Bureaucratic Delays, Hostile Medical Establishment: Most Canadians Still Can't Obtain Legal Abortions

1977 ◽  
Vol 3 (4) ◽  
pp. 13
2019 ◽  
Vol 63 ◽  
pp. 33-38
Author(s):  
Murtaza ◽  
P Biswal

Introduction: Success of Cas/Medevac missions depends on effective coordination between all agencies involved. The focus by medical authorities on the treatment and medical care at time leads to avoidable procedural complexity. Certain lessons are drawn from the United Nations (UNs) field areas for Cas/Medevac missions/laid down procedures and recommendations made for streamlining our own procedures. Materials and Methods: The data pertaining to Cas/Medevac details from IFH Level-II Malakal (UN Mission in South Sudan [UNMISS]) for January 2017 - February 2018 were collected and analyzed. Standard operating procedures (SOPs) followed in the UN field areas for Cas/Medevac missions were also studied and analyzed. Results and Discussion: A total of 19 cases were air evacuated from IFH Level-II UNMISS to higher medical establishments and 11 cases from periphery to IFH Level-II in 1 year plus period. Aeromedical issues involved are discussed here with emphasis on Medevac of patient with suspicion of hollow viscus perforation/pancreatitis. Procedures and documentation followed in the UN Medevac missions are discussed and suggestions made for improving Cas/ Medevac procedures in field areas. A sample of Cas/Medevac incremental information form is also suggested. Conclusion: Timely evacuation of a casualty to an appropriate medical establishment can reduce mortality and morbidity significantly. Experience of Cas/Medevac missions in the UN field area is presented in this paper along with analysis and discussion on SOPs followed in the UN mission areas. Suggestions are made to refine and streamline our own Cas/Medevac procedures in field areas and theaters of conflict.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 755-755
Author(s):  
J. F. L.

The new movie "Lorenzo's Oil" tells how the parents of a child with a rare illness overcame indifference in the medical establishment and, by themselves, invented a cure. The message is that medical science has become detached from the needs of those it serves, but that individuals can leap bureaucratic impediments to find new cures with their own faith and efforts ... According to the movie and the account of the parents, Augusto and Michaela Odone of Fairfax, Va., they refused to accept doctors' advice that there was no hope for their son, Lorenzo, after they were told in 1984 that he was suffering from a rare hereditary disease known as adenoleukodystrophy ... ... they defied the medical establishment's pessimism, read obscure medical journals and figured that a mixture of two natural oils, known as erucic and oleic acids, would correct an important symptom of the disease ... Dr. Rizzo began the first pilot study of the oil in August 1987. Six of 8 boys in the study deteriorated rapidly. The other two seemed to stabilize for a time, but one has now had a relapse and investigators have lost contact with the other. In a study by Dr. Hugo Moser of Johns Hopkins University School of Medicine, 70 children with the rapidly progressing disease used the oil from the time of their first symptoms until they lost sight and movement. The oil, Dr. Moser concluded, "did not make any difference." Dr. Moser said that so far he had seen no evidence that Lorenzo's disease could be prevented in boys who were otherwise destined to get it ...


Author(s):  
Chantal Marazia ◽  
Heiner Fangerau ◽  
Thomas Becker ◽  
Felicitas Söhner

This chapter explores Franco Basaglia’s relation with German psychiatry, from his early infatuation with the anthropo-phenomenological tradition to the disputes with the social psychiatric movement during the 1960s and 1970s. After an overview of Basaglia’s criticism of German psychiatric schools and institutions, the chapter focuses on his personal links, most notably with progressive psychiatrists and with the anti-psychiatric movement SPK (Sozialistisches Patientenkollektiv). Finally, it analyses Basaglia’s reception, by both the medical establishment and the actors of psychiatric reform. Contrary to the current narrative of a mutual influence, the chapter argues that Basaglia can hardly be regarded as a genuine inspiration for German psychiatric reform, and was retrospectively refashioned as such.


Author(s):  
Abi Rimmer

This chapter, A history of women in British medicine, discusses the pioneering women who first trained and practised in medicine in the United Kingdom. It looks at the women who challenged and changed the medical establishment and those who helped to found the first medical school for women. It also looks at the role that a number of courageous women doctors played in both the First and Second World Wars at great risk to themselves, often without the support of their governments. Finally it explores the ongoing struggle that women doctors face in trying to achieve equality with their male colleagues.


1998 ◽  
Vol 26 (4) ◽  
pp. 332-349 ◽  
Author(s):  
Ann M. Martino

A decade ago, conventional wisdom in the medical establishment was that physicians treating chronic pain with opioid analgesics were at a substantial risk of being sanctioned for overprescribing by state medical regulatory boards. Dozens of articles written since have alluded to this risk as an obstacle to effective pain re1ief. In the early 1990s, a number of high profile cases in which physicians were disciplined by regulatory boards for overprescribing to patients with chronic pain were reported in the press. Although the board actions in many of these cases were eventually overturned by state judiciaries, the publicity heightened practitioners’. sensitivity to the regulatory risks associated with prescribing opioids.A review of the available data on state medical board actions nationwide for the period from 1990 to 1996 reveals that the perception of regulatory risk far exceeds the reality. Indeed, relatively few (less than 5 percent) of the disciplinary actions taken for overprescribing by state medical boards in any given year directly concern the treatment of chronic pain—malignant or nonmalignant—in patients.


Between October 1670, when Martin Lister arrived in York, and September 1683, when he removed to London, he was at the centre of an informal group of virtuosi - naturalists, artists and antiquaries - who either lived in the provincial capital or visited regularly. 1 Part of the medical establishment at York, and keenly interested in physiological phenomena, Lister was to become nationally renowned as a scientist and naturalist. 2 The Philosophical Transactions carried 28 non- illustrated scientific communications from Lister between 1669 and 1673. Over the following 10 years his published papers and books were increasingly illustrated. A study of the association between Martin Lister and the amateur artists William Lodge and Francis Place provides the opportunity to consider: the relationship between the scientist and his illustrators; the visual conventions being developed in scientific publishing; and the value the scientific community placed on the visual representation of their observations, scientific collections and published communications. How far does a study of the association of Lister and his illustrators illumine general issues pertinent to the history of science? What value have later scholars placed on the work of Lister’s illustrators?


2020 ◽  
Vol 29 (5) ◽  
pp. 508-523
Author(s):  
Pia Vuolanto ◽  
Harley Bergroth ◽  
Johanna Nurmi ◽  
Suvi Salmenniemi

The contestation of expertise is perhaps nowhere more pronounced than in the field of health and well-being, on which this article focuses. A multitude of practices and communities that stand in contentious relationships with established forms of medical expertise and promote personalised modes of self-care have proliferated across Euro-American societies. Drawing on multi-sited ethnography in three domains – body–mind–spirit therapies, vaccine hesitancy and consumer-grade digital self-tracking – we map such practices through the concept of ‘everyday fringe medicine’. The concept of everyday fringe medicine enables us to bring together various critical health and well-being practices and to unravel the complex modes of contestation and appreciation of the medical establishment that are articulated within them. We find three critiques of the medical establishment – critiques of medical knowledge production, professional practices and the knowledge base – which make visible the complexities related to public understandings of science within everyday fringe medicine.


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