GENDER & symptoms

The changed realities of modern health care, including the reform, the abolition of internship, the development of the outpatient and polyclinic direction of the development of domestic medicine dictate the need to develop and introduce new forms of doctor education and professional training throughout the entire period of activity. The authors have consistently created a scientific and Educational Project ‘Outpatient reception’ of the Regional Public Organization for Promoting the Development of Prehospital Medicine ‘Outpatient doctor’ and a Scientific and Practical Centre for Training and Continuous Professional Development of Primary Care Specialists on the basis of the City Clinical Hospital n.a. S. I. Spasokukotsky with the participation of Moscow State University of Medicine and Dentistry n.a. A. I. Evdokimov. The article gives an idea of these projects, describes individual areas of activity.Results. For several years of active work, the proposed approaches have proven their viability and relevance for the medical audience, the number of listeners and active participants in educational events is growing, new textbooks and training materials are being published aimed at improving the provision of medical care in the Russian Federation.

CASE REPORT: The impact of Plasma Exeresis after fillers complication on the lips

The purpose of this article is to inform the medical audience about the treatment of difficult cases by implementing the Plasma Exeresis method. With the particular device of Plasma Exeresis the fourth state of matters, Plasma, is produced. In brief, Plasma Exeresis is a certified cordless micro-surgical hand-operated device. According to the histology results, Plasma Exeresis sublimates the epidermis without passing the membrane basal, shrinking the elastic fibers of the dermis, and produces collagen type III without the unwanted skin lesion. In particular, by using Plasma Exeresis with the above mechanism we are able to rectify the fibrosis and granules (and other medical lesions e.g. xanthelasmas, hemangioma, non-invasive blepharoplasty, papilloma, fibroma, benign tumors, etc.). Furthermore, it accelerates the damage repair, the wrinkles softening and the skin fibers regeneration. The case study discussed below can be characterized for its hard and challenging nature, bearing in mind that the damage was extensive. The patient was a woman, 55 years old, who had undergone an unsuccessful treatment in the past. The case takes place in Greece. The culprit was the application of lip fillers consisted of an unknown material. The adverse effects (granules) (See pictures below) were combined with depressive disorder which lasted for approximately 15 years. The granules were considered by many doctors (even plastic surgeons) insurmountable, however, the Plasma Exeresis method was eventually highly effective. Consequently, the Plasma Exeresis can be considered as an innovative method which can heal and restore problematic cases. Keywords: Plasma Exeresis: Fillers; Complication; Lips; Side Effects; Granules Hypothesis 1: Plasma Exeresis can cure difficult cases

Intimacy Post-Injury

Since terrorist attacks on September 11, 2001, a total of 2.7 million US service members have served in the wars in Afghanistan and Iraq. Often discussed during this period have been post-traumatic stress disorder and traumatic brain injury, the so-called “invisible wounds of war.” These injuries directly affect intimate relationships, and the treatment of these injuries involves medications that often have sexual side effects. Another set of wounds are those that directly involve sexual functioning, including lower extremity amputations and genitourinary injuries. This volume encourages medical personnel to discuss sexual health with their patients; learn how to evaluate and treat erectile dysfunction, including side effects from medications; and understand how to mitigate the effects of physical injury, pain, and disability on sexual functioning. The target medical audience includes all providers who treat injured service members and veterans. Service members and their families should benefit from the information in this book as well.

A short course in planning, development and evaluation of community mental health services

In response to the expressed needs of trainees for training in the planning development, and evaluation of mental health services, a short course was designed and is described here. The course was run several times and proved flexible enough to be presented to either multidisciplinary, inter-agency audiences or to a solely medical audience.

The Construction of Patienthood in Medical Advertising

The purpose of this study was to investigate the dominant symbolic elements, themes, and discourses used in drug advertisements published in a weekly magazine directed toward physicians. The discussion is concerned with both the visual signs and textual format of the advertisements, analyzing their attempts to create images around the drugs that appeal to the medical readership of the magazine. With the premise that the producers of the advertisements drew upon shared knowledge and belief systems of their medical audience to create a meaningful image for the drugs, the focus of the article is upon the portrayal of patients in the advertisements, with particular interest in gendered representations. The author argues that the way in which patients are portrayed visually and verbally in such advertisements is revealing of the ideological dimension of the doctor-patient relationship within the biomedical system of healing, including notions of the mechanical man and the vulnerable woman as archetypal patients.

The role of the consultant psychiatrist in the clinical team

Many psychiatrists are deeply disturbed by the changing and challenging circumstances in which they are responsible for patient care. This became evident at a conference on the role of the consultant in the clinical team, held by the Health Services Manpower Review at the Royal Society of Medicine on 14 July 1988 and attended by an entirely medical audience. The need for the consultant to act as leader of the clinical team was emphasised without identifying the nature and extent of this task, resulting in the failure to develop any strategy to tackle the many problems identified.

A PLEA TO GIVE WEAKLY CHILDREN A FAIR CHANCE BY WILLIAM FARR (1865)

William Far (1807-1883) ranks with John Graunt (1620-1674) for his contributions to medical statistics. He was the first to express mathematically the rise and fall of epidemic disease by applying statistical methods to epidemiology. That he also had a deep concern for the frail and premature infant is evident in the following plea directed toward the medical audience. Great qualities of soul are often hidden in the frail child. One Christmas day a premature posthumous son was born in England of such an extremely diminutive size, and apparently of so perishable a frame, that two women who were sent to Lady Pakenham at North Witham, to bring some medicine to strengthen him, did not expect to find him alive on their return. He would inevitably have been consigned to the caverns of Taygetus if the two women had carried him to Spartan tryers. As it was, the frail boy grew up into Newton, lived more than four-score years, and revealed to mankind the laws of the universe. If he had perished, England would not have been what it is in the world. In Paris one evening a puny child in a neat little basket was picked up: he had been left at the church door, the commissary of police was about to carry him to the foundling hospital, when a glazier's wife exclaimed: "You will kill the child in your hospital, give him to me; I have no children, I will take care of him." She cherished her boy, poor as she was, until some one, perhaps his father, settled a small annuity on his life, with which he was educated at the Mazarin College, where he displayed the early genius of a Pascal: it was D'Alembert, to whom we are indebted for a new calculus, for the grand introduction to the Cyclopaedia, and for innumerable physical discoveries.