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3.
J Assoc Physicians India ; 68(3): 24-27, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32138478

RESUMEN

Background: Sexual problems are common in the society. But the medical professionals are reluctant to address sexual health issues. In this study we are assessing the attitude of medical practitioners towards various sexual health issues. Methods: : The study used anonymous self-responsive questionnaire survey of hundred medical practitioners from various parts of Kerala. Medical practitioners were asked to respond to various questions regarding their area of practise, their training in sexual medicine and about their perception and attitude towards patients' sexual health problems. Data collected and basic descriptive statistics were calculated. Results: Out of 125 anonymous self-responsive survey questionnaires send to medical practitioners, we received hundred completed responses. Only 18% reported that they had some training in sexual medicine. Most of the medical practitioners are having the opinion that sexual problems are common in the society and only very few percentage (about 4%) seek help from medical practitioners regarding their sexual health issues. Anxiety and inhibition from the patient side to disclose and lack of privacy in the busy OPD are the major obstacles which prevent patients to seek medical help. Majority of doctors are reluctant to ask about their patients sexual issues. The participants identified that lack of time and privacy in the busy OPD and lack of proper training to address sexual issues are the major factors that prevent doctors from addressing sexual issues in their day to day clinical practice. Conclusion: Sexual issues are common in the society. This study identified gaps in sexual health training among medical professionals in Kerala. Lack of proper training to address the sexual health issues is a major obstacle in managing sexual problems which can be addressed by improving training in sexual medicine to both medical students and medical practitioners.


Asunto(s)
Médicos , Salud Sexual , Actitud , Actitud del Personal de Salud , Humanos , Conducta Sexual , Encuestas y Cuestionarios
4.
S D Med ; 73(1): 22-31, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32135048

RESUMEN

"Privilege" vs. "Right" in healthcare is a failed political binary because it has divided the nation. The "my privilege" end of this false choice has been damaging, shifting the burden to the patient and away from the physician. It is medicine's historic privilege to care for any human but obligation has waned being plagued by opportunism. Also, what we have a right to or are privileged to receive is undefined. Past premises for the privilege are untrue, based on Health = medical care. Present assessments of the privilege are unfair, deeming American medicine a sickness. Future solutions for the privilege are untenable, if "equality" is the goal. The framework for healthcare's obligation-to-give already surrounds us, emerging from the American Revolution with its idea of individual dignity as to priority, checks and balances as to protection and Federalism as to improvement. American medicine has followed this idea albeit misused and unfulfilled. The null hypothesis of this debate must be fairly tested - that American medicine is the worst form of healthcare delivery - except for all the rest. Both Big Business and Big Politics in healthcare have become ends unto themselves and therefore neither can solve the privilege question nor bear the weight of our obligation-to-give. The patient-as-obligation must be our aim.


Asunto(s)
Médicos , Prestación de Atención de Salud , Humanos , Derechos del Paciente , Política , Estados Unidos
6.
Ear Nose Throat J ; 99(3): 157-158, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32180445
7.
Artículo en Ruso | MEDLINE | ID: mdl-32119203

RESUMEN

The actual conditions of "physician-patient" interaction in hospital department presents high requirements to quality and rate of provided services. The development of conflicts because of misunderstanding of behavior motivation of physician and patient in hospital department determined purpose of actual study. The standardized psychological questionnaire "Big Five" and Myers-Briggs questionnaire were used to obtain needed data. The study results were statistically processed using Student's test. The statistical analysis established in physicians and patients' reliable difference in indices of "attachment - isolation" (p=0.035), prevalence in physicians of mental processes (p=0.001) and sensuous component in social interaction of patients (p=0.025). The physician of orthopedic department seeks to keep exact logical sequence of actions. The patients fully rely on their feelings in their decision making. The established hypersensitivity of patients and inner strive to move "not according plan" results in disagreements concerning therapeutic strategy and failure in strict applications of all physician recommendations that frequently becomes a cause of uncoordinated actions and conflict situations.


Asunto(s)
Toma de Decisiones , Médicos , Traumatología , Humanos , Motivación , Encuestas y Cuestionarios
8.
Artículo en Ruso | MEDLINE | ID: mdl-32119225

RESUMEN

The article considers the condition of medicine in St. Petersburg in 1827-1828 as presented in memoirs of English physician A. B. Granville about his visiting the capital of Russia. The prominent physician and naturalist, familiar with condition of medicine in main countries of Europe, he provided substantial and objective characteristic of condition of medicine and health care in Russia. This characteristic, coming from independent and competent observer, permits to correct conceptions about condition of Russian medicine during the period when the results of modernization of the Russian Empire of XVIII-early XIX centuries manifested in full measure effecting becoming of Russian school of medicine.


Asunto(s)
Historia de la Medicina , Médicos , Europa (Continente) , Historia del Siglo XIX , Humanos , Londres , Médicos/historia , Federación de Rusia
9.
Lancet ; 395(10221): e17, 2020 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-32007174
11.
Lancet ; 395(10221): 333, 2020 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-32007160
12.
West Afr J Med ; 37(1): 19-25, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32030707

RESUMEN

BACKGROUND AND OBJECTIVES: Healthcare workers are exposed to accidental infections from contaminated body fluids in the course of their duties. HIV post-exposure prophylaxis (PEP) is the measure instituted to manage exposure to potentially contaminated body fluids and prevent HIV infection. Ignorance of the appropriate measures to take may increase the risk of acquiring HIV infection from accidental exposure. This survey was conducted to assess the knowledge, attitude and practice of HIV PEP among doctors in a tertiary hospital. METHODS: This was a cross-sectional survey. A pretested structured questionnaire was administered on randomly selected doctors from all clinical departments of a tertiary hospital. The questionnaire assessed the knowledge, attitude and practice of HIV PEP according to the WHO guidelines. A score of > 75% was adequate for each area. RESULTS: Fifty-one completed questionnaires were returned out of 56 giving a response rate of 91%. The total knowledge score was 60.0 ± 10.2% (mean ± SD). The total score in attitude towards PEP was 66.5 ± 12.2% while for practice it was 47.5 ± 27.0%. There was a significant correlation between participant's knowledge and practice (rho = 0.316, p <0.05) as well as between attitude and practice (rho= 0.393, p< 0.01). There was no significant difference in scores in relation to the cadre or department. CONCLUSION: This study reveals that the knowledge, attitude and practice of HIV PEP among doctors is generally not adequate. Enhanced education will reduce the risk of accidental HIV infection among doctors.


Asunto(s)
Infecciones por VIH/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Exposición Profesional/prevención & control , Médicos , Profilaxis Posexposición , Adulto , Estudios Transversales , Femenino , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Nigeria , Encuestas y Cuestionarios , Centros de Atención Terciaria
13.
14.
Med Lav ; 111(1): 46-53, 2020 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-32096772

RESUMEN

BACKGROUND: Violence in the workplace is now universally recognized as a significant global public health issue and is one of the most serious issues affecting the healthcare sector. OBJECTIVES: To assess the prevalence of workplace violence. METHODS: We performed a multicenter cross-sectional study using an anonymous questionnaire submitted to doctors from Northern Italy. The survey investigates socio-demographic information, the number of years of work in the health sector and the physical and verbal aggressions that occurred in the workplace in the last 12 months. RESULTS: The sample consists of 4545 healthcare workers, of whom 2603 (57.27%) are females. The mean age of the sample is 49.79 years (SD ± 12.63). The risk of being victim of physical aggression at work in the last 12 months is significantly associated with the following independent variables: male gender (aOR 2.09, 95% CI 1.51-2.88), work in the public sector (aOR 2.57, 95% CI 1.72-3.85), being victim of verbal aggression at work in the last 12 months (aOR 22.52, 95% CI 10.97-46.20), work in the operational units of the Medical area (aOR 2.36, 95% CI 1.33-4.21) and the Territorial area (aOR 1.97, 95% CI 1.04-3.74). DISCUSSION: The prevalence of violent behaviour is difficult to assess, because violent incidents are underreported or unreported. The results of the study suggest that increased awareness is necessary to develop effective control strategies at individual, hospital and national levels.


Asunto(s)
Médicos , Violencia Laboral , Adulto , Agresión , Estudios Transversales , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Prevalencia , Encuestas y Cuestionarios
15.
BMJ ; 368: m733, 2020 02 27.
Artículo en Inglés | MEDLINE | ID: mdl-32107199
16.
Medicine (Baltimore) ; 99(8): e19290, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32080145

RESUMEN

BACKGROUND: The electronic medical record (EMR) is considered to be a vital tool of information and communication technology (ICT) to improve the quality of medical care, but the limited adoption of EMR by physicians results in a considerable warning to its successful implementation. The purpose of the present review is to explore and identify the potential barriers perceived by physicians in the adoption of EMR. METHODS: The systematic review was carried out based on literature published in 5 databases: PubMed, Web of Science, Scopus, The Cochrane Library, and ProQuest from 2014 to 2018, concerning barriers perceived by physicians to the adoption of EMR. RESULTS: The present study incorporates 26 articles based on their appropriateness out of 1354 for the final analysis. Authors explore 25 barriers that appeared 112 times in the literature for the present review; the top 5 frequently mentioned barriers are privacy and security concerns, high start-up cost, workflow changes, system complexity, lack of reliability, and interoperability. CONCLUSION: The systematic review explores that physicians deal with different barriers as they intend to adopt EMR. The barriers explored in the present review are the potential to play as references for the implementer of the EMR system. Thus an attentive analysis of the definitive condition is needed before relevant intervention is determined as the implementation of EMR must be considered as a behavioral change in medical practice.


Asunto(s)
Actitud del Personal de Salud , Actitud hacia los Computadores , Registros Electrónicos de Salud , Médicos , Seguridad Computacional , Confidencialidad , Registros Electrónicos de Salud/economía , Humanos , Flujo de Trabajo
17.
Nervenarzt ; 91(Suppl 1): 53-60, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32067086

RESUMEN

Paul Vogel belonged to a group of neurologists born around 1900 who felt particularly attracted by the promises of National Socialism. Shortly after having completed his Habilitation in 1934 he became head of the leading neurology department in Berlin located at the Hansaplatz. Doctors working there reported patients for sterilization according to the Law for the Prevention of Genetically Diseased Offspring. They also acted as experts for Hereditary Health Courts (Erbgesundheitsgerichte). In 1933, Vogel chose to join the NS Medical Association and in 1937 became member of the National Socialist German Workers' Party (NSDAP). Influential medical officials confirmed his "political reliability" and this status made him eligible to succeed Viktor von Weizsäcker, his teacher, at Heidelberg University in 1941. A denazification tribunal classified him in 1946 as a follower (Mitläufer) partly because he was said to have taken a stance against the NS film drama "I accuse" in front of medical students. After WWII Vogel developed the neurological wards in Heidelberg into a fully-fledged neurological department. In 1955 and 1956 he acted as president of the German Neurological Society. In 1978 he became an honorary member.


Asunto(s)
Nacionalsocialismo , Médicos , Berlin , Alemania , Historia del Siglo XX , Neurólogos , Reproducibilidad de los Resultados
18.
Nervenarzt ; 91(Suppl 1): 61-70, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32067087

RESUMEN

Klaus Joachim Zülch's research on the pathology and biology of brain tumors made him one of the outstanding scholars and clinicians in the fields of neurology and neuropathology in the Federal Republic of Germany. The World Health Organization (WHO) drew on his results when laying down its classification. In the years 1961-1962 he was president of the German Neurological Society (DGN), in 1978 he became an honorary member and in 1984 honorary president. In addition to the Zülch Award of the Max Planck Society, the DGN organizes a Zülch lecture at its annual meetings. Archive documents revealed that he was an early adherent of the ideology of National Socialism. He was a member of paramilitary units, joined the SA storm troopers in 1933 and the National Socialist German Workers' Party (NSDAP) in 1937. After having studied under Otfrid Foerster in Breslau and Georg Schaltenbrand in Würzburg he served as a military physician and in army hospitals during and after WWII. Nevertheless, he continued his investigations at the Kaiser Wilhelm Institute for Brain Research with Wilhelm Tönnis. In July 1947 he was dismissed on account of his SA membership but entered an objection to this decision of the Allies. After a lengthy denazification trial he succeeded in being exonerated. This was also due to attestations written in his favor by various neuroscientists. Hence, he could pursue his career in Cologne and from 1959 onwards he acted as director of the newly established department of general neurology of the Max Planck Institute and simultaneously as head of the department for clinical neurology at Cologne-Merheim hospital. The juxtaposition of a CV written by Zülch himself around 1938 with another one composed after the war shows that he tried to conceal incriminating facts and partly reconstructed a new and ultimately successful biography.


Asunto(s)
Distinciones y Premios , Neoplasias Encefálicas , Neurología , Médicos , Alemania , Historia del Siglo XX , Humanos , Nacionalsocialismo
19.
Nervenarzt ; 91(Suppl 1): 109-118, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32067092

RESUMEN

This paper aims at reconstructing the biographies of six German neurologists during and after the "Third Reich". Between 1957 and 1976, five of them were presidents of the German Neurological Society (DGN), the sixth was appointed honorary president in 1981. They all joined the National Socialist German Workers' Party (NSDAP) or Storm Troopers (SA) as young doctors between the ages 20 and 35 years. According to the current state of research they thus have to be classified as formally incriminated, yet none of them developed significant (health) political activities, with the slight exception of Eberhard Bay (1908-1989), who once acted as expert witness in an Hereditary Health Court trial. Gustav Döhring (1909-1963), NSDAP member since 1937, Pette student and co-founder of the DGN, was secretary of the Society for many years and editor of a commemorative publication. Johannes Hirschmann (1910-1991), also a party comrade since 1937, served as an army and military hospital doctor from 1939 to 1945. Richard Jung (1911-1986) had joined the SA in 1934. This entailed his immediate dismissal after the war from the University of Freiburg but benefitting from the support by the dean he could pursue his career not long thereafter. Robert Charles Behrend (1919-1996) became a party member at the age of 20 years and with his time in office in 1975-1976 he was the last of the post-war presidents of the DGN connected to National Socialism in Germany. Older than these five was honorary chairman Gustav Bodechtel (1899-1983) a member of the SA, NSDAP and other Nazi organizations. He was dismissed in 1946 but reinstated just 1 week later due to the interventions by the Medical Academy Düsseldorf and the Mayor of the City. New findings on these personalities are exclusively based on archival research. This underlines the necessity of resorting to sources previously neglected when investigating biographies of twentieth century neurologists.


Asunto(s)
Nacionalsocialismo , Médicos , Adulto , Alemania , Historia del Siglo XX , Humanos , Neurólogos , Neurología , Política , Adulto Joven
20.
Nervenarzt ; 91(Suppl 1): 119-127, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32067093

RESUMEN

From the mid-1950s to the early 1980s the German Neurological Society (DGN) appointed in addition to international physicians, numerous German physicians as honorary members. From a present day perspective, some of them are to be classified as "incriminated" with their commitment to the National Socialist "movement" and its health policy goals, which at times went far beyond a formal membership of the party and its organizations. Thus, there is no doubt about the völkisch views of the Würzburg psychiatrist Martin Reichardt (1874-1966), which he articulated in lectures and publications. The Erb student Siegfried Schönborn (1874-1966), also a member of the National Socialist German Workers' Party (NSDAP), was in contact with Karl Fahrenkamp, who advised Reichsführer-SS Heinrich Himmler on medical issues. Hamburg-based Hans-Robert Müller (1901-1981), one of the "founding fathers" of the DGN, joined the Hitler party in 1937. In contrast, neurosurgeon Hans Kuhlendahl (1910-1992) was in addition a member of the Storm Troopers (SA). Hans Jacob (1907-1997), SA-Rottenführer, party comrade and head of the Neuropathology Department at Hamburg University, profited by the "euthanasia" action: as part of the so-called concomitant research he examined ca. 40 brains of children who had been killed at the "special departments" in Langenhorn and Lüneburg. Unlike his peers, the renowned neurogeneticist Peter Emil Becker (1908-2000) is today judged as an opportunistic bystander. He was one of the few who faced up to his NS past later in life, but the response he met was ambivalent because he withheld mention of his party membership. With respect to the honorary members, it remains an open question why 40 years after the end of the "Third Reich" the DGN still honored neurologists who in some cases had been heavily involved in the biopolitics of that era.


Asunto(s)
Eutanasia , Médicos , Psiquiatría , Alemania , Historia del Siglo XX , Nacionalsocialismo , Neurología , Sociedades Médicas
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