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Articles 361 - 390 of 390
Full-Text Articles in Medicine and Health Sciences
The Humanitarian Crisis In Gaza: A Look At The Health Infrastructure Before, During And Immediately After The December-January Attacks, Khalil Qato
Quill & Scope
In late December and early January, Israel's bombing of the Gaza Strip captured international headlines. While a political solution was often discussed, and a shaky ceasefire was ultimately agreed upon, the health care situation in Gaza before, during and after these bombings was hardly addressed. The ongoing Israeli occupation of the West Bank and Gaza Strip has had deleterious effects on health and health care delivery among the Palestinian population, particularly in Gaza where Israeli blockades have created a U.N.-declared humanitarian crisis. This article attempts to shed new light on the health care situation in the Gaza Strip and potential …
Med Student Fitness: A Survey On Exercise Habits During Medical Education, Philip M. Yam
Med Student Fitness: A Survey On Exercise Habits During Medical Education, Philip M. Yam
Quill & Scope
Med Student Fitness' investigates the exercise habits of students at NYMC. In particular, this survey compares the amount of cardiovascular and weightlifting workouts that students perform each week, as well as differences in gender, age, and year of program. Finally, an assessment of overall student fitness is given by the amount of students meeting the exercise suggestions provided by the American Medical Association.
Code Red, White And Blue; Doctor, You're Needed On The Hill: Healthy Policy And You Redux, Joseph D. Schwartz
Code Red, White And Blue; Doctor, You're Needed On The Hill: Healthy Policy And You Redux, Joseph D. Schwartz
Quill & Scope
As this administration and congress hopefully move efficiently from rhetoric to revamping, we have the duty as stakeholders and consumers of our American health care system to be there. One of our most powerful tools is the grassroots lobby. The government is more receptive than ever and a new commitment to changing our system will be affecting us all. This is a review of what has happened in the AMA's lobbying agenda over the last year and what to expect ahead.
The Problems With Physician Profiling: What Have We Learned?, Heidi Charvet
The Problems With Physician Profiling: What Have We Learned?, Heidi Charvet
Quill & Scope
Physician profiling has emerged as an effort to satisfy increased demand for information about the cost and quality of health care. Health plans, physicians and consumers all have distinctive purposes and methods for reviewing physician profiles, but they share several concerns about the data itself and the interpretation of this data. These problems have been so severe that physician profiling has not been widely accepted as an appropriate tool for quality improvement and cost control. However, through the use of improved data, more informed interpretation, and involvement of key stakeholders, physician profiling may one day be considered an effective and …
The Thrifty Gene Hypothesis: Considering The Significance Of A 47-Year Old Theory, William Graham
The Thrifty Gene Hypothesis: Considering The Significance Of A 47-Year Old Theory, William Graham
Quill & Scope
The thrifty gene hypothesis suggests that a unique genetic profile passed down from our hunter-gatherer predecessors has contributed to the increased incidence of diabetes and obesity in particular Western populations. This highly contentious theory has been met with both support and skepticism from the research community. Debate surrounding the identification of particular 'thrifty genes has been ongoing, and alternative theories have been presented to debunk or refute the hypothesis. I argue that such discussions have distracted from the understanding of the significance of the hypothesis, and propose some alternative options for settling the debate.
Nursing Staff Compliance With Hand Hygiene Protocol In Nicu In A Regional Perinatal Center, Xiaoping Wu
Nursing Staff Compliance With Hand Hygiene Protocol In Nicu In A Regional Perinatal Center, Xiaoping Wu
Quill & Scope
Proper hand hygiene protocols are a way to prevent infections in neonates admitted to the NICU. A total of 771 observations on hand sanitizer use before and after patient contact and 208 observations for level of touch were made. Adherence increased significantly since the introduction of waterless individual bedside hand sanitizers: 73% vs. 80% before and 83% vs. 90% after patient contact. The suboptimal adherence to the hand hygiene protocol could not be fully explained by the emergency nature of patient contact, suggesting that time and convenience are not the main concerns that infection control needs to address. The system …
Colors, Mike Platt
Colors, Mike Platt
Quill & Scope
Colors is a story likely familiar to many medical students; the anxiety, panic and fear associated with our first clinical exposure. It tells the story of a college senior's experience as a volunteer at a Chicago children's hospital, and traces it to a discussion of our sources of motivation for becoming a doctor.
From The Bedside To Capitol Hill: Student Lobby Day In D.C., Joseph Schwartz
From The Bedside To Capitol Hill: Student Lobby Day In D.C., Joseph Schwartz
Quill & Scope
On March 30, 2008 over 300 students, residents and fellows met with nearly 150 Congressional House and Senate offices to discuss important issues in healthcare, including improving medical student loan deferment, impending Medicare physician payment cuts, and reform for expanding health insurance coverage. This piece provides a brief on those topics and their current standing Congress, and reviews one student’s experience of the annual AMA Lobby Day.
Ode To The Optic Disc, Jennifer Lai
Ode To The Optic Disc, Jennifer Lai
Quill & Scope
This is a tribute to all of those who have ever had difficulty finding the optic disc. For a while I doubted if it even existed and started to think that it was just some kind of hoax. Or maybe visualizing the optic disc was like "Magic Eye," which I was never able to see. I wrote this piece shortly after my preceptor session to record my personal victory and excitement.
Ignorant, Vedika Nehra
Ignorant, Vedika Nehra
Quill & Scope
'One week of rest...Perhaps the television is wrong...A forced apathy guards every hello...A thirty-dollar prescription...Peaches cost more than pasta.'
On The Books: Reading Overtreated, Jeffrey Eliason
On The Books: Reading Overtreated, Jeffrey Eliason
Quill & Scope
Book review of Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer by Shannon Brownlee.
Celiac Disease: Its Neuropsychiatric Manifestations And Its Relevance To The Practicing Pediatrician, Adam Zavodnick
Celiac Disease: Its Neuropsychiatric Manifestations And Its Relevance To The Practicing Pediatrician, Adam Zavodnick
Quill & Scope
Our understanding of celiac disease has evolved considerably in the past several years. Once recognized as a gastrointestinal disease of children, celiac disease is now understood to have many extraintestinal symptoms inclusive of various neuropsychiatric manifestations. The aim of this article is to review our current understanding of celiac disease and explore the possible mechanisms of pathogenesis which may lead to these neuropsychiatric symptoms. Relevance to the practicing pediatrician is also addressed.
Cracking The Cracked Knuckle, John Gaetano
Cracking The Cracked Knuckle, John Gaetano
Quill & Scope
The ‘old wives tale’ that habitual knuckle cracking leads to arthritis may now be considered myth. However, an investigation into the cause of the cracking sound and other long-term effects may not be as trivial. The following discussion presents two popular theories for the cause of the crack, and asks questions that may support or challenge either theory. In addition, several clinical trials are examined for evidence of the long-term sequelae. While this topic may not receive much attention (or funding dollars), it remains valid, as patients still commonly inquire about this habit and its consequences.
Amwa Shirt Editorial, Elinor Pisano
Amwa Shirt Editorial, Elinor Pisano
Quill & Scope
Women's role in the medical field has expanded a great deal over the last 30 years. Women and men are represented in nearly equal numbers in medical school classes. Yet sexism still persists in the profession and in society. The author discusses a recent fund-raiser on campus and asks the question, "Are women undermining their own advocacy efforts by subliminally perpetuating sexism in the field? How far have we really come?"
What?? There’S A Genocide? Where?, Amaka Ozah, Farzana Nuruzzaman
What?? There’S A Genocide? Where?, Amaka Ozah, Farzana Nuruzzaman
Quill & Scope
Genocide is not a subject that people like to talk about, but the fact of the matter is that it does exist today. The genocide that is being referred to is that which is occurring in Darfur, Sudan. This genocide has claimed over 400,000 lives and displaced more than 2.5 million people since 2003. As the genocide continues, out of the sorrow arises the stories of healthcare professionals who have devoted their lives to providing medical care in the conflict-ridden countries such as Darfur. Leading the way in providing medical services in Darfur is the International Medical Corps.
Warranties For Your Flat-Screen – Why Not For Your Bypass Surgery?, Anil Joseph Kulangara
Warranties For Your Flat-Screen – Why Not For Your Bypass Surgery?, Anil Joseph Kulangara
Quill & Scope
If Health Care Delivery is a business, and patients are consumers, what is the product they’re buying? Who is liable for that product’s quality? If someone purchases a television set, they get a warranty. That warranty is the manufacturer’s guarantee to the customer that their company will be responsible for repairing or replacing that product should it prove to be defective within a few days of purchase. Could medicine ever be treated the same way? The following article describes Geisinger Health System’s ProvenCareSM program, which establishes flat package pricing and a 90-day “warranty” for Coronary Artery Bypass Grafts (CABGs).
Palliative Sedation: An Ethical Option Of Last Resort, Rebecca A. Mcateer
Palliative Sedation: An Ethical Option Of Last Resort, Rebecca A. Mcateer
Quill & Scope
In the wake of extensive discussion regarding the ethics of euthanasia and physician assisted suicide, a more subtle debate is evolving around the topic of palliative sedation. Specifically, this is the administration of sedatives to terminally ill patients to relieve severe, treatment-refractory suffering due to the underlying illness. Palliative sedation has not been made obsolete by recent advances in pain management and symptom control; instead, it retains a vital role in managing select patients at the end of life. Rather than merely a disguised form of euthanasia, it is a morally distinct, ethically permissible option when exercised within appropriate limits.
“Green Means Knock!”, Farzana Nuruzzaman
“Green Means Knock!”, Farzana Nuruzzaman
Quill & Scope
Making the transition from reading basic science textbooks to interacting with real live patients can seem like a daunting mountain to climb for any medical student. Follow one second year medical student’s journey as she hikes her way up to the top of Mt. Morchand.
Caged, Edward Yap
Caged, Edward Yap
Quill & Scope
Caged was written during test week to represent the author’s feelings towards his expectations of medical school and the reality of medical school. The poem represents a struggle of the author’s own psyche to come to terms with what he has gotten himself into, the possibilities that could have existed otherwise, and his struggle in deciding to stay. The style in which the author presents the poem is in effort to impart the feeling of being constrained, and for the reader to feel the author’s helplessness.
Creating A Model Medical Student-Run “Free” Clinic: La Casita De La Salud-The New York Medical College Student-Run Clinic, Andrew Chang
Creating A Model Medical Student-Run “Free” Clinic: La Casita De La Salud-The New York Medical College Student-Run Clinic, Andrew Chang
Quill & Scope
La Casita de la Salud, The New York Medical College Student-Run Clinic, opened its doors in 2005, to service the medically underserved population of East Harlem, New York City. This article discusses how the organization came to be, and the reasoning behind its multi-faceted implemented interventions to decrease health disparities through cultural competency, patient education, community integration, and preventative medicine. For more information on La Casita de la Salud, please see http://nymclacasita.org/
Review Of Efflux Pump Overexpression Resistance Mechanisms For Pseudomonas Aeruginosa, Gregory Burkman
Review Of Efflux Pump Overexpression Resistance Mechanisms For Pseudomonas Aeruginosa, Gregory Burkman
Quill & Scope
The complexities of infectious diseases are not limited to one specialty, but rather encompass all types of physician care. One of the many present difficulties is the prevention, management, and treatment of microorganism resistance. In this review article, one method of acquired resistance possible to many bacteria, in particular Pseudomonas aeruginosa is described. This gram negative bacterium is able to induce an overexpression of efflux pumps that can eject intracellular antibiotics into the extracellular space, thereby avoiding cellular death. In P. aeruginosa four efflux pumps have been studied, which all have the ability to extrude specific classes of antibiotics. This …
Balance And Blockage: The Coexistence Of Various Theories Of Health In Antonio Benivieni’S De Abditis Nonnullis Ac Mirandis Morborum Et Sanationum Causis, Patricia Raciti
Balance And Blockage: The Coexistence Of Various Theories Of Health In Antonio Benivieni’S De Abditis Nonnullis Ac Mirandis Morborum Et Sanationum Causis, Patricia Raciti
Quill & Scope
Faced with sick patients, 15th-century physicians grappled not only with the oddities of their observations, but also the myriad of theories they inherited from ancient physicians from Hippocrates to Galen, often trying to unite what they saw with theories they had been taught. One such Florentine physician, Antonio Benivieni, wrote about his experiences in short vignettes of his patients, demonstrating that various theories were not mutually exclusive, but in fact, engaged in dynamic interaction. Rather than demonstrating the ‘simple mindedness’ of the Renaissance physician, Benivieni’s work represents an attempt at reconciling the many notions of disease that occupy the medical …
Racial Disparities In The Us Healthcare System, J. Paul Nielsen
Racial Disparities In The Us Healthcare System, J. Paul Nielsen
Quill & Scope
Provider mentality regarding minorities, both overt and subconscious, likely affects the quality of healthcare delivered. Survey research suggests that most (between 50-75%) Caucasian people believe minorities are less intelligent, more prone to violence, and less likely to be employed. More physicians identify themselves as Caucasian than all other races combined. One in five Spanish-speaking Latinos reports not seeking healthcare due to language barriers. Even when they have overcome barriers to getting healthcare, minority populations are still less likely than Caucasians to receive certain common medical procedures.
Make The Most Out Of Your Health Care Dollar: Highlights Of A Single Payer Proposal, Kristen Lee, Heidi Gollogly
Make The Most Out Of Your Health Care Dollar: Highlights Of A Single Payer Proposal, Kristen Lee, Heidi Gollogly
Quill & Scope
America's health care system is struggling on many fronts. We are paying more and getting less compared to many other industrialized countries. The staggering costs that cripple our current system can be explained by the patchwork for-profit payer system employed in this country. One solution is to introduce a single payer program funded by the taxes already paid into the system. By eliminating much of the unnecessary administrative costs, health care spending can reach those areas where it matters most--providing quality care to those who need it and access to preventative care.
A Shot Of Autism, Donna Lamonica
A Shot Of Autism, Donna Lamonica
Quill & Scope
A Shot of Autism is a critical look at a celebrity's inaccurate accusation of vaccinations causing autism. It includes recognition of the importance of vaccinations and the growing number of people taking them for granted.
Weight Control And Wrestling, David Bates
Weight Control And Wrestling, David Bates
Quill & Scope
This brief review article examines some of the beliefs and practices of amateur wrestlers at various levels of competition. Physicians should be aware of the rapid weight loss and weight cycling associated with the sport. These issues may become of increasing concern to pediatricians in the New York Metropolitan area, as programs such as Beat the Streets (http://www.beat-the-streets.org/index.html) increase the popularity of amateur wrestling in the region. Familiarity with the weight management practices of the sport will enable physicians to educate and monitor their patients who participate in wrestling.
Psychological Stress And Immune Function, Allison Rubin
Psychological Stress And Immune Function, Allison Rubin
Quill & Scope
Dr. Henry Maudsley said, "The sorrow which has no vent in tears may make other organs weep." The medical community has always acknowledged that psychological stress can affect physical wellbeing, even though the mechanism was not always known. Now we know that this phenomenon is mediated by the body’s response to external stress and a person who does not cope with stress appropriately can experience immunosuppression. This phenomenon is especially important for the already immunosuppressed HIV+ population because life stresses specific to HIV+ people may contribute to disease progression. Furthermore, improving life stress in this population is linked with increased …
Infant Mortality, April Tantillo
Infant Mortality, April Tantillo
Quill & Scope
Despite an overall downward trend in neonatal and post neonatal deaths in recent years, the United States continues to rank poorly among developed nations for infant mortality. According to the Central Intelligence Agency's World Factbook, the United States ranked 180 out of 221 countries in 2007 (with the lowest infant mortality rate belonging to the country ranked 221). This paper seeks to explore continuing racial and socioeconomic disparities among U.S. women and their contribution to this disheartening truth.
Childhood Obesity, Richard Anderson
Childhood Obesity, Richard Anderson
Quill & Scope
Childhood overweight and obesity are at an all-time high this country. This is discouraging because overweight and obese children are at a significantly increased risk of becoming obese adults. Treating the obese is expensive, resulting in a sizable contribution to total healthcare expenditures. Thus, it seems logical that we need to treat the problem in children to avoid having another generation of overweight and obese adults. School-based programs which push nutrition education and increased physical activity during the school day can help decrease childhood overweight and obesity. These programs produce excellent results and could be very cost-effective.
Reflection On Medical Disunity, Poonam Kaushal
Reflection On Medical Disunity, Poonam Kaushal
Quill & Scope
How does a physician endure the administrative and political pressure that often times, conflict and antagonize proper medical decisions? Having witnessed the problem for the first time in a doctor’s office, the author recognized that the health care problems do not innately begin with the insurance companies, hospital administrators or even an HMO, but with physicians failing to unite behind the common goal of caring for the health their patients. When physicians fail to overcome the aspects of a system that do not serve patients needs, they succumb to a flawed system that inevitably and fatally reigns over medical outcomes.