scholarly journals The general practitioner and the surgeon: stereotypes and medical specialties

2004 ◽  
Vol 59 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Patrícia Lacerda Bellodi
Keyword(s):  
General Practitioner ◽  
General Medicine ◽  
Medical Residents ◽  
Medical Specialties ◽  
Considerable Similarity ◽  
Close Relationship ◽  
History Of ◽  
Gender Characteristics ◽  
Manual Skills ◽  
Intellectual Skills

OBJECTIVE: To investigate and characterize the professional stereotypes associated with general medicine and surgery among Brazilian medical residents. METHODS: A randomized sample of residents of the General Medicine and Surgery Residence Programs were interviewed and their perceptions and views of general and surgical doctors were compared. RESULTS: The general practitioner was characterized by the residents in general to be principally a sensitive and concerned doctor with a close relationship with the patient; (45%); calm, tranquil, and balanced (27%); with intellectual skills (25%); meticulous and attentive to details (23%); slow to resolve problems and make decisions (22%); and working more with probabilities and hypotheses (20%). The surgeon was considered to be practical and objective (40%); quickly resolving problems (35%); technical with manual skills (23%); omnipotent, arrogant, and domineering (23%); anxious, stressed, nervous, and temperamental (23%); and more decided, secure, and courageous (20%). Only the residents of general medicine attributed the surgeon with less knowledge of medicine and only the surgeons attributed gender characteristics to their own specialty. CONCLUSION: There was considerable similarity in the description of a typical general practitioner and surgeon among the residents in general, regardless of the specialty they had chosen. It was interesting to observe that these stereotypes persist despite the transformations in the history of medicine, i.e. the first physicians (especially regarding the valorization of knowledge) and the first surgeons, so-called "barber surgeons" in Brazil (associated with less knowledge and the performance of high-risk procedures).

INTER AKSI AGAMA DAN BUDAYA

EMPIRISMA ◽  
2018 ◽  
Vol 27 (1) ◽  
Author(s):  
Mohammad Arif Dan Yuli Darwati
Keyword(s):  
Human Life ◽  
Belief System ◽  
Cultural Interaction ◽  
Cultural Economic ◽  
Modern Period ◽  
Or Groups ◽  
Close Relationship ◽  
History Of ◽  
The Relationship ◽  
Determining Factor

This paper will try to explain the relationship between religion and culture. These two topics are the most important items that are inseparable in the history of human civilization from the classical to the modern period. Religion is ahuman belief system that is related to God. If the rule comes from God, then it cannot be said to be a culture, because it is not human creation, but God’s creation that is absolute. Religion is interpreted as part of the life (culture) ofindividuals or groups, each of which has the authority to understand religion and apply it. With the characteristics as indicated by Fazlur Rahman, wherever religion is located, it is hoped that it can provide guidance on values or moralsfor all activities of human life, whether social, cultural, economic or political. Not infrequently also religion becomes a determining factor in the adhesive process of social cultural interaction of the community as well as unifying thenation. Culture and religion are something different but can influence each other so that new cultures or mixing of cultures emerge. The opinion of Endang Saifudin Anshari who said in his writing that religion and culture do notinclude each other, in principle one is not part of the other and each consists of itself. Between them, of course, they are closely related like us, we see in everyday life and human life. As also seen in the close relationship between husband and wife who can give birth to a son but the husband is not part of the wife, and vice versa. Religion and culture are two different things but cannot be separated. The existence of a religion will be greatly influenced and affect thepractice of a religion in question. And conversely, a culture will be greatly influenced by the beliefs of the society in which culture develops. Therefore religion is not only an individual problem but religion is also a social affair whichultimately religious people are not only able to give birth to individual piety but also must be able to give birth to social piety.Key words: Interaction, Religion, Culture,

scholarly journals Natural History of NAFLD

2021 ◽  
Vol 10 (6) ◽  
pp. 1161
Author(s):  
Raluca Pais ◽  
Thomas Maurel
Keyword(s):  
Liver Disease ◽  
Natural History ◽  
Disease Progression ◽  
Specific Treatment ◽  
Alcoholic Fatty Liver ◽  
Individual Level ◽  
Close Relationship ◽  
History Of ◽  
The Individual ◽  
The Impact

The epidemiology and the current burden of chronic liver disease are changing globally, with non-alcoholic fatty liver disease (NAFLD) becoming the most frequent cause of liver disease in close relationship with the global epidemics of obesity, type 2 diabetes and metabolic syndrome. The clinical phenotypes of NAFLD are very heterogeneous in relationship with multiple pathways involved in the disease progression. In the absence of a specific treatment for non-alcoholic steatohepatitis (NASH), it is important to understand the natural history of the disease, to identify and to optimize the control of factors that are involved in disease progression. In this paper we propose a critical analysis of factors that are involved in the progression of the liver damage and the occurrence of extra-hepatic complications (cardiovascular diseases, extra hepatic cancer) in patients with NAFLD. We also briefly discuss the impact of the heterogeneity of the clinical phenotype of NAFLD on the clinical practice globally and at the individual level.

scholarly journals Linking morphological and molecular sources to disentangle the case of Xylodon australis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Javier Fernández-López ◽  
M. Teresa Telleria ◽  
Margarita Dueñas ◽  
Mara Laguna-Castro ◽  
Klaus Schliep ◽  
...  
Keyword(s):  
New Zealand ◽  
Phylogenetic Analyses ◽  
Single Species ◽  
R Package ◽  
Molecular Data ◽  
Historical Collections ◽  
Close Relationship ◽  
Kinship Relations ◽  
History Of ◽  
Different Sources

AbstractThe use of different sources of evidence has been recommended in order to conduct species delimitation analyses to solve taxonomic issues. In this study, we use a maximum likelihood framework to combine morphological and molecular traits to study the case of Xylodon australis (Hymenochaetales, Basidiomycota) using the locate.yeti function from the phytools R package. Xylodon australis has been considered a single species distributed across Australia, New Zealand and Patagonia. Multi-locus phylogenetic analyses were conducted to unmask the actual diversity under X. australis as well as the kinship relations respect their relatives. To assess the taxonomic position of each clade, locate.yeti function was used to locate in a molecular phylogeny the X. australis type material for which no molecular data was available using morphological continuous traits. Two different species were distinguished under the X. australis name, one from Australia–New Zealand and other from Patagonia. In addition, a close relationship with Xylodon lenis, a species from the South East of Asia, was confirmed for the Patagonian clade. We discuss the implications of our results for the biogeographical history of this genus and we evaluate the potential of this method to be used with historical collections for which molecular data is not available.

Cough as the sole manifestation of airway hyperreactivity

1989 ◽  
Vol 103 (7) ◽  
pp. 680-682 ◽  
Author(s):  
A Frans ◽  
J Van Den Eeckhaut
Keyword(s):  
Allergic Rhinitis ◽  
Respiratory Symptoms ◽  
Challenge Test ◽  
General Medicine ◽  
Airway Hyperreactivity ◽  
Bronchial Reactivity ◽  
Inhaled Steroids ◽  
Reactivity Test ◽  
History Of ◽  
Predominantly Female

Abstract The authors report 18 patients who presented to the ENT department with isolated cough, which had begun one month to 14 years previously. As the ENT examination was negative, the patients were referred to the Department of General Medicine where a bronchial reactivity test with acetylcholine was found to be positive, leading to a diagnosis of airway hyperreactivity. The group was predominantly female (15/18) and atopy was rare; indeed, only one patient, who had a history of allergic rhinitis, was found to be atopic. Bronchodilators and inhaled steroids cured or helped the cough in 16/18 patients. When a patient presents with chronic cough without other respiratory symptoms it is important to consider a diagnosis of airway hyperreactivity and to confirm this with a challenge test of bronchoconstriction

OUR CHALLENGES FOR THE 70'S President's Address, 1970

PEDIATRICS ◽  
1971 ◽  
Vol 47 (2) ◽  
pp. 465-469
Author(s):  
Russell W. Mapes
Keyword(s):  
American Academy ◽  
General Medicine ◽  
Vice President ◽  
Medical Community ◽  
Great Promise ◽  
Quality Health Care ◽  
American Academy Of Pediatrics ◽  
Quality Health ◽  
History Of ◽  
Organized Medicine

For any national organization striving to keep pace with increasingly diverse responsibilities and objectives, there are appropriate times when that organization must pause, reflect, and project before moving forward to meet the goals to which it has dedicated its programs and priorities. This year marks the 40th anniversary of the American Academy of Pediatrics. It was June 23, 1930 that 35 pediatricians met in Harper Hospital in Detroit to establish the Academy as the organization to speak for the interests and health of children, as well as the interests of its pediatric members. This year also marks the beginning of a new decade, a decade which holds great promise for the future of pediatrics but a decade which also presents significant challenges which we must meet if we are to deliver quality health care to all children. The American Academy of Pediatrics is indeed fortunate to be able to draw from the accomplishments of a progressive history of achievement, distinguished by the vision of its early founders. In the 1920's the medical community widely predicted that pediatrics was disappearing as a specialty, that in a few years it would merge into the field of general medicine. Concern was also expressed that pediatrics was not sufficiently represented in the echelons of organized medicine and, consequently, the cause of child health was not being served adequately. To pediatricians like Isaac A. Abt, the first president of the Academy, to John L. Morse, its first vice-president, and to Clifford G. Grulee, the Academy's pioneering executive director, these were very real challenges, but they were not causes for pessimism or defeatism.

Virtue, Sanctity, and Charity of the Royal Women of Fez

Hawwa ◽  
2021 ◽  
pp. 314-338
Author(s):  
Bárbara Boloix-Gallardo
Keyword(s):  
Additional Analysis ◽  
The Political ◽  
Gender Perspective ◽  
Close Relationship ◽  
History Of ◽  
Royal Women

Abstract The history of the Banū Marīn of the kingdom of Fez (seventh–ninth/thirteenth–fifteenth centuries) cannot and should not be reconstructed without a gender perspective which gives the women of this dynasty a place within its historic discourse. They played a key role in the political and religious legitimacy of the rulers, as reflected by the Banū Marīn historiography which, mirroring the idiosyncrasy of medieval Berber societies, afforded its women a visible space. However, as it was always subject to the clear interests of male political-religious legitimacy, this space for visibilisation is worthy of analysis. This study examines the different profoundly religious behaviour and capabilities which the chronicles assigned to different royal Merinid women, as related in the various anecdotes transmitted in their pages. Additional analysis is carried out on how these model characterisations aimed to increase the aura of spirituality of the amīrs, influenced by their close relationship and everyday contact with these women.

scholarly journals Knowledge and attitudes towards dementia in a sample of medical residents from a university-hospital in São Paulo, Brazil

2016 ◽  
Vol 10 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Alessandro Ferrari Jacinto ◽  
Paulo José Fortes Villas Boas ◽  
Vânia Ferreira de Sá Mayoral ◽  
Vanessa de Albuquerque Citero
Keyword(s):  
Descriptive Analysis ◽  
Sao Paulo ◽  
University Hospital ◽  
Medical Residents ◽  
Good Knowledge ◽  
Public Healthcare ◽  
São Paulo ◽  
Medical Specialties ◽  
Dementia Prevalence ◽  
Knowledge And Attitudes

An estimated 61% of the 24.3 million people diagnosed with dementia worldwide live in underdeveloped countries, including Brazil, where a public healthcare system covers the majority of the population. This care is usually provided by General Practitioners (GP) and in Brazil many doctors recently graduated from medical school and residents of different medical specialties practice as GPs. Objective : The aim of this study was to describe the knowledge and attitudes about dementia in a sample of Brazilian medical residents from a university-hospital in São Paulo, Brazil. Methods : A total of 152 Brazilian medical residents participated in the study. Participants answered a "Knowledge Quiz" (KQ) and "Attitude Quiz" (AQ) about dementia issues, transculturally adapted for use in Brazilian physicians. A descriptive analysis of the correct answers on knowledge and of the attitude aspects was performed. Results : The medical residents showed poor knowledge (<50%) about dementia prevalence and incidence and a good knowledge on disease management and diagnosis. Participants tended to be optimistic about caring for demented patients. Conclusion : In this study, it is likely that the physicians' good knowledge about dementia issues is the reason for their optimism dealing with demented patients.

Journal Impact Factors Do Not Equitably Reflect Academic Staff Performance in Different Medical Subspecialties

2004 ◽  
Vol 52 (8) ◽  
pp. 531-536
Author(s):  
Richard J. Epstein
Keyword(s):  
Academic Staff ◽  
General Medicine ◽  
Distribution Patterns ◽  
Skewed Distribution ◽  
Impact Factors ◽  
Separate Analysis ◽  
Medical Specialties ◽  
Staff Performance ◽  
The Impact

BackgroundThe simplest variables to quantify on an academic curriculum vitae are the impact factors (IFs) of journals in which articles have been published. As a result, these measures are increasingly used as part of academic staff assessment. The present study tests the hypotheses that IFs exhibit patterns that are consistent between journals of different specialties and that these IFs reflect the quality of staff academic performance.MethodsThe IFs of a sample of journals from each of four medical specialties—medicine, oncology, genetics, and public and occupational health—were downloaded from the Science Citation Index and compared. Overall and specialty-specific journal IF frequencies were analyzed with respect to distribution patterns, averages, and skew.ResultsApproximately 91% of journal IFs fell within the 0 to 5 range, with 97% being less than 10. The overall IF distribution featured a positive skew and a mean of 2.5. Separate analysis of the journal specialty subsets revealed significant differences in IF means (genetics 3.4 > oncology 3.1 > medicine 2.0 > public health 1.6; p < .006), all of which well exceeded the respective IF medians. Journals from the general medicine category exhibited both the lowest IF median (0.7) and the most positively skewed distribution.ConclusionThe distribution of IFs exhibits degrees of skew, numeric average, and spread that differ significantly between journal specialty subsets. This suggests that factors other than random variations underlie much of the IF variation between specialty journals and reduces the plausibility of a reliable correlation between IFs and the quality of academic staff performance. It is concluded that a dominant emphasis on IFs in academic recruitment and promotion may select for long-term faculty characteristics other than academic quality alone.

A new endemic family of New Zealand passerine birds: adding heat to a biodiversity hotspot

2007 ◽  
Vol 55 (2) ◽  
pp. 73 ◽  
Author(s):  
Amy Driskell ◽  
Les Christidis ◽  
B. J. Gill ◽  
Walter E. Boles ◽  
F. Keith Barker ◽  
...  
Keyword(s):  
New Zealand ◽  
Evolutionary History ◽  
Divergence Time ◽  
Biodiversity Hotspot ◽  
Passerine Birds ◽  
New Family ◽  
Close Relationship ◽  
History Of ◽  
Anthornis Melanura ◽  
Notiomystis Cincta

The results of phylogenetic analysis of two molecular datasets sampling all three endemic New Zealand ‘honeyeaters’ (Prosthemadera novaeseelandiae, Anthornis melanura and Notiomystis cincta) are reported. The undisputed relatedness of the first two species to other honeyeaters (Meliphagidae), and a close relationship between them, are demonstrated. However, our results confirm that Notiomystis is not a honeyeater, but is instead most closely related to the Callaeidae (New Zealand wattlebirds) represented by Philesturnus carunculatus in our study. An estimated divergence time for Notiomystis and Philesturnus of 33.8 mya (Oligocene) suggests a very long evolutionary history of this clade in New Zealand. As a taxonomic interpretation of these data we place Notiomystis in a new family of its own which takes the name Notiomystidae. We expect this new phylogenetic and taxonomic information to assist policy decisions for the conservation of this rare bird.

scholarly journals SCIENCE IN HISTORY

2018 ◽  
Vol 63 (2) ◽  
pp. 209-242
Author(s):  
JAMES POSKETT
Keyword(s):  
Cold War ◽  
Cultural History ◽  
History Of Science ◽  
Political Thought ◽  
History Of Political Thought ◽  
Historiography Of Science ◽  
The Future ◽  
Close Relationship ◽  
History Of ◽  
Anglophone World

AbstractWhat is the history of science? How has it changed over the course of the twentieth century? And what does the future hold for the discipline? This ‘Retrospect’ provides an introduction to the historiography of science as it developed in the Anglophone world. It begins with the foundation of the Cambridge History of Science Committee in the 1940s and ends with the growth of cultural history in the 2000s. At the broadest level, it emphasizes the need to consider the close relationship between history and the history of science. All too often the historiography of science is treated separately from history at large. But as this essay shows, these seemingly distinct fields often developed in relation to one another. This essay also reveals the ways in which Cold War politics shaped the history of science as a discipline. It then concludes by considering the future, suggesting that the history of science and the history of political thought would benefit from greater engagement with one another.

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