Culture of Death: The Assault on Medical Ethics in America, by Wesley J. Smith. San Francisco: Encounter Books, 2001. 235 pp. $23.95.

2002 ◽  
Vol 11 (2) ◽  
pp. 200-202
Author(s):  
Russell Burck
Keyword(s):  
Medical Ethics ◽  
San Francisco ◽  
Medical Center ◽  
The People

Fair warning to the reader: Culture of Death: The Assault on Medical Ethics in America, by Wesley J. Smith, is hard for me to review. I work at Rush–Presbyterian–St. Luke's Medical Center, where in April 1989, Rudy Linares removed his son, Sammy, from a ventilator at gunpoint. I took the criticism hard and was critical of others who were in the outcry. In fact, some of the people Smith criticizes are people with whom I had differences. Yet, Smith's views are so harsh and alien to my understanding of the culture and practice of healthcare that I find them off-putting. Further, he and I participate in the same listserv, where I often disagree with his postings.

scholarly journals Physical Therapist–Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center

2013 ◽  
Vol 93 (7) ◽  
pp. 975-985 ◽  
Author(s):  
Heidi J. Engel ◽  
Shintaro Tatebe ◽  
Philip B. Alonzo ◽  
Rebecca L. Mustille ◽  
Monica J. Rivera
Keyword(s):  
Quality Improvement ◽  
Physical Therapy ◽  
San Francisco ◽  
Physical Therapist ◽  
Medical Center ◽  
Early Mobilization ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Icu Admission ◽  
Number Of Patients

Background Long-term weakness and disability are common after an intensive care unit (ICU) stay. Usual care in the ICU prevents most patients from receiving preventative early mobilization. Objective The study objective was to describe a quality improvement project established by a physical therapist at the University of California San Francisco Medical Center from 2009 to 2011. The goal of the program was to reduce patients' ICU length of stay by increasing the number of patients in the ICU receiving physical therapy and decreasing the time from ICU admission to physical therapy initiation. Design This study was a 9-month retrospective analysis of a quality improvement project. Methods An interprofessional ICU Early Mobilization Group established and promoted guidelines for mobilizing patients in the ICU. A physical therapist was dedicated to a 16-bed medical-surgical ICU to provide physical therapy to selected patients within 48 hours of ICU admission. Patients receiving early physical therapy intervention in the ICU in 2010 were compared with patients receiving physical therapy under usual care practice in the same ICU in 2009. Results From 2009 to 2010, the number of patients receiving physical therapy in the ICU increased from 179 to 294. The median times (interquartile ranges) from ICU admission to physical therapy evaluation were 3 days (9 days) in 2009 and 1 day (2 days) in 2010. The ICU length of stay decreased by 2 days, on average, and the percentage of ambulatory patients discharged to home increased from 55% to 77%. Limitations This study relied upon the retrospective analysis of data from 6 collectors, and the intervention lacked physical therapy coverage for 7 days per week. Conclusions The improvements in outcomes demonstrated the value and feasibility of a physical therapist–led early mobilization program.

The Ambivalent Minority: Mexican Americans and the Voting Rights Act

1994 ◽  
Vol 6 (1) ◽  
pp. 73-95 ◽  
Author(s):  
Peter Skerry
Keyword(s):  
Los Angeles ◽  
San Francisco ◽  
Mexican Americans ◽  
Mexican American ◽  
San Antonio ◽  
Voting Rights Act ◽  
News Magazine ◽  
The People ◽  
Political Orientations ◽  
Rich History

In the countless conversations about U.S. immigration policy that I have had with Mexican Americans of varied backgrounds and political orientations, seldom have my interlocutors failed to remind me that “We were here first,” or that “This was our land and you stole it from us.” Even a moderate Mexican American politician like former San Antonio Mayor Henry Cisneros sounds the same theme in a national news magazine:It is no accident that these regions have the names they do—Los Angeles, San Francisco, Colorado, Montana.…It is a rich history that Americans have been led to believe is an immigrant story when, in fact, the people who built this area in the first place were Hispanics.

Violation of medical statistics as one of the reasons for the low incidence of occupational diseases

2021 ◽  
Vol 61 (8) ◽  
pp. 510-514
Author(s):  
Aleksandr R. Tukov
Keyword(s):  
Occupational Diseases ◽  
Medical Center ◽  
Poor Quality ◽  
Medical Statistics ◽  
Information Base ◽  
Social Rehabilitation ◽  
The People ◽  
Negative Role ◽  
Low Incidence ◽  
Statistical Coding

Many authors point to the low incidence of occupational diseases in our country. The reasons are poor-quality preventive examinations, the lack of interest of employers in identifying these diseases, and others. However, there are no works in the literature devoted to errors in the statistical coding of diagnoses of occupational pathology and their accounting. The study aims to improve the accounting of occupational diseases in Russia. We conducted the study using the information base of the Industry Register of Persons with Occupational Diseases, developed by Burnazyan State Medical Center of the FMBA, Russia, which operating in the industry since 2011. As of 31.12.2020, the register contains information on 2,056 patients with occupational diseases, from among the employees of enterprises and organizations served by healthcare institutions of the FMBA, Russia. Errors of incorrect coding of diagnoses for occupational diseases with violation of the classification principles in the used directive materials played a negative role. The development of plans for medical and social rehabilitation measures to reduce the incidence of occupational diseases among the people working in harmful conditions. It requires correct knowledge of morbidity indicators of this nosology. In order to improve the accounting of occupational diseases in Russia, it is necessary to switch to the system of coding diagnoses of this nosology, adopted in medical statistics, and make appropriate changes to the directive documents.

scholarly journals SUMMIT (Serially Unified Multicenter Multiple Sclerosis Investigation): creating a repository of deeply phenotyped contemporary multiple sclerosis cohorts

2017 ◽  
Vol 24 (11) ◽  
pp. 1485-1498 ◽  
Author(s):  
Riley Bove ◽  
Tanuja Chitnis ◽  
Bruce AC Cree ◽  
Mar Tintoré ◽  
Yvonne Naegelin ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
San Francisco ◽  
Medical Center ◽  
Clinically Isolated Syndrome ◽  
American University ◽  
American University Of Beirut ◽  
Longitudinal Investigation ◽  
American Academic

Background: There is a pressing need for robust longitudinal cohort studies in the modern treatment era of multiple sclerosis. Objective: Build a multiple sclerosis (MS) cohort repository to capture the variability of disability accumulation, as well as provide the depth of characterization (clinical, radiologic, genetic, biospecimens) required to adequately model and ultimately predict a patient’s course. Methods: Serially Unified Multicenter Multiple Sclerosis Investigation (SUMMIT) is an international multi-center, prospectively enrolled cohort with over a decade of comprehensive follow-up on more than 1000 patients from two large North American academic MS Centers (Brigham and Women’s Hospital (Comprehensive Longitudinal Investigation of Multiple Sclerosis at the Brigham and Women’s Hospital (CLIMB; BWH)) and University of California, San Francisco (Expression/genomics, Proteomics, Imaging, and Clinical (EPIC))). It is bringing online more than 2500 patients from additional international MS Centers (Basel (Universitätsspital Basel (UHB)), VU University Medical Center MS Center Amsterdam (MSCA), Multiple Sclerosis Center of Catalonia-Vall d’Hebron Hospital (Barcelona clinically isolated syndrome (CIS) cohort), and American University of Beirut Medical Center (AUBMC-Multiple Sclerosis Interdisciplinary Research (AMIR)). Results and conclusion: We provide evidence for harmonization of two of the initial cohorts in terms of the characterization of demographics, disease, and treatment-related variables; demonstrate several proof-of-principle analyses examining genetic and radiologic predictors of disease progression; and discuss the steps involved in expanding SUMMIT into a repository accessible to the broader scientific community.

scholarly journals Managing the Patient With Pulmonary Arterial Hypertension and Methamphetamine Use: A Practical Perspective for the Clinician

2018 ◽  
Vol 17 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Nimaljeet Tarango ◽  
Andrea Gergay Baird
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
San Francisco ◽  
Medical Center ◽  
The United States ◽  
Methamphetamine Abuse ◽  
Methamphetamine Use ◽  
Personal Experiences ◽  
History Of ◽  
Pulmonary Arterial

Pulmonary arterial hypertension (PAH) is a serious, chronic, progressive cardiopulmonary disease. PAH is associated with several concomitant conditions, as well as drugs and toxins.12 Methamphetamine abuse is likely associated with the development of PAH.3 Methamphetamine abuse is epidemic in the United States and abroad, with rates of new users escalating since 2012. There are over 100,000 new users annually as young as 12 years old. Treating a patient with a history of methamphetamine abuse poses many challenges for a clinician, including nonadherence, therapeutic treatment selection, complex psychosocial issues, and relapse or continued drug abuse. Patients with methamphetamine-associated PAH (Meth-APAH) have higher mortality rates when compared to idiopathic PAH.3 Having a better understanding of the complexities of addiction and working with a multidisciplinary team that includes a social worker to provide care and counseling to these patients can improve their trajectory. In this article, we will offer insight and background into methamphetamine abuse and addiction, as well as discuss a practical approach for clinicians in treating a patient with Meth-APAH, based on the literature, as well as our personal experiences at University of California, San Francisco Medical Center.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1972 ◽  
Vol 49 (1) ◽  
pp. 155-159
Keyword(s):  
San Francisco ◽  
Reading Disabilities ◽  
Medical Center ◽  
Perinatal Care ◽  
Guest Speaker ◽  
Obstetrics And Gynecology ◽  
Information Contact ◽  
Good Samaritan ◽  
Good Samaritan Hospital ◽  
Hilton Hotel

Symposium on Reading Disabilities in Children: The Eye Section of the California Medical Association will sponsor an interdisciplinary symposium on "Reading Disabilities in Children," at the San Francisco Hilton Hotel, on Sunday, February 13, 1972. Dr. Arthur Keeney of Philadelphia is the invited guest speaker. The panel will comprise representatives of ophthalmology, pediatrics, child psychiatry, and education. For information contact Rush M. Blodget, Jr., M.D., Redding Ophthalmology Group, 1950 Court Street, Redding, California 96001. Obstetrics-Pediatrics Symposium : The Department of Obstetrics and Gynecology of Good Samaritan Hospital, in cooperation with the same Department of Saint Joseph's Hospital and Medical Center, both of Phoenix, will present a symposium, "Newer Concepts in Delivery of Obstetrical and Perinatal Care," February 25-26, 1972.

Silicon San Francisco and the West Bay Wall

2018 ◽  
pp. 150-185
Author(s):  
Alex Schafran
Keyword(s):  
Economic Growth ◽  
Twentieth Century ◽  
San Francisco ◽  
Silicon Valley ◽  
The West ◽  
The People ◽  
New Residents

Silicon Valley as we know it emerged in part from encounters between the technology of the valley and the Bohemian culture of San Francisco. This San Francisco–Silicon Valley nexus would produce one of the most dynamic economic growth stories any region has ever seen. Over the course of the latter part of the twentieth century, this encounter eventually turned both San Francisco and Silicon Valley into massive jobs engines. This chapter examines the spaces where this engine was most powerful, the places that drove the economic cart which attracted so many new residents and so much investment. These are also the places that largely did either very little or not enough to house the people who held these jobs. They did even less for those who had suffered under the segregated conditions of the earlier era.

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