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Medicine is my life

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https://www.readbyqxmd.com/read/29760033/the-mid-career-demon
#1
Timothy P Daaleman
For several months I have been trying to tag a greyness that has shaded my doctoring. I was not burned out but uncovered the desert experience of mind and soul known as acedia, which is called the noonday demon because it vexes those in the mid-stages of life. Grappling with the noonday demon has upended all of my assumptions about the workings of hope in the practice of medicine. For me, hope is no longer the anticipation of a positive outcome, or the warm feeling associated with the validation of a correct diagnosis, or the conclusion of successful treatment...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29727610/in-defense-of-sugar-a-critique-of-diet-centrism
#2
REVIEW
Edward Archer
Sugars are foundational to biological life and played essential roles in human evolution and dietary patterns for most of recorded history. The simple sugar glucose is so central to human health that it is one of the World Health Organization's Essential Medicines. Given these facts, it defies both logic and a large body of scientific evidence to claim that sugars and other nutrients that played fundamental roles in the substantial improvements in life- and health-spans over the past century are now suddenly responsible for increments in the prevalence of obesity and chronic non-communicable diseases...
May 1, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/29664177/-osler-warned-was-william-osler-a-grave-robber-while-at-mcgill-or-was-he-a-victim-or-perpetrator-of-one-final-practical-joke
#3
James R Wright
Bodysnatching was an illegal way to procure cadavers for anatomical dissection before the existence of effective anatomy legislation. As knowledge of anatomy was fundamental to medical practice, many famous 19th century physicians turned a blind eye to this activity or even participated. Sir William Osler, perhaps the most revered physician of all time, received his medical degree from McGill University in 1872 and then served as pathologist at Montreal General Hospital from 1874 to 1884, where he began a career which culminated in him becoming both the first Professor of Medicine at Johns Hopkins and then Regius Professor at Oxford...
April 17, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29524344/knights-without-armor
#4
Muhammad Irfan Farooque
No abstract text is available yet for this article.
March 10, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29499709/selling-my-sheep-to-pay-for-medicines-household-priorities-and-coping-strategies-in-a-setting-without-universal-health-coverage
#5
Onarheim Kristine Husøy, Sisay Mitike Molla, Gizaw Muluken, Moland Karen Marie, Norheim Ole Frithof, Miljeteig Ingrid
BACKGROUND: The first month of life is the period with the highest risk of dying. Despite knowledge of effective interventions, newborn mortality is high and utilization of health care services remains low in Ethiopia. In settings without universal health coverage, the economy of a household is vulnerable to illness, and out-of-pocket payments may limit families' opportunities to seek health care for newborns. In this paper we explore intra-household resource allocation, focusing on how families prioritize newborn health versus other household needs and their coping strategies for managing these priorities...
March 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29473940/delirium-a-framework-to-improve-acute-care-for-older-persons
#6
Sharon K Inouye
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr...
March 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29380217/physician-perception-of-pay-fairness-and-its-association-with-work-satisfaction-intent-to-leave-practice-and-personal-health
#7
Audiey C Kao, Andrew J Jager, Barbara A Koenig, Arlen C Moller, Michael A Tutty, Geoffrey C Williams, Scott M Wright
BACKGROUND: Primary care physicians generally earn less than specialists. Studies of other occupations have identified perception of pay fairness as a predictor of work- and life-related outcomes. We evaluated whether physicians' pay fairness perceptions were associated with their work satisfaction, turnover intention, and personal health. METHODS: Three thousand five hundred eighty-nine physicians were surveyed. Agreement with "my total compensation is fair" was used to assess pay fairness perceptions...
January 29, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29075385/what-happened-to-my-patient-an-educational-intervention-to-facilitate-postdischarge-patient-follow-up
#8
Sirisha Narayana, Alvin Rajkomar, James D Harrison, Victoria Valencia, Gurpreet Dhaliwal, Sumant R Ranji
BACKGROUND : Following up on patients' clinical courses after hospital discharge may enhance physicians' learning and care of future patients. Barriers to this practice for residents include time constraints, discontinuous training environments, and difficulty accessing patient information. OBJECTIVE : We designed an educational intervention facilitating informed self-assessment and reflection through structured postdischarge follow-up of patients' longitudinal clinical courses...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28890446/my-time-in-medicine
#9
Joseph J Fins
Through this autobiographical reflection on a life in medicine and bioethics, the author discovers that time is a unifying theme in his work. From his early writing on the regulation of house staff work hours and his abandonment of essentialism and the development of clinical pragmatism as a method of moral problem-solving to his scholarship on end-of-life care and disorders of consciousness, time has been a central heuristic in an effort to bridge ethical theory and clinical practice.
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/28839923/why-developmental-niche-construction-is-not-selective-niche-construction-and-why-it-matters
#10
Karola Stotz
In the last decade, niche construction has been heralded as the neglected process in evolution. But niche construction is just one way in which the organism's interaction with and construction of the environment can have potential evolutionary significance. The constructed environment does not just select for, it also produces new variation. Nearly 3 decades ago, and in parallel with Odling-Smee's article 'Niche-constructing phenotypes', West and King introduced the 'ontogenetic niche' to give the phenomena of exogenetic inheritance a formal name...
October 6, 2017: Interface Focus
https://www.readbyqxmd.com/read/28759267/the-infernal-alternatives-of-corporate-pharmaceutical-research-abandoning-psychiatry
#11
Joseph Dumit
What happens when health research is measured by market size? How does this change the dynamics of medical research, and how is its growth envisioned and managed? In this article, I build on my arguments in Drugs for Life: How Pharmaceutical Companies Define our Health, which focused primarily on the development and marketing of mass medications for heart disease and I examine the market dynamics that are used to drive research into and out of psychiatric and other neuromedicines, such as the closing of mental health research at most major pharmaceutical companies...
July 31, 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28529304/sebastian-kneipp-and-the-natural-cure-movement-of-germany-between-naturalism-and-modern-medicine
#12
Youkyung Ko
This study discusses the historical significance of the Natural Cure Movement of Germany, centering on the Kneipp Cure, a form of hydrotherapy practiced by Father Sebastian Kneipp (1821-1897). The Kneipp Cure rested on five main tenets: hydrotherapy, exercise, nutrition, herbalism, and the balance of mind and body. This study illuminates the reception of the Kneipp Cure in the context of the trilateral relationship among the Kneipp Cure, the Natural Cure Movement in general, and modern medicine. The Natural Cure Movement was ideologically based on naturalism, criticizing industrialization and urbanization...
December 2016: Ŭi Sahak
https://www.readbyqxmd.com/read/28301737/the-clinic-is-my-laboratory-life-as-a-clinical-geneticist
#13
Judith G Hall
Clinical genetics is the application of advances in genetics and medicine to real human families. It involves diagnosis, care, and counseling concerning options available to affected individuals and their family members. Advances in medicine and genetics have led to dramatic changes in the scope and responsibilities of clinical genetics. This reflection on the last 50+ years of clinical genetics comes from personal experience, with an emphasis on the important contributions that clinical geneticists have made to the understanding of disease/disorder processes and mechanisms...
August 31, 2017: Annual Review of Genomics and Human Genetics
https://www.readbyqxmd.com/read/28210309/my-night-on-call-in-poland
#14
Patrycja Rzepka-Wrona
I am a young doctor who graduated from the Medical University of Silesia in 2014. After 13 months of postgraduate training, passing a state examination and successful completion of the admission process I made a decision to specialise in Respiratory Medicine. I started working in a large clinical hospital that provides junior doctors with excellent opportunities for training and career development. The respiratory unit is highly specialised and deals with sleep-related medical problems, interstitial lung diseases and respiratory failure, which may be treated using noninvasive mechanical ventilation...
September 2016: Breathe
https://www.readbyqxmd.com/read/28052343/the-concept-of-medicalisation-reassessed
#15
Joan Busfield
Medicalisation has been an important concept in sociological discussions of medicine since its adoption by medical sociologists in the early 1970s. Yet it has been criticised by some sociologists, in part because it seems too negative about medicine, and modified or replaced by others with concepts deemed more relevant like biomedicalisation and pharmaceuticalisation. My aim in this paper is to reassess the concept and consider whether it still has value in exploring significant aspects of the role of medicine in present-day society...
January 4, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27679839/social-networking-services-based-communicative-care-for-patients-with-diabetes-mellitus-in-korea
#16
Hun-Sung Kim, Yoo Jin Jeong, Sun Jung Baik, So Jung Yang, Tong Min Kim, Hyunah Kim, Hyunyong Lee, Seung-Hwan Lee, Jae Hyoung Cho, In-Young Choi, Kun-Ho Yoon
OBJECTIVES: Social networking services (SNS)-based online communities are good examples of improving quality of care by incorporating information technology into medicine. Therefore, we created an SNS-based community care webpage for communication among patients with diabetes mellitus (DM). We aimed to identify what diabetic patients wanted to know and were interested in by analyzing their posts and classified content in which users were interested. METHODS: As opposed to the existing physician-focused health information websites, we built a patient-focused experience exchange website, "I love insulin (http://www...
September 28, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27574408/-my-cancer-is-not-my-deepest-concern-life-course-disruption-influencing-patient-pathways-and-health-care-needs-among-persons-living-with-colorectal-cancer
#17
Anita Salamonsen, Mona A Kiil, Agnete Egilsdatter Kristoffersen, Trine Stub, Gro R Berntsen
BACKGROUND: The concept of "patient pathways" in cancer care is most commonly understood as clinical pathways, operationalized as standardized packages of health care based on guidelines for the condition in question. In this understanding, patient pathways do not address multimorbidity or patient experiences and preferences. This study explored patient pathways understood as the individual and cultural life course, which includes both life and health events. The overall aim was to contribute to supportive and targeted cancer care...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27095214/oxidative-stress-as-an-iceberg-in-carcinogenesis-and-cancer-biology
#18
Shinya Toyokuni
After the conquest of numerous infectious diseases, the average life span for humans has been enormously prolonged, reaching more than 80 years in many developed countries. However, cancer is one of the top causes of death, and its incidence continues to increase in many countries, including Japan. I was deeply influenced during my career as a cancer researcher by the concept of oxidative stress, which was established by Helmut Sies in 1985. I have no doubt that oxidative stress is a major cause of carcinogenesis in humans but that other factors and chemicals modify it...
April 1, 2016: Archives of Biochemistry and Biophysics
https://www.readbyqxmd.com/read/27035907/johann-sebastian-bach-s-goldberg-variations-to-treat-insomnia-from-renal-lithiasis-pain-sleep-research-in-nuclear-medicine
#19
Andreas Otte
No abstract text is available yet for this article.
January 2016: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/26946673/-this-i-suffered-in-the-short-space-of-my-life-the-epitaph-for-lucius-minicius-anthimianus-cig-3272-peek-gvn-1166
#20
Lutz A Graumann, Manfred Horstmanshoff
Herewith we present an interdisciplinary study of the metrical funerary inscription from the third century CE (CIG 3272; Peek GV 1166). This emotional Greek epitaph reports the short life (from birth to death) of the 4 year old Lucius Minicius Anthimianus. This is the first detailed study since the dissertation by Klitsch (1976). The inscription presents an ideal case for a truly interdisciplinary study of the patient-history, in that its interpretation involves the study of Greek literature and linguistics, epigraphy, social and religious history, and ancient medicine...
2016: Studies in Ancient Medicine
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