The xiphoid process in clinical medicine

Few references are to be found in medical literature to the association of the xiphoid process with disease. The case reports of two patients are here presented. The first patient is especially interesting as she throws light on a centuries old Maltese medical custom, which is dying out and is now practiced in the more isolated villages in the Maltese islands. These two patients illustrate first of all the ease with which the role of the xiphoid process in the production of symptoms may be completely overlooked. An erroneous diagnosis such as gastritis or even peptic ulcer can easily be made by a busy doctor if a patient indicates with one finger the localisation of pain in the upper epigastric region. A wrong diagnosis would be all the more possible if the patient is fully clothed when describing the symptoms at the beginning of the interview. In essence, this paper is intended to draw the attention of medical colleagues to the psychiatric, medical and even surgical aspects associated with the xiphoid process, whether because of the manipulative customs described above or through accidental self-manipulation or palpation.peer-reviewe

Terminology of clinical medicine

The present paper offers an up-to-date view of the status of Latin as the language of medicine, especially in its terminological component. Latin terminology is used originally as an international language of scholars and persisted within some areas, e.g. anatomy and pharmacy. Its universal usage ensures its continuation. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/3466

Apologies in the Healthcare System: From Clinical Medicine to Public Health

Alberstein and Davidovitch explore the role of apologies in healthcare systems from a broader perspective. The significance of apology in terms of social solidarity is addressed and the ways in which each apology situation entails a clash between cultural identities are demonstrated. The debate on apology is explored by presenting a public health perspective of apologies following collective traumatic events such as the application of sterilization laws or flawed human experimentations in various settings

Space flight research relevant to health, physical education, and recreation: With particular reference to Skylab's life science experiments

Data collected in the Skylab program relating to physiological stresses is presented. Included are routine blood measures used in clinical medicine as research type endocrine analyses to investigate the metabolic/endocrine responses to weightlessness. The daily routine of physical exercise, coupled with appropriate dietary intake, sleep, work, and recreation periods were considered essential in maintaining the crew's health and well being

short @nd sweet news : Nr. 9

* Change the Date: 1st Frankfurt General Practice Day * Summer Symposium of the Praxissiegel Foundation on July 6, 2007 * Revamp of the course "Introduction to Clinical Medicine" * Summer celebration for practice participants in the PRoMPTresearch project* Terminänderung: 1. Frankfurter Tag der Allgemeinmedizin * Sommersymposium der Stiftung Praxissiegel e.V. am 6. Juli 2007 * Neukonzeption des Kurses "Einführung in die Klinische Medizin" * Sommerfest für Praxen des PRoMPT-Forschungsprojekte

The role of Computer Aided Process Engineering in physiology and clinical medicine

This paper discusses the potential role for Computer Aided Process Engineering (CAPE) in developing engineering analysis and design approaches to biological systems across multiple levels—cell signalling networks, gene, protein and metabolic networks, cellular systems, through to physiological systems. The 21st Century challenge in the Life Sciences is to bring together widely dispersed models and knowledge in order to enable a system-wide understanding of these complex systems. This systems level understanding should have broad clinical benefits. Computer Aided Process Engineering can bring systems approaches to (i) improving understanding of these complex chemical and physical (particularly molecular transport in complex flow regimes) interactions at multiple scales in living systems, (ii) analysis of these models to help to identify critical missing information and to explore the consequences on major output variables resulting from disturbances to the system, and (iii) ‘design’ potential interventions in in vivo systems which can have significant beneficial, or potentially harmful, effects which need to be understood. This paper develops these three themes drawing on recent projects at UCL. The first project has modeled the effects of blood flow on endothelial cells lining arteries, taking into account cell shape change resulting in changes in the cell skeleton which cause consequent chemical changes. A second is a project which is building an in silico model of the human liver, tieing together models from the molecular level to the liver. The composite model models glucose regulation in the liver and associated organs. Both projects involve molecular transport, chemical reactions, and complex multiscale systems, tackled by approaches from CAPE. Chemical Engineers solve multiple scale problems in manufacturing processes – from molecular scale through unit operations scale to plant-wide and enterprise wide systems – so have an appropriate skill set for tackling problems in physiology and clinical medicine, in collaboration with life and clinical scientists

Cognitive Bias in Clinical Medicine

Cognitive bias is increasingly recognised as an important source of medical error, and is both ubiquitous across clinical practice yet incompletely understood. This increasing awareness of bias has resulted in a surge in clinical and psychological research in the area and development of various ‘debiasing strategies’. This paper describes the potential origins of bias based on ‘dual process thinking’, discusses and illustrates a number of the important biases that occur in clinical practice, and considers potential strategies that might be used to mitigate their effect