scholarly journals SSH...DON’T TELL THE CHILDREN! NO DUTY TO WARN DESCENDANTS THAT THEY MAY HAVE INHERITED A SERIOUS MEDICAL CONDITION

2015 ◽  
Vol 27 ◽  
pp. 281-290
Author(s):  
Karen Dyer
Keyword(s):  
Medical Training ◽  
Medical Condition ◽  
Medical Profession ◽  
Hippocratic Oath ◽  
Ethical Principle ◽  
Duty To Warn ◽  
Magna Carta ◽  
Declaration Of Geneva ◽  
Over Time

In this edition of the Denning Law Journal we are celebrating the 800 years of the Magna Carta, but compared to some  declarations  the Magna Carta is a mere fledgling.  Those with knowledge of the medical profession will be well versed in the Hippocratic Oath, which garnered a fundamental role in medical training during the Hellenic period. In more recent years, the Hippocratic Oath has been revitalised in the form of the Declaration of Geneva, and is still used as part of medical training today. Over time the Oath has been modified to adopt a more progressive stance, nevertheless in one key ethical principle remains untouched, that of confidentiality. 

Tracking self-reported symptoms and medical conditions on social media during the COVID-19 pandemic (Preprint)

2021 ◽  
Author(s):  
Qinglan Ding ◽  
Daisy Massey ◽  
Chenxi Huang ◽  
Connor Grady ◽  
Yuan Lu ◽  
...  
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Social Media ◽  
Positive Predictive Value ◽  
Medical Condition ◽  
Medical Conditions ◽  
Health Related ◽  
The U.S ◽  
Over Time

BACKGROUND Harnessing health-related data posted on social media in real-time has the potential to offer insights into how the pandemic impacts the mental health and general well-being of individuals and populations over time. OBJECTIVE The aim of this study was to obtain information on symptoms and medical conditions self-reported by non-Twitter social media users during the coronavirus disease 2019 (COVID-19) pandemic, and to determine how discussion of these symptoms and medical conditions on social media changed over time. METHODS We used natural language processing (NLP) algorithms to identify symptom and medical condition topics being discussed on social media between June 14 and December 13, 2020. The sample social media posts were geotagged by NetBase, a third-party data provider. We calculated the positive predictive value and sensitivity to validate the classification of the posts. We also assessed the frequency of different health-related discussions on social media over time during the study period, and compared the changes in the frequency of each symptom/medical condition discussion to the fluctuation of U.S. daily new COVID-19 cases during the study period. Additionally, we compared the trends of the 5 most commonly mentioned symptoms and medical conditions from June 14 to August 31 (when the U.S. passed 6 million COVID-19 cases) to the trends observed from September 1 to December 13, 2020. RESULTS Within a total of 9,807,813 posts (nearly 70% were sourced from the U.S.), we identified discussion of 120 symptom topics and 1,542 medical condition topics. Our classification of the health-related posts had a positive predictive value of over 80% and an average classification rate of 92% sensitivity. The 5 most commonly mentioned symptoms on social media during the study period were: anxiety (in 201,303 posts or 12.2% of the total posts mentioning symptoms), generalized pain (189,673, 11.5%), weight loss (95,793, 5.8%), fatigue (91,252, 5.5%), and coughing (86,235, 5.2%). The 5 most discussed medical conditions were: COVID-19 (in 5,420,276 posts or 66.4% of the total posts mentioning medical conditions), unspecified infectious disease (469,356, 5.8%), influenza (270,166, 3.3%), unspecified disorders of the central nervous system (253,407, 3.1%), and depression (151,752, 1.9%). The changes in the frequency of 2 medical conditions, COVID-19 and unspecified infectious disease, were similar to the fluctuation of daily new confirmed cases of COVID-19 in the U.S. CONCLUSIONS COVID-19 and symptoms of anxiety were the two most commonly discussed health-related topics on social media from June 14 to December 13, 2020. Real-time monitoring of social media posts on symptoms and medical conditions may help assess the population's mental health status and enhance public health surveillance for infectious disease.

The Art of Medicine

2021 ◽  
pp. 29-41
Author(s):  
David Beaumont
Keyword(s):  
Medical Training ◽  
Medical Model ◽  
Medically Unexplained Symptoms ◽  
Modern Medicine ◽  
Hippocratic Oath ◽  
Patient Centred Care ◽  
Balint Groups ◽  
Do No Harm ◽  
Medically Unexplained ◽  
Unexplained Symptoms

The author’s medical training. Hippocrates and the Hippocratic oath, but the shift from ‘First, do no harm’ to modern medicine’s mantra, ‘First, do something’. Modern medical education, and patient contact throughout. A consultant physician’s ward round in the bad old days. The film Patch Adams, based on the life of the maverick Dr Hunter ‘Patch’ Adams, founder of The Gesundheit Institute, and his vision of patient-centred care. The shift from ‘the cholecystitis in bed 3’ to patient-centred care—and patient-centred medical training. The RCGP’s vision statement of 2019, Fit for the Future. Ivan Illich’s 1974 critique of medicine in Medical Nemesis. His term iatrogenesis (clinical, social, cultural). RACP’s EVOLVE initiative seeking evidence of efficacy. Dr John Powles’ 1973 paper ‘On the limitations of modern medicine’. Pain management and the opioid epidemic. The social determinants of health explained. The biopsychosocial model compared with the reductionist medical model. Medically unexplained symptoms and the difficulty of diagnosis. Buck-passing. The purpose and use of Balint groups. Medically unexplained symptoms and chest pain.

3. Revolution

2021 ◽  
pp. 28-36
Author(s):  
Amanda L. Tyler
Keyword(s):  
Revolutionary War ◽  
Habeas Corpus ◽  
Criminal Process ◽  
British Rule ◽  
Magna Carta ◽  
English Law ◽  
Over Time

This chapter details how across the Atlantic, Americans widely studied Henry Care’s treatise and Blackstone’s Commentaries, both of which glorified as the foundation of English law and liberties Magna Carta, the Petition of Right, and the Habeas Corpus Act. Yet, as explored here, Americans did not know many of these rights and protections, being denied them as colonists. Over time, the denial of the protections of the Habeas Corpus Act to the colonists became a major source of complaint regarding British rule. As the chapter explores, the British viewed the American “Rebels” as traitors and therefore not in the service of a foreign sovereign. This meant that once American prisoners started coming to English shores, a suspension was necessary to detain them outside the criminal process. The chapter explores the Revolutionary War suspension that Parliament adopted, as well as its lapsing at the end of the war.

Clinical Nurse Specialist in Epilepsy, over 2 years’ experience, UK

2020 ◽  
pp. 31-32
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Dual Diagnosis ◽  
Nursing Staff ◽  
Medical Profession ◽  
Epileptic Seizures ◽  
Clinical Nurse Specialist ◽  
Student Nurse ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Over Time ◽  
Lack Of Knowledge

This chapter highlights the lack of knowledge on non-epileptic seizures among the nursing and medical profession. The author’s first experience with a patient with non-epileptic attacks was as a student nurse. The author recalled that no one seemed to have any sympathy for the patient, and that, whenever an event started, there would be a roll of the eyes from the nursing staff. Now, as a Clinical Nurse Specialist in Epilepsy, the author realized how unhelpful and misguided the treatment was that the patient received. The author now looks after patients with a dual diagnosis of epileptic and non-epileptic attacks and has also cared for patients who have been misdiagnosed. Over time, the author has learned that non-epileptic attacks can be just as debilitating as epileptic seizures. In many cases, they can be harder to manage, more challenging for the patient to live with, and ultimately more difficult to treat. Moreover, non-epileptic seizures carry just as much stigma as epilepsy. As such, patients with non-epileptic attacks need just as much support as patients with epileptic seizures.

Remember Pregnancy is a State of Health

2018 ◽  
pp. 38-50
Author(s):  
Ann Oakley
Keyword(s):  
Pregnant Woman ◽  
General Practitioner ◽  
Antenatal Care ◽  
Local Authority ◽  
Medical Condition ◽  
Medical Profession ◽  
State Of Health ◽  
Normal Work ◽  
In Pregnancy ◽  
Hospital Clinic

This chapter argues that pregnancy is a medical condition — a condition to be monitored by doctors. Between seven and eighteen visits to the general practitioner (GP), local authority, or hospital clinic were made during pregnancy by the sample women for antenatal care: the average was thirteen. Going to the doctor suggests illness, and two other features of illness are associated with pregnancy in modern industrialised society: a pregnant woman, like other ‘patients’, is allowed to give up her normal work, and is encouraged to hand over responsibility for the management of her condition to others (the medical profession). Moreover, pregnancy produces unpleasant symptoms, each of which, in other circumstances, can be a sign of illness. Even in pregnancy some of these require medication, a habit not normally associated with health.

scholarly journals Toward a More Humanistic American Medical Profession: An Analysis of Premedical Web Sites From Ohio’s Undergraduate Institutions

2018 ◽  
Vol 5 ◽  
pp. 238212051875633
Author(s):  
Daniel Skinner ◽  
Kyle Rosenberger
Keyword(s):  
Health Care ◽  
American Medical ◽  
Cultural Competency ◽  
Web Sites ◽  
Medical Training ◽  
Medical Profession ◽  
Intrinsic Value ◽  
Web Based ◽  
Entrance Exams ◽  
Undergraduate Institutions

In response to changes in health care, American medical schools are transforming their curricula to cultivate empathy, promote professionalism, and increase cultural competency. Many scholars argue that an infusion of the humanities in premedical and medical training may help achieve these ends. This study analyzes Web-based messaging of Ohio’s undergraduate institutions to assess premedical advising attitudes toward humanities-based coursework and majors. Results suggest that although many institutions acknowledge the humanities, most steer students toward science majors; strong advocates of the humanities tend to have religious or other special commitments, and instead of acknowledging the intrinsic value that the humanities might have for future physicians, most institutions promote the humanities because entrance exams now contain related material.

scholarly journals Ethics or Bioethics for the Medical Profession?

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Eugenio Perez
Keyword(s):  
Medical Ethics ◽  
Communication Systems ◽  
New Technologies ◽  
Medical Training ◽  
Medical Profession ◽  
General Medicine ◽  
Philosophical Tradition ◽  
Scientific Development ◽  
Ecological Responsibility ◽  
Health Demands

The events that have occurred as a result of the Covid-19 pandemic have brought to the fore the figure of the doctor, as a main actor, in this complex and uncertain scenario. Many of the medical actions carried out have required strength, reflection, wisdom and prudence, all of them essential virtues according to the classical philosophical tradition, and that the ETHOS of the medical profession and the doctor translate, with this it is necessary to emphasize that it is the traditional medical ethics, the basis of this undeniable commitment to humanity, and that Bioethics, born 60 years ago, has been invested with an unthinkable condition, by its creator VR Potter, who proposed that the main objective should be scientific development -Technical but with ecological responsibility, beyond its supposed guiding function of current medicine. Which are the motivations for choosing the School of Medicine? What does it mean to be a good professional? How to respond to an increasingly demanding society? In light of the development of new technologies and communication systems, which today are universally accessible. It seems that the answer to these questions lies in a higher education based on ancestral ethical principles, which have been professed by generations of doctors, in traditional clinical practice and in practicing general medicine to achieve the specific medical training process, thus achieving efficiently meet the primary health demands of society. Therefore, Bioethics must be understood as an incipient discipline whose objective is to warn about the care of ecosystems, necessary for the survival of the human being, different from medical ethics.

Parental Leave During Surgical Training

2020 ◽  
pp. 16-28
Author(s):  
Patricia Maria Saez Carlin
Keyword(s):  
Surgical Training ◽  
Medical Training ◽  
Parental Leave ◽  
Medical Profession ◽  
Personal Life ◽  
Training Period ◽  
Surgical Trainees ◽  
Date Analysis ◽  
Work Family

Work-family conciliation is currently in vogue. However, reality demonstrates that there is still a long way to go before being forced to make a choice between work, family, or personal life. Can a balance be achieved among the three? In relation to the medical profession, is there currently an adequate conciliation policy? Can these strategies be extrapolated to the training period? The proposal in this chapter consists in carrying out an up-to-date analysis on the parental leave situation during medical training as one of the main aspects of conciliation, by analysing parental leave policies and barriers faced by surgical trainees.

Keats's Anatomy of Melancholy

2020 ◽  
Author(s):  
Robert White
Keyword(s):  
Emotional State ◽  
Medical Training ◽  
Medical Condition ◽  
Critical Study ◽  
Suicidal Thoughts ◽  
Romantic Poetry ◽  
Intellectual Context

This book is conceived as a sustained critical study of John Keats’s collection of poems, Lamia, Isabella, The Eve of St Agnes, And Other Poems (1820). It was published in the 2020 bicentenary. It treats the collection as an authorially organised and thematically unified volume rather than as a collection of occasional poems. An important thread, which I follow through the volume as a major unifying principle, has also gone largely unnoticed by critics, since it is not self-evident when we read the poems individually and outside the book’s overarching intellectual context. The guiding theme behind 1820 I propose, is the persistent emphasis on different shades and types of an ancient major medical condition and literary preoccupation in Renaissance and Romantic poetry, namely melancholy, which was of interest to Keats through his medical training, temperament, and his delighted reading of Burton’s The Anatomy of Melancholy. This emotional area was considerably richer and more complex than today’s paler reflection in the word ‘melancholy’, and it could range between suicidal thoughts, love illness, manic hilarity, and inspired creativity in poetry, art and music. In this design the clinching closure comes with ‘Ode on Melancholy’, which exuberantly attributes value to the emotional state as a form of creative inspiration driving the 1820 volume.

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