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Sample records for age medical history

  1. Conducting the Medical History

    ERIC Educational Resources Information Center

    Finkel, Martin A.; Alexander, Randell A.

    2011-01-01

    A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate,…

  2. From papyrus to the electronic tablet: a brief history of the clinical medical record with lessons for the digital age.

    PubMed

    Gillum, Richard F

    2013-10-01

    A major transition is underway in documentation of patient-related data in clinical settings with rapidly accelerating adoption of the electronic health record and electronic medical record. This article examines the history of the development of medical records in the West in order to suggest lessons applicable to the current transition. The first documented major transition in the evolution of the clinical medical record occurred in antiquity, with the development of written case history reports for didactic purposes. Benefiting from Classical and Hellenistic models earlier than physicians in the West, medieval Islamic physicians continued the development of case histories for didactic use. A forerunner of modern medical records first appeared in Paris and Berlin by the early 19th century. Development of the clinical record in America was pioneered in the 19th century in major teaching hospitals. However, a clinical medical record useful for direct patient care in hospital and ambulatory settings was not developed until the 20th century. Several lessons are drawn from the 4000-year history of the medical record that may help physicians improve patient care in the digital age.

  3. Apoptosis: its origin, history, maintenance and the medical implications for cancer and aging.

    PubMed

    Kaczanowski, Szymon

    2016-05-11

    Programmed cell death is a basic cellular mechanism. Apoptotic-like programmed cell death (called apoptosis in animals) occurs in both unicellular and multicellular eukaryotes, and some apoptotic mechanisms are observed in bacteria. Endosymbiosis between mitochondria and eukaryotic cells took place early in the eukaryotic evolution, and some of the apoptotic-like mechanisms of mitochondria that were retained after this event now serve as parts of the eukaryotic apoptotic machinery. Apoptotic mechanisms have several functions in unicellular organisms: they include kin-selected altruistic suicide that controls population size, sharing common goods, and responding to viral infection. Apoptotic factors also have non-apoptotic functions. Apoptosis is involved in the cellular aging of eukaryotes, including humans. In addition, apoptosis is a key part of the innate tumor-suppression mechanism. Several anticancer drugs induce apoptosis, because apoptotic mechanisms are inactivated during oncogenesis. Because of the ancient history of apoptosis, I hypothesize that there is a deep relationship between mitochondrial metabolism, its role in aerobic versus anaerobic respiration, and the connection between apoptosis and cancer. Whereas normal cells rely primarily on oxidative mitochondrial respiration, most cancer cells use anaerobic metabolism. According to the Warburg hypothesis, the remodeling of the metabolism is one of the processes that leads to cancer. Recent studies indicate that anaerobic, non-mitochondrial respiration is particularly active in embryonic cells, stem cells, and aggressive stem-like cancer cells. Mitochondrial respiration is particularly active during the pathological aging of human cells in neurodegenerative diseases. According to the reversed Warburg hypothesis formulated by Demetrius, pathological aging is induced by mitochondrial respiration. Here, I advance the hypothesis that the stimulation of mitochondrial metabolism leads to pathological aging.

  4. Apoptosis: its origin, history, maintenance and the medical implications for cancer and aging

    NASA Astrophysics Data System (ADS)

    Kaczanowski, Szymon

    2016-06-01

    Programmed cell death is a basic cellular mechanism. Apoptotic-like programmed cell death (called apoptosis in animals) occurs in both unicellular and multicellular eukaryotes, and some apoptotic mechanisms are observed in bacteria. Endosymbiosis between mitochondria and eukaryotic cells took place early in the eukaryotic evolution, and some of the apoptotic-like mechanisms of mitochondria that were retained after this event now serve as parts of the eukaryotic apoptotic machinery. Apoptotic mechanisms have several functions in unicellular organisms: they include kin-selected altruistic suicide that controls population size, sharing common goods, and responding to viral infection. Apoptotic factors also have non-apoptotic functions. Apoptosis is involved in the cellular aging of eukaryotes, including humans. In addition, apoptosis is a key part of the innate tumor-suppression mechanism. Several anticancer drugs induce apoptosis, because apoptotic mechanisms are inactivated during oncogenesis. Because of the ancient history of apoptosis, I hypothesize that there is a deep relationship between mitochondrial metabolism, its role in aerobic versus anaerobic respiration, and the connection between apoptosis and cancer. Whereas normal cells rely primarily on oxidative mitochondrial respiration, most cancer cells use anaerobic metabolism. According to the Warburg hypothesis, the remodeling of the metabolism is one of the processes that leads to cancer. Recent studies indicate that anaerobic, non-mitochondrial respiration is particularly active in embryonic cells, stem cells, and aggressive stem-like cancer cells. Mitochondrial respiration is particularly active during the pathological aging of human cells in neurodegenerative diseases. According to the reversed Warburg hypothesis formulated by Demetrius, pathological aging is induced by mitochondrial respiration. Here, I advance the hypothesis that the stimulation of mitochondrial metabolism leads to pathological aging.

  5. The value of age and medical history for predicting colorectal cancer and adenomas in people referred for colonoscopy

    PubMed Central

    2011-01-01

    Background Colonoscopy is an invasive and costly procedure with a risk of serious complications. It would therefore be useful to prioritise colonoscopies by identifying people at higher risk of either cancer or premalignant adenomas. The aim of this study is to assess a model that identifies people with colorectal cancer, advanced, large and small adenomas. Methods Patients seen by gastroenterologists and colorectal surgeons between April 2004 and December 2006 completed a validated, structured self-administered questionnaire prior to colonoscopy. Information was collected on symptoms, demographics and medical history. Multinomial logistic regression was used to simultaneously assess factors associated with findings on colonoscopy of cancer, advanced adenomas and adenomas sized 6 -9 mm, and ≤ 5 mm. The area under the curve of ROC curve was used to assess the incremental gain of adding demographic variables, medical history and symptoms (in that order) to a base model that included only age. Results Sociodemographic variables, medical history and symptoms (from 8,204 patients) jointly provide good discrimination between colorectal cancer and no abnormality (AUC 0.83), but discriminate less well between adenomas and no abnormality (AUC advanced adenoma 0.70; other adenomas 0.67). Age is the dominant risk factor for cancer and adenomas of all sizes. Having a colonoscopy within the last 10 years confers protection for cancers and advanced adenomas. Conclusions Our models provide guidance about which factors can assist in identifying people at higher risk of disease using easily elicited information. This would allow colonoscopy to be prioritised for those for whom it would be of most benefit. PMID:21899773

  6. Medical History: Compiling Your Medical Family Tree

    MedlinePlus

    ... family medical history, sometimes called a medical family tree, is a record of illnesses and medical conditions ... to consult family documents, such as existing family trees, baby books, old letters, obituaries or records from ...

  7. Ascertaining Problems with Medication Histories

    PubMed Central

    Halapy, Henry; Kertland, Heather

    2012-01-01

    Background: Accurate and complete medication histories are not always obtained in clinical practice. Objective: This qualitative research study was undertaken to explore the barriers to and facilitators of obtaining accurate medication histories. Methods: Individual interviews, based on a structured interview guide, were conducted with 25 patients from both inpatient and ambulatory care clinic settings. Focus groups, based on a semistructured interview guide, were conducted with pharmacists, medical residents, and nurses. Transcribed data were analyzed by forming coded units and assessing these units for emerging themes. Results: Major themes that emerged from the patient interviews included patient ownership of health and medication knowledge (with knowledge of medications and their side effects and how to take medications being seen as important), patient-specific strategies to improve medication histories (e.g., use of regularly updated medication lists), and suggestions for system-level facilitators to improve medication histories (e.g., centralized databases of medication histories, increased patient education regarding the use and purpose of medications). Major themes also emerged from focus groups with health care professionals, including shared responsibility for medication history-taking among all 3 health care professions, perceptions about the barriers to medication history-taking (including patients not knowing their medications and not bringing their medication lists), and suggestions to improve medication histories (e.g., educating patients to bring medication vials to hospital admissions and appointments, using a centralized computer database for medication histories). Conclusions: Key recommendations resulting from this study include using standardized documentation techniques for medication histories, recording of medication history information in centralized electronic databases, educating patients to bring medications to every health care visit

  8. History of Medical Physics.

    ERIC Educational Resources Information Center

    Laughlin, John S.

    1983-01-01

    Traces the development of basic radiation physics that underlies much of today's medical physics and looks separately at the historical development of two major subfields of medical physics: radiation therapy and nuclear medicine. Indicates that radiation physics has made important contributions to solving biomedical problems in medical…

  9. [Medical history of Martin Luther].

    PubMed

    Takigami, Tadashi

    2011-12-01

    Martin Luther achieved great success in religious reformation, though he was said to have suffered from many kinds of diseases during his lifetime. Unfortunately, however, his medical history has never been reported in Japan. Since the second half of his thirties, he was suffering from severe constipation, causing hemorrhoids and anal prolapse. At the beginning of his forties he had vertigo, tinnitis and headaches, which were the signs of chronic purlent otitis media and ended in left otorrhea and pyorrhea of the left mastoiditis. Nearly at the same time, he started to suffer from anginal pain, colic and dysuria due to urinary uric acid stones, gout and left leg ulcer, which were all caused by metabolic syndromes. The last 1/3 of his life was affected by the shadow of diseases, and his religious activities were frequently disturbed. He died from myocardial infarction at the age 63, in February 1546.

  10. Why Is It Important to Know My Family Medical History?

    MedlinePlus

    ... to know my family medical history? Why is it important to know my family medical history? A ... certificates) can help complete a family medical history. It is important to keep this information up-to- ...

  11. A short history of providing medical history within the British medical undergraduate curriculum.

    PubMed

    Metcalfe, N H; Stuart, E

    2014-06-01

    This article aims to discuss the history of medical history in the British medical undergraduate curriculum and it reviews the main characters and organisations that have attempted to earn it a place in the curriculum. It also reviews the arguments for and against the study of the subject that have been used over the last 160 years.

  12. The medical history and death of Mozart.

    PubMed

    Jenkins, J S

    1991-10-01

    The medical history and final illness of Mozart are reviewed in the light of information provided by the letters of the composer and his family. Early in his life there is no doubt that he suffered from a series of infective diseases which were common in 18th century Europe, and died of an acute epidemic illness. There is no clinical evidence for the widespread belief that his last years were dogged by chronic disease and that he died in renal failure.

  13. Medical Ethics Education: Coming of Age.

    ERIC Educational Resources Information Center

    Miles, Steven H.; And Others

    1989-01-01

    A discussion of medical ethics in the medical curriculum reviews its recent history, examines areas of consensus, and describes teaching objectives and methods, course content, and program evaluation at preclinical and clinical levels. Prerequisites for successful institutionalization of medical ethics education are defined, and its future is…

  14. [Medical history from SARS to pneumonia].

    PubMed

    Zhen, Cheng

    2003-05-31

    SARS is a new kind of pneumonia. From the end of 2002 to the beginning of 2003, SARS broke in Guangdong province, Hong Kong and Beijing, and then gradually spread to the world. SARS is extremely contagious. The symptoms of SARS progress very quickly. SARS smashes the people's tranquil life and many people live in horror, worry and anxiety. But if we review the medical history of pneumonia, we would have a better understanding of SARS. This article focuses the history of people's understanding of pneumonia on the historical documents, diagnosis, etiology and treatment. Through the epidemic of SARS, the author hopes to express that contagion will live with us for a long time, but it is not a deadly disease. It is preventable and good care is essential for contagious patients. As Chinese people, we should have the best use of TCM in our combat with contagion.

  15. Medical abortion in Australia: a short history.

    PubMed

    Baird, Barbara

    2015-11-01

    Surgical abortion has been provided liberally in Australia since the early 1970s, mainly in privately owned specialist clinics. The introduction of medical abortion, however, was deliberately obstructed and consequently significantly delayed when compared to similar countries. Mifepristone was approved for commercial import only in 2012 and listed as a government subsidised medicine in 2013. Despite optimism from those who seek to improve women's access to abortion, the increased availability of medical abortion has not yet addressed the disadvantage experienced by poor and non-metropolitan women. After telling the story of medical abortion in Australia, this paper considers the context through which it has become available since 2013. It argues that the integration of medical abortion into primary health care, which would locate abortion provision in new settings and expand women's access, has been constrained by the stigma attached to abortion, overly cautious institutionalised frameworks, and the lack of public health responsibility for abortion services. The paper draws on documentary sources and oral history interviews conducted in 2013 and 2015.

  16. [The medical history of Edgar Allan Poe].

    PubMed

    Miranda C, Marcelo

    2007-09-01

    Edgar Allan Poe, one of the best American storytellers and poets, suffered an episodic behaviour disorder partially triggered by alcohol and opiate use. Much confusion still exists about the last days of his turbulent life and the cause of his death at an early age. Different etiologies have been proposed to explain his main medical problem, however, complex partial seizures triggered by alcohol, poorly recognized at the time when Poe lived, seems to be one of the most acceptable hypothesis, among others discussed.

  17. The historiography of medical history: from great men to archaeology.

    PubMed

    King, C R

    1991-01-01

    The history of medicine is always written from the basis of the historian. Contemporary historiography provides an understanding of the major methods of historical analysis and their influences on the writing of medical history. Medical history in the 20th century has emphasized the historiographic methods of the history of great men, historicism, social history, and intellectual history. Each methodology has inherent biases that influence the historian's analysis of the past. Understanding the historian's biases provides the reader important tools for the interpretation of medical history.

  18. The historiography of medical history: from great men to archaeology.

    PubMed Central

    King, C. R.

    1991-01-01

    The history of medicine is always written from the basis of the historian. Contemporary historiography provides an understanding of the major methods of historical analysis and their influences on the writing of medical history. Medical history in the 20th century has emphasized the historiographic methods of the history of great men, historicism, social history, and intellectual history. Each methodology has inherent biases that influence the historian's analysis of the past. Understanding the historian's biases provides the reader important tools for the interpretation of medical history. PMID:1933068

  19. Sociodemographic characteristics, smoking, medical and family history, and breast cancer.

    PubMed

    Ghadirian, P; Lacroix, A; Perret, C; Maisonneuve, P; Boyle, P

    1998-01-01

    The relationship between sociodemographic characteristics, lifestyle, family history of cancer, medical history, and reproductive factors and breast cancer was investigated in a population-based case-control study of French Canadians in Montreal. In this study, a total of 414 French-Canadian cases and 429 age- and language-matched population controls were interviewed. Ever-married women showed significantly lower risk (OR: 0.64 [0.45-0.92]) for breast cancer, as did smokers (OR: 0.73 [0.55-0.98]), particularly of nonfilter cigarettes (OR: 0.36 [0.17-0.72]). Weight history, both for the year before the diagnosis of breast cancer and 10 years previously, was associated with risk for the disease. A strong inverse relationship was found between the number of full-term pregnancies (OR: 0.48 [0.28-0.82]) and the risk of breast cancer, while the p trend for late age at first pregnancy (p = 0.02) and menopause (p = 0.004) was statistically significant. A history of breast problems (OR: 1.87 [1.34-2.60]) and a history of breast cancer in relatives (OR: 2.95 [1.63-5.34]) were strongly associated with risk. This study confirms the risk factors of late age at first full-term pregnancy, nulliparity, late age at menopause, and positive family history of breast cancer in the etiology of this disease. Perhaps the protective effect of smoking against breast cancer could be due to its antiestrogenic influence.

  20. Medical history associated with adolescent powerlifting.

    PubMed

    Brown, E W; Kimball, R G

    1983-11-01

    A questionnaire, designed to elicit information about the training, experience, and medical history of adolescent powerlifters, was administered to 71 contestants entered in the 1981 Michigan Teenage Powerlifting Championship. The average subject had participated in 4.1 workouts per week for 17.1 months. Each workout lasted an average of 99.2 minutes. The population sustained 98 powerlifting injuries which caused a discontinuance of training for a total of 1,126 days. The incidence and severity of pain in 13 regions of the body, as well as the site and type of powerlifting injury, were investigated. The low back region was shown to be the site with the greatest number of injuries (49). This region also had the highest percent of subjects recording an elevated occurrence and level of pain associated with powerlifting.

  1. Early medical history of children with autism spectrum disorders.

    PubMed

    Niehus, Rebecca; Lord, Catherine

    2006-04-01

    Previous studies have suggested that children with autism spectrum disorders (ASD) may have different medical histories than nonspectrum children in several areas: their reactions to vaccinations, number of ear infections, chronic gastrointestinal problems, and use of antibiotics. Furthermore, some studies have found associations between regressive autism and gastrointestinal (GI) symptoms. The present study analyzes the medical records from birth to the age of 2 years of 99 children (24 typically developing; 75 with ASD, of whom 29 had parent-reported regression). Data were coded in the following areas: frequency and purpose of pediatrician visits, frequency and type of illnesses and medications, type and chronicity of GI complaints, date of vaccinations, growth data, and whether the pediatrician noted behaviors indicative of an ASD before the age of 2 years. Children with ASD were found to have significantly more ear infections than the typically developing children as well as to use significantly more antibiotics. Typically developing children had significantly more illness-related fevers. There was a nonsignificant trend toward the ASD group having more chronic gastrointestinal problems. There were no significant differences between the groups for the age of vaccination or for number of pediatrician visits. Finally, pediatricians noted symptoms of onset of possible autism, including language delay, for 44 of the 75 children with ASD and 2 of the 24 typical children. Results are discussed in terms of needs for future research.

  2. Searching for the Kinkeepers: Historian Gender, Age, and Type 2 Diabetes Family History

    ERIC Educational Resources Information Center

    Giordimaina, Alicia M.; Sheldon, Jane P.; Kiedrowski, Lesli A.; Jayaratne, Toby Epstein

    2015-01-01

    Kinkeepers facilitate family communication and may be key to family medical history collection and dissemination. Middle-aged women are frequently kinkeepers. Using type 2 diabetes (T2DM) as a model, we explored whether the predicted gender and age effects of kinkeeping can be extended to family medical historians. Through a U.S. telephone survey,…

  3. [Why perform history: Prosper Meniere (1799-1862) at the medical history of Rome].

    PubMed

    Gourevitch, D

    1999-01-01

    Scrutinizing the prefatory letters and the introductions of Meniere's studies on the medical history of ancient Rome, the author shows why the famous doctor of the Institution des sourds-muets was interested in history.

  4. Maintaining medical independence in advanced age.

    PubMed

    Barber, Ann

    2009-01-01

    Juneteenth Day celebrates June 19, 1865, when Major General Granger landed in Texas with news that the Civil War had ended and that slaves were now free (History of Juneteenth, n.d.). Similarly, this article brings you news that patients are free to make their own medical decisions. American law now guarantees the right of all patients to make their own such decisions. Thus, this article introduces the concept of medical policy statements, a new way for patients to give instructions to medical professionals.

  5. A history of medical payments: continuity or crisis?

    PubMed

    Valone, David A

    2004-09-01

    The form and amount of medical payments has been a contentious issue throughout the history of Western medicine. The prices charged by doctors, and the actual payments they receive, have reflected a complex interaction of the social, economic, and political forces impinging upon medical practice. Contemporary concerns about the medical payment system in the U.S. relate, in part, to the unprecedented scale and complexity of the modern system of medical payments. Historical analysis reminds us that medicine and money have always made odd bedfellows. Today's problems may seem intractable, but such problems have been consistent throughout medical history.

  6. History of allergy in the middle ages and renaissance.

    PubMed

    Ring, Johannes

    2014-01-01

    In the Middle Ages little innovative medical literature came from Western Europe. The Greek-Roman tradition with the scriptures of Hippocrates and Galenos was preserved in Byzantium and then in the Middle East by Arabic medicine; it then returned to Europe in Latin translations mostly made in Italy and Spain. There were innovative developments in Arabic medicine also with regard to the history of allergy, especially with the first description of 'rose fever', which is described as very similar in symptomatology to hay fever. Under Arabic influence, the first medical university in Salerno was famous for its well-known text Tacuinum sanitatis in which a description of asthma can be found. With the beginning of renaissance new developments were also registered in Europe, with new observations and a new way of thinking.

  7. Primary Care Provider Perspectives on Electronic Medication Refill History.

    PubMed

    Comer, Dominique; Mearns, Elizabeth; Olivere, Lindsey; Elliott, Daniel J

    Improvements in health information technology have made aggregate multipayer pharmacy claims data increasingly available through the electronic health record (EHR). The objective of this study was to assess the current awareness, utilization, and impact of pharmacy history data available in the EHR on primary care provider (PCP) decision making. A 14-question survey was distributed to all PCPs in a large medical practice. Of the 55/72 responding PCPs, 47 (85.5%) were aware of the EHR medication history function, and 36 (65.5%) had used it previously. Respondents indicated the medication history could be most useful when considering prescribing a narcotic (33/36, 92%) and when addressing nonadherence concerns (28/35, 80%). Barriers included delays in data loading and the time pressures of clinical practice. Access to aggregate multipayer pharmacy history data has the potential to affect medication reconciliation, yet future implementation should focus on making these data complete and easily available in routine practice.

  8. Searching for the Kinkeepers: Historian Gender, Age, and Type 2 Diabetes Family History.

    PubMed

    Giordimaina, Alicia M; Sheldon, Jane P; Kiedrowski, Lesli A; Jayaratne, Toby Epstein

    2015-12-01

    Kinkeepers facilitate family communication and may be key to family medical history collection and dissemination. Middle-aged women are frequently kinkeepers. Using type 2 diabetes (T2DM) as a model, we explored whether the predicted gender and age effects of kinkeeping can be extended to family medical historians. Through a U.S. telephone survey, nondiabetic Mexican Americans (n = 385), Blacks (n = 387), and Whites (n = 396) reported family histories of T2DM. Negative binomial regressions used age and gender to predict the number of affected relatives reported. Models were examined for the gender gap, parabolic age effect, and gender-by-age interaction predicted by kinkeeping. Results demonstrated support for gender and parabolic age effects but only among Whites. Kinkeeping may have application to the study of White family medical historians, but not Black or Mexican American historians, perhaps because of differences in family structure, salience of T2DM, and/or gender roles.

  9. The History, Biology and Medical Aspects of Leprosy.

    ERIC Educational Resources Information Center

    Eichman, Phillip

    1999-01-01

    Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

  10. The history and illustration of anatomy in the Middle Ages.

    PubMed

    Gurunluoglu, Raffi; Gurunluoglu, Aslin; Williams, Susan A; Cavdar, Safiye

    2013-11-01

    This article reviews the influence of key figures on the pictorial representation of anatomy and the evolution of anatomical illustration during the Middle Ages until the time of the Renaissance, based on medical history books, journals and ancient medical books. During the early period in the Middle Ages, most illustrations were traditional drawings of emblematic nature, oftentimes unrealistic, not only because the precise knowledge of anatomy was lacking but also because the objective was to elucidate certain principles for teaching purposes. Five figure-series that came down to us through ancient manuscripts and textbooks represent the best examples of such traditional illustrations. With the advent of human dissection in the 13th and 14th centuries, a significant transformation in the depiction of anatomy began to project the practice of human dissection, as we see in the works of Mondino de Luzzi, Henri de Mondeville and Guido de Vigevano. After the invention of book printing in the second half of the 15th century, the reproduction of books was commonly practised and the woodcut made multiplication of pictures easier. Peter of Abano, Hieronymous Brunschwig, Johannes de Ketham, Johannes Peyligk, Gregory Reisch, Magnus Hundt, Laurentius Phryesen and many more included several anatomical illustrations in their treatises that demonstrated the development of anatomical illustration during the later Middle Ages.

  11. The genetic history of Ice Age Europe

    PubMed Central

    Fu, Qiaomei; Posth, Cosimo; Hajdinjak, Mateja; Petr, Martin; Mallick, Swapan; Fernandes, Daniel; Furtwängler, Anja; Haak, Wolfgang; Meyer, Matthias; Mittnik, Alissa; Nickel, Birgit; Peltzer, Alexander; Rohland, Nadin; Slon, Viviane; Talamo, Sahra; Lazaridis, Iosif; Lipson, Mark; Mathieson, Iain; Schiffels, Stephan; Skoglund, Pontus; Derevianko, Anatoly P.; Drozdov, Nikolai; Slavinsky, Vyacheslav; Tsybankov, Alexander; Cremonesi, Renata Grifoni; Mallegni, Francesco; Gély, Bernard; Vacca, Eligio; González Morales, Manuel R.; Straus, Lawrence G.; Neugebauer-Maresch, Christine; Teschler-Nicola, Maria; Constantin, Silviu; Moldovan, Oana Teodora; Benazzi, Stefano; Peresani, Marco; Coppola, Donato; Lari, Martina; Ricci, Stefano; Ronchitelli, Annamaria; Valentin, Frédérique; Thevenet, Corinne; Wehrberger, Kurt; Grigorescu, Dan; Rougier, Hélène; Crevecoeur, Isabelle; Flas, Damien; Semal, Patrick; Mannino, Marcello A.; Cupillard, Christophe; Bocherens, Hervé; Conard, Nicholas J.; Harvati, Katerina; Moiseyev, Vyacheslav; Drucker, Dorothée G.; Svoboda, Jiří; Richards, Michael P.; Caramelli, David; Pinhasi, Ron; Kelso, Janet; Patterson, Nick; Krause, Johannes; Pääbo, Svante; Reich, David

    2016-01-01

    Modern humans arrived in Europe ~45,000 years ago, but little is known about their genetic composition before the start of farming ~8,500 years ago. We analyze genome-wide data from 51 Eurasians from ~45,000-7,000 years ago. Over this time, the proportion of Neanderthal DNA decreased from 3–6% to around 2%, consistent with natural selection against Neanderthal variants in modern humans. Whereas the earliest modern humans in Europe did not contribute substantially to present-day Europeans, all individuals between ~37,000 and ~14,000 years ago descended from a single founder population which forms part of the ancestry of present-day Europeans. A ~35,000 year old individual from northwest Europe represents an early branch of this founder population which was then displaced across a broad region, before reappearing in southwest Europe during the Ice Age ~19,000 years ago. During the major warming period after ~14,000 years ago, a new genetic component related to present-day Near Easterners appears in Europe. These results document how population turnover and migration have been recurring themes of European pre-history. PMID:27135931

  12. Brief histories of medical physics in Asia-Oceania.

    PubMed

    Round, W H; Jafari, S; Kron, T; Azhari, H A; Chhom, S; Hu, Y; Mauldon, G F; Cheung, K Y; Kuppusamy, T; Pawiro, S A; Lubis, L E; Soejoko, D S; Haryanto, F; Endo, M; Han, Y; Suh, T S; Ng, K H; Luvsan-Ish, A; Maung, S O; Chaurasia, P P; Jafri, S M A; Farrukh, S; Peralta, A; Toh, H J; Sarasanandarajah, S; Shiau, A C; Krisanachinda, A; Suriyapee, S; Vinijsorn, S; Nguyen, T C

    2015-09-01

    The history of medical physics in Asia-Oceania goes back to the late nineteenth century when X-ray imaging was introduced, although medical physicists were not appointed until much later. Medical physics developed very quickly in some countries, but in others the socio-economic situation as such prevented it being established for many years. In others, the political situation and war has impeded its development. In many countries their medical physics history has not been well recorded and there is a danger that it will be lost to future generations. In this paper, brief histories of the development of medical physics in most countries in Asia-Oceania are presented by a large number of authors to serve as a record. The histories are necessarily brief; otherwise the paper would quickly turn into a book of hundreds of pages. The emphasis in each history as recorded here varies as the focus and culture of the countries as well as the length of their histories varies considerably.

  13. Haematopoietic cancer and medical history: a multicentre case control study

    PubMed Central

    Vineis, P.; Crosignani, P.; Sacerdote, C.; Fontana, A.; Masala, G.; Miligi, L.; Nanni, O.; Ramazzotti, V.; Rodella, S.; Stagnaro, E.; Tumino, R.; Vigano, C.; Vindigni, C.; Costantini, A. S.

    2000-01-01

    BACKGROUND—Viruses (such as Epstein-Barr virus) and pathological conditions (mainly involving immunosuppression) have been shown to increase the risk of haematolymphopoietic malignancies. Other associations (diabetes, tonsillectomy, autoimmune diseases) have been inconsistently reported.
METHODS—The association between different haematolymphopoietic malignancies (lymphomas, myelomas and leukaemias) and the previous medical history has been studied in a population-based case-control investigation conducted in Italy, based on face to face interviews to 2669 cases and 1718 population controls (refusal rates 10% and 19%, respectively). Controls were a random sample of the general population.
RESULTS—Previous findings were confirmed concerning the association between non-Hodgkin's lymphoma (NHL) and lupus erythematosus (odds ratio, OR=8.4; 95% CI 1.6, 45), tuberculosis (OR=1.6; 1.05, 2.5) and hepatitis (1.8; 1.4, 2.3). An association was found also between NHL and maternal (OR=2.8; 1.1, 6.9) or paternal tuberculosis (OR=1.7; 0.7, 3.9). Odds ratios of 4.0 (1.4, 11.8) and 4.4 (1.1, 6.6) were detected for the association between NHL and Hodgkin's disease, respectively, and previous infectious mononucleosis, but recall bias cannot be ruled out. No association was found with diabetes, tonsillectomy and adenoidectomy. An association with malaria at young age and "low grade" lymphatic malignancies is suggested. One interesting finding was the observation of four cases of poliomyelitis among NHL patients, one among Hodgkin's disease and one among myeloid leukaemia patients, compared with none among the controls (Fisher's exact test for NHL and Hodgkin's disease, p= 0.03, one tail).
CONCLUSIONS—Some of these findings are confirmatory of previous evidence. Other observations, such as the putative role of the polio virus and of malaria are new. A unifying theory on the mechanisms by which previous medical history may increase the risk of

  14. Making the Case for History in Medical Education.

    PubMed

    Jones, David S; Greene, Jeremy A; Duffin, Jacalyn; Harley Warner, John

    2015-10-01

    Historians of medicine have struggled for centuries to make the case for history in medical education. They have developed many arguments about the value of historical perspective, but their efforts have faced persistent obstacles, from limited resources to curricular time constraints and skepticism about whether history actually is essential for physicians. Recent proposals have suggested that history should ally itself with the other medical humanities and make the case that together they can foster medical professionalism. We articulate a different approach and make the case for history as an essential component of medical knowledge, reasoning, and practice. History offers essential insights about the causes of disease (e.g., the non-reductionistic mechanisms needed to account for changes in the burden of disease over time), the nature of efficacy (e.g., why doctors think that their treatments work, and how have their assessments changed over time), and the contingency of medical knowledge and practice amid the social, economic, and political contexts of medicine. These are all things that physicians must know in order to be effective diagnosticians and caregivers, just as they must learn anatomy or pathophysiology. The specific arguments we make can be fit, as needed, into the prevailing language of competencies in medical education.

  15. [Medical museology the exhibition: The history of Rome medical faculty through images and documents].

    PubMed

    Serarcangeli, Carla

    2004-01-01

    The Museum and Library of History of Medicine celebrated the 700th anniversary of the foundation of the University of Rome "La Sapienza" with an exhibition of images and documents recalling the history of the medical faculty. Dissecting tools and surgical instruments testify to the long history of anatomical and surgical studies and to the great worth of the teachers at Rome University. Documents, archival papers, books and pictures document the historical inheritance of the Medical School in Rome.

  16. [Medical history impressions of Karl Marx 1983].

    PubMed

    Kaiser, W

    1983-12-15

    Excerpts of his London era first published on the occasion of the Karl Marx testimonials of 1983 gave rise to extend the memory of the fundamental achievements of Karl Marx to medico-historical aspects. In this case Karl Marx paid special attention to the working and living conditions of the working class and an analysis of his adequate statements and records shows multifarious details which give a research basis also for the history of medicine. Marx and Engels had friendly contacts with several physicians who shared the opinions of the two classics: their way of life is shown in the most important points.

  17. Brief Sexual Histories and Routine HIV/STD Testing by Medical Providers

    PubMed Central

    Lanier, Yzette; Castellanos, Ted; Barrow, Roxanne Y.; Jordan, Wilbert C.; Caine, Virginia

    2014-01-01

    Abstract Clinicians who routinely take patient sexual histories have the opportunity to assess patient risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), and make appropriate recommendations for routine HIV/STD screenings. However, less than 40% of providers conduct sexual histories with patients, and many do not receive formal sexual history training in school. After partnering with a national professional organization of physicians, we trained 26 (US and US territory-based) practicing physicians (58% female; median age=48 years) regarding sexual history taking using both in-person and webinar methods. Trainings occurred during either a 6-h onsite or 2-h webinar session. We evaluated their post-training experiences integrating sexual histories during routine medical visits. We assessed use of sexual histories and routine HIV/STD screenings. All participating physicians reported improved sexual history taking and increases in documented sexual histories and routine HIV/STD screenings. Four themes emerged from the qualitative evaluations: (1) the need for more sexual history training; (2) the importance of providing a gender-neutral sexual history tool; (3) the existence of barriers to routine sexual histories/testing; and (4) unintended benefits for providers who were conducting routine sexual histories. These findings were used to develop a brief, gender-neutral sexual history tool for clinical use. This pilot evaluation demonstrates that providers were willing to utilize a sexual history tool in clinical practice in support of HIV/STD prevention efforts. PMID:24564387

  18. Family history of cancer, personal history of medical conditions and risk of oral cavity cancer in France: the ICARE study

    PubMed Central

    2013-01-01

    Background The aim of this study was to evaluate the role of family history of cancer and personal history of other medical conditions in the aetiology of the oral cavity cancer in France. Methods We used data from 689 cases of oral cavity squamous cell carcinoma and 3481 controls included in a population-based case–control study, the ICARE study. Odds-ratios (ORs) associated with family history of cancer and personal medical conditions and their 95% confidence intervals (95% CI) were estimated by unconditional logistic regression and were adjusted for age, gender, area of residence, education, body mass index, tobacco smoking and alcohol drinking. Results Personal history of oral candidiasis was related to a significantly increased risk of oral cavity cancer (OR 5.0, 95% CI 2.1-12.1). History of head and neck cancers among the first-degree relatives was associated with an OR of 1.9 (95% CI 1.2-2.8). The risk increased with the number of first-degree relatives with head and neck cancer. Conclusion A family history of head and neck cancer is a marker of an increased risk of oral cavity cancer and should be taken into account to target prevention efforts and screening. Further studies are needed to clarify the association between oral cavity cancer and personal history of candidiasis. PMID:24286495

  19. A Quantitative Evaluation of Medication Histories and Reconciliation by Discipline

    PubMed Central

    Stewart, Michael R.; Fogg, Sarah M.; Schminke, Brandon C.; Zackula, Rosalee E.; Nester, Tina M.; Eidem, Leslie A.; Rosendale, James C.; Ragan, Robert H.; Bond, Jack A.; Goertzen, Kreg W.

    2014-01-01

    Abstract Background/Objective: Medication reconciliation at transitions of care decreases medication errors, hospitalizations, and adverse drug events. We compared inpatient medication histories and reconciliation across disciplines and evaluated the nature of discrepancies. Methods: We conducted a prospective cohort study of patients admitted from the emergency department at our 760-bed hospital. Eligible patients had their medication histories conducted and reconciled in order by the admitting nurse (RN), certified pharmacy technician (CPhT), and pharmacist (RPh). Discharge medication reconciliation was not altered. Admission and discharge discrepancies were categorized by discipline, error type, and drug class and were assigned a criticality index score. A discrepancy rating system systematically measured discrepancies. Results: Of 175 consented patients, 153 were evaluated. Total admission and discharge discrepancies were 1,461 and 369, respectively. The average number of medications per participant at admission was 8.59 (1,314) with 9.41 (1,374) at discharge. Most discrepancies were committed by RNs: 53.2% (777) at admission and 56.1% (207) at discharge. The majority were omitted or incorrect. RNs had significantly higher admission discrepancy rates per medication (0.59) compared with CPhTs (0.36) and RPhs (0.16) (P < .001). RPhs corrected significantly more discrepancies per participant than RNs (6.39 vs 0.48; P < .001); average criticality index reduction was 79.0%. Estimated prevented adverse drug events (pADEs) cost savings were $589,744. Conclusions: RPhs committed the fewest discrepancies compared with RNs and CPhTs, resulting in more accurate medication histories and reconciliation. RPh involvement also prevented the greatest number of medication errors, contributing to considerable pADE-related cost savings. PMID:25477614

  20. Medical History of Elderly Patients in the Emergency Setting: Not an Easy Point-of-Care Diagnostic Marker.

    PubMed

    Lindner, Tobias; Slagman, Anna; Senkin, Arthur; Möckel, Martin; Searle, Julia

    2015-01-01

    Background. Medical histories are a crucially important diagnostic tool. Elderly patients represent a large and increasing group of emergency patients. Due to cognitive deficits, taking a reliable medical history in this patient group can be difficult. We sought to evaluate the medical history-taking in emergency patients above 75 years of age with respect to duration and completeness. Methods. Anonymous data of consecutive patients were recorded. Times for the defined basic medical history-taking were documented, as were the availability of other sources and times to assess these. Results. Data of 104 patients were included in the analysis. In a quarter of patients (25%, n = 26) no complete basic medical history could be obtained. In the group of patients where complete data could be gathered, only 16 patients were able to provide all necessary information on their own. Including other sources like relatives or GPs prolonged the time until complete medical history from 7.3 minutes (patient only) to 26.4 (+relatives) and 56.3 (+GP) minutes. Conclusions. Medical histories are important diagnostic tools in the emergency setting and are prolonged in the elderly, especially if additional documentation and third parties need to be involved. New technologies like emergency medical cards might help to improve the availability of important patient data but implementation of these technologies is costly and faces data protection issues.

  1. Medical bioremediation of age-related diseases

    PubMed Central

    Mathieu, Jacques M; Schloendorn, John; Rittmann, Bruce E; Alvarez, Pedro JJ

    2009-01-01

    Catabolic insufficiency in humans leads to the gradual accumulation of a number of pathogenic compounds associated with age-related diseases, including atherosclerosis, Alzheimer's disease, and macular degeneration. Removal of these compounds is a widely researched therapeutic option, but the use of antibodies and endogenous human enzymes has failed to produce effective treatments, and may pose risks to cellular homeostasis. Another alternative is "medical bioremediation," the use of microbial enzymes to augment missing catabolic functions. The microbial genetic diversity in most natural environments provides a resource that can be mined for enzymes capable of degrading just about any energy-rich organic compound. This review discusses targets for biodegradation, the identification of candidate microbial enzymes, and enzyme-delivery methods. PMID:19358742

  2. History of the Journal of Veterinary Medical Education.

    PubMed

    Fletcher, Oscar J; Hooper, Billy E; Schoenfeld-Tacher, Regina

    2015-01-01

    The Journal of Veterinary Medical Education (JVME), with the leadership of seven editors and two interim editors, grew from 33 pages of mostly news and commentary to become the premier source for information exchange in veterinary medical education. The first national publication of the Association of American Veterinary Medical Colleges (AAVMC) was a 21-page newsletter published in December 1973. This one-time newsletter was followed by volume 1, issue 1 of JVME, published in spring 1974 and edited by William W. Armistead. Richard Talbot was the second and longest serving editor, and under his leadership, JVME grew in the number and quality of papers. Lester Crawford and John Hubbell served as interim editors, maintaining quality and keeping JVME on track until a new editor was in place. Robert Wilson, Billy Hooper, Donal Walsh, Henry Baker, and the current editor, Daryl Buss, are major contributors to the success of JVME. The early history of the journal is described by Billy Hooper and followed by a brief history of the periods of each of the editors. This history concludes with objective and subjective evaluations of the impacts of JVME.

  3. Passive absolute age and temperature history sensor

    DOEpatents

    Robinson, Alex; Vianco, Paul T.

    2015-11-10

    A passive sensor for historic age and temperature sensing, including a first member formed of a first material, the first material being either a metal or a semiconductor material and a second member formed of a second material, the second material being either a metal or a semiconductor material. A surface of the second member is in contact with a surface of the first member such that, over time, the second material of the second member diffuses into the first material of the first member. The rate of diffusion for the second material to diffuse into the first material depends on a temperature of the passive sensor. One of the electrical conductance, the electrical capacitance, the electrical inductance, the optical transmission, the optical reflectance, or the crystalline structure of the passive sensor depends on the amount of the second material that has diffused into the first member.

  4. A Short History of Medical Informatics in Bosnia and Herzegovina

    PubMed Central

    Masic, Izet

    2014-01-01

    The health informatics profession in Bosnia and Herzegovina has relatively long history. Thirty five years from the introduction of the first automatic manipulation of data, thirty years from the establishment of Society for Medical Informatics BiH, twenty years from the establishment of the Scientific journal “Acta Informatica Medica (Acta Inform Med”, indexed in PubMed, PubMed Central Scopus, Embase, etc.), twenty years on from the establishment of the first Cathedra for Medical Informatics on Biomedical Faculties in Bosnia and Herzegovina, ten years on from the introduction of the method of “Distance learning” in medical curriculum. The author of this article is eager to mark the importance of the above mentioned Anniversaries in the development of Health informatics in Bosnia and Herzegovina and have attempted, very briefly, to present the most significant events and persons with essential roles throughout this period. PMID:24648621

  5. A short history of medical informatics in bosnia and herzegovina.

    PubMed

    Masic, Izet

    2014-02-01

    The health informatics profession in Bosnia and Herzegovina has relatively long history. Thirty five years from the introduction of the first automatic manipulation of data, thirty years from the establishment of Society for Medical Informatics BiH, twenty years from the establishment of the Scientific journal "Acta Informatica Medica (Acta Inform Med", indexed in PubMed, PubMed Central Scopus, Embase, etc.), twenty years on from the establishment of the first Cathedra for Medical Informatics on Biomedical Faculties in Bosnia and Herzegovina, ten years on from the introduction of the method of "Distance learning" in medical curriculum. The author of this article is eager to mark the importance of the above mentioned Anniversaries in the development of Health informatics in Bosnia and Herzegovina and have attempted, very briefly, to present the most significant events and persons with essential roles throughout this period.

  6. The genetic history of Ice Age Europe.

    PubMed

    Fu, Qiaomei; Posth, Cosimo; Hajdinjak, Mateja; Petr, Martin; Mallick, Swapan; Fernandes, Daniel; Furtwängler, Anja; Haak, Wolfgang; Meyer, Matthias; Mittnik, Alissa; Nickel, Birgit; Peltzer, Alexander; Rohland, Nadin; Slon, Viviane; Talamo, Sahra; Lazaridis, Iosif; Lipson, Mark; Mathieson, Iain; Schiffels, Stephan; Skoglund, Pontus; Derevianko, Anatoly P; Drozdov, Nikolai; Slavinsky, Vyacheslav; Tsybankov, Alexander; Cremonesi, Renata Grifoni; Mallegni, Francesco; Gély, Bernard; Vacca, Eligio; Morales, Manuel R González; Straus, Lawrence G; Neugebauer-Maresch, Christine; Teschler-Nicola, Maria; Constantin, Silviu; Moldovan, Oana Teodora; Benazzi, Stefano; Peresani, Marco; Coppola, Donato; Lari, Martina; Ricci, Stefano; Ronchitelli, Annamaria; Valentin, Frédérique; Thevenet, Corinne; Wehrberger, Kurt; Grigorescu, Dan; Rougier, Hélène; Crevecoeur, Isabelle; Flas, Damien; Semal, Patrick; Mannino, Marcello A; Cupillard, Christophe; Bocherens, Hervé; Conard, Nicholas J; Harvati, Katerina; Moiseyev, Vyacheslav; Drucker, Dorothée G; Svoboda, Jiří; Richards, Michael P; Caramelli, David; Pinhasi, Ron; Kelso, Janet; Patterson, Nick; Krause, Johannes; Pääbo, Svante; Reich, David

    2016-06-09

    Modern humans arrived in Europe ~45,000 years ago, but little is known about their genetic composition before the start of farming ~8,500 years ago. Here we analyse genome-wide data from 51 Eurasians from ~45,000-7,000 years ago. Over this time, the proportion of Neanderthal DNA decreased from 3-6% to around 2%, consistent with natural selection against Neanderthal variants in modern humans. Whereas there is no evidence of the earliest modern humans in Europe contributing to the genetic composition of present-day Europeans, all individuals between ~37,000 and ~14,000 years ago descended from a single founder population which forms part of the ancestry of present-day Europeans. An ~35,000-year-old individual from northwest Europe represents an early branch of this founder population which was then displaced across a broad region, before reappearing in southwest Europe at the height of the last Ice Age ~19,000 years ago. During the major warming period after ~14,000 years ago, a genetic component related to present-day Near Easterners became widespread in Europe. These results document how population turnover and migration have been recurring themes of European prehistory.

  7. 78 FR 50136 - Notice of Information Collection Under Emergency Review: Medical History and Examination for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Notice of Information Collection Under Emergency Review: Medical History and Examination for Foreign Service... of Information Collection: Medical History and Examination for Foreign Service. OMB Control...

  8. [The role of chronic gastritis in past medical history with NSAID administration in patients with osteoarthrosis].

    PubMed

    Zak, M Iu

    2014-11-01

    122 patients with osteoarthrosis, who have in the past medical history verified chronic gastritis (50 males and 72 females) at the age from 42 to 64 have been examined. Control group was comprised of 40 patients with osteoarthrosis without gastroduodenal zone pathology in the past medical history. For arthralgia relief patients were prescribed meloxicam (average dose--12.5 - 1.39 mg daily) or nimesulide (average dose--150 ± 14.91 mg daily). As a result of this research it was determined that administration of selective NSAID (meloxicam and nimesulide) in patients with chronic gastritis in the past medical history raised the risk of NSAID gastropathy/dyspepsia 2.9 times (P < 0.03) than in patients without associated gastroduodenal zone pathology. Atrophy of gastric mucosa is associated with higher risks (P > 0.05) of erosive gastropathy. Patients with chronic gastritis in the past medical history when taking NSAID with the purpose of gastropathy prevention are recommended to undergo gastroprotective therapy.

  9. [Preliminary exploration on educational reform of general western medical history in medical colleges and universities under new situations and circumstances].

    PubMed

    Fu, Deming; Wang, Hongqi; Yan, Juan; He, Peifeng

    2015-03-01

    With the appearance of the "biological-psychological-social" medical model, the purpose, value and significance of medicine are reviewed and reconsidered by the people, and the history of medicine becomes one of the core subjects in the medical humanist education, along with change of the teaching of general western medical history. Medical history is no longer the accumulation of the achievements of human knowledge and medical experience, the intellectual history of theorytransformation, and the history of reformation of medical technologies, but a concrete and colorful living situation, displayed by the scientists, physicians and normal peoplecommunity during the process of their consistent recognition and transformation on medicine. Therefore, the teaching of generalwestern medical history should adjust the compilation of teaching materials, update the educational concept, change the contents, methods of teaching and examination in order to lay stress on the cultural viewpoint and the function of humanity and quality of education.

  10. Caregivers' Guide to Medications and Aging

    MedlinePlus

    ... Caregivers for people with Alzheimer’s disease and other memory impairments commonly report problems with getting their relative ... difficulties they have taking medications, including the following: Memory: Difficulty remembering to take medications. The pharmacist can ...

  11. 5 CFR 339.206 - Disqualification on the basis of medical history.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... history. 339.206 Section 339.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Disqualification on the basis of medical history. A candidate may not be disqualified for any position solely on the basis of medical history. For positions with medical standards or physical requirements,...

  12. 5 CFR 339.206 - Disqualification on the basis of medical history.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... history. 339.206 Section 339.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Disqualification on the basis of medical history. A candidate may not be disqualified for any position solely on the basis of medical history. For positions with medical standards or physical requirements,...

  13. 5 CFR 339.206 - Disqualification on the basis of medical history.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... history. 339.206 Section 339.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Disqualification on the basis of medical history. A candidate may not be disqualified for any position solely on the basis of medical history. For positions with medical standards or physical requirements,...

  14. 5 CFR 339.206 - Disqualification on the basis of medical history.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... history. 339.206 Section 339.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Disqualification on the basis of medical history. A candidate may not be disqualified for any position solely on the basis of medical history. For positions with medical standards or physical requirements,...

  15. 5 CFR 339.206 - Disqualification on the basis of medical history.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... history. 339.206 Section 339.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE... Disqualification on the basis of medical history. A candidate may not be disqualified for any position solely on the basis of medical history. For positions with medical standards or physical requirements,...

  16. Medical and Behavioral Correlates of Depression History in Children and Adolescents With Autism Spectrum Disorder

    PubMed Central

    Greenlee, Jessica L.; Mosley, Angela S.; Shui, Amy M.; Veenstra-VanderWeele, Jeremy

    2016-01-01

    BACKGROUND AND OBJECTIVES: Depression is commonly associated with autism spectrum disorder (ASD) across the life span. We sought to identify medical and behavioral problems associated with a history of a parent-reported diagnosis of depression in a large sample of school-aged children and adolescents with ASD. METHODS: A sample of 1272 participants (aged 6–17 years; mean [SD]: 9.56 [2.79] years) from the Autism Speaks Autism Treatment Network consortium were divided into “ever-depressed” (n = 89) and “nondepressed” (n = 1183) groups on the basis of caregiver endorsement of children’s current or previous diagnoses of depression. RESULTS: In total, 7.0% of children with ASD (4.8% of those aged 6–12 years and 20.2% of those aged 13–17 years) were reported to have a history of a depression diagnosis. Positive depression history was associated with greater chronological age, higher IQ, and Asperger disorder diagnosis. After controlling for age, IQ, and within-spectrum categorical diagnosis, the ever-depressed group exhibited significantly greater rates of seizure disorders (odds ratio = 2.64) and gastrointestinal problems (odds ratio = 2.59) and trend-level differences in aggression, somatic complaints, and social impairments. The groups did not differ in autism severity, repetitive behaviors, sleep problems, eating problems, self-injurious behavior, or current intervention use. CONCLUSIONS: Co-occurring depression is a particularly common problem in higher-functioning older children within the Autism Treatment Network. Our findings indicate that children with ASD and a history of a depression diagnosis are more likely to also have co-occurring medical problems, although the presence and direction of causality is unclear. PMID:26908466

  17. Dispensing history, art and mystery in the Medical History Museum of University of Melbourne.

    PubMed

    Brothers, Ann

    2009-01-01

    The installation of an 1849 Savory & Moore Pharmacy has been a popular attraction for visitors, yet under-utilised in the Museum as a means through which a deeper understanding of the making and taking of medication could be told. The opportunity to research and present these stories to a wider field of viewers in an online multimedia production is discussed here, and is set within the context of the challenges met by the Museum in terms of its relevance and sustainability within a University focused on the future as a graduate University. Under the radical reform of its curriculum, funding and students are more likely to be attracted to medical science than medical history, unless new questions are put to historical items and ways sought to draw on the curiosity and imagination of students who might gain a greater breadth of knowledge by learning through engagement with original objects.

  18. [Beyond the asylum -An other view on the history of psychiatry in the modern age].

    PubMed

    Fauvel, Aude

    2015-07-01

    If one thinks medicine, madness and the past, one image immediately pops into mind: that of the mental asylum. Following the famous work by Michel Foucault, Madness and Civilization: A History of Insanity in the Age of Reason, many historians have thus considered that the medicalization of insanity in the modern age had mostly led to a "great confinement" and a greater segregation of all individuals deemed mentally unfit during the "asylum era': However, new research demonstrates that this classic narrative of the psychiatric past needs to be revised. It discloses that, ever since the 191h century, a whole other medical culture existed as a challenge to asylums, a culture that advocated the integration of the mad and fought to disassociate psychiatry from the dominant model of confinement all throughout the occidental world. This article aims at presenting the results of these historical works that depict another aspect of the psychiatric history, exploring "boarding out" practices, instead of asylum ones.

  19. The Inextricable Link between Age and Criminal History in Sentencing

    ERIC Educational Resources Information Center

    Bushway, Shawn D.; Piehl, Anne Morrison

    2007-01-01

    In sentencing research, significant negative coefficients on age research have been interpreted as evidence that actors in the criminal justice system discriminate against younger people. This interpretation is incomplete. Criminal sentencing laws generally specify punishment in terms of the number of past events in a defendant's criminal history.…

  20. Teaching history of medicine in the perspective of "medical humanities".

    PubMed

    von Engelhardt, D

    1999-03-01

    The current interest in philosophical questions and ethical aspects of medicine turns attention towards the past and obtains suggestions and perspectives from previous descriptions and interpretations of sickness, therapy, and the relation between the patient and physician. Culture as therapy and therapy as culture are fundamental challenges for the present; physician, patient, and society, i.e., humans and humane medicine, need this dialogue, which should also be constitutive for teaching history of medicine. Through the separation of the natural sciences and the humanities, modern progress of medicine has produced many benefits but has, at the same time, raised many problems. Negative consequences of this development exist not only for the patient, but also for his personal environment and for the physician. In the course of modern history, there have been several reactions aimed at overcoming these one-sided tendencies: in the Renaissance, in the epoch of Romanticism and Idealism, and at the beginning and the end of the 19th century. This article outlines, with historical examples and contemporary reflections, the concept of teaching history of medicine in the perspective of "medical humanities".

  1. [Eighteenth century calendars as a source of Polish medical history].

    PubMed

    Piotrowski, W

    1996-01-01

    The general decline of science which took place in the first half of the 18th century was a cause of a huge quantity of calendars editing. Calendars substituted for the former scientific literature. Up to 1763 over 800 calendars appeared. A half of them was published in Cracov. Those calendars differed from the contemporary ones. Apart from dates, they included not only basic information in history, geography agriculture economy but, not seldom, medicine as well. Most often they were written by university professors with a few physicians among them. Obviously, the level of the presented medical knowledge was very low. There wenadductions to astrology, wizardry and Provinience. But some diagnoses and therapeutic advice being a kind of doctor's manual, useful to so-called domestic medicine are still worth of the attention. First of all, phytotherapy chapter based on the folk empiricism, was the most rational. Thought 18th century calendars did not have much in common with real medicine, they make an interesting source to search for history of the Polish medicine of the Saxon times.

  2. History of evolution of the concept of medical ethics.

    PubMed

    Majumdar, Sisir K

    2003-01-01

    "Time present and time past are both perhaps present in time future and time future contained in time past".--Thomas Steams Eliot (1888-1965), Noble Literature Laureate, 1948. History and evolution of the concept of Medical Ethics is the classical example of this poetic expression. Virtually, every human society has some forces of myth to explain the origin of morality. Indian ethics was philosophical from its very birth. In the Vedas (1500 B.C.), ethics was an integral aspect of philosophical and religious speculation about the nature of reality. The Vedas says how people ought to live and is the oldest philosophical literature in the world. It was the first account of philosophical ethics in human history. The old Testament of (c. 200 B.C.) the Hebrew Bible (Greek--ta biblia--"the books") gives account of God giving the Ten Commandments--the oral and written Law engraved on tablets of Stone to Moses around 13th century B.C. on Mount Sinai (Arabic--Gebel Musa) the Mountain near the tip of the Sinai Peninsula in West Asia.

  3. Impact of PharmaNet-Based Admission Medication Reconciliation on Best Possible Medication Histories for Warfarin

    PubMed Central

    Au, Debbie; Wu, Hilary; San, Cindy; Chua, Doson; Su, Victoria; Kirkwood, Allison

    2016-01-01

    Background Inaccurate documentation of medication histories may lead to medication discrepancies during hospital admissions. Obtaining a best possible medication history (BPMH) for warfarin can be challenging because of frequent dosage changes and nonspecific directions of use (e.g., “take as directed”). On February 27, 2012, the study hospital implemented an admission medication reconciliation (MedRec) process using a form that compiled the most recent 6 months of outpatient prescription dispensing history from a provincial electronic database called PharmaNet. It was unclear whether admission MedRec had improved the process of obtaining warfarin BPMHs and the quality of their documentation. Objective To compare the rates of complete warfarin BPMH documentation before and after implementation of PharmaNet-based admission MedRec. Methods A single-centre, retrospective chart review was conducted using the health records of patients receiving warfarin who were admitted to the hospital’s Internal Medicine service before and after implementation of admission MedRec. The study periods were October 1, 2009, to February 26, 2012, and February 27, 2012, to July 31, 2014, respectively. The primary outcome was the rate of complete warfarin BPMH documentation during each period. Results Data were recorded for 100 patients in the pre-implementation phase and 100 patients in the post-implementation phase. The rates of complete warfarin BPMH documentation were 65% and 84% in these 2 phases, respectively (p = 0.002). Conclusion Implementation of PharmaNet-based admission MedRec was associated with a statistically significant increase in the rate of complete warfarin BPMH documentation. PMID:27826152

  4. [Medication and falls in old age].

    PubMed

    Modreker, M K; von Renteln-Kruse, W

    2009-04-01

    Falls with and without injuries in elderly persons commonly have multiple causes. Exposure to drugs does contribute to these causes. Therefore, complete assessment and evaluation of prescription and over the counter drugs are essential parts of fall-prevention concepts. Frail elderly persons frequently treated with several medications are particularly predisposed to adverse drug effects which may increase the risk of falling. Risk increasing drug effects are dose dependent which have been best studied with psychotropic medication. Apart from psychotropic drugs, cardiovascular drugs contribute to FRIDs (Fall-Risk Increasing Drugs). Fall risk is particularly increased with drugs of the same therapeutic class combined or combinations of psychotropics and cardiovascular drugs. Intervention studies on withdrawal and dose reduction of fall-risk increasing drugs were successful in reducing the risk of falling. There is relatively few knowledge on whether and how drug treatment does decrease fall risk in elderly patients by improving safe mobility and walking ability relevant to activities of daily living.

  5. Clinical Prediction Models for Sleep Apnea: The Importance of Medical History over Symptoms

    PubMed Central

    Ustun, Berk; Westover, M. Brandon; Rudin, Cynthia; Bianchi, Matt T.

    2016-01-01

    Study Objective: Obstructive sleep apnea (OSA) is a treatable contributor to morbidity and mortality. However, most patients with OSA remain undiagnosed. We used a new machine learning method known as SLIM (Supersparse Linear Integer Models) to test the hypothesis that a diagnostic screening tool based on routinely available medical information would be superior to one based solely on patient-reported sleep-related symptoms. Methods: We analyzed polysomnography (PSG) and self-reported clinical information from 1,922 patients tested in our clinical sleep laboratory. We used SLIM and 7 state-of-the-art classification methods to produce predictive models for OSA screening using features from: (i) self-reported symptoms; (ii) self-reported medical information that could, in principle, be extracted from electronic health records (demographics, comorbidities), or (iii) both. Results: For diagnosing OSA, we found that model performance using only medical history features was superior to model performance using symptoms alone, and similar to model performance using all features. Performance was similar to that reported for other widely used tools: sensitivity 64.2% and specificity 77%. SLIM accuracy was similar to state-of-the-art classification models applied to this dataset, but with the benefit of full transparency, allowing for hands-on prediction using yes/no answers to a small number of clinical queries. Conclusion: To predict OSA, variables such as age, sex, BMI, and medical history are superior to the symptom variables we examined for predicting OSA. SLIM produces an actionable clinical tool that can be applied to data that is routinely available in modern electronic health records, which may facilitate automated, rather than manual, OSA screening. Commentary: A commentary on this article appears in this issue on page 159. Citation: Ustun B, Westover MB, Rudin C, Bianchi MT. Clinical prediction models for sleep apnea: the importance of medical history over symptoms

  6. Geographic Medical History: Advances in Geospatial Technology Present New Potentials in Medical Practice

    NASA Astrophysics Data System (ADS)

    Faruque, F. S.; Finley, R. W.

    2016-06-01

    Genes, behaviour, and the environment are known to be the major risk factors for common diseases. When the patient visits a physician, typical questions include family history (genes) and lifestyle of the patient (behaviour), but questions concerning environmental risk factors often remain unasked. It is ironic that 25 centuries ago Hippocrates, known as the father of medicine, noted the importance of environmental exposure in medical investigation as documented in his classic work, "Airs, Waters, Places", yet the practice of routinely incorporating environmental risk factors is still not in place. Modern epigenetic studies have found that unhealthy lifestyle and environmental factors can cause changes to our genes that can increase disease risk factors. Therefore, attempting to solve the puzzle of diseases using heredity and lifestyle alone will be incomplete without accounting for the environmental exposures. The primary reason why environmental exposure has not yet been a routine part of the patient's medical history is mostly due to our inability to provide clinicians useful measures of environmental exposures suitable for their clinical practices. This presentation will discuss advances in geospatial technology that show the potential to catalyse a paradigm shift in medical practice and health research by allowing environmental risk factors to be documented as the patient's "Geographic Medical History". In order to accomplish this we need information on: a) relevant spatiotemporal environmental variables, and b) location of the individual in that person's dynamic environment. Common environmental agents that are known to interact with genetic make-up include air pollutants, mold spores, pesticides, etc. Until recently, the other component, location of an individual was limited to a static representation such as residential or workplace location. Now, with the development of mobile technology, changes in an individual's location can be tracked in real time if

  7. Age Modulates Attitudes to Whole Body Donation among Medical Students

    ERIC Educational Resources Information Center

    Perry, Gary F.; Ettarh, Raj R.

    2009-01-01

    Managing a whole body donor program is necessary for facilitating a traditional dissection-based anatomy curriculum in medicine and health sciences. Factors which influence body donations to medical science can therefore affect dissection-based anatomy teaching. In order to determine whether age influences the attitudes of medical students to…

  8. [The function of philosophy of science in the teaching of medical history].

    PubMed

    Li, Yaming

    2014-05-01

    The philosophy of science yields 3 important functions in the teaching of medical history. Firstly, by analyzing the development of medicine from the perspective of philosophy, we can integrate medical history into the history of human thought and clearly show the close connection between the development of humanity and the development of medical science. Secondly, philosophical analysis on the general rules of scientific discoveries involved in medical history can help medical students to understand the methodology in the research of sciences in history. Thirdly, philosophy of science offers new dimensions for understanding the relationship between medicine and the society. By making use of the relevant theory in scientific philosophy to explore the relationship between medicine and the society, the nature of medicine and the social nature and function of science can be further understood by medical students so as to exert an active role in the research and clinical work in the future.

  9. Characteristics of Prison Hospice Patients: Medical History, Hospice Care, and End-of-Life Symptom Prevalence.

    PubMed

    Cloyes, Kristin G; Berry, Patricia H; Martz, Kim; Supiano, Katherine

    2015-07-01

    Increasing numbers of prisoners in the United States are dying from age-related and chronic illnesses while incarcerated. This study is among the first to document characteristics of a population of prison hospice patients. Retrospective review of medical records for all patients admitted to the Louisiana State Penitentiary prison hospice program between January 1, 2004, and May 31, 2012 (N = 79) examined demographics, medical history, hospice diagnosis, length of stay, and end-of-life symptom prevalence on admission and during final 72 hours before death. Resulting data were contrasted with community-based end-of-life care study data, demonstrating a unique clinical profile of this group. As prisons consider adopting programs to meet the growing need for inmate end-of-life care, more research concerning the particular characteristics and unique needs of prison hospice patients will inform these efforts.

  10. Pharmacist or Physician: Age Differences in Satisfaction with Medical Advice

    ERIC Educational Resources Information Center

    Gould, Odette N.; Wasylkiw, Louise; Rogers, Erin E.; MacPherson, Miranda

    2006-01-01

    Two studies examined predictors of medical care satisfaction in communities in Eastern Canada. Both studies focused on how the roles of pharmacists and physicians are perceived by adults of different ages. Using a survey methodology, Study 1 demonstrated that middle-aged adults, older adults, and community pharmacists differ in the extent to which…

  11. [Accurate assessment of heart murmurs in children: thorough medical history and physical examination required].

    PubMed

    Brus, F; Vandewall, M; Molenschot, M M C; van Setten, P A; Landstra, A M

    2006-07-08

    4 children, boys aged 12, 5, 1.5 and 11 years, had a heart murmur. The 12-year-old boy could also not finish a football match and appeared to have atrioseptal defects (ASD). The 1.5-year-old boy had pulmonary symptoms that were not responsive to asthma medication; he also had ASD. The 11-year-old boy had had chest pain and pressure following exertion for 2 years; he appeared to have an aortic stenosis. Symptoms disappeared in all 3 patients after surgical correction. In the 5-year-old asymptomatic boy the murmur was deemed to be innocent following medical history and physical examination. Children frequently have heart murmurs. Most heart murmurs are innocent but some are caused by heart defects. Careful evaluation of the medical history and physical examination are critical in the differentiation of innocent and pathological heart murmurs. Routine supplementary diagnostic tests in children with heart murmurs are of limited value and are often misleading. One should inquire about specific and nonspecific symptoms and also perform systematic inspection, palpation and auscultation to identify any characteristics that suggest a heart murmur caused by a heart defect.

  12. Using medical history embedded in biometrics medical card for user identity authentication: data representation by AVT hierarchical data tree.

    PubMed

    Fong, Simon; Zhuang, Yan

    2012-01-01

    User authentication has been widely used by biometric applications that work on unique bodily features, such as fingerprints, retina scan, and palm vessels recognition. This paper proposes a novel concept of biometric authentication by exploiting a user's medical history. Although medical history may not be absolutely unique to every individual person, the chances of having two persons who share an exactly identical trail of medical and prognosis history are slim. Therefore, in addition to common biometric identification methods, medical history can be used as ingredients for generating Q&A challenges upon user authentication. This concept is motivated by a recent advancement on smart-card technology that future identity cards are able to carry patents' medical history like a mobile database. Privacy, however, may be a concern when medical history is used for authentication. Therefore in this paper, a new method is proposed for abstracting the medical data by using attribute value taxonomies, into a hierarchical data tree (h-Data). Questions can be abstracted to various level of resolution (hence sensitivity of private data) for use in the authentication process. The method is described and a case study is given in this paper.

  13. The Long History of Old Age The Long History of Old Age Thane Pat Thames & Hudson £25 320 0 500 25126 6 0500251266 [Formula: see text].

    PubMed

    2006-01-01

    This book provides an absorbing overview of 'old age', charting the history of ageing within society. It aims to right the misconceptions of ageing throughout history by writing about topics that have been 'for too long surrounded by taboo' and by challenging some of the misconceptions associated with getting older.

  14. Acting Out History from the Ice Age to the Modern Age.

    ERIC Educational Resources Information Center

    Mattioli, Denee J.; Drake, Frederick

    1999-01-01

    Addresses the teaching methods of Michael Welch, a seventh grade teacher, who incorporates the humanities, such as drama and literature, into his history classroom in order to help students learn to question, think analytically, solve problems, and make decisions. Summarizes a particular unit on the Ice Age. (CMK)

  15. Impact of early personal-history characteristics on the Pace of Aging: implications for clinical trials of therapies to slow aging and extend healthspan.

    PubMed

    Belsky, Daniel W; Caspi, Avshalom; Cohen, Harvey J; Kraus, William E; Ramrakha, Sandhya; Poulton, Richie; Moffitt, Terrie E

    2017-04-12

    Therapies to extend healthspan are poised to move from laboratory animal models to human clinical trials. Translation from mouse to human will entail challenges, among them the multifactorial heterogeneity of human aging. To inform clinical trials about this heterogeneity, we report how humans' pace of biological aging relates to personal-history characteristics. Because geroprotective therapies must be delivered by midlife to prevent age-related disease onset, we studied young-adult members of the Dunedin Study 1972-73 birth cohort (n = 954). Cohort members' Pace of Aging was measured as coordinated decline in the integrity of multiple organ systems, by quantifying rate of decline across repeated measurements of 18 biomarkers assayed when cohort members were ages 26, 32, and 38 years. The childhood personal-history characteristics studied were known predictors of age-related disease and mortality, and were measured prospectively during childhood. Personal-history characteristics of familial longevity, childhood social class, adverse childhood experiences, and childhood health, intelligence, and self-control all predicted differences in cohort members' adulthood Pace of Aging. Accumulation of more personal-history risks predicted faster Pace of Aging. Because trials of anti-aging therapies will need to ascertain personal histories retrospectively, we replicated results using cohort members' retrospective personal-history reports made in adulthood. Because many trials recruit participants from clinical settings, we replicated results in the cohort subset who had recent health system contact according to electronic medical records. Quick, inexpensive measures of trial participants' early personal histories can enable clinical trials to study who volunteers for trials, who adheres to treatment, and who responds to anti-aging therapies.

  16. Application of oral history to contemporary history of medicine in Korea: with a focus on medical scientists.

    PubMed

    Kim, Ock-Joo

    2013-08-01

    The oral history helps researchers to fill the gap in historical documents in research on the contemporary history of medicine in Korea. More and more studies in history of contemporary medicine in Korea have come out using oral history of doctors and patients. Based upon the author's research on development of neurosurgery in late 20th century Korea, this paper discusses how to apply oral history to contemporary history of medicine, focusing on oral history of doctors in Korea. In this paper the author describes how to do and use oral history of key doctors and medical scientists in the contemporary history of medicine in Korea. The oral history can be a powerful tool to complement the written documents as following. First, from their interview, doctors and medical scientists often provide valuable information which historians cannot get from documents and written sources. As intelligent interviewees, they not only understand the purpose of research but also help actively the historianresearcher- interviewer. Second, the oral history facilitates further searches and often it leads to more findings of informants, and written and image material. More often than not, doctors and medical scientists do their own research on the topic and provide the historian with valuable historical source material from their laboratories, bedsides, family and friends. Third, interviews with medical scientists and oral material produced by doctors and medical scientists helped the researcher to understand and interpret the papers and written documents. Fourth, the subjective stories told by the medical scientists provide perspectives and historical source as narrative truth. Before a historian attempts to use the oral material as complementary historial evidence, he or she needs to cross-check the validity and of objectivity of the oral material. Oral material is produced through bidirectional intersubjective interaction between the interviewer and interviewee, and critical reflection

  17. LIFE HISTORY. Age-related mortality explains life history strategies of tropical and temperate songbirds.

    PubMed

    Martin, Thomas E

    2015-08-28

    Life history theory attempts to explain why species differ in offspring number and quality, growth rate, and parental effort. I show that unappreciated interactions of these traits in response to age-related mortality risk challenge traditional perspectives and explain life history evolution in songbirds. Counter to a long-standing paradigm, tropical songbirds grow at similar overall rates to temperate species but grow wings relatively faster. These growth tactics are favored by predation risk, both in and after leaving the nest, and are facilitated by greater provisioning of individual offspring by parents. Increased provisioning of individual offspring depends on partitioning effort among fewer young because of constraints on effort from adult and nest mortality. These growth and provisioning responses to mortality risk finally explain the conundrum of small clutch sizes of tropical birds.

  18. [The red face: art, history and medical representations].

    PubMed

    Cribier, B

    2011-09-01

    For millennia, a red face has been a handicap in social relations, mainly because of the associated bias against alcoholics. The color red is also the color of emotion, betrayal of the person who blushes. Since the color red is one of the main characteristics of rosacea, it contributes to the bad reputation this disorder has, which is therefore the subject of a pressing therapeutic demand, principally in women. Nineteenth-century French novelists such as Balzac and later Proust, admirably described blotchy, red, or sanguine faces, which always announced a difficult, violent temperament, or was simply the mark of the laboring class. The color red remains ambivalent today, on the one hand denoting blood and life and on the other suffering, shame, and death. The history of dermatology shows that the semiology of rosacea was very well described in the earliest reports, notably those written in the Middle Ages. The term "acne rosacea" appeared in Bateman's writings, who made it a clinical form of acne. This confusion lasted throughout the nineteenth century. It was not until Hebra in Austria and Darier in France that the differential diagnosis was clearly made between acne and rosacea. A "couperosis" previously referred to the entire range of the disease, particularly the papules and pustules, and it was not until the twentieth century that the current meaning of rosacea progressively gained ground: this term today designates facial telangiectasia, whether or not it is associated with a characteristic redness.

  19. [Medicine, aging, masculinity: towards a cultural history of the male climacterium].

    PubMed

    Hofer, Hans-Georg

    2007-01-01

    Most historical studies on aging, gender and medicine have hitherto focused on menopausal women. There is comparatively little work on aging men and the contested idea of climacteric or "menopausal" men. This paper seeks to examine the male climacterium as a culturally and historically shaped idea in twentieth-century medicine. In the first part I shall map historical changes in understanding and defining the subject. In the second and third part, my main emphasis is put on answering the question: "What does it mean to write a cultural history of the male climacterium?" Drawing upon positions from cultural, gender and men's studies, I argue that the production of medical knowledge about the aging process of men is inevitably embedded in a cultural universe constituted by narratives, symbols, metaphors and images.

  20. Case studies in cholera: lessons in medical history and science.

    PubMed Central

    Kavic, S. M.; Frehm, E. J.; Segal, A. S.

    1999-01-01

    Cholera, a prototypical secretory diarrheal disease, is an ancient scourge that has both wrought great suffering and taught many valuable lessons, from basic sanitation to molecular signal transduction. Victims experience the voluminous loss of bicarbonate-rich isotonic saline at a rate that may lead to hypovolemic shock, metabolic acidosis, and death within afew hours. Intravenous solution therapy as we know it was first developed in an attempt to provide life-saving volume replacement for cholera patients. Breakthroughs in epithelial membrane transport physiology, such as the discovery of sugar and salt cotransport, have paved the way for oral replacement therapy in areas of the world where intravenous replacement is not readily available. In addition, the discovery of the cholera toxin has yielded vital information about toxigenic infectious diseases, providing a framework in which to study fundamental elements of intracellular signal transduction pathways, such as G-proteins. Cholera may even shed light on the evolution and pathophysiology of cystic fibrosis, the most commonly inherited disease among Caucasians. The goal of this paper is to review, using case studies, some of the lessons learned from cholera throughout the ages, acknowledging those pioneers whose seminal work led to our understanding of many basic concepts in medical epidemiology, microbiology, physiology, and therapeutics. PMID:11138935

  1. Medical comforts during the heroic age of Antarctic exploration.

    PubMed

    Guly, H R

    2013-04-01

    In the literature of the exploration of the Antarctic in the early 20th century, there are many references to 'medical comforts'. While 'medical comforts' was sometimes used as a euphemism for alcoholic beverages, the term, which originated in the army, covered all foods and drinks used for the treatment and prevention of illness and during convalescence. This article describes the use of medical comforts during the Antarctic expeditions of the so called 'heroic age'. Apart from alcohol, medical comforts included beef extracts, milk extracts and arrowroot. These products were extensively advertised to the medical and nursing professions and to the general public and the Antarctic connection was sometimes used in the advertising. The products were largely devoid of vitamins and their use may have contributed to some of the disease that occurred on these expeditions.

  2. Age modulates attitudes to whole body donation among medical students.

    PubMed

    Perry, Gary F; Ettarh, Raj R

    2009-01-01

    Managing a whole body donor program is necessary for facilitating a traditional dissection-based anatomy curriculum in medicine and health sciences. Factors which influence body donations to medical science can therefore affect dissection-based anatomy teaching. In order to determine whether age influences the attitudes of medical students to donations, this study surveyed, by Likert-type questionnaires, first-year graduate-entry medical students attending a dissection-based anatomy course. In contrast to attitudes among younger traditional-entry medical students, initial support for whole body donation by an unrelated stranger (83.8%), a family member (43.2%) or by the respondent (40.5%) did not decrease among graduate-entry medical students after exposure to dissection although there was a significant shift in strength of support for donation by stranger. This suggests that older medical students do not readily modify their pre-established attitudes to the idea of whole body donation after exposure and experience with dissection. Initial ambivalence among respondents to the idea of donation by family member was followed by opposition to this type of donation. These findings demonstrate that age modulates the influences on a priori attitudes to whole body donation that exposure to dissection causes in younger medical students.

  3. Optimal medication use in elders. Key to successful aging.

    PubMed

    Monane, M; Monane, S; Semla, T

    1997-10-01

    Pharmacotherapy represents one of the most important ways in which the practice of geriatric medicine differs from conventional medical care. The older patients is a major consumer of prescription and nonprescription medications, and proper use of these agents can lead to more cost-effective strategies in reaching optimal health. A key difference in distinguishing appropriate from inappropriate drug use is evident in the themes of polymedicine and polypharmacy. Polymedicine describes the use of medications for an older population for the treatment of multiple co-morbid conditions, while polypharmacy represents a less-than-desirable state with duplicative medications, drug-to-drug interactions, and inadequate attention to pharmacokinetic and pharmacodynamic principles. The purpose of this paper is to outline strategies toward optimal medication use as a key to successful aging. Specifically, we discuss themes of cost-effective prescribing, the role of medication compliance, overuse and underuse of medication, over-the-counter products, alcohol abuse, and preventive medicine. In addition, we discuss policy implications and responsibility for ensuring the high quality of pharmaceutical care. The reader should have a practical understanding of the pertinent issues in geriatric clinical pharmacology and its relationship to successful aging.

  4. [Planning the medical retirement for a happy old age].

    PubMed

    Martín Del Campo Martínez, Nicolás; Sánchez Marle, Juan Felipe

    2011-01-01

    There is little written information on how to plan the retirement from clinical activities in order to achieve happiness in the old age. There are different specialists with expertise, programs and routines designed to prevent, diagnose and treat different conditions typical of each of the cycles of life of human beings. The question is at what stage of life would it be appropriate to initiate the project and process of medical retirement?, as it should include prevention, routine, and a plan to slow down aging in order to arrive to old age with physical, mental and economical happiness. The intention of this paper is to propose a medical retirement plan to achieve happiness in the old age. The factors that determine aging are: genetics, the environment, and the character and will of the individual. Therefore the medical retirement plan to achieve happiness in old age should include the concepts of physical, mental and economic well being. Up to the extent that we maintain a physical, mental, and economic autonomy and fulfill the established retirement plan, we will succeed in delaying the onset of old age. We conclude that it is necessary to accept retirement and to plan ahead of it.

  5. 28 CFR 115.381 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Medical and mental health screenings... § 115.381 Medical and mental health screenings; history of sexual abuse. (a) If the screening pursuant... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  6. 28 CFR 115.81 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Medical and mental health screenings... Care § 115.81 Medical and mental health screenings; history of sexual abuse. (a) If the screening... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  7. 28 CFR 115.81 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Medical and mental health screenings... Care § 115.81 Medical and mental health screenings; history of sexual abuse. (a) If the screening... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  8. 28 CFR 115.381 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Medical and mental health screenings... § 115.381 Medical and mental health screenings; history of sexual abuse. (a) If the screening pursuant... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  9. 28 CFR 115.381 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Medical and mental health screenings... § 115.381 Medical and mental health screenings; history of sexual abuse. (a) If the screening pursuant... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  10. 28 CFR 115.81 - Medical and mental health screenings; history of sexual abuse.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Medical and mental health screenings... Care § 115.81 Medical and mental health screenings; history of sexual abuse. (a) If the screening... follow-up meeting with a medical or mental health practitioner within 14 days of the intake screening....

  11. A brief history of medical education and training in Australia.

    PubMed

    Geffen, Laurence

    2014-07-07

    Medical education and training in Australia comprises four phases: basic education, prevocational training, vocational training and continuing professional development. Between the 1860s and 1960s, eight medical schools were established in Australia, admitting school leavers to courses comprised of preclinical, paraclinical and clinical phases. Between the 1970s and the 1990s, two innovative new schools were established and all schools made major reforms to student selection, curricula and teaching, learning and assessment methods. Since 2000, student numbers expanded rapidly, both in existing medical schools and in eight new schools established to meet workforce demands, particularly in the rural sector. Prevocational training, first introduced as a compulsory internship year in the 1930s, has undergone reform and extension to subsequent years of junior doctor training through the agency of health departments and postgraduate medical education councils. Vocational training and continuing professional development, delivered by 15 specialist medical colleges, has evolved since the 1930s from a focus on specialist care of individual patients to include broader professional attributes required to manage complex health care systems. The Australian Medical Council began accreditation of basic medical education in 1985 and its remit now extends to all phases of medical education and training. With national governance of the entire system of medical education and training now achieved, mechanisms exist for flexible integration of all phases of medical education to meet the local and global challenges facing Australia's medical workforce.

  12. A Comparison of Medication Histories Obtained by a Pharmacy Technician Versus Nurses in the Emergency Department

    PubMed Central

    Markovic, Marija; Mathis, A. Scott; Ghin, Hoytin Lee; Gardiner, Michelle; Fahim, Germin

    2017-01-01

    Purpose: To compare the medication history error rate of the emergency department (ED) pharmacy technician with that of nursing staff and to describe the workflow environment. Methods: Fifty medication histories performed by an ED nurse followed by the pharmacy technician were evaluated for discrepancies (RN-PT group). A separate 50 medication histories performed by the pharmacy technician and observed with necessary intervention by the ED pharmacist were evaluated for discrepancies (PT-RPh group). Discrepancies were totaled and categorized by type of error and therapeutic category of the medication. The workflow description was obtained by observation and staff interview. Results: A total of 474 medications in the RN-PT group and 521 in the PT-RPh group were evaluated. Nurses made at least one error in all 50 medication histories (100%), compared to 18 medication histories for the pharmacy technician (36%). In the RN-PT group, 408 medications had at least one error, corresponding to an accuracy rate of 14% for nurses. In the PT-RPh group, 30 medications had an error, corresponding to an accuracy rate of 94.4% for the pharmacy technician (P < 0.0001). The most common error made by nurses was a missing medication (n = 109), while the most common error for the pharmacy technician was a wrong medication frequency (n = 19). The most common drug class with documented errors for ED nurses was cardiovascular medications (n = 100), while the pharmacy technician made the most errors in gastrointestinal medications (n = 11). Conclusion: Medication histories obtained by the pharmacy technician were significantly more accurate than those obtained by nurses in the emergency department. PMID:28090164

  13. The red face: art, history and medical representations.

    PubMed

    Cribier, B

    2011-11-01

    For millennia, a red face has been a handicap in social relations, mainly because of the associated bias against alcoholics. The color red is also the color of emotion, betrayal of the person who blushes. Since the color red is one of the main characteristics of rosacea, it contributes to the bad reputation this disorder has, which is therefore the subject of a pressing therapeutic demand, principally in women. Nineteenth-century French novelists such as Balzac and later Proust, admirably described blotchy, red, or sanguine faces, which always announced a difficult, violent temperament, or was simply the mark of the laboring class. The color red remains ambivalent today, on the one hand denoting blood and life and on the other suffering, shame, and death. The history of dermatology shows that the semiology of rosacea was very well described in the earliest reports, notably those written in the Middle Ages. The term "acne rosacea" appeared in Bateman's writings, who made it a clinical form of acne. This confusion lasted throughout the nineteenth century. It was not until Hebra in Austria and Darier in France that the differential diagnosis was clearly made between acne and rosacea. A "couperosis" previously referred to the entire range of the disease, particularly the papules and pustules, and it was not until the twentieth century that the current meaning of rosacea progressively gained ground: this term today designates facial telangiectasia, whether or not it is associated with a characteristic redness. Rosacea is a conspicuous disease, since the lesions involve the central portion of the face.Among the many manifestations of rosacea, redness is the most characteristic [1].

  14. Complex exposure histories for meteorites with "short" exposure ages

    NASA Astrophysics Data System (ADS)

    Herzog, G. F.; Vogt, S.; Albrecht, A.; Xue, S.; Fink, D.; Klein, J.; Middleton, R.; Weber, H. W.; Schultz, L.

    1997-05-01

    We report measurements of 26Al and 10Be activities in nine ordinary chondrites and of the light noble gas concentrations and 36Cl and 41Ca activities in subsets of those meteorites. All but Murray have low 21Ne concentrations (<1.0 (10-8 cm3 STP/g), and have previously been used to estimate 21Ne production rates. Ladder Creek, Murchison, Sena, and Timochin have inventories of cosmogenic radionuclides compatible with a single stage of irradiation and give 21Ne production rates consistent with the standard L-chondrite value of ~0.33 ( 10-8 cm3 STP/g-My. In contrast, Cullison, Guenie, Shaw, and Tsarev experienced complex irradiation histories. They and several other meteorites with low nominal exposure ages also have lower 3He/21Ne ratios than expected based on their 22Ne/21Ne ratios. A general association between low 21Ne contents and 3He losses suggests that meteorites with short lifetimes often occupy orbits with small perihelia. Meteorites with low 21Ne contents, one-stage exposure histories, and losses of cosmogenic 3He are rare, however. Possible explanations for the scarcity are 1) statistical; 2) that it is harder for more deeply buried proto-meteoroids to lose gas in a liberating collision; and 3) that it is harder to insert more deeply buried proto-meteoroids directly into orbits with small perihelia.

  15. Medical oncology, history and its future in Iran.

    PubMed

    Mirzania, Mehrzad; Ghavamzadeh, Ardeshir; Asvadi Kermani, Iraj; Ashrafi, Farzaneh; Allahyari, Abolghasem; Rostami, Nematollah; Razavi, Seyed Mohsen; Ramzi, Mani; Nemanipour, Gholamreza

    2015-11-01

    Systemic therapy is one of the cornerstones of cancer treatment. In 1972, following representations by American Society of Clinical Oncology (ASCO), the American Board of Internal Medicine (ABIM) recognized medical oncology as a new subspecialty of internal medicine. Subspecialty of Hematology and Medical Oncology was emerged in Iran in 1983. In the past, modern medical treatments and education were started in Dar Al-fonun school and then in Tehran University; now six universities in Iran are training in Subspecialty of Hematology and Medical Oncology. There are also ten active hematopoietic stem cell transplantation centers, thirty-one provincial medical schools use their specialized services. Future goals for Hematology and Medical Oncology in Iran include expansion and reinforcement of multidisciplinary teams across the country, early detection and prevention of cancer, providing educational program and conducting cancer researches. To achieve these goals, it is necessary to establish Cancer Hospitals in each province that link together through a network.

  16. History of circumcision: a religious obligation or a medical necessity.

    PubMed

    Massry, Shaul G

    2011-01-01

    Circumcision is the oldest documented surgical procedure. Practiced for ritual religious and likely medical purposes, it seems to have emerged in Egypt and was adopted by the western Semitic tribes. In biblical times, circumcision became a religious doctrine described in the Covenant between God and Abraham in the book of Genesis. Although some claim that there are medical advantages to being circumcised, available data do not support a medical benefit for circumcision.

  17. The history of open access medical publishing: a comprehensive review.

    PubMed

    Sukhov, Andrea; Burrall, Barbara; Maverakis, Emanual

    2016-09-15

    Dermatology Online Journal became the first medical open access journal in the early 1990's. Today, thousands of open access medical journals are available on the Internet. Despite criticisms surrounding open access, these journals have allowed research to be rapidly available to the public. In addition, open access journal policies allow public health research to reach developing countries where this research has the potential to make a substantial impact. In the future, open access medical journals will likely continue to evolve with technology, changing how medical research is accessed and presented.

  18. The aging woman: the role of medical therapy.

    PubMed

    Wilken-Jensen, C; Ottesen, B

    2003-09-01

    The growth of the postmenopausal population demands a change in the medical profession's approach to health and disease. Especially in the developed world, lifespan is increasing, and at the age of 60 the majority of women will still have at least 20 years to live. There will, therefore, be an increasing need for health programs that lead to more years of disability free life. Hormone replacement therapy (HRT) is but one example of the dilemmas medical therapy of the aging woman poses. In the sixties, estrogen was considered a wonder drug, effective for a multitude of postmenopausal problems and illnesses. Recent research has placed this notion into a more balanced perspective, emphasizing that every medical treatment should be based on evidence. It is therefore worrisome if the decline in the use of HRT is followed by an increased use of alternative medicine with mostly undocumented effects.

  19. The Oral History Program: II. Personal views of health sciences librarianship and the Medical Library Association.

    PubMed Central

    McKenzie, D; Pifalo, V

    1998-01-01

    The Medical Library Association Oral History Program uses accepted oral history techniques to collect and preserve interviews with members. The original taped interviews and transcripts are kept in the Medical Library Association archives and made available for research purposes; edited copies of the interviews are distributed through the National Network of Libraries of Medicine, and members are encouraged to borrow and read the histories. Summaries of forty-three interviews provide personal views on health sciences librarianship and the Medical Library Association. PMID:9681172

  20. The Oral History Program: I. Personal views of health sciences librarianship and the Medical Library Association.

    PubMed Central

    McKenzie, D; Pifalo, V

    1998-01-01

    The Medical Library Association Oral History Program uses accepted oral history techniques to collect and preserve interviews with members. The original taped interviews and transcripts are kept in the Medical Library Association archives and made available for research purposes; edited copies of the interviews are distributed through the National Network of Libraries of Medicine, and members are encouraged to borrow and read the histories. Summaries of forty-three interviews provide personal views on health sciences librarianship and the Medical Library Association. PMID:9578936

  1. The Oral History Program: III. Personal views of health sciences librarianship and the Medical Library Association.

    PubMed Central

    McKenzie, D; Pifalo, V

    1998-01-01

    The Medical Library Association Oral History Program uses accepted oral history techniques to collect and preserve interviews with members. The original taped interviews and transcripts are kept in the Medical Library Association archives and made available for research purposes; edited copies of the interviews are distributed through the National Network of Libraries of Medicine, and members are encouraged to borrow and read the histories. Summaries of forty-three interviews provide personal views on health sciences librarianship and the Medical Library Association. PMID:9803287

  2. [Medical rehabilitation in the Armed Forces: history, current state and prospects].

    PubMed

    Fisun, A Ia; Shchegol'kov, A M; Iudin, V E; Ponomarenko, G N

    2014-08-01

    Authors analyzed history, current state and prospects of medical rehabilitation in the Armed Forces of the Russian Federation. Current system of medical rehabilitation in the Armed Forces provides all categories of military personnel and members of their families complete rehabilitative and remedial measures. An integration of rehabilitative experience of the medical service of the Armed Forces of the Russian Federation into the State system of medical rehabilitation, active participation of the medical service of the Armed Forces of the Russian Federation in activity of National association of specialists of medical rehabilitation and regenerative medicine will allow to increase the effectiveness of the rehabilitation system of the Armed Forces.

  3. Medical Marijuana Laws and Suicides by Gender and Age

    PubMed Central

    Anderson, D. Mark; Sabia, Joseph J.

    2014-01-01

    Objectives. We estimated the association between legalizing medical marijuana and suicides. Methods. We obtained state-level suicide data from the National Vital Statistics System’s Mortality Detail Files for 1990–2007. We used regression analysis to examine the association between medical marijuana legalization and suicides per 100 000 population. Results. After adjustment for economic conditions, state policies, and state-specific linear time trends, the association between legalizing medical marijuana and suicides was not statistically significant at the .05 level. However, legalization was associated with a 10.8% (95% confidence interval [CI] = −17.1%, −3.7%) and 9.4% (95% CI = −16.1%, −2.4%) reduction in the suicide rate of men aged 20 through 29 years and 30 through 39 years, respectively. Estimates for females were less precise and sensitive to model specification. Conclusions. Suicides among men aged 20 through 39 years fell after medical marijuana legalization compared with those in states that did not legalize. The negative relationship between legalization and suicides among young men is consistent with the hypothesis that marijuana can be used to cope with stressful life events. However, this relationship may be explained by alcohol consumption. The mechanism through which legalizing medical marijuana reduces suicides among young men remains a topic for future study. PMID:24432945

  4. [The history of the institutionalization of medical psychology in Austria].

    PubMed

    Hirnsperger, Hans; Mundschütz, Reinhard; Sonneck, Gernot

    2011-01-01

    Beginning with Freudian psychoanalysis and the Zürich school of psychiatry, which in the early 20th century were the first to call for studies in medical psychology at universities, the article traces the path to the institutionalization of medical psychology in Austria especially in Vienna. Particular attention is devoted to the Academic Society for Medical Psychology (Akademischer Verein für Medizinische Psychologie) which held lectures and courses at the University of Vienna from 1926 to 1938. The Society can thus be viewed as a predecessor of the foundation of the institutes for medical psychology and psychotherapeutic clinics, starting in the late 1960s and continuing into the early 1980s.

  5. Canada basin: age and history of its continental margin

    SciTech Connect

    Sweeney, J.F.

    1985-02-01

    Presently available age controls suggest that the Canada basin formed during the Cretaceous Period between about 131 and 79 Ma. The opening process began with continental breakup that may have involved all parts of the North American polar margin at about the same time. The opening was completed by the formation of oceanic crust during the extended Cretaceous interval of normal geomagnetic polarity. Features characteristics of continental breakup, insofar as they are known, show systematic regional differences. From Brock to Axel Heiberg Island, continental breakup was associated with an extended (100 + Ma) stratigraphic hiatus and, northeastward from Ellef Ringnes Island, with extensive tholeiitic igneous activity. From Banks Island to northeastern Alaska, the breakup interval was abbreviated (20-30 Ma), and sparse igneous activity occurred. These differences can be produced by changes in the rate and/or amount of crustal stretching during margin formation and would imply relatively faster or more stretching northeast of Brock island. A continental margin of fixed age, exhibiting the indicated pattern of crustal stretching, could be produced along the trailing edge of a rotating block (Arctic Alaska terrane AA) with its pivot near the Mackenzie delta. When the rotation is restored, however, geological discrepancies are evident between Devonian and older rocks across the conjugate margins, suggesting an earlier history of drifting for the AA. Early Paleozoic correlations appear improved if the AA is placed, polar margin to polar margin, against northern Ellesmere Island and Greenland, where in the middle Paleozoic, it was sheared sinistrally along the Canadian margin to its pre-rotated position opposite Banks Island.

  6. Wastewater management through the ages: a history of mankind.

    PubMed

    Lofrano, Giusy; Brown, Jeanette

    2010-10-15

    Although much has been written about the history of water supply systems, there is a lack of corresponding information on wastewater management. This is surprising since the lack of sanitation affects human development to the same or even greater extent as the lack of clean water. While there may be an added stigma to discussing waste treatment, sanitation is widely perceived as meriting a significant claim on financial and political resources as well on the evolution of mankind. A literature review is presented on the evolution of wastewater management through the ages and its concurrent impact on human health and environment. Hopefully this information will improve the awareness of the past with a view to impacting future policies and technical developments. The review highlights the connection of environmental contamination with the ability to measure it, as well as the ways pollution control has been changed by advances in scientific knowledge. Attention is also drawn to the effects of political and societal events on wastewater management. A sanitation timeline has been constructed pointing out significant developments in the treatment of wastewater and improvements in analytical environmental chemistry. This review has been written in the belief that historical research showing the collective experience and "philosophy of sanitation" can provide inspiration to face future challenges.

  7. Medical profession and nuclear war: a social history

    SciTech Connect

    Day, B.; Waitzkin, H.

    1985-08-02

    Since World War II, individual physicians and medical organizations in the US have cooperated with the federal government in preparing for nuclear war. While most physicians have maintained a neutral stance, a minority have resisted federal policies. Health professionals participated actively at the wartime laboratories that developed the atomic bomb and in the medical research that followed Hiroshima and Nagasaki. Professional organizations helped with civil defense planning for nuclear conflict during the Cold War of the late 1950s and early 1960s. Medical resistance to nuclear war began in the same period, gained wide attention with the growth of Physicians for Social Responsibility in the early 1960s, declined during the Vietnam War, and vastly increased in the early 1980s. Activism by health professionals usually has responded to government policies that have increased the perceived risk of nuclear conflict. The recent return of civil defense planning has stimulated opposition in medical circles. Ambiguities of medical professionalism limit the scope of activism in the nuclear arena. These ambiguities concern the interplay of organized medicine and government, tensions between science and politics, and the difficulties of day-to-day work in medicine while the arms race continues.

  8. The use of instant medical history in a rural clinic. Case study of the use of computers in an Arkansas physician's office.

    PubMed

    Pierce, B

    2000-05-01

    This study evaluated the acceptance of using computers to take a medical history by rural Arkansas patients. Sex, age, race, education, previous computer experience and owning a computer were used as variables. Patients were asked a series of questions to rate their comfort level with using a computer to take their medical history. Comfort ratings ranged from 30 to 45, with a mean of 36.8 (SEM = 0.67). Neither sex, race, age, education, owning a personal computer, nor prior computer experience had a significant effect on the comfort rating. This study helps alleviate one of the concerns--patient acceptance--about the increasing use of computers in practicing medicine.

  9. Medical library services in Kuwait: history and future prospects.

    PubMed Central

    Sullivan, M G; Brennen, P W

    1984-01-01

    Despite immense resources and a growing interest in education and libraries, library development in Kuwait has been restricted by the problems common to all developing countries. These include an overdose of bureaucracy, lack of trained librarians, and little perception of the library's importance in the educational system. Medical librarianship is virtually a new field. The only medical library of any significance in the country is the Faculty of Medicine Library established in 1974 to serve the newly organized Faculty of Medicine of Kuwait University. In recent years, the Faculty of Medicine Library has gone through several reassessments and many changes. It has expanded its collection, begun computerized searching, and recruited several professional librarians. Now semiautonomous from the university's Libraries Department and housed in a new, modern building, the library has the potential to become the main medical library in the Persian Gulf area. PMID:6365225

  10. History of Medical Parasitology and Parasitic Infections in Iran.

    PubMed

    Edrissian, Gholamhossein; Rokni, Mohammad Bagher; Mohebali, Mehdi; Nateghpour, Mehdi; Mowlavi, Gholamreza; Bahadori, Moslem

    2016-08-01

    Parasites and parasitic diseases have been prevalent in Iran according to Iranian ancient scholars and physicians' inscriptions dating back to 865-1496. Some protozoan diseases such as malaria and cutaneous leishmaniasis have been introduced by clinical manifestations and helminthic infections by size and morphology of the worms. Scientific studies of Parasitology started in Iran from 1833, first by foreign physicians and continued from 1909 by Iranian researchers. The pioneer medical parasitologists of Iran were Dr N. Ansari and Dr. Sh. Mofidi who established the Department of Medical Parasitology in the School of Medicine, University of Tehran, 1939. Afterward, a considerable number of researchers and professors of parasitology have been active in training and research works in the fields of medical parasitology throughout the entire nation. At present, some significant parasitic diseases such as bilharsiasis and dracunculiasis are more or less eradicated and malaria is in the elimination phase. The prevalence of most helminthic infections has considerably decreased. Most of the departments of medical Parasitology in Iran are active in training MD, MSPH and PhD students. The Iranian Society of Parasitology established in 1994 is active with many eligible members and its creditable publication, the Iranian Journal of Parasitology, published seasonally since 2006. From 1833, when the scientific studies of Parasitology have started in Iran up to 2013, many researchers have been done on various fields of medical Parasitology and parasitic diseases in Iran and 2517 papers in English and 1890 papers in Persian have been published in national and international scientific journals. In addition, more than 420 books related in the field of medical parasitology field have been published in Persian language.

  11. Medical history of discordant twins and environmental etiologies of autism

    PubMed Central

    Willfors, C; Carlsson, T; Anderlid, B-M; Nordgren, A; Kostrzewa, E; Berggren, S; Ronald, A; Kuja-Halkola, R; Tammimies, K; Bölte, S

    2017-01-01

    The environmental contributions to autism spectrum disorder (ASD) and their informative content for diagnosing the condition are still largely unknown. The objective of this study was to investigate associations between early medical events and ASD, as well as autistic traits, in twins, to test the hypothesis of a cumulative environmental effect on ASD risk. A total of 80 monozygotic (MZ) twin pairs (including a rare sample of 13 twin pairs discordant for clinical ASD) and 46 dizygotic (DZ) twin pairs with varying autistic traits, were examined for intra-pair differences in early medical events (for example, obstetric and neonatal factors, first year infections). First, differences in early medical events were investigated using multisource medical records in pairs qualitatively discordant for ASD. The significant intra-pair differences identified were then tested in relation to autistic traits in the remaining sample of 100 pairs, applying generalized estimating equations analyses. Significant association of the intra-pair differences in the MZ pairs were found for the cumulative load of early medical events and clinical ASD (Z=−2.85, P=0.004) and autistic traits (β=78.18, P=0.002), as well as infant dysregulation (feeding, sleeping abnormalities, excessive crying and worriedness), when controlling for intelligence quotient and attention deficit hyperactivity disorder comorbidity. The cumulative load of early medical events in general, and infant dysregulation in particular, may index children at risk of ASD owing to non-shared environmental contributions. In clinical practice, these findings may facilitate screening and early detection of ASD. PMID:28140403

  12. Old Age, Life Extension, and the Character of Medical Choice

    PubMed Central

    Kaufman, Sharon R.; Shim, Janet K.; Russ, Ann J.

    2008-01-01

    Objectives This qualitative, ethnographic study explores the character and extent of medical choice for life-extending procedures on older adults. It examines the sociomedical features of treatment that shape health care provider understandings of the nature of choice, and it illustrates the effects of treatment patterns on patients’ perspectives of their options for life extension. Methods By using participant observation in outpatient clinics and face-to-face interviews, we spoke with a convenience sample of 38 health professionals and 132 patients aged 70 or older who had undergone life-extending medical procedures. We asked providers and patients open-ended questions about their understandings of medical choice for cardiac procedures, dialysis, and kidney transplant. Results Neither patients nor health professionals made choices about the start or continuation of life-extending interventions that were uninformed by the routine pathways of treatment; the pressures of the technological imperative; or the growing normalization, ease, and safety of treating ever older patients. We found a difference among cardiac, dialysis, and transplant procedures regarding the locus of responsibility for maintaining and extending life. Discussion Provider and patient practices together reveal how the standard use of medical procedures at ever older ages trumps patient-initiated decision making. PMID:16855038

  13. Utility of an Algorithm to Increase the Accuracy of Medication History in an Obstetrical Setting

    PubMed Central

    Corbel, Aline; Baud, David; Chaouch, Aziz; Beney, Johnny; Csajka, Chantal; Panchaud, Alice

    2016-01-01

    Background In an obstetrical setting, inaccurate medication histories at hospital admission may result in failure to identify potentially harmful treatments for patients and/or their fetus(es). Methods This prospective study was conducted to assess average concordance rates between (1) a medication list obtained with a one-page structured medication history algorithm developed for the obstetrical setting and (2) the medication list reported in medical records and obtained by open-ended questions based on standard procedures. Both lists were converted into concordance rate using a best possible medication history approach as the reference (information obtained by patients, prescribers and community pharmacists’ interviews). Results The algorithm-based method obtained a higher average concordance rate than the standard method, with respectively 90.2% [CI95% 85.8–94.3] versus 24.6% [CI95%15.3–34.4] concordance rates (p<0.01). Conclusion Our algorithm-based method strongly enhanced the accuracy of the medication history in our obstetric population, without using substantial resources. Its implementation is an effective first step to the medication reconciliation process, which has been recognized as a very important component of patients’ drug safety. PMID:26999743

  14. Evolution of Aging Theories: Why Modern Programmed Aging Concepts Are Transforming Medical Research.

    PubMed

    Goldsmith, Theodore C

    2016-12-01

    Programmed aging refers to the idea that senescence in humans and other organisms is purposely caused by evolved biological mechanisms to obtain an evolutionary advantage. Until recently, programmed aging was considered theoretically impossible because of the mechanics of the evolution process, and medical research was based on the idea that aging was not programmed. Theorists struggled for more than a century in efforts to develop non-programmed theories that fit observations, without obtaining a consensus supporting any non-programmed theory. Empirical evidence of programmed lifespan limitations continued to accumulate. More recently, developments, especially in our understanding of biological inheritance, have exposed major issues and complexities regarding the process of evolution, some of which explicitly enable programmed aging of mammals. Consequently, science-based opposition to programmed aging has dramatically declined. This progression has major implications for medical research, because the theories suggest that very different biological mechanisms are ultimately responsible for highly age-related diseases that now represent most research efforts and health costs. Most particularly, programmed theories suggest that aging per se is a treatable condition and suggest a second path toward treating and preventing age-related diseases that can be exploited in addition to the traditional disease-specific approaches. The theories also make predictions regarding the nature of biological aging mechanisms and therefore suggest research directions. This article discusses developments of evolutionary mechanics, the consequent programmed aging theories, and logical inferences concerning biological aging mechanisms. It concludes that major medical research organizations cannot afford to ignore programmed aging concepts in assigning research resources and directions.

  15. A Brief History of the Development of Diabetes Medications

    PubMed Central

    White, John R.

    2014-01-01

    In Brief This article provides an overview of the development of insulins, oral agents, and noninsulin injectable agents used in the management of hyperglycemia in patients with diabetes. It also briefly reviews the pharmacological impact and salient side effects of these medications. PMID:26246763

  16. An Abridged History of Medical Informatics Education in Europe

    PubMed Central

    Hasman, Arie; Mantas, John; Zarubina, Tatyana

    2014-01-01

    This contribution presents the development of medical informatics education in Europe. It does not discuss all developments that took place. Rather it discerns several themes that indicate the progress in the field, starting from the initiation phase to the final quality control phase. PMID:24648617

  17. Maternal Chronological Age, Prenatal and Perinatal History, Social Support, and Parenting of Infants

    ERIC Educational Resources Information Center

    Bornstein, Marc H.; Putnick, Diane L.; Suwalsky, Joan T. D.; Gini, Motti

    2006-01-01

    The role of maternal chronological age in prenatal and perinatal history, social support, and parenting practices of new mothers (N=335) was examined. Primiparas of 5-month-old infants ranged in age from 13 to 42 years. Age effects were zero, linear, and nonlinear. Nonlinear age effects were significantly associated up to a certain age with little…

  18. History of Medical Informatics in Europe - a Short Review by Different Approach

    PubMed Central

    Mihalas, George; Zvarova, Jana; Kulikowski, Casimir; Ball, Marion; van Bemmel, Jan; Hasman, Arie; Masic, Izet; Whitehouse, Diane; Barber, Barry

    2014-01-01

    The panel intended to collect data, opinions and views for a systematic and multiaxial approach for a comprehensive presentation of “History of Medical Informatics”, treating both general (global) characteristics, but emphasizing the particular features for Europe. The topic was not only a subject of large interest but also of great importance in preparing a detailed material for celebration of forty years of medical informatics in Europe. The panel comprised a list of topics, trying to cover all major aspects to be discussed. Proposals of staging the major periods of medical informatics history were also discussed. PMID:24648613

  19. The 50(th) Anniversary IMIA History of Medical Informatics Project.

    PubMed

    Kulikowski, Casimir A

    2014-02-01

    At the meeting of the IMIA Board in 2009 in Hiroshima, it approved an IMIA 50th Anniversary History Project to produce a historical volume and other materials to commemorate the anniversary of the foundation of the predecessor of IMIA-the IFIP-TC4 in 1967. A Taskforce was organized under the direction of Casimir Kulikowski, then the VP for Services of IMIA, and since that time it has met regularly to plan and implement the 50th Anniversary History of IMIA as an edited volume, and as material available online on a Media Presentation Database. The IMIA Taskforce is gathering IMIA-related archival materials, currently accessible through a prototype media repository at Rutgers University in order to help those contributing to the book or writing their own recollections and histories. The materials will support a chronicle of the development and evolution of IMIA, its contributors, its sponsored events and publications, educational and other professional activities. During 2013 Workshops were held at the Prague EFMI-STC meeting in April and at the MEDINFO 2013 Congress in Copenhagen in August.

  20. [Medical history and ethics. In memoriam Rolf Winau (1937-2006)].

    PubMed

    Schott, Heinz

    2008-01-01

    The paper contributes to the discussion on the self-image of the institutionalized medical history at the medical schools in Germany. Influenced by the curriculum of the new licence to practice medicine (Approbationsordnung für Arzte) containing a so-called cross-section (Querschnittsbereich) "history, theory, ethics of medicine", the scientific community is to a certain extent rather prone to assume clear cut different disciplines--especially medical history versus medical ethics--than to consider overlapping and almost inseparable fields of work with corresponding implications. The author supports the latter approach and advocates the appreciation of the "subjective factor" in regard to teaching granting an ample scope for the individual teacher.

  1. A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients.

    PubMed

    Schein, Oliver D; Pronovost, Peter J

    2017-03-20

    Cataract surgery poses minimal systemic medical risk, yet a preoperative general medical history and physical is required by the Centers for Medicare and Medicaid Services and other regulatory bodies within 1 month of cataract surgery. Based on prior research and practice guidelines, there is professional consensus that preoperative laboratory testing confers no benefit when routinely performed on cataract surgical patients. Such testing remains commonplace. Although not yet tested in a large-scale trial, there is also no evidence that the required history and physical yields a benefit for most cataract surgical patients above and beyond the screening performed by anesthesia staff on the day of surgery. We propose that the minority of patients who might benefit from a preoperative medical history and physical can be identified prospectively. Regulatory agencies should not constrain medical practice in a way that adds enormous cost and patient burden in the absence of value.

  2. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Sporadic Burkitt Lymphoma/Leukemia: The Interlymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Morton, Lindsay M.; Sampson, Joshua N.; Chang, Ellen T.; Costas, Laura; de Sanjosé, Silvia; Lightfoot, Tracy; Kelly, Jennifer; Friedberg, Jonathan W.; Cozen, Wendy; Marcos-Gragera, Rafael; Slager, Susan L.; Birmann, Brenda M.; Weisenburger, Dennis D.

    2014-01-01

    Background The etiologic role of medical history, lifestyle, family history, and occupational risk factors in sporadic Burkitt lymphoma (BL) is unknown, but epidemiologic and clinical evidence suggests that risk factors may vary by age. Methods We investigated risk factors for sporadic BL in 295 cases compared with 21818 controls in a pooled analysis of 18 case–control studies in the International Lymphoma Epidemiology Consortium (InterLymph). Cases were defined to include typical BL or Burkitt-like lymphoma. Odds ratios (ORs) and 95% confidence intervals (CIs) for associations were calculated separately for younger (<50 years) and older (≥50 years) BL using multivariate logistic regression. Results Cases included 133 younger BL and 159 older BL (age was missing for three cases) and they were evenly split between typical BL (n = 147) and Burkitt-like lymphoma (n = 148). BL in younger participants was inversely associated with a history of allergy (OR = 0.58; 95% CI = 0.32 to 1.05), and positively associated with a history of eczema among individuals without other atopic conditions (OR = 2.54; 95% CI = 1.20 to 5.40), taller height (OR = 2.17; 95% CI = 1.08 to 4.36), and employment as a cleaner (OR = 3.49; 95% CI = 1.13 to 10.7). BL in older participants was associated with a history of hepatitis C virus seropositivity (OR = 4.19; 95% CI = 1.05 to 16.6) based on three exposed cases. Regardless of age, BL was inversely associated with alcohol consumption and positively associated with height. Conclusions Our data suggest that BL in younger and older adults may be etiologically distinct. PMID:25174031

  3. The road to medical vibrational spectroscopy--a history.

    PubMed

    Mantsch, Henry H

    2013-07-21

    The present Editorial chronicles the journey from classical infrared and Raman spectroscopy to medical vibrational spectroscopy, as experienced by a contemporary witness of the times. During the second half of the last century vibrational biospectroscopy became a topic of increasing global interest and has spawned a number of international conferences of which the most recent, SPEC 2012 - Shedding New Light on Disease, constitutes the basis of the present themed issue.

  4. Periungual Pyogenic Granuloma: The Importance of the Medical History

    PubMed Central

    Alessandrini, Aurora; Bruni, Francesca; Starace, Michela; Piraccini, Bianca Maria

    2016-01-01

    Pyogenic granuloma (PG) is a common, benign vascular proliferation that can arise on the skin or subcutaneous tissue. It is more frequent in the early decades of life, and the most common locations are the digits of both hands and feet. The most common cause of periungual PG is drug intake, but many other trigger factors have been described in the literature. Treatment should be chosen according to the cause. We describe 2 particular cases of periungual PG in which the clinical history has been fundamental. In the first case, there was an underlying hand eczema, and in the second case, a foreign body was present. PMID:27386461

  5. [History as politics. Medical historians in Berlin and Graz serving the NS-State].

    PubMed

    Bruns, Florian; Frewer, Andreas

    2005-01-01

    History of medicine played an important part in the ideology and policy of the Third Reich. The Nazi Party and the "Schutzstaffel" (SS) tried to instrumentalize historical knowledge to justify their ideology and medical ethics. The academic discipline of the history of medicine saw a revival during the Nazi period and, especially, during the Second World War. Important medical historians were eager to contribute to a symbiosis between the State and their field. The close relationship between the history of medicine and the Nazi regime was particularly apparent at Paul Diepgen's Department for the History of Medicine and Natural Sciences at the University of Berlin. Diepgen, apart from his own collaboration with the Nazi regime, was the teacher of Bernward J. Gottlieb who became the leading medical historian of the SS and Director of the new "SS-Institute for the History of Medicine" in Berlin in 1941. Gottlieb's institute moved in 1943 to the "SS-Academy" in Graz to train future SS-physicians in the history of medicine. The history of medicine was of great relevance also for certain members of the Nazi elite. They included Heinrich Himmler, the head of the SS, who ensured that Gottlieb would become Diepgen's successor in 1945 for the chair of medical history at the University of Berlin. Hitler was asked to intervene in the appointment process given the political importance of the field and, in particular, the professorship being located in Berlin. The SS was able to exercise, by this time, a decisive influence on the field of the history of medicine. Only the collapse of the Third Reich prevented the traditional discipline from becoming a "science" to legitimize the Nazi System and the SS. The aim of this paper is to examine the role of the field of the history of medicine and of its key institutions and personalities during the Third Reich.

  6. Age or health status: which influences medical insurance enrollment greater?

    PubMed Central

    Xu, Wei; Cai, Gong–Jie; Li, Guan–Nan; Cao, Jing–Jing; Shi, Qiong–Hua; Bai, Jie

    2016-01-01

    Background The New Cooperative Medical Scheme (NCMS) for peasantries implemented in 2003 and the Urban Resident Basic Medical Insurance (URBMI) for the urban unemployed implemented in 2007 have many similarities. They both apply the financing mode of individual premiums plus government’s subsidies, and the voluntary enrollment. The Chinese government plans to integrate these two systems and build a unified basic medical insurance system for the unemployed in order to achieve the medical equity and increase the general health level. Thus, to analyze the main influencing factors of the enrollment of the urban unemployed and rural residents is very important for improving the system and securing the stability of the system during the transition. Methods The study uses data from the China Health and Nutrition Survey (CHNS) and adopts logistic regression models to test which factors influence the enrollment of the URBMI and the NCMS under the background of rather high enrollment rate of Chinese basic medical insurances and strong fiscal support of the Chinese government, especially whether health status or age influences enrollment of these two insurances greater. Results There is indeed some adverse selection in the URBMI and the NCMS. Whether the individual has chronic diseases have significant influence on enrollments of both the urban unemployed and rural residents, while whether the individual got ill in last four weeks just influences enrollments of the urban unemployed. Age influences enrollment greater than health status. The older the insured are, the larger the enrollment rates are. Conclusion Because of the active support for basic medical insurances of the Chinese government, the enrollment performance of the urban unemployed and rural residents has already changed. When implementing the new policy, the government should pay attention to the willingness to enroll in and the change of enrollment performance of the insured. Therefore, under the policy of

  7. [The history and library the Goda family of medical doctors].

    PubMed

    Machi, Senjuro; Kosoto, Hiroshi; Amano, Yosuke; Hanawa, Toshihiko

    2005-12-01

    The Goda family discussed in this paper is a family lineage that served as the official physicians to the Sakakibara family that ruled Takada han in Echigo province from the middle of the Edo period. Last year old medical materials and writings that had been transmitted by the family were transferred to the Oriental Medicine Research Center of the Kitasato Institute. The authors have had the opportunity to study the family genealogy and collate these archives. The Goda family has continued through eight generations. These are, respectively- (1) the founder Heizo; (2) Chuzo; (3) Shojun; (4) Yoan; (5) Yoshinobu; (6) Hitoshi; (7) Hiroshi; and (8) the present head, Takashi. We have identified two lines of physicians in collateral families (from Susumu and Akira, both sons of Yoshinobu). The archive as received is comprised of 138 separate items from a total of 450 volumes. Of these, medical works constitute 102 items in 283 volumes. The library provides valuable material which sheds light on the standard of medicine in the Takada area of Echigo from the late Edo through the Meiji periods.

  8. The history and evolution of immigration medical screening for tuberculosis.

    PubMed

    Dara, Masoud; Gushulak, Brian D; Posey, Drew L; Zellweger, Jean-Pierre; Migliori, Giovanni B

    2013-02-01

    Identifying and managing TB in immigrating populations has been an important aspect of immigration health for over a century, with the primary aim being protecting the host population by preventing the import of communicable diseases carried by the arriving migrants. This review describes the history and development of screening for TB and latent TB infection in the immigration context (describing both screening strategies and diagnostic tests used over the last century), outlining current practices and considering the future impact of new advances in screening. The recent focus of the WHO, regarding their elimination strategy, is further increasing the importance of diagnosing and treating latent TB infection. The last section of this review discusses the latest public health developments in the context of TB screening in immigrant populations.

  9. Martian Meteorite Ages and Implications for Martian Cratering History

    NASA Technical Reports Server (NTRS)

    Nyquist, Laurence E.

    2006-01-01

    New radiometrically determined ages of Martian meteorites add to the growing number with crystallization ages < 1.4 Ga. The observation of mainly geologically young ages for the Martian meteorites, the only exception being the 4.5 Ga ALH84001 [1], is paradoxical when viewed in context of a Martian surface thought to be mostly much older as inferred from the surface density of meteorite craters [2]. There appears to be at least a twofold difference between the observed ages of Martian meteorites and their expected ages as inferred from the ages of Martian surfaces obtained from crater densities.

  10. [History of menstruation--an aspect of the medical history of the woman].

    PubMed

    Backe, J

    1996-01-01

    The understanding of menstruation as well as the image of women have much changed in the course of history. This development, as reflected by the views of the Old Testament (Leviticus), of Hippocrates and Aristoteles, its characterization in the books of Hildegard of Bingen and of Paracelsus, its description in the Renaissance and the 18th century, is followed up to our modern times.

  11. Conventional Medical Education and the History of Simulation in Radiology.

    PubMed

    Chetlen, Alison L; Mendiratta-Lala, Mishal; Probyn, Linda; Auffermann, William F; DeBenedectis, Carolynn M; Marko, Jamie; Pua, Bradley B; Sato, Takashi Shawn; Little, Brent P; Dell, Carol M; Sarkany, David; Gettle, Lori Mankowski

    2015-10-01

    Simulation is a promising method for improving clinician performance, enhancing team training, increasing patient safety, and preventing errors. Training scenarios to enrich medical student and resident education, and apply toward competency assessment, recertification, and credentialing are important applications of simulation in radiology. This review will describe simulation training for procedural skills, interpretive and noninterpretive skills, team-based training and crisis management, professionalism and communication skills, as well as hybrid and in situ applications of simulation training. A brief overview of current simulation equipment and software and the barriers and strategies for implementation are described. Finally, methods of measuring competency and assessment are described, so that the interested reader can successfully implement simulation training into their practice.

  12. A History of Computer-Assisted Medical Diagnosis at Naval Submarine Medical Research Laboratory

    DTIC Science & Technology

    1993-05-01

    user documenta- tion 7 . The conversion was essentially ’line- Dental Pain Program for-line" to keep the knowledge representation (the "brains" of the...the 19. Caras, B. G., Fisherkeller, K. D., and management of acute dental pain - User’s Southerland D. G. (1989). MEDIC - Manual (NSMRL Report 1143...for "classic" presentations of dental pain marine Medical Research Laboratory. (NSMRL Report 1136). Groton, CT: Naval Submarine Medical Research 37

  13. The end of medical confidentiality? Patients, physicians and the state in history

    PubMed Central

    Rieder, Philip; Louis-Courvoisier, Micheline

    2016-01-01

    Medical confidentiality has come under attack in the public sphere. In recent disasters both journalists and politicians have questioned medical confidentiality and claimed that in specific contexts physicians should be compelled to communicate data on their patients’ health. The murders of innocent individuals by a suicidal pilot and a Swiss convicted criminal have generated polemical debates on the topic. In this article, historical data on medical confidentiality is used to show that medical practices of secrecy were regularly attacked in the past, and that the nature of medical confidentiality evolved through time depending on physicians’ values and judgements. Our demonstration is based on three moments in history. First, at the end of the 16th century, lay authorities put pressure on physicians to disclose the names of patients suffering from syphilis. Second, in the 18th century, physicians faced constant demands for information about patients’ health from relatives and friends. Third, employers and insurance companies in the 20th century requested medical data on sick employees. In these three different situations, history reveals that the concept of medical confidentiality was plastic, modelled in the first instance to defend well-to-do patients, in the second instance it was adapted to accommodate the physician's social role and, finally, to defend universal values and public health. Medical secrecy was, and is today, a medical and societal norm that is shaped collectively. Any change in its definition and enforcement was and should be the result of negotiations with all social actors concerned. PMID:27334875

  14. [Medicine, physicians and medical ethics in Jewish tradition through the ages].

    PubMed

    Gesundheit, Benjamin; Zlotnick, Eitan; Steinberg, Avraham

    2014-08-01

    Medicine has always had a place of honor in the Jewish heritage. Since Biblical times, the sources of Judaism have valued the physician's activities and seen them as a partnership with God's deeds. Later, in the times of the Mishna and the Talmud, a model of scholars evolved who were not only learned sages but also had extensive medical and scientific knowledge. Their dealings with various issues in medical ethics were the basis for deliberation on questions that appeared throughout history on the advancement of medical science. The various sources from this period show the sages' sensitivity regarding the subject of human life, saving lives and the importance of the availability of medicine for all segments of the population. During the years following the completion of the Talmud, the medical profession was common among the Jews and they excelled in this field. Jewish doctors left behind a Legacy of values in medicine. Hebrew was considered a significant Language in the medical field and was cited in various medical texts such as in the book written by Vesalius, the "father" of modern anatomy. The rapid progress of medicine poses new challenges in bioethics. There is a need for physicians with extensive medical knowledge along with an understanding of ethical issues in order to offer solutions to new situations. Knowledge of the Jewish literature throughout the ages on a variety of subjects and the essential values which are their foundation can contribute to the modern discussion on biomedical questions. This is even more important in Israeli society where many of the laws are formed based on Jewish values. Engagement with Jewish medical ethics can help in educating physicians to have the ability to contribute to public debate and legislation in a way that would balance between the values and needs which an ethical issue raises.

  15. [Consolation as medical intervention and its history of ideas].

    PubMed

    Weidmann, Werner; Bühler, Karl-Ernst

    2006-01-01

    A review of interpretations of "suffering" was presented after an etymological clarification of the term "consolation". The review begins with an examination of concepts of consolation in the early Greek and Roman antiquity continues with late Greek and Roman antiquity, the early and late Middle Ages, the epochs of Humanism and Reformation and the time after Reformation until to the present. Concerning concepts of consolation in the present the conception of the movement "Biblical Therapeutic Pastoral Care", Viktor Frankl's "Logotherapy" and Viktor Emil von Gebsattel's "Anthropologic Psychotherapy" are discussed. Finally, some essential features of general conceptions of consolation are presented.

  16. Medical history and the risk of multiple myeloma.

    PubMed Central

    Gramenzi, A.; Buttino, I.; D'Avanzo, B.; Negri, E.; Franceschi, S.; La Vecchia, C.

    1991-01-01

    The relationship between various diseases and immunisations and the risk of multiple myeloma was analysed using data from a hospital-based case-control study conducted in Northern Italy on 117 patients with multiple myeloma and 477 controls. Associations were observed for clinical history of scarlet fever (relative risk, RR = 2.0; 95% confidence interval, CI = 1.1-3.9), tuberculosis (RR = 2.3%; 95% CI = 0.9-5.7) and BCG immunisation (RR = 3.0; 95% CI = 1.4-6.4). The relative risk was 1.8 (95% CI = 0.9-3.5) for episodes of Herpes zoster infection, but most of the excess cases occurred within 10 years of diagnosis, suggesting that this might have been an early manifestation of the disease. No association emerged for common childhood viral infections or any other immunisation practice. When various classes of infectious or inflammatory diseases were grouped together according to their aetiology, there was a significant positive association with chronic bacterial illnesses (RR = 1.8; 95% CI = 1.1-2.8), and the relative risk estimates increased with the number of bacterial diseases. The trend in risk with number of diseases was significant (chi 21 = 4.5, P = 0.03). A negative association was found between allergic conditions and risk of multiple myeloma (RR = 0.6; 95% CI = 0.3-1.0). PMID:2039702

  17. A history of medical student debt: observations and implications for the future of medical education.

    PubMed

    Greysen, S Ryan; Chen, Candice; Mullan, Fitzhugh

    2011-07-01

    Over the last 50 years, medical student debt has become a problem of national importance, and obtaining medical education in the United States has become a loan-dependent, individual investment. Although this phenomenon must be understood in the general context of U.S. higher education as well as economic and social trends in late-20th-century America, the historical problem of medical student debt requires specific attention for several reasons. First, current mechanisms for students' educational financing may not withstand debt levels above a certain ceiling which is rapidly approaching. Second, there are no standards for costs of medical school attendance, and these can vary dramatically between different schools even within a single city. Third, there is no consensus on the true cost of educating a medical student, which limits accountability to students and society for these costs. Fourth, policy efforts to improve physician workforce diversity and mitigate shortages in the primary care workforce are inhibited by rising levels of medical student indebtedness. Fortunately, the current effort to expand the U.S. physician workforce presents a unique opportunity to confront the unsustainable growth of medical student debt and explore new approaches to the financing of medical students' education.

  18. [About Itching and scabies. Pruritus in medical history--from ancient world to the French revolution].

    PubMed

    Weisshaar, E; König, A; Diepgen, T L; Eckart, W U

    2008-12-01

    Pruritus (itching) as a disease state and especially as a disease symptom has been object of medical and scientific descriptions and examinations in all epochs since the antiquity and in different cultural periods. Antiquity was dominated by observations and descriptions but during the course of medical history and particularly since the establishment of dermatology, more and more emphasis has been placed on classification and etiologic research.

  19. Teaching African-American History in the Age of Obama

    ERIC Educational Resources Information Center

    Millward, Jessica

    2009-01-01

    When the author proposed a spring course on major topics in African-American history, drawing a large enrollment was her chief concern. She had previously taught the course under a different title at the University of Illinois at Urbana-Champaign, a campus with a sizable African-American presence among students and faculty members. She now teaches…

  20. The History Walk: Integrated Multi-Age Learning.

    ERIC Educational Resources Information Center

    Morris, Ronald V.

    2000-01-01

    This article describes a learning activity, the Texas History Walk, in which third- and seventh-grade gifted students learn about life in the 1870s on the Texas frontier. The younger students interact with the actors, seventh graders role-playing characters of the 1870s. Benefits of the activity include its interdisciplinary nature, the cross-age…

  1. Meta-Analysis at Middle Age: A Personal History

    ERIC Educational Resources Information Center

    Glass, Gene V.

    2015-01-01

    The 40-year history of meta-analysis is traced from the vantage point of one of its originators. Research syntheses leading to the first examples of meta-analysis are identified. Early meta-analyses of the literature on psychotherapy outcomes and school class size are recounted. The influence on the development of meta-analysis of several…

  2. A brief history of cancer: age-old milestones underlying our current knowledge database.

    PubMed

    Faguet, Guy B

    2015-05-01

    This mini-review chronicles the history of cancer ranging from cancerous growths discovered in dinosaur fossils, suggestions of cancer in Ancient Egyptian papyri written in 1500-1600 BC, and the first documented case of human cancer 2,700 years ago, to contributions by pioneers beginning with Hippocrates and ending with the originators of radiation and medical oncology. Fanciful notions that soon fell into oblivion are mentioned such as Paracelsus and van Helmont substituting Galen's black bile by mysterious ens or archeus systems. Likewise, unfortunate episodes such as Virchow claiming Remak's hypotheses as his own remind us that human shortcomings can affect otherwise excellent scientists. However, age-old benchmark observations, hypotheses, and practices of historic and scientific interest are underscored, excerpts included, as precursors of recent discoveries that shaped modern medicine. Examples include: Petit's total mastectomy with excision of axillary glands for breast cancer; a now routine practice, Peyrilhe's ichorous matter a cancer-causing factor he tested for transmissibility one century before Rous confirmed the virus-cancer link, Hill's warning of the dangers of tobacco snuff; heralding today's cancer pandemic caused by smoking, Pott reporting scrotum cancer in chimney sweepers; the first proven occupational cancer, Velpeau's remarkable foresight that a yet unknown subcellular element would have to be discovered in order to define the nature of cancer; a view confirmed by cancer genetics two centuries later, ending with Röntgen and the Curies, and Gilman et al. ushering radiation (1896, 1919) and medical oncology (1942), respectively.

  3. Is consensus in anti-aging medical intervention an elusive expectation or a realistic goal?

    PubMed

    Zs-Nagy, Imre

    2009-01-01

    One of the biggest scandals of the recent history of medicine is the conflict of views between the gerontological establishment and the American Academy of Anti-Aging Medicine (A4M). The style used in that discussion was really rough and unusual. On the one hand, according to some representatives of the American Medical Associations (AMA), the use of human growth hormone (hGH) for anti-aging medical interventions is illegal, criminal, and requires persecution. On the other hand, A4M is of the opinion that all this is "...filled with incorrect, misplaced references and studies, and multiple basic scientific errors, in an apparent attempt to damage the anti-aging medical profession...". It is evident that in the frame of a short article is impossible to treat all the relevant aspects of this complicated story. Nevertheless, this Editorial attempts to point out the main results obtained so far, together with the most important issues of theoretical feasibility of the hGH replacement therapy (hGHRT). The comprehensive explanation of the aging process called "membrane hypothesis of aging" (MHA) offers a solid basis for the interpretation of the observed beneficial effects of the hGH through its practically ubiquitous membrane receptors, and the species specificity of this peptide hormone. The specific activation of these receptors stimulates the membrane transport functions, rehydrates the intracellular colloids, allowing to speed up the protein synthesis and turnover, and activates a great number of cellular functions, all observed so far. The facts known about the adult growth hormone deficiency (AGHD) syndrome, and the beneficial effects of hGHRT in all aspects of this pathology suggest that aging may generally be considered as an AGHD syndrome. If this concept is accepted by most of the gerontologists, we can resolve practically all problems involved in the above outlined controversies. All this requires an independent, open-minded approach to the problem, and

  4. Petrology, chemistry, age and irradiation history of Luna 24 samples

    NASA Technical Reports Server (NTRS)

    Wasserburg, G. J.; Papanastassiou, D. A.; Mcculloch, M. T.; Huneke, J. C.; Dymek, R. F.; Depaolo, D. J.; Chodos, A. A.; Albee, A. L.; Radicati Di Brozolo, F.

    1978-01-01

    The results of petrological, chemical, isotopic age determination and irradiation studies of sample 24170 from the 170 cm depth of the regolith core returned from Mare Crisium by Luna 24 are presented. The sample is found to be comprised of fragments from a single igneous rock, with mineralogical evidence indicating it to be a mare basalt. The crystallization age is determined by Sm-Nd and Ar(40)-Ar(39) ages to be 3.30 AE, establishing the presence of relatively young flows. All soil samples show low trace element compositions with minimum contamination by KREEPUTh-rich materials. Rb-Sr and Sm-Nd relations reflect the absence of significant fractionation at ages younger than 4.5 AE. One soil sample shows extremely large neutron capture effects, imposing a new lower limit to the neutron production rate in the regolith and requiring the addition of irradiated materials from depth.

  5. 77 FR 45717 - Proposed Information Collection (Former Prisoner of War Medical History); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-01

    ... Collection (Former Prisoner of War Medical History); Comment Request AGENCY: Veterans Health Administration... or rehabilitation needs of Former Prisoners of War (FPOW) veterans. DATES: Written comments and... techniques or the use of other forms of information technology. Title: Former Prisoner of War (FPOW)...

  6. The History of SHSAAMc: Student Health Services at Academic Medical Centers

    ERIC Educational Resources Information Center

    Veeser, Peggy Ingram; Hembree, Wylie; Bonner, Julia

    2008-01-01

    This article presents an historical review of the organization known as Student Health Services at Academic Medical Centers (SHSAAMc). The authors discuss characteristics of health service directors as well as the history of meetings, discussion, and leadership. The focus of the group is the healthcare needs of health professions students at…

  7. The Library of the Royal Society of Physicians in Budapest becomes today's Semmelweis Medical History Library

    PubMed Central

    Kaproncszay, Katalin; Magyar, László András; Putnam, Constance E

    2011-01-01

    Objectives: The 170-year history of the library of the Royal Society of Medicine in Budapest illustrates both that political and cultural context matter and that “medical” libraries, if they survive, in due course become primarily “medical history” libraries. Methods: Two of the authors are on the staff of the Semmelweis Medical History Library; the third is a US scholar who makes frequent use of the library. Together, they avail themselves of archival and published materials—and personal experience with the collection—to establish the context that produced the original library, trace its evolution, and describe its present-day incarnation. Results: A tale of transformation emerges that reflects how collections are likely to change. The authors present events and individuals in the life of the Royal Society's library and paint a picture of the value of today's Semmelweis Medical History Library. Unique treasures in the collection are described. Conclusion: The story told here is of how a particular nineteenth-century library became a twenty-first–century institution. The authors establish its peculiarly Hungarian context and potential value to librarians and historians from outside Hungary. The overall message is that general medical libraries everywhere are perforce likely to become medical historical libraries over time. PMID:21243053

  8. A brief history of medical education in Sub-Saharan Africa.

    PubMed

    Monekosso, G L

    2014-08-01

    Developments in medical education in Sub-Saharan Africa over the past 100 years have been characterized by the continent's unique history. During the first half of the 20th century, the Europeans effectively installed medical education in their African colonies. The years 1950 to 1960 were distinguished by successful movements for independence, with new governments giving priority to medical education. By 1980, there were 51 medical schools in Sub-Saharan Africa. The period from 1975 to 1990 was problematic both politically and economically for Sub-Saharan Africa, and medical schools did not escape the general difficulties. War, corruption, mounting national debts, and political instability were characteristics of this period. In many countries, maintaining medical school assets--faculty members, buildings, laboratories, libraries--became difficult, and emigration became the goal of many health professionals. In contrast, the past 20 years have seen rapid growth in the number of medical schools in Sub-Saharan Africa. Economic growth and political stability in most Sub-Saharan African countries augur well for investment in health systems strengthening and in medical education. There are, nonetheless, major problem areas, including inadequate funding, challenges of sustainability, and the continuing brain drain. The 20th century was a time of colonialism and the struggle for independence during which medical education did not advance as quickly or broadly as it did in other regions of the world. The 21st century promises a different history, one of rapid growth in medical education, leading to better care and better health for the people of Africa.

  9. Age and Thermal History of the Bushveld Complex, South Africa

    NASA Astrophysics Data System (ADS)

    Renne, P. R.; Feinberg, J. M.; Mundil, R.; Nomade, S.; Merkle, R.

    2004-12-01

    The Bushveld Complex (BC) is one of the largest, most economically important and well-studied layered mafic intrusions in the world. Despite plentiful radioisotopic studies over the past 30 years, the age and emplacement chronology of the BC are not well-constrained. Biotite 40Ar/39Ar data from the UG-2 chromitite layer yield consistent plateau ages around 2042 Ma (IUGS 1977 constants; 28.02 Ma for FCs here and throughout), implying either a slow cooling rate or systematic error when compared with the available Pb/Pb ages of 2059 to 2061 Ma (Nomade et al., 2004, J. Geol. Soc. Lond., 161: 411-420). We are acquiring 40Ar/39Ar and U/Pb data to evaluate the rapid emplacement and cooling suggested by petrological and heat-conduction studies (Cawthorn and Walraven, 1998, J. Petrol. 39: 1669-1687). Biotite and hornblende are present as intercumulus phases in gabbros and also in ubiquitous pegmatoid veins cutting the mafic and ultramafic rocks. Preliminary 40Ar/39Ar results from both the eastern and western limbs of the BC show biotite integrated ages clustering between 2030 and 2050 Ma, slightly older than hornblende plateau ages (2030-2040 Ma). Biotites are locally subject to discordance suggestive of 39Ar recoil redistribution with an interlayer alteration phase; as in other such cases the integrated ages are more consistent and sensible whereas plateau ages are in some cases impossibly old. Biotite from an Fe-rich ultramafic pegmatoid in the western limb (Karee Mine) yields duplicate ~100% concordant plateaux spectra that average 0.8% older than the average of 4 hornblende plateaux. The cause of this apparent discordance (biotite age > hornblende age) is not understood although it is possible that the biotites have unusually high closure temperatures due to large diffusion radii related to the coarse (~5 mm) grain size. Initial ID-TIMS U/Pb single-zircon analyses indicate an age of 2058 Ma for the late-stage Nebo Granite, as displayed by concordant ages on crystals pre

  10. A history and overview of the certification exam for medical dosimetrists

    SciTech Connect

    Pusey, Damien; Smith, Lisette; Zeman, Elaine M.; Adams, Robert . E-mail: Robert_Adams@med.unc.edu

    2005-06-30

    During the last century, the creation and implementation of board certification has had a powerful impact on the medical community. Board certification has helped to shape the scope and practice of medical professionals and the care they provide, as well as to influence the way the health insurance industry sets standards for reimbursement. One profession that offers board certification to its members is medical dosimetry. The Medical Dosimetrist Certification Board exam has been administered since 1988 and its content covers a broad spectrum of information from the radiation therapy sciences. The exam has strict application requirements and is rather difficult to pass. Those who pass the exam can then call themselves Certified Medical Dosimetrists. For data purposes of this study, several members of the dosimetry community were solicited to participate in a survey regarding the exam's content and history, and to provide relevant statistical data. Currently 2,177 medical dosimetrists are board certified, with an additional 1,500 estimated to be working without certification. Although board certification is not currently required to practice medical dosimetry, new legislation known as the CARE Bill could change this. The CARE Bill, if passed, would mandate nationwide compulsory licensure and/or certification for medical dosimetrists and other medical professionals who want to work in radiation-related health care. Health maintenance organizations and other insurance carriers may likewise require certification for reimbursement purposes.

  11. [The origin, diffusion and development of healing doctrines in medical history--exemplified by homeopathy].

    PubMed

    Schmidt, Josef M

    2007-01-01

    As a paradigmatic case study of the origin, spread, and development of medical systems, this paper investigates the 200-years history of homeopathy from different perspectives of medical history. On the basis of new research on Samuel Hahnemann (1755-1843), first, a concise and critical overview on the principles, explanations, and implications of his doctrine is presented. The historical, conceptual, and social background of the founder of homeopathy is then elaborated in terms of history of medicine, science, philosophy, sociology, culture, and ideas, as well as theory of science, theory of communication, and sociology of science. The process of the world wide spread of homeopathy is examined from different points of view, ranging from history of heroes, institutions, professionalisation, politics, economics, religion, and organisations to history of patients, perception, and semiotics. Finally, a comparative approach to the different development and status of homeopathy in different countries results in the extraction of a set of crucial variables, such as charismatic personage, influential patronage, economic sponsorship, political protection, media support, and patients' demand, which might explane a major part of these differences. Eventually, the notorious splits of homeopathy's doctrine suggest the idea that--in analogy to theory of evolution--a variety of concurrent strains (rather than one monolithic block) of a doctrine may prove to be a kind of advantage for survival. In conclusion, acceptance and relevance of medical systems are determined by many factors. Since external ones are usually outweighing internal ones, medical history may offer a broader and more comprehensive understanding of the dynamics of their spread and development than clinical trials and scientific objection alone.

  12. Amphetamine-Type Stimulants: The Early History of Their Medical and Non-Medical Uses.

    PubMed

    Rasmussen, Nicolas

    2015-01-01

    Amphetamine was discovered as a drug in the late 1920s, and its pharmacological effects on attention and cognition, emotions, and appetite were explored thoroughly in the 1930s and 1940s. By the late 1940s, it had achieved medical and market success as an antidepressant and was quickly gaining such success as a diet medication. In contrast, both careful testing and extensive military experience had left the impression that the drugs' benefits for attention and cognition were more subjective than real and that any objective benefits were explained mainly by the drug's mood-elevating effects. Because of its unpatentable status, methamphetamine had been introduced for all the same uses by drug firms competing with the holder of the amphetamine patent. The drugs were being widely used nonmedically and their abuse potential was becoming recognized by medicine, eventually leading to their strict control internationally around 1970.

  13. 77 FR 64388 - Agency Information Collection (Former POW Medical History), VA Form 10-0048 Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection (Former POW Medical History), VA Form 10-0048 Activities Under OMB....'' SUPPLEMENTARY INFORMATION: Title: Former POW Medical History, VA Form 10-0048. OMB Control Number: 2900-0427. Type of Review: Extension of a currently approved collection. Abstract: VA Form 10-0048 is completed...

  14. Sex in the Curriculum: The Effect of a Multi-Modal Sexual History-Taking Module on Medical Student Skills

    ERIC Educational Resources Information Center

    Lindau, Stacy Tessler; Goodrich, Katie G.; Leitsch, Sara A.; Cook, Sandy

    2008-01-01

    Purpose: The objective of this study was to determine the effect of a multi-modal curricular intervention designed to teach sexual history-taking skills to medical students. The Association of Professors of Gynecology and Obstetrics, the National Board of Medical Examiners, and others, have identified sexual history-taking as a learning objective…

  15. Comparison of Pilot Medical History and Medications Found In Postmortem Specimens

    DTIC Science & Technology

    2006-05-01

    The results of such tests are entered into the Bioaeronautical Sciences Research Laboratory, Forensic Case Management System (© 1998, DiscoverSoft...accident. Cardiovascular disease was reported by 69 of the pilots found to have cardiovascular drugs in their system . The cardiovascular medications...defined by the individual researcher, using the “Forensic Case Management System ” (© 1998, DiscoverSoft Development, LLC, Oklahoma City, OK). The

  16. In their own words: oral histories of Medical Library Association past presidents*

    PubMed Central

    Epstein, Barbara A.

    2016-01-01

    Objective The purpose of this lecture was to review the development of the Medical Library Association (MLA) oral history program and to highlight the oral histories of thirty-seven past MLA presidents to identify themes of common interest and relevance to current MLA members. Methods The lecture focused on three main topics discussed in many of the interviews: the presidents' backgrounds and how they came to be medical librarians, how MLA developed as an organization as a reflection of the growth of medical libraries, and the presidents' predictions and advice about the future. Results MLA presidents came from varied backgrounds and locales. As MLA grew from a small, intimate group into a multifaceted organization with a professional management staff, the workload of the presidents changed in scope. One recurring theme in the presidential oral histories was the power differential between men and women in the organization and the profession. MLA presidents reminisced about notable annual meetings and praised the positive impact of the organization on members' professional and personal lives. Conclusions The lecture concludes with recommendations to the organization to increase the availability of the oral histories by providing online access for future interviews and to pay careful attention to their long-term preservation. PMID:26807047

  17. Erosion of Conserved Binding Sites in Personal Genomes Points to Medical Histories

    PubMed Central

    Guturu, Harendra; Chinchali, Sandeep; Clarke, Shoa L.; Bejerano, Gill

    2016-01-01

    Although many human diseases have a genetic component involving many loci, the majority of studies are statistically underpowered to isolate the many contributing variants, raising the question of the existence of alternate processes to identify disease mutations. To address this question, we collect ancestral transcription factor binding sites disrupted by an individual’s variants and then look for their most significant congregation next to a group of functionally related genes. Strikingly, when the method is applied to five different full human genomes, the top enriched function for each is invariably reflective of their very different medical histories. For example, our method implicates “abnormal cardiac output” for a patient with a longstanding family history of heart disease, “decreased circulating sodium level” for an individual with hypertension, and other biologically appealing links for medical histories spanning narcolepsy to axonal neuropathy. Our results suggest that erosion of gene regulation by mutation load significantly contributes to observed heritable phenotypes that manifest in the medical history. The test we developed exposes a hitherto hidden layer of personal variants that promise to shed new light on human disease penetrance, expressivity and the sensitivity with which we can detect them. PMID:26845687

  18. Erosion of Conserved Binding Sites in Personal Genomes Points to Medical Histories.

    PubMed

    Guturu, Harendra; Chinchali, Sandeep; Clarke, Shoa L; Bejerano, Gill

    2016-02-01

    Although many human diseases have a genetic component involving many loci, the majority of studies are statistically underpowered to isolate the many contributing variants, raising the question of the existence of alternate processes to identify disease mutations. To address this question, we collect ancestral transcription factor binding sites disrupted by an individual's variants and then look for their most significant congregation next to a group of functionally related genes. Strikingly, when the method is applied to five different full human genomes, the top enriched function for each is invariably reflective of their very different medical histories. For example, our method implicates "abnormal cardiac output" for a patient with a longstanding family history of heart disease, "decreased circulating sodium level" for an individual with hypertension, and other biologically appealing links for medical histories spanning narcolepsy to axonal neuropathy. Our results suggest that erosion of gene regulation by mutation load significantly contributes to observed heritable phenotypes that manifest in the medical history. The test we developed exposes a hitherto hidden layer of personal variants that promise to shed new light on human disease penetrance, expressivity and the sensitivity with which we can detect them.

  19. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Lymphoplasmacytic Lymphoma/Waldenström’s Macroglobulinemia: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Landgren, Ola; McMaster, Mary L.; Slager, Susan L.; Brooks-Wilson, Angela; Smith, Alex; Staines, Anthony; Dogan, Ahmet; Ansell, Stephen M.; Sampson, Joshua N.; Morton, Lindsay M.; Linet, Martha S.

    2014-01-01

    Background Lymphoplasmacytic lymphoma/Waldenström’s macroglobulinemia (LPL/WM), a rare non-Hodgkin lymphoma subtype, shows strong familial aggregation and a positive association with chronic immune stimulation, but evidence regarding other risk factors is very limited. Methods The International Lymphoma Epidemiology Consortium (InterLymph) pooled data from 11 predominantly population-based case–control studies from North America, Europe, and Australia to examine medical history, lifestyle, family history, and occupational risk factors for LPL/WM. Age-, sex-, race/ethnicity-, and study-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression for a total of 374 LPL/WM cases and 23 096 controls. Results In multivariate analysis including all putative risk factors, LPL/WM risk was associated with history of Sjögren’s syndrome (OR = 14.0, 95% CI = 3.60 to 54.6), systemic lupus erythematosus (OR = 8.23, 95% CI = 2.69 to 25.2), hay fever (OR = 0.73, 95% CI = 0.54 to 0.99), positive hepatitis C serology (OR = 2.51, 95% CI = 1.03 to 6.17), hematologic malignancy in a first-degree relative (OR = 1.64, 95% CI = 1.02 to 2.64), adult weight (OR = 0.61, 95% CI = 0.44 to 0.85 for highest vs. lowest quartile), duration of cigarette smoking (OR = 1.46, 95% CI = 1.04 to 2.05 for ≥ 40 years vs. nonsmokers), and occupation as a medical doctor (OR = 5.54, 95% CI = 2.19 to 14.0). There was no association with other medical conditions, lifestyle factors, or occupations. Conclusions This pooled analysis confirmed associations with immune conditions and family history of hematologic malignancy, and identified new associations with hay fever, weight, smoking, and occupation, and no association with other lifestyle factors. These findings offer clues to LPL/WM biology and prevention. PMID:25174029

  20. A history of the future: the emergence of contemporary anti-ageing medicine.

    PubMed

    Everts Mykytyn, Courtney

    2010-02-01

    The emergence of anti-ageing medicine over the past 20 years has posed tremendous challenges for the understanding of ageing and the concomitant responsibilities of biomedicine. Though highly contentious and loosely organised at best, anti-ageing targets ageing for biomedical intervention. This article examines a history of anti-ageing in the United States from 1993 to 2008, outlining its evolution from a scientific 'backwater' to a field with such promise that many within and outside the field believe efficacious therapies are an inevitability. In large part, the language of anti-ageing has shifted from predictions to expectations; it has become less a question of 'if' and more a question of 'when' and 'how' this rhetorical shift is directly linked with increasing legitimacy constructed upon a complex web of factors including mounting practitioner involvement, research interest, media attention, and popular desire. In this article I briefly review this history alongside the strategic histories marshalled by the various proponents and opponents to support their claims of legitimacy. The history of anti-ageing medicine is one of an emerging scientific and clinical practice as well as a history of an idea that has very recently made its way out of science fiction and into science future.

  1. From the Axial Age to the New Age: Religion as a Dynamic of World History.

    ERIC Educational Resources Information Center

    Tucker, Carlton H.

    In order to broaden student understanding of past and contemporary situations, the world history survey course needs to consider religion as a vehicle through which history moves. The course proposal includes prehistory and paleolithic times to contemporary Islamic culture. The course is thematic and comparative in orientation, but moves through…

  2. Isotopes, ice ages, and terminal Proterozoic earth history.

    PubMed

    Kaufman, A J; Knoll, A H; Narbonne, G M

    1997-06-24

    Detailed correlations of ancient glacial deposits, based on temporal records of carbon and strontium isotopes in seawater, indicate four (and perhaps five) discrete ice ages in the terminal Proterozoic Eon. The close and repeated stratigraphic relationship between C-isotopic excursions and glaciogenic rocks suggests that unusually high rates of organic carbon burial facilitated glaciation by reducing atmospheric greenhouse capacity. The emerging framework of time and environmental change contributes to the improved resolution of stratigraphic and evolutionary pattern in the early fossil record of animals.

  3. History of a Bronze Age tell and its environment

    NASA Astrophysics Data System (ADS)

    Kovács, Gabriella; Füleky, György; Vicze, Magdolna

    2016-04-01

    Százhalombatta-Földvár is the most excessively researched Bronze Age tell site in Hungary. Parallel to the investigation of the settlement structure and activity patterns the changes of the landscape and the effect of human alteration is also studied. Significant changes of the landscape can be detected from the Bronze Age until the recent natural and cultural heritage protection of the area. Archaeological, soil analytical and thin section soil micromorphological methods are used to reconstruct the past 4000 years of the tell and its immediate surroundings. Prior to the Bronze Age the area was covered by forest vegetation, so the initial settling could only be realised after deforestation (2000 BC). The result of the soil corings and the prepared soil thin sections are solid proves of this action. It also became evident that at some areas - so far it seems that at locales where house floors were laid for the very first time - even the topsoil was removed so intensively that only the B horizon of the relict forest soil can be found. This observation needs to be further tested outside the habitation area to define the horizontal extension of the forest clearance and the topsoil removal. The northern side of the settlement is bordered by a natural erosion gully. At 2000 BC it was just a natural depression, but by 1500 BC it was deepened to serve as a fortification ditch. Around 1200 BC the ditch started to be filled in and by 1000 BC it was refilled to such an extent that its surface was utilised again. At about 600 BC (Late Iron Age) a smaller inner rampart was erected on the southern side of the ditch for inner separation. Not much is known about the Roman period of this area (200 AD) but the remnants of a watchtower indicate their presence. During the 18th century AD the area was used for grape cultivation and later for hobby gardens up until the protection of the area in the late 20th century. Since then species of the original vegetation started to grow back

  4. Using Medical History Embedded in Biometrics Medical Card for User Identity Authentication: Privacy Preserving Authentication Model by Features Matching

    PubMed Central

    Fong, Simon; Zhuang, Yan

    2012-01-01

    Many forms of biometrics have been proposed and studied for biometrics authentication. Recently researchers are looking into longitudinal pattern matching that based on more than just a singular biometrics; data from user's activities are used to characterise the identity of a user. In this paper we advocate a novel type of authentication by using a user's medical history which can be electronically stored in a biometric security card. This is a sequel paper from our previous work about defining abstract format of medical data to be queried and tested upon authentication. The challenge to overcome is preserving the user's privacy by choosing only the useful features from the medical data for use in authentication. The features should contain less sensitive elements and they are implicitly related to the target illness. Therefore exchanging questions and answers about a few carefully chosen features in an open channel would not easily or directly expose the illness, but yet it can verify by inference whether the user has a record of it stored in his smart card. The design of a privacy preserving model by backward inference is introduced in this paper. Some live medical data are used in experiments for validation and demonstration. PMID:22550398

  5. Using medical history embedded in biometrics medical card for user identity authentication: privacy preserving authentication model by features matching.

    PubMed

    Fong, Simon; Zhuang, Yan

    2012-01-01

    Many forms of biometrics have been proposed and studied for biometrics authentication. Recently researchers are looking into longitudinal pattern matching that based on more than just a singular biometrics; data from user's activities are used to characterise the identity of a user. In this paper we advocate a novel type of authentication by using a user's medical history which can be electronically stored in a biometric security card. This is a sequel paper from our previous work about defining abstract format of medical data to be queried and tested upon authentication. The challenge to overcome is preserving the user's privacy by choosing only the useful features from the medical data for use in authentication. The features should contain less sensitive elements and they are implicitly related to the target illness. Therefore exchanging questions and answers about a few carefully chosen features in an open channel would not easily or directly expose the illness, but yet it can verify by inference whether the user has a record of it stored in his smart card. The design of a privacy preserving model by backward inference is introduced in this paper. Some live medical data are used in experiments for validation and demonstration.

  6. [Ethnomedicine--history of medicine. Sciences of medical thinking and behavior of man].

    PubMed

    Prinz, A

    1991-01-01

    Ethnomedicine and the history of medicine have in common the description of medical systems, whereby the separation is geographical in the former case and historical in the latter case. As experts in both fields are not at the same time practitioners of these medical systems, they depend on source material. The interpretation of these sources is largely subordinated to the subjective personal structure of the scientist on the one hand, and is closely related to epistemiological problems, coloured by the spirit of the times, on the other hand. Above all, many medical historians even today fall victim to an unjustified cultural evolutionism, according to which ethnomedical research work in the field of "primitive medicine" may be employed to reconstruct a fictive paleopathology. The cooperation which is nowadays established between ethnomedicine and the history of medicine concerns the common structures of medical systems in their social and cultural context--so-called pattern--with the aim of establishing a theory of medical thinking and behaviour of man.

  7. The medical theory of Richard Koch II: natural philosophy and history.

    PubMed

    Töpfer, F; Wiesing, U

    2005-01-01

    Richard Koch(1) became known in the 1920s with works on basic medical theory. Among these publications, the character of medical action and its status within the theory of science was presented as the most important theme. While science is inherently driven by the pursuit of knowledge for its own sake, medicine pursues the practical purpose of helping the sick. Therefore, medicine must be seen as an active relationship between a helping and a suffering person. While elucidating this relationship, Koch discusses the fundamental elements of medicine found in natural philosophy and the relationship of medicine to its own history. One of his aims is to unite natural history and the history of ideas without reducing intellectual processes to biological ones. Koch considers free will as something intuitively certain. It must serve as an axiom which will capture human as well as non-human reality. Based on the fact that human free will, considered a psychic quality, evolved out of inanimate matter, Koch grants matter (proto-) psychic qualities. They are evoked through specific constellations of matter. - With regard to history, Koch rejects the notion of constant progress. The history of medicine has provided insights that cannot be surpassed but can be obscured. Historical self-contemplation serves as a means for avoiding any deviations which may prevent medicine from fulfilling its ultimate purpose. Koch connects nature and history through the concept of a unity between natural history and the historical development of medicine. Medicine is considered an especially complex development of a purposive reaction to harmful stimuli, a reaction which can already be encountered in unicellular organisms. Without intending to reduce historical and mental processes to biological ones, Koch sets for himself the aim of gathering different phenomena and presenting them in one encapsulating unity.

  8. Medication management policy, practice and research in Australian residential aged care: Current and future directions.

    PubMed

    Sluggett, Janet K; Ilomäki, Jenni; Seaman, Karla L; Corlis, Megan; Bell, J Simon

    2017-02-01

    Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting.

  9. Baking, ageing, diabetes: a short history of the Maillard reaction.

    PubMed

    Hellwig, Michael; Henle, Thomas

    2014-09-22

    The reaction of reducing carbohydrates with amino compounds described in 1912 by Louis-Camille Maillard is responsible for the aroma, taste, and appearance of thermally processed food. The discovery that non-enzymatic conversions also occur in organisms led to intensive investigation of the pathophysiological significance of the Maillard reaction in diabetes and ageing processes. Dietary Maillard products are discussed as "glycotoxins" and thus as a nutritional risk, but also increasingly with regard to positive effects in the human body. In this Review we give an overview of the most important discoveries in Maillard research since it was first described and show that the complex reaction, even after over one hundred years, has lost none of its interdisciplinary actuality.

  10. A history of evidence in medical decisions: from the diagnostic sign to Bayesian inference.

    PubMed

    Mazur, Dennis J

    2012-01-01

    Bayesian inference in medical decision making is a concept that has a long history with 3 essential developments: 1) the recognition of the need for data (demonstrable scientific evidence), 2) the development of probability, and 3) the development of inverse probability. Beginning with the demonstrative evidence of the physician's sign, continuing through the development of probability theory based on considerations of games of chance, and ending with the work of Jakob Bernoulli, Laplace, and others, we will examine how Bayesian inference developed.

  11. Effects of psychiatric history on cognitive performance in old-age depression

    PubMed Central

    Pantzar, Alexandra; Atti, Anna Rita; Bäckman, Lars; Laukka, Erika J.

    2015-01-01

    Cognitive deficits in old-age depression vary as a function of multiple factors; one rarely examined factor is long-term psychiatric history. We investigated effects of psychiatric history on cognitive performance in old-age depression and in remitted persons. In the population-based Swedish National Study on Aging and Care in Kungsholmen study, older persons (≥60 years) without dementia were tested with a cognitive battery and matched to the Swedish National Inpatient Register (starting 1969). Participants were grouped according to current depression status and psychiatric history and compared to healthy controls (n = 96). Group differences were observed for processing speed, attention, executive functions, and verbal fluency. Persons with depression and psychiatric inpatient history (n = 20) and late-onset depression (n = 49) performed at the lowest levels, whereas cognitive performance in persons with self-reported recurrent unipolar depression (n = 52) was intermediate. Remitted persons with inpatient history of unipolar depression (n = 38) exhibited no cognitive deficits. Heart disease burden, physical inactivity, and cumulative inpatient days modulated the observed group differences in cognitive performance. Among currently depressed persons, those with inpatient history, and late onset performed at the lowest levels. Importantly, remitted persons showed no cognitive deficits, possibly reflecting the extended time since the last admission (m = 15.6 years). Thus, the present data suggest that cognitive deficits in unipolar depression may be more state- than trait-related. Information on profiles of cognitive performance, psychiatric history, and health behaviors may be useful in tailoring individualized treatment. PMID:26175699

  12. A tale of Congress, continuing medical education, and the history of medicine

    PubMed Central

    Kushner, Howard I.; Horton, Mary E. Kollmer

    2014-01-01

    Well-intentioned attempts by the Senate Finance Committee to improve the content and quality of continuing medical education (CME) offerings had the unanticipated consequence of decimating academically oriented history of medicine conferences. New guidelines intended to keep CME courses free of commercial bias from the pharmaceutical industry were worded in a fashion that caused CME officials at academic institutions to be reluctant to offer CME credit for history of medicine gatherings. At the 2013 annual conference of the American Association for the History of Medicine, we offered a novel solution for determining CME credit in line with current guidelines. We asked attendees to provide narrative critiques for each presentation for which they desired CME credit. In this essay, we evaluate the efficacy of this approach. PMID:24688209

  13. A tale of Congress, continuing medical education, and the history of medicine.

    PubMed

    Partin, Clyde; Kushner, Howard I; Horton, Mary E Kollmer

    2014-04-01

    Well-intentioned attempts by the Senate Finance Committee to improve the content and quality of continuing medical education (CME) offerings had the unanticipated consequence of decimating academically oriented history of medicine conferences. New guidelines intended to keep CME courses free of commercial bias from the pharmaceutical industry were worded in a fashion that caused CME officials at academic institutions to be reluctant to offer CME credit for history of medicine gatherings. At the 2013 annual conference of the American Association for the History of Medicine, we offered a novel solution for determining CME credit in line with current guidelines. We asked attendees to provide narrative critiques for each presentation for which they desired CME credit. In this essay, we evaluate the efficacy of this approach.

  14. Alcohol expectancies: effects of gender, age, and family history of alcoholism.

    PubMed

    Lundahl, L H; Davis, T M; Adesso, V J; Lukas, S E

    1997-01-01

    To explore the effects of gender, age, and positive (FH+) and negative (FH-) family history of alcoholism on alcohol-related expectancies, the Alcohol Expectancy Questionnaire (AEQ) was administered to 627 college students (female n = 430). In an attempt to control for consumption effects, only individuals who described themselves as heavy drinkers were included in the study. A 2 (Family History) x 2 (Gender) x 2 (Age Range) multivariate analysis of variance (MANOVA) was conducted on the six scales of the AEQ. Results indicated that FH+ females under the age of 20 years reported stronger expectancies of social and physical pleasure than did FH- females. Results also suggested that females over the age of 20 reported significantly lower expectancies of global, positive effects compared to all other subjects, regardless of family history of alcoholism. Finally, both male and female subjects under the age of 20 reported greater expectancies of global, positive effects, sexual enhancement, feelings of increased power and aggression, and social assertion compared to individuals over the age of 20. These results indicate that alcohol-related expectancies vary as a function of age, gender, and family history of alcoholism.

  15. Laying medicine open: understanding major turning points in the history of medical ethics.

    PubMed

    McCullough, Laurence B

    1999-03-01

    At different times during its history medicine has been laid open to accountability for its scientific and moral quality. This phenonmenon of laying medicine open has sometimes resulted in major turning points in the history of medical ethics. In this paper, I examine two examples of when the laying open of medicine has generated such turning points: eighteenth-century British medicine and late twentieth-century American medicine. In the eighteenth century, the Scottish physician-philosopher, John Gregory (1724-1773), concerned with the unscientific, entrepreneurial, self-interested nature of then current medical practice, laid medicine open to accountability using the tools of ethics and philosophy of medicine. In the process, Gregory wrote the first professional ethics of medicine in the English-language literature, based on the physician's fiduciary responsibility to the patient. In the late twentieth century, the managed practice of medicine has laid medicine open to accountability for its scientific quality and economic cost. This current laying open of medicine creates the challenge of developing medical ethics and bioethics for population-based medical science and practice.

  16. A Brief Historical Review of Specific Religious Denominations: How History Influences Current Medical-Religious Partnerships.

    PubMed

    Galiatsatos, Panagis; Lehmijoki-Gardner, Maiju; Daniel Hale, W

    2016-04-01

    Improving health care in the twenty-first century will require new and creative approaches, with special attention given to health literacy and patient engagement since these two variables play a significant role in chronic health issues and their management. In order to better improve these key variables, strong partnerships between patients, their communities, and medical institutions must be developed. One way of facilitating these relationships is through medical-religious partnerships. Religious leaders are in regular contact with people who need education about and support with health issues. However, identifying the most effective way to approach specific congregations can pose a challenge to healthcare providers and institutions. In this paper, we provide a brief historical review of certain religious traditions and how their history plays a role in current medical-religious partnerships.

  17. Rembrandt’s Jewish Physician—Dr Ephraim Bueno (1599–1665): A Brief Medical History

    PubMed Central

    Weisz, George M.; Albury, William R.

    2013-01-01

    Medicine in the Middle Ages was, and ever since remained, one of the main preoccupations of the professionally restricted Jews. One of the medical dynasties on the Iberian Peninsula was the Bueno (Bonus) family. Following the expulsion of the Jews from Spain and their spread in Europe, these Iberian physicians became successful everywhere—just as the Buenos were in the Netherlands. PMID:23908860

  18. Medical history for the masses: how American comic books celebrated heroes of medicine in the 1940s.

    PubMed

    Hansen, Bert

    2004-01-01

    When comic books rose to mass popularity in the early 1940s, one segment of the industry specialized in "true adventures," with stories about real people from the past and the present--in contrast to competing books that offered fantasy, science fiction, superheroes, detectives and crime, funny people, or funny animals. This study examines the figures from both medical history and twentieth-century medicine who were portrayed as heroes and role models in these comic books: first, to call attention to this very popular, if unknown, genre of medical history, and second, to illustrate how medical history was used at that time to popularize scientific and medical ideas, to celebrate the achievements of medical research, to encourage medical science as a career choice, and to show medicine as a humane and noble enterprise. The study explains how these medical history stories were situated in American popular culture more generally, and how the graphic power of comic books successfully conveyed both values and information while also telling a good story. Attention to this colorful genre of popular medical history enriches our picture of the mid-twentieth-century public's enthusiasm for medical progress.

  19. Library Journal Use and Citation Age in Medical Science.

    ERIC Educational Resources Information Center

    Tsay, Ming-Yueh

    1999-01-01

    Describes a study conducted in a Taiwan hospital library that explored the in-house use age distribution of journals, their citation age distribution, and the difference between them. Discusses use of the Kolmogorov-Smirnov test, which showed that the use age distribution does not fit the citation age distribution. (Author/LRW)

  20. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Mantle Cell Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Sampson, Joshua N.; Turner, Jennifer J.; Slager, Susan L.; Maynadié, Marc; Roman, Eve; Habermann, Thomas M.; Flowers, Christopher R.; Berndt, Sonja I.; Bracci, Paige M.; Hjalgrim, Henrik; Weisenburger, Dennis D.; Morton, Lindsay M.

    2014-01-01

    Background The etiology of mantle cell lymphoma (MCL), a distinctive subtype accounting for 2%–10% of all non-Hodgkin lymphoma, is not known. Methods We investigated associations with self-reported medical history, lifestyle, family history, and occupational risk factors in a pooled analysis of 557 patients with MCL and 13766 controls from 13 case–control studies in Europe, North America, and Australia. Odds ratios (ORs) and 95% confidence intervals (CIs) associated with each exposure were examined using multivariate logistic regression models. Results The median age of the MCL patients was 62 years and 76% were men. Risk of MCL was inversely associated with history of hay fever (OR = 0.63, 95% CI = 0.48 to 0.82), and the association was independent of other atopic diseases and allergies. A hematological malignancy among first-degree relatives was associated with a twofold increased risk of MCL (OR = 1.99, 95% CI = 1.39 to 2.84), which was stronger in men (OR = 2.21, 95% CI = 1.44 to 3.38) than women (OR = 1.61, 95% CI = 0.82 to 3.19). A modestly increased risk of MCL was also observed in association with ever having lived on a farm (OR = 1.40, 95% CI = 1.03 to 1.90). Unlike some other non-Hodgkin lymphoma subtypes, MCL risk was not statistically significantly associated with autoimmune disorders, tobacco smoking, alcohol intake, body mass index, or ultraviolet radiation. Conclusions The novel observations of a possible role for atopy and allergy and farm life in risk of MCL, together with confirmatory evidence of a familial link, suggest a multifactorial etiology of immune-related environmental exposures and genetic susceptibility. These findings provide guidance for future research in MCL etiology. PMID:25174028

  1. The baboon model (Papio hamadryas) of fetal loss: Maternal weight, age, reproductive history and pregnancy outcome

    PubMed Central

    Schlabritz-Loutsevitch, Natalia; Moore, Charleen M.; Lopez-Alvarenga, Juan Carlos; Dunn, Betty G.; Dudley, Donald; Hubbard, Gene B.

    2010-01-01

    Background Several risk factors are associated with the incidence of human stillbirths. The prevention of stillbirths in women is a pressing clinical problem. Methods We reviewed 402 pathology records of fetal loss occurring in a large baboon (Papio spp.) colony during a 15-year period. Clinical histories of 565 female baboons with one or more fetal losses during a 20-year period were analyzed for weight, age, and reproductive history. Results Fetal loss was most common at term (35.57%) and preterm (28.61%) and less common in the first half of gestation (11.20%) and post-term (5.22%). Greater maternal weight, older age, history of stillbirth and higher parity were independent predictors for stillbirth. An exponential increase in the incidence of fetal loss was observed beginning at age 14 years in baboons. Conclusion Fetal loss and maternal risk factors associated with stillbirths in baboons were similar to those documented in women. PMID:19017195

  2. Medical and Psychology Students' Knowledge and Attitudes regarding Aging and Sexuality

    ERIC Educational Resources Information Center

    Snyder, Rachel J.; Zweig, Richard A.

    2010-01-01

    The current study surveys medical and doctoral psychology students (N = 100) from an urban northeastern university regarding knowledge and attitudes toward elderly sexuality and aging using the Facts on Aging Quiz, the Aging Sexuality Knowledge and Attitudes Scale, and measures of interest in gerontology, academic/clinical exposure to aging and…

  3. Effects of Age, Gender and Educational Background on Strength of Motivation for Medical School

    ERIC Educational Resources Information Center

    Kusurkar, Rashmi; Kruitwagen, Cas; ten Cate, Olle; Croiset, Gerda

    2010-01-01

    The aim of this study was to determine the effects of selection, educational background, age and gender on strength of motivation to attend and pursue medical school. Graduate entry (GE) medical students (having Bachelor's degree in Life Sciences or related field) and Non-Graduate Entry (NGE) medical students (having only completed high school),…

  4. Parochialism or Self-Consciousness? Internationality in Medical History Journals 1997–2006

    PubMed Central

    Steinke, Hubert; Lang, Yves

    2011-01-01

    Research councils, universities and funding agencies are increasingly asking for tools to measure the quality of research in the humanities. One of their preferred methods is a ranking of journals according to their supposed level of internationality. Our quantitative survey of seventeen major journals of medical history reveals the futility of such an approach. Most journals have a strong national character with a dominance of native language, authors and topics. The most common case is a paper written by a local author in his own language on a national subject regarding the nineteenth or twentieth century. American and British journals are taken notice of internationally but they only rarely mention articles from other history of medicine journals. Continental European journals show a more international review of literature, but are in their turn not noticed globally. Increasing specialisation and fragmentation has changed the role of general medical history journals. They run the risk of losing their function as international platforms of discourse on general and theoretical issues and major trends in historiography, to international collections of papers. Journal editors should therefore force their authors to write a more international report, and authors should be encouraged to submit papers of international interest and from a more general, transnational and methodological point of view. PMID:22028500

  5. [The history of medical bibliography and the development of the idea of infectious disease between sixteenth and seventeenth century].

    PubMed

    Serrani, Alfredo; Zurlini, Fabiola

    2007-01-01

    The aim of this paper is to underline the importance of the main medical bibliographies printed during the Sixteenth and Seventeenth Century, as instrument of transmission and information of the most important medical ideas. The history of medical bibliography is like a mirror where it is possible to recognize the main features of the medical knowledge and of its development during the centuries. The paper analyzes how the idea of infectious disease is documented in the main medical bibliography of the Sixteenth and the Seventeenth centuries and how it developed in relationship with the structure of the medical bibliographies. The study offers a concrete example of the importance and usefulness of the history of medical bibliography to the historians of medicine in their research.

  6. Cosmic Ray Exposure Ages, Ar-Ar Ages, and the Origin and History of Eucrites

    NASA Technical Reports Server (NTRS)

    Wakefield, Kelli; Bogard, Donald; Garrison, Daniel

    2004-01-01

    HED meteorites likely formed at different depths on the large asteroid 4-Vesta, but passed through Vesta-derived, km-sized intermediary bodies (Vestoids), before arriving at Earth. Most eucrites and diogenites (and all howardites) are brecciated, and impact heating disturbed or reset the K-Ar ages (and some Rb-Sr ages) of most eucrites in the time period of approx. 3.4 - 4.1 Gyr ago. Some basaltic eucrites and most cumulate eucrites, however, are not brecciated. We recently showed that the Ar-39 - Ar-40 ages for several of these eucrites tightly cluster about a value of 4.48 +/- 0.02 Gyr, and we argue that this time likely represents a single large impact event on Vesta, which ejected these objects from depth and quenched their temperatures. A different parent body has been suggested for cumulate eucrites, although the Ar-Ar ages argue for a common parent. Similarities in the cosmic-ray (space) exposure ages for basaltic eucrites and diogenites also have been used to infer a common parent body for some HEDs. Here we present CRE ages of several cumulate and unbrecciated basaltic (UB) eucrites and compare these with CRE ages of other HEDs. This comparison also has some interesting implications for the relative locations of various HED types on Vesta and/or the Vestoids.

  7. A history of the INTERNIST-1 and Quick Medical Reference (QMR) computer-assisted diagnosis projects, with lessons learned.

    PubMed

    Miller, R A

    2010-01-01

    The INTERNIST-1/Quick Medical Reference (QMR) diagnostic decision support project spans four decades, from 1971-onward. This paper describes the history of the project and details insights gained of relevance to the general clinical and informatics communities.

  8. Clinical stories and medical histories recorded by Rhazes (865-925), the Iranian-Islamic physician in the medieval period.

    PubMed

    Zohalinezhad, Mohammad E; Askari, Alireza; Farjam, Mojtaba

    2015-01-01

    Recording medical histories of patients is not a new issue in clinical medicine. However, the method practiced by the Iranian chemist physician, Rhazes, in the ninth century A.D is incredible. Rhazes has written several textbooks in clinical medicine, but a particular one, "Clinical Stories and Medical Histories" (Qesas va hekayat al-marazi), is a classical case book describing precise clinical courses of thirty three patients. Each chapter includes a title, the name and demographic data about a patient, his/her history of present illness, past medical and family history, findings of physical exam, impression and interventions by the physician, including pharmacological or surgical management. The reasons for each decision made by Rhazes as well as the outcomes are clearly discussed. This book review will shed light on the unknown medical practice methods in Islamic-Iranian golden era.

  9. [History of mandatory (set by decree) preliminary and periodic medical examinations of workers in hazardous work conditions].

    PubMed

    Retnev, V M

    2016-01-01

    The article deals with over a hunderd years history of foundation and pregress in organization and process of mandatory preliminary and periodic medical examinations of workers exposed to hazardous work conditions.

  10. Natural histroy of trisomy 18 and trisomy 13: I. Growth, physical assessment, medical histories, survival, and recurrence risk

    SciTech Connect

    Baty, B.J.; Blackburn, B.L.; Carey, J.C.

    1994-01-15

    The natural history of trisomy 18 and trisomy 13 was investigated using data derived from parent questionnaires and medical records from 98 families with an index case of trisomy 18 and 32 families with an index case of trisomy 13. Data are presented on pregnancy, delivery, survival, medical complications, immunizations, growth, cause of death, cytogenetics, and recurrence risk. Half of the trisomy 18 babies were delivered by C-section. Fetal distress was a factor in half, and the only reason in a third of C-section deliveries. One minute Apgar scores were significantly lower in C-section and breech deliveries. There were more small-for-gestational-age babies than in the general population, but most of the low-birth-weight newborns were small for gestational age, unlike the general population. Survival in this group of children was better than in other studies due to ascertainment bias. There were more girls than boys at all ages for both conditions, and the sex ratio decreased with time. Growth curves for length, weight, head circumference, and weight vs height are provided. Long-term survival did not appear to be due to mosaicism. There were no adverse reactions attributable to immunizations. At age 1 year there was an average of approximately 2 operations per living child. The authors report the second case of successful major cardiac surgery in a trisomy 18 child. Almost 70% of deaths were attributed to cardiopulmonary arrest. The sibling recurrence risk for trisomy 18 or trisomy 13 was 0.55%. 86 refs., 5 figs., 5 tabs.

  11. Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada.

    PubMed

    Waldbrook, Natalie

    2015-03-01

    Within the areas of literature on both population aging and health and homelessness, little attention has been given to the opportunities and barriers to healthy aging among older persons with a history of homelessness. Set in the context of inner-city Toronto, Canada, this article reports on the findings from qualitative interviews with 29 formerly homeless older persons. The findings illustrate participants' experiences of positive health change since moving into a stable housing environment and the aspects of housing they perceive to have improved their health and wellbeing. The qualitative findings also draw attention to the ongoing barriers to healthy aging that can be experienced among older persons with a history of homelessness. Overall, this study draws on the lived experiences of formerly homeless older persons to offer a better understanding of the long-term effects of homelessness on health, wellbeing, and aging.

  12. Medical real estate in an age of reform.

    PubMed

    Hammond, Laca Wong; Camp, Philip J

    2011-04-01

    The following are four ways healthcare organizations are fulfilling their medical real estate needs in an era of change: Real estate monetization. Renovation of existing facilities. A careful focus on containing materials costs. Joint ventures with real estate organizations.

  13. Rehabilitation of a patient with an elusive medical history and loss of occlusal vertical dimension.

    PubMed

    Wong, Angela T T; Nguyen, Caroline T

    2013-01-01

    In this clinical report, we describe the medical history, diagnosis and prosthodontic treatment of a 61-year-old man with a previous history of oral cancer. Loss of a full upper denture and severe erosion of his teeth prompted the patient to seek treatment at the dental clinic at the British Columbia Cancer Agency. Although he stated that he was being treated for a sleeping disorder, hospital records revealed multiple recent admissions for alcoholism and depression. The patient's limited finances prevented complex restoration of worn lower dentition; thus, definitive treatment consisted of extraction of teeth with a poor prognosis, removal of a glandular odontogenic cyst and fabrication of a full maxillary prosthesis and a removable mandibular cast-metal overlay.

  14. The dialectics of understanding: on genres and the use of debate in medical history.

    PubMed

    Huisman, Frank

    2005-01-01

    Answering the call made by Frederic L. Holmes to introduce the concept of the longue durée in the history of science and medicine, this essay sets out to weigh the pros and cons of the concept for the field. It argues that four genres (or traditions) can be distinguished in medical historiography, each with their own ambitions, methods, perspectives and audiences. It concludes by calling for articulated and lively debate between the protagonists of the different genres as the royal way to historical understanding.

  15. Neurophysiological assessment of divers with medical histories of neurological decompression illness.

    PubMed Central

    Murrison, A W; Glasspool, E; Pethybridge, R J; Francis, T J; Sedgwick, E M

    1994-01-01

    OBJECTIVE--To examine the possibility that subclinical damage may persist after clinical recovery from neurological decompression illness. METHODS--The neuraxes of 71 divers with medical histories of neurological decompression illness and 37 non-diver controls were examined by recording the somatosensory evoked potentials produced on stimulation of the posterior tibial and median nerves. RESULTS--Although the tests gave some objective support for the presence of "soft" residual neurological symptoms and signs, no evidence was given for the presence of subclinical damage. CONCLUSIONS--The contention that neurological damage persists after full clinical recovery from the neurological decompression illness was not supported. PMID:7849848

  16. Early diagnosis of Lemierre's syndrome based on a medical history and physical findings.

    PubMed

    Murata, Yutaka; Wada, Mikio; Kawashima, Atsushi; Kagawa, Keizo

    2013-01-01

    A 37-year-old woman presented with fever and rigor after experiencing respiratory symptoms the previous week that had resolved within a few days. On presentation, her neck was swollen along the right sternocleidomastoid muscle, and chest CT showed pulmonary septic embolisms. Lemierre's syndrome was strongly suspected based on the patient's medical history and physical findings. Further examination revealed venous thrombus, and Fusobacterium necrophorum was later isolated from blood cultures. Antibiotics for anaerobes were administered before a final diagnosis was made, and the patient's symptoms thereafter improved. A rapid diagnosis is essential, since Lemierre's syndrome can be fatal with a diagnostic delay.

  17. Education at the Dittrick Museum of Medical History, Case Western Reserve University, Cleveland, Ohio, USA.

    PubMed

    Edmonson, James M

    2009-01-01

    The Dittrick Museum of Medical History pursues an educational mission as being part of a major research university. While the Dittrick dates to 1899 as a historical committee of the Cleveland Medical Library Association, it first affiliated with Case Western Reserve University in 1966, and became a department of the College of Arts and Sciences of CWRU in 1998. The Dittrick maintains a museum exhibition gallery that is open to the public free of charge, and museum staff provide guided tours on appointment. Much of the teaching and instruction at the Dittrick is conducted by university professors; their classes meet in the museum and use museum resources in the form of artifacts, images, archives, and rare books. Class projects using Dittrick collections may take the form of research papers, exhibitions, and online presentations. Dittrick staff assist in these classes and are available to help researchers use museum resources.

  18. [Tuhfetü'l-Tib, as a pioneer periodical of the medical history].

    PubMed

    Altintaş, A; Dinç, G; Başağaoğlu, I

    2001-01-01

    Tuhfetü'l-Tib is a Turkish medical history periodical published regularly every two weeks in Istanbul since December 27th, 1867. Its collection comprises totally 15 issues, every one of which is consisted of 16 pages with a hard cover, printed at the Maltepe Military Hospital printing press for more than seven months. As far as we know, Tuhfetü'l-Tib's last issue was dated on July 21st, 1868. The aim of its publication was to introduce contemporary medical knowledge by translating articles from the respected academic periodicals in the West. Among the issues wer have studied, twenty chapters were about gynecology, while twenty five ones about the newborn diseases. Tuhfetü'l-Tib is the second Turkish medical review ever printed in Turkey, succeeding Vakayi-i Tibbiye (1849). It is also the first periodical in Turkey, publishing articles on gynecology and pediatrics. Having played an important role in struggle for the Turkish education at the Imperial Medical School, it was issued on the basis of the principles defended by the Ottoman Association of Medicine.

  19. Meeting Report: International Symposium on the Genetics of Aging and Life History II.

    PubMed

    Artan, Murat; Hwang, Ara B; Lee, Seung V; Nam, Hong Gil

    2015-06-01

    The second International Symposium on the Genetics of Aging and Life History was held at the campus of Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu, South Korea, from May 14 to 16, 2014. Many leading scientists in the field of aging research from all over the world contributed to the symposium by attending and presenting their recent work and thoughts. The aim of the symposium was to stimulate international collaborations and interactions among scientists who work on the biology of aging. In the symposium, the most recent and exciting work on aging research was presented, covering a wide range of topics, including the genetics of aging, age-associated diseases, and cellular senescence. The work was conducted in various organisms, includingC. elegans, mice, plants, and humans. Topics covered in the symposium stimulated discussion of novel directions for future research on aging. The meeting ended with a commitment for the third International Symposium on the Genetics of Aging and Life History, which will be held in 2016.

  20. Constraining the Star Forming History in Monoceros: A Study of Embedded Cluster Ages and Spatial Structure

    NASA Astrophysics Data System (ADS)

    Marinas, Naibi; Lada, Elizabeth; Ybarra, Jason; Fleming, Scott

    2010-08-01

    We propose to use FLAMINGOS multi-object spectrometer on the KPNO 4 meter telescope to complete a spectroscopic survey of 5 clusters in the Monoceros GMC. The data will be combined with existing FLAMINGOS photometry to determine the ages and masses of the stars in the clusters using the HR Diagram and PMS evolutionary models. This information, combined with the spatial distribution of clusters in the cloud, determined from previous observations, will allow us to investigate the ages and age spreads of the embedded clusters and the star forming histories of the clusters and the molecular cloud.

  1. Constraining the Star Forming History in Monoceros: A Study of Embedded Cluster Ages and Spatial Structure

    NASA Astrophysics Data System (ADS)

    Lada, Elizabeth A.; Marinas, Naibi; Levine, Joanna L.; Ferreira, Bruno

    2009-08-01

    We propose to use FLAMINGOS multi-object spectrometer on the KPNO 4 meter telescope to complete a spectroscopic survey of 7 clusters in the Monoceros GMC. The data will be combined with existing FLAMINGOS photometry to determine the ages and masses of the stars in the clusters using the HR Diagram and PMS evolutionary models. This information, combined with the spatial distribution of clusters in the cloud, determined from previous observations, will allow us to investigate the ages and age spreads of the embedded clusters and the star forming histories of the clusters and the molecular cloud.

  2. The formative years: medical ethics comes of age.

    PubMed

    Campbell, Alastair V

    2015-01-01

    When the Journal of Medical Ethics first appeared in April 1975, the prospects of success seemed uncertain. There were no scholars specialising in the field, the readership could not be guaranteed, and the medical profession itself seemed, at the very least, ambivalent about a subject thought by many to be the province of doctors alone, to be acquired through an apprenticeship model, and certainly not taught or examined in any formal sense. However, change was afoot, fresh scandals created an awareness that outside help was needed to think through the new challenges facing the profession, and the success of the medical groups revealed a clear way forward through multidisciplinary and critically reflective discussion of the host of emerging ethical and legal issues. In this article the formative years of the journal are recaptured, with a claim that the core principles on which it was founded must endure if it is to continue to 'do good medical ethics' over the next 40 years.

  3. Employee Medical Reimbursement Plans in the Age of ERISA

    ERIC Educational Resources Information Center

    Rosewater, Robert D.

    1976-01-01

    The employee medical reimbursement plan offers a new dimension in fringe benefits. This article discusses the purposes of such plans to determine who should adopt them, to guide draftsmen in their preparation, and to aid administrators and fiduciaries in their management. (LBH)

  4. Using the patient's medication history as a learning tool in clinical pharmacology instruction for dental students.

    PubMed

    Gregson, Karen S; Romito, Laura M

    2012-11-01

    The purpose of this study was to determine if a pharmacology medical history assignment would enable dental students to demonstrate improved knowledge and understanding of pharmacology by researching the drugs their patients were taking and recording pharmacological information in their patients' health records. The study followed a pretest-posttest design and evaluated students' knowledge of ten commonly prescribed drugs. Students were given the pretest prior to entry into the clinic. Subsequently, for an eight-month period, students completed the medication history assignment. Pretest and posttest scores were compared and analyzed with one-way ANOVA and Pearson product moment correlation statistics. The Pearson product moment correlation showed a positive correlation between the drugs per patient and the change in score between the pre- and posttests (correlation coefficient=0.254, p=0.016) and between the assignment grade and the change in pre- and posttest scores (correlation coefficient=0.198, p<0.001), as well as a significant correlation between the number of times a drug was charted and the change in score on the pretest-posttest item concerning that drug (correlation coefficient=0.798, p=0.006). By documenting patient drug information, dental students can improve their pharmacology knowledge base and enhance their potential to positively impact patient care and safety.

  5. Meeting Report: International Symposium on the Genetics of Aging and Life History II

    PubMed Central

    Lee, Seung‐Jae V.; Nam, Hong Gil

    2015-01-01

    The second International Symposium on the Genetics of Aging and Life History was held at the campus of Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu, South Korea, from May 14 to 16, 2014. Many leading scientists in the field of aging research from all over the world contributed to the symposium by attending and presenting their recent work and thoughts. The aim of the symposium was to stimulate international collaborations and interactions among scientists who work on the biology of aging. In the symposium, the most recent and exciting work on aging research was presented, covering a wide range of topics, including the genetics of aging, age‐associated diseases, and cellular senescence. The work was conducted in various organisms, including C. elegans, mice, plants, and humans. Topics covered in the symposium stimulated discussion of novel directions for future research on aging. The meeting ended with a commitment for the third International Symposium on the Genetics of Aging and Life History, which will be held in 2016. PMID:26115541

  6. History of the Public Health Institute of Semmelweis Medical University, Budapest.

    PubMed

    Tahin, E; Morava, E

    2000-05-01

    The science of public health of the XVIIIth century named politia medica together with medicina forensis became an independent obligatory subject in 1793 at the Medical Faculty of the Hungarian Royal University of Science. The independent Public Health Institute of the Medical Faculty was established in 1874. The first professor of public health was József Fodor who attained international reputation during his professorship. He organized training for school physicians and health teachers first in Europe and he organized courses for medical officers and for military doctors. He held courses for law-, engineer- and architect-students. He promoted all fields of the public health. His research on the bactericide effect of serum places him among the founders of immunology. Fodor's successors at the Chair of Public Health were Leó Liebermann whose research activities included physico-chemistry, biochemistry, microbiology and social hygiene; Gusztáv Rigler who focused on the epidemiology of communicable diseases, on the health effects of spa treatment and mineral waters. The next famous professor was Gyula Darányi. His scientific field was public health bacteriology and public health chemistry. They were followed by József Melly and László Dabis (Scheff). After the Second World War fundamental changes took place in the life of the university. The Faculty of Medicine was separated from the University of Science on February 1, 1951 and became an independent university under the control of the Ministry of Health. In 1953 the Institute of Public Health was cut into two separate institutes: Institute of Public Health and Institute for the Organization of Health Service. The Institute of Public Health was transformed to Institute of Public Health and Epidemiology in 1973. The Institute for the Organization of Health Service was transformed into Institute of Social Medicine and History of Medicine in 1985 and later into Institute of History of Medicine and Social Medicine

  7. [Medical and psychological prevention of stress-induced premature aging].

    PubMed

    Tsaregorodtseva, S A

    2007-01-01

    We studied the efficiency of the method complex for psychotherapy (psychocorrection) of those who suffer from post-traumatic stress disorders (PTSD) with the purpose of prevention and reduction of psychovegetative disorders and aging pace which would prevent from early disability and death. We studied 82 male patients suffering from post-traumatic stress disorder aged from 22 to 35 who endured combat psychologic traumatic experience. In our study we used 4 method approaches enabling to assess a functional state of an organism sequentially and fully. Those included: 1) a clinical psychopathological approach; 2) an experimental psychological approach; 3) a spectral analysis of the heart rate variability; 4) assessment of biological age dimensions. It was ascertained that PTSD can be seen as one of the factors increasing BA (biological age) and aging pace of people who experienced extreme situations. Our study proved that combined methods of psychotherapeutic rehabilitation also normalize parameters of vegetative heart rate regulation circuit. It is shown that positive changes in psychovegetative sphere achieved in people suffering from PTSD decrease an organism's aging pace.

  8. Writing women into medical history in the 1930s: Kate Campbell Hurd-Mead and "medical women" of the past and present.

    PubMed

    Appel, Toby A

    2014-01-01

    Kate Campbell Hurd-Mead (1867–1941), a leader among second-generation women physicians in America, became a pioneer historian of women in medicine in the 1930s. The coalescence of events in her personal life, the declining status of women in medicine, and the growing significance of the new and relatively open field of history of medicine all contributed to this transformation in her career. While she endeavored to become part of the community of male physicians who wrote medical history, her primary identity remained that of a “medical woman.” For Hurd-Mead, the history of women in the past not only filled a vital gap in scholarship but served practical ends that she had earlier pursued by other means—those of inspiring and advancing the careers of women physicians of the present day, promoting organizations of women physicians, and advocating for equality of opportunity in the medical profession.

  9. Agreement between maternal interview- and medical record-based gestational age.

    PubMed

    Hakim, R B; Tielsch, J M; See, L C

    1992-09-01

    Agreement between maternal interview- and medical record-based gestational age was assessed by using data from a case-control study of childhood strabismus. The sample consisted of 383 cases of strabismus and their age-matched controls, diagnosed between 1985 and 1986 in Baltimore, Maryland, who were under age 7 years when diagnosed. Medical record-based gestational age was derived, in order of priority, from early ultrasound examination, time from the last menstrual period, pediatric examination, and obstetric examination. The intraclass correlation coefficient, kappa, and mean difference were used to compare agreement between maternal interview- and medical record-based gestational age by maternal and pregnancy characteristics and characteristics related to study design. Overall, 86 percent of mothers were within 2 weeks of the gestational age reported in the medical record. The intraclass correlation coefficient comparing maternal and medical record-based gestational age was 0.83 (95% confidence interval 0.80-0.86). Agreement was positively associated with shorter length of recall, low birth order, and having a neonatal illness related to prematurity. Agreement was poor among mothers of healthy preterm infants. There was a weak positive association between recall and some sociodemographic covariates. There was greater misclassification of prematurity in the controls than in the cases. The results suggest that, in general, women recall gestational age well, which supports the use of gestational age derived from maternal interviews.

  10. Diffuse white matter tract abnormalities in clinically normal ageing retired athletes with a history of sports-related concussions.

    PubMed

    Tremblay, Sebastien; Henry, Luke C; Bedetti, Christophe; Larson-Dupuis, Camille; Gagnon, Jean-François; Evans, Alan C; Théoret, Hugo; Lassonde, Maryse; De Beaumont, Louis

    2014-11-01

    Sports-related concussions have been shown to lead to persistent subclinical anomalies of the motor and cognitive systems in young asymptomatic athletes. In advancing age, these latent alterations correlate with detectable motor and cognitive function decline. Until now, the interacting effects of concussions and the normal ageing process on white matter tract integrity remain unknown. Here we used a tract-based spatial statistical method to uncover potential white matter tissue damage in 15 retired athletes with a history of concussions, free of comorbid medical conditions. We also investigated potential associations between white matter integrity and declines in cognitive and motor functions. Compared to an age- and education-matched control group of 15 retired athletes without concussions, former athletes with concussions exhibited widespread white matter anomalies along many major association, interhemispheric, and projection tracts. Group contrasts revealed decreases in fractional anisotropy, as well as increases in mean and radial diffusivity measures in the concussed group. These differences were primarily apparent in fronto-parietal networks as well as in the frontal aspect of the corpus callosum. The white matter anomalies uncovered in concussed athletes were significantly associated with a decline in episodic memory and lateral ventricle expansion. Finally, the expected association between frontal white matter integrity and motor learning found in former non-concussed athletes was absent in concussed participants. Together, these results show that advancing age in retired athletes presenting with a history of sports-related concussions is linked to diffuse white matter abnormalities that are consistent with the effects of traumatic axonal injury and exacerbated demyelination. These changes in white matter integrity might explain the cognitive and motor function declines documented in this population.

  11. Family history of gynaecological cancers: relationships to the incidence of breast cancer prior to age 55.

    PubMed

    Thompson, W D; Schildkraut, J M

    1991-09-01

    As part of a multi-centre epidemiological study of cancer in women between the ages of 20 and 54, data were collected concerning family history of gynaecological cancers in the female relatives of 4730 women with newly diagnosed breast cancer and the relatives of 4688 women from the general population. Women who were diagnosed with breast cancer prior to age 45 were more likely than controls to have a mother or sister with ovarian cancer (odds ratio (OR): 1.50), endometrial cancer (1.29), and cervical cancer (1.53), although none of these elevations achieved statistical significance. The corresponding odds ratios for women diagnosed with breast cancer between the ages of 45 and 54 were 1.88, 0.84 and 0.93. The association with ovarian cancer was statistically significant in this group (95% confidence interval (CI): 1.11-3.19). In this latter group, having a first degree relative with ovarian cancer was associated approximately as strongly with breast cancer as was having a first degree relative with breast cancer. The results suggest that there may be a shared genetic basis for some cancers of the breast and ovary. From a clinical perspective, the results indicate that in setting appropriate levels of screening for breast cancer and in establishing an appropriate age at which to begin such screening for a particular woman, her family history of ovarian cancer should be considered in addition to her family history of breast cancer.

  12. Medical and psychology students' knowledge and attitudes regarding aging and sexuality.

    PubMed

    Snyder, Rachel J; Zweig, Richard A

    2010-01-01

    The current study surveys medical and doctoral psychology students (N = 100) from an urban northeastern university regarding knowledge and attitudes toward elderly sexuality and aging using the Facts on Aging Quiz, the Aging Sexuality Knowledge and Attitudes Scale, and measures of interest in gerontology, academic/clinical exposure to aging and sexuality, and contact with elders. The current study found that psychology students demonstrated greater aging knowledge than medical students; however, both groups showed gaps in knowledge about sexuality. Married students had greater academic/clinical exposure and greater knowledge about aging but less permissive attitudes toward elderly sexuality. Generally, knowledge about aging was the strongest correlate of knowledge about sexuality. Level of knowledge about sexuality was not associated with attitudes. Attitudes toward sexuality and aging may be more strongly tied to demographic variables reflective of religious beliefs or adherence to sociocultural norms.

  13. Medication and finance management among HIV-infected adults: the impact of age and cognition.

    PubMed

    Thames, April D; Kim, Michelle S; Becker, Brian W; Foley, Jessica M; Hines, Lindsay J; Singer, Elyse J; Heaton, Robert K; Castellon, Steven A; Hinkin, Charles H

    2011-02-01

    This study examined the effects of aging and cognitive impairment on medication and finance management in an HIV sample. We observed main effects of age (older < younger) and neuropsychological impairment on functional task performance. Interactions between age and cognition demonstrated that older impaired individuals performed significantly more poorly than all other comparison groups. There were no relationships between laboratory performance and self-reported medication and finance management. The interaction of advancing age and cognitive impairment may confer significant functional limitations for HIV individuals that may be better detected by performance-based measures of functional abilities rather than patient self-report.

  14. Prehospital Emergency Medical Services Departure Interval: Does Patient Age Matter?

    PubMed

    Schnegg, Bruno; Pasquier, Mathieu; Carron, Pierre-Nicolas; Yersin, Bertrand; Dami, Fabrice

    2016-12-01

    Introduction The concept of response time with minimal interval is intimately related to the practice of emergency medicine. The factors influencing this time interval are poorly understood. Problem In a process of improvement of response time, the impact of the patient's age on ambulance departure intervals was investigated.

  15. Iron Age and Anglo-Saxon genomes from East England reveal British migration history.

    PubMed

    Schiffels, Stephan; Haak, Wolfgang; Paajanen, Pirita; Llamas, Bastien; Popescu, Elizabeth; Loe, Louise; Clarke, Rachel; Lyons, Alice; Mortimer, Richard; Sayer, Duncan; Tyler-Smith, Chris; Cooper, Alan; Durbin, Richard

    2016-01-19

    British population history has been shaped by a series of immigrations, including the early Anglo-Saxon migrations after 400 CE. It remains an open question how these events affected the genetic composition of the current British population. Here, we present whole-genome sequences from 10 individuals excavated close to Cambridge in the East of England, ranging from the late Iron Age to the middle Anglo-Saxon period. By analysing shared rare variants with hundreds of modern samples from Britain and Europe, we estimate that on average the contemporary East English population derives 38% of its ancestry from Anglo-Saxon migrations. We gain further insight with a new method, rarecoal, which infers population history and identifies fine-scale genetic ancestry from rare variants. Using rarecoal we find that the Anglo-Saxon samples are closely related to modern Dutch and Danish populations, while the Iron Age samples share ancestors with multiple Northern European populations including Britain.

  16. Iron Age and Anglo-Saxon genomes from East England reveal British migration history

    PubMed Central

    Schiffels, Stephan; Haak, Wolfgang; Paajanen, Pirita; Llamas, Bastien; Popescu, Elizabeth; Loe, Louise; Clarke, Rachel; Lyons, Alice; Mortimer, Richard; Sayer, Duncan; Tyler-Smith, Chris; Cooper, Alan; Durbin, Richard

    2016-01-01

    British population history has been shaped by a series of immigrations, including the early Anglo-Saxon migrations after 400 CE. It remains an open question how these events affected the genetic composition of the current British population. Here, we present whole-genome sequences from 10 individuals excavated close to Cambridge in the East of England, ranging from the late Iron Age to the middle Anglo-Saxon period. By analysing shared rare variants with hundreds of modern samples from Britain and Europe, we estimate that on average the contemporary East English population derives 38% of its ancestry from Anglo-Saxon migrations. We gain further insight with a new method, rarecoal, which infers population history and identifies fine-scale genetic ancestry from rare variants. Using rarecoal we find that the Anglo-Saxon samples are closely related to modern Dutch and Danish populations, while the Iron Age samples share ancestors with multiple Northern European populations including Britain. PMID:26783965

  17. Association of Family History of Epilepsy with Earlier Age Onset of Juvenile Myoclonic Epilepsy

    PubMed Central

    NAJAFI, Mohammad Reza; NAJAFI, Mohammad Amin; SAFAEI, Ali

    2016-01-01

    Objective Juvenile myoclonic epilepsy (JME) is supposedly the most frequent subtype of idiopathic generalized epilepsies (IGE). The aim of this study was to determine the prevalence of JME and comparison of patients’ demographics as well as timeline of the disease between positive family history epileptic patients (PFHE) and negative family history epileptic patients (NFHE) among sample of Iranian epileptic patients. Materials & Methods From Feb. 2006 to Oct. 2009, 1915 definite epileptic patients (873 females) referred to epilepsy clinics in Isfahan, central Iran, were surveyed and among them, 194 JME patients were diagnosed. JME was diagnosed by its specific clinical and EEG criteria. Patients were divided into two groups as PFHE and NFHE and data were compared between them. Results JME was responsible for 10% (194 patients) of all types of epilepsies. Of JME patients, 53% were female. In terms of family history of epilepsy, 40% were positive. No significant differences was found between PFHE and NFHE groups as for gender (P>0.05). Age of epilepsy onset was significantly earlier in PFHE patients (15 vs. 22 yr, P<0.001). Occurrence of JME before 18 yr old among PFHE patients was significantly higher (OR=2.356, P=0.007). Conclusion A family history of epilepsy might be associated with an earlier age of onset in patients with JME. PMID:27247579

  18. Giuseppe and Aloysius Frari’s Works on Rabies and History of Frari Medical Family of Šibenik, Dalmatia

    PubMed Central

    Krnić, Anton

    2007-01-01

    This article is an attempt to reconstruct the family history of the Fraris, the famous Šibenik medical family. Three generations of physicians from the Frari family played an important role not only at medical and social scene of Šibenik in the 18th and 19th century, but also in Croatian and Italian medical history. I will try to provide important details on the lives, medical and social work, and publications of 5 members of the family, Giuseppe (Josip), Angelo Antonio (Anđeo Antun), Sebastiano (Sebastijan), Michele Carlo (Mihovil), and Aloysius (Luigi) Frari. I would also like to pay a special attention to the works on rabies, written by Giuseppe and Luigi Frari, which are among the earliest and most accurate Croatian works on the subject. To reconstruct the history of the family, I studied the relevant editions about the medical and social history of Šibenik, Dalmatia, Venice, and Croatia, together with the Fraris’ publications and reflections. This was the first time Italian and Latin language works by Giuseppe and Luigi Frari on rabies were analyzed. The story on Fraris also documents that medical publishing was a common practice in Dalmatia in the 18th and the 19th century. PMID:17589982

  19. Genomic basis of aging and life-history evolution in Drosophila melanogaster.

    PubMed

    Remolina, Silvia C; Chang, Peter L; Leips, Jeff; Nuzhdin, Sergey V; Hughes, Kimberly A

    2012-11-01

    Natural diversity in aging and other life-history patterns is a hallmark of organismal variation. Related species, populations, and individuals within populations show genetically based variation in life span and other aspects of age-related performance. Population differences are especially informative because these differences can be large relative to within-population variation and because they occur in organisms with otherwise similar genomes. We used experimental evolution to produce populations divergent for life span and late-age fertility and then used deep genome sequencing to detect sequence variants with nucleotide-level resolution. Several genes and genome regions showed strong signatures of selection, and the same regions were implicated in independent comparisons, suggesting that the same alleles were selected in replicate lines. Genes related to oogenesis, immunity, and protein degradation were implicated as important modifiers of late-life performance. Expression profiling and functional annotation narrowed the list of strong candidate genes to 38, most of which are novel candidates for regulating aging. Life span and early age fecundity were negatively correlated among populations; therefore, the alleles we identified also are candidate regulators of a major life-history trade-off. More generally, we argue that hitchhiking mapping can be a powerful tool for uncovering the molecular bases of quantitative genetic variation.

  20. [Thoughts and methods of study on acupuncture medical history: an example of Mr. MA Ji-Xing].

    PubMed

    Yang, Feng; Zhu, Ling

    2014-03-01

    Mr. MA Ji-xing has devoted himself into the study of acupuncture medical history for more than 70 years. As a result, a great work of Zhenjiuxue Tongshi (see text), History of Acupuncture-Moxibustion) has been completed. The author has expensively studied for history of acupuncture medicine in time and space. Base on abundant historical materials, deliberate textual research as well as strategically situated academic view, it is considered as a masterpiece of acupuncture on real significance. It is worthwhile to note that the book has a systematic and profound explanation on Bian-stone therapy, unearthed literature relics of acupuncture, the bronze figure or illustration of acupoint as well as special topics of Japan and Korea acupuncture history. Filled several gaps of the field, and explored some significant new paths of study, it laid the groundwork for the profound study and unscramble of traditional acupuncture theory as well as the investigation of the academic history, which is considered to have a profound and persistent influence. The careful sorting and profound digging of many distinguish thoughts and methods of Mr. MA Ji-xing in the study of acupuncture medical history has significant meaning in references and enlightenment of the future research on acupuncture medical history.

  1. The confounded effects of age and exposure history in response to influenza vaccination.

    PubMed

    Mosterín Höpping, Ana; McElhaney, Janet; Fonville, Judith M; Powers, Douglas C; Beyer, Walter E P; Smith, Derek J

    2016-01-20

    Numerous studies have explored whether the antibody response to influenza vaccination in elderly adults is as strong as it is in young adults. Results vary, but tend to indicate lower post-vaccination titers (antibody levels) in the elderly, supporting the concept of immunosenescence-the weakening of the immunological response related to age. Because the elderly in such studies typically have been vaccinated against influenza before enrollment, a confounding of effects occurs between age, and previous exposures, as a potential extrinsic reason for immunosenescence. We conducted a four-year study of serial annual immunizations with inactivated trivalent influenza vaccines in 136 young adults (16 to 39 years) and 122 elderly adults (62 to 92 years). Compared to data sets of previously published studies, which were designed to investigate the effect of age, this detailed longitudinal study with multiple vaccinations allowed us to also study the effect of prior vaccination history on the response to a vaccine. In response to the first vaccination, young adults produced higher post-vaccination titers, accounting for pre-vaccination titers, than elderly adults. However, upon subsequent vaccinations the difference in response to vaccination between the young and elderly age groups declined rapidly. Although age is an important factor when modeling the outcome of the first vaccination, this term lost its relevance with successive vaccinations. In fact, when we examined the data with the assumption that the elderly group had received (on average) as few as two vaccinations prior to our study, the difference due to age disappeared. Our analyses therefore show that the initial difference between the two age groups in their response to vaccination may not be uniquely explained by immunosenescence due to ageing of the immune system, but could equally be the result of the different pre-study vaccination and infection histories in the elderly.

  2. Governmental oversight of prescribing medications: history of the US Food and Drug Administration and prescriptive authority.

    PubMed

    Plank, Linda S

    2011-01-01

    The evolution of drug regulation and awarding of prescriptive authority is a complex and sometimes convoluted process that can be confusing for health care providers. A review of the history of how drugs have been manufactured and dispensed helps explain why this process has been so laborious and complicated. Because the federal and state governments have the responsibility for protecting the public, most regulations have been passed with the intentions of ensuring consumer safety. The current system of laws and regulations is the result of many years of using the legal system to correct drug marketing that had adverse health consequences. Government oversight will continue as prescribing medications transitions to an electronic form and as health care professionals in addition to physicians seek to gain prescriptive authority.

  3. [Brief history of the main institutions in the China Academy of Chinese Medical Sciences].

    PubMed

    Sun, Qingwei

    2015-11-01

    On 19 October, 1955, the Academy of Traditional Chinese Medicine affiliated with the Ministry of Health of the People's Republic of China was established formally. On 8 October, 1985, its name was changed to "China Academy of Traditional Chinese Medicine", which was renamed as "China Academy of Chinese Medical Sciences (CACMS)" on 15 November, 2005. During its six decades of history, the construction of the institutions in the CACMS were improved constantly. Nowadays, there are altogether 17 academic institutions, 6 clinical institutions, 1 educational institution and 6 industrial institutions in the CACMS, which has become a comprehensive research institution of traditional Chinese medicine (TCM), embodying scientific research, clinical service, education and industry as a whole, under the direct control of the State Administration of Traditional Chinese Medicine of the People's Republic of China.

  4. Age at menopause, reproductive history and venous thromboembolism risk among postmenopausal women

    PubMed Central

    Canonico, Marianne; Plu-Bureau, Geneviève; O’Sullivan, Mary Jo; Stefanick, Marcia L.; Cochrane, Barbara; Scarabin, Pierre-Yves; Manson, JoAnn E.

    2013-01-01

    Objectives To investigate VTE risk in relation to age at menopause, age at menarche, parity, bilateral oophorectomy and time since menopause, as well as any interaction with randomized HT assignment among postmenopausal women. Methods Using pooled data from the Women’s Health Initiative HT clinical trials including 27,035 postmenopausal women ages 50 to 79 years with no history of VTE, we assessed the risk of VTE in relation to age at menopause, age at menarche, parity, bilateral oophorectomy and time since menopause by Cox proportional hazard models. Linear trends, quadratic relationships and interactions of reproductive life characteristics with HT on VTE risk were systematically tested. Results During the follow-up, 426 women reported a first VTE, including 294 nonprocedure-related events. No apparent interaction of reproductive life characteristics with HT assignment on VTE risk was detected and there was any significant association of VTE with age at menarche, age at menopause, parity, oophorectomy or time since menopause. However, analyses restricted to nonprocedure-related VTE showed a U-shaped relationship between age at menopause and thrombotic risk that persisted after multivariable analysis (p<0.01). Compared to women aged 40 to 49 years at menopause, those with early menopause (age<40 years) or with late menopause (age>55 years) had a significant increased VTE risk (HR=1.8;95%CI:1.2–2.7 and HR=1.5;95%CI:1.0–2.4, respectively). Conclusion Reproductive life characteristics have little association with VTE and do not seem to influence the effect of HT on thrombotic risk among postmenopausal women. Nevertheless, early and late onset of menopause might be newly identified risk factors for nonprocedure-related VTE. PMID:23760439

  5. Predicting Risk of Suicide Attempt Using History of Physical Illnesses From Electronic Medical Records

    PubMed Central

    Luo, Wei; Tran, Truyen; Berk, Michael; Venkatesh, Svetha

    2016-01-01

    Background Although physical illnesses, routinely documented in electronic medical records (EMR), have been found to be a contributing factor to suicides, no automated systems use this information to predict suicide risk. Objective The aim of this study is to quantify the impact of physical illnesses on suicide risk, and develop a predictive model that captures this relationship using EMR data. Methods We used history of physical illnesses (except chapter V: Mental and behavioral disorders) from EMR data over different time-periods to build a lookup table that contains the probability of suicide risk for each chapter of the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) codes. The lookup table was then used to predict the probability of suicide risk for any new assessment. Based on the different lengths of history of physical illnesses, we developed six different models to predict suicide risk. We tested the performance of developed models to predict 90-day risk using historical data over differing time-periods ranging from 3 to 48 months. A total of 16,858 assessments from 7399 mental health patients with at least one risk assessment was used for the validation of the developed model. The performance was measured using area under the receiver operating characteristic curve (AUC). Results The best predictive results were derived (AUC=0.71) using combined data across all time-periods, which significantly outperformed the clinical baseline derived from routine risk assessment (AUC=0.56). The proposed approach thus shows potential to be incorporated in the broader risk assessment processes used by clinicians. Conclusions This study provides a novel approach to exploit the history of physical illnesses extracted from EMR (ICD-10 codes without chapter V-mental and behavioral disorders) to predict suicide risk, and this model outperforms existing clinical assessments of suicide risk. PMID:27400764

  6. [A history and philosophy of bio-medical ethics seen from a dentist's point of view].

    PubMed

    Kang, Shinik

    2002-01-01

    When we think about ethics or morals, we tend to look at them from the viewpoint of here and now. Actual implications of then and there, however, could be different. That is why we should study history of bio-ethics along with philosophy involved in it. Bio-medical ethics is situated in spatial and cultural dimension as well as temporal and historical. Dentistry has been in a peculiar situation in that although it has evolved from the same root as medicine, it has become a separate discipline. Ethical implications of dentistry, however, share the historical and philosophical background with its mother discipline, i.e., medicine, surgery, barber-surgery and even smithery. This paper tries to grasp the main ideas of bio-medical ethics from the ancient Greek and China, and picks up three of them as guiding principles, i.e., deontology and teleology from the west and self-cultivation from the east. It also tracks down the contents of modern biomedical ethics; from etiquette to ethics, from morals to contract (ethics of autonomy), and ethics of professional responsibility. Finally it reviews and analyzes two different traditions of dental professional regulation from the legal and ethical point of view (U.S. and Europe), and proposes a new direction for the construction of dental ethics in Korea.

  7. The Utilization of Local History in Teaching American Religious History: A Gilded Age and Progressive Era North Dakota Case Study

    ERIC Educational Resources Information Center

    Price, Christopher Neal

    2013-01-01

    Teachers of college-level courses on American religious history generally leave out the importance of local and regional histories when telling the story of religion in America. The study of local history provides a fertile ground for understanding broad national trends in a local context. This dissertation focuses upon a little-studied religious…

  8. Evaluating medication-related quality of care in residential aged care: a systematic review.

    PubMed

    Hillen, Jodie B; Vitry, Agnes; Caughey, Gillian E

    2015-01-01

    Given the growing aged care population, the complexity of their medication-related needs and increased risk of adverse drug events, there is a necessity to systematically monitor and manage medication-related quality of care. The aim of this systematic review was to identify and synthesise medication-related quality of care indicators with respect to application to residential aged care. MEDLINE (Ovid), Psychinfo, CINAHL, Embase and Google® were searched from 2001 to 2013 for studies that were in English, focused on older people aged 65+ years and discussed the development, application or validation of original medication-related quality of care indicators. The quality of selected articles was appraised using the Critical Appraisal Skills Program and psychometric qualities extracted and synthesised using content analysis. Indicators were mapped to six medication-related quality of care attributes and a minimum indicator set derived. Thirty three articles describing 25 indicator sets met the inclusion criteria. Thirteen (52%) contained prescribing quality indicators only. Eight (32%) were developed specifically for aged care. Twenty three (92%) were validated and seven (28%) assessed for reliability. The most common attribute addressed was medication appropriateness (n = 24). There were no indicators for evaluating medication use in those with limited life expectancy, which resulted in only five of the six attributes being addressed. The developed minimum indicator set contains 28 indicators representing 22 of 25 identified indicator sets. Whilst a wide variety of validated indicator sets exist, none addressed all aspects of medication-related quality of care pertinent to residential aged care. The minimum indicator set is intended as a foundation for comprehensively evaluating medication-related quality of care in this setting. Future work should focus on bridging identified gaps.

  9. Geriatrician interventions on medication prescribing for frail older people in residential aged care facilities

    PubMed Central

    Poudel, Arjun; Peel, Nancye M; Mitchell, Charles A; Gray, Leonard C; Nissen, Lisa M; Hubbard, Ruth E

    2015-01-01

    Objective In Australian residential aged care facilities (RACFs), the use of certain classes of high-risk medication such as antipsychotics, potent analgesics, and sedatives is high. Here, we examined the prescribed medications and subsequent changes recommended by geriatricians during comprehensive geriatric consultations provided to residents of RACFs via videoconference. Design This is a prospective observational study. Setting Four RACFs in Queensland, Australia, are included. Participants A total of 153 residents referred by general practitioners for comprehensive assessment by geriatricians delivered by video-consultation. Results Residents’ mean (standard deviation, SD) age was 83.0 (8.1) years and 64.1% were female. They had multiple comorbidities (mean 6), high levels of dependency, and were prescribed a mean (SD) of 9.6 (4.2) regular medications. Ninety-one percent of patients were taking five or more medications daily. Of total medications prescribed (n=1,469), geriatricians recommended withdrawal of 9.8% (n=145) and dose alteration of 3.5% (n=51). New medications were initiated in 47.7% (n=73) patients. Of the 10.3% (n=151) medications considered as high risk, 17.2% were stopped and dose altered in 2.6%. Conclusion There was a moderate prevalence of potentially inappropriate high-risk medications. However, geriatricians made relatively few changes, suggesting either that, on balance, prescription of these medications was appropriate or, because of other factors, there was a reluctance to adjust medications. A structured medication review using an algorithm for withdrawing medications of high disutility might help optimize medications in frail patients. Further research, including a broader survey, is required to understand these dynamics. PMID:26150708

  10. Systems of medicine and nationalist discourse in India: towards "new horizons" in medical anthropology and history.

    PubMed

    Khan, Shamshad

    2006-06-01

    While accepting medical "pluralism" as a historical reality, as an intrinsic value inherent in any medical system, and as an ideal or desired goal that any multicultural society ought to achieve, this paper argues the need to go beyond the liberal pluralist tendencies that have dominated the debate so far. It holds that while documenting or dealing with the "co-existence" of varied medical traditions and practices, we must not ignore or underplay issues of power, domination and hegemony and must locate our work in a larger historical, social and political context. With this perspective, and based essentially on Assembly proceedings, private papers, official documents and archival materials from the first half of the 20th-century, this paper identifies three major streams in the nationalist discourse in India: conformity, defiance and the quest for an alternative. It shows that while the elements of conformity to biomedicine and its dominance remained more pronounced and emphatic, those of defiance were conversely weak and at times even apologetic. The quest for alternatives, on the other hand, although powerful and able to build trenchant civilizational and institutional critique of modern science and medicine, could never find adequate space in the national agenda for social change. The paper further holds that although the "cultural authority" and hegemony of biomedicine over indigenous science and knowledge were initiated by the colonial state, they were extended by the mainstream national leaderships and national governments with far more extensive and profound implications and less resistance. In light of the growing global networking of "traditional", "complementary" and "alternative" health systems on the one hand and the hegemonic and homogenizing role and presence of multilateral organizations (such as the World Bank and IMF) in shaping national health policies on the other, such insights from history become extraordinarily important.

  11. Age-dependent flea (Siphonaptera) parasitism in rodents: a host's life history matters.

    PubMed

    Krasnov, Boris R; Stanko, Michal; Morand, Serge

    2006-04-01

    We studied age-dependent patterns of flea infestation in 7 species of rodents from Slovakia (Apodemus agrarius, A. flavicollis, A. sylvaticus, A. uralensis, Clethrionomys glareolus, Microtus arvalis, and M. subterraneus). We estimated the age of the host from its body mass and expected the host age-dependent pattern of flea abundance, the level of aggregation, and prevalence to be in agreement with theoretical predictions. We expected that the mean abundance and the level of aggregation of fleas would be lowest in hosts of smallest and largest size classes and highest in hosts of medium size classes, whereas pattern of variation of prevalence with host age would be either convex or asymptotic. In general, mean abundance and species richness of fleas increased with an increase in host age, although the pressure of flea parasitism in terms of number of fleas per unit host body surface decreased with host age. We found 2 clear patterns of the change in flea aggregation and prevalence with host age. The first pattern demonstrated a peak of flea aggregation and a trough of flea prevalence in animals of middle age classes (Apodemus species and C. glareolus). The second pattern was an increase of both flea aggregation and flea prevalence with host age (both Microtus species). Consequently, we did not find unequivocal evidence for the main role of either parasite-induced host mortality or acquired resistance in host age-dependent pattern of flea parasitism. Our results suggest that this pattern can be generated by various processes and is strongly affected by natural history parameters of a host species such as dispersal pattern, spatial distribution, and structure of shelters.

  12. [About some medical bibliographical sources of Jacobinic and Napoleonic age].

    PubMed

    Porro, Alessandro; Franchini, Antonia Francesca; Falconi, Bruno

    2011-01-01

    The authors analyze some bibliographical sources of jacobinic and Napoleonic age: books and pamphlets published by Stamperia Italiana e Francese in Milan (Lombardy); the Bullettino del Consiglio Subalpino di SanitY, ossia Giornale Fisico-Medico del Piemonte in Turin (Piedmont); some Charles Botta (1766-1837) books (Storia naturale e medica dell 'isola di Corfù; Mémoire du [...] sur la doctrine de Brown; Vicissitudes de l'instruction publique en Piémont depuis l'an VII jusq'au mois de ventose an XI [...]). They are useful to analyse the spreading of John Brown (1735-1788) theories in Italy, during the jacobinic and napoleonic time.

  13. Empathy in Iranian medical students: A comparison by age, gender, academic performance and specialty preferences

    PubMed Central

    Benabbas, Roshanak

    2016-01-01

    Background: Empathy is an important element of physician-patient communication. Empathy is linked to a number of attributes such as patient treatment compliance and satisfaction, better history taking and physical examination and therefore achieving better clinical outcomes. Previous research indicates that self-reported empathy among medical students declines during the course of their medical education and this decrease in empathy particularly happens when students enter clinical training. Very limited data is available on the concept of empathy among Iranian medical students. The aim of the present study was to investigate empathy among Iranian medical students and the possible differences between students of different levels of medical education. Methods: The data were collected using convenient sampling. The Jefferson Questionnaire of Physicians Empathy-student version as well as a demographic questionnaire was distributed among 500 medical students in different levels of medical education at medical school of Iran University of Medical Sciences. Results: Response rate was 91.8% (459/500). Of 459 responders, 150 were first and second year students (Basic sciences), 170 were third to fifth year students (trainees) and 139 sixth and seventh year students (Interns). Sixty nine percent (n=318) were female and 31% (n=141) male. The mean score (SD) of empathy was 101 (15.6). The difference between mean score of empathy of female and male medical students was not significant (101.8 in females vs. 100 in males). The mean score of empathy in "interns" was significantly lower than both "trainees" and "basic sciences students" (96.2, 102 and 104, respectively p<0.05). Conclusion: The results of this study indicate that the empathy score of interns is significantly lower than other medical students. A longitudinal study is needed to test variations in students’ empathy throughout medical school. PMID:28210604

  14. Empathy in Iranian medical students: A comparison by age, gender, academic performance and specialty preferences.

    PubMed

    Benabbas, Roshanak

    2016-01-01

    Background: Empathy is an important element of physician-patient communication. Empathy is linked to a number of attributes such as patient treatment compliance and satisfaction, better history taking and physical examination and therefore achieving better clinical outcomes. Previous research indicates that self-reported empathy among medical students declines during the course of their medical education and this decrease in empathy particularly happens when students enter clinical training. Very limited data is available on the concept of empathy among Iranian medical students. The aim of the present study was to investigate empathy among Iranian medical students and the possible differences between students of different levels of medical education. Methods: The data were collected using convenient sampling. The Jefferson Questionnaire of Physicians Empathy-student version as well as a demographic questionnaire was distributed among 500 medical students in different levels of medical education at medical school of Iran University of Medical Sciences. Results: Response rate was 91.8% (459/500). Of 459 responders, 150 were first and second year students (Basic sciences), 170 were third to fifth year students (trainees) and 139 sixth and seventh year students (Interns). Sixty nine percent (n=318) were female and 31% (n=141) male. The mean score (SD) of empathy was 101 (15.6). The difference between mean score of empathy of female and male medical students was not significant (101.8 in females vs. 100 in males). The mean score of empathy in "interns" was significantly lower than both "trainees" and "basic sciences students" (96.2, 102 and 104, respectively p<0.05). Conclusion: The results of this study indicate that the empathy score of interns is significantly lower than other medical students. A longitudinal study is needed to test variations in students' empathy throughout medical school.

  15. The Axial Age and the Problems of the Twentieth Century: Du Bois, Jaspers, and Universal History.

    PubMed

    Boy, John D

    The axial age debate has put big questions of social and cultural change back on the agenda of sociology. This paper takes this development as an occasion to reflect on how social thought works with (and against) nineteenth-century intellectual traditions in its efforts to understand history on a macro scale. Karl Jaspers, who initially formulated the axial age thesis in The Origin and Goal of History, revised the Hegelian account of world history by broadening the scope of the narrative to encompass all civilizations participating in the events of the first millennium BCE that saw the rise of major philosophical and religious traditions. However, his account, like the earlier philosophical accounts he seeks to improve upon, privileges cognitive developments over material practices and social interactions, and as such offers little to those seeking to make sense of how cultural patterns interact with others and spread. Here another social theorist engaging with Hegel, W. E. B. Du Bois, provides a helpful contrast. His account of the development of double-consciousness in "Of Our Spiritual Strivings," the opening chapter of The Souls of Black Folk, helps us to understand experiences of encounter and the perduring historical effects they may have. Du Bois' relational theory reminds us of the importance of unpacking abstractions and understanding processes in terms of social interactions.

  16. Interactive effects of working memory and trial history on Stroop interference in cognitively healthy aging.

    PubMed

    Aschenbrenner, Andrew J; Balota, David A

    2015-03-01

    Past studies have suggested that Stroop interference increases with age; however the robustness of this effect after controlling for processing speed has been questioned. Both working memory (WM) and the congruency of the immediately preceding trial have also been shown to moderate the magnitude of Stroop interference. Specifically, interference is smaller both for individuals with higher working memory capacity and following an incongruent trial. At present, it is unclear whether and how these 3 variables (age, WM and previous congruency) interact to predict interference effects in the standard Stroop color-naming task. We present analyses of Stroop interference in a large database of Stroop color-naming trials from a lifespan sample of well-screened, cognitively healthy, older adults. Our results indicated age-related increases in interference (after controlling for processing speed) that were exaggerated for individuals with low WM. This relationship between age and WM occurred primarily when the immediately preceding trial was congruent. Following an incongruent trial, interference increased consistently with age, regardless of WM. Taken together, these results support previous accounts of multiple mechanisms underlying control in the Stroop task and provide insight into how each component is jointly affected by age, WM, and trial history.

  17. Age-dependent genetic variance in a life-history trait in the mute swan.

    PubMed

    Charmantier, Anne; Perrins, Christopher; McCleery, Robin H; Sheldon, Ben C

    2006-01-22

    Genetic variance in characters under natural selection in natural populations determines the way those populations respond to that selection. Whether populations show temporal and/or spatial constancy in patterns of genetic variance and covariance is regularly considered, as this will determine whether selection responses are constant over space and time. Much less often considered is whether characters show differing amounts of genetic variance over the life-history of individuals. Such age-specific variation, if present, has important potential consequences for the force of natural selection and for understanding the causes of variation in quantitative characters. Using data from a long-term study of the mute swan Cygnus olor, we report the partitioning of phenotypic variance in timing of breeding (subject to strong natural selection) into component parts over 12 different age classes. We show that the additive genetic variance and heritability of this trait are strongly age-dependent, with higher additive genetic variance present in young and, particularly, old birds, but little evidence of any genetic variance for birds of intermediate ages. These results demonstrate that age can have a very important influence on the components of variation of characters in natural populations, and consequently that separate age classes cannot be assumed to be equivalent, either with respect to their evolutionary potential or response.

  18. Medical care of children during the golden age of Islamic medicine.

    PubMed

    Modanlou, Houchang D

    2015-04-01

    During the Sassanid Empire in Persia (226-652 AD), there was a renaissance of humanistic sciences, including medicine, in the city of Gondi-Shapur. When the Islamic center of power moved to Baghdad in about 750 AD, physicians of Gondi-Shapur, including the dean of the medical school (a Nestorian Christian), gradually moved to Baghdad constructing hospitals and medical schools. Aided by the Persian and Nestorian Christians, the Islamic civilization ushered in what is considered to be the Golden Age of Islam from the 8th to 13th century AD. During this period, there were remarkable achievements in humanistic sciences including medicine by many physicians/authors whose medical textbooks were used for centuries in burgeoning medical schools in Europe. The medical texts written during the Golden Age of Islamic Medicine contain sections and chapters about the clinical conditions, diseases and medical care of children. It was during this era that the first treatise was written on the diseases of children and their care. This essay will describe, in brief, the writings about the conditions and diseases of children and their medical care, by three prominent Persian physicians of the Golden Age of Islamic Medicine: 1) Abubakr Muhammad Ibn Zakaria Razi, Rhazes (865-925 AD); 2) Ali ibn-al-Abbas al-Majusi or Haly Abbas (949-994 AD); and 3)  Abu Ali al-Husayn ibn Abd Allah ibn Sina or Avicenna (980-1037 AD).

  19. Health maintenance in school-aged children: Part I. History, physical examination, screening, and immunizations.

    PubMed

    Riley, Margaret; Locke, Amy B; Skye, Eric P

    2011-03-15

    The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and screen for lifestyle habits, including diet, physical activity, daily screen time (e.g., television, computer, video games), hours of sleep per night, dental care, and safety habits. School performance can be used for developmental surveillance. A full physical examination should be performed; however, the U.S. Preventive Services Task Force recommends against routine scoliosis screening and testicular examination. Children should be screened for obesity, which is defined as a body mass index at or above the 95th percentile for age and sex, and resources for comprehensive, intensive behavioral interventions should be provided to children with obesity. Although the evidence is mixed regarding screening for hypertension before 18 years of age, many experts recommend checking blood pressure annually beginning at three years of age. The American Academy of Pediatrics recommends vision and hearing screening annually or every two years in school-aged children. There is insufficient evidence to recommend screening for dyslipidemia in children of any age, or screening for depression before 12 years of age. All children should receive at least 400 IU of vitamin D daily, with higher doses indicated in children with vitamin D deficiency. Children who live in areas with inadequate fluoride in the water (less than 0.6 ppm) should receive a daily fluoride supplement. Age-appropriate immunizations should be given, as well as any missed immunizations.

  20. Age-velocity dispersion relations and heating histories in disc galaxies

    NASA Astrophysics Data System (ADS)

    Aumer, Michael; Binney, James; Schönrich, Ralph

    2016-10-01

    We analyse the heating of stellar discs by non-axisymmetric structures and giant molecular clouds (GMCs) in N-body simulations of growing disc galaxies. The analysis resolves long-standing discrepancies between models and data by demonstrating the importance of distinguishing between measured age-velocity dispersion relations (AVRs) and the heating histories of the stars that make up the AVR. We fit both AVRs and heating histories with formulae ∝tβ and determine the exponents βR and βz derived from in-plane and vertical AVRs and tilde{β }_R and tilde{β }_z from heating histories. Values of βz are in almost all simulations larger than values of tilde{β }_z, whereas values of βR are similar to or mildly larger than values of tilde{β }_R. Moreover, values of βz (tilde{β }_z) are generally larger than values of βR (tilde{β }_R). The dominant cause of these relations is the decline over the life of the disc in importance of GMCs as heating agents relative to spiral structure and the bar. We examine how age errors and biases in solar neighbourhood surveys influence the measured AVR: they tend to decrease β values by smearing out ages and thus measured dispersions. We compare AVRs and velocity ellipsoid shapes σz/σR from simulations to solar neighbourhood data. We conclude that for the expected disc mass and dark halo structure, combined GMC and spiral/bar heating can explain the AVR of the Galactic thin disc. Strong departures of the disc mass or the dark halo structure from expectation spoil fits to the data.

  1. Balance deficits and ADHD symptoms in medication-naïve school-aged boys

    PubMed Central

    Konicarova, Jana; Bob, Petr; Raboch, Jiri

    2014-01-01

    Background and objectives Functional disturbances developed early in life include balance deficits which are linked to dysfunctions of higher levels of cognitive and motor integration. According to our knowledge, there are only a few studies suggesting that balance deficits are related to behavioral disturbances in attention-deficit/hyperactivity disorder (ADHD). Methods We tested the extent to which balance deficits were related to ADHD symptoms in 35 medication-naïve boys of school age (8–11 years) and compared the results with a control group of 30 boys of the same age. Results ADHD symptoms in medication-naïve boys had specific relationships to disturbances of postural and gait balance. Conclusion To our knowledge, this study provides the first evidence in the medical literature for a direct relationship between ADHD symptoms and balance deficits, that cannot be attributed to medication and the presence of any neurological disease. PMID:24476629

  2. Medical innovation and age-specific trends in health care utilization: findings and implications.

    PubMed

    Wong, Albert; Wouterse, Bram; Slobbe, Laurentius C J; Boshuizen, Hendriek C; Polder, Johan J

    2012-01-01

    Health care utilization is expected to rise in the coming decades. Not only will the aggregate need for health care grow by changing demographics, so too will per capita utilization. It has been suggested that trends in health care utilization may be age-specific. In this paper, age-specific trends in health care utilization are presented for different health care sectors in the Netherlands, for the period 1981-2009. For the hospital sector we also explore the link between these trends and the state of medical technology. Using aggregated data from a Dutch health survey and a nationwide hospital register, regression analysis was used to examine age-specific trends in the probability of utilizing health care. To determine the influence of medical technology, the growth in age-specific probabilities of hospital care was regressed on the number of medical patents while adjusting for confounders related to demographics, health status, supply and institutional factors. The findings suggest that for most health care sectors, the trend in the probability of health care utilization is highest for ages 65 and up. Larger advances in medical technology are found to be significantly associated with a higher growth of hospitalization probability, particularly for the higher ages. Age-specific trends will raise questions on the sustainability of intergenerational solidarity in health care, as solidarity will not only be strained by the ageing population, but also might find itself under additional pressure as the gap in health care utilization between elderly and non-elderly grows over time. For hospital care utilization, this process might well be accelerated by advances in medical technology.

  3. Life history context of reproductive aging in a wild primate model

    PubMed Central

    Altmann, Jeanne; Gesquiere, Laurence; Galbany, Jordi; Onyango, Patrick O.; Alberts, Susan C.

    2012-01-01

    The pace of reproductive aging has been of considerable interest, especially in regard to the long postreproductive period in modern women. Here we use data for both sexes from a 37-year longitudinal study of a wild baboon population to place reproductive aging within a life history context for this species, a primate relative of humans that evolved in the same savannah habitat as humans did. We examine the patterns and pace of reproductive aging, including birth rates and reproductive hormones for both sexes, and compare reproductive aging to age-related changes in several other traits. Reproductive senescence occurs later in baboon females than males. Delayed senescence in females relative to males is also found in several other traits, such as dominance status and body condition, but not in molar wear or glucocorticoid profiles. Survival, health, and well-being are the product of risk factors in morphological, physiological, and behavioral traits that differ in rate of senescence and in dependence on social or ecological conditions; some will be very sensitive to differences in circumstances and others less so. PMID:20738283

  4. Comparison of the injury severity and medical history of disease-related versus trauma-related bicyclist fatalities.

    PubMed

    Hitosugi, Masahito; Koseki, Takeshi; Miyama, Genta; Furukawa, Satoshi; Morita, Satomu

    2016-01-01

    The objective of this study was to clarify the relationship between injury severity and mechanism of death in bicycle fatalities resulting from trauma compared with those resulting from disease, to propose effective measures to prevent fatal bicyclist accidents. Autopsy and accident records were reviewed for bicyclist fatalities who had undergone forensic autopsy at the Dokkyo Medical University School of Medicine between September 1999 and March 2014. Victims' health histories, blood alcohol levels, causes of death, mechanisms of injury, Abbreviated Injury Scale (AIS) scores and Injury Severity Scores (ISSs) were determined. Fifty-five bicyclists (43 male and 12 female) with a mean age of 62.5±17.3 years were included in this study. Sixteen victims had driven under the influence of alcohol (mean blood concentration of 1.8±0.7 mg/ml). Mean ISS was 32.4 and the chest had the highest mean AIS score (2.6), followed by the head (2.1) and the neck (1.8). Thirty-nine victims (70.9%) had died of trauma and 16 had died of disease. The disease-death victims had significantly higher prevalence of having diabetes mellitus, hyperlipidemia, hypertension, heart disease or cerebrovascular diseases (50.0% vs. 22.2%, p=0.03) and a lower rate of drunk driving (6.3% vs. 41.0%, p=0.01) than the trauma-death group. All victims who were affected by disease, and 33.3% of trauma-death victims, had fallen on the road without a vehicle collision (p<0.001). The mean ISS of the trauma-death group was significantly higher than that of the disease-death group (44.0 vs. 4.2, p<0.001). Except for facial injuries, the AIS scores were significantly higher in trauma-death victims than in the disease-death group (p<0.005). To effectively reduce bicyclist fatalities, the authors strongly advocate efforts that will increase compliance with drunk driving prohibitions. For victims of fatal bicycle accidents with a medical history of diseases, a forensic autopsy should be performed to establish a

  5. Settlement and landscape history of the Northern Franconian Jura during the Bronze and Iron Ages

    NASA Astrophysics Data System (ADS)

    Kothieringer, Katja; Lambers, Karsten; Seregély, Timo; Schäfer, Andreas

    2014-05-01

    This paper describes the results of initial archaeological and geoarchaeological fieldwork in the Northern Franconian Jura between the cities of Bayreuth and Bamberg. Our research aims at the reconstruction of settlement patterns and strategies of land use during the Metal Ages (Bronze Age and Iron Age) in the catchment area of the river Weismain. The project is designed as a case study for research into the settlement and landscape history of a rural region of the Central German Uplands during the last two millennia before our era. During the Bronze Age and Iron Age (about 2.100 BC to 30 BC), the Northern Franconian Jura must have been densely populated, as evidenced by numerous burial monuments, prominent hillforts like the Staffelberg, and ritual places on the Jurassic plateau. However, little is known about small rural settlements and hamlets which would have accounted for most of the settlement activity in the region. Thus, we lack the most important element for understanding the cultural history and development of the region as well as the consequences of human impact on the landscape. This impact must have induced changes in vegetation and subsequent erosion processes, leading to the formation of geoarchives like colluvial layers. During our initial fieldwork we identified such colluvial layers in depressions on the Jurassic plateau or at footslope positions. As radiocarbon datings of charcoal fragments showed, some of them date from the Metal Ages. The type is wood of these charcoal fragments is oak, which recently only occurs sporadically in mixed forests with beeches. The quantification of the shift of sediments from the plateau to the valleys will be the next important step of geoarchaeological research. Thus, investigations both on the plateau and in the river valleys will accompany archaeological survey. Apart from landscape reconstruction, they will also provide information on the state of preservation and the conditions for identifying archaeological

  6. Ar-39-Ar-40 Ages of Euerites and the Thermal History of Asteroid 4-Vesta

    NASA Technical Reports Server (NTRS)

    Bogard, Donald D.; Garrison, Daniel H.

    2002-01-01

    Eucrite meteorites are igneous rocks that derive from a large asteroid, probably 4 Vesta. Prior studies have shown that after eucrites formed, most were subsequently metamorphosed to temperatures up to equal to or greater than 800 C, and much later many were brecciated and heated by large impacts into the parent body surface. The uncommon basaltic, unbrecciated eucrites also formed near the surface but presumably escaped later brecciation, whereas the cumulate eucrites formed at depth where metamorphism may have persisted for a considerable period. To further understand the complex HED parent body thermal history, we determined new Ar-39-Ar-40 ages for nine eucrites classified as basaltic but unbrecciated, six eucrites classified as cumulate, and several basaltic-brecciated eucrites. Relatively precise Ar-Ar ages of two cumulate eucrites (Moama and EET87520) and four unbrecciated eucrites give a tight cluster at 4.48 +/1 0.01 Gyr. Ar-Ar ages of six additional unbrecciated eucrites are consistent with this age, within their larger age uncertainties. In contrast, available literature data on Pb-Pb isochron ages of four cumulate eucrites and one unbrecciated eucrite vary over 4.4-4.515 Gyr, and Sm-147 - Nd-143 isochron ages of four cumulate and three unbrecciated eucrites vary over 4.41-4.55 Gyr. Similar Ar-Ar ages for cumulate and unbrecciated eucrites imply that cumulate eucrites do not have a younger formation age than basaltic eucrites, as previously proposed. Rather, we suggest that these cumulate and unbrecciated eucrites resided at depth where parent body temperatures were sufficiently high to cause the K-Ar and some other chronometers to remain open diffusion systems. From the strong clustering of Ar-Ar ages at approximately 4.48 Gyr, we propose that these meteorites were excavated from depth in a single large impact event approximately 4.48 Gyr ago, which quickly cooled the samples and started the K-Ar chronometer. A large (approximately 460 km) crater

  7. Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland

    PubMed Central

    Kallio, Sonja; Kumpusalo-Vauhkonen, Anne; Järvensivu, Timo; Mäntylä, Antti; Pohjanoksa-Mäntylä, Marika; Airaksinen, Marja

    2016-01-01

    Objective The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level). Design Group discussions (n = 10), pair (n = 3) and individual interviews (n = 2). Abductive content analysis combining data and theory was applied. Networking was used as a theoretical framework. Setting Meetings (n = 15) organised by Fimea in the formation phase of the interprofessional network in 2012. Subjects Health care professionals (n = 55). Main outcome measures Challenges and solutions in the medication management of the aged at the micro, meso and macro levels. Results Challenges in interprofessional collaboration, problems with patient record systems, and the organisation of work and lack of resources were present at all the levels contributing to patients’ medication problems. Participants suggested multiple potential solutions to improve interprofessional collaboration, sharing of tasks and responsibilities, better exploitation of pharmaceutical knowledge and developing tools as being the most commonly mentioned. Conclusions Optimising medication use of the aged requires new systemic solutions within and between different system levels. The main challenges can be solved by clarifying responsibilities, enhancing communication and applying operational models that involve pharmacists and the use of information technology in medication management. KEY POINTSAn interprofessional team approach has been suggested as a solution to promote rational medicine use among the aged.Fragmented health

  8. Exposure age and erosional history of an upland planation surface in the US Atlantic Piedmont

    USGS Publications Warehouse

    Stanford, S.D.; Seidl, M.A.; Ashley, G.M.

    2000-01-01

    The upland planation surface in the Piedmont of central New Jersey consists of summit flats, as much as 130 km2 in area, that truncate bedding and structure in diabase, basalt, sandstone, mudstone and gneiss. These flats define a low-relief regional surface that corresponds in elevation to residual hills in the adjacent Coastal Plain capped by a fluvial gravel of late Miocene age. A Pliocene fluvial sand is inset 50 m below the upland features. These associations suggest a late Miocene or early Pliocene age for the surface. To assess exposure age and erosional history, a 4??4 m core of clayey diabase saprolite on a 3 km2 remnant of the surface was sampled at six depths for atmospherically produced cosmogenic 10Be. The measured inventory, assuming a deposition rate of 1??3 x 106 atoms cm-2 a-1, yields a minimum exposure age of 227 000 years, or, assuming continuous surface erosion, a constant erosion rate of 10 m Ma-1. Because the sample site lies about 60 m above the aggradation surface of the Pliocene fluvial deposit, and itself supports a pre-Pliocene fluvial gravel lag, this erosion rate is too high. Rather, episodic surface erosion and runoff bypassing probably have produced an inventory deficit. Reasonable estimates of surface erosion (up to 10 m) and bypassing (up to 50 per cent of total precipitation) yield exposure ages of as much as 6??4 Ma. These results indicate that (1) the surface is probably of pre-Pleistocene age and has been modified by Pleistocene erosion, and (2) exposure ages based on 10Be inventories are highly sensitive to surface erosion and runoff bypassing. Copyright (C) 2000 John Wiley and Sons, Ltd.

  9. Women in American History: A Series. Book Two, Women in the Ages of Expansion and Reform 1820-1860.

    ERIC Educational Resources Information Center

    Sanders, Beverly

    The document, one in a series of four on women in American history, discusses women in the ages of expansion and reform (1820-1860). Designed to supplement U.S. history textbooks, the book is presented in six chapters. Chapter I describes the "true woman," an ideal cultivated by women writers, educators, and magazine editors. The four virtues were…

  10. How experiences become data: the process of eliciting adverse event, medical history and concomitant medication reports in antimalarial and antiretroviral interaction trials

    PubMed Central

    2013-01-01

    Background Accurately characterizing a drug’s safety profile is essential. Trial harm and tolerability assessments rely, in part, on participants’ reports of medical histories, adverse events (AEs), and concomitant medications. Optimal methods for questioning participants are unclear, but different methods giving different results can undermine meta-analyses. This study compared methods for eliciting such data and explored reasons for dissimilar participant responses. Methods Participants from open-label antimalarial and antiretroviral interaction trials in two distinct sites (South Africa, n = 18 [all HIV positive]; Tanzania, n = 80 [86% HIV positive]) were asked about ill health and treatment use by sequential use of (1) general enquiries without reference to particular conditions, body systems or treatments, (2) checklists of potential health issues and treatments, (3) in-depth interviews. Participants’ experiences of illness and treatment and their reporting behaviour were explored qualitatively, as were trial clinicians’ experiences with obtaining participant reports. Outcomes were the number and nature of data by questioning method, themes from qualitative analyses and a theoretical interpretation of participants’ experiences. Results There was an overall cumulative increase in the number of reports from general enquiry through checklists to in-depth interview; in South Africa, an additional 12 medical histories, 21 AEs and 27 medications; in Tanzania an additional 260 medical histories, 1 AE and 11 medications. Checklists and interviews facilitated recognition of health issues and treatments, and consideration of what to report. Information was sometimes not reported because participants forgot, it was considered irrelevant or insignificant, or they feared reporting. Some medicine names were not known and answers to questions were considered inferior to blood tests for detecting ill health. South African inpatient volunteers exhibited a

  11. Objects relating to the Danish Ophthalmological Society at the Medical History Museum.

    PubMed

    Norn, Mogens

    2002-04-01

    Some of the objects from the Medical History Museum, University of Copenhagen, concerned with the century-old Danish Ophthalmological Society are mentioned, together with some objects concerned with our predecessors. Jannik Bjerrum's campimeter at 1-2 m-distance reveals glaucomatous arcuate scotoma. [figure: see text] Marius Tscherning's many scientific papers and his ophthalmophacometer (also measuring accommodation), abberoscope, adaptoscope, colour vision, punctual meniscen spectacle glasses etc. are housed in the Museum. K.K.K. Lundsgaard's spectacle collection and cataract paper, Gordon Norrie's colour vision lantern and his personal pince-nez are described. Gustav Østerberg's contact lens practice and his pictorial visual chart, Jørn Boberg-Ans' pioneer artificial lens surgery dating from 1958, are all examples of the work of members of the Society. From our predecessors, we refer to the first cataract extraction in Denmark in 1670 (F. Borri on a goose); Georg Heuermann's on humans dating from 1755 and the reintroduction of the operation in 1810 by C.C. Withusen, V. Krenchel's (1844-1885) ophthalmoscope with a movable mirror and his colour vision lantern; A. Stadfeldt's instruments for examination of the refractive index of the human lens, MD thesis dating from 1898. In addition, snow goggles from Greenland and eye-baths are described.

  12. Meaningful use: an electronic medical record tool for cerebrospinal fluid shunt history.

    PubMed

    Governale, Lance S; Hoffman, Jeffrey M

    2017-02-10

    The care of patients with shunted hydrocephalus can be complicated. The best assessment is provided when all data are available to the neurosurgery practitioner. However, data can be time-consuming to gather, especially in the setting of a busy practice, a trainee environment with duty-hour restrictions, and an electronic medical record (EMR) not specifically designed for the needs of subspecialists. For these reasons, the complete clinical picture, especially the historical component, is sometimes not assembled. To address these shortcomings, the authors created a patient-level electronic CSF shunt history tool that leverages the power of the EMR concordant with the United States Centers for Medicare and Medicaid Services meaningful use principles. It is immediately available within the EMR for all users in all patient care contexts (e.g., outpatient, inpatient, perioperative, emergency, and remote access), centrally located, and designed to capture the vast range of circumstances inherent to the hydrocephalus population. Essential shunt data can be rapidly acquired and, as such, may decrease the likelihood of error in diagnosis and/or treatment. The tool also has the potential to aid the practicing neurosurgeon from clinical, quality improvement, and research standpoints. The authors have endeavored to describe this tool in a manner that would allow an interested neurosurgeon to share this publication with health information technology professionals to facilitate the development of a similar tool within their institution's own EMR platform.

  13. Large impact crater histories of Mars: The effect of different model crater age techniques

    NASA Astrophysics Data System (ADS)

    Robbins, Stuart J.; Hynek, Brian M.; Lillis, Robert J.; Bottke, William F.

    2013-07-01

    Impact events that produce large craters primarily occurred early in the Solar System's history because the largest bolides were remnants from planetary formation. Determining when large impacts occurred on a planetary surface such as Mars can yield clues to the flux of material in the early inner Solar System which, in turn, can constrain other planetary processes such as the timing and magnitude of resurfacing and the history of the martian core dynamo. We have used a large, global planetary database in conjunction with geomorphologic mapping to identify craters superposed on the rims of 78 larger craters with diameters D ⩾ 150 km on Mars, ≈78% of which have not been previously dated in this manner. The densities of superposed craters with diameters larger than 10, 16, 25, and 50 km, as well as isochron fits were used to derive model crater ages of these larger craters and basins from which we derived an impact flux. In discussing these ages, we point out several internal inconsistencies of crater-age modeling techniques and chronology systems and, all told, we explain why we think isochron-fitting is the most reliable indicator of an age. Our results point to a mostly obliterated crater record prior to ˜4.0 Ga with the oldest preserved mappable craters on Mars dating to ˜4.3-4.35 Ga. We have used our results to constrain the cessation time of the martian core dynamo which we found to have occurred between the formation of Ladon and Prometheus basins, approximately 4.06-4.09 Ga. We also show that, overall, surfaces on Mars older than ˜4.0-4.1 Ga have experienced >1 km of resurfacing, while those younger than ˜3.8-3.9 Ga have experienced significantly less.

  14. Effects of age, gender and educational background on strength of motivation for medical school.

    PubMed

    Kusurkar, Rashmi; Kruitwagen, Cas; ten Cate, Olle; Croiset, Gerda

    2010-08-01

    The aim of this study was to determine the effects of selection, educational background, age and gender on strength of motivation to attend and pursue medical school. Graduate entry (GE) medical students (having Bachelor's degree in Life Sciences or related field) and Non-Graduate Entry (NGE) medical students (having only completed high school), were asked to fill out the Strength of Motivation for Medical School (SMMS) questionnaire at the start of medical school. The questionnaire measures the willingness of the medical students to pursue medical education even in the face of difficulty and sacrifice. GE students (59.64 ± 7.30) had higher strength of motivation as compared to NGE students (55.26 ± 8.33), so did females (57.05 ± 8.28) as compared to males (54.30 ± 8.08). 7.9% of the variance in the SMMS scores could be explained with the help of a linear regression model with age, gender and educational background/selection as predictor variables. Age was the single largest predictor. Maturity, taking developmental differences between sexes into account, was used as a predictor to correct for differences in the maturation of males and females. Still, the gender differences prevailed, though they were reduced. Pre-entrance educational background and selection also predicted the strength of motivation, but the effect of the two was confounded. Strength of motivation appears to be a dynamic entity, changing primarily with age and maturity and to a small extent with gender and experience.

  15. Psychosocial Adjustment in School-age Girls With a Family History of Breast Cancer

    PubMed Central

    Bradbury, Angela R.; Patrick-Miller, Linda; Schwartz, Lisa; Egleston, Brian; Sands, Colleen Burke; Chung, Wendy K.; Glendon, Gord; McDonald, Jasmine A.; Moore, Cynthia; Rauch, Paula; Tuchman, Lisa; Andrulis, Irene L.; Buys, Saundra S.; Frost, Caren J.; Keegan, Theresa H.M.; Knight, Julia A.; Terry, Mary Beth; John, Esther M.; Daly, Mary B.

    2016-01-01

    OBJECTIVE Understanding how young girls respond to growing up with breast cancer family histories is critical given expansion of genetic testing and breast cancer messaging. We examined the impact of breast cancer family history on psychosocial adjustment and health behaviors among >800 girls in the multicenter LEGACY Girls Study. METHODS Girls aged 6 to 13 years with a family history of breast cancer or familial BRCA1/2 mutation (BCFH+), peers without a family history (BCFH−), and their biological mothers completed assessments of psychosocial adjustment (maternal report for 6- to 13-year-olds, self-report for 10- to 13-year-olds), breast cancer–specific distress, perceived risk of breast cancer, and health behaviors (10- to 13-year-olds). RESULTS BCFH+ girls had better general psychosocial adjustment than BCFH− peers by maternal report. Psychosocial adjustment and health behaviors did not differ significantly by self-report among 10- to 13-year-old girls. BCFH+ girls reported higher breast cancer–specific distress (P = .001) and were more likely to report themselves at increased breast cancer risk than BCFH− peers (38.4% vs 13.7%, P < .001), although many girls were unsure of their risk. In multivariable analyses, higher daughter anxiety was associated with higher maternal anxiety and poorer family communication. Higher daughter breast cancer–specific distress was associated with higher maternal breast cancer-specific distress. CONCLUSIONS Although growing up in a family at risk for breast cancer does not negatively affect general psychosocial adjustment among preadolescent girls, those from breast cancer risk families experience greater breast cancer–specific distress. Interventions to address daughter and mother breast cancer concerns and responses to genetic or familial risk might improve psychosocial outcomes of teen daughters. PMID:26482668

  16. Rationale for practical medical device accelerated aging programs in AAMI TIR 17

    NASA Astrophysics Data System (ADS)

    Lambert, Byron J.; Tang, Fuh-Wei

    2000-03-01

    A Technical Information Report, TIR 17, entitled, "Radiation Sterilization Material Qualification" has been published by the Association for the Advancement of Medical Instrumentation (AAMI) to provide guidance in order to increase the quality and reduce the cost and amount of time required for performing medical device material qualifications. It contains four sections that cover the fundamentals of material selection, processing, testing and accelerated aging programs. The last of these sections, entitled "Accelerating Aging Programs," provides step-by-step guidance for simple, empirical accelerated programs of use to the medical device industry. The methods are based on van't Hoff's observation that the rate of chemical reactions increases by a factor of two for every 10°C increase in temperature, the Q10=2 rule. With critical patient safety concerns in the medical device industry, it is appropriate for both device manufacturers and regulators to ask if simple, empirical methods such as those outlined in TIR 17 are reasonable and responsible. One reason for confidence in the methods is their success when used in aging environments that are much more severe than those commonly used in the medical device industry. Another reason for confidence in the methods is found from the observation that the working equations of the method can be derived from theory. This paper provides an overview of the thermal accelerated aging theory that forms the basis for the working equations of the accelerated aging programs of TIR 17. Assumptions used are examined and found reasonable; the theoretical foundation is established. While this foundation provides added confidence for the application of the methods of TIR 17 to the medical device industry, it is emphasized that application of the methods within appropriate boundaries is critical. Theoretical boundaries are explained and demonstrated by means of Arrhenius plots, and practical boundaries discussed.

  17. Natural history of age-related lobular involution and impact on breast cancer risk.

    PubMed

    Radisky, Derek C; Visscher, Daniel W; Frank, Ryan D; Vierkant, Robert A; Winham, Stacey; Stallings-Mann, Melody; Hoskin, Tanya L; Nassar, Aziza; Vachon, Celine M; Denison, Lori A; Hartmann, Lynn C; Frost, Marlene H; Degnim, Amy C

    2016-02-01

    Age-related lobular involution (LI) is a physiological process in which the terminal duct lobular units of the breast regress as a woman ages. Analyses of breast biopsies from women with benign breast disease (BBD) have found that extent of LI is negatively associated with subsequent breast cancer development. Here we assess the natural course of LI within individual women, and the impact of progressive LI on breast cancer risk. The Mayo Clinic BBD cohort consists of 13,455 women with BBD from 1967 to 2001. The BBD cohort includes 1115 women who had multiple benign biopsies, 106 of whom had developed breast cancer. Within this multiple biopsy cohort, the progression of the LI process was examined by age at initial biopsy and time between biopsies. The relationship between LI progression and breast cancer risk was assessed using standardized incidence ratios and by Cox proportional hazards analysis. Women who had multiple biopsies were younger age and had a slightly higher family history of breast cancer as compared with the overall BBD cohort. Extent of LI at subsequent biopsy was greater with increasing time between biopsies and for women age 55 + at initial biopsy. Among women with multiple biopsies, there was a significant association of higher breast cancer risk among those with involution stasis (lack of progression, HR 1.63) as compared with those with involution progression, p = 0.036. The multiple biopsy BBD cohort allows for a longitudinal study of the natural progression of LI. The majority of women in the multiple biopsy cohort showed progression of LI status between benign biopsies, and extent of progression was highest for women who were in the perimenopausal age range at initial biopsy. Progression of LI status between initial and subsequent biopsy was associated with decreased breast cancer risk.

  18. Science convention "Rijeka and its Citizens in Medical History" 2000-2009 - history of medicine as a component of scientific visibility.

    PubMed

    Eterovic, Igor

    2011-01-01

    This paper analyses the form and content of the first ten science conventions "Rijeka and its Citizens in Medical History" ("Rijeka i Riječani u medicinskoj povjesnici") which were held in the period between 2000 and 2009 according to the archive data of the convention organizers Croatian Scientific Society for the History of Health Culture. It presents data on the inception of the idea of a science convention, its organisational features (organising committees, presiding committees, convention topics, venue, patrons) and number of participants. A total of 174 presentations whose abstracts were published in individual Convention Collections were given at the ten conventions by 103 different authors from Croatia and neighbouring countries. After the first ten years the entire material was compiled and published with an analytical comment in the anniversary issue Znanstveni skup Rijeka i Riječani u medicinskoj povjesnici 2000-2009 (Scientific Convention Rijeka and its Citizens in Medical History 2000-2009) within Biblioteka AMHA. Most of the papers printed in extenso are published in the magazine AMHA - Acta medico historica Adriatica. The analysis of all presentations provides quantity data on the number of presented papers, number of presenters and number of co-authored papers, as well as quality determinants within the evaluation of the achievement of science convention objectives. The end gives a review of the significance of this convention within the regional, national and international aspect.

  19. Review of performance, medical, and operational data on pilot aging issues

    NASA Technical Reports Server (NTRS)

    Stoklosa, J. H.

    1992-01-01

    An extensive review of the literature and studies relating to performance, medical, operational, and legal data regarding pilot aging issues was performed in order to determine what evidence there is, if any, to support mandatory pilot retirement. Popular misconceptions about aging, including the failure to distinguish between the normal aging process and disease processes that occur more frequently in older individuals, continue to contribute to much of the misunderstanding and controversy that surround this issue. Results: Review of medical data related to the pilot aging issue indicate that recent improvement in medical diagnostics and treatment technology have made it possible to identify to a high degree individuals who are at risk for developing sudden incapacitating illness and for treating those with disqualifying medical conditions. Performance studies revealed that after controlling for the presence of disease states, older pilots are able to perform as well as younger pilots on many performance tasks. Review of accident data showed that older, healthy pilots do not have higher accident rates than younger pilots, and indeeed, evidence suggests that older pilots have an advantage in the cockpit due to higher experience levels. The Man-Machine-Mission-Environment interface of factors can be managed through structured, supervised, and enhanced operations, maintenance, flight reviews, and safety procedures in order to ensure safe and productive operations by reducing the margin of error and by increasing the margin of safety. Conclusions: There is no evidence indicating any specific age as an arbitrary cut-off point for pilots to perform their fight duties. A combination of regular medical screening, performance evaluation, enhanced operational maintenance, and safety procedures can most effectively ensure a safe pilot population than can a mandatory retirement policy based on arbitrary age restrictions.

  20. Plotting Careers in Aged Care: Perspectives of Medical, Nursing, Allied Health Students and New Graduates

    ERIC Educational Resources Information Center

    Wray, Natalie; McCall, Louise

    2007-01-01

    The research reported in this article explored the impact of the undergraduate placement experience on medical, nursing, and allied health students' perceptions of careers in aged care. Data were collected from undergraduate students (48) and graduates (26) via individual (46) and group (7) interviews; data were thematically analyzed.…

  1. Health aspects of Arctic exploration – Alaska’s medical history based on the research files of Dr. Robert Fortuine

    PubMed Central

    Murray, Kathleen

    2013-01-01

    Background Robert Fortuine provided basic medical care to Alaska Native people, chronicled the Health Aspects of Arctic Exploration and through a number of influential publications, was the first to thoroughly document and analyse Alaska’s Medical History. This overview of his published work will provide the reader with a detailed overview, so that they can begin to explore Dr. Fortuine’s many published works in more detail. Objective This review will explore Alaska’s Medical History and the Health Aspects of Arctic Exploration through the research files and the 10 most significant publications of Dr. Robert Fortuine. Design Review of Dr. Fortuine’s major works and the master bibliography has over 3,000 references and 81 subjects. The master bibliography is a merger of 55 separate bibliographies, which provides a wealth of bibliographic information. This paper will describe his 10 most significant publications, 2 of which began as a journal issue. Results Dr. Fortuine was a prolific writer throughout his career, publishing 134 articles and books. He wrote papers and books on Alaska’s medical history, tuberculosis and health care delivery from Russian–America through the Public Health Service efforts in the territory and then the State of Alaska. The master bibliography has over 3,000 references and 81 subjects. This list has a significant number of entries for tuberculosis with almost one-third of the entries including this heading. Others dwell on the history of “pre-contact” health, the history of Alaska Native health care, the history of the Alaska Department of Health, especially the tuberculosis programme, the role of the US Public Health Service and traditional medicine. He completely reviewed every Governors’ and the US Surgeon General’s reports in regard to Alaska content. This paper describes his 10 most significant publications. Conclusions Robert Fortuine’s published works offer a wealth of information and insight into Alaska

  2. Demographic patterns of Ferocactus cylindraceus in relation to substrate age and grazing history

    USGS Publications Warehouse

    Bowers, Janice E.

    1997-01-01

    Three subpopulations of Ferocactus cylindraceus, a short-columnar cactus of the Sonoran and Mojave deserts, were sampled in Grand Canyon, Arizona, USA, at sites representing a range of substrate ages and different grazing histories. Age-height relations were determined from annual growth, then used to estimate probable year of establishment for each cohort. Eight years between 1944 and 1992 were especially favorable for establishment. Six of these 8 years coincided with El Nino-Southern Oscillation conditions, indicating that as for many woody plants in arid regions, somewhat unusual climatic conditions are necessary if populations are to replace themselves. Comparison of age structures showed that established and developing populations have somewhat different dynamics in that the rate of population increase was slowest on the youngest terrace. On the ancient terraces, about half the plants were less than 25 years old. Plants older than 40 years were few; however the oldest plants in the study (about 49 years) grew on the ancient terraces. On the recent terrace, 76% of the subpopulation was 25 years or younger, and the oldest living plant was about 36 years of age. The age structures of subpopulations on grazed and ungrazed sites also differed markedly. On ungrazed sites, subpopulations were more or less at equilibrium, with enough young plants to replace old ones as they died. In contrast, the subpopulation on the grazed site was in a state of marked disequilibrium. Grazing before 1981 largely extirpated a palatable subshrub that was probably an important nurse plant. Until the shrub population at Indian Canyon recovers from decades of burro grazing, a rebound in E cylindraceus establishment is not to be expected.

  3. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Follicular Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Vajdic, Claire M.; Morton, Lindsay M.; de Roos, Anneclaire J.; Skibola, Christine F.; Boffetta, Paolo; Cerhan, James R.; Flowers, Christopher R.; de Sanjosé, Silvia; Monnereau, Alain; Cocco, Pierluigi; Kelly, Jennifer L.; Smith, Alexandra G.; Weisenburger, Dennis D.; Clarke, Christina A.; Blair, Aaron; Bernstein, Leslie; Zheng, Tongzhang; Miligi, Lucia; Clavel, Jacqueline; Benavente, Yolanda; Chiu, Brian C. H.

    2014-01-01

    Background Follicular lymphoma (FL) has been linked with cigarette smoking and, inconsistently, with other risk factors. Methods We assessed associations of medical, hormonal, family history, lifestyle, and occupational factors with FL risk in 3530 cases and 22639 controls from 19 case–control studies in the InterLymph consortium. Age-, race/ethnicity-, sex- and study-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression. Results Most risk factors that were evaluated showed no association, except for a few modest or sex-specific relationships. FL risk was increased in persons: with a first-degree relative with non-Hodgkin lymphoma (OR = 1.99; 95% CI = 1.55 to 2.54); with greater body mass index as a young adult (OR = 1.15; 95% CI = 1.04 to 1.27 per 5kg/m2 increase); who worked as spray painters (OR = 2.66; 95% CI = 1.36 to 5.24); and among women with Sjögren syndrome (OR = 3.37; 95% CI = 1.23 to 9.19). Lower FL risks were observed in persons: with asthma, hay fever, and food allergy (ORs = 0.79–0.85); blood transfusions (OR = 0.78; 95% CI = 0.68 to 0.89); high recreational sun exposure (OR = 0.74; 95% CI = 0.65 to 0.86, fourth vs first quartile); who worked as bakers or millers (OR = 0.51; 95% CI = 0.28 to 0.93) or university/higher education teachers (OR = 0.58; 95% CI = 0.41 to 0.83). Elevated risks specific to women included current and longer duration of cigarette use, whereas reduced risks included current alcohol use, hay fever, and food allergies. Other factors, including other autoimmune diseases, eczema, hepatitis C virus seropositivity, hormonal drugs, hair dye use, sun exposure, and farming, were not associated with FL risk. Conclusions The few relationships observed provide clues suggesting a multifactorial etiology of FL but are limited in the extent to which they explain FL occurrence. PMID:25174024

  4. Accessing probable thermal histories through dispersed, partially-reset zircon (U-Th)/He ages

    NASA Astrophysics Data System (ADS)

    Powell, Jeremy; Schneider, David

    2016-04-01

    exhibited by the datasets. We do not recommend selecting only the youngest dates from samples or averaging (U-Th)/He dates, as these methods do not acknowledge the complexity of the (U-Th)/He system and potentially exclude non-obvious, but equally probable, geologic scenarios. To this extent, using the vertical profile approach to assess exhumation rates from cooling age data may also provide an inaccurate result if the strata have not been buried to sufficient temperatures to completely reset any prior thermal history. As an alternative, we analyzed more grains from individual samples and combine data from similar structural regions to assess regional trends in thermal history. We believe that this approach does an appropriate job of acknowledging the errors and assumptions involved in the technique while providing meaningful information on thermal history of a region. Thermal modeling of the Mackenzie Mountains data reveals that (1) a substantial sedimentary package was deposited following the Devonian and removed during Permo-Triassic cooling, and (2) the Cordilleran deformation front propagated through the study area from the Albian to the Paleocene, with a moderate increase in cooling rates between 75-67 Ma in the southwest, and 60-55 Ma at the deformation front.

  5. Life History of Cochliomyia macellaria (Fabricius, 1775) (Diptera, Calliphoridae), a Blowfly of Medical and Forensic Importance.

    PubMed

    Alvarez Garcia, D M; Pérez-Hérazo, A; Amat, E

    2017-03-06

    The life history traits of blow fly Cochliomyia macellaria (Fabricius, 1775) was studied under semi-controlled laboratory conditions at 29.14°C temperature, 72.53% relative humidity, and 12-h photoperiod. The raw data were analyzed based on the age-stage, two-sex life table, considering the development rates among individuals of both sexes. Cochliomyia macellaria survival rate was 0.43 (♂) and 0.40 (♀), while life expectancy was 17.9 (♂) and 20.9 (♀) days, for adult males and females, respectively. The total fecundity was 681.15 eggs/female, with an average of 3.65 batches/female and 199 eggs/batch. The intrinsic rate of increase (r) was 0.327 days(-1), the finite rate of population increase (λ) was 3.35 days(-1), the mean generation time (T) was 17.15 days, and the net reproduction rate (R 0 ) was 272.46 offspring/individual. The population parameters found here corroborates that C. macellaria population act as a r selected species under laboratory conditions. Additionally, development data and accumulated degree days (ADD) for each stage of C. macellaria are provided and its implications for the forensic use are discussed.

  6. My Family Medical History and Me: A pilot feasibility study of a cardiovascular risk reduction intervention

    PubMed Central

    Imes, Christopher C.; Lewis, Frances M.; Austin, Melissa A.; Dougherty, Cynthia M.

    2014-01-01

    Objective Evaluate the feasibility and acceptability of a behaviorally-focused intervention designed to increase perceived cardiovascular disease (CVD) and coronary heart disease (CHD) risk in young adults with a family history (FH) of CVD/CHD. Design Single group, pre-post-test design. Sample Fifteen, mostly female (n=13, 86.7%), White, young adults (mean age 20.8 years) with a minimum of a high school education with a FH of CVD/CHD. Measurements Feasibility examined the recruitment strategy, study procedures, appropriateness and quality of the study instruments, and problems that occurred during delivery of the intervention. Acceptability examined participants' engagement in the in person sessions and at home exercises and their feedback about the intervention. Intervention Two, in person sessions provided personalized, tailored messages about ten-year and lifetime CHD risk based on risk factors, FH from a three-generation pedigree, lipid levels, blood pressure, and smoking status, and brief counseling about how to engage in a healthy lifestyle to decrease CVD/CHD risk. Results The intervention was feasible and acceptable. Participants requested more information on healthy food choices, including which foods to avoid and which exercises most improve cardiovascular health. Conclusions Although requiring refinement, the intervention has potential public health implications and deserves further testing. PMID:24840334

  7. Controlling for Landform Age When Determining the Settlement History of the Kuril Islands

    PubMed Central

    MacInnes, Breanyn; Fitzhugh, Ben; Holman, Darryl

    2014-01-01

    Archaeological investigations of settlement patterns in dynamic landscapes can be strongly biased by the evolution of the Earth’s surface. The Kuril Island volcanic arc exemplifies such a dynamic landscape, where landscape-modifying geological forces were active during settlement, including sea-level changes, tectonic emergence, volcanic eruptive processes, coastal aggradation, and dune formation. With all these ongoing processes, in this paper we seek to understand how new landscape formation in the Holocene might bias archaeological interpretations of human settlement in the Kurils. Resolving this issue is fundamental to any interpretation of human settlement history derived from the distribution and age of archaeological sites from the region. On the basis of a comparison of landform ages and earliest archaeological occupation ages on those landforms, we conclude that landform creation did not significantly bias our aggregate archaeological evidence for earliest settlement. Some sections of the archipelago have larger proportions of landform creation dates closer to archaeological evidence of settlement and undoubtedly some archaeological sites have been lost to geomorphic processes. However, comparisons between regions reveal comparable archaeological establishment patterns irrespective of geomorphic antiquity. PMID:25684855

  8. Controlling for Landform Age When Determining the Settlement History of the Kuril Islands.

    PubMed

    MacInnes, Breanyn; Fitzhugh, Ben; Holman, Darryl

    2014-01-01

    Archaeological investigations of settlement patterns in dynamic landscapes can be strongly biased by the evolution of the Earth's surface. The Kuril Island volcanic arc exemplifies such a dynamic landscape, where landscape-modifying geological forces were active during settlement, including sea-level changes, tectonic emergence, volcanic eruptive processes, coastal aggradation, and dune formation. With all these ongoing processes, in this paper we seek to understand how new landscape formation in the Holocene might bias archaeological interpretations of human settlement in the Kurils. Resolving this issue is fundamental to any interpretation of human settlement history derived from the distribution and age of archaeological sites from the region. On the basis of a comparison of landform ages and earliest archaeological occupation ages on those landforms, we conclude that landform creation did not significantly bias our aggregate archaeological evidence for earliest settlement. Some sections of the archipelago have larger proportions of landform creation dates closer to archaeological evidence of settlement and undoubtedly some archaeological sites have been lost to geomorphic processes. However, comparisons between regions reveal comparable archaeological establishment patterns irrespective of geomorphic antiquity.

  9. [Pages from the history of the Department of Forensic Medicine, I.M. Sechenov First Moscow State Medical University].

    PubMed

    Leonova, E N; Romanenko, G Kh; Sidorovich, Iu V

    2012-01-01

    The history of the Department of Forensic Medicine of I.M. Sechenov First Moscow State Medical University is highlighted based on the results of the studies of the relevant literature data and archival materials. The authors lay special emphasis on the organization of the teaching process and research at different stages of the development of the Department, scientific and forensic medical activities of its leading specialists, materials obtained in the course of research, and the contribution to the development of forensic medicine made by outstanding scientists.

  10. Group-based differences in anti-aging bias among medical students.

    PubMed

    Ruiz, Jorge G; Andrade, Allen D; Anam, Ramanakumar; Taldone, Sabrina; Karanam, Chandana; Hogue, Christie; Mintzer, Michael J

    2015-01-01

    Medical students (MS) may develop ageist attitudes early in their training that may predict their future avoidance of caring for the elderly. This study sought to determine MS' patterns of explicit and implicit anti-aging bias, intent to practice with older people and using the quad model, the role of gender, race, and motivation-based differences. One hundred and three MS completed an online survey that included explicit and implicit measures. Explicit measures revealed a moderately positive perception of older people. Female medical students and those high in internal motivation showed lower anti-aging bias, and both were more likely to intend to practice with older people. Although the implicit measure revealed more negativity toward the elderly than the explicit measures, there were no group differences. However, using the quad model the authors identified gender, race, and motivation-based differences in controlled and automatic processes involved in anti-aging bias.

  11. History of the Rochester Epidemiology Project: half a century of medical records linkage in a US population.

    PubMed

    Rocca, Walter A; Yawn, Barbara P; St Sauver, Jennifer L; Grossardt, Brandon R; Melton, L Joseph

    2012-12-01

    The Rochester Epidemiology Project (REP) has maintained a comprehensive medical records linkage system for nearly half a century for almost all persons residing in Olmsted County, Minnesota. Herein, we provide a brief history of the REP before and after 1966, the year in which the REP was officially established. The key protagonists before 1966 were Henry Plummer, Mabel Root, and Joseph Berkson, who developed a medical records linkage system at Mayo Clinic. In 1966, Leonard Kurland established collaborative agreements with other local health care providers (hospitals, physician groups, and clinics [primarily Olmsted Medical Center]) to develop a medical records linkage system that covered the entire population of Olmsted County, and he obtained funding from the National Institutes of Health to support the new system. In 1997, L. Joseph Melton III addressed emerging concerns about the confidentiality of medical record information by introducing a broad patient research authorization as per Minnesota state law. We describe how the key protagonists of the REP have responded to challenges posed by evolving medical knowledge, information technology, and public expectation and policy. In addition, we provide a general description of the system; discuss issues of data quality, reliability, and validity; describe the research team structure; provide information about funding; and compare the REP with other medical information systems. The REP can serve as a model for the development of similar research infrastructures in the United States and worldwide.

  12. Visualizing reproduction: a cultural history of early-modern and modern medical illustrations.

    PubMed

    Harvey, Karen

    2010-03-01

    Written as a response to a conference exhibition of medical illustrations of reproduction, this article considers the gains of an interdisciplinary study of medical illustration to both historians and medics. The article insists that we should not only be attuned to the cultural work that such representations perform but also that such illustrations are the product of material medical practices and the often humane impulses that drive them.

  13. Testosterone related to age and life-history stages in male baboons and geladas

    PubMed Central

    Beehner, Jacinta C.; Gesquiere, Laurence; Seyfarth, Robert M.; Cheney, Dorothy L.; Alberts, Susan C.; Altmann, Jeanne

    2013-01-01

    Despite significant advances in our knowledge of how testosterone mediates life-history trade-offs, this research has primarily focused on seasonal species. We know comparatively little about the relationship between testosterone and life-history stages for non-seasonally breeding species. Here we examine testosterone profiles across the lifespan of males from three non-seasonally breeding primates: yellow baboons (Papio cynocephalus or P. hamadryas cynocephalus), chacma baboons (Papio ursinus or P. h. ursinus), and geladas (Theropithecus gelada). First, we predict that testosterone profiles will track the reproductive profiles of each taxon across their respective breeding years. Second, we evaluate age-related changes in testosterone to determine whether several life-history transitions are associated with these changes. Subjects include males (>2.5 years) from wild populations of each taxon from whom we had fecal samples for hormone determination. Although testosterone profiles across species were broadly similar, considerable variability was found in the timing of two major changes: (1) the attainment of adult levels of testosterone, and (2) the decline in testosterone after the period of maximum production. Attainment of adult testosterone levels was delayed by one year in chacmas compared with yellows and geladas. With respect to the decline in testosterone, geladas and chacmas exhibited a significant drop after three years of maximum production, while yellows declined so gradually that no significant annual drop was ever detected. For both yellows and chacmas, increases in testosterone production preceded elevations in social dominance rank. We discuss these differences in the context of ecological and behavioral differences exhibited by these taxa. PMID:19712676

  14. 5-HT Obesity Medication Efficacy via POMC Activation is Maintained During Aging

    PubMed Central

    Burke, Luke K.; Doslikova, Barbora; D'Agostino, Giuseppe; Garfield, Alastair S.; Farooq, Gala; Burdakov, Denis; Low, Malcolm J.; Rubinstein, Marcelo; Evans, Mark L.; Billups, Brian

    2014-01-01

    The phenomenon commonly described as the middle-age spread is the result of elevated adiposity accumulation throughout adulthood until late middle-age. It is a clinical imperative to gain a greater understanding of the underpinnings of age-dependent obesity and, in turn, how these mechanisms may impact the efficacy of obesity treatments. In particular, both obesity and aging are associated with rewiring of a principal brain pathway modulating energy homeostasis, promoting reduced activity of satiety pro-opiomelanocortin (POMC) neurons within the arcuate nucleus of the hypothalamus (ARC). Using a selective ARC-deficient POMC mouse line, here we report that former obesity medications augmenting endogenous 5-hydroxytryptamine (5-HT) activity d-fenfluramine and sibutramine require ARC POMC neurons to elicit therapeutic appetite-suppressive effects. We next investigated whether age-related diminished ARC POMC activity therefore impacts the potency of 5-HT obesity pharmacotherapies, lorcaserin, d-fenfluramine, and sibutramine and report that all compounds reduced food intake to a comparable extent in both chow-fed young lean (3–5 months old) and middle-aged obese (12–14 months old) male and female mice. We provide a mechanism through which 5-HT anorectic potency is maintained with age, via preserved 5-HT–POMC appetitive anatomical machinery. Specifically, the abundance and signaling of the primary 5-HT receptor influencing appetite via POMC activation, the 5-HT2CR, is not perturbed with age. These data reveal that although 5-HT obesity medications require ARC POMC neurons to achieve appetitive effects, the anorectic efficacy is maintained with aging, findings of clinical significance to the global aging obese population. PMID:25051442

  15. Documentation of Contraception and Pregnancy When Prescribing Potentially Teratogenic Medications for Reproductive-Age Women

    PubMed Central

    Schwarz, Eleanor Bimla; Postlethwaite, Debbie A.; Hung, Yun-Yi; Armstrong, Mary Anne

    2010-01-01

    Background Certain medications are identified by the U.S. Food and Drug Administration (FDA) as class D or X because they increase the risk for birth defects if used during pregnancy. Objective To assess pregnancy rates and the frequency of contraceptive counseling documented with prescriptions for class D or X drugs filled by women of reproductive age. Design Description of prescriptions filled in 2001. Setting A large health maintenance organization in northern California in 2001. Patients 488 175 women age 15 to 44 years who filled a total of 1 011 658 class A, B, D, or X prescriptions. Measurements Medications dispensed, contraceptive counseling, and pregnancy testing. Results A class D or X prescription was filled by 1 of every 6 women studied. Women who filled a prescription for class D or X medications were no more likely than women who filled prescriptions for safer, class A or B medications to have received contraceptive counseling, filled a contraceptive prescription, or been sterilized (48% vs. 51% of prescriptions). There was little variation by clinical indication in rates of contraceptive counseling with class D or X prescriptions, except for isotretinoin. Women who filled a class D or X prescription were only slightly less likely to have a pregnancy documented within 3 months than women filling a class A or B prescription (1.0% vs. 1.4% of prescriptions). Limitations International Classification of Diseases, Ninth Revision, codes underestimate contraceptive counseling. Documentation of a positive pregnancy test after filling a prescription may overestimate medication use in early pregnancy. Women who filled several prescriptions are overrepresented in prescription analyses. Conclusion Prescriptions for potentially teratogenic medications are frequently filled by women of childbearing age without documentation of contraceptive counseling. PMID:17876020

  16. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Benavente, Yolanda; Blair, Aaron; Vermeulen, Roel; Cerhan, James R.; Costantini, Adele Seniori; Monnereau, Alain; Nieters, Alexandra; Clavel, Jacqueline; Call, Timothy G.; Maynadié, Marc; Lan, Qing; Clarke, Christina A.; Lightfoot, Tracy; Norman, Aaron D.; Sampson, Joshua N.; Casabonne, Delphine; Cocco, Pierluigi; de Sanjosé, Silvia

    2014-01-01

    Background Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are two subtypes of non-Hodgkin lymphoma. A number of studies have evaluated associations between risk factors and CLL/SLL risk. However, these associations remain inconsistent or lacked confirmation. This may be due, in part, to the inadequate sample size of CLL/SLL cases. Methods We performed a pooled analysis of 2440 CLL/SLL cases and 15186 controls from 13 case-control studies from Europe, North America, and Australia. We evaluated associations of medical history, family history, lifestyle, and occupational risk factors with CLL/SLL risk. Multivariate logistic regression analyses were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results We confirmed prior inverse associations with any atopic condition and recreational sun exposure. We also confirmed prior elevated associations with usual adult height, hepatitis C virus seropositivity, living or working on a farm, and family history of any hematological malignancy. Novel associations were identified with hairdresser occupation (OR = 1.77, 95% CI = 1.05 to 2.98) and blood transfusion history (OR = 0.79, 95% CI = 0.66 to 0.94). We also found smoking to have modest protective effect (OR = 0.9, 95% CI = 0.81 to 0.99). All exposures showed evidence of independent effects. Conclusions We have identified or confirmed several independent risk factors for CLL/SLL supporting a role for genetics (through family history), immune function (through allergy and sun), infection (through hepatitis C virus), and height, and other pathways of immune response. Given that CLL/SLL has more than 30 susceptibility loci identified to date, studies evaluating the interaction among genetic and nongenetic factors are warranted. PMID:25174025

  17. Estimating the Ages of Selection Signals from Different Epochs in Human History

    PubMed Central

    Nakagome, Shigeki; Alkorta-Aranburu, Gorka; Amato, Roberto; Howie, Bryan; Peter, Benjamin M.; Hudson, Richard R.; Di Rienzo, Anna

    2016-01-01

    Genetic variation harbors signatures of natural selection driven by selective pressures that are often unknown. Estimating the ages of selection signals may allow reconstructing the history of environmental changes that shaped human phenotypes and diseases. We have developed an approximate Bayesian computation (ABC) approach to estimate allele ages under a model of selection on new mutations and under demographic models appropriate for human populations. We have applied it to two resequencing data sets: An ultra-high depth data set from a relatively small sample of unrelated individuals and a lower depth data set in a larger sample with transmission information. In addition to evaluating the accuracy of our method based on simulations, for each SNP, we assessed the consistency between the posterior probabilities estimated by the ABC approach and the ancient DNA record, finding good agreement between the two types of data and methods. Applying this ABC approach to data for eight single nucleotide polymorphisms (SNPs), we were able to rule out an onset of selection prior to the dispersal out-of-Africa for three of them and more recent than the spread of agriculture for an additional three SNPs. PMID:26545921

  18. Rhazes, a Genius Physician in the Diagnosis and Treatment of Nocturnal Enuresis in Medical History

    PubMed Central

    Changizi Ashtiyani, Saeed; Shamsi, Mohsen; Cyrus, Ali; Tabatabayei, Seyed Mohammad

    2013-01-01

    Context Nocturnal enuresis has undoubtedly occurred since man's earliest days and the first references are found in the Ebers papyri of 1550 BC. The purpose of this study is to review of Rhazes opinion about diagnosis and treatment of nocturnal enuresis and compare his belief and clinical methods with modern medical practice. Evidence Acquisition In the review study we searched all available and reliable electronic and paper sources using appropriate keywords about the views of Rhazes, and compared them with recent medical evidence about diagnosis and treatment of nocturnal in medication. Results Our findings proved that Rhazes described the symptoms, signs, and the treatment of nocturnal enuresis in accordance with contemporary medicine. Conclusions A review of opinion Rhazes and other ancient Islamic medical textbooks on nocturnal enuresis reveals that medical practice in those days was comparable to modern medicine yet avoiding the side effects that are commonly experienced with the modern medical approach. PMID:24578827

  19. Substantial health and economic returns from delayed aging may warrant a new focus for medical research.

    PubMed

    Goldman, Dana P; Cutler, David; Rowe, John W; Michaud, Pierre-Carl; Sullivan, Jeffrey; Peneva, Desi; Olshansky, S Jay

    2013-10-01

    Recent scientific advances suggest that slowing the aging process (senescence) is now a realistic goal. Yet most medical research remains focused on combating individual diseases. Using the Future Elderly Model--a microsimulation of the future health and spending of older Americans--we compared optimistic "disease specific" scenarios with a hypothetical "delayed aging" scenario in terms of the scenarios' impact on longevity, disability, and major entitlement program costs. Delayed aging could increase life expectancy by an additional 2.2 years, most of which would be spent in good health. The economic value of delayed aging is estimated to be $7.1 trillion over fifty years. In contrast, addressing heart disease and cancer separately would yield diminishing improvements in health and longevity by 2060--mainly due to competing risks. Delayed aging would greatly increase entitlement outlays, especially for Social Security. However, these changes could be offset by increasing the Medicare eligibility age and the normal retirement age for Social Security. Overall, greater investment in research to delay aging appears to be a highly efficient way to forestall disease, extend healthy life, and improve public health.

  20. "Modern medical science and the divine providence of god": rethinking the place of religion in postwar U.S. medical history.

    PubMed

    Golden, Janet; Abel, Emily K

    2014-10-01

    Drawing on a large cache of letters to John and Frances Gunther after the death of their son as well as memoirs and fiction by bereaved parents, this essay challenges the assumptions of secularization that infuse histories of twentieth-century American medicine. Many parents who experienced the death of children during the postwar period relied heavily on religion to help make sense of the tragedies medicine could not prevent. Parental accounts included expression of belief in divine intervention and the power of prayer, gratitude for God's role in minimizing suffering, confidence in the existence of an afterlife, and acceptance of the will of God. Historians seeking to understand how parents and families understood both the delivery of medical care and the cultural authority of medical science must integrate an understanding of religious experiences and faith into their work.

  1. A Petrographic History of Martian Meteorite ALH84001: Two Shocks and an Ancient Age

    NASA Technical Reports Server (NTRS)

    Treiman, Allan H.

    1995-01-01

    ALH84001 is an igneous meteorite, an orthopyroxenite of martian origin. It contains petrographic evidence of two shock metamorphic events, separated by thermal and chemical events. The evidence for two shock events suggests that ALH84001 is ancient and perhaps a sample of the martian highlands. From petrography and mineral chemistry, the history of ALH84001 must include: crystallization from magma, a first shock (impact) metamorphism, thermal metamorphism, low-temperature chemical alteration, and a second shock (impact) metamorphism. Originally, ALH84001 was igneous, an orthopyroxene-chromite cumulate. In the first shock event, the igneous rock was cut by melt-breccia or cataclastic veinlets, now bands of equigranular fine-grained pyroxene and other minerals (crush zones). Intact fragments of the cumulate were fractured and strained (now converted to polygonized zones). The subsequent thermal metamorphism (possibly related to the first shock) annealed the melt-breccia or cataclastic veinlets to their present granoblastic texture and permitted chemical homogenization of all mineral species present. The temperature of metamorphism was at least 875 C, based on mineral thermometers. Next, Mg-Fe-Ca carbonates and pyrite replaced plagioclase in both clasts and granular bands, producing ellipsoidal carbonate globules with sub-micron scale compositional stratigraphy, repeated identically in all globules, The second shock event produced microfault offsets of carbonate stratigraphy and other mineral contacts, radial fractures around chromite and maskelynite, and strain birefringence in pyroxene. Maskelynite could not have been preserved from the first shock event, because it would have crystallized back to plagioclase. The martian source area for ALH84001 must permit this complex, multiple impact history. Very few craters on young igneous surfaces are on or near earlier impact features. It is more likely that ALH84001 was ejected from an old igneous unit (Hesperian or

  2. Age distribution of passive margins through earth history and tectonic implications

    NASA Astrophysics Data System (ADS)

    Bradley, D. C.

    2007-05-01

    few margins with an unusual tectonic history such as re-rifting, the lifespan was calculated from the time between the rift-drift transition and the passive margin to foredeep transition. The present-day passive margins have a mean age of 104 m.y. and a maximum age of 180 m.y.; these are partial lifespans. Fifty-nine ancient margins have a mean lifespan of 187 m.y. and a maximum lifespan of 550 m.y. Subdivided into natural age groupings, mean lifespans are 182 m.y. for the Archean to Paleoproterozoic, 211 m.y. for the Neoproterozoic, 145 m.y. for the Cambrian to Carboniferous, and 142 m.y for the Permian to present. Of the 59 ancient margins, 20 had lifespans that were longer than that of the oldest modern margins, and all 20 are either wholly or partly Precambrian in age. Several margins in the Mesoproterozoic and Neoproterozoic are very long-lived by modern standards, though in each case, the tectonic interpretation is debatable and (or) age control is poor. The tentative world-record holder, at 550 m.y., is the Mesoproterozoic eastern margin of Siberia. The number of long-lived Precambrian margins is inconsistent with the widely held notion that the tempo of Wilson Cycles was faster in the Precambrian than at present, as has been be predicted from the long-term decline in Earth's radiogenic heat production. Thus, the duration of Wilson Cycles involving passive margins is not a good proxy for rates of plate motion. Greater heat production in the Precambrian might still be linked to faster rates of plate motion if the effect was confined to oceanic (Pacific-type) plates.

  3. [Sleep habits of medical students, physicians and nurses regarding age, sex, shift work and caffein consumption].

    PubMed

    Pecotić, Renata; Valić, Maja; Kardum, Goran; Sevo, Vana; Dogas, Zoran

    2008-01-01

    The aim of this study was to evaluate sleep habits of nurses, medical students, and physicians and to explore whether they are influenced by age, sex, shift work, and caffeine consumption. The questionnaire was derived from the MEDSleep Survey. A total of 453 respondents were surveyed: second-year medical students (130); physicians at the postgraduate study program (68); specialists (162); nurses (93). Results of our study indicate that hours of sleep needed for feeling rested depends on age and gender. Younger respondents and women in the study need longer sleep to feel rested (7.5 hours and more) than older ones and males who need less than 7.5 hours of sleep. Among medical professionals a need for sleep differs related to work demands and work schedule. Nurses need more sleep than physicians (chi2 = 38.57, p < 0.001). Female nurses need more sleep for feeling rested than female physicians (chi2 = 18.18, p < 0.001), and sleep longer during the weeknights (chi2 = 33.78, p < 0.001) and weekends (chi2 = 28.06, p < 0.001). The respondents that consume caffeine have more trouble staying awake while listening to lectures or learning (chi2 = 9.37, p = 0.009), and while driving a car (chi2 = 14.56, p = 0.001). The results indicate that sleep habits are related to age, sex and caffeine consumption.

  4. Itokawa's cratering record as observed by Hayabusa: Implications for its age and collisional history

    NASA Astrophysics Data System (ADS)

    Michel, P.; O'Brien, D. P.; Abe, S.; Hirata, N.

    2009-04-01

    In this paper, we study cratering and crater erasure processes and provide an age estimate for the near-Earth Asteroid (25143) Itokawa, the target of the mission Hayabusa, based on its crater history since the time when it was formed in the main belt by catastrophic disruption or experienced a global resetting event. Using a model which was applied to the study of the crater history of Gaspra, Ida, Mathilde and Eros [O'Brien, D.P., Greenberg, R., Richardson, J.E., 2006. Icarus 183, 79-92], we calculate the time needed to accumulate the craters on Itokawa's surface, taking into account several processes which can affect crater formation and crater erasure on such a low-gravity object, such as seismic shaking. We use two models of the projectile population and two scaling laws to relate crater diameter to projectile size. Both models of the projectile population provide similar results, and depending on the scaling law used, we find that the time necessary to accumulate Itokawa's craters was at least ˜75 Myr, and maybe as long as 1 Gyr. Moreover, using the same model and similar parameters (scaled accordingly), we provide a good match not only to Itokawa's craters, but also to those of Eros, which has also been imaged at high enough resolution to give crater counts in a similar size range to those on Itokawa. We show that, as for Eros, the lack of small craters on Itokawa is consistent with erasure by seismic shaking, although for Itokawa, the pronounced deficiency of the smallest craters ( <10 m in diameter) requires another process or event in addition to just seismic shaking. A small body such as Itokawa is highly sensitive to specific events that may occur during its history. For example, the two parts of Itokawa, called head and body, may well have joined each other by a low-velocity impact within the last hundred thousand years [Scheeres, D.J., Abe, M., Yoshikawa, M., Nakamura, R., Gaskell, R.W., Abell, P.A., 2007. Icarus 188, 425-429]. In addition to

  5. Medication and Counseling Histories of Gifted Students in a Summer Residential Program.

    ERIC Educational Resources Information Center

    Jarosevich, Tania; Stocking, Vicki B.

    2003-01-01

    A review of medical forms for 1,762 gifted secondary students participating in a 3-week residential academic program found low rates of psychological disorders, medication use, and counseling. Students who received counseling (n=143) were dealing with family issues (divorce, blended families, adopted siblings, or family counseling), depression,…

  6. From History to Myth: Productive Engagement with the Flexnerian Metanarrative in Medical Education

    ERIC Educational Resources Information Center

    Schrewe, Brett

    2013-01-01

    More than 100 years following its publication, the Flexner Report endures as a principal text in contemporary medical education. While recent scholarship has questioned popular conceptions of the report and attends to marginalized passages, explanations as to why the Flexner story endures as myth in medical education remain absent in the…

  7. History of the medical licensing examination (uieop) in Korea's Goryeo Dynasty (918-1392).

    PubMed

    Lee, Kyung-Lock

    2015-01-01

    This article aims to describe the training and medical licensing system (uieop) for becoming a physician officer (uigwan) during Korea's Goryeo Dynasty (918-1392). In the Goryeo Dynasty, although no license was necessary to provide medical services to the common people, there was a licensing examination to become a physician officer. No other national licensing system for healthcare professionals existed in Korea at that time. The medical licensing examination was administered beginning in 958. Physician officers who passed the medical licensing examination worked in two main healthcare institutions: the Government Hospital (Taeuigam) and Pharmacy for the King (Sangyakguk). The promotion and expansion of medical education differed depending on the historical period. Until the reign of King Munjong (1046-1083), medical education as a path to licensure was encouraged in order to increase the number of physician officers qualifying for licensure by examination; thus, the number of applicants sitting for the examination increased. However, in the late Goryeo Dynasty, after the officer class of the local authorities (hyangri) showed a tendency to monopolize the examination, the Goryeo government limited the examination applications by this group. The medical licensing examination was divided into two parts: medicine and 'feeling the pulse and acupuncture' (jugeumeop). The Goryeo Dynasty followed the Chinese Dang Dynasty's medical system while also taking a strong interest in the Chinese Song Dynasty's ideas about medicine.

  8. History of the medical licensing examination (uieop) in Korea’s Goryeo Dynasty (918-1392)

    PubMed Central

    Lee, Kyung-Lock

    2015-01-01

    This article aims to describe the training and medical licensing system (uieop) for becoming a physician officer (uigwan) during Korea’s Goryeo Dynasty (918-1392). In the Goryeo Dynasty, although no license was necessary to provide medical services to the common people, there was a licensing examination to become a physician officer. No other national licensing system for healthcare professionals existed in Korea at that time. The medical licensing examination was administered beginning in 958. Physician officers who passed the medical licensing examination worked in two main healthcare institutions: the Government Hospital (Taeuigam) and Pharmacy for the King (Sangyakguk). The promotion and expansion of medical education differed depending on the historical period. Until the reign of King Munjong (1046-1083), medical education as a path to licensure was encouraged in order to increase the number of physician officers qualifying for licensure by examination; thus, the number of applicants sitting for the examination increased. However, in the late Goryeo Dynasty, after the officer class of the local authorities (hyangri) showed a tendency to monopolize the examination, the Goryeo government limited the examination applications by this group. The medical licensing examination was divided into two parts: medicine and ‘feeling the pulse and acupuncture’ (jugeumeop). The Goryeo Dynasty followed the Chinese Dang Dynasty’s medical system while also taking a strong interest in the Chinese Song Dynasty’s ideas about medicine. PMID:26008917

  9. 78 FR 17917 - Medical Waivers for Merchant Mariner Credential Applicants With a History of Seizure Disorders

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-25

    ... detailed below. In October 2007, the MEP conducted a review of the medical literature and revised its...-Recommendations-v2-prot.pdf . (1) On the basis of the medical literature review, the MEP concluded that the longer... the comment, if submitted on behalf of an association, business, labor union, etc.). You may review...

  10. High-impact medical journals and peace: a history of involvement.

    PubMed

    Bloom, Joshua D; Sambunjak, Dario; Sondorp, Egbert

    2007-01-01

    The aim of this study is to explore the positions of five leading general medical journals (The Lancet, British Medical Journal--BMJ, Journal of American Medical Association--JAMA, New England Journal of Medicine--NEJM, and Annals of Internal Medicine--AIM) toward the issues of collective violence. We calculated the proportion of war-related articles in the total number of articles published in these five high-impact journals, and in the total number of articles indexed in PubMed during the last 60 years. The results showed a continuous increase in the proportion of war-related articles. Our findings suggest that the leading general medical journals have taken an active editorial stance toward the issues of war and peace. We conclude that high-impact medical journals can make an important contribution to efforts aimed at reducing the risks and consequences of war and violence.

  11. Response to depression treatment in the Aging Brain Care Medical Home model

    PubMed Central

    LaMantia, Michael A; Perkins, Anthony J; Gao, Sujuan; Austrom, Mary G; Alder, Cathy A; French, Dustin D; Litzelman, Debra K; Cottingham, Ann H; Boustani, Malaz A

    2016-01-01

    Objective To evaluate the effect of the Aging Brain Care (ABC) Medical Home program’s depression module on patients’ depression severity measurement over time. Design Retrospective chart review. Setting Public hospital system. Participants Patients enrolled in the ABC Medical Home program between October 1, 2012 and March 31, 2014. Methods The response of 773 enrolled patients who had multiple patient health questionnaire-9 (PHQ-9) scores recorded in the ABC Medical Home program’s depression care protocol was evaluated. Repeatedly measured PHQ-9 change scores were the dependent variables in the mixed effects models, and demographic and comorbid medical conditions were tested as potential independent variables while including random effects for time and intercept. Results Among those patients with baseline PHQ-9 scores >10, there was a significant decrease in PHQ-9 scores over time (P<0.001); however, the effect differed by gender (P=0.015). On average, women’s scores (4.5 point drop at 1 month) improved faster than men’s scores (1 point drop at 1 month). Moreover, both men and women had a predicted drop of 7 points (>50% decline from baseline) on the PHQ-9 at 6 months. Conclusion These analyses demonstrate evidence for the sustained effectiveness of the ABC Medical Home program at inducing depression remission outcomes while employing clinical staff who required less formal training than earlier clinical trials. PMID:27826188

  12. Pros and cons for the medical age assessments in unaccompanied minors: a mini-review.

    PubMed

    De Sanctis, Vincenzo; Soliman, Ashraf T; Soliman, Nada A; Elalaily, Rania; Di Maio, Salvatore; Bedair, Elsaid M A; Kassem, Islam; Millimaggi, Giuseppe

    2016-09-13

    Unaccompanied minors refer to immigrants who are under the age of 18 and are not under the care of a parent or legal guardian. Age assessment is used in Europe mainly to establish whether or not an individual is under 18 years of age and therefore eligible for protection under the United Nations' Convention on the Rights of the Child (UN - CRC). EU Member States use a combination of techniques to determine the age of a minor and to certify minor status, including interviews and documentation, physical examinations (anthropometric assessment; sexual maturity assessment; dental observation); psychological and sociological assessment; radiological tests (carpal, dental or collarbone x-rays). All such techniques are criticized as they are often arbitrary, do not take into account ethnic variations, and are based on reference materials that are outdated, invasive and may procure harm to the individuals whose age is assessed. They also generate a margin of error that makes them inaccurate to use. There is a debate about the risks and ethics associated with the use of X-rays for non-medical purposes versus the benefits of more accurate age assessments in the interest of justice. It appears that in European countries many individuals carrying out age assessment do not have sufficient training or are not sufficiently independent enough to be carrying out such assessments. Moreover, there is a lack of standardized approach between countries or even within the same country. Only some countries clearly indicate a margin of error in the results of age assessment examinations but there is no consensus - within and among countries - about the width of such margins in relation to each exams applied. It has been advised that the expert report should give the degree of age probability to allow Magistrate to interpret the age assessment results on the 'balance of probabilities' and give the detainee the right to the rule of the 'benefit of the doubt'. It also addresses concerns

  13. The history of mare volcanism in the Orientale Basin: Mare deposit ages, compositions and morphologies

    NASA Technical Reports Server (NTRS)

    Kadel, S. D.; Greeley, R.; Neukum, G.; Wagner, R.

    1993-01-01

    The eruptive history of mare basalts in the Orientale Basin has been studied, using Lunar Orbiter 4 high-resolution photographs, Zond 8 photographs, and recently acquired Galileo EM-1 multispectral images. This work represents a refined set of compositional data incorporating the use of a linear mixing model for mare compositions, crater count data, and a comprehensive morphologic analysis of Orientale Basin mare deposits. Evidence for multiple eruptive episodes has been found, with compositions ranging from medium- to high-Ti basalt (less than 4 to greater than 6 wt. percent TiO2). Eruptive styles included flood, rille-forming, and shield-forming eruptions. Impact crater densities of mare units in the Orientale Basin enable determination of the ages of these deposits, using the method of Neukum et al. Earliest eruptions of mare basalt in the basin occurred at greater than or equal to 3.80 Ga and the latest eruptions occurred at about 2.3-2.5 Ga. Hence, mare volcanism occurred over a period of nearly 1.5 Ga.

  14. Highlights in IBD Epidemiology and Its Natural History in the Paediatric Age

    PubMed Central

    2013-01-01

    Background. The number of patients of all age brackets diagnosed with Inflammatory Bowel Disease (IBD) has risen dramatically worldwide over the past 50 years. IBD's changing epidemiology suggests that environmental factors play a major role in modifying disease expression. Aim. To review studies carried out worldwide analyzing IBD epidemiology. Methods. A Medline search indicating as keywords “Inflammatory Bowel Disease,” “epidemiology,” “natural history,” “Crohn's Disease,” “Ulcerative Colitis,” and “IBD Unclassified” was performed. A selection of clinical cohort and systematic review studies that were carried out between 2002 and 2013 was reviewed. Studies referring to an earlier date were also considered whenever the data were relevant to our review. Results. The current mean prevalence of IBD in the total population of Western countries is estimated at 1/1,000. The highest prevalence and incidence rates of IBD worldwide are reported from Canada. Just as urbanization and socioeconomic development, the incidence of IBD is rising in China. Conclusions. Multicenter national registers and international networks can provide information on IBD epidemiology and lead to hypotheses about its causes and possible management strategies. The rising trend in the disease's incidence in developing nations suggests that its epidemiological evolution is linked to industrialization and modern Westernized lifestyles. PMID:24454343

  15. Sex-specific mitonuclear epistasis and the evolution of mitochondrial bioenergetics, ageing, and life history in seed beetles.

    PubMed

    Đorđević, Mirko; Stojković, Biljana; Savković, Uroš; Immonen, Elina; Tucić, Nikola; Lazarević, Jelica; Arnqvist, Göran

    2017-02-01

    The role of mitochondrial DNA for the evolution of life-history traits remains debated. We examined mitonuclear effects on the activity of the multisubunit complex of the electron transport chain (ETC) involved in oxidative phosphorylation (OXPHOS) across lines of the seed beetle Acanthoscelides obtectus selected for a short (E) or a long (L) life for more than >160 generations. We constructed and phenotyped mitonuclear introgression lines, which allowed us to assess the independent effects of the evolutionary history of the nuclear and the mitochondrial genome. The nuclear genome was responsible for the largest share of divergence seen in ageing. However, the mitochondrial genome also had sizeable effects, which were sex-specific and expressed primarily as epistatic interactions with the nuclear genome. The effects of mitonuclear disruption were largely consistent with mitonuclear coadaptation. Variation in ETC activity explained a large proportion of variance in ageing and life-history traits and this multivariate relationship differed somewhat between the sexes. In conclusion, mitonuclear epistasis has played an important role in the laboratory evolution of ETC complex activity, ageing, and life histories and these are closely associated. The mitonuclear architecture of evolved differences in life-history traits and mitochondrial bioenergetics was sex-specific.

  16. Daniel Alcides Carrion (1857-1885) and a history of medical martyrdom.

    PubMed

    Chatterjee, Pranab; Chandra, Shivika; Biswas, Tamoghna

    2015-11-01

    Daniel Carrion, a sixth-year medical student, died while investigating the effects of self-inoculation of the causative organism of Oroya Fever and Bartonellosis and thereby contributed to understanding of the disease before the organisms had been identified.

  17. [The life of medical historian Miki Sakae, and the "history of Korean medicine and of diseases in Korea"].

    PubMed

    Kim, Ho

    2005-12-01

    Miki Sakae was a Medical historian, who is well known for his studies of Korean medicine. He authored the renowned trilogy which dealt with subjects of Korean medicine and diseases, namely the "History of Korean Medicine and of Diseases in Korea", "Bibliography of Korean Medical Books", and "The Chronological Table of Medical Events in Korea"), during the Japanese Occupation period. He was born in 1903 in Osaka, Japan, and graduated from the Kyushu College of Medicine. In 1928 he was assigned to the Gyeongseong Imperial University's College of Medicine as a professor, and also served as Chief of the Suweon Provincial Hospital while he was staying in Korea. During the 18-year period of his stay, he widely collected medical books of Korea and also thoroughly studied them. He returned to Japan in 1944 due to the illness of his father, but continued his studies of Korean medicine, and in 1955 published the "History of Korean Medicine and of Diseases in Korea" for the first time. Following such accomplishment, "Bibliography of Korean Medical Books" was published in 1956, the next year, and finally "The Chronological Table of Medical Events in Korea" was published a few decades later, in 1985. Since the 1950s, aside of continuing to study and author the history of Korean medicine, he had also engaged himself in a joint effort associated with the members of the Medical History Association of Japan (which also included the alumni of the Kyushu College of Medicine) in a group study of Huseya Soteki, the first Japanese Experimental Physiologist. He also attempted at establishing an academic branch which could be referred to as Experimental Historical Studies of Medicine, by recreating the experiments of Huseya Soteki with his own son. Later he also expanded his interest and studies to the medical history of the world and also the area of Medical Ethics. But his ultimate interest and passion were always targeted at the Medicine of Korea, and the one consistent position he

  18. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Mycosis Fungoides and Sézary Syndrome: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Aschebrook-Kilfoy, Briseis; Cocco, Pierluigi; La Vecchia, Carlo; Chang, Ellen T.; Vajdic, Claire M.; Kadin, Marshall E.; Spinelli, John J.; Morton, Lindsay M.; Kane, Eleanor V.; Sampson, Joshua N.; Kasten, Carol; Feldman, Andrew L.; Wang, Sophia S.

    2014-01-01

    Background Mycosis fungoides and Sézary syndrome (MF/SS) are rare cutaneous T-cell lymphomas. Their etiology is poorly understood. Methods A pooled analysis of 324 MF/SS cases and 17217 controls from 14 case–control studies from Europe, North America, and Australia, as part of the International Lymphoma Epidemiology Consortium (InterLymph) Non-Hodgkin Lymphoma (NHL) Subtypes Project, was carried out to investigate associations with lifestyle, medical history, family history, and occupational risk factors. Multivariate logistic regression models were used to calculate odds ratios (OR) and 95% confidence intervals (CI). Results We found an increased risk of MF/SS associated with body mass index equal to or larger than 30kg/m2 (OR = 1.57, 95% CI = 1.03 to 2.40), cigarette smoking for 40 years or more (OR = 1.55, 95% CI = 1.04 to 2.31), eczema (OR = 2.38, 95% CI = 1.73 to 3.29), family history of multiple myeloma (OR = 8.49, 95% CI = 3.31 to 21.80), and occupation as crop and vegetable farmers (OR = 2.37, 95% CI = 1.14 to 4.92), painters (OR = 3.71, 95% CI = 1.94 to 7.07), woodworkers (OR = 2.20, 95% CI = 1.18 to 4.08), and general carpenters (OR = 4.07, 95% CI = 1.54 to 10.75). We also found a reduced risk of MF/SS associated with moderate leisure time physical activity (OR = 0.46, 95% CI = 0.22 to 0.97). Conclusions Our study provided the first detailed analysis of risk factors for MF/SS and further investigation is needed to confirm these findings in prospective data and in other populations. PMID:25174030

  19. State of Digital Education Options in the areas of Medical Terminology and the History, Theory and Ethics of Medicine

    PubMed Central

    Schochow, Maximilian; Steger, Florian

    2015-01-01

    Background: Institutes of the history of medicine, the theory of medicine, and medical ethics at German institutions of higher learning have created various e-learning options that are based on different learning platforms and tailored to the specific curricular needs of individual teaching. Up to now no valid data has been available about the types of such e-learning options as well as possibilities of future developments thanks to coordinated cooperation among the different institutes. Methods: Of 31 German institutes of the history and theory of medicine and medical ethics that were asked to fill out a questionnaire, 30 answered, which equals a return rate of 97 per cent. The questionnaire was completed between July and August 2012 using a telephone survey. Results: Available to students online, digitally interactive teaching tools have boomed in the course of the last few years at German institutes of the history of medicine, the theory of medicine, and medical ethics. This trend is also reflected in a willingness of more than half of the respective departments (67 per cent) to expand their e-learning options on the basis of previous experience. The offered e-learning systems are accepted very well by the students. 57 per cent of the institutes stated, that 90-100 per cent of the students use the offered systems regularly. E-learning courses for terminology are offered particularly often, this is also reflected in the intended extension of these courses by the majority of institutes which plan to expand their e-learning systems. Conclusions: This article discusses the results of a comprehensive empirical survey about e-learning. It illustrates ways in which individual German institutes plan to expand their e-learning options in the future. Finally, specific proposals for cooperation among institutions (not just online) are introduced, the purpose of which is to produce synergy in e-learning. PMID:26038682

  20. Women healers of the middle ages: selected aspects of their history.

    PubMed

    Minkowski, W L

    1992-02-01

    The stellar role of women as healers during the Middle Ages has received some attention from medical historians but remains little known or appreciated. In the three centuries preceding the Renaissance, this role was heightened by two roughly parallel developments. The first was the evolution of European universities and their professional schools that, for the most part, systematically excluded women as students, thereby creating a legal male monopoly of the practice of medicine. Ineligible as healers, women waged a lengthy battle to maintain their right to care for the sick and injured. The 1322 case of Jacqueline Felicie, one of many healers charged with illegally practicing medicine, raises serious questions about the motives of male physicians in discrediting these women as incompetent and dangerous. The second development was the campaign--promoted by the church and supported by both clerical and civil authorities--to brand women healers as witches. Perhaps the church perceived these women, with their special, often esoteric, healing skills, as a threat to its supremacy in the lives of its parishioners. The result was the brutal persecution of unknown numbers of mostly peasant women.

  1. Women healers of the middle ages: selected aspects of their history.

    PubMed Central

    Minkowski, W L

    1992-01-01

    The stellar role of women as healers during the Middle Ages has received some attention from medical historians but remains little known or appreciated. In the three centuries preceding the Renaissance, this role was heightened by two roughly parallel developments. The first was the evolution of European universities and their professional schools that, for the most part, systematically excluded women as students, thereby creating a legal male monopoly of the practice of medicine. Ineligible as healers, women waged a lengthy battle to maintain their right to care for the sick and injured. The 1322 case of Jacqueline Felicie, one of many healers charged with illegally practicing medicine, raises serious questions about the motives of male physicians in discrediting these women as incompetent and dangerous. The second development was the campaign--promoted by the church and supported by both clerical and civil authorities--to brand women healers as witches. Perhaps the church perceived these women, with their special, often esoteric, healing skills, as a threat to its supremacy in the lives of its parishioners. The result was the brutal persecution of unknown numbers of mostly peasant women. Images p290-a p291-a PMID:1739168

  2. Why do women stop reproducing before menopause? A life-history approach to age at last birth.

    PubMed

    Towner, Mary C; Nenko, Ilona; Walton, Savannah E

    2016-04-19

    Evolutionary biologists have long considered menopause to be a fundamental puzzle in understanding human fertility behaviour, as post-menopausal women are no longer physiologically capable of direct reproduction. Menopause typically occurs between 45 and 55 years of age, but across cultures and history, women often stop reproducing many years before menopause. Unlike age at first reproduction or even birth spacing, a woman nearing the end of her reproductive cycle is able to reflect upon the offspring she already has--their numbers and phenotypic qualities, including sexes. This paper reviews demographic data on age at last birth both across and within societies, and also presents a case study of age at last birth in rural Bangladeshi women. In this Bangladeshi sample, age at last birth preceded age at menopause by an average of 11 years, with marked variation around that mean, even during a period of high fertility. Moreover, age at last birth was not strongly related to age at menopause. Our literature review and case study provide evidence that stopping behaviour needs to be more closely examined as an important part of human reproductive strategies and life-history theory. Menopause may be a final marker of permanent reproductive cessation, but it is only one piece of the evolutionary puzzle.

  3. New terrace ages better constrain the uplift history for the Mejillones Peninsula, northern Chile

    NASA Astrophysics Data System (ADS)

    Liermann, Ariane; Dunai, Tibor; Binnie, Steven; Heinze, Stefan; Dewald, Alfred; Victor, Pia; González, Gabriel

    2013-04-01

    The Mejillones Peninsula is a promontory extending spectacularly from the northern Chilean coastline. The peninsula is marked by well preserved marine terraces extending from just above sea-level to greater than 400 m. These staircased planar expressions result from a combination of glacioeustatic sea-level fluctuation and tectonic uplift. It has been shown by several studies that such terraces are formed during interglacial marine high-stands and are preserved because of abandonment in intervening sea-level low-stands. Post Mid Pleistocene transition high-stands (MIS 1 to 19) were within 10 m of the current sea-level (Siddall et al. 2006). We present cosmogenic 10Be exposure ages from marine pebbles deposited on the surface of the terraces when they were at sea-level in order to constrain the uplift history of the northwestern highland part of the peninsula. Based on the mean age (n=10) of the oldest terrace measured (~140 m) we obtain an average uplift rate of ~0.3 m/ka for the last ~465 ka. This average uplift rate can be subdivided into a recent slower and an older, more rapid rate. The average uplift rate between ~465 and ~280 ka was ~0.6 m/ka, and based on the observed linear increase in age with altitude the uplift was steady throughout this period. However, for the last ~280 ka we calculate a slower uplift rate of ~0.1 m/ka. Tracing the surface expressions of the marine terraces northwards we observe an anomalous increase of >100 m elevation over length-scales of ~2 km. This suggests different amounts of tectonic uplift for adjacent regions within the northern part of the peninsula. From a single terrace surface (288m) in the more elevated region we measured an exposure age of ~405 ka, compatible with the temporal framework of uplift defined by the lower elevation ages. However, the higher altitude of this terrace, in comparison to the adjacent, lower region suggests a more rapid rate of uplift (~0.7 m/ka) and thus differential uplift within the northern

  4. Correction: Washington and Geneva arrive in Buenos Aires: notes on the history of the habit of smoking and its medicalization.

    PubMed

    2015-12-01

    [This corrects the article DOI: 10.1590/S0104-59702015000100017.]. Upon request of the author, the article "Washington and Geneva come to Buenos Aires: notes on the history of smoking and its medicalization" by Diego Armus, publicado em História, Ciências, Saúde - Manguinhos, v.22, n.1 , Jan.-Mar. 2015:on page 301, second paragraph, sixth line, where it says " It was only in 2012 when Argentina ratified the agreement and the National Congress approved a new national law" it should read "It was only in 2012, without having ratified the convention, when the National Congress approved a new national law. "

  5. Human Papillomavirus vaccination in general practice in France, three years after the implementation of a targeted vaccine recommendation based on age and sexual history.

    PubMed

    Thierry, Pascale; Lasserre, Andrea; Rossignol, Louise; Kernéis, Solen; Blaizeau, Fanette; Stheneur, Chantal; Blanchon, Thierry; Levy-Bruhl, Daniel; Hanslik, Thomas

    2016-01-01

    In France, vaccination against human papilloma virus (HPV) was recommended in 2007 for all 14-year-old girls as well as "catch-up" vaccination for girls between 15-23 y of age either before or within one year of becoming sexually active. We evaluated the vaccine coverage according to the eligibility for vaccination in a sample of young girls aged 14 to 23 years, who were seen in general practices. A survey was proposed to 706 general practitioners (GPs) and carried out from July to September 2010. GPs, also called "family doctor," are physicians whose practice is not restricted to a specific field of medicine but instead covers a variety of medical problems in patients of all ages. Each participating GP included, retrospectively, the last female patient aged 14-17 y and the last female patient aged 18-23 y whom he had seen. A questionnaire collected information regarding the GP and the patients' characteristics. The vaccine coverage was determined according to the eligibility for vaccination, i.e. the coverage among younger women (14-17) and among those sexually active in the second age range (18-23). Sexual activity status was assessed by GP, according to information stated in the medical record. The 363 participating physicians (response rate 51.4%) included 712 patients (357 in the 14- to 17-year-old group and 355 in the 15- to 23-year-old group) in their responses. The rate of the vaccination coverage in the 14- to 17-year-old group was 55%. Among the girls in the 18- to 23-year-old group, 126 were eligible, and their vaccination coverage rate was 82%. The evaluation of the eligibility by the GPs was incorrect in 36% of the cases. Of the 712 patients, 6% of the girls had been vaccinated without a need for the vaccination, and 26% of the girls had not been vaccinated, although they needed to be vaccinated. Regarding the vaccine uptake, vaccination at the age of 14 was not as effective as vaccinating the older population for which vaccination was indicated as a

  6. [From otoscope to ophthalmoscope and back. The interwoven history of their invention and introduction into medical practice. Pictures from the history of otorhinolaryngology, illustrated by instruments from the collection of the Ingolstadt German Medical History Museum].

    PubMed

    Feldmann, H

    1995-11-01

    Friedrich Hofmann, medical officer in Burgsteinfurt, Westphalia, Germany, in 1841 described a concave mirror with a central aperture in it as the ideal instrument that allowed reflecting and focussing light into the external auditory canal and simultaneously inspecting the tympanic membrane without obstructing either the light or the view. He recommended his device also for the inspection of other concealed regions of the body. His invention was referred to by Martell Frank in his textbook of otology in 1845, but otherwise attracted no attention. Hermann Helmholtz, physiologist in Königsberg, East Prussia, devised his ophthalmoscope in 1850-51 in order to study the phenomenon of glowing eyes. With this instrument he was the first to see the retina of a living human. As means of illumination he used small panes of glass similar to cover-glasses which were introduced into the common visual axis of the observer and the subject at such an angle that light from a lamp was reflected into the subject's eye while the observer inspected the subject's retina through the glass and an appropriate lens. He recommended this type of illumination also for otoscopy. His invention was at once acclaimed throughout the world and opened completely new opportunities in ophthalmology. The slanting panes of glass, however, were not the ideal solution for illumination. It was only one year later that Ruete in Göttingen replaced them with a concave mirror with a central aperture, and there is every indication that Frank's report on Hofmann's mirror had suggested this technique to him. During the following two years quite a number of other modifications of the ophthalmoscope were constructed, all of them using the concave mirror with a central aperture, which soon became synonymous with the ophthalmoscope as such. Von Tröltsch, otologist and ophthalmologist in Würzburg, presented a concave mirror with a central aperture for otoscopy in Paris in 1855-56. His instrument was obviously

  7. [For a history of medical teaching in the 'Marche". Libraries and universities: Lancisi and the University Library of Urbino].

    PubMed

    Fortuna, Stefania; Moranti, Maria; Patti, Maria

    2004-01-01

    During the Modern Age, in the Marche, in the Pontifical State, it was possible to study medicine and to obtain a degree in medicine in Macerata, Fermo, Urbino, Camerino and Fano. In these cities, from the end of the XVII century to the beginning of the XIX century, public libraries were founded also to support academic teaching. Private collections of medical books, generally formed in Rome, arrived in the Marche to increase the newborn public libraries. In 1720 Pope Clemens XI founded a public library in the monastery of Saint Francis in Urbino. In this library the medical books were bequeathed by the famous Roman physician Giovanni Maria Lancisi. The present article provides the first results of a research, which aims at identifying Lancisi's medical books.

  8. History of neurosciences at the School of Medical Sciences, Universiti Sains Malaysia.

    PubMed

    Idris, Badrisyah; Sayuti, Sani; Abdullah, Jafri Malin

    2007-02-01

    Universiti Sains Malaysia is the only institution in Malaysia which incorporates all fields of the neurosciences under one roof. The integration of basic and clinical neurosciences has made it possible for this institution to become an excellent academic and research centre. This article describes the history, academic contributions and scientific progress of neurosciences at Universiti Sains Malaysia.

  9. Veterinary Homeopathy: The Implications of Its History for Unorthodox Veterinary Concepts and Veterinary Medical Education.

    ERIC Educational Resources Information Center

    Coulter, Dwight B.

    1979-01-01

    The history of veterinary homeopathy, its future and implications are discussed. The need for investigation into the validity of both allopathic and homeopathic claims is stressed and it is suggested that maintenance of quality is the key factor in any approach. (BH)

  10. Behavioral Management of Medical Compliance: Its Role in the History of Group Psychotherapy.

    ERIC Educational Resources Information Center

    Harris, Ben; Lightner, Jean

    Most histories of psychology and psychiatry attribute the first group psychotherapy to Joseph Pratt's 1905 class for tuberculosis patients. Pratt's actual treatment procedures are examined. They are shown to have consisted primarily of operant and social-learning techniques, aimed at increasing patient compliance with a demanding therapeutic…

  11. Death and Doctor Hornbook by Robert Burns: a view from medical history.

    PubMed

    Nicolson, Malcolm

    2010-06-01

    Robert Burns's poem, Death and Doctor Hornbook, 1785, tells of the drunken narrator's late night encounter with Death. The Grim Reaper is annoyed that ‘Dr Hornbook’, a local schoolteacher who has taken to selling medications and giving medical advice, is successfully thwarting his efforts to gather victims. The poet fears that the local gravedigger will be unemployed but Death reassures him that this will not be the case since Hornbook kills more than he cures. Previous commentators have regarded the poem as a simple satire on amateur doctoring. However, it is here argued that, if interpreted in the light of the exoteric and inclusive character of 18th century medical knowledge and practice, the poem is revealed to have a much broader reference as well as being more subtle and morally ambiguous. It is a satire on 18th century medicine as a whole.

  12. A brief history of graduate medical education in Washington, Alaska, Montana, and Idaho.

    PubMed Central

    Dale, D C

    1989-01-01

    Internships and hospital-based medical education preceded by more than 40 years the beginnings of a medical school in Washington State. Just after the turn of the 20th century, a few internships were begun by hospitals in Seattle and Spokane to help with the care of their sicker patients in the tradition of Eastern teaching hospitals. In the 1920s and 1930s, the number of hospitals with internship programs grew steadily as part of a nationwide effort at hospital standardization. Experiences in developing these programs and problems with intern recruitment contributed to the beginning of the University of Washington School of Medicine after World War II. Since the 1960s, intern and resident training has progressively become a cooperative effort of the school with many hospitals and clinics in Washington, Alaska, Montana, and Idaho contributing to the development of graduate medical education in this region. PMID:2660418

  13. Prosthodontic treatment in a partially edentulous patient with a complex medical history of epilepsy and deep vein thrombosis: a case report.

    PubMed

    Kosyfaki, Panagiota; Woerner, Wolf; Att, Wael

    2011-05-01

    This report describes the prosthodontic rehabilitation of a partially edentulous patient by means of a maxillary implant-supported removable dental prosthesis and mandibular telescopic crown prosthesis. Due to the patient's contributory medical history for epilepsy and deep vein thrombosis, clinical management considerations are outlined along with an evidence-based, medically oriented treatment sequence concerning the surgical and prosthodontic stages of the case.

  14. Durable Medical Equipment for Children With Spinal Cord Dysfunction: Implications of Age and Level of Injury

    PubMed Central

    Nelson, Virginia S

    2007-01-01

    Background: Children with spinal cord dysfunction interact with their environment in different ways than their able-bodied peers. To enable them to participate in typical, age-appropriate activities, they must be provided with various types of equipment. Choosing from available options involves a team approach. Summary: This article discusses general types of durable medical equipment for mobility (wheelchairs, strollers, standers), communication (including augmentative communication devices and computers), self-care, and recreation. Provision of this equipment for these children enhances their ability to learn and to take part in everyday activities and improves their quality of life. PMID:17874704

  15. The Role of History in Debates Regarding the Boundaries of Medical Confidentiality and Privacy.

    PubMed

    Ferguson, Angus H

    2015-08-01

    Medical confidentiality and privacy are often given a long pedigree as core issues in medical ethics that can be traced back to the Hippocratic Oath. However, it is only recently that focused historical work has begun to examine and analyse in greater detail how the boundaries of medical confidentiality and privacy have evolved within a variety of cultural contexts during the modern period. Such research illustrates the ways in which this process has been shaped by a range of issues, individuals, interest groups and events; and been influenced as much by pragmatic concerns as by theoretical arguments. This paper presents a case for the merits of promoting further historical work on these topics. It suggests that greater support for, and recognition of, historical research has a number of potential benefits. These include providing meaningful context to current interdisciplinary discussions of the collection and use of patient information; improving knowledge and understanding of the foundations on which current policy and practice are built; and promoting public engagement and understanding of the evolution of medical confidentiality and privacy as complex public interest issues.

  16. Machine learning for medical diagnosis: history, state of the art and perspective.

    PubMed

    Kononenko, I

    2001-08-01

    The paper provides an overview of the development of intelligent data analysis in medicine from a machine learning perspective: a historical view, a state-of-the-art view, and a view on some future trends in this subfield of applied artificial intelligence. The paper is not intended to provide a comprehensive overview but rather describes some subareas and directions which from my personal point of view seem to be important for applying machine learning in medical diagnosis. In the historical overview, I emphasize the naive Bayesian classifier, neural networks and decision trees. I present a comparison of some state-of-the-art systems, representatives from each branch of machine learning, when applied to several medical diagnostic tasks. The future trends are illustrated by two case studies. The first describes a recently developed method for dealing with reliability of decisions of classifiers, which seems to be promising for intelligent data analysis in medicine. The second describes an approach to using machine learning in order to verify some unexplained phenomena from complementary medicine, which is not (yet) approved by the orthodox medical community but could in the future play an important role in overall medical diagnosis and treatment.

  17. History of Medicine in Iran The Oldest Known Medical Treatise in the Persian Language

    PubMed Central

    Nayernouri, T; Azizi, MH

    2011-01-01

    In this article, we describe some features of a rediscovered medical text written in old Persian (Farsi Dari) over one thousand years ago and discuss some of its significant attributes in relation to the historical background of the Iranian scientific and literary renaissance of that era. PMID:25197537

  18. The Role of History in Debates Regarding the Boundaries of Medical Confidentiality and Privacy

    PubMed Central

    Ferguson, Angus H.

    2016-01-01

    Medical confidentiality and privacy are often given a long pedigree as core issues in medical ethics that can be traced back to the Hippocratic Oath. However, it is only recently that focused historical work has begun to examine and analyse in greater detail how the boundaries of medical confidentiality and privacy have evolved within a variety of cultural contexts during the modern period. Such research illustrates the ways in which this process has been shaped by a range of issues, individuals, interest groups and events; and been influenced as much by pragmatic concerns as by theoretical arguments. This paper presents a case for the merits of promoting further historical work on these topics. It suggests that greater support for, and recognition of, historical research has a number of potential benefits. These include providing meaningful context to current interdisciplinary discussions of the collection and use of patient information; improving knowledge and understanding of the foundations on which current policy and practice are built; and promoting public engagement and understanding of the evolution of medical confidentiality and privacy as complex public interest issues. PMID:26877972

  19. Selective Serotonin Reuptake Inhibitors: Medical History of Fatally Injured Aviation Accident Pilots

    DTIC Science & Technology

    2007-07-01

    Civil Aviation Safety Authority; 2005 Sep. 13. Silberman WS. Medications in civil aviation: what is acceptable and what is not? Aviat Space Environ Med...2003; 74:85–6. 14. Silberman WS. SSRI policy reminder. Fed Air Surg Med Bull 2005; 43(2):9. 15. Sweetman SC, ed. Martindale: the complete drug

  20. The Dark Ages of Education and a New Hope: Teaching Native American History in Maine Schools

    ERIC Educational Resources Information Center

    Loring, Donna

    2009-01-01

    In 2001, the author wrote legislation that required all public schools in Maine to teach Maine Indian history. On June 14 of that year, Gov. Angus King signed "An Act to Require Maine Native American History and Culture in Maine's Schools" into law--the first of its kind in the U.S. What makes the law unique is its requirement that…

  1. Accuracy of reported family history and effectiveness of medical record requests in genetic counseling for Alzheimer disease.

    PubMed

    Alexander, Emily L R; Butler, Rachel K; Guimond, Colleen; Butler, Blair; Sadovnick, A Dessa

    2011-04-01

    The University of British Columbia Hospital Clinic for Alzheimer Disease and Related Disorders (UBCH-CARD) invests significant effort to obtain medical records for the confirmation of patient-reported family histories of dementia. The effectiveness of requesting these records was assessed through a review of the 275 requests made by UBCH-CARD genetic counselors during the 24-month period of January 1, 2005-December 31, 2006. The results were categorized according to outcome. Useful medical records were obtained from 92 (33.5%) requests: 77 (28%) records supported, and 15 (5.5%) records did not support, the patient-reported information. An additional 20 (7.5%) requests yielded only vague information. When verification was possible, patient-reported family histories of Alzheimer disease, dementia, or memory loss were accurate in 84% of cases. During the study period, almost 500 h of genetic counselor work time was spent obtaining, reviewing, and following-up on records received. Changes made to UBCH-CARD procedure in response to these findings are discussed.

  2. Psychological adaptation to spousal bereavement in old age: The role of trait resilience, marital history, and context of death.

    PubMed

    Spahni, Stefanie; Bennett, Kate M; Perrig-Chiello, Pasqualina

    2016-01-01

    This research examined the effect of marital status and gender on various indicators of psychological adaptation, namely depressive symptoms, loneliness, and life satisfaction. It further explores the role of trait resilience, marital history, and context of death for predicting these outcomes in bereaved individuals. Four hundred eighty widowed individuals aged between 60 and 89 were compared with 759 married peers. Main effects were found for marital status and gender for all indicators. The regression analyses illustrate the multifaceted structure of psychological adaptation. Trait resilience is a key factor in adapting to spousal bereavement, whereas marital history and the context are secondary.

  3. BC's "Island of death" marked a sad chapter in Canada's medical history.

    PubMed Central

    Johnston, P

    1995-01-01

    Although the first case of leprosy in Canada was detected in 1815 in New Brunswick, the saddest chapter concerning the disease's history in Canada did not open until the late 1800s when leprosy was discovered among Chinese migrant workers on Canada's West Coast--a chapter that was not closed until 1957. Penelope Johnston relates the story of British Columbia's "Island of Death," where lepers used to be quarantined. PMID:7697589

  4. BC's "Island of death" marked a sad chapter in Canada's medical history.

    PubMed

    Johnston, P

    1995-03-15

    Although the first case of leprosy in Canada was detected in 1815 in New Brunswick, the saddest chapter concerning the disease's history in Canada did not open until the late 1800s when leprosy was discovered among Chinese migrant workers on Canada's West Coast--a chapter that was not closed until 1957. Penelope Johnston relates the story of British Columbia's "Island of Death," where lepers used to be quarantined.

  5. Social Information Processing in Elementary-School Aged Children with ADHD: Medication Effects and Comparisons with Typical Children

    ERIC Educational Resources Information Center

    King, Sara; Waschbusch, Daniel A.; Pelham, William E., Jr.; Frankland, Bradley W.; Andrade, Brendan F.; Jacques, Sophie; Corkum, Penny V.

    2009-01-01

    Examined social information processing (SIP) in medicated and unmedicated children with ADHD and in controls. Participants were 75 children (56 boys, 19 girls) aged 6-12 years, including 41 children with ADHD and 34 controls. Children were randomized into medication conditions such that 20 children with ADHD participated after receiving placebo…

  6. A History of Alcohol Dependence Augments HIV-associated Neurocognitive Deficits in Persons Aged 60 and Older

    PubMed Central

    Gongvatana, Assawin; Morgan, Erin E.; Iudicello, Jennifer E.; Letendre, Scott L.; Grant, Igor; Woods, Steven Paul

    2014-01-01

    Background Excessive alcohol use is common among people living with HIV. Given the growing prevalence of older HIV+ adults, and observations indicating higher risk for neurocognitive impairment in older adults with either HIV infection or alcoholism, an increased understanding of their combined impact in the context of this increasingly aged population is crucial. Methods We conducted comprehensive neurocognitive assessment in 112 older HIV+ individuals aged 50 to 69 years. Regression analyses were conducted to examine the interaction between age and the presence of lifetime alcohol dependence on neurocognitive measures, controlling for years of education, hepatitis C serostatus, and lifetime non-alcohol substance use disorder. Results Significant interactions of age and alcohol dependence history were found for global neurocognitive function, which was driven by the domains of executive function, processing speed, and semantic memory. Follow-up analyses indicated adverse effects of alcohol use history on neurocognitive measures that were evident only in HIV+ individuals 60 years and older. Conclusions While mounting evidence in younger cohorts indicates adverse synergistic HIV/alcohol effects on neurocognitive function, our novel preliminary findings in this elderly HIV+ cohort demonstrated the importance of even a relatively distant alcohol use history on the expression of HIV-associated neurocognitive disorders that may not become apparent until much later in life. PMID:25201556

  7. A 4-Gyr shock age for a martian meteorite and implications for the cratering history of Mars

    NASA Astrophysics Data System (ADS)

    Ash, R. D.; Knott, S. F.; Turner, G.

    1996-03-01

    ANALYSES of meteorites that originated on Mars provide important insights into the geological and atmospheric evolution of the planet. Such analyses have hitherto been restricted to relatively young martian rocks1 (the oldest martian meteorites have an age of approximately 1.3 billion years). But the recently recognized2 martian meteorite, Allan Hills 84001, which is distinct from the other martian meteorites2-4, shows evidence for a much older age5,6. Here we report an analysis of the shock-alteration history of this meteorite based on argon isotope dating, from which we derive a shock age of 4.0 +/- 0.1 billion years. The age and geological history of this meteorite suggest that it came from the heavily cratered Noachian-age terrains of Mars's southern hemisphere, and it may thus provide an absolute chronology for this region of the planet, independent of that inferred from the cratering record. The shock age of the meteorite also coincides with that of the so-called Lunar Cataclysm (a relatively short period during which many of the craters on the Moon are believed to have formed), supporting the idea7 that intense bombardment was widespread throughout the inner Solar System between 3.9 and 4.1 billion years ago.

  8. Accessing to electronic medical history using a mobility intra hospital system.

    PubMed

    Guillén, Sergio; Traver, Vicente; Monton, Eduardo; Castellano, Elena; Valdivieso, Bernardo; Valero, Manuel Regaña

    2011-01-01

    The aim of this paper is to describe the solution that has been developed in Valencia Region (Spain) to provide health professionals (physicians and nurses) access to all the functionalities of a Hospital Information System (HIS) already available at fixed clients workstations. These functionalities are adapted to the care process carried out at patient bedside. In this way, professionals will have access to treatment and administration, recording of vital signs, nursing assessment, scales, care plan, extractions, medical records, progress notes so that they have all necessary information at the bedside, and record swiftly changes that occur in-situ. In addition, clinical safety is reinforced, including RFID patient identification mechanisms and barcode readers for blood samples or unidosis medication.

  9. Evolving medical service in the information age: a legal analysis of applying telemedicine programs in Taiwan.

    PubMed

    Wu, Hsing-Hao

    2008-12-01

    In the face of the information age, Internet and telecommunication technologies have been widely applied in various settings. These innovational technologies have been used in the areas of e-commerce, long distance learning programs, entertainment, e-government, and so on. In recent years, the evolution of Internet technology is also pervading the health care industry. This dramatic trend may significantly alter traditional medical practice as well as the means of delivery of health care. The idea of telemedicine is to use modern information technology as a means or platform to deliver health care service in remote areas and to manage medical information in digitalized forms. The progress of developing telemedicine, however, is rather slow. The main reason for this slow progress is not technological but rather legal. Health care providers are reluctant to promote this innovation in medical service mainly due to uncertain legal consequences and ethical concerns. Although there are many legal challenges surrounding telemedicine, this note will examine major legal issues including licensure, malpractice liability, and privacy protection. Furthermore, I will discuss the potential of applying telemedicine programs in Taiwan's National Health Insurance Program (hereinafter referred to as NHI).

  10. 47,XXY Klinefelter syndrome: clinical characteristics and age-specific recommendations for medical management.

    PubMed

    Aksglaede, Lise; Link, Katarina; Giwercman, Aleksander; Jørgensen, Niels; Skakkebaek, Niels E; Juul, Anders

    2013-02-15

    47,XXY (Klinefelter syndrome) is the most frequent sex chromosomal disorder and affects approximately one in 660 newborn boys. The syndrome is characterized by varying degrees of cognitive, social, behavioral, and learning difficulties and in adulthood additionally primary testicular failure with small testes, hypergonadotropic hypogonadism, tall stature, and eunuchoid body proportions. The phenotype is variable ranging from "near-normal" to a significantly affected individual. In addition, newborns with Klinefelter syndrome generally present with a normal male phenotype and the only consistent clinical finding in KS is small testes, that are most often not identified until after puberty. Decreased awareness of this syndrome among health professionals and a general perception that all patients with 47,XXY exhibit the classic textbook phenotype results in a highly under-diagnosed condition with up to 75% of the patients left undetected. Typically, diagnosis is delayed with the majority of patients identified during fertility workup in adulthood, and only 10% of patients diagnosed prior to puberty. Early detection of this syndrome is recommended in order to offer treatment and intervention at the appropriate ages and stages of development for the purpose of preventing osteopenia/osteoporosis, metabolic syndrome, and other medical conditions related to hypogonadism and to the XXY as well as minimizing potential learning and psychosocial problems. The aim of this review is to present the clinical aspects of XXY and the age-specific recommendations for medical management. © 2013 Wiley Periodicals, Inc.

  11. What shall I do now? State-dependent variations of life-history traits with aging in Wandering Albatrosses.

    PubMed

    Pardo, Deborah; Barbraud, Christophe; Weimerskirch, Henri

    2014-02-01

    Allocation decisions depend on an organism's condition which can change with age. Two opposite changes in life-history traits are predicted in the presence of senescence: either an increase in breeding performance in late age associated with terminal investment or a decrease due to either life-history trade-offs between current breeding and future survival or decreased efficiency at old age. Age variation in several life-history traits has been detected in a number of species, and demographic performances of individuals in a given year are influenced by their reproductive state the previous year. Few studies have, however, examined state-dependent variation in life-history traits with aging, and they focused mainly on a dichotomy of successful versus failed breeding and non-breeding birds. Using a 50-year dataset on the long-lived quasi-biennial breeding wandering albatross, we investigated variations in life-history traits with aging according to a gradient of states corresponding to potential costs of reproduction the previous year (in ascending order): non-breeding birds staying at sea or present at breeding grounds, breeding birds that failed early, late or were successful. We used multistate models to study survival and decompose reproduction into four components (probabilities of return, breeding, hatching, and fledging), while accounting for imperfect detection. Our results suggest the possible existence of two strategies in the population: strict biennial breeders that exhibited almost no reproductive senescence and quasi-biennial breeders that showed an increased breeding frequency with a strong and moderate senescence on hatching and fledging probabilities, respectively. The patterns observed on survival were contrary to our predictions, suggesting an influence of individual quality rather than trade-offs between reproduction and survival at late ages. This work represents a step further into understanding the evolutionary ecology of senescence and its

  12. What shall I do now? State-dependent variations of life-history traits with aging in Wandering Albatrosses

    PubMed Central

    Pardo, Deborah; Barbraud, Christophe; Weimerskirch, Henri

    2014-01-01

    Allocation decisions depend on an organism's condition which can change with age. Two opposite changes in life-history traits are predicted in the presence of senescence: either an increase in breeding performance in late age associated with terminal investment or a decrease due to either life-history trade-offs between current breeding and future survival or decreased efficiency at old age. Age variation in several life-history traits has been detected in a number of species, and demographic performances of individuals in a given year are influenced by their reproductive state the previous year. Few studies have, however, examined state-dependent variation in life-history traits with aging, and they focused mainly on a dichotomy of successful versus failed breeding and non-breeding birds. Using a 50-year dataset on the long-lived quasi-biennial breeding wandering albatross, we investigated variations in life-history traits with aging according to a gradient of states corresponding to potential costs of reproduction the previous year (in ascending order): non-breeding birds staying at sea or present at breeding grounds, breeding birds that failed early, late or were successful. We used multistate models to study survival and decompose reproduction into four components (probabilities of return, breeding, hatching, and fledging), while accounting for imperfect detection. Our results suggest the possible existence of two strategies in the population: strict biennial breeders that exhibited almost no reproductive senescence and quasi-biennial breeders that showed an increased breeding frequency with a strong and moderate senescence on hatching and fledging probabilities, respectively. The patterns observed on survival were contrary to our predictions, suggesting an influence of individual quality rather than trade-offs between reproduction and survival at late ages. This work represents a step further into understanding the evolutionary ecology of senescence and its

  13. Reconstructing the history of major Greenland glaciers since the Little Ice Age

    NASA Astrophysics Data System (ADS)

    Csatho, B. M.; Schenk, A. F.; van der Veen, C. J.; Stearns, L.; Babonis, G. S.

    2008-12-01

    The Greenland Ice Sheet may have been responsible for rapid sea level rise during the last interglacial period and recent studies indicate that it is likely to make a faster contribution to sea-level rise than previously believed. Rapid thinning and velocity increase has been observed on most major outlet glaciers with terminus retreat that might lead to increased discharge from the interior and consequent further thinning and retreat. Potentially, such behavior could have serious implications for global sea level. However, the current thinning may simply be a manifestation of longer-term behavior of the ice sheet as it responds to the general warming following the Little Ice Age (LIA). Although Greenland outlet glaciers have been comprehensively monitored since the 1980s, studies of long-term changes mostly rely on records of the calving front position. Such records can be misleading because the glacier terminus, particularly if it is afloat, can either advance or retreat as ice further upstream thins and accelerates. To assess whether recent trends deviate from longer-term behavior, we examined three rapidly thinning and retreating outlet glaciers, Jakobshavn Isbrae in west, Kangerdlussuaq Glacier in east and Petermann Glacier in northwest Greenland. Glacier surface and trimline elevations, as well as terminus positions were measured using historical photographs and declassified satellite imagery acquired between the 1940s and 1985. These results were combined with data from historical records, ground surveys, airborne laser altimetry, satellite observations and field mapping of lateral moraines and trimlines, to reconstruct the history of changes since the (LIA) up to the present. We identified several episodes of rapid thinning and ice shelf break-up, including thinning episodes that occurred when the calving front was stationary. Coastal weather station data are used to assess the influence of air temperatures and intensity of surface melting, and to isolate

  14. An early medical photograph in the history of modern surgery in Tabriz-Iran, 1919.

    PubMed

    Afshar, Ahmadreza

    2014-10-01

    This article presents one of the earliest clinical photographs in the history of surgery in Iran. The picture was taken around 1919 (1297 of the Iranian solar calendar) in Tabriz, Iran. It shows the post-operative care of two amputees by the surgical team, the surgical instruments and the method of applied anesthesia. The patients were Iranian Gendarmerie soldiers who lost their limbs to frostbite. The surgeries were performed by Dr. Ali Roshdi in Gendarmerie Hospital in Tabriz. This photograph cleverly demonstrates the coconscious endeavor of the surgical team to treat and save lives of patients in about a century ago in Tabriz, Iran.

  15. Birth history, age structure, and post World War II fertility in ten developed countries: an exploratory empirical analysis.

    PubMed

    Artzrouni, M A; Easterlin, R A

    1982-01-01

    A post World War 2 swing in fertility occurred in many industrialized countries. Research focusing chiefly on the US has suggested that a country's prior birth history has, through its effects on age structure, been an important cause of this fertility swing. The reasoning is that the pre-World War 2 depression in fertility and post World War 2 baby boom produced after 1945 1st a scarcity and then an abundance of those in family-forming ages relative to older adults. The relative scarcity of young adults, in turn, created favorable economic and psychological conditions among those in child bearing ages and promoted marriage and child bearing; the relative abundance had the opposite effect. This paper examines the relation between birth history and fertility from 1951-76 in England, Wales, France, Netherlands, Sweden, Finland, Denmark, Switzerland, Spain, Italy, and the US and explores the implications of the analysis for experience in the remainder of this century. The analysis builds on the well-known proposition that age structure is primarily determined by a country's birth history. Birth data can be thought of as yielding an imputed age ratio, that which would prevail in the absence of mortality and migration. Analysis of data indicates that the pattern of change in the imputed ratio usually approximates fairly closely that in the actual ratio. A ratio of old to young can be thought of as consisting of an upper age limit, lower age limit, and an intermediate age that divides the population into young and old. With all 3 of these ages free to vary, a computer program then determines within certain constraints which of all possible imputed ratios of old to young has the highest (positive or negative) correlation with the total fertility rate from 1951-76. In all countries except Italy the results support the hypothesis that a scarcity of adults in the younger adult ages relative to those in older ages leads to a relatively high total fertility rate; a relative

  16. A multicentre, double-blind, randomised, controlled, parallel-group study of the effectiveness of a pharmacist-acquired medication history in an emergency department

    PubMed Central

    2013-01-01

    Background Admission to an emergency department (ED) is a key vulnerable moment when patients are at increased risk of medication discrepancies and medication histories are an effective way of ensuring that fewer errors are made. This study measured whether a pharmacist-acquired medication history in an ED focusing on a patient’s current home medication regimen, and available to be used by a doctor when consulting in the ED, would reduce the number of patients having at least 1 medication discrepancy related to home medication. Methods This multicentre, double-blind, randomised, controlled parallel-group study was conducted at 3 large teaching hospitals. Two hundred and seventy participants were randomly allocated to an intervention (n = 134) or a standard care (n = 136) arm. All consecutive patients >18 years old admitted through the ED were eligible. The intervention consisted of pharmacists conducting a standardised comprehensive medication history interview focusing on a patient’s current home medication regimen, prior to being seen by a doctor. Data recorded on the admission medication order form was available to be used by a doctor during consultation in the ED. The admission medication order form was given to doctors at a later stage in the control arm for them to amend prescriptions. The effect of the intervention was assessed primarily by comparing the number of patients having at least 1 admission medication discrepancy regarding medication being taken at home. Secondary outcomes concerned the characteristics and clinical severity of such medication discrepancies. Results The intervention reduced discrepancies occurring by 33% (p < 0.0001; 0.1055 odds ratio, 0.05-0.24 95% confidence interval), despite recall bias. Regarding total discrepancies, omitting medication occurred most frequently (55.1%) and most discrepancies (42.7%) were judged to have the potential to cause moderate discomfort or clinical deterioration. Conclusions A pharmacist

  17. A history of hybrid pixel detectors, from high energy physics to medical imaging

    NASA Astrophysics Data System (ADS)

    Delpierre, P.

    2014-05-01

    The aim of this paper is to describe the development of hybrid pixel detectors from the origin to the application on medical imaging. We are going to recall the need for fast 2D detectors in the high energy physics experiments and to follow the different pixel electronic circuits created to satisfy this demand. The adaptation of these circuits for X-rays will be presented as well as their industrialization. Today, a number of applications are open for these cameras, particularly for biomedical imaging applications. Some developments for clinical CT will also be shown.

  18. History of Neurosurgery at Postgraduate Institute of Medical Education and Research, Chandigarh.

    PubMed

    Gupta, Sunil K; Mukherjee, Kanchan K; Chhabra, Rajesh; Tripathi, Manjul

    2017-01-01

    The Department of Neurosurgery started functioning at the Postgraduate Institute of Medical Education and Research, Chandigarh in 1962 with the joining of Dr. Gulati. The department provides neurosurgical services primarily to the people of Chandigarh, Punjab, Haryana, Himachal Pradesh, Jammu and Kashmir as well as the neighbouring areas of Rajasthan, Uttar Pradesh and Uttarakhand. The infrastructure and subspecialties have been developed over the last 5 decades by the dedicated and tireless efforts of the faculty and residents. We attempt to chronicle the contributions of those who have served the department in the past.

  19. Deafness and liver disease in a 57-year-old man: a medical history of Beethoven.

    PubMed

    Hui, A C; Wong, S M

    2000-12-01

    Ludwig van Beethoven had a number of medical conditions, including deafness and chronic liver disease, for which there are contemporary descriptions. An autopsy was performed on the day after his death. Physicians and historians have tried to reinterpret original sources to determine the causes of his deafness and systemic illnesses. We have reviewed the differential diagnoses that have been proposed by otologists and physicians. Clinical and post-mortem findings point to renal papillary necrosis and liver cirrhosis of unknown aetiology. In the absence of further histological examination, there is no definitive answer to the cause of his deafness and gastro-intestinal symptoms.

  20. A brief history of the evolution of the medical research article

    PubMed Central

    MARTA, MONICA MIHAELA

    2015-01-01

    Given the current importance of publishing medical research articles in high-impact international journals, this article briefly presents key moments in the evolution of this reporting genre for a better understanding of the diachronic changes that have shaped it into a highly useful tool for creating and spreading knowledge, as well as for establishing academic hierarchies at both individual and institutional level. Therefore, focus will be placed not only on the evolution of its structure and purpose, but also on issues such as knowledge construction, knowledge claims, writer-reader interaction and the appropriate writing conventions and rhetorical strategies required for successful scientific communication. PMID:26733758

  1. A medical history of Governor John B. Connally and his gunshot wounds.

    PubMed

    Li, George Z; Duke, James H; Pappas, Theodore N

    2015-11-01

    : On November 22, 1963, the Governor of Texas, John Connally, was injured during the assassination of President John F. Kennedy. Multiple authors have documented President Kennedy's injuries, the attempted resuscitation, and the controversies surrounding these events. However, the injuries sustained by Governor Connally have been overlooked by historians predominantly because of the extraordinary importance of the presidential assassination and its impact on the national consciousness. This review discusses the governor's political life, the mechanism of injury, his medical care, and the role the injuries had on his subsequent public life.

  2. History of computer-assisted data processing in the medical laboratory.

    PubMed

    Porth, A J; Lübke, B

    1996-03-01

    Computer-assisted processing of medical laboratory data started in the sixties. The earliest systems, which arose in English- and German-speaking laboratories, pointed the way for the development of laboratory data processing. The significance and evolution of the fundamental components of a laboratory information system, such as the placing of the request to the laboratory, identification of patients and samples, recording of data, quality control, plausibility control and results, are presented. The subject is given a wider perspective by the inclusion of a comprehensive (chronological) literature index.

  3. Complex Histories of Two Lunar Zircons as Evidenced by their Internal Structures and U-Pb Ages

    NASA Technical Reports Server (NTRS)

    Pidgeon, R. T.; Nemchin, A. A.; Meyer, Charles

    2006-01-01

    The U-Pb dating of lunar zircon by ion-microprobe provides a robust technique for investigating the timing of lunar events [1,2]. However, we have now identified two cases where the U-Pb systems in a single zircon show more than one age. These complex zircons provide new opportunities for extending our knowledge on the timing of events in the early history of the Moon.

  4. Long-term tectonothermal history of Laramide basement from zircon-He age-eU correlations

    NASA Astrophysics Data System (ADS)

    Orme, Devon A.; Guenthner, William R.; Laskowski, Andrew K.; Reiners, Peter W.

    2016-11-01

    The long-term (>1 Ga) thermal histories of cratons are enigmatic, with geologic data providing only limited snapshots of their evolution. We use zircon (U-Th)/He (zircon He) thermochronology and age-composition correlations to understand the Proterozoic-Phanerozoic thermal history of Archean Wyoming province rocks exposed in the northern Laramide ranges of western North America. Zircon He ages from the Wind River Range (54 dates) and Bighorn Mountains (32 dates) show negative correlations with effective uranium (eU), a proxy for radiation damage. Zircon dates from the Bighorns are between 960 Ma (low-eU) and 20 Ma (high-eU) whereas samples from the Wind Rivers are between 582 Ma (low-eU) and 33 Ma (high-eU). We applied forward modeling using the zircon radiation damage and annealing model ZrDAAM to understand this highly variable dataset. A long-term t-T path that is consistent with the available geologic constraints successfully reproduced age-eU correlations. The best fit to the Wind Rivers data involves two phases of rapid cooling at 1800-1600 Ma and 900-700 Ma followed by slower cooling until 525 Ma. During the Phanerozoic, these samples were heated to maximum temperatures between 160 and 125 °C prior to Laramide cooling to 50 °C between 60 and 40 Ma. Data from the Bighorn Mountains were successfully reproduced with a similar thermal history involving cooler Phanerozoic temperatures of ∼115 °C and earlier Laramide cooling between 85 and 60 Ma. Our results indicate that age-eU correlations in zircon He datasets can be applied to extract long-term thermal histories that extend beyond the most recent cooling event. In addition, our results constrain the timing, magnitude and rates of cooling experienced by Archean Wyoming Province rocks between recognized deformation events, including the >1 Ga period represented by the regionally-extensive Great Unconformity.

  5. Do Age and Anticoagulants Affect the Natural History of Acute Subdural Hematomas?

    PubMed Central

    Lucke-Wold, Brandon P.; Turner, Ryan C.; Josiah, Darnell; Knotts, Chelsea; Bhatia, Sanjay

    2016-01-01

    outcomes between patients < 65 years old (N=44) and those > 65 years old (N=36). Volume was estimated by the ABC/2 method. We observed a statistically significant difference between groups in use of anticoagulants χ2 =40.305 with p < 0.001, corrective platelet administration χ2 =19.380 with p < 0.001, gender χ2 =14.573 with p < 0.001, and Glasgow Coma Scale with χ2 =23.125 (p=0.026). Overall outcomes were similar in the two groups. Younger patients on average had worse presenting GCS scores, but recovered comparable to older patients. No significant difference in rate of volume expansion, resolution time, or need for surgical treatment was seen between these two groups. We conclude that the initial volume, size, and severity of subdural hematoma determined by the Glasgow Coma Scale score is more likely to predict surgery or future expansion than age of the patient. Patients on oral anti-coagulants that are given appropriate medical reversal agents early do quite well and no impact on the eventual outcome could be demonstrated. Further work is needed to establish better predictors of future volume expansion, and progression to chronic subdural hematoma based on improved severity scales. PMID:27857999

  6. Do Age and Anticoagulants Affect the Natural History of Acute Subdural Hematomas?

    PubMed

    Lucke-Wold, Brandon P; Turner, Ryan C; Josiah, Darnell; Knotts, Chelsea; Bhatia, Sanjay

    2016-01-01

    outcomes between patients < 65 years old (N=44) and those > 65 years old (N=36). Volume was estimated by the ABC/2 method. We observed a statistically significant difference between groups in use of anticoagulants χ(2) =40.305 with p < 0.001, corrective platelet administration χ(2) =19.380 with p < 0.001, gender χ(2) =14.573 with p < 0.001, and Glasgow Coma Scale with χ(2) =23.125 (p=0.026). Overall outcomes were similar in the two groups. Younger patients on average had worse presenting GCS scores, but recovered comparable to older patients. No significant difference in rate of volume expansion, resolution time, or need for surgical treatment was seen between these two groups. We conclude that the initial volume, size, and severity of subdural hematoma determined by the Glasgow Coma Scale score is more likely to predict surgery or future expansion than age of the patient. Patients on oral anti-coagulants that are given appropriate medical reversal agents early do quite well and no impact on the eventual outcome could be demonstrated. Further work is needed to establish better predictors of future volume expansion, and progression to chronic subdural hematoma based on improved severity scales.

  7. [The centralization of medical studies in universities under Napoleon I. History and consequences].

    PubMed

    Vichard, Philippe

    2005-01-01

    The so called "Loi du 19 ventose au XI" is two centuries old. It is a very important text of the French universitary story. It stands out the end of the Revolution in the medical studies. It enjoyed the most part of the contemporary people. But other arrangements of the law are more debatable. Thus, medical and surgical unity was already acquired before French Revolution. Furthermore, the absence of surgical practical training was a serious gap. At last, universitary Centralisation, which contrasts, with previous Decentralisation and the historical evolution of many countries, is an option with later pejorative consequences. Il was necessary to remind the events which consolidated centralisation (creation of School of medicine without autonomy in 1820, 1958 ordonnances, 1968 Revolution and after 1981, "internat national", "internat qualifiant", Lastly, the creation of C-NRS and INSERM took the leadership of research from University. Of course, other events hindered centralisation (Epic of "Internat des hôpitaux", 1871-1878 crisis, and 1910 campaign against agregation). But today, the faculties of Medicine have no real autonomy. The consequences are the standardization of the studies, the absence of competition and a poor overall result. The components of this result are not peculiar to centralisation. But this one prevents any reform. Is this logical reform really whished by the French people?

  8. [Medicine, natural philosophy and magic. Johann Laurentius Bausch from the medical history viewpoint].

    PubMed

    Schott, Heinz

    2008-01-01

    The Bausch reception created a double image: On the one hand he is appreciated as the outstanding founder of the Academy (later called Leopoldina) with its most important impact on the history of science, on the other hand he appears as a rather mediocre doctor and natural scientist, an "uninteresting man", whose scientific ideas soon turned out to be obsolete. This contribution tries to illuminate especially the neglected shady side of Bausch. For this purpose, four of his major writings are analysed: the "Apothecken Tax" and the monographs on the blood stone, the eagle stone and the unicorn. Here, the author intended a synopsis as broad as possible; in his opinion, the collecting of historical documents was as valid as own observations and experiments. Although Bausch again and again alludes to ideas of natural philosophy and magic he does not follow a specific doctrine and particularly keeps out of the controversy between galenism and paracelsianism.

  9. High neuroticism at age 20 predicts history of mental disorders and low self-esteem at age 35.

    PubMed

    Lönnqvist, Jan-Erik; Verkasalo, Markku; Mäkinen, Seppo; Henriksson, Markus

    2009-07-01

    The authors assessed whether neuroticism in emerging adulthood predicts mental disorders and self-esteem in early adulthood after controlling for possible confounding variables. A sample of 69 male military conscripts was initially assessed at age 20 and again as civilians at age 35. The initial assessment included a psychiatric interview, objective indicators of conscript competence, an intellectual performance test, and neuroticism questionnaires. The follow-up assessment included a Structured Clinical Interview for DSM-IV (SCID; First, Spitzer, Gibbon, & Williams, 1996) and the Rosenberg Self-Esteem Scale (Rosenberg, 1965). Neuroticism predicted future mental disorders and low self-esteem beyond more objective indicators of adjustment. The results support the use of neuroticism as a predictor of future mental disorders, even over periods of time when personality is subject to change.

  10. Healthy aging rounds: using healthy-aging mentors to teach medical students about physical activity and social support assessment, interviewing, and prescription.

    PubMed

    Mohler, M Jane; D'Huyvetter, Karen; Tomasa, Lynne; O'Neill, Lisa; Fain, Mindy J

    2010-12-01

    Medical students underestimate the health and functional status of community-dwelling older adults and have little experience in health promotion interviewing or prescribing physical activity. The goal was to provide third-year University of Arizona medical students with an opportunity to gain a broader and evidence-based understanding of healthy aging, with specific focus on physical activity and social engagement. Students engaged in one-on-one conversations with healthy older adult mentors and practiced assessment, interviewing and prescription counseling for physical activity and social support. This 2-hour mandatory interactive educational offering improved student attitudes and knowledge about healthy aging and provided hands-on health promotion counseling experience.

  11. Executive functioning in children with attention-deficit/hyperactivity disorder: combined type with and without a stimulant medication history.

    PubMed

    Semrud-Clikeman, Margaret; Pliszka, Steven; Liotti, Mario

    2008-05-01

    Behavioral and neuropsychological functioning in unmedicated children with attention-deficit/hyperactivity disorder (ADHD) who have a history of medication treatment (Rx) versus those who are treatment naïve (TN) has, to our knowledge, not been previously studied. Ninety-four children in four groups (ADHD/Rx, ADHD/TN, learning disabilities [LD], and controls) were evaluated, while unmedicated, on measures of achievement, neuropsychological functioning, and behavior. The ADHD/Rx group performed significantly better than the TN group on writing, Stroop interference, and measures of attention, and performed as well as the control group on executive functioning, verbal working memory, and academics. Behaviorally, the ADHD groups showed more difficulty with mood and externalizing behaviors compared with the LD and control groups, with the ADHD/TN performing the most poorly. Findings suggest that the ADHD/Rx group shows better executive and academic functioning even when unmedicated.

  12. History of the Georgia Baptist/Atlanta Medical Center surgical residency.

    PubMed

    Fuhrman, George M; Humphries, Timothy

    2010-07-01

    The Georgia Baptist Hospital established itself as a premier healthcare facility during the first 50 years of the 20th century. The surgical residency started in the 1940s, became accredited in 1958, and has grown into one of the most respected independent programs in the country. The development and growth of the program was a result of the commitment and dedication of the Program Directors in Surgery over the past 50 years. These key leaders included A. Hamblin Letton, John P. Wilson, Paul Stanton, and George Lucas. The hospital's name has changed to Atlanta Medical Center with the sale of the hospital to Tenet in 1997. The same old school approach to surgical training that characterized the residency when it was known as Georgia Baptist persists and provides outstanding training for future surgeons interested in a broadly based surgical education and experience.

  13. Sex differences in cognitive ageing: testing predictions derived from life-history theory in a dioecious nematode.

    PubMed

    Zwoinska, Martyna K; Kolm, Niclas; Maklakov, Alexei A

    2013-12-01

    Life-history theory maintains that organisms allocate limited resources to different traits to maximize fitness. Learning ability and memory are costly and known to trade-off with longevity in invertebrates. However, since the relationship between longevity and fitness often differs between the sexes, it is likely that sexes will differentially resolve the trade-off between learning and longevity. We used an established associative learning paradigm in the dioecious nematode Caenorhabditis remanei, which is sexually dimorphic for lifespan, to study age-related learning ability in males and females. In particular, we tested the hypothesis that females (the shorter-lived sex) show higher learning ability than males early in life but senesce faster. Indeed, young females outperformed young males in learning a novel association between an odour (butanone) and food (bacteria). However, while learning ability and offspring production declined rapidly with age in females, males maintained high levels of these traits until mid-age. These results not only demonstrate sexual dimorphism in age-related learning ability but also suggest that it conforms to predictions derived from the life-history theory.

  14. Learning US History in an Age of Globalization and Transnational Migration

    ERIC Educational Resources Information Center

    An, Sohyun

    2009-01-01

    This paper examines US Korean youth's perspectives on US history and the impact of their sociocultural backgrounds, particularly their migration status, on their historical interpretations. Based on in-depth interviews with 42 US Korean high school students, the study opens up the question of diversity within an ethnic group, while it also begins…

  15. Using Simulations to Teach Middle Grades U.S. History in an Age of Accountability

    ERIC Educational Resources Information Center

    DiCamillo, Lorrei; Gradwell, Jill M.

    2012-01-01

    In this year-long qualitative study we explore the case of two eighth grade U.S. History teachers who use simulations on a regular basis to teach heterogeneously-grouped students in a high-stakes testing environment. We describe the purposes the teachers espoused for implementing simulations and provide detailed portraits of three types of…

  16. Always in the Mood for Moody: Teaching History through Anne Moody's "Coming of Age in Mississippi"

    ERIC Educational Resources Information Center

    Boisseau, T. J.

    2014-01-01

    In searching for a way of teaching American history as something that truly belongs to women, and men, to the powerful as well as to those who lack power in a formal sense, as something that is not the story of white people with an interesting person of color charitably thrown in for good measure, Boisseau writes that while many influential…

  17. Gallatin History Past to Present: A Multi-Age, Integrated Subjects Curriculum Unit.

    ERIC Educational Resources Information Center

    Hall, William D.

    The thematic, integrated subject curriculum presented in this comprehensive teacher's guide is based on a study of Gallatin County's local history and is intended to enrich students' perceptions of their rural Montana culture, heritage, and environment, and provide them with a knowledge base for decision making about the future. Introductory…

  18. Ar-Ar and I-Xe Ages and the Thermal History of IAB Meteorites

    NASA Technical Reports Server (NTRS)

    Bogard, Donald D.; Garrison, Daniel H.; Takeda, Hiroshi

    2004-01-01

    Studies of several samples of the large Caddo County IAB iron meteorite reveal andesitic material, enriched in Si, Na, Al and Ca, which is essentially unique among meteorites. This material is believed to have formed from a chondritic source by partial melting and to have further segregated by grain coarsening. Such an origin implies extended metamorphism of the IAB parent body. New Ar-39-Ar-40 ages for silicate from three different Caddo samples are consistent with a common age of 4.50-4.51 Gyr ago. Less well defined Ar-Ar degassing ages for inclusions from two other IABs, EET8333 and Udei Station, are approx.4.32 Gyr, whereas the age for Campo del Cielo varies considerably over approx.3.23-4.56 Gyr. New I-129-Xe-129 ages for Caddo County and EET8333 are 4561.9+/-0.1 Myr and 4560- 4563 Myr, respectively, relative to an age of 4566 Myr for Shallowater. Considering all reported Ar-Ar ages for IABs and related winonaites, the range is approx.4.32-4.53 Gyr, but several IABs give similar Ar ages of 4.50-4.52 Gyr. We interpret these older ages to represent cooling after the time of last significant metamorphism on the parent body, and the younger ages to represent later Ar-40 diffusion loss. These older Ar-Ar ages are similar to Sm-Nd and Rb-Sr isochron ages reported in the literature for Caddo County. Considering the possibility that IAB parent body formation was followed by impact disruption, reassembly, and metamorphism (e.g., Benedix et al. 2000), the time of the post-assembly metamorphism may have been as late as approx.4.53 Gyr ago. However, precise I-Xe ages reported for some IABs define a range of ages of approx.4560 to approx.4576 Myr. The older I-Xe ages exceed the oldest precise radiometric ages of meteorites, appear unrealistic, and s,uggest a bias in the calibration of all I-Xe ages. But even with such a bias, the I-Xe ages of IABs cannot easily be reconciled with the much younger Ar-Ar and Sm-Nd ages and with cooling rates deduced from Ni concentration

  19. Ar-Ar and I-Xe Ages and the Thermal History of IAB Meteorites

    NASA Technical Reports Server (NTRS)

    Bogard, Donald D.; Garrison, Daniel H.; Takeda, Hiroshi

    2004-01-01

    Studies of several samples of the large Caddo County IAB iron meteorite reveal andesitic material, enriched in Si, Nay Al and Ca, which is essentially unique among meteorites. This material is believed to have formed from a chondritic source by partial melting and to have further segregated by grain coarsening. Such an origin implies extended metamorphism of the IAB parent body. New Ar-39-Ar-40 ages for silicate from three different Caddo samples are consistent with a common age of 4.50- 4.51 Gyr ago. Less well defined Ar-Ar degassing ages for inclusions from two other IABs, EET8333 and Udei Station, are approx.4.32 Gyr, whereas the age for Campo del Cielo varies considerably over approx.3.23-4.56 Gyr. New I-129-Xe-129 ages for Caddo County and EET8333 are 4561.9 +/-0.1 Myr and 4560-4563 Myr, respectively, relative to an age of 4566 Myr for Shallowater. Considering all reported Ar-Ar ages for IABs and related winonaites, the range is approx.4.32-4.53 Gyr, but several IABs give similar Ar ages of 4.50-4.52 Gyr. We interpret these older ages to represent cooling after the time of last significant metamorphism on the parent body, and the younger ages to represent later Ar-40 diffusion loss. These older Ar-Ar ages are similar to Sm-Nd and Rb-Sr isochron ages reported in the literature for Caddo County. Considering the possibility that IAB parent body formation was followed by impact disruption, reassembly, and metamorphism (e.g., Benedix et al. 2000), the time of the post-assembly metamorphism may have been as late as approx.4.53 Gyr ago. However, precise I-Xe ages reported for some IABs define a range of ages of approx.4560 to approx.4576 My. The older I-Xe ages exceed the oldest precise radiometric ages of meteorites, appear unrealistic, and suggest a bias in the calibration of all I-Xe ages. But even with such a bias, the I-Xe ages of IABs cannot easily be reconciled with the much younger Ar-Ar and Sm-Nd ages and with cooling rates deduced from Ni concentration

  20. Ar-Ar and I-Xe Ages and the Thermal History of IAB Meteorites

    NASA Technical Reports Server (NTRS)

    Bogard, Donald D.; Garrison, Daniel H.; Takeda, Hiroshi

    2005-01-01

    Studies of several samples of the large Caddo County IAB iron meteorite reveal andesitic material, enriched in Si, Na, Al and Ca, which is essentially unique among meteorites. This material is believed to have formed from a chondritic source by partial melting and to have further segregated by grain coarsening. Such an origin implies extended metamorphism of the IAB parent body. New Ar-39- Ar-40 ages for silicate from three different Caddo samples are consistent with a common age of 4.50-4.51 Gyr ago. Less well defined Ar-Ar degassing ages for inclusions from two other IABs, EET8333 and Udei Station, are approx.4.32 Gyr, whereas the age for Campo del Cielo varies considerably over approx.3.23-4.56 Gyr. New I-129-Xe-129 ages for Caddo County and EET8333 are 4557.9+/-0.1 Myr and 4557-4560 Myr, respectively, relative to an age of 4562.3 Myr for Shallowater. Considering all reported Ar-Ar degassing ages for IABs and related winonaites, the range is approx.4.32-4.53 Gyr, but several IABs give similar Ar ages of 4.50-4.52 Gyr. We interpret these older Ar ages to represent cooling after the time of last significant metamorphism on the parent body, and the younger ages to represent later 40Ar diffusion loss. The older Ar-Ar ages for IABs are similar to Sm-Nd and Rb-Sr isochron ages reported in the literature for Caddo County. Considering the possibility that IAB parent body formation was followed by impact disruption, reassembly, and metamorphism (e.g., Benedix et al. 2000), the Ar-Ar ages and IAB cooling rates deduced from Ni concentration profiles in IAB metal (Herpfer et al., 1994) are consistent if the time of the post-assembly metamorphism was as late as approx.4.53 Gyr ago. However, I-Xe ages reported for some IABs define much older ages of approx.4558-4566 Myr, which cannot easily be reconciled with the much younger Ar-Ar and Sm-Nd ages. An explanation for the difference in radiometric ages of IABs may reside in combinations of the following: a) I-Xe ages have very

  1. Ar-Ar and I-XE Ages and the Thermal History of IAB Meteorites

    NASA Technical Reports Server (NTRS)

    Bogard, Donald D.; Garrison, Daniel H.; Takeda, Hiroshi

    2006-01-01

    Studies of several samples of the large Caddo County IAB iron meteorite reveal andesitic material, enriched in Si, Na, Al and Ca which is essentially unique among meteorites. This material is believed to have formed from a chondritic source by partial melting and to have further segregated by grain coarsening. Such an origin implies extended metamorphism of the IAB parent body. New Ar-39- Ar-40 ages for silicate from three different Caddo samples are consistent with a common age of 4.50- 4.51 Gyr ago. Less well defined Ar-Ar degassing ages for inclusions from two other IABs, EET8333 and Udei Station, are approx. 4.32 Gyr, whereas the age for Campo del Cielo varies considerably over approx. 3.23-4.56 Gyr. New I-129-Xe-129 ges for Caddo County and EET8333 are 4561.9 plus or minus 0.1 Myr and 4560-4563 Myr, respectively, relative to an age of 4566 Myr for Shallowater. Considering all reported Ar-Ar ages for IABs and related winonaites, the range is approx. 4.32-4.53 Gyr, but several IABs give similar Ar ages of 4.50-4.52 Gyr. We interpret these older ages to represent cooling after the time of last significant metamorphism on the parent body, and the younger ages to represent later 40Ar diffusion loss. These older Ar-Ar ages are similar to Sm-Nd and Rb-Sr isochron ages reported in the literature for Caddo County. Considering the possibility that IAB parent body formation was followed by impact disruption, reassembly, and metamorphism (e.g., Benedix et al. 2000), the time of the postassembly metamorphism may have been as late as approx. 4.53 Gyr ago. However, precise I-Xe ages reported for some IABs define a range of ages of approx. 4560 to approx. 4576 Myr. The older I-Xe ages exceed the oldest precise radiometric ages of meteorites, appear unrealistic, and suggest a bias in the calibration of all I-Xe ages. But even with such a bias, the I-Xe ages of IABs cannot easily be reconciled with the much younger Ar-Ar and Sm-Nd ages and with cooling rates deduced from Ni

  2. Alternative life histories in Xiphophorus multilineatus: evidence for different ages at sexual maturity and growth responses in the wild.

    PubMed

    Bono, L M; Rios-Cardenas, O; Morris, M R

    2011-05-01

    In order to examine potential trade-offs in alternative life histories of the high-backed pygmy swordtail Xiphophorus multilineatus, otoliths were used from wild-caught males to determine if sneaker males had the advantage of maturing earlier in natural environments. The sneakers matured significantly earlier than courters, but there was no difference among the three courter variants. In addition, analyses suggested that the effect of the pituitary locus on size at sexual maturity and growth rates was a consequence of age at sexual maturity. Finally, one of the courter variants had a significantly different relationship between age and size at sexual maturity than the other variants, suggesting that in this variant, age at sexual maturity may be more closely related to size and therefore may be less plastic in its growth responses.

  3. The short history and tenuous future of medical professionalism: the erosion of medicine's social contract.

    PubMed

    Wynia, Matthew K

    2008-01-01

    The profession of medicine is based on a shared set of tacit and explicit agreements about what patients, doctors, and society at large should be able to expect from each other, a social contract that defines the profession. Historically, the development of this set of agreements depended upon the creation of social organizations that could speak for the entire profession. Over the last several decades, however, the perceived need for these organizations, and especially the umbrella organization for the profession, the American Medical Association, has waned. The reasons for this are complex, but the consequences are significant: an eroding social contract, fragmentation, lack of cohesion and integrity, and loss of the public's confidence. The present social contract is one-dimensional, overly simplistic, and failing to sustain the public's trust. To address these problems, a renewed social contract is necessary. Although this renewed contract should be based on foundations similar to the original, it must directly confront such contemporary challenges as resource allocation and conflicts of interest. Equally as important, to reinvigorate our social contract more physicians will need to come to grips with a basic truth: to sustain professionalism we need a strong, unified professional association.

  4. Early Histories of School-Aged Children with Attention-Deficit/Hyperactivity Disorder

    ERIC Educational Resources Information Center

    Loe, Irene M.; Balestrino, Maria D.; Phelps, Randall A.; Kurs-Lasky, Marcia; Chaves-Gnecco, Diego; Paradise, Jack L.; Feldman, Heidi M.

    2008-01-01

    In a prospective study of developmental outcomes in relation to early-life otitis media, behavioral, cognitive, and language measures were administered to a large, diverse sample of children at 2, 3, 4, 6, and 9-11 years of age (N = 741). At 9-11 years of age, 9% of the children were categorized as having attention-deficit/hyperactivity disorder…

  5. Sleep Problems in Chinese School-Aged Children with a Parent-Reported History of ADHD

    ERIC Educational Resources Information Center

    Li, Shenghui; Jin, Xinming; Yan, Chonghuai; Wu, Shenghu; Jiang, Fan; Shen, Xiaoming

    2009-01-01

    Objective: The objective was to survey the prevalence of parent-reported ADHD diagnosis and to assess its associations with sleep problems among urban school-aged children in China. Method: A random sample of 20,152 school-aged children participated in a cross-sectional survey in eight cities of China. A parent-administered questionnaire and the…

  6. Medical History for Prognostic Risk Assessment and Diagnosis of Stable Patients with Suspected Coronary Artery Disease

    PubMed Central

    Min, James K.; Dunning, Allison; Gransar, Heidi; Achenbach, Stephan; Lin, Fay Y.; Al-Mallah, Mouaz; Budoff, Matthew J.; Callister, Tracy Q.; Chang, Hyuk-Jae; Cademartiri, Filippo; Chinnaiyan, Kavitha; Chow, Benjamin J. W.; D’Agostino, Ralph; DeLago, Augustin; Friedman, John; Hadamitzky, Martin; Hausleiter, Joerg; Hayes, Sean; Kaufmann, Philipp; Raff, Gilbert L.; Shaw, Leslee J.; Thomson, Louise; Villines, Todd; Cury, Ricardo C.; Feuchtner, Gudrun; Kim, Yong-Jin; Leipsic, Jonathon; Berman, Daniel S.; Pencina, Michael

    2014-01-01

    Aims To develop a clinical cardiac risk algorithm for stable patients with suspected CAD based upon angina typicality and CAD risk factors. Methods and Results Between 2004 and 2011, 14,004 adults with suspected CAD referred for cardiac imaging were followed: 1) 9,093 patients for CCTA (CCTA-1) followed for 2.0 years; 2) 2,132 patients for CCTA (CCTA-2) followed for 1·6 years, and 3) 2,779 patients for exercise myocardial perfusion scintigraphy followed for 5.0 years. A best-fit model from CCTA-1 for prediction of death or myocardial infarction (MI) was developed, with integer values proportional to regression coefficients. Discrimination was assessed using C-statistic. The validated model was also tested for estimation of the likelihood of obstructive CAD, defined as ≥50% stenosis, as compared to method of Diamond and Forrester (D-F). Primary outcomes included all-cause mortality and non-fatal MI. Secondary outcomes included prevalence of angiographically obstructive CAD. In CCTA-1, best-fit model discriminated individuals at risk of death or MI (C-statistic 0·76). The integer model ranged from 3-13, and corresponded to 3-year death risk or MI of 0·25% to 53·8%. When applied to the CCTA-2 and MPS, the model demonstrated C-statistics of 0·71 and 0·77. Both best-fit (C=0·76, 95% CI 0·746-0·771) and integer model (C=0·71, 95% CI 0·693-0·719) performed better than D-F (C=0·64; 95% CI, 0·628-0·659) for estimating obstructive CAD. Conclusions For stable symptomatic patients with suspected CAD, we developed a history-based method for prediction of death and obstructive CAD. PMID:25865923

  7. [Pneumococcal meningitis in France: age and medical risk factors in children].

    PubMed

    Bingen, E; Lévy, C; De la Rocque, F; Boucherat, M; Aujard, Y; Cohen, R

    2005-07-01

    Streptococcus pneumoniae (Sp) is an important cause of morbidity and mortality among paediatric infectious diseases. The aim of this study is to analyse specific data on Sp meningitis out of the Bacterial Meningitis (BM) French Surveillance Network about mean age of BM cases and clinical features. Overall 367 Sp BM were reported between January 2001 to January 2004 (sex ratio M/F: 1.3), 69.7% were < 2 years old, median age 0.8 year (minmax 0-16.8 years). Before two years old children, 94.1% had no medical risk factor and no underlying conditions: on the other hand, after two years old, these factors were reported in 27% cases (P < 0.001). Mortality rate was 10.9%. On account of a Sp BM's pic at five months, data of the BM French Surveillance Network confirm the necessity of an early vaccination. The vaccine administration at two, three, four months with a booster during the second year, recommended in the vaccinal french calendar, seems particularly adapted to the Sp BM in France.

  8. For Working-Age Cancer Survivors, Medical Debt And Bankruptcy Create Financial Hardships.

    PubMed

    Banegas, Matthew P; Guy, Gery P; de Moor, Janet S; Ekwueme, Donatus U; Virgo, Katherine S; Kent, Erin E; Nutt, Stephanie; Zheng, Zhiyuan; Rechis, Ruth; Yabroff, K Robin

    2016-01-01

    The rising medical costs associated with cancer have led to considerable financial hardship for patients and their families in the United States. Using data from the LIVESTRONG 2012 survey of 4,719 cancer survivors ages 18-64, we examined the proportions of survivors who reported going into debt or filing for bankruptcy as a result of cancer, as well as the amount of debt incurred. Approximately one-third of the survivors had gone into debt, and 3 percent had filed for bankruptcy. Of those who had gone into debt, 55 percent incurred obligations of $10,000 or more. Cancer survivors who were younger, had lower incomes, and had public health insurance were more likely to go into debt or file for bankruptcy, compared to those who were older, had higher incomes, and had private insurance, respectively. Future longitudinal population-based studies are needed to improve understanding of financial hardship among US working-age cancer survivors throughout the cancer care trajectory and, ultimately, to help stakeholders develop evidence-based interventions and policies to reduce the financial hardship of cancer.

  9. Cosmic-Ray-Exposure Ages of Diogenites and the Collisional History of the HED Parent Body or Bodies

    NASA Technical Reports Server (NTRS)

    Welten, K. C.; Lindner, L.; vanderBorg, K.; Loeken, T.; Scherer, P.; Schultz, L.

    1996-01-01

    Cosmic-ray-exposure ages of meteorites provide information on the collisional history of their parent bodies and the delivery mechanism of meteorites to Earth. The exposure-age distributions of ordinary chondrites show distinct patterns for H, L, and LL types, consistent with their origin on different parent bodies. The exposure-age distributions of howardites, eucrites. and diogenites (HEDS) show a common pattern with major peaks at 22 Ma and 38 Ma This provides additional evidence for a common origin of the HED meteorites, possibly 4 Vesta, although orbital dynamics calculations showed that the delivery of meteorites from Vesta to Earth is difficult. However, the discovery of several kilometer-sized Vesta-like asteroids in the region between Vesta and the 3:1 resonance suggested that these seem more likely parent bodies of the HEDs than Vesta itself. This implies that the exposure-age clusters may represent samples of several parent bodies. Therefore, the near-absence of diogenites with ages <20 Ma might be of interest for the composition of these kilometer-sized fragments of Vesta. Here we present cosmic-ray-exposure ages of 20 diogenites, including 9 new meteorites. In addition, we calculate the probability for each peak to occur by chance, assuming a constant production rate of HED fragments.

  10. Constraints on thermal histories of magmas from combined U-series crystal ages, trace-element diffusion, and textural information

    NASA Astrophysics Data System (ADS)

    Cooper, K. M.; Kent, A. J.

    2012-12-01

    Developing a better understanding of the thermal and chemical evolution of magmas within crustal reservoirs has implications both in terms of the mechanisms of generation of chemically diverse magmas and in terms of the development, size and longevity of bodies of eruptible magma. The physical and thermal states of the system are intimately linked, going from mostly liquid to mushy to potentially solid or almost-solid systems as a function largely of temperature. Crystal-scale records show evidence of long-term storage and recycling of crystals within a reservoir system, but the extent to which storage of these antecrysts occurs in mostly-liquid vs. mostly-solid or solid bodies is unclear. Numerical models can provide insights into thermal histories at a reservoir scale, and crystal and liquid thermometry can provide insights into the thermal state of the crystals at snapshots in time, but developing thermal histories from the record in erupted products has been elusive. We present a new approach to quantifying thermal histories of magma bodies using the crystal record by combining information from multiple analytical approaches. U-series crystal ages provide the total time since crystals grew (albeit averaged). In contrast, trace-element zoning provides an uppper limit to the duration of storage at high temperatures, and crystal sizes and CSDs provide insights into the total growth time of crystals (modified by dissolution). Thus, by combining information from all of these sources, we can link the crystal growth and diffusion ages to thermal states and therefore constrain thermal histories. We use recent eruptive products at Mt Hood as a case study, building off of previous 238U-230Th-226Ra crystal age, CSD, and diffusion modeling results. 230Th-226Ra ages of crystals from the silicic endmember of the most recent Mt Hood eruptions both have average ages of >4.5 ka and likely have cores with ages >10 ka (Eppich et al., EPSL, 2012 v. 317-318). Diffusion of Sr in

  11. Inflammatory nociception responses do not vary with age, but diminish with the pain history

    PubMed Central

    Simón-Arceo, Karina; Contreras, Bernardo; León-Olea, Martha; Coffeen, Ulises; Jaimes, Orlando; Pellicer, Francisco

    2014-01-01

    Some of the relevant factors that must be considered when dealing with old age include its growing numbers in the general population and pain contention in this age group. In this sense, it is important to study whether antinociceptive responses change with age. To elucidate this point, persistent pain in animals is the preferred model. In addition, the response to inflammatory pain in the same individual must be explored along its lifetime. Male Wistar rats were infiltrated with carrageenan (50 μl intraplantar) and tested 3 h and 24 h after injection using thermal (plantar test) and mechanociceptive tests (von Frey). The rats were divided into the following groups: (a) young rats infiltrated for the first time at 12 weeks of age and re-infiltrated at 15 and 17 weeks; (b) adult rats infiltrated for the first time at 28 weeks of age and re-infiltrated at 44 and 56 weeks; and (c) old rats infiltrated for the first time at 56 weeks of age and re-infiltrated at 72 weeks. The rats tested for the first time at 12 and 56 weeks of age showed hyperalgesia due to carrageenan infiltration at 3 h and 24 h after injection. This result showed that old rats maintain the same antialgesic response due to inflammation. However, when the injection was repeated in the three age groups, the latency to the thermal and mechanociceptive responses at 3 h is increased when compared to animals exposed for the first time to inflammation. The response to thermal and mechanociception in old rats is the same as in young animals as long as the nociceptive stimulus is not repeated. The repetition of the stimulus produces changes compatible with desensitization of the response and evidences the significance of algesic stimulus repetition in the same individual rather than the age of the individual. PMID:25120479

  12. Offense history and recidivism in three victim-age-based groups of juvenile sex offenders.

    PubMed

    Kemper, Therese Skubic; Kistner, Janet A

    2007-12-01

    This study compared subgroups of juvenile sex offenders (JSOs) who victimized children (child offenders), peers (peer offenders), or both children and peers (mixed offenders) on sexual and nonsexual offense history, treatment outcomes, and recidivism to determine if these are distinct and valid subgroups. Though the group of mixed offenders was small, results showed that they exhibited a more diverse and more physically intrusive sexual offense history than the other JSOs and were less likely to successfully complete treatment. Sexual and nonsexual recidivism rates of mixed offenders did not differ from the other subgroups despite subgroup differences in juvenile sexual and nonsexual criminal records. However, differences in sexual recidivism rates of child versus peer offenders were found when the mixed offenders were either excluded from the sample or combined with child offenders. The results highlight the need to include mixed offenders in future research examining the etiology of sexual offending, treatment, and recidivism of JSOs.

  13. Medical Students' Attitudes toward the Physician's Role in the Nuclear Age.

    ERIC Educational Resources Information Center

    Ma, Chan; And Others

    1988-01-01

    Second-year medical students in five New York City medical schools were surveyed concerning (1) the development and use of nuclear power for civil and military purposes and (2) the medical school curriculum's inclusion of programs on the medical and social consequences of using high levels of ionizing radiation. (MSE)

  14. Epidemiology of sociodemographic characteristics, lifestyle, medical history, and colon cancer: a case-control study among French Canadians in Montreal.

    PubMed

    Ghadirian, P; Maisonneuve, P; Perret, C; Lacroix, A; Boyle, P

    1998-01-01

    Colon cancer is the second most common cancer in both men and women in North America and other developed countries. In a population-based case-control study of colon cancer among French Canadians in greater Montreal, a total of 402 cases and 668 controls were interviewed. The cancer cases were identified through the admission offices of five major Francophone teaching hospitals in Montreal from 1989 to 1993. The controls, matched by age, sex, place of residence, and language, were selected by a modified random digit dialing method. The results show that subjects who had ever been married had a lower risk for colon cancer (odds ratio [OR]: 0.58; 95% confidence interval [95% CI]: 0.48-0.84) than did individuals who had never been married. A significant association (OR: 1.90; p for trend = 0.003) was found between the height of subjects and the risk of colon cancer. The OR for individuals with a family history of colorectal cancer was 2.78 with a p value of 0.01. A direct and significant association (OR: 2.01) was found among constipation, use of laxatives (OR: 1.41), and the risk of colon cancer. Among women, a suggestive inverse association was detected between the number of full-term pregnancies and the risk of colon cancer in female subjects (the OR for five or more pregnancies was 0.58 with a p for trend of 0.08). There was also a suggestive linear trend (increased age-decreased risk) between age at menarche and the risk of colon cancer. No association was apparent between other sociodemographic characteristics and the risk of colon cancer. In conclusion, married individuals had lower risk for colon cancer, perhaps due to food habits or other characteristics of being single. Higher height and weight history 10 years before the diagnosis of cancer are risk factors for breast cancer, while both current weight and body mass index seem to be protective. Positive family history of colon cancer increased the risk of colon cancer significantly.

  15. [Erwin H. Ackerknecht and the Berg/Rath Affair in 1964. On the coping of German medical historians with their history].

    PubMed

    Morgeli, C; Jobmann, A

    1997-01-01

    In 1964, the Zurich medical historian Erwin H. Ackerknect announced his decision to resign from the German Society of Medical History, Natural Science and Technology (Deutsche Gesellschaft fur Geschichte der Medizin, Naturwissenschaft und Technik - DGGMNT) in a letter to 150 colleagues and prominent personalities in scientific, academic and political circles. Ackerknecht explained that he was resigning from the Society because the medical faculty of the University of Gottingen, supported by its professor of medical history, Gernot Rath - also chairman of the DGGMNT - had awarded the Venia legendi medical history chair to the x-ray specialist and medical historian Alexander Berg. Berg was ideologically compromised by his co-authorship of a book that embraced the ideals of National Socialism and in which he was mentioned as a Obersturmfuhrer of SS. Apart from describing the events surrounding Berg's promotion to the teaching position, this article presents Ackerknecht's perspective on the situation, the continuing influence of further Nazi era's leading historians of medicine the war - enabling Berg to assume his position - as well as the DGGMNT's controversial reactions to Ackerknecht's resignation and the consequences that the affair was to have for the Society.

  16. Viking voyages: the origin of multiple sclerosis? An essay in medical history.

    PubMed

    Poser, C M

    1995-01-01

    Multiple sclerosis is most frequently found in Scandinavia, Iceland, the British Isles and the countries settled by their inhabitants and their descendants, i.e. the United States, Canada, Australia and New Zealand. This suggests that the Vikings may have been instrumental in disseminating genetic susceptibility to the disease in those areas, as well as in other parts of the world. The Vikings raided most European countries and settled in Normandy and in Sicily and southern Italy. They engaged in trade with the Arabs along the river routes to the Caucasus, to the Black and Caspian Seas, and penetrated Persia, India and probably China. They also migrated to the East and established the Russian state. Under the name Varangians, they became part of the Byzantine army and were active in all the military activities of the Byzantine Empire. They participated in the Crusades. Russians, many of Scandinavian origin also constituted a regiment of the Mongol army and roamed throughout that Empire as well. The custom of capturing and keeping or selling women and children, which was widespread in the early Middle Ages, as well as the flourishing slave trade in men, were important factors in this genetic dissemination.

  17. High-precision UPb ages of metamorphic rutile: application to the cooling history of high-grade terranes

    USGS Publications Warehouse

    Mezger, K.; Hanson, G.N.; Bohlen, S.R.

    1989-01-01

    Metamorphic rutiles occurring in granulite and upper amphibolite facies metapelitic rocks of the Archean Pikwitonei granulite domain (Manitoba) and the Proterozoic Adirondack terrane (New York) give concordant and near concordant UPb ages. The Pb concentrations in rutile range from 2.85 to 168 ppm, U concentrations range from 10.9 to 390 ppm and the measured 206Pb 204Pb ratios range from 182 to 22,100 corresponding to 238U 204Pb ratios of 398-75,100. The proportions of radiogenic 208Pb are very low, ranging from 0.0 to 6.9% of total radiogenic Pb. The habits of the rutile crystals range from stubby to acicular, the physical properties vary from opaque/black to transparent/reddish-brown. Separate batches of black and reddish-brown rutile grains from the same samples have similar U and Pb concentrations, Pb-isotope ratios, and yield the same U Pb ages within analytical uncertainty. No correlation of U concentration and 206Pb 204Pb ratios with morphology or color of the rutiles was observed among the samples analyzed. Most rutiles yield concordant UPb ages which are reproducible within analytical uncertainty, i.e. generally ??2 Ma. The UPb ages for prograde rutile are younger than the time of peak metamorphism given by UPb ages for garnet and zircon, and also younger than UPb ages for sphene and monazite, and 40Ar 39Ar and KAr ages for hornblende but older than 40Ar 39Ar and KAr ages for biotite from the same area. This suggests that the rutile ages reflect cooling below closure temperatures. Within a single hand-specimen, and thus for an identical thermal history, larger rutile grains give older ages than do smaller grains. This suggests that volume diffusion is the most probable mechanism responsible for the ages being younger than the time of peak metamorphism. It also suggests that the dimensions for such diffusion are directly related to the dimensions of the rutile crystal and not to the dimensions of sub-grain domains, as is the case for Ar diffusion in

  18. The short-term and long-term impact of a brief aging research training program for medical students.

    PubMed

    Barron, Jeremy S; Bragg, Elizabeth; Cayea, Danelle; Durso, Samuel C; Fedarko, Neal S

    2015-01-01

    Summer training in aging research for medical students is a strategy for improving the pipeline of medical students into research careers in aging and clinical care of older adults. Johns Hopkins University has been offering medical students a summer experience of mentored research, research training, and clinical shadowing since 1994. Long-term outcomes of this program have not been described. The authors surveyed all 191 participants who had been in the program from 1994-2010 (60% female and 27% underrepresented minorities) and received a 65.8% (N = 125) response rate. The authors also conducted Google and other online searches to supplement study findings. Thirty-seven percent of those who have completed training are now in academic medicine, and program participants have authored or coauthored 582 manuscripts. Among survey respondents, 95.1% reported that participation in the Medical Student Training in Aging Research program increased their sensitivity to the needs of older adults. This program may help to build commitment among medical students to choose careers in aging.

  19. New Age Constraints on the Eruptive History of the Northern Galápagos Volcanic Province

    NASA Astrophysics Data System (ADS)

    Sinton, C. W.; Mittelstaedt, E. L.; Harpp, K.

    2012-12-01

    The Northern Galápagos Volcanic Province, located north of the Galápagos Archipelago and centered west of the 90° 50'W Galápagos transform fault (GTF), and the region east of the GTF are represented by a complex set of islands, seamount chains and ridges. To improve our understanding of the dynamics of ridge-hotspot interaction in this unique region, we present new 40Ar/39Ar ages from the lavas collected during the 2010 FLAMINGO (MV1007) cruise of the R/V Melville. Lava samples were recovered by dredge on both the Nazca Plate and Cocos Plate. The bathymetry shows that the region on the Nazca Plate west of the GTF is dominated by numerous seamounts aligned in three volcanic lineaments. A previously uncharted seamount southeast of Isla Marchena, with a strikingly flat, shallow surface and terraced flanks, shows eruption ages ranging from 2.0 ± 0.5 to 1.1 ± 0.5 Ma. Using standard subsidence rates, such ages place the seamount above sea level at 2 Ma, which is supported by apparent erosional features on some of the dredged lavas. The best age for a rhyolite and associated basalt from an east-west trending ridge on the Nazca plate is 4.71 ± 0.06 Ma. This age agrees well with a recent magnetic reconstruction that suggests that this ridge is a pseudofault, marking the propagation of a new ridge segment subsequent to a southward ridge jump. East of the GTF, on the Cocos Plate, there is little evidence of constructional volcanism; instead, there are several linear, nearly ridge-parallel, faulted features with up to 1km of relief. Ages along a transect striking approximately perpendicular to the ridge axis are older than expected near the current axis (3.4 ± 0.6 Ma) and younger than expected further to the north (1.4 ± 0.3 Ma). These anomalous ages closely match those predicted by both sediment thicknesses and a magnetic reconstruction, which predicts a fossil ridge axis in this area. To the northeast of the GTF, the age of lavas dredged from ridges and a small

  20. [History and poetry in women's biological twilight: menopause and old age].

    PubMed

    Cruz y Hermida, Julio

    2011-01-01

    This is a poetical and historical approach to the last biological stages of the evolutive development of women, namely menopause and old age. It starts with the passages found in Egyptian Papirii such as Ebers or Smith, dated 1500-2000 BC, which describe, among other symptoms, the sweating and hig body temperatures caused by the diminishing hormon secretion of the ovaries. Other important works on the subject, some of them written in the 20th century and some others composed before that date, are also quoted, such as the Edad Crítica (Critical Age) by Dr. Marañon. The final stage of a woman's life, old age, is presented through the famous sonet "Alfa y Omega" (Alpha and Omega) by poet Manuel Machado. Using poetical strokes, the author conveys an image of the many phisiopatological consequences of old age in women: osteoporosis, genital prolapse, urine incontinence and "wrinkles" ("old age is neither shown by white hair nor by wrinkles but by the heart"). The work finishes with the famous statement uttered by Napoleon Bona-parte: "God wanted to be a writer: Man is His prose; His poetry, Women". The same poetry that Dr. Cruz y Hermida has found through the complexities of the evolutive process of feminine biology.

  1. Age-independent seismic anisotropy under oceanic plates explained by strain history in the asthenosphere

    NASA Astrophysics Data System (ADS)

    Hedjazian, Navid; Garel, Fanny; Davies, D. Rhodri; Kaminski, Edouard

    2017-02-01

    The depth of the oceanic lithosphere-asthenosphere boundary (LAB), as inferred from shear wave velocities, increases with lithospheric age, in agreement with models of cooling oceanic lithosphere. On the other hand, the distribution of radial anisotropy under oceanic plates is almost age-independent. In particular, radial anisotropy shows a maximum positive gradient at a depth of ∼70 km, which, if used as a proxy, indicates an age-independent LAB depth. These contrasting observations have fueled a controversy on the seismological signature of the LAB. To better understand the discrepancy between these observations, we model the development of lattice preferred orientation (LPO) in upper mantle crystal aggregates and predict the seismic anisotropy produced by plate-driven mid-ocean ridge flows. The model accounts for the progressive cooling of the lithosphere with age and can incorporate both diffusion and dislocation creep deformation mechanisms. We find that an age-independent distribution of radial anisotropy is the natural consequence of these simple flows. The depth and strength of anisotropy is further controlled by the deformation regime - dislocation or diffusion creep - experienced by crystals during their ascent towards, and subsequent motion away from, the ridge axis. Comparison to surface wave tomography models yield constraints on rheological parameters such as the activation volume. Although not excluded, additional mechanisms proposed to explain some geophysical signatures of the LAB, such as the presence of partial melt or changes in water content, are not required to explain the radial anisotropy proxy. Our prediction, that the age-independent radial anisotropy proxy marks the transition to flow-induced asthenospheric anisotropy, provides a way to reconcile thermal, mechanical and seismological views of the LAB.

  2. History of the renal section, New York University School of Medicine 1926-1986, New York University Medical Center.

    PubMed Central

    Chasis, H.

    1989-01-01

    This history of the Renal Section at New York University School of Medicine ascribes its birth to a policy introduced by John Henry Wyckoff in 1924 that divided the Department of Medicine into sections devoted to the various subspecialties. Physicians selected to head each section sought further training. William Goldring, asked to organize the kidney section, spent a sabbatical year working with Homer William Smith, chairman and professor of the department of physiology at New York University School of Medicine. The second event was the development of a postdoctoral fellowship program in which medical school graduates, following completion of their intern and residency program, returned to basic science departments for exposure to and training in research in preparation for their return to clinical medicine. The aim of this fellowship program was to introduce the experimental method, which had been productive in the physical sciences, to the study and treatment of disease in man. The third event was the continuous collaboration between members of the Department of Medicine and the Department of Physiology under the chairmanship of Homer Smith. Experimental protocols in cardiovascular and renal physiology developed in the laboratory were carried over to Bellevue Hospital for studies and treatment of patients with hypertensive and renal diseases under the direction of members of the Renal Section. The final step conceived by Saul J. Farber, Chairman and Professor of the Department of Medicine was unification into a single group of all faculty members working in the field of hypertensive and renal diseases in Bellevue, University, and Manhattan Veterans Administration Hospitals. The Renal Section then can attribute its origin and development to the establishment of divisions within the Department of Medicine, the postdoctoral fellowship program, and the collaboration between the Departments of Medicine and Physiology. The establishment of the Renal Section served as

  3. School-Age Prework Experiences of Young People with a History of Specific Language Impairment

    ERIC Educational Resources Information Center

    Durkin, Kevin; Fraser, Jill; Conti-Ramsden, Gina

    2012-01-01

    Young people with specific language impairment (SLI) are at risk for poorer outcomes with respect to employment in adulthood, yet little is known of how early school-age prework experiences prepare them for the job market. This study examined whether young people with SLI engage in similar types of early work experiences as their typically…

  4. Integrating Teaching about the Little Ice Age with History, Art, and Literature.

    ERIC Educational Resources Information Center

    Glenn, William Harold

    1996-01-01

    Discusses climate change during the Little Ice Age as experienced during several historical events, including the settlement and demise of the Norse Greenland colonies, the landing of the Pilgrims at Plymouth, and both the Battle of Trenton and Washington's encampment at Valley Forge during the American Revolution. Associated artistic and literary…

  5. Teaching the Nuclear Age: A History Institute for Teachers. Footnotes. Volume 14, Number 5

    ERIC Educational Resources Information Center

    Kuehner, Trudy

    2009-01-01

    On March 28-29, 2009, FPRI's Wachman Center hosted 43 teachers from across the country for a weekend of discussion on teaching the nuclear age. In his opening remarks, Walter A. McDougall observed that although students today are not made to crawl under their desks in air raid drills, that atomic power remains, and it is still necessary to raise a…

  6. History of the USDA Human Nutrition Research Center on Aging at Tufts University

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The Jean Mayer United States Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, while quite a mouthful, is aptly named, since it has contributed substantially to the legacy of Jean Mayer, to the scientific stature of the USDA and, in Atwater’s tradition, to the d...

  7. The Combined Effects of Bacterial Symbionts and Aging on Life History Traits in the Pea Aphid, Acyrthosiphon pisum

    PubMed Central

    Fan, Maretta H.; Gerardo, Nicole M.

    2014-01-01

    While many endosymbionts have beneficial effects on hosts under specific ecological conditions, there can also be associated costs. In order to maximize their own fitness, hosts must facilitate symbiont persistence while preventing symbiont exploitation of resources, which may require tight regulation of symbiont populations. As a host ages, the ability to invest in such mechanisms may lessen or be traded off with demands of other life history traits, such as survival and reproduction. Using the pea aphid, Acyrthosiphon pisum, we measured survival, lifetime fecundity, and immune cell counts (hemocytes, a measure of immune capacity) in the presence of facultative secondary symbionts. Additionally, we quantified the densities of the obligate primary bacterial symbiont, Buchnera aphidicola, and secondary symbionts across the host's lifetime. We found life history costs to harboring some secondary symbiont species. Secondary symbiont populations were found to increase with host age, while Buchnera populations exhibited a more complicated pattern. Immune cell counts peaked at the midreproductive stage before declining in the oldest aphids. The combined effects of immunosenescence and symbiont population growth may have important consequences for symbiont transmission and maintenance within a host population. PMID:24185857

  8. A Fatal Sepsis Caused by Hyaluronate Knee Injection: How Much the Medical History and the Informed Consent Might Be Important?

    PubMed Central

    Rinonapoli, G.; Nardi, A.; Antinolfi, P.; Caraffa, A.

    2017-01-01

    The incidence of Osteoarthritis (OA) is gradually increasing worldwide due to two main reasons: longer life expectation and increased functional demand. Several treatment options have been proposed for this disease. Conservative treatment has the goal to improve the quality of life, reduce pain, and prevent the progression of the disease. Hyaluronate viscosupplementation is one of the most used infiltrative treatments for OA, but, despite its common use, clinical efficacy is still under question. Though adverse reactions for this medical option are actually rare, septic arthritis is a very scaring complication. We present a case report of a 59-year-old man who has been submitted to only one knee hyaluronate injection and consequently reported a severe septic arthritis and systemic sepsis, which lead to the death of the patient. We recommend producing correct guidelines for a clean aseptic procedure of injection to obtain proper consensus from the patient and to pay attention to his clinical history and comorbidities before acting any kind of invasive treatment, including joint injection. PMID:28326213

  9. [White House Conference on Aging, 1981: Health-Related and Medical Care Issues of the Elderly. Eighteen Reports.

    ERIC Educational Resources Information Center

    White House Conference on Aging, Washington, DC.

    This document contains the 18 papers on health-related and medical care issues of the elderly that were presented at the 1981 White House Conference on Aging. The materials focus on the following topics: physical mobility, death, heart disease, nutrition, injury, senile dementia, post-menopausaul women, gerontological nursing, learning and memory,…

  10. Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria

    PubMed Central

    Zeenny, Rony; Wakim, Samira; Kuyumjian, Yara-Mary

    2017-01-01

    Background Potentially inappropriate medications (PIMs) should be avoided by the aged population. The aim of this study was to assess the prevalence of PIMs among Lebanese aged outpatients using Beers criteria of 2012. The secondary objectives were to identify the correlates of the PIMs use and to compare the PIMs prevalence rates as per Beers criteria of 2003 and 2012. Methods This cross-sectional observational study was conducted among aged outpatients of different accredited community pharmacies across Lebanon. Data were collected through a validated questionnaire. The Beers criteria of 2012 were used to evaluate PIMs. The association between PIMs used and independent variables were analyzed by logistic regression. The differences between PIMs use according to Beers criteria 2003 and 2012 were calculated using chi-squared and McNemar’s tests. Results A total of 248 outpatients were analyzed. We identified 112 (45.2%) out of 248 patients taking PIMs. The leading classes of medications identified to cause PIMs were those acting on the central nervous system (71.4%). The factors associated with PIMs use were age, osteoporosis, Alzheimer/dementia, diabetes, and alcohol consumption. PIMs use increased significantly between Beers criteria 2003 and 2012 (Chi-squared test, P<0.001; McNemar’s test, P<0.001). Conclusion Our study showed a high prevalence of PIMs use in Lebanon, which is associated with various correlates. Education of health care providers and medication review should be considered to improve medication safety of older adults. PMID:28115835

  11. [Teen-Age Medical Center and Walk-In Counseling Center (Model Cities). End of Contract Report.

    ERIC Educational Resources Information Center

    Galt, Lester

    This paper presents the objectives and results of an experimental program, the Teen Age Medical Service, in Minneapolis, Minnesota. The first objective of this program was to experiment with new ways of delivering additional, more extensive, and continuous personal services while maintaining the emergency and episodic services that have…

  12. The frequency of aneuploidy in cultured lymphocytes is correlated with age and gender but not with reproductive history.

    PubMed Central

    Nowinski, G P; Van Dyke, D L; Tilley, B C; Jacobsen, G; Babu, V R; Worsham, M J; Wilson, G N; Weiss, L

    1990-01-01

    The clinical significance of low numbers of aneuploid cells in routine cytogenetic studies of cultured lymphocytes is not always clear. We compared the frequencies of chromosome loss and gain among five groups of subjects whose karyotypes were otherwise normal; these groups were (1) subjects studied because of multiple miscarriages, (2) parents of live borns with autosomal trisomy, (3) subjects studied because they had a relative with Down syndrome, (4) an age-matched control group of phenotypically normal adults studied for other reasons (e.g., parent of a dysmorphic child or member of a translocation family), and (5) other mostly younger and phenotypically abnormal subjects who could not be assigned to the first four groups (e.g., individuals with multiple congenital anomalies or mental retardation). No significant age, sex, or group effects were observed for autosomal loss (hypodiploidy) or gain (hyperdiploidy). Autosomal loss was inversely correlated with relative chromosome length, but autosomal gain was not. Sex-chromosome gain was significantly more frequent in females than in males, but sex-chromosome loss was not significantly different between the sexes. Significant age effects were observed for both gain and loss of sex chromosomes. When age and sex were accounted for, the frequencies of sex-chromosome loss and gain were not significantly different among the five clinical groups. In general, low numbers of aneuploid cells are not clinically important when observed in blood chromosome preparations of subjects studied because of multiple miscarriages or a family history of autosomal trisomy. PMID:2339703

  13. Physical aging of glassy PMMA/toluene films: influence of drying/swelling history.

    PubMed

    Doumenc, F; Bodiguel, H; Guerrier, B

    2008-09-01

    Gravimetry experiments in a well-controlled environment have been performed to investigate aging for a glassy PMMA/toluene film. The temperature is constant and the control parameter is the solvent vapor pressure above the film (i.e. the activity). Several experimental protocols have been used, starting from a high activity where the film is swollen and rubbery and then aging the film at different activities below the glass transition. Desorption and resorption curves have been compared for the different protocols, in particular in terms of the softening time, i.e. the time needed by the sample to recover an equilibrium state at high activity. Non-trivial behaviors have been observed, especially at small activities (deep quench). A model is proposed, extending the Leibler-Sekimoto approach to take into account the structural relaxation in the glassy state, using the Tool formalism. This model well captures some of the observed phenomena, but fails in describing the specific kinetics observed when aging is followed by a short but deep quench.

  14. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Diffuse Large B-Cell Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Kricker, Anne; Paltiel, Ora; Flowers, Christopher R.; Wang, Sophia S.; Monnereau, Alain; Blair, Aaron; Maso, Luigino Dal; Kane, Eleanor V.; Nieters, Alexandra; Foran, James M.; Miligi, Lucia; Clavel, Jacqueline; Bernstein, Leslie; Rothman, Nathaniel; Slager, Susan L.; Sampson, Joshua N.; Morton, Lindsay M.; Skibola, Christine F.

    2014-01-01

    Background Although risk factors for diffuse large B-cell lymphoma (DLBCL) have been suggested, their independent effects, modification by sex, and association with anatomical sites are largely unknown. Methods In a pooled analysis of 4667 cases and 22639 controls from 19 studies, we used stepwise logistic regression to identify the most parsimonious multivariate models for DLBCL overall, by sex, and for selected anatomical sites. Results DLBCL was associated with B-cell activating autoimmune diseases (odds ratio [OR] = 2.36, 95% confidence interval [CI] = 1.80 to 3.09), hepatitis C virus seropositivity (OR = 2.02, 95% CI = 1.47 to 2.76), family history of non-Hodgkin lymphoma (OR = 1.95, 95% CI = 1.54 to 2.47), higher young adult body mass index (OR = 1.58, 95% CI = 1.12 to 2.23, for 35+ vs 18.5 to 22.4 kg/m2), higher recreational sun exposure (OR = 0.78, 95% CI = 0.69 to 0.89), any atopic disorder (OR = 0.82, 95% CI = 0.76 to 0.89), and higher socioeconomic status (OR = 0.86, 95% CI = 0.79 to 0.94). Additional risk factors for women were occupation as field crop/vegetable farm worker (OR = 1.78, 95% CI = 1.22 to 2.60), hairdresser (OR = 1.65, 95% CI = 1.12 to 2.41), and seamstress/embroider (OR = 1.49, 95% CI = 1.13 to 1.97), low adult body mass index (OR = 0.46, 95% CI = 0.29 to 0.74, for <18.5 vs 18.5 to 22.4 kg/m2), hormone replacement therapy started age at least 50 years (OR = 0.68, 95% CI = 0.52 to 0.88), and oral contraceptive use before 1970 (OR = 0.78, 95% CI = 0.62 to 1.00); and for men were occupation as material handling equipment operator (OR = 1.58, 95% CI = 1.02 to 2.44), lifetime alcohol consumption (OR = 0.57, 95% CI = 0.44 to 0.75, for >400kg vs nondrinker), and previous blood transfusion (OR = 0.69, 95% CI = 0.57 to 0.83). Autoimmune disease, atopy, and family history of non-Hodgkin lymphoma showed similar associations across selected anatomical sites, whereas smoking was associated with central nervous system, testicular and cutaneous DLBCLs

  15. [From the history of military-medical examination in the Far East (to the 60th anniversary of the 4th Branch of the Main center of military-medical examination of the Ministry of Defense of RF)].

    PubMed

    Pashkovskiĭ, R D

    2013-09-01

    Military-medical examination is a part of medical service of the Armed Forces of the Russian Federation and plays a significant role in recruiting military troops with healthy, physically vigorous soldiers, in saving and improving of health of military personnel, in undertaking prophylaxis and therapeutic measures, in solving social problems of servicemen and their families. Military-medical examination board of Eastern Command plays a significant role in the system of military-medical examination of the Armed Forces of the Russian Federation. The article is devoted to the history of formation and development of military-medical examination in the Far East depending on aims and goals of military-medical service at different stages of military formation. Eastern Command dated back to the Civil War, has changed its organization, boundaries, structure and name many times. According these changes many new military-medical departments, including military-medical examination board, were reorganized, disbanded and created. Various military-medical commissions alternating or working simultaneously at different military units were created in the Far East.

  16. Implications of IODP Expedition 349 Age Results for the Spreading History of the South China Sea

    NASA Astrophysics Data System (ADS)

    Briais, Anne

    2016-04-01

    The International Ocean Discovery Program (IODP) Expedition 349 in the South China Sea drilled three sites (U1431, U1433, and U1434) into the basaltic crustal basement near the fossil spreading center in the East and Southwest Subbasins. These results provided age constraints on the termination of seafloor spreading in the South China Sea (SCS) basin. Shipboard biostratigraphic analysis of microfossils from the sediment immediately above or between flows in the basaltic basement indicates early Miocene ages: 16.7-17.6 Ma for Site U1431 in the East Subbasin, ~18-21 Ma for Site U1433 in the Southwest Subbasin. Since Expedition 349, Ar/Ar dating of basalt samples from these two sites have confirmed these ages in the east, and have provided an age of 17 Ma in the Southwest. The similarity in crustal age between sites suggests that the last stages of spreading have been coeaval in both the East and Southwest Subbasins, forming a single mid-ocean ridge system with a series of transform faults and discontinuities between the two subbasins. Expedition 349 also drilled Site U1435 on a bathymetric high along the northwestern continent-ocean boundary. Onboard core description, biostratigraphy and magnetostratigraphy revealed that sediment at this site shows a sharp discontinuity at about 33 Ma, interpreted to represent the breakup unconformity and date the beginning of seafloor spreading in the East Subbasin. The results of IODP Exp. 349, as well as results from deep-towed magnetic surveys, thus imply that oceanic seafloor spreading in the SCS, from 33 to ~16-18 Ma, is coeval with a large part of the left-lateral motion along the Ailao Shan-Red River Fault Zone (dated 34 to 17 Ma). This episode of the extension of the South China Sea basin is therefore more likely driven by the extrusion of the Indochina tectonic block resulting from the collision of India with Eurasia than by the subduction of a proto-South China Sea to the south.

  17. 40Ar/39Ar impact ages and time-temperature argon diffusion history of the Bunburra Rockhole anomalous basaltic achondrite

    NASA Astrophysics Data System (ADS)

    Jourdan, Fred; Benedix, Gretchen; Eroglu, Ela.; Bland, Phil. A.; Bouvier, Audrey.

    2014-09-01

    The Bunburra Rockhole meteorite is a brecciated anomalous basaltic achondrite containing coarse-, medium- and fine-grained lithologies. Petrographic observations constrain the limited shock pressure to between ca. 10 GPa and 20 GPa. In this study, we carried out nine 40Ar/39Ar step-heating experiments on distinct single-grain fragments extracted from the coarse and fine lithologies. We obtained six plateau ages and three mini-plateau ages. These ages fall into two internally concordant populations with mean ages of 3640 ± 21 Ma (n = 7; P = 0.53) and 3544 ± 26 Ma (n = 2; P = 0.54), respectively. Based on these results, additional 40Ar/39Ar data of fusion crust fragments, argon diffusion modelling, and petrographic observations, we conclude that the principal components of the Bunburra Rockhole basaltic achondrite are from a melt rock formed at ∼3.64 Ga by a medium to large impact event. The data imply that this impact generated high enough energy to completely melt the basaltic target rock and reset the Ar systematics, but only partially reset the Pb-Pb age. We also conclude that a complete 40Ar∗ resetting of pyroxene and plagioclase at this time could not have been achieved at solid-state conditions. Comparison with a terrestrial analog (Lonar crater) shows that the time-temperature conditions required to melt basaltic target rocks upon impact are relatively easy to achieve. Ar data also suggest that a second medium-size impact event occurred on a neighbouring part of the same target rock at ∼3.54 Ga. Concordant low-temperature step ages of the nine aliquots suggest that, at ∼3.42 Ga, a third smaller impact excavated parts of the ∼3.64 Ga and ∼3.54 Ga melt rocks and brought the fragments together. The lack of significant impact activity after 3.5 Ga, as recorded by the Bunburra Rockhole suggests that (1) either the meteorite was ejected in a small secondary parent body where it resided untouched by large impacts, or (2) it was covered by a porous heat

  18. The natural history of acute cough in children aged 0 to 4 years in primary care: a systematic review.

    PubMed Central

    Hay, Alastair D; Wilson, Andrew D

    2002-01-01

    Professional and parental uncertainty regarding the natural history of cough and respiratory tract infection (R77) in pre-school children may in part be responsible for the high consultation, reconsultation, and antibiotic prescribing rates in this age group. The aim of the study was to review the evidence about the natural history of acute cough in children aged between 0 and 4 years presenting to primary care in terms of illness duration and complications. The study was a systematic review, with qualitative and quantitative data synthesis, of control and placebo arms of systematic reviews, randomised controlled trials (RCTs), and cohort studies set in primary care. Searches were done of MEDLINE (between 1966 and June 1998), EMBASE (between 1988 and September 1998), and the Cochrane Library databases, using the MeSH terms 'respiratory tract infection, 'cough, and 'bronchitis, and the textwords 'cough' 'bronchitis, and 'chest infection, limited to children aged between 0 and 4years, and English language articles. Eight RCTs and two cohort studies met the review criteria. At one week, 75% of children may have improved but 50% may be still coughing and/or have a nasal discharge. At two weeks up to 24% of children may be no better. Within two weeks of presentation, 12% of children may experience one or more complication, such as rash, painful ears, diarrhoea, vomiting, or progression to bronchitis/pneumonia. This review offers parents and clinicians more prognostic information about acute cough in pre-school children. Illness duration may be longer and complications higher than many parents and clinicians expect. This may help to set more realistic expectations of the illness and help parents to decide when and if to reconsult. This information may be useful to those designing patient information and self-help resources. PMID:12014540

  19. The progenitors of quiescent galaxies at z~2: precision ages and star-formation histories from WFC3/IR spectroscopy

    NASA Astrophysics Data System (ADS)

    Barro, Guillermo

    2013-10-01

    The important "adolescent" epoch at redshifts z 1 to 2 bridges a universe of "adult" galaxies at z<1 to an earlier "childhood" period z>2 when galaxies were dramatically different. During this transition, the early quenching of star formation and later enlargement of compact quiescent galaxies since z 2 remain key unsolved mysteries. We have identified a population of compact star-forming galaxies at 2.5 whose structural properties and number densities suggest an evolutionary connection with the first quiescent galaxies. But demonstrating full consistency between progenitor to descendant populations requires high-precision redshifts, ages, and star formation histories to make reliable links in time. We thus propose adding a 56 orbit G102 survey to GOODS-North. The G102 grism meets the required spectral resolution to resolve stellar population ages and connect progenitors to quiescent galaxies, and perfectly bridges the gap for galaxies at 1ages and star formation histories between their cores and outskirts during the transition era. Given its high value for legacy science, the new data will have no proprietary period.

  20. Lessons from history: Surviving old age during The Great Depression in the United States.

    PubMed

    Matthews, Sarah H; Dunkle, Ruth E

    2013-12-01

    This paper focuses on 30 couples who received a pension and other services from two private trusts in Detroit, Michigan beginning in 1929 or 1930. Results of the qualitative analysis of case files, which contain notes recorded chronologically for 17 of the couples and then surviving spouses, provide a portrait of older couples' lives prior to a partner's death, circumstances surrounding the death, and changes in the social support systems of widows and widowers until their deaths. Close examination of the experiences of these couples is a reminder of how old age and widowhood were experienced prior to the enactment of public pensions and health insurance in the United States.

  1. Age Constraints on the Eruptive History of the Northern Galapagos Volcanic Province

    NASA Astrophysics Data System (ADS)

    Sinton, C. W.; Harpp, K. S.; Mittelstaedt, E. L.; Soule, S. A.; Mv1007 Flamingo Science Team

    2011-12-01

    The Northern Galápagos Volcanic Province, located north of the Galápagos Archipelago and centered near the 90° 50'W Galápagos transform fault (GTF), is represented by a complex set of islands, seamount chains and ridges. To better understand the dynamics of ridge-hotspot interaction in this unique region, we collected bathymetry, sidescan sonar, magnetic, sub-bottom seismic, and gravity data during the 2010 FLAMINGO (MV1007) cruise of the R/V Melville. In addition to the geophysical studies, lava samples were recovered by dredge at 43 locations on both the Nazca Plate and Cocos Plate. The bathymetric mapping shows that region on the Nazca Plate west of the GTF is dominated by numerous seamounts aligned in three volcanic lineaments, the largest of which is the Wolf-Darwin Lineament. Faulting patterns and seamount morphology suggest that the locations and orientations of the lineaments may be partly controlled by the lithospheric stress field associated with the GTF. In contrast, east of the GTF on the Cocos Plate, there is little evidence of constructional volcanism - instead, there are several linear, nearly ridge-parallel, faulted features with up to 1km of relief. In this paper, we present new 40Ar/39Ar ages from the lavas collected in this region. These data allow us to constrain the age and duration of volcanism, thereby testing different models for interactions between the Galápagos plume and the Galápagos Spreading Center.

  2. Age-Related Changes in Segmental Body Composition by Ethnicity and History of Weight Change across the Adult Lifespan

    PubMed Central

    Tian, Simiao; Morio, Béatrice; Denis, Jean-Baptiste; Mioche, Laurence

    2016-01-01

    This study assessed age-related changes in body composition (specifically in trunk fat and appendicular lean masses), with consideration of body mass index (BMI) at age 20 years (BMI reference age, “BMIref”), ethnicity and lifetime weight change history. A cross-sectional dual-energy X-ray absorptiometry-based dataset was extracted from the U.S. National Health and Nutrition Examination Survey (NHANES) 1999–2004. Only European-American and African-American subjects were used (2705 men, 2527 women). For each gender and ethnicity, 6 analytic cases were considered, based on three BMIref categories (normal, overweight and obese, being 22, 27 and 30 kg/m2, respectively) and two weight contexts (stable weight or weight gain across the lifespan). A nonparametric model was developed to investigate age-related changes in body composition. Then, parametric modelling was developed for assessing BMIref- and ethnicity-specific effects during aging. In the stable weight, both genders’ and ethnicities’ trunk fat (TF) increased gradually; body fat (BF) remained stable until 40 years and increased thereafter; trunk lean (TL) remained stable, but appendicular lean (APL) and body lean (BL) declined from 20 years. In the weight gain context, TF and BF increased at a constant rate, while APL, TL and BL increased until 40–50 years, and then declined slightly. Compared with European-American subjects of both genders, African-American subjects had lower TF and BF masses. Ethnic differences in body composition were quantified and found to remain constant across the lifespan. PMID:27529269

  3. Nucleosynthetic history of elements in the Galactic disk. [X/Fe]-age relations from high-precision spectroscopy

    NASA Astrophysics Data System (ADS)

    Spina, L.; Meléndez, J.; Karakas, A. I.; Ramírez, I.; Monroe, T. R.; Asplund, M.; Yong, D.

    2016-10-01

    Context. The chemical composition of stars is intimately linked to the formation and evolution of the Galaxy. Aims: We aim to trace the chemical evolution of the Galactic disk through the inspection of the [X/Fe]-age relations of 24 species from C to Eu. Methods: Using high-resolution and high signal-to-noise UVES spectra of nine solar twins, we obtained precise estimates of stellar ages and chemical abundances. These determinations have been integrated with additional accurate age and abundance determinations from recent spectroscopic studies of solar twins existing in the literature, comprising superb abundances with 0.01 dex precision. Based on this data set, we outlined the [X/Fe]-age relations over a time interval of 10 Gyr. Results: We present the [X/Fe] - age relations for 24 elements (C, O, Na, Mg, Al, Si, S, K, Ca, Sc, Ti, V, Cr, Mn, Co, Ni, Cu, Zn, Y, Ba, La, Ce, Nd, and Eu). Each different class of elements showed a distinct evolution with time that relies on the different characteristics, rates, and timescales of the nucleosynthesis sites from which they are produced. The α-elements are characterized by a [X/Fe] decrease with time. Strikingly, the opposite behavior is observed for Ca. The iron-peak elements show an early [X/Fe] increase followed by a decrease towards the youngest stars. The [X/Fe] for the n-capture elements decrease with age. We also found that both [Mg/Y] and [Al/Y] are precise stellar clocks, with [Al/Y] showing the steepest dependence on age. Conclusions: Knowledge of the [X/Fe]-age relations is a gold mine from which we can achieve a great understanding of the processes that governed the formation and evolution of the Milky Way. Through the reverse engineering of these relations we will be able to put strong constraints on the nature of the stellar formation history, the SNe rates, the stellar yields, and the variety of the SNe progenitors. Based on observations obtained at the ESO VLT at Paranal Observatory (Observing program 083

  4. Childhood Abuse, Nonadherence, and Medical Outcome in Pediatric Liver Transplant Recipients

    ERIC Educational Resources Information Center

    Shemesh, Eyal; Annunziato, Rachel A.; Yehuda, Rachel; Shneider, Benjamin L.; Newcorn, Jeffrey H.; Hutson, Carolyn; Cohen, Judith A.; Briere, John; Gorman, Jack M.; Emre, Sukru

    2007-01-01

    Objective: The study assessed the relationship between a history of child abuse, nonadherence to medications, and medical outcome in children who had a liver transplant. Method: Abuse history for children and adolescents ages 8 to 21 who underwent a liver transplantation at Mount Sinai Medical Center in New York was obtained in interviews in 2002.…

  5. The age of the martian meteorite Northwest Africa 1195 and the differentiation history of the shergottites

    SciTech Connect

    Symes, S; Borg, L; Shearer, C; Irving, A

    2007-04-05

    Samarium-neodymium isotopic analyses of unleached and acid-leached mineral fractions from the recently identified olivine-bearing shergottite Northwest Africa 1195 yield a crystallization age of 348 {+-} 19 Ma and an {var_epsilon}{sub Nd}{sup 143} value of +40.1 {+-} 1.3. Maskelynite fractions do not lie on the Sm-Nd isochron and appear to contain a martian surface component with low {sup 147}Sm/{sup 144}Nd and {sup 143}Nd/{sup 144}Nd ratios that was added during shock. The Rb-Sr system is disturbed and does not yield an isochron. Terrestrial Sr appears to have affected all of the mineral fractions, although a maximum initial {sup 87}Sr/{sup 86}Sr ratio of 0.701614 {+-} 16 is estimated by passing a 348 Ma reference isochron through the maskelynite fraction that is least affected by contamination. The high initial {var_epsilon}{sub Nd}{sup 143} value and the low initial {sup 87}Sr/{sup 86}Sr ratio, combined with the geologically young crystallization age, indicate that Northwest Africa 1195 is derived from a source region characterized by a long-term incompatible element depletion. The age and initial Sr and Nd isotopic compositions of Northwest Africa 1195 are very similar to those of Queen Alexandra Range 94201, indicating these samples were derived from source regions with nearly identical Sr-Nd isotopic systematics. These similarities suggest that these two meteorites share a close petrogenetic relationship and might have been erupted from a common volcano. The meteorites Yamato 980459, Dar al Gani 476, Sayh al Uhaymir 005/008, and Dhofar 019 also have relatively old ages between 474-575 Ma and trace element and/or isotopic systematics that are indicative of derivation from incompatible-element-depleted sources. This suggests that the oldest group of meteorites is more closely related to one another than they are to the younger meteorites that are derived from less incompatible-element-depleted sources. Closed-system fractional crystallization of this suite of

  6. The age of the martian meteorite Northwest Africa 1195 and the differentiation history of the shergottites

    NASA Astrophysics Data System (ADS)

    Symes, Steven J. K.; Borg, Lars E.; Shearer, Charles K.; Irving, Anthony J.

    2008-03-01

    Samarium-neodymium isotopic analyses of unleached and acid-leached mineral fractions from the recently identified olivine-bearing shergottite Northwest Africa 1195 yield a crystallization age of 347 ± 13 Ma and an ɛNd143 value of +40.1 ± 0.9. Maskelynite fractions do not lie on the Sm-Nd isochron and appear to contain a martian surface component with low 147Sm/ 144Nd and 143Nd/ 144Nd ratios that was added during shock. The Rb-Sr system is disturbed and does not yield an isochron. Terrestrial Sr appears to have affected all of the mineral fractions, although a maximum initial 87Sr/ 86Sr ratio of 0.7016 is estimated by passing a 347 Ma reference line through the maskelynite fraction that is least affected by contamination. The high initial ɛNd143 value and the low initial 87Sr/ 86Sr ratio, combined with the geologically young crystallization age, indicate that Northwest Africa 1195 is derived from a source region characterized by a long-term incompatible-element depletion. The age and initial Sr and Nd isotopic compositions of Northwest Africa 1195 are very similar to those of Queen Alexandra Range 94201, indicating these samples were derived from source regions with similar Sr-Nd isotopic systematics. These similarities suggest that these two meteorites share a close petrogenetic relationship and might have been erupted from a common volcano. The meteorites Yamato 980459, Dar al Gani 476, Sayh al Uhaymir 005/008, and Dhofar 019 also have relatively old ages between 474 and 575 Ma and trace element and/or isotopic systematics that are indicative of derivation from incompatible-element-depleted sources. This suggests that the oldest group of meteorites is more closely related to one another than they are to the younger meteorites that are derived from less incompatible-element-depleted sources. Closed-system fractional crystallization of this suite of meteorites is modeled with the MELTS algorithm using the bulk composition of Yamato 980459 as a parent. These

  7. Is the onset of the 6th century 'dark age' in Maya history related to explosive volcanism?

    NASA Astrophysics Data System (ADS)

    Nooren, Kees; Hoek, Wim Z.; Van der Plicht, Hans; Sigl, Michael; Galop, Didier; Torrescano-Valle, Nuria; Islebe, Gerald; Huizinga, Annika; Winkels, Tim; Middelkoop, Hans; Van Bergen, Manfred

    2016-04-01

    Maya societies in Southern Mexico, Guatemala and Belize experienced a 'dark age' during the second half of the 6th century. This period, also known as the 'Maya Hiatus', is characterized by cultural downturn, political instability and abandonment of many sites in the Central Maya Lowlands. Many theories have been postulated to explain the occurrence of this 'dark age' in Maya history. A possible key role of a large volcanic eruption in the onset of this 'dark age' will be discussed. Volcanic deposits recovered from the sedimentary archive of lake Tuspán and the Usumacinta-Grijalva delta were studied in detail and the combination of multiple dating techniques allowed the reconstruction of the timing of a large 6th century eruption. Volcanic glass shards were fingerprinted to indicate the source volcano and high resolution pollen records were constructed to indicate the environmental impact of the eruption. Results are compared with available archaeological data and causality with the disruption of Maya civilization will be evaluated.

  8. Stress resilience in adolescence and subsequent antidepressant and anxiolytic medication in middle aged men: Swedish cohort study.

    PubMed

    Hiyoshi, Ayako; Udumyan, Ruzan; Osika, Walter; Bihagen, Erik; Fall, Katja; Montgomery, Scott

    2015-06-01

    It is unclear whether psychological resilience to stress in adolescence represents a persistent characteristic relevant to the subsequent risk for depression and anxiety in later adulthood. We aimed to test whether low psychological stress resilience assessed in adolescence is associated with an increased risk of receiving medication for depression and anxiety in middle age. We utilized Swedish register-based cohort study. Men born between 1952 and 1956 (n = 175,699), who underwent compulsory assessment for military conscription in late adolescence were followed to examine subsequent risk of pharmaceutically-treated depression and anxiety in middle age, from 2006 to 2009 corresponding to ages between 50 and 58 years, using Cox regression. The associations of stress resilience with prescription of antidepressant and anxiolytics medication through potential mediating factors cognitive and physical function and adult socioeconomic factors were calculated. Low stress resilience was associated with elevated risks for antidepressant (hazard ratio (HR):1.5 (95% CI 1.4 1.6)) and anxiolytics (HR:2.4 (CI 2.0 2.7)) medication. Adjustment for measures of childhood living circumstances attenuated the associations somewhat. Around a third of association with low stress resilience, and a half of that with moderate resilience, was mediated through cognitive and physical function in adolescence and adult socioeconomic factors. The magnitude of the inverse association of higher cognitive function with antidepressant medication was eliminated among those with low stress resilience. These results indicate that low stress resilience in adolescence is associated with an increased risk for antidepressant and anxiolytics medication over 30 years later, in part mediated through developmental factors in adolescence and socioeconomic circumstances in adulthood, and low stress resilience can diminish or eliminate the inverse association of higher cognitive function with antidepressant

  9. Integrated IMR for Psychiatric and General Medical Illness for Adults Aged 50 or Older With Serious Mental Illness

    PubMed Central

    Bartels, Stephen J.; Pratt, Sarah I.; Mueser, Kim T.; Naslund, John A.; Wolfe, Rosemarie S.; Santos, Meghan; Xie, Haiyi; Riera, Erik G.

    2016-01-01

    Objectives Self-management is promoted as a strategy for improving outcomes for serious mental illness as well as for chronic general medical conditions. This study evaluated the feasibility and effectiveness of an eight-month program combining training in self-management for both psychiatric and general medical illness, including embedded nurse care management. Methods Participants were 71 middle-aged and older adults (mean age=60.3±6.5) with serious mental illness and chronic general medical conditions who were randomly assigned to receive integrated Illness Management and Recovery (I-IMR) (N=36) or usual care (N=35). Feasibility was determined by attendance at I-IMR and nurse sessions. Effectiveness outcomes were measured two and six months after the intervention (ten- and 14-month follow-ups) and included self-management of psychiatric and general medical illness, participation in psychiatric and general medical encounters, and self-reported acute health care utilization. Results I-IMR participants attended 15.8±9.5 I-IMR and 8.2±5.9 nurse sessions, with 75% attending at least ten I-IMR and five nurse sessions. Compared with usual care, I-IMR was associated with greater improvements in participant and clinician ratings for psychiatric illness self-management, greater diabetes self-management, and an increased preference for detailed diagnosis and treatment information during primary care encounters. The proportion of I-IMR participants with at least one psychiatric or general medical hospitalization decreased significantly between baseline and ten- and 14-month follow-ups. Conclusions I-IMR is a feasible intervention for this at-risk group and demonstrated potential effectiveness by improving self-management of psychiatric illness and diabetes and by reducing the proportion of participants requiring psychi atric or general medical hospitalizations. PMID:24292559

  10. Family history, not lack of medication use, is associated with the development of postpartum depression in a high-risk sample.

    PubMed

    Kimmel, Mary; Hess, Edward; Roy, Patricia S; Palmer, Jennifer Teitelbaum; Meltzer-Brody, Samantha; Meuchel, Jennifer M; Bost-Baxter, Emily; Payne, Jennifer L

    2015-02-01

    We sought to determine clinical predictors of postpartum depression (PPD), including the role of medication, in a sample of women followed prospectively during and after pregnancy. Women with a history of mood disorder were recruited and evaluated during each trimester and 1 week, 1 month, and 3 months postpartum. DSM-IV criteria for a major depressive episode were assessed by a psychiatric interview at each time point. Sixty-three women with major depression and 30 women with bipolar disorder entered the study and 75.4 % met DSM-IV criteria for a MDE during pregnancy, postpartum, or both. We modeled depression in a given time period (second trimester, third trimester, or 1 month postpartum) as a function of medication use during the preceding period (first, second, or third trimester). The odds of being depressed for those who did not use medication in the previous period was approximately 2.8 times that of those who used medication (OR 2.79, 95 % CI 1.38-5.66, p = 0.0048). Of 38 subjects who were psychiatrically well during the third trimester, 39.5 % (N = 15) met the criteria for a MDE by 4 weeks postpartum. In women who developed PPD, there was a high rate of a family history of PPD (53.3 %) compared to women who did not develop PPD (11.8 %, p = 0.02). While the use of psychiatric medications during pregnancy reduced the odds of being depressed overall, the use of psychiatric medications during pregnancy may not protect against PPD in women at high risk, particularly those with a family history of PPD.

  11. Aging changes and medical complexity in late-life bipolar disorder: emerging research findings that may help advance care

    PubMed Central

    Sajatovic, Martha; Forester, Brent P; Gildengers, Ariel; Mulsant, Benoit H

    2014-01-01

    SUMMARY Demographic trends globally point in the direction of increasing numbers of older people with serious and chronic mental disorders, such as bipolar disorder (BD). While there has been growing sophistication and understanding in treatments for BD generally, data specific to older people with BD are limited. Recent reviews, secondary analyses and some new research confirm complexity and aging-related issues relevant to later-life BD. Confounding variables that must be considered when studying older BD individuals include clinical heterogeneity, medical comorbidity, cognitive impairment and concomitant psychotropic medication. This article will review current and emerging data on aging- and disease-related issues that complicate assessment and treatment of older individuals with BD. We will discuss common comorbid medical conditions that affect BD elders, how aging may affect cognition and treatment, including the effects of lithium and other psychotropic drugs on the aging brain, and recent research using neuroimaging techniques that may shed light on understanding the mechanisms of illness progression and on treatment response. Finally, we will discuss implications for future work in geriatric BD. PMID:24999372

  12. [Save for eternity: principles of medical science in the age of Montaigne and Cervantes].

    PubMed

    Lopes, Marcos Antônio

    2009-01-01

    This article approaches the medical arts at a time in which therapies are based on empirical knowledge, dictated by the fallacy of the authority ofunshakeable traditions. "Madness" and "eccentricities" perpetuated by Old School medical craftsmen are prevalent today in the strange practices of the new charlatanism, such as trunk cell technologies.

  13. Maximum-limiting ages of Lake Michigan coastal dunes: Their correlation with Holocene lake level history

    USGS Publications Warehouse

    Arbogast, Alan F.; Loope, Walter L.

    1999-01-01

    At each site, thick deposits of eolian sand overlie late-Pleistocene lacustrine sands. Moderately developed Spodosols (Entic Haplorthods) formed in the uppermost part of the lake sediments are buried by thick dune sand at three sites. At the fourth locality, a similar soil occurs in a very thin (1.3 m) unit of eolian sand buried deep within a dune. These soils indicate long-term (∼ 4,000 years) stability of the lake deposits following subaerial exposure. Radiocarbon dating of charcoal in the buried sola indicates massive dune construction began between 4,900 and 4,500 cal. yr B.P. at the Nordhouse Dunes site, between 4,300 and 3,900 cal. yr B.P. at the Jackson and Nugent Quarries, and between 3,300 to 2,900 cal. yr B.P. at Rosy Mound. Given these ages, it can be concluded that dune building at one site occurred during the Nipissing high stand but that the other dunes developed later. Although lake levels generally fell after the Nipissing, it appears that dune construction may have resulted from small increases in lake level and destabilization of lake-terrace bluffs.

  14. A case history on an innovative solution for VOC and air toxics control designed for a medical prosthetic manufacturer of silicon breast implants

    SciTech Connect

    Quan-Handley, P.

    1997-12-31

    The case history presented here is based on the selection, design, installation, testing in, and continuous operation of a recuperative type thermal oxidation system with a built on heat exchanger unit (with a thermal efficiency of 85%) and ancillary ventilation/exhaust collection system designed for McGhan Medical Corporation (McGhan), a medical prosthetic manufacturer of silicon breast implants, located in Santa Barbara, California. There is now available three (3) consecutive years of emissions source test data which verify the achievement of the overall equipment VOC destruction removal efficiency (DRE) initially projected at 98.5% or 10 ppmv.

  15. A prospective study of cognitive health in the elderly (Oregon Brain Aging Study): effects of family history and apolipoprotein E genotype.

    PubMed Central

    Payami, H; Grimslid, H; Oken, B; Camicioli, R; Sexton, G; Dame, A; Howieson, D; Kaye, J

    1997-01-01

    The oldest old are the fastest-growing segment of our population and have the highest prevalence of dementia. Little is known about the genetics of cognitive health in the very old. The aim of this study was to determine whether the genetic risk factors for Alzheimer disease (AD)--namely, apolipoprotein E (APOE) epsilon4 allele and a family history of dementia-continue to be important factors in the cognitive health of the very old. Case-control studies suggest that the effect of genetic factors diminishes at age >75 years. The present prospective study provided evidence to the contrary. We studied 114 Caucasian subjects who were physically healthy and cognitively intact at age 75 years and who were followed, for an average of 4 years, with neurological, psychometric, and neuroimaging examinations. Excellent health at entry did not protect against cognitive decline. Incidence of cognitive decline rose sharply with age. epsilon4 and a family history of dementia (independent of epsilon4) were associated with an earlier age at onset of dementia. Subjects who had epsilon4 or a family history of dementia had a ninefold-higher age-specific risk for dementia than did those who had neither epsilon4 nor a family history of dementia. These observations suggest that the rate of cognitive decline increases with age and that APOE and other familial/genetic factors influence the onset age throughout life. PMID:9106542

  16. A prospective study of cognitive health in the elderly (Oregon Brain Aging Study): effects of family history and apolipoprotein E genotype.

    PubMed

    Payami, H; Grimslid, H; Oken, B; Camicioli, R; Sexton, G; Dame, A; Howieson, D; Kaye, J

    1997-04-01

    The oldest old are the fastest-growing segment of our population and have the highest prevalence of dementia. Little is known about the genetics of cognitive health in the very old. The aim of this study was to determine whether the genetic risk factors for Alzheimer disease (AD)--namely, apolipoprotein E (APOE) epsilon4 allele and a family history of dementia-continue to be important factors in the cognitive health of the very old. Case-control studies suggest that the effect of genetic factors diminishes at age >75 years. The present prospective study provided evidence to the contrary. We studied 114 Caucasian subjects who were physically healthy and cognitively intact at age 75 years and who were followed, for an average of 4 years, with neurological, psychometric, and neuroimaging examinations. Excellent health at entry did not protect against cognitive decline. Incidence of cognitive decline rose sharply with age. epsilon4 and a family history of dementia (independent of epsilon4) were associated with an earlier age at onset of dementia. Subjects who had epsilon4 or a family history of dementia had a ninefold-higher age-specific risk for dementia than did those who had neither epsilon4 nor a family history of dementia. These observations suggest that the rate of cognitive decline increases with age and that APOE and other familial/genetic factors influence the onset age throughout life.

  17. SOCIAL CONSEQUENCES OF ETHANOL: IMPACT OF AGE, STRESS AND PRIOR HISTORY OF ETHANOL EXPOSURE

    PubMed Central

    Varlinskaya, Elena I.; Spear, Linda P.

    2014-01-01

    The adolescent period is associated with high significance of interactions with peers, high frequency of stressful situations, and high rates of alcohol use. At least two desired effects of alcohol that may contribute to heavy and problematic drinking during adolescence are its abilities to both facilitate interactions with peers and to alleviate anxiety, perhaps especially anxiety seen in social contexts. Ethanol-induced social facilitation can be seen using a simple model of adolescence in the rat, with normal adolescents, but not their more mature counterparts, demonstrating this ethanol-related social facilitation. Prior repeated stress induces expression of ethanol-induced social facilitation in adults and further enhances socially facilitating effects of ethanol among adolescent rats. In contrast, under normal circumstances, adolescent rats are less sensitive than adults to the social inhibition induced by higher ethanol doses and are insensitive to the socially anxiolytic effects of ethanol. Sensitivity to the socially anxiolytic effects of ethanol can be modified by prior stress or ethanol exposure at both ages. Shortly following repeated restraint or ethanol exposure, adolescents exhibit social anxiety-like behavior, indexed by reduced social preference, and enhanced sensitivity to the socially anxiolytic effects of ethanol, indexed through ethanol-associated reinstatement of social preference in these adolescents. Repeated restraint, but not repeated ethanol, induces similar effects in adults as well, eliciting social anxiety-like behavior and increasing their sensitivity to the socially anxiolytic effects of acute ethanol; the stressor also decreases sensitivity of adults to ethanol-induced social inhibition. The persisting consequences of early adolescent ethanol exposure differ from its immediate consequences, with males exposed early in adolescence, but not females or those exposed later in adolescence, showing social anxiety-like behavior when tested

  18. Social consequences of ethanol: Impact of age, stress, and prior history of ethanol exposure.

    PubMed

    Varlinskaya, Elena I; Spear, Linda P

    2015-09-01

    The adolescent period is associated with high significance of interactions with peers, high frequency of stressful situations, and high rates of alcohol use. At least two desired effects of alcohol that may contribute to heavy and problematic drinking during adolescence are its abilities to both facilitate interactions with peers and to alleviate anxiety, perhaps especially anxiety seen in social contexts. Ethanol-induced social facilitation can be seen using a simple model of adolescence in the rat, with normal adolescents, but not their more mature counterparts, demonstrating this ethanol-related social facilitation. Prior repeated stress induces expression of ethanol-induced social facilitation in adults and further enhances socially facilitating effects of ethanol among adolescent rats. In contrast, under normal circumstances, adolescent rats are less sensitive than adults to the social inhibition induced by higher ethanol doses and are insensitive to the socially anxiolytic effects of ethanol. Sensitivity to the socially anxiolytic effects of ethanol can be modified by prior stress or ethanol exposure at both ages. Shortly following repeated restraint or ethanol exposure, adolescents exhibit social anxiety-like behavior, indexed by reduced social preference, and enhanced sensitivity to the socially anxiolytic effects of ethanol, indexed through ethanol-associated reinstatement of social preference in these adolescents. Repeated restraint, but not repeated ethanol, induces similar effects in adults as well, eliciting social anxiety-like behavior and increasing their sensitivity to the socially anxiolytic effects of acute ethanol; the stressor also decreases sensitivity of adults to ethanol-induced social inhibition. The persisting consequences of early adolescent ethanol exposure differ from its immediate consequences, with males exposed early in adolescence, but not females or those exposed later in adolescence, showing social anxiety-like behavior when tested

  19. Twenty-two survivors over the age of 1 year with full trisomy 18: presenting and current medical conditions.

    PubMed

    Bruns, Deborah; Campbell, Emily

    2014-03-01

    The purpose of the study is to provide data about 22 survivors over the age of 1 year with full trisomy 18 (12-59 months). Mothers completed the online, mixed method Tracking Rare Incidence Syndrome (TRIS) Survey provides data on birth information (e.g., gestational age, birth weight) and medical conditions identified at birth and at the time of survey completion. Data indicate similar birth characteristics to other studies and presence of syndrome related medical conditions including cardiac conditions, use of a variety of feeding methods, apnea, respiratory difficulties, and kidney issues. Associated interventions, sometimes considered "aggressive" or "intensive" treatments including cardiac surgeries were noted in the sample. Implications for treatment are provided and the need for additional research with this clinical subgroup is needed.

  20. Medical therapy options for aging men with benign prostatic hyperplasia: focus on alfuzosin 10 mg once daily

    PubMed Central

    Roehrborn, Claus G; Rosen, Raymond C

    2008-01-01

    Lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) are common in aging men and can significantly affect quality of life. Men with bothersome LUTS/BPH often present with various other age-related conditions, including sexual dysfunction, heart disease, hypertension, diabetes, and the metabolic syndrome, which can complicate management decisions. Therefore, healthcare providers should be familiar with first-line treatment options for LUTS/BPH and their differing safety profiles, particularly with respect to cardiovascular and sexual function side effects. This article presents a review of first-line medical therapy options for managing aging men with LUTS/BPH and patient considerations when evaluating and selecting these therapies, with a focus on the clinical efficacy and cardiovascular and sexual function safety profiles of the uroselective α1-adrenergic receptor antagonist alfuzosin 10 mg once daily. Alfuzosin improves LUTS, peak urinary flow rates, and disease-specific quality of life, reduces the long-term risk of overall BPH progression, and is well tolerated in aging men, with minimal vasodilatory and sexual function side effects, even in those with comorbidities. Alfuzosin is well tolerated when used in combination with antihypertensive medications and phosphodiesterase type 5 inhibitors for the treatment of erectile dysfunction. The long-term clinical efficacy and good cardiovascular and sexual function safety profile of alfuzosin can contribute to an improved quality of life for aging men with LUTS/BPH. PMID:18982921

  1. Development of a data-mining algorithm to identify ages at reproductive milestones in electronic medical records.

    PubMed

    Malinowski, Jennifer; Farber-Eger, Eric; Crawford, Dana C

    2014-01-01

    Electronic medical records (EMRs) are becoming more widely implemented following directives from the federal government and incentives for supplemental reimbursements for Medicare and Medicaid claims. Replete with rich phenotypic data, EMRs offer a unique opportunity for clinicians and researchers to identify potential research cohorts and perform epidemiologic studies. Notable limitations to the traditional epidemiologic study include cost, time to complete the study, and limited ancestral diversity; EMR-based epidemiologic studies offer an alternative. The Epidemiologic Architecture for Genes Linked to Environment (EAGLE) Study, as part of the Population Architecture using Genomics and Epidemiology (PAGE) I Study, has genotyped more than 15,000 patients of diverse ancestry in BioVU, the Vanderbilt University Medical Center's biorepository linked to the EMR (EAGLE BioVU). We report here the development and performance of data-mining techniques used to identify the age at menarche (AM) and age at menopause (AAM), important milestones in the reproductive lifespan, in women from EAGLE BioVU for genetic association studies. In addition, we demonstrate the ability to discriminate age at naturally-occurring menopause (ANM) from medically-induced menopause. Unusual timing of these events may indicate underlying pathologies and increased risk for some complex diseases and cancer; however, they are not consistently recorded in the EMR. Our algorithm offers a mechanism by which to extract these data for clinical and research goals.

  2. Magmas, Mushes and Mobility: Thermal Histories of Magma Reservoirs from Combined U-Series and Diffusion Ages

    NASA Astrophysics Data System (ADS)

    Cooper, K. M.; Rubin, A. E.; Schrecengost, K.; Kent, A. J.; Huber, C.

    2014-12-01

    The thermal conditions of magma storage control many aspects of the dynamics of a magma reservoir system. For example, the temperature of magma storage directly relates to the crystallinity, and magmas stored at relatively low temperatures in a crystal mush (more than 40-50% crystalline) must be remobilized (e.g., by heating) before they can be erupted. A better understanding of the duration of magma storage at largely-liquid vs. largely-solid conditions is thus critical to understanding crustal magmatic processes such as magma mixing and for quantifying the hazard potential of a given volcano. Although mineral thermometry reflects the conditions of crystal growth or equilibration, these may not correspond to the thermal conditions of crystal storage. The duration of crystal storage at high temperatures can be quantified by comparing U-series crystal ages with the time scales over which disequilibrium trace-element profiles in the same crystals would be erased by diffusion. In the case of Mount Hood, OR, such a comparison for the two most recent eruptions shows that <12% of the total lifetime of plagioclase crystals (minimum 21 kyr) was spent at temperatures high enough that the magma would be easily mobilized. Partial data sets for other systems suggest such behavior is common, although the diffusion and U-series ages in these cases are from different samples and may not be directly comparable. We will present preliminary data combining U-series dating and diffusion timescales on the same samples for other volcanic systems (e.g., Lassen Volcanic Center, Mount St. Helens, Okataina Volcanic Center, New Zealand). Combining these data with numerical models offers additional insights into the controls on the conditions of storage. In addition, extension of this approach to combining U-Th ages with time scales of Li diffusion in zircon offers a promising new method to quantify thermal histories of silicic reservoir systems.

  3. Black Contributions to the Early History of Western Medicine: Lack of Recognition as a Cause of Black Under-Representation in US Medical Schools

    PubMed Central

    Newsome, Frederick

    1979-01-01

    During several millenia, blacks in ancient Egypt made numerous contributions to medicine and were acknowledged as the inventors of the art of medicine. They produced the earliest physicians, medical knowledge, and medical literature. They contributed to the development of medicine in ancient Greece. Ancient writers, including Herodotus, Isocrates, and Diodorus, affirm this. Modern presentations of ancient medicine, however, deprive blacks of the knowledge of their early contributions to medicine by ignoring or subtly misrepresenting the black identity of the ancient Egyptians. Blacks are currently under-represented in US medical schools. It is proposed that the recognition of the contributions of blacks to the early history of Western medicine would inspire black students to study medicine. PMID:423296

  4. A 40-Year History of End-of-Life Offerings in US Medical Schools: 1975-2015.

    PubMed

    Dickinson, George E

    2016-03-10

    The purpose of this longitudinal study of US medical schools over a 40-year period was to ascertain their offerings on end-of-life (EOL) issues. At 5-year intervals, beginning in 1975, US medical schools were surveyed via a questionnaire to determine their EOL offerings. Data were reported with frequency distributions. The Institute of Medicine has encouraged more emphasis on EOL issues over the past 2 decades. Findings revealed that undergraduate medical students in the United States are now exposed to death and dying, palliative care, and geriatric medicine. The inclusion of EOL topics has definitely expanded over the 40-year period as findings reveal that US undergraduate medical students are currently exposed in over 90% of programs to death and dying, palliative care, and geriatric medicine, with the emphasis on these topics varying with the medical programs. Such inclusion should produce future favorable outcomes for undergraduate medical students, patients, and their families.

  5. Landscape history and land-use dependent soil erosion in central Bosnia from the Bronze Age to Medieval Times

    NASA Astrophysics Data System (ADS)

    Wolters, Steffen; Enters, Dirk; Bittmann, Felix

    2010-05-01

    The inland areas of the northwestern Balkan peninsula and in particular of Bosnia and Herzegovina are poor in natural archives suitable for the reconstruction of past environmental changes and vegetation history. Consequently, palaeoenvironmental analyses are scarce with only three palynological studies available dating back to 1973, 1956 and 1934. Central Bosnia, however, is rich in archaeological heritage, featuring numerous prehistoric settlement sites along the river Bosna starting in the early Neolithic. This generates the need for palaeoenvironmental reconstructions to support and complement recent archaeological research in this area. Here we present results from a 450 cm gyttja-peat sequence from Seoce Jezero, a small mire located at 600 m NN on a plateau above a tributary of the river Bosna 30 km northwest of Sarajevo (central Bosnia). Fourteen AMS C-14 dates provide a robust time-depth-relationship which covers natural and anthropogenic environmental changes at Seoce Jezero from the Bronze Age to early Medieval Times. Pollen, macrofossil and geochemical analyses of 167 samples produce a high resolution record of land-use and vegetation change up to a half-decadal time scale. The palaeoenvironmental record starts ca. 1800 BC (3750 cal. BP) and reveals an initially relatively undisturbed landscape dominated by Fagus- and Quercus-Carpinus woodland. Anthropogenic influence is clearly visible from 1400 BC (3350 cal. BP) onwards and comprises woodland clearances, pasturing and crop cultivation. Pollen analyses confirm several consecutive phases of different land-use character and intensity. Phases of high land-use pressure culminated at the transition Bronze Age/Iron Age (1100 BC), the late Iron Age (400 BC), late Roman times (AD 300) and from AD 700 onwards. In between, stages of forest regeneration could be detected, most pronounced in the period between 70 BC and AD 150 (2020-1800 cal. BP), when anthropogenic influence virtually ceased. Whereas land use in

  6. Natural history of mild subclinical hypothyroidism in a middle-aged and elderly Chinese population: a prospective study.

    PubMed

    Li, Xiang; Zhen, Donghu; Zhao, Meng; Liu, Lu; Guan, Qingbo; Zhang, Haiqing; Ge, Shujian; Tang, Xulei; Gao, Ling

    2017-03-07

    Subclinical hypothyroidism (SCH) has a high global prevalence. Most SCH patients have mild cases (thyrotropin ≤10 mIU/L). Treatment recommendations for mild SCH are controversial, which raises concerns about the natural history of mild SCH. We aimed to clarify the natural history of mild SCH. This is a prospective population-based study. We measured thyroid function in 11,000 participants in the REACTION study and followed 505 newly diagnosed mild SCH patients aged 40-years or older between 2011 and 2014. Logistic regression analysis was used to seek baseline parameters associated with the natural outcomes of mild SCH. Among 505 mild SCH patients, 221 (43.8%) had persistent SCH, 251 (49.7%) reverted to euthyroidism, and 17 (3.4%) progressed to overt hypothyroidism (OH). Patients with higher baseline total cholesterol (TC, between 201.0-240.0 mg/dL or >240.0 mg/dL vs. <201.0 mg/dL, p = 0.048 and 0.006, respectively) or positive thyroid peroxidase antibodies (TPOAb, p = 0.009) had higher risks of progression to OH, while those with higher baseline creatinine (CR, between 0.71-0.80 mg/dL or >0.80 mg/dL vs. ≤0.65 mg/dL, p = 0.031 and 0.004, respectively), higher baseline thyrotropin (≥7 mIU/L, p < 0.001) or older (>60 years vs. ≤50 years, p = 0.012) had lower odds of reverting to euthyroidism. In conclusion, TPOAb and TC seem to be more important predictors of progression to OH than initial thyrotropin, whereas high baseline thyrotropin or CR were negative correlated with reversion to euthyroidism. The prognostic value of TC and CR in mild SCH should be considered.

  7. School-aged functioning of children diagnosed with autism spectrum disorder before age three: parent-reported diagnostic, adaptive, medication, and school placement outcomes.

    PubMed

    Towle, Patricia O; Vacanti-Shova, Karyn; Shah, Shristi; Higgins-D'alessandro, Ann

    2014-06-01

    Eighty children with early autism spectrum disorder (ASD) diagnoses (under 36 months) were identified using a chart abstraction protocol applied to early intervention charts. Parents filled out questionnaires by mail when the children were school-aged (ages 6-16 years). Similar to previous studies, approximately 20% no longer had ASD diagnoses; the other participants were assigned to Moderate/Severe versus Mild ASD outcome groups. These three groups were compared across several variables, including diagnostic features and functional features including adaptive behavior, social experiences, medication use, and school placement. The findings expand our knowledge about outcomes in longitudinal studies of children with ASD, as well as provide support for using relatively indirect methods (chart review, parent questionnaire) to gather this type of information.

  8. Common medical terminology comes of age, Part One: Standard language improves healthcare quality.

    PubMed

    Rose, J S; Fisch, B J; Hogan, W R; Levy, B; Marshal, P; Thomas, D R; Kirkley, D

    2001-01-01

    It has become abundantly clear that standards of recording clinical terms in human-readable, computer-processable format are indispensable. Controlled medical terminology is the missing link in health information standards (in fact, medical terminology can be viewed as the mother of all standards); its absence interferes with the business of healthcare and impedes the core processes of healing and maintaining health. Medicine has lacked the controlled common medical vocabulary that would enable universal sharing of data at the point of care and ensure reliable information for determining health intervention effectiveness. Simple clinical and code content alone has proven insufficient for healthcare enterprises to successfully manage the terminology problem; the "lexical runtime engine," formerly called a vocabulary server (VOSER), which manages the vocabulary ontology and serves up the relevant vocabulary to users of applications in the clinical environment, has recently become a reality.

  9. Food consumption, a health risk? Norms and medical practice in the Middle Ages.

    PubMed

    Nicoud, Marilyn

    2008-07-01

    The health regimen was a medical genre developed in Western Europe as of the 13th century and is one of the main sources attesting the interest that professionals working on health devoted to the dangers incurred in eating. This medical genre, part of an ancient tradition, was well known by the elites of the time. The surviving texts reveal themselves to be extremely attentive to contemporary food consumption and provided their readers with the necessary recommendations in order to enable them to take care of their health.

  10. An anthropological approach to teach and evaluate cultural competence in medical students – the application of mini-ethnography in medical history taking

    PubMed Central

    Hsieh, Jyh-Gang; Hsu, Mutsu; Wang, Ying-Wei

    2016-01-01

    Purpose To use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students. Methods Between September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach. Results Ninety-one students handed in mini-ethnographies, of whom 56 were male (61.5%) and 35 were female (38.5%). From the mini-ethnographies, three core aspects were derived: 1) the explanatory models and perceptions of illness, 2) culture and health care, and 3) society, resources, and health care. Based on the qualities of each aspect, nine secondary nodes were classified: expectations and attitude about illness/treatment, perceptions about their own prognosis in particular, knowledge and feelings regarding illness, cause of illness, choice of treatment method (including traditional medical treatments), prejudice and discrimination, influences of traditional culture and language, social support and resources, and inequality in health care. Conclusions Mini-ethnography is an effective teaching method that can help students to develop cultural competence. It also serves as an effective instrument to assess the cultural competence of medical students. PMID:27662824

  11. An anthropological approach to teach and evaluate cultural competence in medical students - the application of mini-ethnography in medical history taking.

    PubMed

    Hsieh, Jyh-Gang; Hsu, Mutsu; Wang, Ying-Wei

    2016-01-01

    Purpose To use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students. Methods Between September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach. Results Ninety-one students handed in mini-ethnographies, of whom 56 were male (61.5%) and 35 were female (38.5%). From the mini-ethnographies, three core aspects were derived: 1) the explanatory models and perceptions of illness, 2) culture and health care, and 3) society, resources, and health care. Based on the qualities of each aspect, nine secondary nodes were classified: expectations and attitude about illness/treatment, perceptions about their own prognosis in particular, knowledge and feelings regarding illness, cause of illness, choice of treatment method (including traditional medical treatments), prejudice and discrimination, influences of traditional culture and language, social support and resources, and inequality in health care. Conclusions Mini-ethnography is an effective teaching method that can help students to develop cultural competence. It also serves as an effective instrument to assess the cultural competence of medical students.

  12. Age Targeting of Voluntary Medical Male Circumcision Programs Using the Decision Makers’ Program Planning Toolkit (DMPPT) 2.0

    PubMed Central

    Kripke, Katharine; Opuni, Marjorie; Schnure, Melissa; Sgaier, Sema; Castor, Delivette; Reed, Jason; Stover, John

    2016-01-01

    Background Despite considerable efforts to scale up voluntary medical male circumcision (VMMC) for HIV prevention in priority countries over the last five years, implementation has faced important challenges. Seeking to enhance the effect of VMMC programs for greatest and most immediate impact, the U. S. President’s Plan for AIDS Relief (PEPFAR) supported the development and application of a model to inform national planning in five countries from 2013–2014. Methods and Findings The Decision Makers’ Program Planning Toolkit (DMPPT) 2.0 is a simple compartmental model designed to analyze the effects of client age and geography on program impact and cost. The DMPPT 2.0 model was applied in Malawi, South Africa, Swaziland, Tanzania, and Uganda to assess the impact and cost of scaling up age-targeted VMMC coverage. The lowest number of VMMCs per HIV infection averted would be produced by circumcising males ages 20–34 in Malawi, South Africa, Tanzania, and Uganda and males ages 15–34 in Swaziland. The most immediate impact on HIV incidence would be generated by circumcising males ages 20–34 in Malawi, South Africa, Tanzania, and Uganda and males ages 20–29 in Swaziland. The greatest reductions in HIV incidence over a 15-year period would be achieved by strategies focused on males ages 10–19 in Uganda, 15–24 in Malawi and South Africa, 10–24 in Tanzania, and 15–29 in Swaziland. In all countries, the lowest cost per HIV infection averted would be achieved by circumcising males ages 15–34, although in Uganda this cost is the same as that attained by circumcising 15- to 49-year-olds. Conclusions The efficiency, immediacy of impact, magnitude of impact, and cost-effectiveness of VMMC scale-up are not uniform; there is important variation by age group of the males circumcised and countries should plan accordingly. PMID:27410966

  13. [The history of military training at the First Moscow State Medical University n.a. I.M.Sechenov].

    PubMed

    Chizh, I M; Putilo, V M; Tregubov, V N; Timakov, V V

    2011-11-01

    In 2011, the oldest medical educational institution of Russia--the First Moscow State Medical University n. a. I.M.Sechenov celebrates 85 years of military training. Passing not easy, but at the same time, glorious path of military training in First MGMU n. a. I.M.Sechenov today occupies a key place in the training of military physicians.

  14. Patients Who Attend the Emergency Department Following Medication Overdose: Self-Reported Mental Health History and Intended Outcomes of Overdose

    ERIC Educational Resources Information Center

    Buykx, Penny; Ritter, Alison; Loxley, Wendy; Dietze, Paul

    2012-01-01

    Medication overdose is a common method of non-fatal self-harm. Previous studies have established which mental health disorders are commonly associated with the behaviour (affective, substance use, anxiety and personality disorders) and which medications are most frequently implicated (benzodiazepines, antidepressants, antipsychotics and non-opioid…

  15. Personal history of breast cancer as a significant risk factor for endometrial serous carcinoma in women aged 55 years old or younger.

    PubMed

    Liang, Sharon X; Pearl, Micheal; Liang, Shu; Xiang, Li; Jia, Lin; Yang, Binlie; Fadare, Oluwole; Schwartz, Peter E; Chambers, Setsuko K; Kong, Beihua; Zheng, Wenxin

    2011-02-15

    A comparative study between endometrial serous carcinoma (ESC) and endometrial endometrioid carcinoma (EEC) was performed to determine whether a personal history of breast cancer is a risk factor for ESC in women aged ≤ 55 yr. Study subjects consisted of 348 women who were diagnosed with ESC and 830 comparison subjects who had EEC. Variables studied included age at diagnosis, a history of breast cancer, tamoxifen therapy, hormonal replacement therapy and smoking history. Overall, 19.4% of women with ESC had a history of breast cancer, which was significantly higher than that of 3% in comparison subjects. Among the study subjects, the incidence of a prior breast cancer was significantly higher in patients who were 55 yr of age or younger (41.5%) than those who were older than 55 yr (16%). The statistical significance of both of the aforementioned comparisons was independent of tamoxifen usage on multivariate analyses. The mean time interval between prior breast cancer and endometrial cancer was 92.5 mo (range 7-240 mo) in the study group and 79 mo (range 7-192 mo) in the comparison group. For the whole cohort and individual subgroups (ESC, EEC, ≤ 55 yr and >55 yr), a personal history of breast cancer did not adversely affect the patient outcomes, which was largely dependent on standard clinicopathologic parameters such as International Federation of Gynecology and Obstetrics stage, as has previously been demonstrated. These findings suggest that a personal history of breast cancer may be a significant risk factor for the development of ESC in women aged ≤ 55 yr. Further studies are needed to clarify the relationship between these two cancers in this age group and whether this increased risk is reflective of a genetic predisposition.

  16. [Illustrated medical books in Graeco-Roman Egypt].

    PubMed

    Marganne, M H

    2001-01-01

    The paper deals with the illustrated medical texts from Hellenism to Byzantine age. It refers particularly to the two herbaria of Tebnytis and Antinoopolis, reconstructing the history and production techniques of scientific illustrated books of antiquity.

  17. Medications for School-Age Children: Effects on Learning and Behavior.

    ERIC Educational Resources Information Center

    Brown, Ronald T.; Sawyer, Michael G.

    Use of medications that target specific behaviors affecting learning and social development has been the most extensively studied form of intervention available to children with behavioral and learning problems. Drawing from extensive research literature spanning the past 30 years, this guide for psychologists and other professionals who work with…

  18. Comparing adult hippocampal neurogenesis in mammalian species and orders: influence of chronological age and life history stage.

    PubMed

    Amrein, Irmgard; Isler, Karin; Lipp, Hans-Peter

    2011-09-01

    Adult hippocampal neurogenesis is a prominent event in rodents. In species with longer life expectancies, newly born cells in the adult dentate gyrus of the hippocampal formation are less abundant or can be completely absent. Several lines of evidence indicate that the regulatory mechanisms of adult neurogenesis differ between short- and long-lived mammals. After a critical appraisal of the factors and problems associated with comparing different species, we provide a quantitative comparison derived from seven laboratory strains of mice (BALB, C57BL/6, CD1, outbred) and rats (F344, Sprague-Dawley, Wistar), six other rodent species of which four are wild-derived (wood mouse, vole, spiny mouse and guinea pig), three non-human primate species (marmoset and two macaque species) and one carnivore (red fox). Normalizing the number of proliferating cells to total granule cell number, we observe an overall exponential decline in proliferation that is chronologically equal between species and orders and independent of early developmental processes and life span. Long- and short-lived mammals differ with regard to major life history stages; at the time points of weaning, age at first reproduction and average life expectancy, long-lived primates and foxes have significantly fewer proliferating cells than rodents. Although the database for neuronal differentiation is limited, we find indications that the extent of neuronal differentiation is subject to species-specific selective adaptations. We conclude that absolute age is the critical factor regulating cell genesis in the adult hippocampus of mammals. Ontogenetic and ecological factors primarily influence the regulation of neuronal differentiation rather than the rate of cell proliferation.

  19. Nine children over the age of one year with full trisomy 13: a case series describing medical conditions.

    PubMed

    Bruns, Deborah A; Campbell, Emily

    2014-12-01

    Trisomy 13 (Patau syndrome), identified by Patau and colleagues [1960; Lancet 1: 790-793] is the third most common autosomal condition. Population studies indicate less than one in 10 children reaches their first birthday. In the face of mixed findings and recommendations for treatment, additional research is needed to further determine what contributes to longevity and implications for treatment for presenting medical conditions. The purpose of the present study is to report on presenting medical conditions and the presence or absence of the specific conditions (age at survey completion). Data on nine survivors (seven female, two male) with trisomy 13 indicated mean gestational age of approximately 36 weeks, birth weight ranging from 1100 to 3290 g and mean length of 45.3 cm. Length of hospital stay after birth varied. The majority of infants presented with well-known physical characteristics. Medical conditions and their treatment varied at birth and at survey completion. Notably, several infants' cardiac anomalies resolved without surgical intervention. Surgeries were provided for a range of conditions including gastrostomy tube placement to address feeding issues and removal of intestinal blockage. There were no reports of holoprosencephaly. Implications and recommendations are provided.

  20. Physical maturation, life-history classes and age estimates of free-ranging western gorillas--insights from Mbeli Bai, Republic of Congo.

    PubMed

    Breuer, Thomas; Hockemba, Mireille Breuer-Ndoundou; Olejniczak, Claudia; Parnell, Richard J; Stokes, Emma J

    2009-02-01

    Physical maturation and life-history parameters are seen as evolutionary adaptations to different ecological and social conditions. Comparison of life-history patterns of closely related species living in diverse environments helps to evaluate the validity of these assumptions but empirical data are lacking. The two gorilla species exhibit substantial differences in their environment, which allows investigation into the role of increased frugivory in shaping western gorilla life histories. We present behavioral and morphological data on western gorilla physical maturation and life-history parameters from a 12.5-year study at Mbeli Bai, a forest clearing in the Nouabalé-Ndoki National Park in northern Congo. We assign photographs of known individuals to different life-history classes and propose new age boundaries for life-history classes in western gorillas, which can be used and tested at other western gorilla research sites. Our results show that western gorillas are weaned at a later age compared with mountain gorillas and indicate slower physical maturation of immatures. These findings support the risk-aversion hypothesis for more frugivorous species. However, our methods need to be applied and tested with other gorilla populations. The slow life histories of western gorillas could have major consequences for social structure, mortality patterns and population growth rates that will affect recovery from population crashes of this critically endangered species. We emphasize that long-term studies can provide crucial demographic and life-history data that improve our understanding of life-history evolution and adaptation and help to refine conservation strategies.

  1. Combined effects of prenatal medication use and delivery type are associated with eczema at age 2 years

    PubMed Central

    Wegienka, Ganesa; Havstad, Suzanne; Zoratti, Edward M.; KimMD, Haejin; Ownby, Dennis R.; Johnson, Christine Cole

    2015-01-01

    Background Separately, prenatal antibiotics and cesarian delivery have been found to be associated with increased risk of allergic diseases. It is not clear if these factors may modify the effect of each other. Objective Assess whether the associations between delivery types and eczema, sensitization and total IgE at age 2 years were modified by maternal use of prenatal medications. Methods Prenatal charts of women enrolled in the WHEALS birth cohort were reviewed for delivery mode and medications prescribed and administered throughout their entire pregnancy, including systemic antibiotics and vaginally applied antifungal medications. The associations between the delivery mode and select medications and eczema, sensitization (≥1 of 10 allergen specific IgE ≥0.35 IU/ml) and total IgE at age 2 years were assessed. Results There was a lower risk of eczema among vaginally versus c-section born children (relative risk adjusted for race=aRR=0.77., 95% CI 0.56, 1.05). Although not statistically significantly different, this association was stronger among the subset of children born vaginally to a mother who did not use systemic antibiotics or vaginal antifungal medications (aRR=0.69, 95% CI 0.44, 1.08) compared to those born vaginally to mothers who used systemic antibiotics or vaginal antifungals (aRR=0.81, 95% CI 0.57, 1.14). A protective association between vaginal birth and sensitization (aRR=0.86, 95% CI 0.72, 1.03) was similar for those children born vaginally to a mother who did not (aRR=0.87, 95% CI 0.69, 1.10) and who did (RR=0.85, 95% CI 0.70, 1.04) use systemic antibiotics or vaginal antifungal medications. There were no associations with total IgE. Conclusions Children born vaginally had lower risk of eczema and sensitization compared with those born via c-section; however, the protective association with eczema may be slightly weakened when mothers took systemic antibiotics or vaginally applied medications during pregnancy. PMID:25469564

  2. An Influence of Birth Weight, Gestational Age, and Apgar Score on Pattern Visual Evoked Potentials in Children with History of Prematurity

    PubMed Central

    Michalczuk, Marta; Urban, Beata; Chrzanowska-Grenda, Beata; Oziębło-Kupczyk, Monika; Bakunowicz-Łazarczyk, Alina

    2015-01-01

    Purpose. The objective of our study was to examine a possible influence of gestational age, birth weight, and Apgar score on amplitudes and latencies of P100 wave in preterm born school-age children. Materials and Methods. We examined the following group of school-age children: 28 with history of prematurity (mean age 10.56 ± 1.66 years) and 25 born at term (mean age 11.2 ± 1.94 years). The monocular PVEP was performed in all children. Results. The P100 wave amplitudes and latencies significantly differ between preterm born school-age children and those born at term. There was an essential positive linear correlation of the P100 wave amplitudes with birth weight, gestational age, and Apgar score. There were the negative linear correlations of P100 latencies in 15-minute stimulation from O1 and Oz electrode with Apgar score and O1 and O2 electrode with gestational age. Conclusions. PVEP responses vary in preterm born children in comparison to term. Low birth weight, early gestational age, and poor baseline output seem to be the predicting factors for the developmental rate of a brain function in children with history of prematurity. Further investigations are necessary to determine perinatal factors that can affect the modified visual system function in preterm born children. PMID:26417461

  3. Medical aspects of ageing in a population with intellectual disability: II. Hearing impairment.

    PubMed

    Evenhuis, H M

    1995-02-01

    Hearing function of an institutionalized population with intellectual disability, consisting of 70 subjects with a mean age of 70.1 (range 60-92) years at initial evaluation, was assessed during a 10-year longitudinal study. One subject had Down's syndrome and could not be assessed as a result of dementia. The total prevalence of mild to severe hearing loss (33.3% in the 60-70 age group and 70.4% in those over age 70) was comparable to reported data from an ageing population without intellectual disability in the United Kingdom (37%, respectively 60%). However, the proportion of moderate to severe losses might be higher (16.7% vs. 7% in the 60-70 age group and 33.3% vs. 18% in the older age group). Excess impairment was caused by severe congenital and childhood hearing impairment on one hand, and by conductive losses, probably caused by unrecognized chronic middle ear infections, superposed upon presbyacusis, on the other. Impacted ear wax was also a major problem. The incidence of new cases with hearing loss during follow-up was 50%. After individual habituation training hearing aids were used without difficulties by 20 out of 24 subjects. The importance of active screening and treatment of middle ear infections and hearing impairment from a young age onwards, and regular cleaning of the external ear canals is stressed.

  4. Management of Cancer in the Older Age Person: An Approach to Complex Medical Decisions.

    PubMed

    Vallet-Regí, María; Manzano, Miguel; Rodriguez-Mañas, Leocadio; Checa López, Marta; Aapro, Matti; Balducci, Lodovico

    2017-03-01

    The management of cancer in older aged people is becoming a common problem due to the aging of the population. There are many variables determining the complex situation that are interconnected. Some of them can be assessed, such as risk of mortality and risk of treatment complications, but many others are still unknown, such as the course of disease, the host-related factors that influence cancer aggressiveness, and the phenotype heralding risk of permanent treatment-related damage.This article presents a dynamic and personalized approach to older people with cancer based on our experience on aging, cancer, and their biological interactions. Also, novel treatments and management approaches to older individuals, based on their functional age and their social and emotional needs, are thoughtfully explored here. The Oncologist 2017;22:335-342 IMPLICATIONS FOR PRACTICE: The goal of this article is to suggest a practical approach to complexity, a clinical situation becoming increasingly common with the aging of the population. Beginning with the analysis of two clinical cases, the authors offer an algorithm for approaching cancer in the older person that involves the assessment of life expectancy without cancer, the risk that cancer might compromise a patient's survival, function, or quality of life, and the potential benefits and risks of the treatments based on a clinical evaluation. The authors then review possible laboratory assessment of functional age and the importance of rapid-learning databases in the study of cancer and age.

  5. "At times these ancient facts seem to lie before me like a patient on a hospital bed'--retrospective diagnosis and ancient medical history.

    PubMed

    Leven, K H

    2004-01-01

    Research in ancient medical history, Greek and Roman as well as Mesopotamian and Egyptian, is usually done by philologically trained scholars; the ability to read texts in their original language is fundamental (though not sufficient) for any substantial work. There is, however, in such works the notion that something may be missing in fully understanding medicine of a certain time and culture. Does a medical historian of ancient medicine need, in addition to his philological and historical skills, a medical education? And in what way is a 'medical approach' to ancient medicine useful? Is it possible to stand at the bedside of a Hippocratic patient as a clinician or reconstruct the 'pathocoenosis', as Mirko D. Grmek (+ 2000) coined it, of ancient Greece? The present paper outlines the problem of applying present medical knowledge to ancient sources and touches on the topic of primary perception of disease and illness. An important aspect is that disease entities change in their socio-cultural setting. Examples ranging from the supposed Lupus erythematodes of the Assyrian king Esarhaddon to cases in the Hippocratic Epidemiae and plague descriptions of Greek authors illustrate the problem of retrospective diagnosis.

  6. Windows on Martian dynamo history: electron reflection (ER) magnetic signatures and crater retention ages of basins and volcanoes

    NASA Astrophysics Data System (ADS)

    Lillis, R. J.; Frey, H. V.; Manga, M.; Halekas, J. S.; Mitchell, D. L.; Lin, R. P.

    2006-12-01

    A picture continues to emerge of a Martian dynamo that began extremely early in the planet's history. After reversing polarity at least once and possibly varying significantly in strength, it permanently ceased operating prior to 4 billion years ago (using the Hartmann-Neukum chronology), when the core could no longer sustain the required convective motion. By combining ER magnetometry and MOLA topography, we use the derived magnetic signatures and crater retention ages (CRAs) of large basins and volcanoes to constrain the ambient magnetic conditions present during their formation. Here we present results that support the above picture; in particular case studies involving several large visible and buried basins and highland volcanoes, implying that Mars' last dynamo activity likely ceased prior to 4.07 ± 0.04 Gyr ago and later than 4.15 ± 0.05 Gyr ago and that this cessation was, within uncertainties, coincident with the formation of the 3 giant northern lowland basins Acidalia, Chryse and Utopia. We also present a statistical study of the magnetic signatures and CRAs of the ~500 largest basins on Mars which tentatively suggests that the dynamo may have weakened considerably for a period during its active lifetime.

  7. Age of the Dawson Arkose, southwestern Air Force Academy, Colorado, and implications for the uplift history of the Front Range

    SciTech Connect

    Kluth, C.F.; Nelson, S.N. )

    1988-01-01

    An angular unconformity within the synorogenic Dawson Arkose (Late Cretaceous-Eocene) is preserved and exposed in areas south of Denver, Colorado, along the eastern side of the Front Range uplift. In the southwestern part of the Air Force Academy, the basal Dawson is concordant with the underlying Laramie and Fox Hills formations and dips 72-84{degree} eastward. Above an intraformational angular unconformity, younger units of the Dawson dip 24{degree}-46{degree} eastward. Smaller angular unconformities (10{degree}{plus minus}), and beds with gradually decreasing dip occur higher in the Dawson section. Rocks above the largest unconformity contain a rich palynomorph assemblage of Late Maestrichtain age. These data indicate that approximately 30{degree}-40{degree}, and possibly as much as approximately 70{degree}, of tilting of the underlying rocks occurred during the Late Maestrichtian (66-70 Ma). It is also possible that approximately 30{degree}-40{degree} of the tilting of the Late Cretaceous rocks occurred between latest Maestrichtian and Eocene (approximately 45 Ma). These results suggest that the transition from a tectonically quiet marine environment to a non-marine, tectonically active condition took place rapidly, probably within a few million years. When combined with published data, the authors study indicates that the Front Range has different tectonic histories on its eastern and its western side, and that the deformation is diachronous along the strike of the eastern side of the Front Range.

  8. Human rights from the Nuremberg Doctors Trial to the Geneva Declaration. Persons and institutions in medical ethics and history.

    PubMed

    Frewer, Andreas

    2010-08-01

    The "Universal Declaration of Human Rights" and the "Geneva Declaration" by the World Medical Association, both in 1948, were preceded by the foundation of the United Nations in New York (1945), the World Medical Association in London (1946) and the World Health Organization in Geneva (1948). After the end of World War II the community of nations strove to achieve and sustain their primary goals of peace and security, as well as their basic premise, namely the health of human beings. All these associations were well aware of the crimes by medicine, in particular by the accused Nazi physicians at the Nuremberg Doctors Trial (1946/47, sentence: August 1947). During the first conference of the World Medical Association (September 1947) issues of medical ethics played a major role: and a new document was drafted concerning the values of the medical profession. After the catastrophe of the War and the criminal activities of scientists, the late 1940s saw increased scrutiny paid to fundamental questions of human rights and medical ethics, which are still highly relevant for today's medicine and morality. The article focuses on the development of medical ethics and human rights reflected in the statement of important persons, codes and institutions in the field.

  9. Glaucoma history and risk factors.

    PubMed

    McMonnies, Charles W

    Apart from the risk of developing glaucoma there is also the risk that it is not detected and irreversible loss of vision ensues. Some studies of methods of glaucoma diagnosis have examined the results of instrument-based examinations with great if not complete reliance on objective findings in arriving at a diagnosis. The very valuable advances in glaucoma detection instrument technologies, and apparent increasing dependence on them, may have led to reduced consideration of information available from a patient history in those studies. Dependence on objective evidence of glaucomatous pathology may reduce the possibility of detecting glaucoma suspects or patients at risk for becoming glaucoma suspects. A valid positive family history of glaucoma is very valuable information. However, negative family histories can often be unreliable due to large numbers of glaucoma cases being undiagnosed. No evidence of family history is appropriate rather than no family history. In addition the unreliability of a negative family history is increased when patients with glaucoma fail to inform their family members. A finding of no family history can only be stated as no known family history. In examining the potential diagnostic contribution from a patient history, this review considers, age, frailty, race, type and degree of refractive error, systemic hyper- and hypotension, vasospasm, migraine, pigmentary dispersion syndrome, pseudoexfoliation syndrome, obstructive sleep apnea syndrome, diabetes, medication interactions and side effects, the degree of exposure to intraocular and intracranial pressure elevations and fluctuations, smoking, and symptoms in addition to genetics and family history of the disease.

  10. 42 CFR 436.308 - Medically needy coverage of individuals under age 21.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Individuals in foster homes or private institutions for whom a public agency is assuming a full or partial... nursing facility services are provided under the plan to individuals within the age group selected under... are provided under the plan....

  11. 10Be surface exposure ages on the late-Pleistocene and Holocene history of Linnébreen on Svalbard

    NASA Astrophysics Data System (ADS)

    Reusche, Melissa; Winsor, Kelsey; Carlson, Anders E.; Marcott, Shaun A.; Rood, Dylan H.; Novak, Anthony; Roof, Steven; Retelle, Michael; Werner, Alan; Caffee, Marc; Clark, Peter U.

    2014-04-01

    Arctic glaciers were sensitive to past changes in high-latitude winter precipitation and summer temperature. Here we develop a late-Pleistocene to Holocene history for Linnébreen (Linné Glacier) in western Svalbard using 10Be surface exposure ages on isolated erratic and moraine boulders. We show that Linnébreen had separated from the larger ice sheet over Svalbard and was retreating up valley around the start of the Younger Dryas cold period. We attribute this retreat during a cold period on Svalbard to moisture starvation of Linnébreen from advanced sea ice and/or elevated shortwave boreal summer insolation that overwhelmed any reduction in sensible heat. After an ice-free period during the early to middle Holocene, Linnébreen reformed sometime after 4.6 ± 0.2 ka, and was at a position roughly equivalent to its Little Ice Age (LIA) maximum extent before it began to retreat at 1.6 ± 0.2 ka. Comparison with calibrated 14C dates from three other glaciers could suggest that this period of ice retreat at ˜1.6 ka could be regional in extent. Linnébreen occupied the pre-LIA moraine when there was an increased ratio of cold Arctic-sourced relative to warm Atlantic-sourced waters around Svalbard and advanced sea ice. The retreat of Linnébreen at ˜1.6 ka was concurrent with the increased presence of warm Atlantic waters around Svalbard and attendant sea-ice retreat. These coincident changes in ocean temperatures, sea-ice extent, and Linnébreen moraine age could imply a climatic forcing of the pre-LIA advance and retreat of Linnébreen. Summer temperatures, rather than changes in precipitation, would then be dominant in driving ice retreat, although the possibility of stochastic glacier-margin variability cannot be excluded. Our data therefore suggest that Linnébreen may have responded differently to past changes in sea-ice extent that could depend on the background climate state (deglacial climate vs. late-Holocene climate), which highlights the complexity in

  12. The history of a continent from U-Pb ages of zircons from Orinoco River sand and Sm-Nd isotopes in Orinoco basin river sediments

    USGS Publications Warehouse

    Goldstein, S.L.; Arndt, N.T.; Stallard, R.F.

    1997-01-01

    We report SHRIMP U-Pb ages of 49 zircons from a sand sample from the lower Orinoco River, Venezuela, and Nd model ages of the fine sediment load from the main river and tributaries. The U-Pb ages reflect individual magmatic or metamorphic events, the Sm-Nd model ages reflect average crustal-residence ages of the sediment sources. Together they allow delineation of the crust-formation history of the basement precursors of the sediments. The U-Pb ages range from 2.83 to 0.15 Ga, and most are concordant or nearly so. Discrete age groupings occur at ??? 2.8, ??? 2.1, and ??? 1.1 Ga. The oldest group contains only three samples but is isolated from its closest neighbors by a ??? 600 Ma age gap. Larger age groupings at ??? 2.1 and ??? 1.1 Ga make up about a third and a quarter of the total number of analyses, respectively. The remaining analyses scatter along concordia, and most are younger than 1.6 Ga. The ??? 2.8 and ??? 2.1 Ga ages correspond to periods of crust formation of the Imataca and Trans-Amazonian provinces of the Guyana Shield, respectively, and record intervals of short but intensive continental growth. These ages coincide with ??? 2.9 and ??? 2.1 Ga Nd model ages of sediments from tributaries draining the Archean and Proterozoic provinces of the Guyana Shield, respectively, indicating that the U-Pb ages record the geological history of the crystalline basement of the Orinoco basin. Zircons with ages corresponding to the major orogenies of the North Atlantic continents (the Superior at ??? 2.7 Ga and Hudsonian at 1.7-1.9 Ga) were not found in the Orinoco sample. The age distribution may indicate that South and North America were separated throughout their history. Nd model ages of sediments from the lower Orinoco River and Andean tributaries are ??? 1.9 Ga, broadly within the range displayed by major rivers and dusts. This age does not coincide with known thermal events in the region and reflects mixing of sources with different crust-formation ages. The

  13. Cost and Impact of Voluntary Medical Male Circumcision in South Africa: Focusing the Program on Specific Age Groups and Provinces

    PubMed Central

    Kripke, Katharine; Thambinayagam, Ananthy; Pillay, Yogan; Loykissoonlal, Dayanund; Bonnecwe, Collen; Barron, Peter; Kiwango, Eva; Castor, Delivette

    2016-01-01

    Background In 2012, South Africa set a goal of circumcising 4.3 million men ages 15–49 by 2016. By the end of March 2014, 1.9 million men had received voluntary medical male circumcision (VMMC). In an effort to accelerate progress, South Africa undertook a modeling exercise to determine whether circumcising specific client age groups or geographic locations would be particularly impactful or cost-effective. Results will inform South Africa’s efforts to develop a national strategy and operational plan for VMMC. Methods and Findings The study team populated the Decision Makers’ Program Planning Tool, Version 2.0 (DMPPT 2.0) with HIV incidence projections from the Spectrum/AIDS Impact Module (AIM), as well as national and provincial population and HIV prevalence estimates. We derived baseline circumcision rates from the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey. The model showed that circumcising men ages 20–34 offers the most immediate impact on HIV incidence and requires the fewest circumcisions per HIV infection averted. The greatest impact over a 15-year period is achieved by circumcising men ages 15–24. When the model assumes a unit cost increase with client age, men ages 15–29 emerge as the most cost-effective group. When we assume a constant cost for all ages, the most cost-effective age range is 15–34 years. Geographically, the program is cost saving in all provinces; differences in the VMMC program’s cost-effectiveness across provinces were obscured by uncertainty in HIV incidence projections. Conclusion The VMMC program’s impact and cost-effectiveness vary by age-targeting strategy. A strategy focusing on men ages 15–34 will maximize program benefits. However, because clients older than 25 access VMMC services at low rates, South Africa could consider promoting demand among men ages 25–34, without denying services to those in other age groups. Uncertainty in the provincial estimates makes them

  14. Therapeutic Uses of Oral History Techniques in Medicine.

    ERIC Educational Resources Information Center

    Harris, Raymond; Harris, Sara

    1981-01-01

    Use of the oral history technique in clinical medicine supplies significant additional data that illuminate the psychological, social, and spiritual background of healthy or ailing aging patients. Describes some practical applications of oral history techniques in clinical medical practice and discusses their usefulness for gerontological…

  15. The Inter-Regional Epidemiological Study of Childhood Cancer (IRESCC): past medical history in children with cancer.

    PubMed Central

    Hartley, A L; Birch, J M; McKinney, P A; Blair, V; Teare, M D; Carrette, J; Mann, J R; Stiller, C A; Draper, G J; Johnston, H E

    1988-01-01

    The Inter-Regional Epidemiological Study of Childhood Cancer (IRESCC) collected interview and medical information relating to the child's past medical experiences from parents of 555 children diagnosed with cancer and parents of 1110 unaffected matched controls. No significant associations emerged overall for ante-natal care, place and mode of delivery, length of gestation, birth weight, condition at birth, special care, neonatal procedures or breast-feeding. Few risk factors relating to previous illnesses and medication were found, although increasing numbers of illnesses appeared to be associated with an increased risk of childhood cancer, particularly acute lymphoblastic leukaemia. A highly significant excess of case children had not been immunised (p = 0.005). In general, these results indicate that past medical experiences have little influence on the development of cancer in children. PMID:3251004

  16. Stimulant medication effects on growth and bone age in children with attention-deficit/hyperactivity disorder: a prospective cohort study.

    PubMed

    Poulton, Alison S; Bui, Quoc; Melzer, Elaine; Evans, Richard

    2016-03-01

    Stimulant medication is known to cause transient weight loss and slowing down of growth, but whether it delays physical maturation is unclear. We studied growth and bone age over the first 3 years of treatment in children with attention-deficit/hyperactivity disorder (patients) compared with healthy siblings (controls). Bone age was estimated blindly by two independent radiologists using Tanner and Whitehouse version 3. Dexamphetamine or methylphenidate was titrated and continued when clinically indicated. Forty out of 73 patients, together with 22 controls, completed the study. There were no significant growth differences between the two groups at baseline. Despite slower growth on treatment [5.1 cm/year, 95% confidence interval (CI): 4.7-5.5, vs. 6.3 cm/year, 95% CI: 5.7-6.8, P=0.002; and 2.7 kg/year, 95% CI: 2.1-3.3, vs. 4.4 kg/year, 95% CI: 3.5-5.3, P=0.005], the patients showed no significant maturational delay (RUS score: 49 U/year, 95% CI: 44-55, vs. 55 U/year, 95% CI: 47-63, P=0.27). A subgroup of patients underwent serial biochemistry and dual-energy X-ray absorptiometry, recording a significant reduction in fat (5.61±3.56-4.22±3.09 kg, P<0.001) and leptin (3.88±2.87-2.57±1.94 ng/ml, P=0.017). The pattern of change in height z-score over time was modified by the dose of medication (P for interaction=0.024). We found no medication effect on the rate of maturation, which was instead predicted by baseline leptin (P=0.035 controlling for age and sex).

  17. Stimulant medication effects on growth and bone age in children with attention-deficit/hyperactivity disorder: a prospective cohort study

    PubMed Central

    Bui, Quoc; Melzer, Elaine; Evans, Richard

    2016-01-01

    Stimulant medication is known to cause transient weight loss and slowing down of growth, but whether it delays physical maturation is unclear. We studied growth and bone age over the first 3 years of treatment in children with attention-deficit/hyperactivity disorder (patients) compared with healthy siblings (controls). Bone age was estimated blindly by two independent radiologists using Tanner and Whitehouse version 3. Dexamphetamine or methylphenidate was titrated and continued when clinically indicated. Forty out of 73 patients, together with 22 controls, completed the study. There were no significant growth differences between the two groups at baseline. Despite slower growth on treatment [5.1 cm/year, 95% confidence interval (CI): 4.7–5.5, vs. 6.3 cm/year, 95% CI: 5.7–6.8, P=0.002; and 2.7 kg/year, 95% CI: 2.1–3.3, vs. 4.4 kg/year, 95% CI: 3.5–5.3, P=0.005], the patients showed no significant maturational delay (RUS score: 49 U/year, 95% CI: 44–55, vs. 55 U/year, 95% CI: 47–63, P=0.27). A subgroup of patients underwent serial biochemistry and dual-energy X-ray absorptiometry, recording a significant reduction in fat (5.61±3.56–4.22±3.09 kg, P<0.001) and leptin (3.88±2.87–2.57±1.94 ng/ml, P=0.017). The pattern of change in height z-score over time was modified by the dose of medication (P for interaction=0.024). We found no medication effect on the rate of maturation, which was instead predicted by baseline leptin (P=0.035 controlling for age and sex). PMID:26544899

  18. A History of the Development of the Navy Medical Department’s Workload Management System for Nursing.

    DTIC Science & Technology

    1987-08-01

    Hospitals and at Walter Reed Army Medical Center. Following the evaluation studies, a Total Nursing Care Hours Model was developed that used indirect care...WMSN was evaluated in six Naval Hospitals and at Walter Reed Army Medical Center. Following the evaluation studies, a Total Nursing Care Hours Model...Workload Management System for Nursing Planning for the delivery of direct nursing care to a diverse patient population is one of the more essential

  19. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Peripheral T-Cell Lymphomas: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Flowers, Christopher R.; Kadin, Marshall E.; Chang, Ellen T.; Hughes, Ann Maree; Ansell, Stephen M.; Feldman, Andrew L.; Lightfoot, Tracy; Boffetta, Paolo; Melbye, Mads; Lan, Qing; Sampson, Joshua N.; Morton, Lindsay M.; Zhang, Yawei; Weisenburger, Dennis D.

    2014-01-01

    Background Accounting for 10%–15% of all non-Hodgkin lymphomas in Western populations, peripheral T-cell lymphomas (PTCL) are the most common T-cell lymphoma but little is known about their etiology. Our aim was to identify etiologic risk factors for PTCL overall, and for specific PTCL subtypes, by analyzing data from 15 epidemiologic studies participating in the InterLymph Consortium. Methods A pooled analysis of individual-level data for 584 histologically confirmed PTCL cases and 15912 controls from 15 case–control studies conducted in Europe, North America, and Australia was undertaken. Data collected from questionnaires were harmonized to permit evaluation of a broad range of potential risk factors. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression. Results Risk factors associated with increased overall PTCL risk with a P value less than .05 included: a family history of hematologic malignancies (OR = 1.92, 95% CI = 1.30 to 2.84); celiac disease (OR = 17.8, 95% CI = 8.61 to 36.79); eczema (OR = 1.41, 95% CI = 1.07 to 1.85); psoriasis (OR = 1.97, 95% CI = 1.17 to 3.32); smoking 40 or more years (OR = 1.92, 95% CI = 1.41 to 2.62); and employment as a textile worker (ever) (OR = 1.58, 95% CI = 1.05 to 2.38) and electrical fitter (ever) (OR = 2.89, 95% CI = 1.41 to 5.95). Exposures associated with reduced overall PTCL risk included a personal history of allergies (OR = 0.69, 95% CI = 0.54 to 0.87), alcohol consumption (ever) (OR = 0.64, 95% CI = 0.49 to 0.82), and having ever lived or worked on a farm (OR = 0.72, 95% CI = 0.55% to 0.95%). We also observed the well-established risk elevation for enteropathy-type PTCL among those with celiac disease in our data. Conclusions Our pooled analyses identified a number of new potential risk factors for PTCL and require further validation in independent series. PMID:25174027

  20. Effect of accelerated aging on the cross-link density of medical grade silicones.

    PubMed

    Mahomed, Aziza; Pormehr, Negin Bagheri

    2016-11-25

    Four specimens of Nagor silicone of different hardness (soft, medium and hard) were swollen, until they reached equilibrium (i.e. constant mass) in five liquids at 25°C, before and after accelerated aging. For the specimens swollen before accelerated aging, the greatest swelling was obtained in methyl cyclohexane, while for the specimens swollen after accelerated aging, the greatest swelling was obtained in cyclohexane. The cross-link density, υ, was also calculated from the swelling measurements for all the specimens, before and after accelerated aging, using the Flory-Rehner equation. The softer silicones, which swelled the most, had lower υ values than harder silicones. The amount of swelling (measured in terms of ϕ) and υ varied significantly (p<0.05) in some cases, between the different silicone hardness and between different liquids. Furthermore, the cross-link density, υ, significantly (p<0.05) increased after accelerated aging in most liquids.Note: ϕ is defined as the volume fraction of polymer in its equilibrium swollen state. A probability value of statistical significance of 0.05 or 5% was selected, hence if a p value of less than 0.05 was obtained, the null hypothesis was rejected (i.e. significant if p<0.05).

  1. Factors associated with medication adherence in school-aged children with asthma.

    PubMed

    Chan, Amy H Y; Stewart, Alistair W; Foster, Juliet M; Mitchell, Edwin A; Camargo, Carlos A; Harrison, Jeff

    2016-01-01

    Adherence to preventive asthma treatment is poor, particularly in children, yet the factors associated with adherence in this age group are not well understood. Adherence was monitored electronically over 6 months in school-aged children who attended a regional emergency department in New Zealand for an asthma exacerbation and were prescribed twice-daily inhaled corticosteroids. Participants completed questionnaires including assessment of family demographics, asthma responsibility and learning style. Multivariable analysis of factors associated with adherence was conducted. 101 children (mean (range) age 8.9 (6-15) years, 51% male) participated. Median (interquartile range) preventer adherence was 30% (17-48%) of prescribed. Four explanatory factors were identified: female sex (+12% adherence), Asian ethnicity (+19% adherence), living in a smaller household (-3.0% adherence per person in the household), and younger age at diagnosis (+2.7% for every younger year of diagnosis) (all p<0.02). In school-aged children attending the emergency department for asthma, males and non-Asian ethnic groups were at high risk for poor inhaled corticosteroid adherence and may benefit most from intervention. Four factors explained a small proportion of adherence behaviour indicating the difficulty in identifying adherence barriers. Further research is recommended in other similar populations.

  2. Factors associated with medication adherence in school-aged children with asthma

    PubMed Central

    Stewart, Alistair W.; Foster, Juliet M.; Mitchell, Edwin A.; Camargo, Carlos A.; Harrison, Jeff

    2016-01-01

    Adherence to preventive asthma treatment is poor, particularly in children, yet the factors associated with adherence in this age group are not well understood. Adherence was monitored electronically over 6 months in school-aged children who attended a regional emergency department in New Zealand for an asthma exacerbation and were prescribed twice-daily inhaled corticosteroids. Participants completed questionnaires including assessment of family demographics, asthma responsibility and learning style. Multivariable analysis of factors associated with adherence was conducted. 101 children (mean (range) age 8.9 (6–15) years, 51% male) participated. Median (interquartile range) preventer adherence was 30% (17–48%) of prescribed. Four explanatory factors were identified: female sex (+12% adherence), Asian ethnicity (+19% adherence), living in a smaller household (−3.0% adherence per person in the household), and younger age at diagnosis (+2.7% for every younger year of diagnosis) (all p<0.02). In school-aged children attending the emergency department for asthma, males and non-Asian ethnic groups were at high risk for poor inhaled corticosteroid adherence and may benefit most from intervention. Four factors explained a small proportion of adherence behaviour indicating the difficulty in identifying adherence barriers. Further research is recommended in other similar populations. PMID:27730181

  3. [The Importance of Medication History Management by Hospital and Community Pharmacists for Oral Anticancer Drug S-1(Tegafur/Gimeracil/Oteracil Potassium)--A Retrospective Study].

    PubMed

    Maeda, Makoto; Saito, Yoshimasa; Makino, Yoshinori; Iwase, Haruo; Hayashi, Yoshikazu

    2016-01-01

    S-1 (tegafur/gimeracil/oteracil potassium) is an effective oral anticancer drug for treatment of a wide spectrum of cancers. However, it may incur serious adverse effects through factors such as interactions with other drugs, renal dysfunction, or an insufficient washout period. In view of this, pharmacists should play an increasingly significant role in managing the medication history of patients treated with S-1. As there seems to be no standardized management tool for patients receiving S-1, we conducted a retrospective study to evaluate medication history management methods, which are commonly available in community pharmacies as well as hospitals. We identified 128 outpatients who were prescribed S-1 for the first time at the National Cancer Center Hospital from July to December of 2011. These patients were divided into in-hospital (n=48) and out-of-hospital (n=80) groups. The percentage of patients, who dropped out during the first course of S-1 treatment, was 16.7% for the in-hospital group, and 10% for the out-of-hospital group. Examining renal dysfunction, non-elderly patients with low creatinine clearance (Ccr) were found. These results suggest that there is the possibility of side effect occurrence in both the in-hospital and out-of-hospital prescription groups. Community pharmacists should check prescriptions with particular attention to the Ccr. It is necessary to develop mechanisms for cooperation between hospital and community pharmacists, with clear role sharing between them, allowing the community pharmacists to exercise medication history management for patients prescribed S-1 to the same degree as hospital pharmacists based on available information including laboratory test values.

  4. Medical school hotline: A History of the University of Hawai'i Postgraduate Medical Education Program at Okinawa Chubu Hospital, 1966-2012.

    PubMed

    Maeshiro, Masao; Izutsu, Satoru; Connolly, Kathleen Kihmm

    2014-06-01

    The University of Hawai'i (UH) has been collaborating with Okinawa Prefectural Chubu Hospital for over 46 years. This collaboration started as a post-World War II effort to increase the physician workforce. At the initiation of the US Army and State Department, the University of Hawai'i was recruited, in cooperation with the government of the Ryukyus and USCAR, to initiate a US style postgraduate clinical training program. The Postgraduate Medical Training Program of University of Hawai'i at Okinawa Chubu Hospital introduced a style of training similar to that in the US by offering a rotating internship. The initial contract had UH establish and run the Postgraduate Medical Training Program of University of Hawaii at Okinawa Central Hospital. After Okinawa's reversion to Japan, under a new contract, UH physicians participated as consultants by providing lectures at "grand rounds" and guidance to faculty, staff, and students. To date, 895 physicians have completed the University of Hawai'i Postgraduate Medical Training Program with 74 currently training. Approximately 662 (74%) of the trainees have remained in Okinawa Prefecture to practice medicine. As a result, the program has enhanced the physician workforce for the islands of Okinawa and neighbor archipelagos of Miyako and Yaeyama Islands.

  5. [The Russian and international standards of age-related allocation of population for medical statistics, medical demographic analysis and risk assessment].

    PubMed

    Demin, V F; Paltsev, M A

    2013-01-01

    The actual European standard of age-related allocation of population in action is largely implemented in medical demographic studies of international (WHO etc.) and national organizations. The Rosstat also implements this standard in its demographic yearbooks and other publications. The standard is applied in computing the standardized indicator of population mortality in different countries and territories and also in assessing risk factors. The standard is based on the idea of evaluating mortality with an integrated standard in order to compare between different countries mortality of population, genders and calendar years. The analysis of results of testing calculations of values of standardized indicator of mortality of population of Russia and EU countries applying European standard in action revealed serious shortcomings. For example. unfounded overstating of values of standardized indicator, of mortality for males and its understating for females artificially increases already wide difference in mortality of males and females in the Russian Federation. The calculation on this background of standardized indicator of mortality for particular causes of death results in erroneous values due to neglected concurrence of risks. Because of necessity of improvement of standard a new concept of development of national and international standards is proposed. This concept is based on application of notion of balanced age-related allocation of population and its number values.

  6. U-Th age distribution of coral fragments from multiple rubble ridges within the Frankland Islands, Great Barrier Reef: Implications for past storminess history

    NASA Astrophysics Data System (ADS)

    Liu, Entao; Zhao, Jian-xin; Feng, Yue-xing; Leonard, Nicole D.; Clark, Tara R.; Roff, George

    2016-07-01

    Prograded coral rubble ridges have been widely used as archives for reconstructing long-term storm or storminess history. Chronologies of ridge systems in previous studies are often based on a limited number of low-resolution radiocarbon or optically-stimulated luminescence (OSL) ages per ridge (usually only one age per ridge), which carry intrinsic age uncertainties and make interpretation of storm histories problematic. To test the fidelity of storm ridges as palaeo-storm archives, we used high-precision U-Th dating to examine whether different samples from a single ridge are temporally constrained. We surveyed three transects of ridge systems from two continental islands (Normanby Island and High Island) within the Frankland Islands, Great Barrier Reef (GBR), and obtained 96 U-Th dates from coral rubble samples collected from within and between different ridges. Our results revealed significant differences in age ranges between the two islands. The steeper and more defined rubble ridges present on Normanby Island revealed that the majority of U-Th ages (over 60%) from a single ridge clustered within a narrow age range (∼100 years). By contrast, the lower and less defined ridges on High Island, which were more likely formed during both storm and non-storm high-energy events, revealed significant scatter in age distribution (>>200 years) with no notable clustering. The narrower age ranges obtained from the steeper and more defined rubble ridges suggest that previous approaches of using either limited samples from a single ridge or low-precision dating methods to establish chronologies are generally valid at centennial to millennial timescales, although caution must be taken to use such approaches for storm history reconstruction on shorter timescales (e.g. decadal). The correlation between U-Th mortality ages of coral rubble and historical stormy periods highlights the possibility of using coral rubble age distribution from rubble ridges to reconstruct the long

  7. Looking back to move forward: using history, discourse and text in medical education research: AMEE guide no. 73.

    PubMed

    Kuper, Ayelet; Whitehead, Cynthia; Hodges, Brian David

    2013-01-01

    As medical education research continues to diversify methodologically and theoretically, medical education researchers have been increasingly willing to challenge taken-for-granted assumptions about the form, content and function of medical education. In this AMEE guide we describe historical, discourse and text analysis approaches that can help researchers and educators question the inevitability of things that are currently seen as 'natural'. Why is such questioning important? By articulating our assumptions and interrogating the 'naturalness' of the status quo, one can then begin to ask why things are the way they are. Researchers can, for example, ask whether the models of medical education organization and delivery that currently seem 'natural' to them have been developed in order to provide the most benefit to students or patients--or whether they have, rather, been developed in ways that provide power to faculty members, medical schools or the medical profession as a whole. An understanding of the interplay of practices and power is a valuable tool for opening up the field to new possibilities for better medical education. The recognition that our current models, rather than being 'natural', were created in particular historical contexts for any number of contingent reasons leads inexorably to the possibility of change. For if our current ways of doing things are not, in fact, inevitable, not only can they be questioned, they can be made better; they can changed in ways that are attentive to whom they benefit, are congruent with our current beliefs about best practice and may lead to the production of better doctors.

  8. Barriers to Care for Depressed Older People: Perceptions of Aged Care among Medical Professionals

    ERIC Educational Resources Information Center

    McCabe, Marita P.; Davison, Tanya; Mellor, David; George, Kuruvilla

    2009-01-01

    The current study evaluated barriers to detection of depression among older people. Focus groups were conducted with 21 professional carers, 4 nurses, 10 general practitioners, and 7 aged care managers. The results demonstrated that care for older people is primarily focused on physical care. Further, staff resources, a lack of continuity of care,…

  9. The digital global geologic map of Mars: chronostratigraphic ages, topographic and crater morphologic characteristics, and updated resurfacing history

    USGS Publications Warehouse

    Tanaka, K.L.; Robbins, S.J.; Fortezzo, C.M.; Skinner, J.A.; Hare, T.M.

    2014-01-01

    A new global geologic map of Mars has been completed in a digital, geographic information system (GIS) format using geospatially controlled altimetry and image data sets. The map reconstructs the geologic history of Mars, which includes many new findings collated in the quarter century since the previous, Viking-based global maps were published, as well as other discoveries that were made during the course of the mapping using new data sets. The technical approach enabled consistent and regulated mapping that is appropriate not only for the map's 1:20,000,000 scale but also for its widespread use by diverse audiences. Each geologic unit outcrop includes basic attributes regarding identity, location, area, crater densities, and chronostratigraphic age. In turn, units are grouped by geographic and lithologic types, which provide synoptic global views of material ages and resurfacing character for the Noachian, Hesperian, and Amazonian periods. As a consequence of more precise and better quality topographic and morphologic data and more complete crater-density dating, our statistical comparisons identify significant refinements for how Martian geologic terrains are characterized. Unit groups show trends in mean elevation and slope that relate to geographic occurrence and geologic origin. In comparison with the previous global geologic map series based on Viking data, the new mapping consists of half the number of units due to simpler, more conservative and globally based approaches to discriminating units. In particular, Noachian highland surfaces overall have high percentages of their areas now dated as an epoch older than in the Viking mapping. Minimally eroded (i.e., pristine) impact craters ≥3 km in diameter occur in greater proportion on Hesperian surfaces. This observation contrasts with a deficit of similarly sized craters on heavily cratered and otherwise degraded Noachian terrain as well as on young Amazonian surfaces. We interpret these as reflecting the

  10. The digital global geologic map of Mars: Chronostratigraphic ages, topographic and crater morphologic characteristics, and updated resurfacing history

    NASA Astrophysics Data System (ADS)

    Tanaka, K. L.; Robbins, S. J.; Fortezzo, C. M.; Skinner, J. A.; Hare, T. M.

    2014-05-01

    A new global geologic map of Mars has been completed in a digital, geographic information system (GIS) format using geospatially controlled altimetry and image data sets. The map reconstructs the geologic history of Mars, which includes many new findings collated in the quarter century since the previous, Viking-based global maps were published, as well as other discoveries that were made during the course of the mapping using new data sets. The technical approach enabled consistent and regulated mapping that is appropriate not only for the map's 1:20,000,000 scale but also for its widespread use by diverse audiences. Each geologic unit outcrop includes basic attributes regarding identity, location, area, crater densities, and chronostratigraphic age. In turn, units are grouped by geographic and lithologic types, which provide synoptic global views of material ages and resurfacing character for the Noachian, Hesperian, and Amazonian periods. As a consequence of more precise and better quality topographic and morphologic data and more complete crater-density dating, our statistical comparisons identify significant refinements for how Martian geologic terrains are characterized. Unit groups show trends in mean elevation and slope that relate to geographic occurrence and geologic origin. In comparison with the previous global geologic map series based on Viking data, the new mapping consists of half the number of units due to simpler, more conservative and globally based approaches to discriminating units. In particular, Noachian highland surfaces overall have high percentages of their areas now dated as an epoch older than in the Viking mapping. Minimally eroded (i.e., pristine) impact craters ≥3 km in diameter occur in greater proportion on Hesperian surfaces. This observation contrasts with a deficit of similarly sized craters on heavily cratered and otherwise degraded Noachian terrain as well as on young Amazonian surfaces. We interpret these as reflecting the

  11. Experimental selection for body size at age modifies early life-history traits and muscle gene expression in adult zebrafish.

    PubMed

    Amaral, Ian P G; Johnston, Ian A

    2012-11-15

    The short generation time of the zebrafish (Danio rerio) was exploited to investigate the effects of selection for body size at age on early life-history traits and on the transcriptional response to a growth stimulus in skeletal muscle of adult fish. Replicate populations were either unselected (U-lineage) or subjected to four generations of experimental selection for small (S-lineage) or large (L-lineage) body size at 90 days post-fertilization. Body mass was on average 16.3% and 41.0% higher in the L- than in the U- and S-lineages, respectively. Egg diameter was 6.4% lower with 13% less yolk in the S-lineage compared with the other lineages. Maternal transcripts for igf2r, bmpr1aa, igf1ar, igf2a, igfbp5a, ghra and igfbp3 in 2-4 cell stage embryos were higher in the L- than in the S-lineage. Larvae from the L-lineage were significantly larger, but survivorship at the end of the first month was similar between lineages. Gene expression was measured in the fast muscle of adult fish fasted for 7 days and then re-fed to satiation for 48 h. The expression of 11 insulin-like growth factor pathway genes and 12 other nutritionally responsive genes was similar for the S- and L-lineages as was gut fullness with feeding. Transcript abundance for four genes (igf1a, igf2r, igfbp1a and igfbp1b) showed either regulated or constitutive differences between the S- and L-lineages. For example, igf2 receptor transcript abundance was higher and igbp1a/b transcript abundance was lower in the L- than in the S-lineage, consistent with an effect of selection on insulin-like growth factor signalling.

  12. A Course in Medical Interviewing

    ERIC Educational Resources Information Center

    Froelich, Robert E.

    1969-01-01

    Course develops medical interviewing skills of students through a programed manual, role-playing exercises, programed patients and medical interviewing films, and the writing of medical histories. (IR)

  13. Species sanitation of malaria in the Netherlands East Indies (1913-1942)--an example of applied medical history?

    PubMed

    Imam, Irawan; Labisch, Alfons

    2006-01-01

    To the World Health Organization malaria remains "one of the world's most important public health concerns". During the post-eradication era of the 1980s there was no clear answer to the following question: what kind of intervention could be effective against malaria in the 'roll-back malaria' programme? In this situation there were also calls for an 'applied history of medicine', since the anti-malaria programmes during the pre-eradication era might help overcome the crisis of finding an appropriate way to fight malaria. At this point the concept of species sanitation was considered. Developed in the 1920s in the former Netherlands East Indies the thrust of this concept is that anopheles, as obligatory vectors of malaria, have species-specific breeding sites; when these sites are sanitised, malaria is deprived of its ecological preconditions. This double question - the history of species sanitation and the possibility of an applied history of medicine - is the starting point of this paper. The results of the historical analysis are that in terms of the biological, technical, economical, social and political conditions, species sanitation remains limited to a few locally specified exceptions. The attempt to find answers in history demonstrates that an evaluation of historical anti-malaria measures can be helpful in determining the fundamental elements of a given situation necessary for an effective malaria control programme.

  14. Effect of a family history of psoriasis and age on comorbidities and quality of life in patients with moderate to severe psoriasis: Results from the ARIZONA study.

    PubMed

    López-Estebaranz, Jose Luis; Sánchez-Carazo, Jose Luis; Sulleiro, Sara

    2016-04-01

    Psoriasis is a chronic inflammatory skin disease whose clinical characteristics vary from patient to patient. We aimed to analyze how comorbidities and quality of life (QoL, as per the Dermatology Life Quality Index [DLQI]) may be affected by a family history of psoriasis and by age. The ARIZONA study was a multicenter, cross-sectional study in 1022 adult patients diagnosed with moderate to severe psoriasis at least 6 months prior to inclusion. The severity of psoriasis and the proportion of patients with comorbidities were not affected by the presence of a family history. The regression analysis revealed that the presence of a family history of psoriasis was associated with the effect on the patient's QoL (P = 0.002), regardless of disease severity. The mean DLQI total score varied significantly across age groups (5.1 ± 5.3 for the 18-30-year group, 5.7 ± 6.5 for the 31-60-year group and 3.8 ± 5.1 for the >60-year group; P = 0.001). In conclusion, the presence of a family history of psoriasis appears to disrupt QoL in patients with moderate to severe psoriasis, but it hardly affected the prevalence of comorbid conditions. The effect of age on QoL was particularly noticeable in younger patients, highlighting its negative impact. As expected, older patients appeared to be burdened with a higher number of comorbidities than their younger counterparts.

  15. Understanding the information dynamics of medication administration in residential aged care facilities (RACFs): a prerequisite for design of effective ICT systems.

    PubMed

    Tariq, Amina; Georgiou, Andrew; Westbrook, Johanna

    2013-01-01

    Medication information is a critical part of the information required to ensure residents' safety in the highly collaborative care context of RACFs. Studies report poor medication information as a barrier to improve medication management in RACFs. Research exploring medication work practices in aged care settings remains limited. This study aimed to identify contextual and work practice factors contributing to breakdowns in medication information exchange in RACFs in relation to the medication administration process. We employed non-participant observations and semi-structured interviews to explore information practices in three Australian RACFs. Findings identified inefficiencies due to lack of information timeliness, manual stock management, multiple data transcriptions, inadequate design of essential documents such as administration sheets and a reliance on manual auditing procedures. Technological solutions such as electronic medication administration records offer opportunities to overcome some of the identified problems. However these interventions need to be designed to align with the collaborative team based processes they intend to support.

  16. Using Family Health History for Chronic Disease Prevention in the Age of Genomics: Translation to Health Education Practice

    ERIC Educational Resources Information Center

    Hanson, Carl; Novilla, Lelinneth; Barnes, Michael; De La Cruz, Natalie; Meacham, Aaron

    2007-01-01

    Advances in the field of human genomics have important implications for the prevention of chronic disease. In response to these advancements, public health professionals--including health educators--must become competent in the principles underlying the interface between genomics and the use of family health history. Family health history captures…

  17. Medical History, Lifestyle, Family History, and Occupational Risk Factors for Marginal Zone Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

    PubMed Central

    Benavente, Yolanda; Turner, Jennifer J.; Paltiel, Ora; Slager, Susan L.; Vajdic, Claire M.; Norman, Aaron D.; Cerhan, James R.; Chiu, Brian C. H.; Becker, Nikolaus; Cocco, Pierluigi; Dogan, Ahmet; Nieters, Alexandra; Holly, Elizabeth A.; Kane, Eleanor V.; Smedby, Karin E.; Maynadié, Marc; Spinelli, John J.; Roman, Eve; Glimelius, Bengt; Wang, Sophia S.; Sampson, Joshua N.; Morton, Lindsay M.; de Sanjosé, Silvia

    2014-01-01

    Background Marginal zone lymphoma (MZL), comprised of nodal, extranodal, and splenic subtypes, accounts for 5%–10% of non-Hodgkin lymphoma cases. A detailed evaluation of the independent effects of risk factors for MZL and its subtypes has not been conducted. Methods Data were pooled from 1052 MZL cases (extranodal [EMZL] = 633, nodal [NMZL] = 157, splenic [SMZL] = 140) and 13766 controls from 12 case–control studies. Adjusted unconditional logistic regression was used to compute odds ratios (ORs) and 95% confidence intervals (CIs). Results Novel findings for MZL subtypes include increased risk for B-cell activating autoimmune conditions (EMZL OR = 6.40, 95% CI = 4.24 to 9.68; NMZL OR = 7.80, 95% CI = 3.32 to 18.33; SMZL OR = 4.25, 95% CI = 1.49 to 12.14), hepatitis C virus seropositivity (EMZL OR = 5.29, 95% CI = 2.48 to 11.28), self-reported peptic ulcers (EMZL OR = 1.83, 95% CI = 1.35 to 2.49), asthma without other atopy (SMZL OR = 2.28, 95% CI = 1.23 to 4.23), family history of hematologic cancer (EMZL OR = 1.90, 95% CI = 1.37 to 2.62) and of non-Hodgkin lymphoma (NMZL OR = 2.82, 95% CI = 1.33 to 5.98), permanent hairdye use (SMZL OR = 6.59, 95% CI = 1.54 to 28.17), and occupation as a metalworker (NMZL OR = 3.56, 95% CI = 1.67 to 7.58). Reduced risks were observed with consumption of any alcohol (EMZL fourth quartile OR = 0.48, 95% CI = 0.28 to 0.82) and lower consumption of wine (NMZL first to third quartile ORs < 0.45) compared with nondrinkers, and occupation as a teacher (EMZL OR = 0.58, 95% CI = 0.37 to 0.88). Conclusion Our results provide new data suggesting etiologic heterogeneity across MZL subtypes although a common risk of MZL associated with B-cell activating autoimmune conditions was found. PMID:25174026

  18. Cardiac Vagal Control in Non-Medicated Depressed Women and Non-Depressed Controls: Impact of Depression Status, Lifetime Trauma History and Respiratory Factors

    PubMed Central

    Cyranowski, Jill M.; Hofkens, Tara L.; Swartz, Holly A.; Salomon, Kristen; Gianaros, Peter J.

    2011-01-01

    Objective Impairment in cardiac parasympathetic (vagal) control may confer risk for cardiac mortality in depressed populations. We evaluated the impact of acute stress and relationship-focused imagery on cardiac vagal control, as indicated by levels of respiratory sinus arrhythmia (RSA), in depressed and non-depressed women. Methods EKG and respiration rate were evaluated in 15 non-medicated depressed women and 15 matched controls during two laboratory conditions: (1) a relationship-focused imagery designed to elicit vagal activation, and (2) a speech stressor designed to evoke vagal withdrawal. Results As expected, the relationship-focused imagery increased RSA [F(3,66)=3.79, p=.02] and the speech stressor decreased RSA [F(3,66)=4.36, p=.02] across women. Depressed women exhibited lower RSA during the relationship-focused imagery, and this effect remained following control for respiratory rate and trauma history [F(1,21)=5.65, p=.027]. Depressed women with a trauma history exhibited the lowest RSA during the stress condition [F(1,22)=9.61, p=.05]. However, after controlling for respiratory rate, Trauma History × Task Order (p=.02) but not Trauma History × Depression Group (p=.12) accounted for RSA variation during the stress condition. Conclusion Depression in women is associated with lower RSA, particularly when women reflect on a close love relationship, a context expected to elicit vagal activation and hence increase RSA. In contrast, depression-related variation in stressor-evoked vagal activity appears to covary with women's trauma history. Associations between vagal activity and depression are complex, and should be considered in view of the experimental conditions under which vagal control is assessed, as well as physiological and behavioral factors that may affect vagal function. PMID:21364194

  19. Patient Age, Ethnicity, Medical History, and Risk Factor Profile, but Not Drug Insurance Coverage, Predict Successful Attainment of Glycemic Targets

    PubMed Central

    Teoh, Hwee; Braga, Manoela F.B.; Casanova, Amparo; Drouin, Denis; Goodman, Shaun G.; Harris, Stewart B.; Langer, Anatoly; Tan, Mary K.; Ur, Ehud; Yan, Andrew T.; Zinman, Bernard; Leiter, Lawrence A.

    2010-01-01

    OBJECTIVE To identify factors in patients with type 2 diabetes and A1C >7.0% associated with attainment of A1C ≤7.0%. RESEARCH DESIGN AND METHODS We used a prospective registry of 5,280 Canadian patients in primary care settings enrolled in a 12-month glycemic pharmacotherapy optimization strategy based on national guidelines. RESULTS At close out, median A1C was 7.1% (vs. 7.8% at baseline) with 48% of subjects achieving A1C ≤7.0% (P < 0.0001). Older patients of Asian or black origin, those with longer diabetes duration, those with lower baseline A1C, BMI, LDL cholesterol, and blood pressure, and those on angiotensin receptor blockers and a lower number of antihyperglycemic agents, were more likely to achieve A1C ≤7.0% at some point during the study (all P < 0.0235). Access to private versus public drug coverage did not impact glycemic target realization. CONCLUSIONS Patient demography, cardiometabolic health, and ongoing pharmacotherapy, but not access to private drug insurance coverage, contribute to the care gap in type 2 diabetes. PMID:20823344

  20. Medical revolution in Argentina.

    PubMed

    Ballarin, V L; Isoardi, R A

    2010-01-01

    The paper discusses the major Argentineans contributors, medical physicists and scientists, in medical imaging and the development of medical imaging in Argentina. The following are presented: history of medical imaging in Argentina: the pioneers; medical imaging and medical revolution; nuclear medicine imaging; ultrasound imaging; and mathematics, physics, and electronics in medical image research: a multidisciplinary endeavor.

  1. Aging related changes in mixed basal saliva concentration of sodium, potassium and chloride in healthy non medicated humans.

    PubMed

    De Oliveira, Rui; Navas, Eunice; Duran, Carolina; Pinto, Maria; Gutierrez, Jose; Eblen-Zajjur, Antonio

    2014-01-01

    It is well known that the salivary flow is reduced by aging but ionic composition changes associated to aging have been less evaluated. To measure salivary and plasmatic [Na(+)], [K(+)] and [Cl(-)] and to correlate with age in healthy, non-medicated subjects of any gender, 165 healthy participating subjects (over 15 years old) were asked to give sample of 5 mL mix basal saliva in a plastic vial without any stimulation technique, additionally, 5 mL of venous blood was collected. Samples [Na(+)] and [K(+)] were measured by flame photometry (Corning™ M-405) and [Cl(-)] by voltametric chlorometry (Corning™ M-920). Ionic concentrations were expressed as (X±DE; meq.L⁻¹). All three ionic concentrations progressively increased with age, with the lineal regression equation being: [Na(+)] mEq=17.76 + 0.26(Age); r=+0.42; F=31.5; P=0.00001; [K(+)] mEq=13.2+0.15(Age); r=+0.32; F=16.5; P=0.00001; [Cl(-)] mEq=9.05+0.18(Age); r=+0.35; F=7.8; P=0.0071. Age induced changes in salivary ionic concentrations were not associated to blood ionic changes. However, saliva and blood [Na(+)] and [K(+)] were correlated (r=+0.25; F=4.49; P=0.04 and r=+0.30; F=6.98; P=0.01, respectively). Significant association was found among salivary ions: [Na(+)] mEq=9.14+0.99[K(+)] (r=+0.79; F=95.2; P=0.000001); [Cl(-)] mEq=0.95+0.56[Na(+)] (r=0.79; F=106.6; P=0.000001) and [Cl(-)] mEq=3.45+0.69[K(+)] (r=0.73; F=72.5; P=0.000001). These results confirm and measure the impact of aging over the mixed and resting salivary secretion process and suggest that local changes are not related to blood ionic composition.

  2. Diagnosis and Medication Overload? A Nurse Review of the Psychiatric Histories of Older Youth in Treatment Foster Care

    ERIC Educational Resources Information Center

    Narendorf, Sarah Carter; Bertram, Julie; McMillen, J. Curtis

    2011-01-01

    Prior research has raised concern about the appropriateness of psychotropic medication use and the validity of psychiatric diagnosing for youth in child welfare but has lacked in-depth case information. This study reports results from a psychiatric nurse review conducted with eight youth entering a foster care intervention using case records and…

  3. Anniversary Paper: History and status of CAD and quantitative image analysis: The role of Medical Physics and AAPM

    SciTech Connect

    Giger, Maryellen L.; Chan, Heang-Ping; Boone, John

    2008-12-15

    The roles of physicists in medical imaging have expanded over the years, from the study of imaging systems (sources and detectors) and dose to the assessment of image quality and perception, the development of image processing techniques, and the development of image analysis methods to assist in detection and diagnosis. The latter is a natural extension of medical physicists' goals in developing imaging techniques to help physicians acquire diagnostic information and improve clinical decisions. Studies indicate that radiologists do not detect all abnormalities on images that are visible on retrospective review, and they do not always correctly characterize abnormalities that are found. Since the 1950s, the potential use of computers had been considered for analysis of radiographic abnormalities. In the mid-1980s, however, medical physicists and radiologists began major research efforts for computer-aided detection or computer-aided diagnosis (CAD), that is, using the computer output as an aid to radiologists--as opposed to a completely automatic computer interpretation--focusing initially on methods for the detection of lesions on chest radiographs and mammograms. Since then, extensive investigations of computerized image analysis for detection or diagnosis of abnormalities in a variety of 2D and 3D medical images have been conducted. The growth of CAD over the past 20 years has been tremendous--from the early days of time-consuming film digitization and CPU-intensive computations on a limited number of cases to its current status in which developed CAD approaches are evaluated rigorously on large clinically relevant databases. CAD research by medical physicists includes many aspects--collecting relevant normal and pathological cases; developing computer algorithms appropriate for the medical interpretation task including those for segmentation, feature extraction, and classifier design; developing methodology for assessing CAD performance; validating the

  4. Anniversary Paper: History and status of CAD and quantitative image analysis: The role of Medical Physics and AAPM

    PubMed Central

    Giger, Maryellen L.; Chan, Heang-Ping; Boone, John

    2008-01-01

    The roles of physicists in medical imaging have expanded over the years, from the study of imaging systems (sources and detectors) and dose to the assessment of image quality and perception, the development of image processing techniques, and the development of image analysis methods to assist in detection and diagnosis. The latter is a natural extension of medical physicists’ goals in developing imaging techniques to help physicians acquire diagnostic information and improve clinical decisions. Studies indicate that radiologists do not detect all abnormalities on images that are visible on retrospective review, and they do not always correctly characterize abnormalities that are found. Since the 1950s, the potential use of computers had been considered for analysis of radiographic abnormalities. In the mid-1980s, however, medical physicists and radiologists began major research efforts for computer-aided detection or computer-aided diagnosis (CAD), that is, using the computer output as an aid to radiologists—as opposed to a completely automatic computer interpretation—focusing initially on methods for the detection of lesions on chest radiographs and mammograms. Since then, extensive investigations of computerized image analysis for detection or diagnosis of abnormalities in a variety of 2D and 3D medical images have been conducted. The growth of CAD over the past 20 years has been tremendous—from the early days of time-consuming film digitization and CPU-intensive computations on a limited number of cases to its current status in which developed CAD approaches are evaluated rigorously on large clinically relevant databases. CAD research by medical physicists includes many aspects—collecting relevant normal and pathological cases; developing computer algorithms appropriate for the medical interpretation task including those for segmentation, feature extraction, and classifier design; developing methodology for assessing CAD performance; validating the

  5. The Natural History of Respiratory Syncytial Virus in a Birth Cohort: The Influence of Age and Previous Infection on Reinfection and Disease

    PubMed Central

    Ohuma, E. O.; Okiro, E. A.; Ochola, R.; Sande, C. J.; Cane, P. A.; Medley, G. F.; Bottomley, C.; Nokes, D. J.

    2012-01-01

    This study aimed to quantify the effect of age, time since last infection, and infection history on the rate of respiratory syncytial virus infection and the effect of age and infection history on the risk of respiratory syncytial virus disease. A birth cohort of 635 children in Kilifi, Kenya, was monitored for respiratory syncytial virus infections from January 31, 2002, to April 22, 2005. Predictors of infection were examined by Cox regression and disease risk by binomial regression. A total of 598 respiratory syncytial virus infections were identified (411 primary, 187 repeat), with 409 determined by antigen assay and 189 by antibody alone (using a “most pragmatic” serologic definition). The incidence decreased by 70% following a primary infection (adjusted hazard ratio = 0.30, 95% confidence interval: 0.21, 0.42; P < 0.001) and by 59% following a secondary infection (hazard ratio = 0.41, 95% confidence interval: 0.22, 0.73; P = 0.003), for a period lasting 6 months. Relative to the age group <6 months, all ages exhibited a higher incidence of infection. A lower risk of severe disease following infection was independently associated with increasing age (P < 0.001) but not reinfection. In conclusion, observed respiratory syncytial virus incidence was lowest in the first 6 months of life, immunity to reinfection was partial and short lived, and disease risk was age related. PMID:23059788

  6. Predictors of Age of Diagnosis for Children with Autism Spectrum Disorder: The Role of a Consistent Source of Medical Care, Race, and Condition Severity

    ERIC Educational Resources Information Center

    Emerson, Natacha D.; Morrell, Holly E. R.; Neece, Cameron

    2016-01-01

    Having a consistent source of medical care may facilitate diagnosis of autism spectrum disorders (ASD). This study examined predictors of age of ASD diagnosis using data from the 2011-2012 National Survey of Children's Health. Using multiple linear regression analysis, age of diagnosis was predicted by race, ASD severity, having a consistent…

  7. Optical Coherence Tomography Based Observation of Natural History of Drusenoid Lesion in Eyes with Dry Age-Related Macular Degeneration

    PubMed Central

    Ouyang, Yanling; Heussen, Florian M.; Hariri, Amirhossein; Keane, Pearse A.; Sadda, Srinivas R.

    2013-01-01

    Purpose To use spectral domain optical coherence tomography (SD-OCT) to investigate risk factors predictive for development of atrophy of drusenoid lesions (drusen and drusenoid pigment epithelium detachment) in eyes with non-neovascular age-related macular degeneration (NNVAMD). Design Cohort study. Participants Forty-one eyes from 29 patients with NNVAMD. Methods Patients with NNVAMD who underwent registered SD-OCT imaging over a minimum period of six months, were reviewed. Drusenoid lesions that accompanied by new atrophy onset at 6 month or last follow up were further analyzed. Detailed lesion change was described throughout the study period. Odds ratios (OR) and risk for new local atrophy onset were calculated. Main Outcomes Measures Drusenoid lesion features and longitudinal changes in features including maximum lesion height, lesion diameter, lesion internal reflectivity, presence and extent of overlying intraretinal hyperreflective features (HRF). Subfoveal choroidal thickness and choroidal thickness measured below each lesion. Results 543 individual drusenoid lesions were identified at baseline, while 28 lesions developed during follow-up. The mean follow-up time was 21.3 ± 8.6 (range, 6-44) months. 3.2% (18/571) of drusenoid lesions progressed to atrophy within 18.3±9.5 (range: 5-28) months of initial visit. Drusenoid lesions with heterogenous internal reflectivity were significantly associated with new atrophy onset at 6 month (OR=5.614, 95% confidence interval (CI) =1.277-24.673) and new atrophy onset at last follow up (OR=7.005, CI=2.300-21.337). Lesions with presence of HRF also were significant predictors for new atrophy onset at 6 month (OR=30.161, CI=4.766-190.860) and at last follow up (OR=11.211, CI=2.513-50.019). Lesions with a baseline maximum height over 80 microns or choroidal thickness less than 135 microns showed positive association with the new atrophy onset at last follow up (OR=7.886, CI=2.105-29.538 and OR=3.796, CI=1

  8. The eruptive history of the Tequila volcanic field, western Mexico: ages, volumes, and relative proportions of lava types

    NASA Astrophysics Data System (ADS)

    Lewis-Kenedi, Catherine B.; Lange, Rebecca A.; Hall, Chris M.; Delgado-Granados, Hugo

    2005-06-01

    The eruptive history of the Tequila volcanic field (1600 km2) in the western Trans-Mexican Volcanic Belt is based on 40Ar/39Ar chronology and volume estimates for eruptive units younger than 1 Ma. Ages are reported for 49 volcanic units, including Volcán Tequila (an andesitic stratovolcano) and peripheral domes, flows, and scoria cones. Volumes of volcanic units ≤1 Ma were obtained with the aid of field mapping, ortho aerial photographs, digital elevation models (DEMs), and ArcGIS software. Between 1120 and 200 kyrs ago, a bimodal distribution of rhyolite (~35 km3) and high-Ti basalt (~39 km3) dominated the volcanic field. Between 685 and 225 kyrs ago, less than 3 km3 of andesite and dacite erupted from more than 15 isolated vents; these lavas are crystal-poor and show little evidence of storage in an upper crustal chamber. Approximately 200 kyr ago, ~31 km3 of andesite erupted to form the stratocone of Volcán Tequila. The phenocryst assemblage of these lavas suggests storage within a chamber at ~2 3 km depth. After a hiatus of ~110 kyrs, ~15 km3 of andesite erupted along the W and SE flanks of Volcán Tequila at ~90 ka, most likely from a second, discrete magma chamber located at ~5 6 km depth. The youngest volcanic feature (~60 ka) is the small andesitic volcano Cerro Tomasillo (~2 km3). Over the last 1 Myr, a total of 128±22 km3 of lava erupted in the Tequila volcanic field, leading to an average eruption rate of ~0.13 km3/kyr. This volume erupted over ~1600 km2, leading to an average lava accumulation rate of ~8 cm/kyr. The relative proportions of lava types are ~22 43% basalt, ~0.4 1% basaltic andesite, ~29 54% andesite, ~2 3% dacite, and ~18 40% rhyolite. On the basis of eruptive sequence, proportions of lava types, phenocryst assemblages, textures, and chemical composition, the lavas do not reflect the differentiation of a single (or only a few) parental liquids in a long-lived magma chamber. The rhyolites are geochemically diverse and were likely

  9. A clinical procedures curriculum for undergraduate medical students: the eight-year history of a third-year immersive experience.

    PubMed

    Thompson, Laura; Exline, Matthew; Leung, Cynthia G; Way, David P; Clinchot, Daniel; Bahner, David P; Khandelwal, Sorabh

    2016-01-01

    Background Procedural skills training is a critical component of medical education, but is often lacking in standard clinical curricula. We describe a unique immersive procedural skills curriculum for medical students, designed and taught primarily by emergency medicine faculty at The Ohio State University College of Medicine. Objectives The primary educational objective of this program was to formally introduce medical students to clinical procedures thought to be important for success in residency. The immersion strategy (teaching numerous procedures over a 7-day period) was intended to complement the student's education on third-year core clinical clerkships. Program design The course introduced 27 skills over 7 days. Teaching and learning methods included lecture, prereading, videos, task trainers, peer teaching, and procedures practice on cadavers. In year 4 of the program, a peer-team teaching model was adopted. We analyzed program evaluation data over time. Impact Students valued the selection of procedures covered by the course and felt that it helped prepare them for residency (97%). The highest rated activities were the cadaver lab and the advanced cardiac life support (97 and 93% positive endorsement, respectively). Lectures were less well received (73% positive endorsement), but improved over time. The transition to peer-team teaching resulted in improved student ratings of course activities (p<0.001). Conclusion A dedicated procedural skills curriculum successfully supplemented the training medical students received in the clinical setting. Students appreciated hands-on activities and practice. The peer-teaching model improved course evaluations by students, which implies that this was an effective teaching method for adult learners. This course was recently expanded and restructured to place the learning closer to the clinical settings in which skills are applied.

  10. A clinical procedures curriculum for undergraduate medical students: the eight-year history of a third-year immersive experience

    PubMed Central

    Thompson, Laura; Exline, Matthew; Leung, Cynthia G.; Way, David P.; Clinchot, Daniel; Bahner, David P.; Khandelwal, Sorabh

    2016-01-01

    Background Procedural skills training is a critical component of medical education, but is often lacking in standard clinical curricula. We describe a unique immersive procedural skills curriculum for medical students, designed and taught primarily by emergency medicine faculty at The Ohio State University College of Medicine. Objectives The primary educational objective of this program was to formally introduce medical students to clinical procedures thought to be important for success in residency. The immersion strategy (teaching numerous procedures over a 7-day period) was intended to complement the student's education on third-year core clinical clerkships. Program design The course introduced 27 skills over 7 days. Teaching and learning methods included lecture, prereading, videos, task trainers, peer teaching, and procedures practice on cadavers. In year 4 of the program, a peer-team teaching model was adopted. We analyzed program evaluation data over time. Impact Students valued the selection of procedures covered by the course and felt that it helped prepare them for residency (97%). The highest rated activities were the cadaver lab and the advanced cardiac life support (97 and 93% positive endorsement, respectively). Lectures were less well received (73% positive endorsement), but improved over time. The transition to peer-team teaching resulted in improved student ratings of course activities (p<0.001). Conclusion A dedicated procedural skills curriculum successfully supplemented the training medical students received in the clinical setting. Students appreciated hands-on activities and practice. The peer-teaching model improved course evaluations by students, which implies that this was an effective teaching method for adult learners. This course was recently expanded and restructured to place the learning closer to the clinical settings in which skills are applied. PMID:27222103

  11. Aging

    PubMed Central

    Park, Dong Choon

    2013-01-01

    Aging is initiated based on genetic and environmental factors that operate from the time of birth of organisms. Aging induces physiological phenomena such as reduction of cell counts, deterioration of tissue proteins, tissue atrophy, a decrease of the metabolic rate, reduction of body fluids, and calcium metabolism abnormalities, with final progression onto pathological aging. Despite the efforts from many researchers, the progression and the mechanisms of aging are not clearly understood yet. Therefore, the authors would like to introduce several theories which have gained attentions among the published theories up to date; genetic program theory, wear-and-tear theory, telomere theory, endocrine theory, DNA damage hypothesis, error catastrophe theory, the rate of living theory, mitochondrial theory, and free radical theory. Although there have been many studies that have tried to prevent aging and prolong life, here we introduce a couple of theories which have been proven more or less; food, exercise, and diet restriction. PMID:24653904

  12. Review of functional MRI in HIV: effects of aging and medication.

    PubMed

    Hakkers, C S; Arends, J E; Barth, R E; Du Plessis, S; Hoepelman, A I M; Vink, M

    2017-02-01

    HIV-associated neurocognitive disorder (HAND) is a frequently occurring comorbidity of HIV infection. Evidence suggests this condition starts subclinical before a progression to a symptomatic stage. Blood oxygenated level dependent (BOLD) fMRI has shown to be a sensitive tool to detect abnormal brain function in an early stage and might therefore be useful to evaluate the effect of HIV infection on brain function. An extensive literature search was performed in June 2015. Eligibility criteria for included studies were as follows: (1) conducting with HIV-positive patients, (2) using BOLD fMRI, and (3) including a HIV-negative control group. A total of 19 studies were included in the review including 931 participants. Differences in activation between HIV-positive and -negative participants were found when testing multiple domains, i.e., attention, (working) memory, and especially executive functioning. Overall, HIV-positive patients showed hyperactivation in task-related brain regions despite equal performances as controls. Task performance was degraded only for the most complex tasks. A few studies investigated the effect of aging on fMRI, and most of them found no interaction with HIV infection. Only three studies evaluated the effect of combination antiretroviral therapy (cART) on functional data suggesting an increase in activation with the use of cART. fMRI is a sensitive instrument to detect subtle cognitive changes in HIV patients. Open questions remain regarding the effects of cART on fMRI and the effects of aging on fMRI.

  13. Thermoluminescence of Antarctic meteorites: A rapid screening technique for terrestrial age estimation, pairing studies and identification of specimens with unusual prefall histories

    NASA Technical Reports Server (NTRS)

    Sutton, S. R.; Walker, R. M.

    1986-01-01

    Thermoluminescence (TL) is a promising technique for rapid screening of the large numbers of Antarctic meteorites, permitting identification of interesting specimens that can then be studied in detail by other, more definite techniques. Specifically, TL permits determination of rough terrestrial age, identification of potential paired groups and location of specimens with unusual pre-fall histories. Meteorites with long terrestrial ages are particularly valuable for studying transport and weathering mechanisms. Pairing studies are possible because TL variations among meteorites are large compared to variations within individual objects, especially for natural TL. Available TL data for several L3 fragments, three of which were paired by other techniques, are presented as an example of the use of TL parameters in pairing studies. Additional TL measurements, specifically a blind test, are recommended to satisfactorily establish the reliability of this pairing property. The TL measurements also identify fragments with unusual pre-fall histories, such an near-Sun orbits.

  14. From dinosaurs to DNA: a history of colorectal cancer.

    PubMed

    Mulcahy, Hugh E; Hyland, John; O'Donoghue, Diarmuid P

    2003-05-01

    The roots of colorectal cancer date back to antiquity. In this short history of colorectal cancer we trace its clinical and research origins from ancient times through the dark ages, middle ages, to the scientific and medical advances of the seventeenth to twentieth centuries and into the twenty-first century.

  15. Primary healthcare usage and use of medications among immigrant children according to age of arrival to Norway: a population-based study

    PubMed Central

    Diaz, Esperanza

    2017-01-01

    Background Morbidity, use of healthcare and medication use have been reported to vary across groups of migrants and according to the different phases of migration, but little is known about children with immigrant background. In this study, we investigate whether the immigrant children's age of arrival predicts differences in usage of primary healthcare (PHC) and in use of prescribed medication. Methods This nationwide, population-based study used information for children under 18 years of age in 2008 from three linked registers in Norway. Use of medication was assessed with logistic regression analyses presented with ORs with 95% CIs. Results Of 1 168 365 children, 119 251 had immigrant background. The mean number of PHC visits among children aged 10–18 years, was 1.19 for non-immigrants, 1.17 among second generation immigrants, 1.12, 1.05 and 0.83 among first immigrant children who were <5, 5–9 and ≥10 years at arrival in Norway, respectively. Patterns were similar for younger immigrants, and were confirmed with regression models adjusting for age and sex. First generation immigrant children used less of nearly all groups of prescribed medication compared to non-immigrants when adjusting for age and sex (overall OR 0.48 (0.47 to 0.49)), and medication was also generally less used among second generation immigrant children (overall OR 0.92 (0.91 to 0.94)). Conclusions Age of arrival predicted PHC usage among children among first-generation children. First-generation immigrant children, particularly those arriving later in adolescence, used PHC less than age corresponding non-immigrant children. Immigrant children used less prescribed medication compared to non-immigrants after adjustment for age and sex. PMID:28148537

  16. Diagnostic History and Treatment of School-Aged Children with Autism Spectrum Disorder and Special Health Care Needs

    MedlinePlus

    ... psychotropic medication use in children with ASD ( 10 ). Definitions Children with special health care needs (CSHCN) : The ... at the time of the Pathways interview. (See " Definitions " for question wording.) All estimates shown in this ...

  17. Creating a family health history

    MedlinePlus

    Family health history; Create a family health history; Family medical history ... Many factors affect your health. These include your: Genes Diet and exercise habits Environment Family members tend to share certain behaviors, genetic traits, and habits. ...

  18. Age-related geriatric medicine: relevance of special skills of geriatric medicine to elderly people admitted to hospital as medical emergencies.

    PubMed Central

    Kafetz, K; O'Farrell, J; Parry, A; Wijesuriya, V; McElligott, G; Rossiter, B; Lugon, M

    1995-01-01

    This study was carried out to find out how many patients aged 75 and over admitted to hospital as medical emergencies had features appropriate to care by physicians in geriatric medicine and to examine the extent of use of specialist facilities by these patients. The purpose was to examine criticisms of age-related admission policies which have focused on misplacement of patients with single diagnoses and lack of access to specialist care. An analysis was made of admission, process and discharge characteristics relevant to the special skills of geriatric medicine, multiple pathology and use of specialist services by 554 patients aged 75 and over. These were collected prospectively, consecutively admitted as medical emergencies via the accident and emergency department of a large district general hospital with an age-related (75 and over) medical admissions policy. 84 patients (15%) had single pathology and no characteristics suggesting the need for specialist geriatric care. 177 (32%) had single pathology and one or more specialized characteristics. 66 (12%) had multiple pathology alone. 227 (41%) had multiple pathology and specialized characteristics. There were 142 specialist referrals in 121 patients (22% of the whole sample). We concluded that the special skills of general physicians specializing in the medical and associated community problems of elderly people are highly relevant to patients aged 75 and over presenting as medical emergencies. There was no evidence of lack of involvement of specialists in their care. PMID:8544147

  19. Age-related geriatric medicine: relevance of special skills of geriatric medicine to elderly people admitted to hospital as medical emergencies.

    PubMed

    Kafetz, K; O'Farrell, J; Parry, A; Wijesuriya, V; McElligott, G; Rossiter, B; Lugon, M

    1995-11-01

    This study was carried out to find out how many patients aged 75 and over admitted to hospital as medical emergencies had features appropriate to care by physicians in geriatric medicine and to examine the extent of use of specialist facilities by these patients. The purpose was to examine criticisms of age-related admission policies which have focused on misplacement of patients with single diagnoses an