Diploma in Mountain Medicine: A Perspective of a Female Doctor from Nepal

Author(s):  
Sangeeta Poudel
Keyword(s):  
2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Wirda ◽  
Purwarno Purwarno

This research is about the struggle of the first character named Ogino Ginko in reaching her dream to be a female doctor and help other women who have the same illness as she suffers in a novel, Beyond the Blossoming Fields, written by Watanabe Jun`ichi, published in 1970. This research is conducted by descriptive qualitative method, and one of the significant theories used in this research is proposed by Centeno (2014: 136) who claims that struggles are exactly what we need in our life. It means struggle is something crucial in our life. The finding of this research shows that the protagonist is successful in her struggle to be a doctor. She becomes the first female doctor in Japan, and after she opens a clinic, there are so many woman patients coming to her clinic, and most of them are contracted with the illness as she suffers. She also becomes the inspiration for other women in Japan to become woman doctors.


2020 ◽  
Vol 9 (7-8) ◽  
pp. 714-716
Author(s):  
M. Ginzburg

Mistriss Scharlieb performed 64 laparotomy, 20 of them - for myomas, are the subject of her report. From these 20 in 6 cases, the appendages were removed for the sake of stopping bleeding, in 13 - the tumor, uterus and appendages were removed, and in 1 - only the tumor. The first 6 recovered, the bleeding stopped in 5; of the rest, 14 two died from shock and 1 from a septic process.


2021 ◽  
Vol 10 (1) ◽  
pp. 36-40
Author(s):  
Erdinc Yavuz ◽  
Ese Basbulut

In these days when the effect of the COVID-19 pandemic is felt with all its severity, the findings of re-infection in people who have had COVID-19 disease have led to some questions about the natural immunity against this disease. Here, we report a possible COVID-19 reinfection. The second episode confirmed by RT-PCR with a more severe clinical picture one month after an incidentally detected first episode with mild symptoms of a doctor working as a microbiologist at a training research hospital. While a 47-year-old female doctor was working in a tertiary hospital serving as a reference hospital for the diagnosis and treatment of COVID-19 patients, symptoms of sore throat, cough and runny nose appeared on October 25. The patient, with a history of chronic tendinitis, COPD, asthma and allergic rhinitis, attributed these symptoms to her previous clinical diagnosis and did not consider consulting a doctor or testing for COVID-19 due to the mild course of symptoms. SARS-CoV-2 Ig G antibodies were found to be positive in a screening study conducted on November 11 in the patient whose complaints resolved within a few days. RT-PCR performed thereafter was reported as negative. The RT-PCR test performed on December 2 of the patient who complained of fever and severe weakness, immediately after her colleague had COVID-19, was interpreted as positive. No signs of viral pneumonia were found in the thoracic CT when the cough complaint of the patient who received COVID-19 treatment did not improve. The patient's complaints regressed with the addition of phenocodine to her treatment, and the RT-PCR test on December 12 was reported as negative. Further analysis of the frequency and possible causes of COVID-19 reinfections will be needed in the near future. Keywords: SARS-CoV-2, COVID-19, reinfection, coronavirus


2020 ◽  
pp. 11-11
Author(s):  
Zoran Kovacevic ◽  
Katarina Janicijevic ◽  
Mirjana Janicijevic-Petrovic ◽  
Maja Sazdanovic
Keyword(s):  

2009 ◽  
Vol 91 (1) ◽  
pp. 46-49 ◽  
Author(s):  
S Sinha ◽  
A De ◽  
N Jones ◽  
M Jones ◽  
RJ Williams ◽  
...  

INTRODUCTION The aim of this study was to assess the attitude and the preferences of patients towards the use of a chaper one during breast examination. PATIENTS AND METHODS A two-part questionnaire was circulated among 204 consecutive new patients, attending both symptomatic breast and screened assessment clinics. RESULTS A total of 200 questionnaires were fully completed and returned. Although 104 (52%) patients felt that they did not need a chaperone during breast examination, 65 (33%) preferred to have one. Amongst these 65 patients, the majority (52%) wanted a chaperone in the presence of both a male and female doctor whereas 19 (29%) wanted a chaperone in the presence of a male doctor. When patients were asked which person would be the best chaperone for them, 63 patients (32%) preferred their spouse to act as a chaperone, whereas 57 (29%) preferred a clinic nurse. However, the majority of teenagers and young adults (10–30 years) preferred their parents to act as a chaperone. On asking the reason for preferring a chaperone during breast examination, 69% felt a chaperone helped them to feel more at ease, 28% felt they get more support, 23% get less embarrassed and 10% felt safer. The majority (54%) preferred the nurse to offer a chaperone instead of the doctor (22%). Patients generally said they were comfortable in asking for a chaperone (68%). Overall, 68% of patients considered the offer of a chaperone as a sign of respect and the majority felt the attitude (32%) and gender (20%) of the clinician are the two most important factors influencing the chaperone use. Most patients were of the opinion that the presence of a chaperone does not have a negative effect on the doctor-patient relationship (75%), patient confidentiality (74%) and do not cause embarrassment (68%). Following their assessment in clinic, the patients' views on the use of a chaperone were not significantly changed. CONCLUSIONS There is a wide variety of opinion among patients about the desirability of a chaperone during breast examination. However, the majority consider the offer of a chaperone as a sign of respect and many patients commented that the presence of a chaperone is important for medicolegal protection of both patient and clinician. In recent years, there has been an increasing call from medicolegal societies and medical insurance companies for greater use of chaperones during intimate examinations. We feel that recommendations regarding the use of a chaperone should now be incorporated into the British Association of Surgical Oncology guidelines.


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