Document Detail


Indication.
MedLine Citation:
PMID:  22230834     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Should the indications for therapies differ from one nation to the next? What are the reasons behind controversial therapeutic variations? What roles do cultural history and authoritarian conflict among clinicians play in the adoption of therapies? When I worked at a rural hospital in Kenya, a woman experiencing obstructed labor made me ponder many questions-but only after our emergency ended in the death of her newborn son. In recounting and learning from this episode, I listened to the disparate Kenyan voices of the patient, the hospital's director, the consultant obstetrician, and to the even more controversial voices of evidence-based medicine. In reflecting on this process, I have learned at least 3 lessons-about the transmissibility of arrogance, the role of guests in other countries, and the nature of science.
Authors:
Ronald E Pust
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of family medicine     Volume:  10     ISSN:  1544-1717     ISO Abbreviation:  Ann Fam Med     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101167762     Medline TA:  Ann Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-8     Citation Subset:  IM    
Affiliation:
Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson, Arizona.
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