It's only decades that inspire which are given the accolade of a memorable prefix; the naughty nineties, roaring twenties, swinging sixties. Perhaps in this respect the past decade never stood a chance. For, as Professor Brian Abel-Smith, a long time adviser to successive governments at the DHSS explains, the high ...

Just as the financial manager of today bears little resemblance to the hospital bookkeeper of 20 years ago, the CFO in the year 2000 will differ from today's CFO. In 2000 the CFO will have to be a combined expert in finance, economics, accounting, business law, health law and risk ...

This paper is a biographical sketch of Dr. Murray during the years 1860 to 1873 when he lived in Victoria, New Zealand and the Pacific Islands. It records details of his career from his residency at the Melbourne Hospital followed by his exemplary conduct in the Howitt expedition to recover ...

Although language is recognized as one of the best predictors of development, the lack of a simple evaluation tool has contributed to the general pediatrician's unfamiliarity with linguistic milestones. Here described is a 32-item instrument for the recording and assessment by the practicing pediatrician of language milestones during the first ...

Five patients who presented at the Veterans Administration Mental Hygiene Clinic, Brentwood Hospital, Los Angeles, California, are described. All claimed to be transsexuals and requested estrogens and sex reassignment surgery on admission. They created great difficulty at the time of their admission and follow-up because of lack of precedents for ...

Tongue scraping and brushing have been practiced for hundreds of years but are still little appreciated or used by the public. Throughout the centuries, tongue scrapers have been constructed of thin, flexible strips of wood, various meals, ivory, mother-of-pearl, whalebone, celluloid, tortoiseshell, and plastic. Recent scientific evidence has validated the ...

A case of primary alveolar hypoventilation is described. Despite characteristic clinical findings, the diagnosis was delayed for 4 years. Alleviation of nocturnal hypoxemia and hypercapnia initially by a rocking bed and subsequently by phrenic nerve stimulation was accompanied by reversal of cor pulmonale and polycythemia. Electrophrenic respiration is an effective ...

Except for sterilization, Catholic and non-Catholic contraceptive practices are now quite similar. Within several years, even sterilization will probably be adopted by the same proportions of Catholics as non-Catholics, and the rhythm method is destined to be of historical interest only. The wide gulf between official Catholic doctrine and the ...

A simple and efficient bonding procedure has been described for the management of an ankylosed deciduous second molar. This has, in our experience, provided a satisfactory occlusal and periodontal environment in selected patients. Based on a limited number of cases, restorations have been maintained for about two years to date.

Reported here are the results of a study of the degree to which medical careers in general practice versus specialization are pursued by graduates of the University of Toronto Faculty of Medicine in the first six years after the completion of their internships. The retention rates in general practice and ...

An enormous amount has been written about oesophageal atresia during the last 30 years. This is not surprising because it is not so long ago that the condition was uniformly fatal, and even today, a generation after the first successful operations, many problems associated with its management have not been ...

The wider use of the irrigation technique for the management of the permanent colostomy has previously been advocated. The results of its use in a group of 10 colostomates followed more than two years is discussed. As more than half of these colostomates have been able to resume a normal ...

Telephone assessment of illness by 40 practicing pediatricians was studied using simulated complaints of cough, vomiting, diarrhea, or rash. Of a possible 370 standardized questions based on the American Academy of Pediatrics "Guidelines for telephone communications," only 194 were used. Crucial questions such as difficulty breathing with cough, the state ...

A programme of general professional training in medicine based on the Royal Commission report has been in operation at the Western Infirmary, Glasgow, and associated hospitals since 1969. It involves a two-year rotation through general medicine, dermatology, psychiatry, paediatrics, geriatrics, and a variety of medical specialties. A third year is ...

The one-second liver biopsy technic, published about 18 years ago, has undergone, in the course of the years, some minor modifications, suggested by the practical experience and by the critical evaluation of published and unpublished complications. Some instrumental innovations are described. A new design skin perforator and a penetration limiter ...

Thirty-five of 41 asthmatic patients, who had been taking oral corticosteroids regularly for between one and 12 years, recovered their adrenal function after courses of depot tetracosactrin, even those with apparently complete adrenal suppression. They all showed benefit by transfer to depot tetracosactrin, though steroid withdrawal symptoms could be troublesome. ...

The Optometric Manpower Resources Project, funded under government contract since June of 1971, has completed its 1973 national census of licensed optometric manpower in the United States. The first article in this series of three reported on the distribution of optometrists by census region and the current ratio of practicing ...

Electrocardiography has a useful place in general-practice cardiology:(1) by bringing to light unexpected findings thereby altering the diagnostic spectrum and, in some cases at least, management.(2) by acting as a monitor in the continuing management of patients suffering from some forms of cardiovascular disease, and, in particular, from essential hypertension.In ...

All inpatients discharged in 1967 from a comprehensive department of psychological medicine who were referred for aftercare visiting by a mental welfare officer or psychiatric social worker were reviewed after a period of three years. Over this period half the patients had not been readmitted and only 6.3% of those ...

The management of competing vegetation has evolved with forest management over the past half century and is now an integral part of modern forestry practice in many parts of the world. Vegetation management, primarily using herbicides, has proven especially important in the establishment of high-yield forest plantations. There has been ...

This report presents the USGS acquired high resolution bathymetry, seismic reflection profiles, and geologic sample data from Medicine Lake, a high altitude lake located within the summit caldera / basin at Medicine Lake volcano, a dormant Quaternary shield volcano located in the Cascade Range, 50 km northeast of Mount Shasta. ...

People who have had a stoma for many years and managed it effectively may encounter problems as they grow older as a result of physical and/or cognitive impairment. This article outlines some of the problems the ageing process can cause and offers potential management strategies.

OBJECTIVE: To test the hypothesis that GP trainees are worth their weight in gold. DESIGN: Data collected from 100 consecutive patients analysed with reference to practice statistics, fees, and allowances. SETTING: General practice, Edinburgh. RESULTS: In the year April 1992 to April 1993 the trainee saw 3439 patients, who were ...

Fetal medicine, like this journal, is about 30 years old. In the 1960s access to the fetus was only possible around the time of birth, leading to the concept of 'perinatal medicine'. However, as ultrasonography, invasive procedures and genetics provided the necessary tools, it became clear that events in the ...

Analysis of the remains of cattle from Catal Hüyük indicates that cattle were domesticated in Anatolia by 5800 B.C., and strongly suggests that they were probably domestic at least 500 years earlier. This is the earliest known evidence for the domestication of cattle in the Near East.