scholarly journals Effects of raising the bar on medical student study progress: an intersectional approach

2021 ◽  
Author(s):  
Vera M.A. Broks ◽  
Karen M. Stegers‐Jager ◽  
Walter W. den Broek ◽  
Andrea M. Woltman
Praxis ◽  
2003 ◽  
Vol 92 (5) ◽  
pp. 168-178
Author(s):  
Baumgartner ◽  
Georgiadis

Ce travail de revue présente la prévention secondaire des accidents vasculaire cérébraux par le traitement des facteurs de risque vasculaire, les inhibiteurs de l'agrégation plaquettaire, l'anticoagulation ou les thérapies endovasculaires. Deux études publiées récemment (PROtection aGainst Recurrent Stroke Study (PROGRESS) et la Heart Protection Study (HPS) ont pour la première fois pu démontrer l'efficacité d'un traitement contre l'hypertension et par statines dans la prévention secondaire après un accident vasculaire cérébral. PROGRESS a montré que la combinaison de perindopril et d'indapamide permet de réduire de 43% la survenue d'accidents vasculaires cérébraux ischémiques et hémorragiques chez les patients hypertendus ou normotendus alors que HPS a mis en évidence une diminution de 20% des accidents vasculaires cérébraux ischémiques chez les patients avec des taux sériques normaux ou élevés de cholestérol. Les sténoses carotidiennes symptomatiques avec un resserrement distal > ou égal à 70% sont opérées par endartérectomie; en cas de sténose distale de 50–69% une décision individuelle est prise; une endartérectomie n'est pas indiquée en cas de sténose < 50%. Les patients chez lesquels une source cardiaque d'embolie est mise en évidence doivent être anticoagulés (INR 2.5, intervalle: 2–3) à l'exception des myxomes cardiaques et des endocardites bactériennes. Si aucune intervention chirurgicale sur une artère cérébrale n'est indiquée ou si le patient ne doit pas être anticoagulé, on traite par un inhibiteur de l'agrégation plaquettaire: 100 mg d'aspirine ou la combinaison d'aspirine et de dipyridamol sont le traitement de choix. En cas de récidive d'ischémie sous aspirine ou d'intolérance à l'aspirine, le clopidogrel est prescrit. Comme alternative au clopidogrel en cas de récidive d'ischémie, une anticoagulation (INR 2.0, intervalle: 1.5–2.5) peut être prescrite.


1994 ◽  
Vol 39 (6) ◽  
pp. 630-631
Author(s):  
Danny Wedding
Keyword(s):  

2018 ◽  
Author(s):  
Christina Warner ◽  
Samantha Carlson ◽  
Renee Crichlow ◽  
Michael W. Ross

Romanticism ◽  
2016 ◽  
Vol 22 (2) ◽  
pp. 203-212
Author(s):  
James Robert Allard

John Keats's time as a medical student provided much fodder for the imagination of readers of all persuasions. In particular, ‘Z’, in the fourth installment of the ‘Cockney School’ essays, took pains to ensure that readers knew of his time training to be an apothecary, working to frame Keats, first, as connected to the lowest branch of medical practice, and, second, as having failed as badly at that unworthy pursuit as he did at poetry. But what would ‘Z’, or any of his readers, have known about the training of an apothecary, about medical pedagogy, about the internal workings of the profession? As outsiders, what could they have known, beyond perception, conjecture, and opinion? And on what were those opinions based? This essay reads ‘Z’'s comments in the context of first-hand accounts of the state of contemporary medical pedagogy, seeking to account both for ‘Z’'s dismissal of Keats to ‘the shops’ and for the continuing fascination with his connections to medicine in these terms.


2010 ◽  
Vol 3 (2-3) ◽  
pp. 201-222
Author(s):  
Richard G. Walsh

Various modern fictions, building upon the skeptical premises of biblical scholars, have claimed that the gospels covered up the real story about Jesus. Dan Brown’s The Da Vinci Code is one recent, popular example. While conspiracy theories may seem peculiar to modern media, the gospels have their own versions of hidden secrets. For Mark, e.g., Roman discourse about crucifixion obscures two secret plots in Jesus’ passion, which the gospel reveals: the religious leaders’ conspiracy to dispatch Jesus and the hidden divine program to sacrifice Jesus. Mark unveils these secret plots by minimizing the passion’s material details (the details of suffering would glorify Rome), substituting the Jewish leaders for the Romans as the important human actors, interpreting the whole as predicted by scripture and by Jesus, and bathing the whole in an irony that claims that the true reality is other than it seems. The resulting divine providence/conspiracy narrative dooms Jesus—and everyone else—before the story effectively begins. None of this would matter if secret plots and infinite books did not remain to make pawns or “phantoms of us all” (Borges). Thus, in Borges’ “The Gospel According to Mark,” an illiterate rancher family after hearing the gospel for the first time, read to them by a young medical student, crucifies the young man. Eco’s Foucault’s Pendulum is less biblical but equally enthralled by conspiracies that consume their obsessive believers. Borges and Eco differ from Mark, from some scholarship, and from recent popular fiction, in their insistence that such conspiracy tales are not “true” or “divine,” but rather humans’ own self-destructive fictions. Therein lies a different kind of hope than Mark’s, a very human, if very fragile, hope.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 717-P
Author(s):  
EMILY H. GUSEMAN ◽  
JONATHON WHIPPS ◽  
LAURA L. JENSEN ◽  
ELIZABETH A. BEVERLY

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Aleksandra Turp ◽  
Cheyaanthan Haran ◽  
Mariam Parwaiz
Keyword(s):  

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