Of examined patients in medical practice in this study 12.3% presented with neurological disease or health problems involving neurological questions or approach. In acute cases neurological problems (15.5%), occurred more often than in chronic ones. This high neurological workload in general practice has to be taken seriously into consideration in ...

Some believe that there is an entrepreneur inside every one of us just waiting to get out (and get rich!). Others counter with the old saw that physicians make poor businessmen and businesswomen. Although we tend to laugh at old saws, they often provide significant insight. Thus, when considering becoming ...

Several studies have indicated that differences in medical practice are often an important factor behind variations in resource utilization. 'Practice', in medical contexts, is used as a comprehensive expression for what is regarded to be adequate care, considering science and proven experience, as well as present resources, demography, organization, and ...

Increases in both the cost of medical care and the numbers of providers have generated strong pressure for competition in the medical profession. The Federal Trade Commission strives to maintain such competition free from public and private restraints in order to maximize consumer welfare. The author describes the advantages of ...

Even after a buyer for a medical practice has been found by a hospital's medical practice development team, potential problems could arise. Financing arrangements have been taken care of by the development team, but legal, operational, and additional financial issues still remain and must be addressed before the acquisition is ...

By the year 2000 nearly 60% of practicing obstetrician-gynecologists will have graduated from medical school after 1975 and been in practice 20 years or less. At the midpoint of that era we estimate and examine the numbers of such specialists (more than 40,000 by the year 2000), the percentage of ...

On the basis of his practice the author presents the problems and various conditions of medical care on passenger ship. The subject of the present analysis are the reasons of the morbidity, a special attention is paid to the prevalence of the diseases affecting respiratory tract, skin, and traumas and ...

The proliferation of alternative health care systems in the United States raises numerous policy issues involving (1) those providing and receiving alternative services and (2) the established medical care system. This paper identifies some of these issues by examining an alternative system of independent (lay) midwifery and, in particular, midwifery ...

Practice growth is related to more than the encounter between the patient and physician. Those other practice contacts and exposures involving the staff, the bill, and the medical office environment can impact a medical group practice's growth. At CMC, initiatives taken by its leadership to address these encounter points have ...

After 11 years of private practice this primary care physician objected to such growing distractions as increasing paperwork, governmental control, and liability concerns. His work consumed so much time that he had little left for his personal life--most importantly, his wife and children. He therefore made the decision to join ...

This paper reviews reports of the effects of clinical evaluations on physician awareness and behavior. Among the reviewed papers, there are 28 studies of the effect of specific randomized clinical trials (RCTs) on 19 different medical practices. After analyzing these 28 papers, there remain two (7%) where the RCT has ...

There is little information about the extent of contact between heroin users and medical facilities. In this study of heroin users from general practice we found an increase in the attendance of patients after the onset of heroin use and that a high proportion of appointments were made at general ...

The effects of brief psychological intervention on rates of medical utilization were investigated in a family practice clinic. Patients referred to the psychology service served as experimental subjects. These subjects underwent psychological assessment and treatment from supervised clinical psychology externs in joint working arrangements with family practice residents. Control subjects ...

Our research team has reviewed the practice of traditional craniotomy by the ababari emetwe (craniotomists) of the Kisii tribe of Kenya through interviews with a number of craniotomists and their patients over a period of several years, and through observation of a number of the operations. Cultural background, rationale and ...

A group of frequent attenders at a general practice surgery have been studied by comparison with a group of age-and sex-matched controls. Frequent attenders are distinguished by a high predisposition to neurotic illness (as measured by the ;N' score of the Eysenck personality questionnaire) and a high prevalence of affective ...

Previous research has tended to equate lay midwifery with demedicalized care. This paper analyzes how licensed lay midwives in Arizona have been pressured towards a more medical model of childbirth. Licensing has affected midwives' beliefs and practices through increasing their exposure to medical definitions of childbirth and making them legally ...

In anesthésie-réanimation, a discipline that brings together anaesthesiology and emergency as well as intensive care, the managerial methods of evaluation and control of needs in personnel, were not adequate for describing medical practices. Around four managerial standards that were used by the Paris public hospital administration, new situations have crystalized. ...

Placebo - the promise to please the Lord of medieval prayer became the "pious fraud" (Thomas Jefferson) of late 18th century medical practice. Quoted here is Rétif de la Bretonne (1734-1806), one of the most prolific novelists and popular encyclopedists ever, also highly regarded by some illustrious critics, as he ...

In this article, the authors explore the evolving concepts and procedures for developing clinical faculty practice plans in a university setting. The objectives of a clinical faculty practice plan are reviewed in the context of the initial planning process, which must be undertaken in order to develop a successful plan. ...

The trend in the provision of medical care to large-scale organizations is clear. While this has been most conspicuous in hospitals, nursing homes, and renal dialysis treatment centers, it is gathering momentum in the practice of medicine itself. The competitive pressures for cost containment, the ability of large medical organizations ...

The author draws on personal experience and a review of the literature to summarize the current state of psychiatric practice and education in Saudi Arabia and its relationship to other medical specialties. Although psychiatry is not accorded the status that it has in the West and there is a drastic ...

Because the proportion of Hispanic patients is increasing rapidly, most physicians are now coming into daily contact with Hispanics. In addition to obvious difficulty with oral communication, Hispanics share characteristics, in varying degrees, that may interfere with their search for medical help, the diagnoses of their illnesses, therapy, and health ...

When a scientifically trained health professional is called upon to deal with patients holding differing causal views of illness, the resulting lack of communication is frustrating to both. This discussion traces some implications for medical practice of significant cultural differences in two aspects of causal paradigms of illness: (1) terms ...

We present 3 patients who developed empyema of the gallbladder after admission to the medical ICU for diseases unrelated to gallbladder pathology. Empyema of the gallbladder developed during a prolonged stay in the ICU. Modern intensive care practices may predispose the gallbladder to localized, discrete sepsis. Cryptic biliary tract disease ...

The aim of medical audit is to improve the effectiveness and efficiency of medical care. Achieving this aim may involve a cycle of activities: (i) observing practice; (ii) setting a standard of practice; (iii) comparing the observed practice with the standard; (iv) implementing change; and (v) re-observing practice. This paper ...

In the early 1900s, a theory that constipation (stasis) led to systemic dysfunction became popular, Sir Arbuthnot Lane was largely responsible for the popularity of this theory, which was constructed entirely on unfounded hypotheses. As a result, colon bypass or colectomy was done for indications ranging from lassitude to epilepsy. ...

Recent studies of marriage focusing on the development of marital intimacy and its role in the family as it influences emotional and physical health are reviewed. Marital pathology is increasingly presented in diverse and often covert ways to almost all physicians. Specific suggestions for the detection of marital discord in ...

The ancient Oriental art and science of acupuncture, known in the U.S. for a decade, still is practiced here only to a limited extent and does not seem likely to spread. The primary reason, this article hypothesizes, is the stifling effect of acupuncture regulation, which typically prohibits trained nonphysician acupuncturists, ...

The theses of this paper are that (1) the practice of medicine has become more formally rationalized in the past century; (2) this rationalization process has been retarded by the professional aspects of medical practice, e.g., the service ethic and the medical profession's exclusive jurisdiction over medicine; (3) this retardation ...

Cao gío is the Vietnamese practice of rubbing the skin with a coin to alleviate various common symptoms of illness. The back, neck, head, shoulder, and chest are common sites of application. Although mimicking the lesions of trauma, it is not a harmful procedure, and no complications are known. A ...

Investigated the characteristics predictive of long-term stay in private practice psychotherapy in a population of 64 "long-term" clients (remained longer than 25 sessions, mean = 47 sessions) and 88 "short-term" clients (terminated before 25 sessions, mean = 7 sessions). Data consisted of T-scores on the intake MMPI and two variables ...

Interviews with 402 randomly selected health professionals identified the information habits health professionals used to stay abreast of current advances in medicine. The use of various information sources was related to such factors as their type of practice, specialty, location of practice, professional's age, and the size of their primary ...

The study examines changes in location of osteopathic and medical doctors in a 20-county area of rural Missouri over a 14-year period. Losses of osteopathic physicians were greater than medical doctors. However, there was a convergence over the 14-year period in background characteristics of the two types of physicians. The ...

In the late 1880s it became apparent in Louisiana that leprosy was endemic in the southern part of the state. Initially, the intention was to establish a leprosy hospital in the city of New Orleans, close to medical facilities, and where the bulk of the patients were to be found. ...

Four medical centers collaborated in the development of a course in ophthalmology to present new information and skills to the practicing specialist who is not associated with a medical center. The course is presented in 8 two-day sessions, scheduled Friday and Saturday, four times a year, on a two-year cycle. ...

Nigerian traditional medical practice was a part of the empirical world traditional medicine. However, it is still with us after over 500 years of contacts with modern medical practice. It is the only form of medical are available to the majority of the Nigerian population and is also the first ...

At the 1977 Annual Meeting of The Canadian Association of Radiologists, a survey of all practicing diagnostic radiologists was made. Information was also obtained from Royal College and Corporation Professionnelle records. The medical school, postgraduate program, and present location of practice were established for over 98% of active radiologists. This ...

Discriminant analysis (DA) is a pattern recognition technique that has been widely applied in medical studies. It allows multivariate observations ("patterns" or points in multidimensional space) to be allocated to previously defined groups (diagnostic categories). The relationships between DA and other multivariate statistical techniques of interest in medical studies will ...

At present, there is no evidence of toxicity from the use of PVC plasticized plastics in medical practice. The major components of plasticized PVC have been examined over a span of years and each passing year sees a confirmation of the lack of toxicity. From time to time, misconceptions of ...

The model of comprehensive group practice advanced by the CCMC in 1932 has been an elusive reformist vision. Changes in the techniques and techology of medical practive will require new professional agendas as well a new political constituencies. Analysis of the process of these changes must balance avocacy of any ...

Dealing with the range of events encountered by mental health professionals requires both anatomic/physiologic and psychologic/behavioral viewpoints. These viewpoints belong to two different universes of discourse, and their languages are not mutually translatable. For responsible clinical practice, both medical and nonmedical models are necessary and neither model is sufficient.

The authors compare and discuss sensitivity and reproducibility of commercial RIA kits of digoxin and digitoxin commonly used in routine hospital laboratories and in emergency. Cross reactivity and recovery of these kits with different digitalis preparations currently prescribed in medical practice are studied with a view to practical application in ...

The study of China's alchemical tradition can provide considerable insight into early Chinese medical theory, pharmaco-therapeutic practice and psychosomatic concepts. Chinese alchemy is a complex blending of philosophical, cosmological, physiological and natural scientific thought. This article presents a historical survey and analysis of some important aspects of Chinese alchemical research ...

This article concerns the changes in Chinese medical education which have taken place since the Cultural Revolution, specifically the relationship between political ideology and actual practice. It synthesizes the documentation which appeared in a series of articles devoted to a public discussion on the direction and emphasis in medical and ...

Certain structural and environmental factors other than technical combination of resources and firm size are hypothesized to affect medical practice output. Four groups of variables related to physician attributes and activities, practice organization and patient characteristics, community characteristics, and factors specific to medical groups are examined by regression for correlation ...

Hypnosis has a role in medical practice as an adjunct to many therapies. A brief review of the history, theory, induction procedures, phenomena and practice of hypnosis is given. The use of hypnosis in the therapy of anxiety is illustrated by a report of a 44-year-old woman suffering from an ...

Information has been collected on numbers and types of radionuclide procedures in medical practice in New Zealand over a three-month period in the latter half of 1973. For in vivo procedures data on the age and sex of patients and the activities of radioactive materials administered were also collected. The ...

An historical review is made of Antarctic medical practice, which is unique because of the absence of an indigenous population. This review begins with the primitive shipboard practice of doctors accompanying Captain James Cook around 1775 and concludes with the modern era of permanent stations and vast scientific endeavour. The ...

The Sharbot Lake Family Medical Centre has a number of features which are unusual for medical practices in this rural area, including a nurse practitioner, a secretary-receptionist, and the use of an appointment system. Surveys were conducted to determine the acceptability of this style of practice to the population of ...

An improvement of our strategy for the stepwise synthesis of oligo 5'-deoxy-5'-thiodeoxyribonucleotides [Chladek and Nagyvary (1972) J. Amer. Chem. Soc. 94, 2079] involves the use of 5'-O-tosylthymidine 3'-S-2-cyanoethyl phosphorothioate. The displacement of the tosylate by thymidine 3'-phosphorothioate and subsequent alkaline deblocking afforded the dinucleotide (Tps)2. The process of displacement and ...