The significance of 'Beyond the pleasure principle' (BPP) cannot be understood by focusing solely on its manifest content. BPP is the product of theoretical displacements and compromise formations the motivation for which lies in the innovations introduced in 'On narcissism'. These innovations threatened assumptions about conflict and rationality inherent in ...

The force required to remove three self-threading retention pins from amalgam and the pin length for optimum retention was determined. Link series TMS Minuta, TMS Minikin, and TMS Minim pins were tested; Minim pins were tested at various lengths. The amalgam materials used were representative of a high-copper admixture type ...

A patient is described with features of both bullous ichthyosiform erythroderma (BIE) and ichthyosis bullosa--a separate entity first described in 1937 by Siemens. This combination of characteristics has not been previously reported. Bullous ichthyosiform erythroderma and ichthyosis bullosa of Siemens, occurring together in this patient may best be regarded as ...

The formulation of clinical decisions based on evidence requires the ability to locate information and evaluate it critically. A ten-week critical appraisal course for third-year medical students, taught cooperatively by library and Department of Medicine faculty, integrates education in the selection, evaluation, and application of information to patient care. The ...

A survey of users of PsycLIT and MEDLINE on CD-ROM was performed at an academic medical library. The questionnaire was designed to gather information about the user population, satisfaction of the users, the assistance needed to use the systems, and the type of searches being performed. The majority of users ...

Presented are three patients with Wenckebach type second degree AV block that was complicated with AV nodal reentry producing different arrhythmias. The common presentation of manifest AV nodal reentry is an incomplete Wenckebach periodicity, whereby the retrograde impulse interrupts the Wenckebach cycle; rarely, the retrograde impulse initiates an AV junctional ...

The caliber of the librarian is a health sciences library's most important resource. This paper explores factors which have influenced who has, or who has not, entered the profession of medical librarianship, and discusses several attributes which the author considers critical for restructuring the profession to meet current and future ...

Principles of library planning and a review of the literature in relation to the planning of a new library for the Royal College of Surgeons in Ireland are discussed. The role of the Librarian with regard to planning, the importance of the Library brief, the impact of technology on library ...

Observations made during a study of intermittently catheterized spinal cord injured patients suggested that leukocyte counts yield higher results in aliquots of terminal-catheter urine (TCU) than in midstream-catheter urine (MCU) or suprapubic aspirate (SPA). The purpose of this study was to confirm that observation, to examine the relationship of leukocyte ...

Ten mechanical valves (TAD 27 mm): Starr-Edwards Silastic Ball, Björk-Shiley Standard, Björk-Shiley Concave-Convex, Björk-Shiley Monostrut, Hall-Kaster (Medtronic-Hall), OmniCarbon, Bicer Val, Sorin, Saint-Jude Medical and Hemex (Duromedics) are investigated in a comparative in vitro study. The velocity and turbulent shear stress profiles of the valves were determined by Laser Doppler anemometry ...

While females are still underrepresented as directors overall, the results of our survey indicate that in the past ten years female library directors have been hired in numbers nearly matching their overall percentage of the medical library profession. When the personal characteristics of medical library directors are compared by gender, ...

lac permease with Ala in place of Glu325 was solubilized from the membrane, purified, and reconstituted into proteoliposomes. The reconstituted molecule is completely unable to catalyze lactose/H+ symport but catalyzes exchange and counterflow at least as well as wild-type permease. In addition, Ala325 permease catalyzes downhill lactose influx without concomitant ...

The latest release of GRATEFUL MED offers medical libraries an opportunity to monitor searching patterns of end users searching the databases of the National Library of Medicine (NLM). A GRATEFUL MED use log records information from each search session. Analysis of the log from a recent beta test program at ...

Faculty development is a training process that strives continually to improve the creativity, productivity, and longevity of individuals committed to the practice of academic medicine. Information pertinent to faculty development is contained in textbooks scattered throughout the medical literature. From a more than 80-volume personal library, a list of 15 ...

Thymidine (TdR) and its analogue, iododeoxyuridine (IdUdr), were used to quantitate nucleoside re-utilisation in vivo. Significantly different results obtained, however, depending upon what form of isotopically labelled iododeoxyuridine is used. No measurable local thymidine re-utilization was found in mouse thymus, spleen or bone marrow when the retention of [3H]IdUdR was ...

The National Library of Medicine's (NLM) monographic resources in the medical behavioral sciences (MBS) were examined to assess NLM's ability to support the needs of researchers writing in this area. A sample of 239 representative monographs derived from citations in MBS-related articles published in 61 journals in 1981 were evaluated. ...

The medical library of the Olin E. Teague Veterans' Center needed access to an online integrated library system at a site eighty miles away. The center already operated a tower-to-tower microwave for teleconferencing and the library was able to use this as a temporary means of communication with the distant ...

The allocation of reference services between primary and secondary users constantly challenges academic medical libraries. Routine statistics at a medical school branch library suggested that over 40% of its reference transactions involved persons not affiliated with the university. To investigate this finding, a survey of reference activity was conducted using ...

Employee absenteeism is a problem faced by all library administrators. This paper describes the development, implementation, and results of a program to discourage absenteeism at the Moody Medical Library of the University of Texas Medical Branch at Galveston. The important role of library administrators and supervisors in controlling absenteeism is ...

Finns have used the sauna for centuries to clean themselves, to maintain their health and even to help in treating a variety of ills. Up to this century the sauna was widely used as a place for childbirth. But the main reason for a sauna is the pleasure of sauna ...

The Oedipus complex of Freud is based on the inevitability of the tragic fate of a man who fled his home to escape the prophecy of parricide. Thus, he fulfilled it by killing a stranger who proved to be his father. As Freud does, this consideration of the tragedy of ...

The St. Jude Medical prosthesis has become one of the most widely used mechanical heart valves because of its excellent haemodynamic function. Although subclinical haemolysis has been described with this prosthesis, there has only been a single report of frank haemolysis in the absence of a paravalvular leak. We report ...

In March/April 1986, the medical library at McGill University in Montreal, Canada signed a cooperative agreement with the China Medical University (CMU) Library in Shenyang, China. This paper analyzes the operations of the CMU library within the context of the Chinese system of medical education, health care delivery, and medical ...

The National Library of Medicine (NLM) has a broad mission in biomedical information service. There are three major reasons for NLM, as a national institution, having an international program: first, the global nature of disease; second, the international scope of medical literature; and third, the universal goal of better communication. ...

Popularity of the personal computer has prompted physician interest in direct access to the medical literature from sophisticated electronic data retrieval systems. This paper describes the educational programs developed by the library at the George Washington University Medical Center in response to this interest and growing national trend. As a ...

The Selective Medical Library on Microfiche (SMLM) project is designed to improve access to the world's significant biomedical literature in developing countries' medical school libraries through the provision of a first-rate, low-cost core collection of journals. One hundred and five journals representing thirty-six biomedical specialties were selected using a method ...

The evolution of today's information age is mirrored in the growth of the National Library of Medicine's bibliographic services: from the pioneering work of the Library in the last century to develop Index Medicus, to developing the innovative computerized MEDLARS system in the early 1960s, to the easily searchable on-line ...

Various cranial and facial measurements were taken on 300 adult skulls available in the Department of Anatomy, S. N. Medical College, Agra and the cranio facial indices were calculated. When the measurements were statistically analysed, we have found a positive correlation between the basion prosthion length and the maximum cranial ...

In order to study the formation of the sacrum during the primate evolution, a new way of numbering mammalian vertebrae is presented; this demonstrates that the thoracolumbosacral complex is fixed at 22 vertebrae in 80% and at 22 +/- 1 in 100% of the cases. The shift of a vertebra ...

The low-molecular-weight heat-shock protein HSP23 is synthesized in the absence of heat shock during Drosophila development. Here, I present a quantitative analysis of this phenomenon and describe the cellular localization of this protein during normal development and after a subsequent heat shock. HSP23 is first detected in the late third ...

This paper gives a brief overview of medical education in Turkey and shows the impact of established social, educational, and economic patterns upon current medical library services. Current statistical information is given on the twenty-two medical school libraries in Turkey. Principal problems and chief accomplishments with library services are highlighted ...

Medical attention was sought for a 23-month-old toddler because of anorexia, weight loss, irritability, profuse sweating, peeling and redness of his fingers and toes, and a miliarial rash. The diagnosis was mercury poisoning, and an investigation of his environment disclosed that he had been exposed to mercury from broken fluorescent ...

The Upstate New York and Ontario MLA surveyed its members to determine which libraries are conducting retrospective conversion projects and their reasons and methods. All academic and medical school libraries that responded are converting, but only 16 of 39 hospital libraries and 14 of 23 other libraries have such plans. ...

In 1985, the Kansas City Veterans Administration Medical Center began implementation of the Decentralized Hospital Computer Program (DHCP). An integrated library system, a subset of that program, was started by the medical library for acquisitions and an outline catalog. To test the system, staff of the Neurology Service were trained ...

The midpiece of Thyone sperm contains a large mitochondrion and a centriolar pair. Associated with one of the pair, i.e., the basal body of the flagellum, are satellite structures which apparently anchor the flagellar axoneme to the mitochondrion and to the plasma membrane covering the midpiece. Immediately before and as ...

The purpose of this paper is to describe the design and development of the Clinical Practice Library of Medicine (CPLM). CPLM is an investigational project aimed at providing health care practitioners with critical in-depth information similar to that obtained from a medical reference library or consultant. When used in conjunction ...

Over the course of the next twenty years libraries will be undergoing significant retooling so that they can move beyond their traditional roles and become the manager of the medical center's information network. As libraries automatic, the role of the medical librarian will change. To manage the change with ease ...

This is an excerpt from the script of a 1939 play provided to the Institute of Social Medicine and Community Health by the Library of Congress Federal Theater Project Collection at George Mason University Library, Fairfax, Virginia, pages 2-1-8 thru 2-1-14. The Federal Theatre Project (FTP) was part of the ...

This article suggests that a part-time work schedule is one way for a working mother to manage the demands of career and family. The advantages and disadvantages of part-time work are identified for both the employee and the employer. A case study is used to illustrate how reference librarians in ...

Provenance is defined as the record of a book's ownership history. Its value and uses are explored. A survey of provenance practices in medical school rare book libraries found that only 21% of the reporting libraries maintain this important file. Examples of the uses and value of a provenance file ...

Medical informatics attempts to provide the theoretic and scientific basis for the use of automated information systems in biomedicine. Even though a new field, its roots are in the 19th century. The National Library of Medicine (NLM) began classifying the medical literature and publishing the Index Medicus in 1897; in ...

The classic function of health sciences libraries is to build and maintain a knowledge base and to provide timely access to that collective memory for the purpose of learning, teaching, caring for patients, conducting research or managing an organization. The formats and representation of that knowledge base are changing rapidly, ...

The National Library of Medicine originated as a few books in the office of the army's surgeon general, Joseph Lovell, between 1818 and 1836. It became the nation's largest medical library after the Civil War under the direction of John Shaw Billings and began publishing the Index-Catalogue of the Library ...

Two basic types of models, conservative and replicative, have been proposed to account for the mechanism of transposition in bacteria. A method was developed to test these models by positive selection of various transposon-promoted events as galactose-resistant colonies from plasmid-containing cells. The results show that recA plays an important role ...

The results of a recent perceptual study (W. Ziegler & D. von Cramon, 1985, Anticipatory coarticulation in a patient with apraxia of speech. Brain and Language 26, 117-130) provided evidence for disturbed coarticulation in verbal apraxia. Further support for this finding is now provided by acoustic analyses. Formant frequencies and ...

This chronological review of the Bulletin of the Medical Library Association deals with the years 1911 through 1985. The Bulletin has had nineteen editors, from Marcia C. Noyes and John Ruhräh, M.D. (1911-26), through Susan Crawford, Ph.D. (1983-1986). This paper describes the Bulletin's gradual expansion in size and contents, the ...

This study sought to determine where drugs that are known to alter sensorimotor reactivity measured with the acoustic startle reflex ultimately act within the acoustic startle pathway. To do this, startle was elicited either acoustically or electrically within various nuclei believed to comprise the acoustic startle pathway. Direct infusion of ...

This paper offers an analysis of and some predictions for the fields of library education and medical librarianship. The recent past of education for medical/health sciences librarianship is outlined, with emphasis on the changing nature of the library school, its faculty, and its students. The present situation is described, with ...

This paper provides an overview of the National Health Service in England, including its history, its present structure, and factors that make it different from the U.S. health care system. The NHS libraries and librarians are discussed. The NHS is divided into fourteen regions in England. Three specific NHS libraries ...

Elucidation of dorsal/ventral polarity and primary embryonic axis development in amphibian embryos requires an understanding of cytoplasmic rearrangements in fertile eggs at the biophysical, physiological, and biochemical levels. Evidence is presented that amphibian egg cytoplasmic components are compartmentalized. The effects of altered orientation to the gravitational vector (i.e., egg inversion) ...