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At least 19 recordsLinked to original sources

[The medicine chest of Roald Amundsen in 1914].

This historical medicine chest evidently has not been used, and its contents are nearly complete. Practically all medicines for internal use were dispensed in tablet form, which was very advanced for that time. The chest also contains a manual with short descriptions of illnesses and injuries and how to treat them, accompanied by an inventory. The medicine chest and accompanying booklet were compiled in a systematic way for easy access, and provide an interesting review of medical and pharmaceutical knowledge at that time. Many of the compounds are in surprisingly good condition after 75 years. Some of them have been analysed for active ingredients, and were shown to contain from 0 to 79% of the declared content. The composition of the medicine chest is based on 19th century traditions for ships' equipment, but compared with a 20 years older specimen it seems advanced. The medicine chest is located in Roald Amundsen's Home at Svartskog near Oslo.

Cold Climate↗

Portable medicine chests in Serbia during the 19th and the first half of the 20th century.

Portable medicine chests could be considered as the oldest type of pharmacy in the 19th century Serbia. Historically their emergence could be associated with the appearance of the first physicians who kept post in Serbia. They were foreigners engaged on a contract to work during the reign of Prince Milos Obrenovic. According to the data preserved at the State Archive of Serbia (Chancellery of the principality, State Council, Home Office - Medical Department), medicine chests existed as late as the middle of the last century. They were an important source for health protection of the Serbian people as well as for distribution of drugs during the course of the 19th century. This article aims to analyse the content of these chests, based on the archive data records referring to the regular supervision of the medicine chests conducted every fourth year by the district physician. The legal aspect of keeping the portable medicine chest will be discussed as well.

History of Pharmacy↗

Home mechanical ventilation in Sweden, with reference to Danish experiences. Swedish Society of Chest Medicine.

The Swedish Society of Chest Medicine has started a national register of patients on home mechanical ventilation, to establish reliable national prevalence data and to accurately document patient and treatment characteristics to enable a scientific evaluation of this treatment. In this first collection of retrospective register data, covering patients on home mechanical ventilation at the register start on 1 January 1996, we found 541 patients, corresponding to 6.1/100000 inhabitants, using home mechanical ventilation. Non-invasive ventilation, night-time ventilation and volume controlled ventilation dominated. We found four diagnosis categories of approximately equal size, namely post-polio, chest wall deformities, neuromuscular diseases and 'other diseases'. The age distribution was bimodal, with one small peak in the 20-29 year group and a large peak in the 60-69 year group. A survey of Danish patients on home mechanical ventilation showed that they were considerably younger and that almost half of them suffered from neuromuscular diseases. Further work will be done to follow the situation in Sweden and in Denmark to elucidate the obvious differences in the selection of patients for home mechanical ventilation.

Adult↗

Ship's medicine chest on Yugoslav ship.

An insufficient medical care during sea voyage presents a great risk for the health and life seafarers at sea. Apart from an appropriate education of seamen, radio-medical services, and a good medical guide, ship's medicine chest is an important component of the primary health care on ships. The standardization and unification of these medicine chests, which all major maritime countries except Yugoslavia have already accepted, is essential. The authors present a proposal for the standardization of the list of drugs carried on Yugoslav ships.

Naval Medicine↗

[The medicine chest handed down in the Takaya family, doctors of Sendai-han].

There is a medicine chest with design of Chrysanthemums in Makie made for Edo-era and handed down in the Takaya family, doctors of Sendai-han. Many kinds of crude drugs, named by one Chinese character, are kept in this chest. They were classified into three types, namely, [Japanese characters]. Identification of these crude drugs was carried out and the meaning of the classification was brought up as a question.

History, 19th Century↗

[Coronet status of digital radiography in chest medicine].

It has been ten years since Computed Radiography (CR) was introduced to evaluate its efficacy on the diagnosis of chest diseases in Japan. Over 600 CR systems are in their daily clinical use. CR images improve the quality of chest X-ray diagnosis with its enhancement parameters, that is, the digital image's contrast and edge enhancement. In daily clinical work, however, some abnormalities on the images, such as infiltrative shadows and fine miliary shadows, have shown CR imaging to have no superiority in visualization compared to conventional X-ray films. The quality of CR images greatly depends on the reconstruction algorithm. The diagnostic system of CR images using CRT monitor and workstations will be warranted in order to make the CR system the optimal and most useful modality in chest medicine. The CR system is potentially applicable in Picture Archiving and Communication System (PACS).

Humans↗

Guidelines of the French Speaking Society for Chest Medicine for management of malignant pleural mesothelioma.

Previously considered as a rare tumor, malignant pleural mesothelioma (MPM) has become a very important public health issue. In fact, MPM is a tumor with a poor survival, and its incidence is expected to continue to increase for at least the next 10 years. Asbestos exposure is the main factor involved in MPM pathogenesis. The diagnosis of MPM may be difficult because of differential diagnosis such as pleural benign disease induced by asbestos exposure or pleural metastasis of adenocarcinoma. Management of patients with MPM also remains complicated because they are often referred for evaluation late in the evolution of the disease. Moreover, MPM exhibits a high resistance to radiotherapy and chemotherapy; only few patients are candidates for radical surgery. New therapeutic strategies such as gene or cell therapy are still on clinical trial. Therefore, an optimal treatment of MPM is not clearly defined yet, despite the introduction of recent drugs. Between April 2005 and January 2006, the French Speaking Society for Chest Medicine (SPLF), in collaboration with other French scientific societies, brought together experts on mesothelioma to draw up recommendations in order to provide clinicians with clear, concise, up-to-date guidelines on management of MPM, presented in this report.

Analgesia↗

The medicine chest.

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History of Pharmacy↗

[A pilot study of nursing activities on the Chest Medicine Ward at KMCH].

The current study sought to establish a preliminary patient classification system by determining how much time nurses spend each shift on their various activities. In this way we hoped to determine the direct care needs of the patient. From August 11 through the 17, snap-shot observations on the Chest Medicine Ward of Kaohsiung Medical College Hospital were taken every five minutes throughout the day to evaluate nursing activities and health care needs of patients. After employing such statistical techniques as percentage comparison, One-way ANOVA on the collected data, we gained a preliminary understanding of the distribution, characteristics, extent and nature of nursing activities. The results demonstrated that the average working hours of the day shift and the evening shift are 8.13 and 8.05 hours respectively. The night shift may be as long as 8.52 hours. Our studies also revealed that the most demanding nursing activity is indirect care (50.73%), direct care (29.39%), individual time (13.73%) and related activities (6.15%) follow. In the direct care of patient, nurses devoted most of their time monitoring vital signs, administering medication, assisting in examination and treatment, caring for, and communicating with patients. On hygiene, physical movements and the clean up of body discharges were mostly devoted by patients and families.

Female↗