The techniques of magnetoencephalography (MEG) have advanced considerably recently with several major installations now being built or planned. In this paper, the present status of MEG within clinical medicine is evaluated and compared with that of other large diagnostic instruments. Deficiencies in present instruments and procedures are discussed. It is ...

A review of the state of current commercial vascular grafts and the types of tests proposed by the Association for the Advancement of Medical Instrumentation Vascular Prosthesis Draft Standard is presented. The philosophy of the standard and the types of products covered are discussed. Several areas requiring additional development are ...

We are all collectors--collecting and organizing information being a very important part of medical practice. Viewing and collecting medical data are just the same as collecting stamps, and the personal computer has made it much easier for us. But we must get started, decide what to collect and how to ...

The earnings of psychiatrists are substantially lower than the earnings of physicians in procedurally oriented and surgical specialties of medicine. The authors offer evidence, however, that when it is compared to other cognitive medical specialties, such as pediatrics and internal medicine, psychiatry is the highest paid specialty on an hourly ...

In keeping with efforts made during the 1970s to achieve a better balance between supply and demand on the employment marker for doctors, several detailed prognoses have been produced for the future development of supply with regard to sex and age structure, mortality, early retirement, frequency of emigration, specialist distribution ...

Although the medical literature describes the perioperative use of antibiotic irrigations in abdominal, pelvic, orthopedic and vascular surgery, the lack of well-designed and executed, controlled clinical studies often precludes a definitive assessment of the value of this technique. Future randomized, double-blind, controlled clinical trials are required to establish its merit. ...

The background to, initiation of and development of Balint work in the RSA over the past decade is described and discussed. Special reference is made to the establishment of Balint groups in various centres. The formation of the South African Balint Society, its activities and its place in the South ...

Pathology in general and histopathology in particular has recently spent some years in the doldrums associated with loss of purpose, direction, enthusiasm and credibility. The historical reasons for this and the reasons for recent emergence from this phase are to be used as a base for identifying needs for the ...

A medical group considering the possibility of becoming involved with a PPO faces a host of challenges. The author of this article firmly believes that medical groups today are prime candidates for this emerging alternative delivery system. The evolution and future of PPOs, advantages and disadvantages, and strategies during start-up ...

Two developments of major importance followed Pasteur's discovery of anaerobiosis: Lister revolutionized surgery by recognizing the importance of Pasteur's germ theory of disease and by introducing the antiseptic surgical method. The day of the anaerobe hunter had dawned. The discovery of many anaerobic bacteria linked etiologically to human disease followed, ...

The most important determinants of the functional ability of an amputated part are proper patient selection and the recognition of vascular compromise. Ideally, a well-performed anastomosis should need no pharmacologic assistance, but the ideal is often the exception. The authors present an empirical approach to use of anticoagulation medication.

Respondents to a mass media cardiopulmonary resuscitation (CPR) recruitment campaign in Harris County, Texas were more likely than non-respondents to be White, female, and under 45 years of age, to have had previous CPR training, experienced an incident in which knowledge of CPR might have been useful, or to have ...

The history of ventilation is reviewed briefly and recent developments in techniques of ventilation are discussed. Operating features of ventilators have changed in the past few years, partly as the result of clinical progress; yet, technology appears to have outstripped the clinician's ability to harness it most effectively. Clinical discipline ...

By broadening your knowledge of healthcare delivery systems, you can grow as a healthcare administrator and play a larger leadership role in healthcare planning for the future at the local, state, and even national levels. Overseas conferences sponsored by the American College of Medical Group Administrators (ACMGA) provide a unique ...

With the exception of academic pathology and specific subspecialty areas, manpower in pathology is currently in a state of apparent equilibrium between supply and demand. Exogenous influences, and especially an influx of Americans who have attended foreign-chartered medical schools, could disturb this apparent equilibrium. Other key manpower issues with respect ...

Prepaid medical practice, bolstered in its growth over the past eight years by government legislative and financial support, is currently at a unique crossroad. Confronted with a reduction in federal support as a result of the 1981 amendments to the HMO Act, and faced with an undefined investment commitment from ...

Questionnaire III of the National Study of internal Medicine Manpower was directed to a random sample of residents (and subspecialty fellows) in the spring of 1977. Residents were classified according to whether they sought careers as predominantly general internists (49%) or subspecialty internists (51%), and the two groups were compared. ...

Medical education and practice have been changed markedly by the success of biomedical research in recent decades and by the increasing role of government in medicine. The future physician will require a strong background in the basic medical sciences as well as highly developed clinical skills. He will need the ...

From the inauspicious beginning arising in the aftermath of a reactor accident in 1957, in vivo analysis of body elements by neutron activation has become an important tool in medical research. In particular, it provides a much needed means to make quantitative assessments of body composition of human beings in ...

The interaction between speakers, audience, and chairmen was studied by 13 investigators during a medical meeting at which 356 free papers were given before a total audience of 2483 in 48 sessions. A protocol was used to score 21 questions relating to the presentation, 15 to the chairman of the ...

Two crop spraying accidents are described briefly; the first straight-forward and the second complicated by toxic effects of the pesticide on the salvage party and others. These are discussed, and it is suggested that better liaison between doctors and engineers, expert toxicological advice in the field, together with medical supervision ...

Through the aid of a questionnaire, a group of prospective donors, donors and ex-donors was studied. The most important incentive to become a donor was the direct approach by another donor. The most important motives were altruistic in nature and the medical check-up which is a part of donation. The ...

One thousand forty-three patients made 2,750 visits to the Vulvar Clinic at the Milwaukee County Medical Complex from July, 1970, to July, 1978. This experience is analyzed and the various diseases are grouped in order of frequency. The results shed light on those vulvar problems most likely to be encountered ...

The history of orthopedic surgery in Canada is briefly reviewed. It appears that the problems which were posed in the 1960s and early 1970s have diminished in importance. They related to the shortage of orthopedic manpower and to the lack of a sound scientific base within universities. There appears now ...

With the aim of aiding primary prevention of parasuicide by Samaritans, a study of 325 parasuicide patients admitted to hospital was undertaken to discover the extent of knowledge about Samaritans, the proportion of patients who had contacted Samaritans and the reasons why the remainder had not done so. Ignorance about ...

Data is presented from 1019 antenatal ultrasonic cardiographs performed on 391 patients; uterine contractions were not monitored concurrently with the fetal heart rate (FHR). No fetal deaths in utero or preterminal FHR patterns were seen within 24 hours of a normal trace. A comprehensive classification of FHR patterns is presented.

The author examines the reasons that have been offered in support of a pressimistic appraisal of psychiatry's future. The consequences for psychiatry of increasingly detailed knowledge of the interaction of psychological and physiological processes are emphasized, and the author concludes that psychiatry will continue to play a dominant role in ...

The contribution of Frederic Hewitt (1855-1916) to the development of the specialty of anaesthesia is acknowledged and his reasons for becoming an anaesthetist explored. Three hundred and forty-nine replies to a questionnaire on professional philosophy, status and training sent to 676 anaesthetists who joined the Association of Anaesthetists of Great ...

Effective topical sunscreens are available in Australasia, but are some more effective and acceptable than others? For those who demand an early tan and longer protection there still remains some hope that effective topical applications may become available. Acute sunburn must be assessed from a general medical viewpoint. Severe sunburn ...

The portion of the pre-axial region of the wing bud anterior to the cranial boundary of the skeletogenous territory of the stylo-zeugopod, according to Stark and Searls' recent maps, was surgically isolated in chicken embryos of the stages 18-25, and autoplastically grafted to the dorsal surface of the hind-limb bud ...

The social worker in health settings in the future will have more medical knowledge that affects his practice, be a more active psychosocial counselor, and be prepared to work in group practice that includes a number of disciplines. The social work department of the future will be organized in a ...

The possibility of significant alterations in the microbial populations inhabiting the integument and upper respiratory tract of space flight crew members has been proposed by various authors. The Apollo-Soyuz Test Project (ASTP), a unique space flight in which two teams of crew members from different geographical areas joined in space, ...

Illnesses related to both the pharmacologic properties of abused substances and their methods of administration often bring the teenager to medical attention and may provide sufficient motivation for the adolescent to seek help beyond the acute problem. Successful treatment of an overdose reaction, an abstinence syndrome, or any other medical ...

When a couple become erotically pair-bonded, whether for a night or a lifetime, they are by definition committed to each other erotically. That is the minimum. The degree varies. The commitment may be limited to the proceptive phase of solicitation or courtship, or it may include the acceptive phase of ...

At present, relatively little national data are available concerning the involvement of social workers in medical education. This article presents the results of a study conducted recently to obtain a comprehensive, up-to-date profile of graduate-level social workers teaching in medical schools and to survey the opinions of medical school deans ...

The present sets of studies indicate that the fibrous capsule which encloses each tissue module divides the interstitial fluids into an intracapsular pool, and an extracapsular pool. Fluid that filters out of the capsules into the extracapsular clefts is the source of the lymph. Because of the limited permeability of ...

The role of the autopsy in modern medical practice is reviewed in the light of waning clinical interest. After a historical introduction, the reasons for this lessening interest in the autopsy, its values and its limitations are discussed, and followed by consideration of the possible future pattern of postmortem investigation.

This paper is an account of the accomplishments of some of the early past presidents of the Medical Library Association known personally to the author in his career as a medical librarian. It demonstrates the qualities that made these librarians leaders of our profession and also indicates their personal attributes ...

In this brief survey of the medical uses of hypnosis the author attempts to clarify the various theories of hypnosis, indications for its use in medical practice, and applications in the treatment of psychosomatic disorders, psychiatric disorders and in miscellaneous cases. Brief descriptions of a variety of induction methods are ...

Choriocarcinoma commonly presents with symptoms resulting from metastases in the lungs, central nervous system, or alimentary tract. This tumour may occur without any gynaecological symptoms and when pelvic examination and uterine curettage show no abnormality. Several years may elapse between the antecedent pregnancy and presentation with metastatic disease. The ability ...

Chronic leg ulcers often present as a chronic open wound with surrounding eczematous skin. Paste bandages are widely used to treat such ulcers and their associated skin conditions, but can often lead to hypersensitivity reactions leading to contact dermatitis. This product focus features Steripaste (Seton Healthcare) which is a new ...

The Mercury and Gemini space flights have provided approximately 2,000 manhours of weightless exposure which can be used in comparing flight results with the predicted effects of manned space flight. In general the environmental hazards and the effects upon man appear to be of less magnitude than originally anticipated. The ...

I have tried to trace the new drug development pattern from 1766, when Withering obtained his medical degree, to the present. The role of governmental authority as defined by the 1962 Kefauver-Harris amendments to the 1906 law and the subsequently issued regulations has been summarized. Four phases of testing in ...

Only lack of imagination can now limit the possibilities in the expansion of library service. As part of the medical team the librarian's future is of greater importance than ever before. Communication can soon provide information to all members of the medical group regardless of location. It is through use ...