scholarly journals Remarks on Angina Pectoris

2005 ◽  
Vol 64 (1) ◽  
Author(s):  
Sabino Scardi ◽  
Luca Perazza
Keyword(s):  
England Journal ◽  
Angina Pectoris ◽  
New England ◽  
Correct Diagnosis ◽  
Breast Pain ◽  
Italian Translation ◽  
The Subject ◽  
The Right

In the first volume of the New England Journal of Medicine of 1812, J. Warren published a paper on the subject of angina pectoris, in which clearly emerge the difficulties facing the physicians of that time in trying to formulate a correct diagnosis and prescribe the right therapy. We thought it would be certainly of interest to offer our readers an Italian translation of this article, obviously with some stylistic modifications and supplemented with information coming from other historical scientific works. William Heberden in his report on “ breast pain” was the first physician to use the term “angina” and the description of symptoms that he gave in 1772 is still today valid and correct.

scholarly journals Angina pectoris

2012 ◽  
Vol 53 (4) ◽  
pp. 431-442
Author(s):  
Jairo Aldana B. ◽  
Alberto Suárez N.
Keyword(s):  
England Journal ◽  
Angina Pectoris ◽  
New England

Se cumplen 200 años de la descripción de la angina de pecho, publicada en el New England Journal of Medicine. En este articulo se ha traducido el artículo original “Remarks on Angina Pectoris”, publicado en 1812, por el dr. John Warren.

scholarly journals Variation of blood pressure between two arms among the young people of Guwahati, Assam, India

2018 ◽  
Vol 6 (3) ◽  
pp. 859
Author(s):  
Indrani Das ◽  
Bonti Bora ◽  
Raj Sarkar ◽  
Kaustuv Jyoti Bhuyan
Keyword(s):  
Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Correct Diagnosis ◽  
Age Group ◽  
Normal Range ◽  
Treatment Of Hypertension ◽  
The Subject ◽  
The Mean ◽  
The Right ◽  
Mercury Sphygmomanometer

Background: Aim and objective of the study was to determine whether a difference in systolic and diastolic blood pressure reading exists in between arms. To establish the mean and normal range of difference in simultaneous systolic and diastolic blood pressure measurements between the right and left arm. It is unclear to what extent inter-arm blood pressure (BP) differences may be present in younger people so that they can take precaution in relation with age.Methods: 51 male and 51 female subjects were selected randomly in age group of 18 -20 yrs. A normal mercury sphygmomanometer was used employing Korotkoff I and V. 3 readings were taken sequentially for each arm using a standard mercury sphygmomanometer with the subject sitting after resting for 10 min.Results: Mean ± SD inter-arm differences in Systolic blood pressure were 4.784 ± 6.338 mmHg in males and 2.314 ± 5.159 mmHg in females while Diastolic blood pressure were 3.451 ± 5.471 mmHg in males and 1.059 ± 5.112 mmHg in females.Conclusions: The frequency of significant inter-arm systolic and diastolic blood pressure differences suggests that the blood pressure should be taken in both arms at the initial consultation. At subsequent visits, the arm in which measurements are taken should be recorded in the case notes. The higher of the two readings should be used to guide further management decisions. The accurate assessment of blood pressure (BP) is vital for the correct diagnosis and treatment of hypertension.

scholarly journals A reexamination of conscience protections in healthcare

2013 ◽  
Vol 62 (6) ◽  
Author(s):  
Michael Arthur Vacca
Keyword(s):  
England Journal ◽  
New England ◽  
Human Person ◽  
Conscientious Objection ◽  
Human Being ◽  
Federal Law ◽  
Legal Concept ◽  
Positive Rights ◽  
The Moment ◽  
The Right

Rispondendo ad un articolo di Lisa Harris, pubblicato su New England Journal of Medicine 2012; 367: 981-983, il presente contributo riesamina la coscienza da un punto di vista giuridico. Si analizza l’obiezione di coscienza nel contesto della legge federale statunitense sulla tutela della libertà religiosa e si spiega perché coloro che obiettano moralmente di eseguire aborti hanno il legittimo diritto all’obiezione di coscienza. Al contrario, si argomenta che gli abortisti non hanno diritto di eseguire aborti per ragioni di “coscienza”, perché il concetto giuridico di coscienza preclude l’intrusione nei diritti di altri, e nel caso dell’aborto, l’abortista va ad intromettersi nel diritto alla vita di un innocente, un essere umano non ancora nato. Il concetto giuridico di “coscienza” non può ignorare o respingere la conclusione scientifica ed empiricamente verificabile che la vita di un essere umano inizia al momento della fecondazione. Inoltre, è tracciata una distinzione tra diritti negativi e positivi nel contesto della legge federale statunitense, che rende ancor più insostenibile l’uso della “coscienza” come giustificazione per eseguire aborti. L’enfasi dell’articolo è sulla realtà oggettiva e i limiti della coscienza come concetto giuridico, affermando che, mentre la coscienza procede da un soggetto umano, non è pertanto arbitraria e quindi inutilizzabile come concetto giuridico. Riconoscendo i diversi approcci e le implicazioni derivanti dal concetto di coscienza, l’articolo mira semplicemente a difendere la coscienza come un concetto giuridico praticabile, radicato nella legge federale degli Stati Uniti e nella ragione umana. In questo modo, si prefigge di promuovere l’autentica libertà della persona umana a vivere secondo i dettami della propria coscienza. ---------- Responding to Dr. Lisa Harris’ article in the September 13, 2012 issue of the New England Journal of Medicine, this article reexamines conscience from a legal perspective. It analyzes conscientious objection in the context of U.S. federal law protecting religious freedom and explains why those who morally object to performing abortions have a legitimate right to conscientious objection. In contrast, the argument is made that abortionists have no such right to perform abortions for reasons of “conscience” because the legal concept of conscience precludes intruding upon the rights to others, and in the case of abortion, the abortionist is intruding upon the right to life of an innocent, unborn human being. The legal concept of “conscience” cannot ignore or dismiss the scientific and empirically verifiable conclusion that a human being comes into existence at the moment of fertilization. Furthermore, a distinction is drawn between negative and positive rights in the context of U.S. federal law which renders the use of “conscience” as a justification for performing abortions all the more untenable. The emphasis of the article is on the objective reality and limits of conscience as a legal concept, affirming that, while conscience proceeds from a human subject, it is not, therefore, arbitrary and thus unworkable as a legal concept. Recognizing the various approaches to and implications ensuing from the concept of conscience, the article simply aims to defend conscience as a workable legal concept rooted in U.S. federal law and human reason. In this way, it seeks to advance the authentic freedom of the human person to live in accordance with the dictates of his/her conscience.

Digital and face-to-face advances and detractions to cure the personal and financial cost of misdiagnosis

2018 ◽  
Vol 17 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Heather Towery ◽  
Michael Hough
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
England Journal ◽  
Policy Analysis ◽  
New England ◽  
Invasive Breast Cancer ◽  
Digital Technology ◽  
Permanent Disability ◽  
Content Type ◽  
The Right

Purpose Digital transformation holds promise for addressing one of the biggest challenges in health care – misdiagnosis. About 30 per cent of health spending in 2009, i.e. roughly $750bn, was wasted on unnecessary services, excessive administrative costs, fraud and other problems. Moreover, inefficiencies cause needless suffering, states the Institute of Medicine. Leveraging emerging digital technologies in this sector stands to save thousands of lives and billions of dollars. Digital technology is being applied to this field owing to the great demand for a solution. Misdiagnosis is causing a major hemorrhaging hundreds of billions of dollars in the health industry – an estimated 10-20 per cent of cases are misdiagnosed, sometimes resulting in death or permanent disability, according to studies cited by the National Center for Policy Analysis. Additionally, experts believe as many as 31 per cent of all breast cancer cases are misdiagnosed, according to the New England Journal of Medicine, and 90,000 women are misdiagnosed with invasive breast cancer, according to Susan G. Komen. Design/methodology/approach Digital technology is being applied to this field owing to the great demand for a solution. Misdiagnosis is causing a major hemorrhaging hundreds of billions of dollars in the health industry – an estimated 10-20 percent of cases are misdiagnosed, sometimes resulting in death or permanent disability, according to studies cited by the National Center for Policy Analysis. Additionally, experts believe as many as 31 percent of all breast cancer cases are misdiagnosed, according to the New England Journal of Medicine, and 90,000 women are misdiagnosed with invasive breast cancer, according to Susan G. Komen. Findings Advance Medical’s experience is that 39 per cent of a self-selecting group of medical advocacy seekers are misdiagnosed. Directly related to this challenge, a major battleground where the war on escalating healthcare costs is being fought is in the space of utilization management tools, which help ensure insurers are paying for the right care. These tools depend on the doctor making the right diagnosis and that the treatment matches the diagnosis. But these tools are broken. Instead of checking accuracy of diagnosis (e.g. the right test was done and interpreted accurately), they are at best checking to see if the “box was checked” for any testing being done. The solution is to not only to ensure that the diagnosis is correct by having it reviewed independently but also to use technology to aid diagnosis and the physician’s overall job. Using tools such as patient portals and data management technology can aid doctors to not burn out from sorting through data but rather using healthcare technology to reduce physician exhaustion and thus misdiagnosis. Originality/value New and old tools hold promise for addressing one of the costliest and most able-to-be-impacted challenges in health care – misdiagnosis. Because of misdiagnosis, the health industry is hemorrhaging hundreds of billions of dollars and causing patients undue stress and negative medical impact. Not only does misdiagnosis have a strong effect on the economy and the solvency of the US health care system, it also has a profound effect on the people who are being misdiagnosed, as well as their families and loved ones.

Molekularbiologie

2018 ◽  
Vol 09 (05) ◽  
pp. 242-243
Author(s):  
Dr. Susanne Krome
Keyword(s):  
England Journal ◽  
Medical School ◽  
New England ◽  
Harvard Medical School

Zehntausende nichtproteinkodierende RNAs haben die Kenntnisse über die normale Physiologie sowie die Entstehung und Behandlung von Krankheiten auf den Kopf gestellt, schreibt Prof. Frank Slack, Harvard Medical School, Boston/USA, im New England Journal of Medicine über den überwiegenden Teil unseres Genoms. Diese RNA-Sub typen regulieren Wachstum, Entwicklung und Organfunktion. Ihre Gewebespezifität eröffnet neue, unerwartete Möglichkeiten in der Onkologie. Der größte Teil ihrer Funktionen ist allerdings noch nicht erforscht.

Contemporary Machiavellian theses "The strategy of the role of the absurd state as a model"

2020 ◽  
pp. 3
Author(s):  
Ali Hussein Hameed ◽  
Saif Hayder AL.Husainy
Keyword(s):  
International Relations ◽  
Decision Maker ◽  
Turning Point ◽  
Information Revolution ◽  
Main Hypothesis ◽  
The Subject ◽  
Area Of Influence ◽  
The Right ◽  
Modern Technologies

In the anarchism that governs the nature and patterns of international relations characterized by instability and uncertainty in light of several changes, as well as the information revolution and the resulting developments and qualitative breakthroughs in the field of scientific and advanced technological knowledge and modern technologies.  All of these variables pushed toward the information flow and flow tremendously, so rationality became an indispensable matter for the decision maker as he faces these developments and changes. There must be awareness and rationality in any activity or behavior because it includes choosing the best alternative and making the right decision and selecting the information accurately and mental processing Through a mental system based on objectivity, methodology, and accumulated experience away from idealism and imagination, where irrationality and anarchy are a reflection of the fragility of the decision-maker, his lack of awareness of the subject matter, his irresponsibility, and recklessness that inevitably leads to failure by wasting time and Effort and potential. The topic acquires its importance from a search in the strategies of the frivolous state and its characteristics with the ability to influence the regional, and what it revealed is a turning point in how to adapt from the variables and employ them to their advantage and try to prove their existence. Thus, the problem comes in the form of a question about the possibility of the frivolous state in light of the context of various regional and international events and trends. The answer to this question stems from the main hypothesis that (the aim which the frustrating state seeks to prove is that it finds itself compelled to choose several strategies that start from the nature of its characteristics and the goals that aim at it, which are centered in the circle of its interests in the field of its struggle for the sake of its survival and area of influence).

Strategi Humas Partai Gerindra dalam Membangun Citra Partai pada Pemilu 2014

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Rialdo Rezeky ◽  
Muhammad Saefullah
Keyword(s):  
Data Collection ◽  
Public Relations ◽  
Media Relations ◽  
Executive Board ◽  
The Public ◽  
Community Or ◽  
The Subject ◽  
Main Components ◽  
The Right ◽  
Participatory Observation

The approach of this research is qualitative and descriptive. In this study those who become the subject of research is an informant (key figure). The subject of this study is divided into two main components, consisting of internal public and external public that is from the Board of the Central Executive Board of Gerindra Party, Party Cadres, Observers and Journalists. The object of this research is the behavior, activities and opinions of Gerindra Party Public Relation Team. In this study used data collection techniques with interviews, participatory observation, and triangulation of data. The results of this study indicate that the Public Relations Gerindra has implemented strategies through various public relations programs and establish good media relations with the reporters so that socialization goes well. So also with the evaluation that is done related to the strategy of the party. The success of Gerindra Party in maintaining the party’s image in Election 2014 as a result of the running of PR strategy and communication and sharing the right type of program according to the characteristics of the voting community or its constituents.Keywords: PR Strategy, Gerindra Party, Election 2014

PENILAIAN AUTENTIK PADA MATAPELAJARAN PENDIDIKAN AGAMA ISLAM

Edupedia ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 77-85
Author(s):  
Mohamad Aso Samsudin ◽  
Ukhtul Iffah
Keyword(s):  
Islamic Education ◽  
Authentic Assessments ◽  
Measurement Tools ◽  
The Subject ◽  
The Right

Teaching is an art means that the art of managing people who have a variety of different characters. The teacher should be able to recognize these different characters so that he can easily master them so that the subject is easily mastered by them. However, the teacher is not easy to do that. It is no less difficult in learning to do assessment, because when assessment teachers are required to be careful and meticulous so that the results are not wrong, be careful in determining appropriate measurement tools as measured, or careful in operating the right tools, especially teachers are required able to do a complete assessment (authentic) in three domains (cognitive, psychomotor, and affective). This article reviews how to carry out authentic assessments in Islamic Education (Pendidikan Agama Islam) learning.

Right and Wrong from the Standpoint of G. W. Hegel

2020 ◽  
Vol 9 ◽  
pp. 5-13
Author(s):  
V. V. Ershov ◽  
Keyword(s):  
The Subject ◽  
The Right

The subject of the article is the right and «wrong» from the standpoint of G. W. Hegel and other researchers. H. W. Hegel refers the «wrong» to the «unreal» right, which should «gradually disappear». In the article, first of all, legal and individual regulators of legal relations are distinguished. Secondly, the «wrong» refers to a type of individual regulators of legal relations, which have distinctive objective features from the right.

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