would give a patient a suboptimal or negative result, then attempts must be made to improve these techniques. Although traditional techniques will continue to be used, there are certain conclusions that can be made: 1. More people who have undergone plastic surgery are showing eventual signs of surgery that are neither attractive nor youthful. It is clear that results of conventional facelift techniques are not predictable and are often unfavorable. 2. Facelift deformities are not the fault of the surgeon but are natural byproducts of the techniques that are used. These techniques must be improved. 3. Composite rhytidectomy with orbital fat preservation as a primary procedure will create a harmonious facial rejuvenation that will disallow the appearance of unwanted deformities such as hollow eyes and the lateral sweep. 4. Composite rhytidectomy as a secondary procedure produces the most effective correction of the unintentional but unfavorable results that follow traditional rejuvenative surgery.

Female↗

[School hygiene in Wielkopolska from 1920 to 1939].

Between The First and The Second World Wars school hygiene was as important as other medical disciplines. In 1922 Stanisłow Kopczyński created an act which concerned sanitary demands for schools being built. The importance of the health and growth of children had been noticed. In 1931 there were 8 school doctors working in Poznań. At that time Poznań was one of four centres engaged in research concerning school hygiene (the other being Warsaw, Kraków and Wilno). A School Sanitary Science Department (E. Piasecki), Anthropological Department (A. Wrzosek, M. Cwirko-Godycki) and Orthopedic Clinic (W. Dega), all at Poznań University were involved. The scientific attainments of these departments was regularly presented at school doctors' meetings. A periodical magazine "Physical Education" (E. Piasecki) was published from 1920 to 1933. In 1939 "School hygiene" (M. Cwirko-Godycki) is was being published quarterly.

History, 20th Century↗

Jump starting the future health care work force.

One of the busiest and most important departments in health care organizations today is human resources. As the fear of staffing shortages is becoming less of a future threat and more of a reality for many, hospitals must become creative in their approaches to recruiting and retaining health care professionals. Over the next four issues, Michigan Health & Hospitals magazine will feature four programs that are particularly innovative and are getting results.

Area Health Education Centers↗

The skin we are in--knowledge and practices regarding skin cancer in pre-clinical medical students.

OBJECTIVE: To assess the level of knowledge about skin cancer in youth and to explore the influence of gender and system of education on their knowledge and practices. MATERIALS AND METHODS: A questionnaire-based study was conducted at The Aga Khan University Medical College (AKUMC), on Year 2 pre-clinical medical students. Descriptive analyses to examine the frequency distribution, chi-square test and factor analysis were applied using SPSS. RESULTS: Seventyone students participated in the study; 90% scored > 55% in the questions regarding knowledge of Malignant melanoma (MM), whereas in the questions assessing practice only 11% of the respondents scored > 52%. They were largely unaware that appearance of a new mole is a risk factor for MM (56% respondents incorrect) and that skin cancer is one of the most common cancers (54% respondents incorrect). 73% reported being sunburned at least once during childhood and 40% suffered sunburns at least once this summer, which points to the inadequacy of sun protection. The risk of MM may double if severe sunburns are experienced during childhood. Education system and gender did not affect the knowledge and practices. The popular sources of learning about skin cancer were magazines (52%) followed by television (42%). CONCLUSION: There is a need for epidemiological studies in Pakistani population regarding skin cancer. For preventing excessive solar exposure which leads to sunburns, we recommend interventions like a Pilot Program for photoprotection education and Sun Awareness Week to improve knowledge and sun protection behavior.

Adolescent↗

Creating healthy futures. 2000 NOVA Award winners.

Winners of this year's NOVA awards, sponsored by the American Hospital Association and H&HN magazine, all share a broad definition of health. These five stars of community benefit also understand that a community and a health care organization share responsibility for what creates health, and that collaborative efforts are the only way to sustain innovative programs.

Awards and Prizes↗