72 Matching Annotations
  1. Oct 2019
  2. Sep 2019
    1. Get the portable eyewash station from MONSAM Portable Sinks. They offer a wide range of portable sinks for health and beauty, these portable shampoo bowls are ideal for homes, barber shops, beauty salons and health care facilities.

  3. Apr 2019
  4. gutenberg.net.au gutenberg.net.au
    1. quack

      Very few controls existed on medical practice in Regency England. In fact, the UK equivalent of the FDA, the Medicines and Healthcare products Regulatory Agency, wasn't even established until 2003. Consequently, "quack medicine" and unusual, ineffective treatments for illnesses were often prescribed to patients by poorly trained and unqualified physicians.

      Read more about Georgian quack medicine here

    2. It acts on me like poison

      Here, Arthur's reference to green tea as "poison" is strange even to Charlotte. Yet green tea is confirmed to be popular in England in the 1800s. In support of Arthur's point, a text called Ms. Beeton's Book of Household Management published in 1807, which includes many recipes for various beverages, noted that "strong green tea is highly pernicious [harmful], and should never be partaken of too freely."

      https://qmhistoryoftea.wordpress.com/2015/02/25/englands-green-and-pleasant-tea/

    3. sea air

      Sea air was actually shown to be a remedy to various illnesses in the 18th century. But, this was not commonly believed along the entire medical community.

      https://books.google.com/books?id=NSHa5u76G08C&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

    4. nervous

      Nervousness was considered a "popular disease" in the late 18th century. Most commonly discussed and found in the middle and elite class. Many people of higher class were said to have bad "nerves" or "nervousness" because there was no clear definition of a nervous disorder at the time.

      https://muse.jhu.edu/article/680400

    5. surgeon

      In Jane Austen’s time, or the early part of the 19th century, there was a clear distinction between a doctor, surgeon, and apothecary.

      Doctors and physicians occupied the highest rung on the social ladder. Such citizens could still be considered "upper class" because 1) their training did not include apprenticeship and 2) the profession excluded, supposedly, manual labor

      Because surgeons actually treated the patient by performing physical labor – a trade, so to speak – they occupied a lower rung on the social ladder.

      Apothecaries, who learned their profession through apprenticeship and who were definitely considered to be in “trade," ranked even lower on the social scale.

      Read more here

    6. month at Tunbridge Wells

      Famous mineral spring used to cure ailments. https://www.visittunbridgewells.com/

    7. whooping cough

      Whooping cough is a highly contagious respiratory tract infection, characterized by uncontrollable coughing. In Jane Austen's time, there was no prevention method (ex. vaccine) or cure to prevent whooping cough, hence why Jane herself suffered from it. Rather than consulting a physician for treatment, she used home remedies concocted by her friend and sister-in-law, Martha Lloyd.

      Source

    8. "We are always well stocked," said he, "with all the common remedies for sprains and bruises

      Since medical professionals were rare, expensive, and not terribly helpful, many women learned basic nursing skills to care for their own families, and had their own home remedies, too.

      Source

    9. asses' milk

      From as far back as ancient Egypt, the health benefits of donkey's milk has been recognized. This milk supposedly is "anti-inflammatory and hypoallergenic" and has vitamins and probiotics that make it a more nutritious drink than other animal milk.

      https://foodtravelist.com/donkey-milk-health-benefits/

      Many cultures believed that the nutrients from the milk aided in the prevention of and recovery from diseases.

      https://www.sciencedirect.com/science/article/pii/B9780128097625000310

    10. physic

      Physic is a dated term that, in this context, refers broadly to "medicinal drugs."

      https://en.oxforddictionaries.com/definition/physic

    11. consumptive

      Consumption is another name for tuberculosis (TB), which is a serious bacterial disease of the lungs. In the 19th century, there were no cures or effective treatments for consumption, making it one of the leading causes of death and a serious fear.

      https://www.lung.org/about-us/blog/2016/01/how-we-conquered-consumption.html

    12. evil lay in her gum

      It is possible Susan was suffering from a headache caused by clenching her teeth or from having sensitive jaw or neck muscles. It is not, and has never been, a legitimate cure to extract teeth as a result. This extreme measure highlights that the Parkers are hypochondriacs.

      https://migrainepal.com/treatments-clenching-grinding-headache-and-migraine/

    13. friction by the hand alone

      Cross friction massage therapy is an actual medical technique for sprained ankles where one applies pressure to the injured ankle using one's hand. This breaks down scar tissue, which would prolong the healing process. Usually, this technique is done a few days after the injury, not immediately as Diana suggests.

      https://collegeofmassage.com/toronto/2013/08/sprained-ankles-and-massage-therapy/

    14. spasmodic bile

      Bile is a bodily fluid that is produced by the liver to help the small intestine digest food. It is possible that Diana is suffering from a condition called Sphincter of Oddi Dysfunction (SOD) where bile gets intermittently backed up between the liver and small intestine resulting in severe and seemingly random abdominal pains.

      https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&ContentID=181

      Austen is most likely drawing upon her own grievances, as she often complained of "bilious attacks."

      https://mh.bmj.com/content/31/1/3

    15. point of death

      Hypochondria was recognized as a real condition during Austen's time. It was classified as a "nervous disorder," and tended to be reserved only to the elite of society. This seems to be the only illness of Susan, Diana, and Arthur.

      http://jasna.org/publications/persuasions-online/volume-38-no-2/darcy/

    16. sea bathing

      By the mid-18th century, swimming in the cold ocean was a standard therapy for illness or anxiety. The adrenaline from the shock of cold was thought to have soothing effects on the body, calming anxiety and restoring the body-soul balance.

    17. A little of our own bracing sea air will soon set me on my feet again

      18th century England obsessed over the health benefits of the seaside, especially as a cure for tuberculosis. This fascination led to the creation of resort towns, which later spread from England to the new world.

      https://www.theatlantic.com/health/archive/2013/08/the-historic-healing-power-of-the-beach/279175/

    18. We have neither surgeon nor partner in the parish

      The partner of a surgeon is, in this context, the apothecary. Apothecaries were able to legally dispense medicine while surgeons could legally perform operations.

      https://books.google.com/books?id=Gm-N_969uekC&dq=surgeon+and+partner+jane+austen&source=gbs_navlinks_s

    19. tonic pills

      At the end of the 18th century, tonic pills were believed to be an effective form of dieting. After the extravagance of the Georgian period (especially George IV), it became fashionable and responsible to lose weight during the Regency period.

      https://www.historyextra.com/period/georgian/revealed-how-the-georgians-taught-us-to-diet-300-years-ago/

    20. anti-spasmodic, anti-pulmonary, anti-septic, anti-billious and anti-rheumatic
      1. spasmodic: characterized by spasms or convulsive twitches
      2. pulmonary: relating to lungs
      3. septic: putrefactive, putrefying
      4. billious: Affected by too great a secretion of bile, or from bilious derangement
      5. rheumatic: containing mucous or watery secretions

      www.oed.com

    21. sea air

      In 1753, Dr. Richard Russell popularized the idea that sea air was beneficial to one's health and nervous system in his writing A Dissertation Concerning the Use of Sea-Water in Diseases of the Glands. By the 19th century, it was generally accepted that the air, in addition to the actual water, had health benefits, but this belief was not backed by science.

      http://jasna.org/publications/persuasions-online/volume-38-no-2/darcy/

    22. Three teeth drawn at once—frightful!

      There were no licensed dentists during this period. General physicians extracted teeth and often without anesthetic, making it a very painful (and traumatizing?) process. This explains why Charlotte is so sympathetic towards Miss Parker.

      https://georgianera.wordpress.com/2015/02/05/18th-century-dentistry/

    23. any complaint which asses' milk could possibly relieve

      Donkey milk was considered a viable medical treatment from antiquity (Cleopatra bathed in it) until the turn of the 19th century, when it largely went out of fashion. It was considered a generic cure for a variety of conditions, including gout, scurvy, coughs, colds and asthma. For many, donkey milk caused stomach problems and "lactose intolerance."

      https://georgianera.wordpress.com/tag/asses-milk/

    24. I have a great idea of the efficacy of air

      Treatments for illness often relied on "fresh air" to clear impurities from the body.

      http://www.vam.ac.uk/content/articles/h/health-and-medicine-in-the-19th-century/

    25. rheumatism

      Any disease marked by inflammation and pain in the joints, muscles, or fibrous tissue, especially rheumatoid arthritis.

  5. Mar 2019
    1. Can an Evidence-Based Blended Learning Model Serve Healthcare Patients and Adult Education Students?

      Discusses the use of blended-learning incorporating technology especially for adult education programs that reduce education gaps and help the under-employed with career readiness. This also focuses in on adults with chronic disease and how online education might better support their needs. It uses constructivist leanings placing education in the context of activity and environment and recreating the correct environments online.

    1. Sharing of user data is routine, yet far from transparent. Clinicians should be conscious of privacy risks in their own use of apps and, when recommending apps, explain the potential for loss of privacy as part of informed consent. Privacy regulation should emphasise the accountabilities of those who control and process user data. Developers should disclose all data sharing practices and allow users to choose precisely what data are shared and with whom.

      Horrific conclusion, which clearly states that "sharing of user data is routine" where the medical profession is concerned.

    2. To investigate whether and how user data are shared by top rated medicines related mobile applications (apps) and to characterise privacy risks to app users, both clinicians and consumers.

      "24 of 821 apps identified by an app store crawling program. Included apps pertained to medicines information, dispensing, administration, prescribing, or use, and were interactive."

  6. Nov 2018
    1. He and other SHM officials have pushed hospitalists for the past few years to formalize their HIT duties by seeing if they would qualify to take the exam for board certification in medical informatics, which was created in 2013 by the American Board of Medical Specialties (ABMS). Between certification of that skill set and working more with technology vendors and others to improve HIT, Dr. Rogers sees HM being able to help reform much of the current technology woes in just a few years.
    1. edical specialization dates back at least to the time of Galen. For most of medicine’s history, however, the boundaries of medical fields have been based on factors such as patient age (pediatrics and geriatrics), ana-tomical and physiological systems (ophthalmology and gastroenter-ology), and the physician’s tool-set (radiology and surgery). Hos-pital medicine, by contrast, is defined by the location in which care is delivered. Whether such delineation is a good or bad sign for physicians, patients, hospitals, and society hinges on how we understand the interests and as-pirations of each of these groups
    1. Having initial medical discussions without the family and information filtering are common for LEP patients; filtering may be associated with poorer diagnosis comprehension. Experience with a hospitalized child is associated with increased comprehension among LEP parents.
    1. Preceptors must create an environment that is friendly to novice nurses and conducive to perioperative nurse education, particularly in light of the current nursing shortage. Effective teachers use principles of adult learning to facilitate the education of new employees. This results in increased satisfaction for preceptors, preceptees, other staff members, and ultimately, patients.

      The article focuses on adult learning in the medical profession. It is a different perspective than a traditional subject and shows how much education effects all the student comes in contact with in their career.

      8/10

    1. The role of educational technology in medical education

      This article describes how educational technology is improving medical education by being easily accessible and is developing fast. Rating: 4/5

  7. Aug 2018
    1. Anomie (/ˈænəˌmi/) is a "condition in which society provides little moral guidance to individuals".[1] It is the breakdown of social bonds between an individual and the community, e.g., under unruly scenarios resulting in fragmentation of social identity and rejection of self-regulatory values.

      I can't help but see this definition and think it needs to be applied to economics immediately. In particular I can think of a few quick examples of economic anomie which are artificially covering up a free market and causing issues within individual communities.

      College Textbooks: Here publishers are marketing to professors who assign particular textbooks and subverting students which are the actual market and consumers of those textbooks. This causes an inflated market and has allowed textbook prices to spiral out of control.

      The American Health Care Market In this example, the health care providers (doctors, hospitals, etc.) have been segmented away from their consumers (patients) by intermediary insurance companies which are driving the market to their own good rather than a free-er set of smaller (and importantly local) markets that would be composed of just the sellers and the buyers. As a result, the consumer of health care has no ability to put a particular price on what they're receiving (and typically they rarely ever ask, even more so when they have insurance). This type of economic anomie is causing terrific havoc within the area.

      (Aside: while the majority of health care markets is very small in size (by distance), I will submit that the advent of medical tourism does a bit to widen potential markets, but this segment of the market is tiny and very privileged in comparison.)

  8. May 2018
    1. I realized that with my medical condition (link is external), it had to be someone who understood my condition, my philosophy about life and healthcare, along with knowing my long list of allergies to medications and foods.

      This portion of the article highlights the importance of trusting the person that you chose as a health care proxy to respect your values and lookout for your best interest.

    2. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    3. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    4. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. In situations like this, the proxy (knowingly or unknowingly), is primarily motivated by his own need to have one last opportunity to repair the broken relationship and make amends to redeem himself.

      This last situation suggests that a proxy could have personal motives for keeping a patient alive- in this case, a son was trying to keep his father alive due to his feelings of grief and guilt over the broken relationship. The father was being kept alive in the hospital even though the medical professionals had advised against it.

    3. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

    4. Most of us will lose our ability to make medical decisions for ourselves in the last phase of our lives

      This is an issue that may affect the majority of American people towards the end of their lives.

  9. Feb 2018
  10. Nov 2017
    1. New York is one of 29 states (plus the District of Columbia) that have legalized medical marijuana––a trend that 94 percent of Americans support, according to an August Quinnipiac poll. But on December 8, all of that could begin to change.

      Congress has until that day to decide whether to include the Rohrabacher-Farr Act (also known as Rohrabacher-Blumenauer) in a bill that will fund the government through the next fiscal year. Right now, that law, made up of just 85 words, blocks the Department of Justice from using any money to prosecute medical marijuana in states where it's legal.

      . . .

      “I believe it would be unwise for Congress to restrict the discretion of the Department to fund particular prosecutions, particularly in the midst of an historic drug epidemic and potentially long-term uptick in violent crime," Sessions wrote in his letter.

    1. Via email, the primary investigator of COURAGE, Dr William Boden (Boston University, MA), highlighted that investigators found no subset of patients that did better with PCI vs OMT. Not those with multivessel disease and EF<50%, not those with LAD disease, and not those with nuclear studies showing moderate-severe ischemia.[7–9]
    2. espected investigators from Imperial College London have shaken the core of cardiology. The stakes could not be bigger. Millions of people have received stents for stable coronary artery disease (CAD) at a cost of billions of dollars.
    3. Coronary Stents Humbled Yet Again in Stable CAD
  11. May 2017
  12. Mar 2017
  13. Feb 2017
    1. Previous to the nineteenth century, physicians classified diseases based on the observation of the pre-conditional symptoms known at the time

      Since the medical practices to reveal abnormalities was not an entirely accurate way to "read" bodies, could it be possible that the 19th century norm only became the standard because they couldn't examine bodies to their fullest?

    1. Mengele conducted medical experiments on twins. He also directed serological experiments on Roma (Gypsies), as did Werner Fischer at Sachsenhausen, in order to determine how different "races" withstood various contagious diseases. The research of August Hirt at Strasbourg University also intended to establish "Jewish racial inferiority."

      There is no ethical thing about this "Jewish racial inferiority" because with the resilience of some races to different diseases, they established the "inferiority" at where they were researching. It causes problems because it makes it cloudy to the minds if they were helping or not.

    2. Other gruesome experiments meant to further Nazi racial goals were a series of sterilization experiments, undertaken primarily at Auschwitz and Ravensbrueck.

      This also is unethical, because people have basic rights to make children or offspring. This is unethical because it is was given without consent which in this time and place was not unusual. This shows that with mass sterilization was uncalled for and that with the after effects made it ethical and had to have consent for the procedure.

    3. Unethical medical experimentation carried out during the Third Reich may be divided into three categories.

      By unethical, doctors and scientists experimented on people without supervision or ethics. This shows that in the Nazi Germany that the experiments could be anything and it can have no ethics, this helped with the code of ethics we follow today.

  14. Oct 2016
  15. Sep 2016