Osler Centenary Papers: Osler as medical leader

2019 ◽  
Vol 95 (1130) ◽  
pp. 647-651 ◽  
Author(s):  
Donald RJ Singer
Keyword(s):  
Leadership Style ◽  
Clinical Medicine ◽  
Postgraduate Education ◽  
Scientific Basis ◽  
Modern Medicine ◽  
Rational Approach ◽  
Major Influence ◽  
Canadian Physician ◽  
Hospital Patients ◽  
History Of

The Canadian physician Sir William Osler is a key figure in the history of modern medicine. He encouraged lifelong learning for doctors, starting with bedside teaching. Contemporary with Old World figures such as Pasteur in Paris and Virchow in Berlin, he played a major role in raising awareness among clinicians of the importance of the scientific basis for the practice of medicine. He championed a rational approach to treatment and did much to encourage avoidance of ‘unnecessary drugging’ by prescribers. He is credited with playing a key role in improving education of medical students and postgraduate education of doctors, with important benefits for the care of hospital patients. He also had a major influence on his medical colleagues through founding and leading medical societies. A century on from his death in December 1919, his specific contributions and how he achieved them are not well known. The aim of this article is to consider the evidence that Osler was an influential medical leader and to reflect on the extent to which the achievements which resulted from his leadership are relevant to modern clinical medicine. Questions of interest include his leadership style, what made for his success as a leader, his medical achievements both in North America and in England, his own insight into leadership and how he was viewed by his peers.

scholarly journals Medical thermography: capabilities and perspectives

2018 ◽  
Vol 99 (2) ◽  
pp. 264-270 ◽  
Author(s):  
A M Morozov ◽  
E M Mokhov ◽  
V A Kadykov ◽  
A V Panova
Keyword(s):  
Human Body ◽  
Thermal Imaging ◽  
Diagnostic Method ◽  
High Efficiency ◽  
Clinical Medicine ◽  
Modern Medicine ◽  
Wide Range ◽  
History Of ◽  
Further Development ◽  
Physical Principles

Medical thermography is a modern diagnostic method that is currently gaining popularity due to high informative value and non-invasiveness. The aim of the study was to review the capabilities and prospects of medical thermography in modern medicine. The analysis of domestic and foreign literature on the application of medical thermography methods for the period of 2012-2017 was performed. The article presents the capabilities of imaging in various fields of medicine, evaluates the prospects of further development of the method, advances and disadvantages of thermography were identified. It also provides the review of the application of medical infrared thermography in clinical medicine. The experience of thermography application in various medical fields was investigated: angiology, otolaryngology, surgery, neurology, obstetrics and gyenecology, etc. Apart from medical aspects of this topic, the article discusses the history of medical thermography as well as provides the physical principles of this method. At present, thermal imaging can solve a wide range of problems: determining the presence of changes in the human body, and, as a result, the probability of pathology development, monitoring the effectiveness of treatment and rehabilitation. Every year more and more studies are carried out, confirming the high efficiency, reliability and safety of thermography, thermographic screenings are suggested, that can be assumed as prediction of future method's popularity.

scholarly journals Chinese Whispers: A brief history of eponymous orthopaedic examinations

2020 ◽  
Vol 27 (2) ◽  
pp. 231-234
Author(s):  
Emily L Humphries ◽  
Felix Allen ◽  
Simon Grange ◽  
Andrew Goldberg ◽  
Peter Smitham
Keyword(s):  
Medical Education ◽  
Literature Review ◽  
Diagnostic Imaging ◽  
Clinical Medicine ◽  
Original Description ◽  
Diagnostic Value ◽  
Modern Medicine ◽  
History Of ◽  
Education Today ◽  
Over Time

Eponymous orthopaedic examinations frequently appear in modern clinical examinations, yet their original description and cause for change are often omitted from medical education today. This is important to appreciate in order to understand their diagnostic relevance in modern medicine and subsequent interpretation of results by fellow clinicians. This article reviews the original description of these tests by their namesakes, how they have evolved over time and their relevance in orthopaedics today. An online literature review (PubMed) was conducted of the original descriptions and other published literature detailing their history, evolution, sensitivity and specificity. While elements of these tests have been lost naturally over time to the ‘Chinese Whispers’ effect, most have evolved positively secondary to a deepening anatomical and pathological understanding of their target conditions. They retain some usefulness in clinical medicine, however it is recognized that their diagnostic value is invariably supplanted by improvements in diagnostic imaging.

The Close Association of Endocrinology with Genetics in Clinical Medicine

1960 ◽  
Vol 9 (3) ◽  
pp. 296-300
Author(s):  
Julius Bauer
Keyword(s):  
Human Genetics ◽  
Clinical Medicine ◽  
Close Association ◽  
Clinical Endocrinology ◽  
Medical Specialty ◽  
Modern Medicine ◽  
Logical Thinking ◽  
Rapid Progress ◽  
History Of

SummaryEndocrinology more than any other medical specialty requires consideration and cooperation of genetics. History of the rapid progress of clinical endocrinology in the last 50 years shows that human genetics has been lagging far behind endocrinology in clinical medicine. The psychologic reason seems to be the mechanistic trend of modern medicine and reluctance to use abstract logical thinking applied to material facts.

‘A disoriented vision of … fact’: Brian Friel, Francis Bacon, and Faith Healer

2020 ◽  
Vol 50 (2) ◽  
pp. 319-336
Author(s):  
Zosia Kuczyńska
Keyword(s):  
Creative Process ◽  
Francis Bacon ◽  
Major Influence ◽  
Artistic Practice ◽  
Archival Research ◽  
Faith Healer ◽  
Brian Friel ◽  
History Of ◽  
Composition Process

The Brian Friel Papers at the NLI reveal a long and relatively unexplored history of major and minor influences on Friel's plays. As the archive attests, these influences manifest themselves in ways that range from the superficial to the deeply structural. In this article, I draw on original archival research into the composition process of Friel's genre-defining play Faith Healer (1979) to bring to light a model of influence that operates at the level of artistic practice. Specifically, I examine the extent to which Friel's officially unacknowledged encounter with a book of interviews with painter Francis Bacon influenced the play in terms of character, language, and form. I suggest that Bacon's creative process – incorporating his ideas on the role of the artist, the workings of chance, and the extent to which art does violence to fact – may have had a major influence on both the play's development and on Friel's development as an artist.

Integrative Approach in Law Understanding: the History of the Origin of Ideas and the Current State

2020 ◽  
Vol 2 (1) ◽  
pp. 115-130
Author(s):  
R. R. Palekha ◽  
Keyword(s):  
Central Place ◽  
Scientific Basis ◽  
Integrative Approach ◽  
Current State ◽  
History Of ◽  
Legal Thinking ◽  
Reliable Knowledge ◽  
The Right ◽  
Fat Formulation

Introduction. Right understanding is the most live, interesting and, at the same time, the uncertain and changeable area of researches which takes the central place as in the general theory of the right, and gains the increasing value in industry jurisprudence that is connected with its considerable teoretiko-methodological and applied potential which is shown in spheres of lawmaking and law-enforcement activity. Thus, right understanding represents research tools of the subject of knowledge which allow to study all range legal and, the based on them, state phenomena for the purpose of obtaining reliable knowledge of state and legal reality. In this regard integrative approach in right understanding which has rich history of the formation and development is of special interest, allows to perceive the right as integrally complete phenomenon, as much as possible retrieves its regulatory abilities and, provides achievement of criteria of scientific research: comprehensiveness, objectivity, historicism. Materials and Methods. In article an attempt of the analysis of integrative approach in right understanding from a position of history of origin of his ideas and assessment of the current state is made. A result of studying of scientific literature, generalization and comparison of the different points of view fat formulation of author’s determination of category “right understanding” and submission of the evidence-based integrative theory of right understanding which as much as possible conforms to requirements of time and has essential regulatory and guarding potential. Results. In article the category right understanding is comprehensively considered, different integrative theories of right understanding from a position of their origin and development are submitted, the value of modern integrative approach in right understanding is shown, perspectives of its further development are evaluated. Discussion and Conclusion. The author comes to the conclusion about the theoretical and methodological consistency and inevitability of the integrative approach in law understanding, which acts as a scientifically grounded type of legal thinking capable of comprehending the law on a truly scientific basis.

scholarly journals Cadaver surgical training in Japan: its past, present, and ideal future perspectives

Surgery Today ◽  
2021 ◽  
Author(s):  
Toshiaki Shichinohe ◽  
Eiji Kobayashi
Keyword(s):  
Surgical Training ◽  
Clinical Medicine ◽  
Medical Schools ◽  
Professional Autonomy ◽  
Cadaver Dissection ◽  
Private Companies ◽  
Promotion Committee ◽  
History Of ◽  
Operating Organization ◽  
Japan Surgical Society

AbstractThe framework for cadaver surgical training (CST) in Japan was established in 2012, based on the “Guidelines for Cadaver Dissection in Education and Research of Clinical Medicine” of the Japan Surgical Society (JSS) and the Japanese Association of Anatomists. Subsequently, the Ministry of Health, Labor and Welfare allocated funding from its budget for CST. By 2019, CST was being practiced in 33 medical schools and universities. Currently, the CST Promotion Committee of the JSS reviews each CST report submitted by medical schools and universities and provides guidance based on professional autonomy. This paper outlines the history of CST in Japan and presents a plan for its future. To sustain and oversee CST implementation, an operating organization, funded by stakeholders, such as government agencies, academic societies, and private companies, is needed.

scholarly journals Beyond Last Words: Patterns of Linguistic and Interactional Behavior in a Historical Sample of Dying Hospital Patients

2021 ◽  
pp. 003022282110009
Author(s):  
Michael Erard
Keyword(s):  
Clinical Study ◽  
Social Context ◽  
Small Step ◽  
Left Behind ◽  
The Social ◽  
Canadian Physician ◽  
Hospital Patients ◽  
Historical Sample ◽  
William Osler ◽  
Frequent Observation

Patterns of linguistic and interactional behavior by people at the very end of their lives are not well described, partly because data is difficult to obtain. This paper analyzes descriptions of 486 deaths gathered from 1900 to 1904 in the first-ever clinical study of dying by noted Canadian physician, Sir William Osler. Only 16 patients were noted speaking, and only four canonical last words were reported. The most frequent observation by medical staff was that the deaths were quiet ( n = 30), though range of other behaviors were noted (e.g., moaning, delirium, seeming intention to speak). Osler's problematic study left behind data whose analysis is a small step toward empirically characterizing the linguistic and interactional details of a previously under-described phenomena as well as the importance of the social context in which they occur.

scholarly journals COVID-19 Vaccine Acceptance in Azuay Province, Ecuador: A Cross-Sectional Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  
Keyword(s):  
Rural Areas ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Postgraduate Education ◽  
Effective Vaccine ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Vaccination Acceptance ◽  
History Of ◽  
High Level

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.

Empowering and Directive Leadership: The Cost of Changing Styles

2021 ◽  
pp. 227853372110083
Author(s):  
Smita Mukherjee ◽  
Zubin R. Mulla
Keyword(s):  
Laboratory Experiment ◽  
Leadership Styles ◽  
Leadership Style ◽  
Affective Commitment ◽  
Team Outcomes ◽  
History Of ◽  
Satisfaction With The Leader ◽  
The Cost ◽  
First Time

We examine the cost of leaders changing between empowering and directive leadership styles on team outcomes. In a laboratory experiment, we collected data from 240 participants in 80 teams. Confederates enacted different leadership styles and led teams of participants in performing a series of tasks. When leaders changed their style from directive to empowering, teams took time to respond in terms of higher satisfaction with leader and affective commitment. However, when leaders changed their style from empowering to directive, the deterioration of satisfaction with leader and reduction in affective commitment were immediate. Moreover, teams of leaders who had been consistently directive showed higher affective commitment as compared to teams of leaders who had a history of being empowering but later shifted to being directive. First time managers can get inputs on how they should enact their leadership style and be aware that switching between styles may impose long-term costs on the team’s affective commitment and satisfaction with the leader.

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