scholarly journals Night Call in a Teaching Hospital: 1979 and 2019

2019 ◽  
Vol 14 (12) ◽  
pp. 782-784
Author(s):  
Shaurya Taran ◽  
Benjamin Chin-Yee ◽  
Allan S Detsky
Keyword(s):  
General Hospital ◽  
Teaching Hospital ◽  
Massachusetts General Hospital ◽  
The Other ◽  
University Of Toronto ◽  
Night Call ◽  
The University

No matter the era, few aspects of residency are more defining or memorable than overnight call. Nights can be a time of growth and learning but also of fear and uncertainty, as residents take on the responsibility of managing sick patients on their own. One of us (ASD) started his residency in 1978 at the Massachusetts General Hospital in Boston; the other two (ST and BCY) started theirs in 2016 and 2017, respectively, at the University of Toronto. In this essay, we reflect on our experiences of night call separated by 40 years, highlighting what has changed and what has stayed the same.

Heat-Etching with a Bullivant Type II Simple Freeze-Cleave Device

1970 ◽  
Vol 28 ◽  
pp. 106-107 ◽  
Author(s):  
Ronald S. Weinstein ◽  
N. Scott McNutt
Keyword(s):  
New Zealand ◽  
General Hospital ◽  
Massachusetts General Hospital ◽  
Type I ◽  
Type Ii ◽  
Collaborative Effort ◽  
Temperature And Pressure ◽  
The University

The Type I simple cold block device was described by Bullivant and Ames in 1966 and represented the product of the first successful effort to simplify the equipment required to do sophisticated freeze-cleave techniques. Bullivant, Weinstein and Someda described the Type II device which is a modification of the Type I device and was developed as a collaborative effort at the Massachusetts General Hospital and the University of Auckland, New Zealand. The modifications reduced specimen contamination and provided controlled specimen warming for heat-etching of fracture faces. We have now tested the Mass. General Hospital version of the Type II device (called the “Type II-MGH device”) on a wide variety of biological specimens and have established temperature and pressure curves for routine heat-etching with the device.

scholarly journals Restricted: Increasing Access to the Reference Collection

2015 ◽  
Vol 36 (2) ◽  
pp. 59
Author(s):  
Carla Epp ◽  
Laura Hochheim
Keyword(s):  
General Hospital ◽  
Policy Change ◽  
The Other ◽  
Academic Hospital ◽  
Library System ◽  
Reference Collection ◽  
University Of Manitoba ◽  
Victoria General Hospital ◽  
The University ◽  
General Collection

<strong>Abstract: Introduction:</strong> The objective of this project was to determine whether or not a hospital library reference collection is still necessary or justified. Two academic hospital libraries moved all reference books to the general collection to see whether increased access to these materials would increase their use. <strong>Description:</strong> All reference books were updated to circulating status and shelved in the circulating collection. As these items were used, statistics were gathered in the integrated library system (ALMA). Statistics were gathered from August 2014 to January 2015. Circulation statistics for equivalent periods prior to and during the project were compared to determine whether changing access to the collection increased use. <strong>Outcomes:</strong> Uses of the reference collection items doubled at Seven Oaks General Hospital (SOGH) and more than tripled at Victoria General Hospital (VGH). The percentage of reference titles used tripled at SOGH and doubled at VGH. <strong>Discussion:</strong> The change to circulating status significantly increased access to and use of the reference collection. This borrowing policy change for the reference collection will be recommended to the other hospital libraries within the University of Manitoba.

scholarly journals Profil Évolutif Des Accidents Vasculaires Cérébraux Hémorragiques À Yaoundé (Hôpital Général& Centre Hospitalier Et Universitaire)

2016 ◽  
Vol 12 (21) ◽  
pp. 197
Author(s):  
Patrice Emmanuel Awono Ateba ◽  
Justin Ndié ◽  
Julienne Louise Ngo Likeng ◽  
Benjamin Alexandre Nkoum
Keyword(s):  
General Hospital ◽  
Teaching Hospital ◽  
Public Health Problem ◽  
Premature Mortality ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Evolutionary Trend ◽  
Cross Sectional ◽  
Duration Of Hospitalization ◽  
The University

Nowadays, strokes constitute a real public health problem in the world. In Cameroon, because of the people’s lifestyle potential risk factor, the prevalence of hemorrhagic strokes as well as its mortality is on the rise. This study was aimed at analyzing the evolutionary profile of hemorrhagic strokes at the General Hospital and the University Teaching Hospital in Yaoundé. A retrospective cross-sectional study with a qualitative component was carried out at the General Hospital and the University Teaching Hospital in Yaoundé for 2 months. Were included, all patients with a diagnosis of hemorrhagic strokes confirmed by CT Scan. With the help of a scale, patient data over a 30 month’s period (2013-2015) were collected. Over 1037 patients hospitalized in intensive care unit at the General Hospital and the University Teaching Hospital in Yaoundé, 122 cases of hemorrhagic strokes were diagnosed, that is a prevalence of 11.8%. The average age was 58±10.52 and the most vulnerable age range was between 50 and 70 years with 67.2%. Men were most affected (60.7%) with a sex ratio of 1.54(74 men/48 women). Among these cases of hemorrhagic strokes still hospitalized, 70 had died giving a lethality rate of 57.4%. Only the duration of hospitalization had an effect on the outcome of patients with hemorrhagic strokes. Actually the patients, victims of hemorrhagic strokes who had had less than 21 days of hospitalization, had 2.91 chances of dying as compared to those patients hospitalized for over 21 days (OR=2.91 IC 95% [5.1-65.7]; p=0.000). The late admission to reanimation, the difficulties encountered by victims of hemorrhagic strokes and their careers, to handle the enormous cost of their treatment and the insufficiencies of the technical platform, were factors also influencing the evolution of hemorrhagic strokes hospitalized in reanimation at the General Hospital and the University Teaching Hospital in Yaoundé. Despite certain efforts aimed at reducing premature mortality, the prevalence of hemorrhagic strokes was increasing in reanimation at the General Hospital and University Teaching Hospital in Yaoundé. Only multisectorial actions of sensitization, the restructuring and amelioration of the care of this ailment will help reverse the evolutionary trend.

Biographical sketch of Kenneth G. McKenzie (1892–1964)

2000 ◽  
Vol 93 (3) ◽  
pp. 518-525 ◽  
Author(s):  
Thomas P. Morley
Keyword(s):  
General Hospital ◽  
Toronto General Hospital ◽  
Professional Life ◽  
75Th Anniversary ◽  
Content Type ◽  
University Of Toronto ◽  
Biographical Study ◽  
The University ◽  
Opening Address ◽  
Fine Print

✓ This article is an expanded version of the opening address Dr. Morley delivered at a University of Toronto symposium, “Seventy-Five Years of Neurosurgery in Canada,” celebrating the 75th Anniversary of the appointment of Kenneth G. McKenzie, Canada's first career neurosurgeon, to the University of Toronto and the Toronto General Hospital in 1923.Kenneth G. McKenzie (1892–1964) was the first surgeon in Canada to limit his practice to neurosurgery. This article contains a brief biographical study of the man, his upbringing, and management of his professional life at Toronto General Hospital. Some of his published neurosurgical articles are also reviewed.

The Kinetic and Dynamic Characteristics of Benzodiazepines in the Treatment of Anxiety

1988 ◽  
Vol 3 (S2) ◽  
pp. 175s-182s
Author(s):  
L.F. Fabre
Keyword(s):  
General Hospital ◽  
Dynamic Characteristics ◽  
Plasma Levels ◽  
Rating Scales ◽  
Active Drug ◽  
Massachusetts General Hospital ◽  
The Other ◽  
Sedation Scale ◽  
Drug Induced ◽  
Treatment Groups

SummaryBenzodiazepines are assumed to cause drowsiness and sedation. Rating scales such as the Massachusetts General Hospital Sedation Scale and the Morning Evaluation of Drug Induced Sedation Scale allow testing of this hypothesis and assessment of the effects of benzodiazepines. We performed a five-week study of prazepam in 63 anxious outpatients. Plasma levels of desmethyldiazepam were assessed weekly. Placebo was given the first week, followed by active drug for three weeks, and placebo the final week. One group received prazepam 30 mg/h, the other received prazepam 10 mg three times per day. Drowsiness-sedation and anxiolytic efficacy were assessed at baseline and weekly. Plasma desmethyldiazepam levels were similar in both treatment groups. Efficacy was profound in both groups. Drowsiness-sedation measured high at baseline and decreased significantly (P=0.05) over the 3 weeks when active drug was administered. Sedation decreased by as much as 40%. Sleep was improved with prazepam, and this may have resulted in decreased drowsiness. We conclude that anxious outpatients have significant levels of drowsiness-sedation and that treatment with benzodiazepines reduces the occurrence of this symptom.

scholarly journals One Hundred Years of Insulin

2021 ◽  
Vol 43 (4) ◽  
pp. 37-37
Keyword(s):  
Diabetes Mellitus ◽  
Medical Student ◽  
World War I ◽  
Nobel Prize ◽  
The Other ◽  
Metabolic Effects ◽  
World War ◽  
University Of Toronto ◽  
Canadian Physician ◽  
The University

Abstract The 1923 Nobel Prize in Physiology or Medicine was awarded jointly to Canadian physician Frederick Grant Banting (1891-1941) and Scottish biochemist and physiologist John James Macleod (1876-1935) “for the discovery of insulin”. It was a remarkable finding since diabetes mellitus was an untreatable and often lethal disease until then. Much has been written about Banting and Macleod’s breakthrough research conducted at the University of Toronto starting in November 1920, including the key roles played by their trustworthy assistants, medical student Charles Best and biochemist James Collip. On the other hand, much less has been written about the pioneering research of Romanian physiologist Nicolae Paulescu (1869-1931), whose work on the metabolic effects of canine pancreatic extracts predates that of Banting and Macleod but was interrupted by World War I. Should Best, Collip, or Paulescu have also shared the Nobel Prize?

Hospital of the University of Pennsylvania

1992 ◽  
Vol 77 (4) ◽  
pp. 648
Author(s):  
Thomas W. Langfitt
Keyword(s):  
Teaching Hospital ◽  
The Other ◽  
University Of Pennsylvania ◽  
Content Type ◽  
The University ◽  
Fine Print

✓s The Hospital of the University of Pennsylvania was the first university-owned teaching hospital in the nation. The author briefly reviews its history and association with the other faculties of the University.

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