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Indian Journal of Plastic Surgery :... Oct 2021Hair transplant surgery per se has low risk, is relatively safe, and has minimum incidence of complications. However, it is a well-accepted fact that no medical science... (Review)
Review
Hair transplant surgery per se has low risk, is relatively safe, and has minimum incidence of complications. However, it is a well-accepted fact that no medical science procedure exists without any potential risk of complications. The complication may be a single complaint in the form of pain, itching, dissatisfaction related to the procedure's outcome, or surgical complication in the form of infection, wound dehiscence or skin necrosis. Inadequate counselling increases unsatisfaction. Improper examination increases the complications, and incomplete medical history and history of allergy increases the risk during surgery. The author collected data of his 2896 patients, operated over a period of 10 years, and recorded the complains and complications. The most common complications were sterile folliculitis, noted in 203 patients, vasovagal shock in seven patients of, hypertensive crisis in one patient, hiccups in six patients, facial edema after hair transplant in 18 patients, graft dislodgement in 8 patients, infection in two diabetic patients, minor necrotic patches in recipient area in three patients, keloid development in one patient, numbness in 18 cases, and hypersensitivity in recipient and/or donor area. Donor area effluvium was seen in one case and three patients showed recipient area effluvium. Twenty-six patients were not happy with the results, and five cases showed partial loss of implanted hair. The overall significant life-threatening or major complications were zero, but the total minor complications' percentage was 0.10%. The key to minimize complaints and complications are detailed counselling, taking careful medical history and history of allergy, and proper examination of patients.
PubMed: 34984088
DOI: 10.1055/s-0041-1739255 -
The Yale Journal of Biology and Medicine Aug 2020In this review of 100 years of the Yale System of Medical Education, a portrait emerges of what it is and what it has made possible. Founded in the 1920s under the... (Review)
Review
In this review of 100 years of the Yale System of Medical Education, a portrait emerges of what it is and what it has made possible. Founded in the 1920s under the leadership of Dean Milton C. Winternitz, the Yale System abandoned most educational mainstays including: grades, class rankings, roll call, daily assignments, course exams, and class year affiliations. Instead, a thesis and two broad qualifying examinations were required. Revised over decades, the essential elements endure. The Yale System has cultivated generations of humane physicians, academics, and leaders through the rise of modern medicine, and medicine's constantly evolving knowledge base.
Topics: Curriculum; Education, Medical; Education, Medical, Graduate; Educational Status; History, 20th Century; History, 21st Century; Humans; Physicians; Schools, Medical; United States
PubMed: 32874151
DOI: No ID Found -
Journal of the American College of... Sep 2020
Topics: Aortic Dissection; Aortic Aneurysm, Thoracic; Humans; Incidence; Medical History Taking
PubMed: 32883412
DOI: 10.1016/j.jacc.2020.07.029 -
Studies in Health Technology and... May 2023Radiologists rarely interact with the patients whose radiological images they are reviewing due to time and resource constraints. However, relevant information about the... (Review)
Review
Radiologists rarely interact with the patients whose radiological images they are reviewing due to time and resource constraints. However, relevant information about the patient's medical history could improve reporting performance and quality. In this work, our objective was to collect requirements for a digital medical interview assistant (DMIA) that collects the medical history from patients by means of a conversational agent and structures as well as provides the collected data to radiologists. Requirements were gathered based on a narrative literature review, a patient questionnaire and input from a radiologist. Based on these results, a system architecture for the DMIA was developed. 37 functional and 17 non-functional requirements were identified. The resulting architecture comprises five components, namely Chatbot, Natural language processing (NLP), Administration, Content Definition and Workflow Engine. To be able to quickly adapt the chatbot content according to the information needs of a specific radiological examination, there is a need for developing a sustainable process for the content generation that considers standardized data modelling as well as rewording of clinical language into consumer health vocabulary understandable to a diverse patient user group.
Topics: Humans; Software; Language; Radiology; Communication; Natural Language Processing; Surveys and Questionnaires
PubMed: 37172153
DOI: 10.3233/SHTI230012 -
Tropical Medicine & International... Dec 2019Vaccine efficacy and prophylactic treatment of infections are tested best when the vaccinated or treated individual is challenged through deliberate infection with the... (Review)
Review
Vaccine efficacy and prophylactic treatment of infections are tested best when the vaccinated or treated individual is challenged through deliberate infection with the respective pathogen. However, this trial design calls for particular ethical caution. Awareness of the history of challenge trials is indispensable, including trials that were problematic or even connected to abuse. We briefly introduce historical aspects of experimental infections in humans and the ethical debate around them and give estimates of the numbers of volunteers participating in human experimental infection models. Challenge models can offer a great chance and benefit for the development of medical interventions to fight infectious diseases, but only when they are appropriately controlled and regulated.
Topics: Clinical Trials as Topic; Communicable Disease Control; History, 20th Century; History, 21st Century; Human Experimentation; Humans
PubMed: 31654450
DOI: 10.1111/tmi.13320 -
Journal of Public Health Research Apr 2021Barotrauma causes damage to an enclosed cavity within the human body due to pressure changes inside and outside the body. This research aims to identify the effect of...
BACKGROUND
Barotrauma causes damage to an enclosed cavity within the human body due to pressure changes inside and outside the body. This research aims to identify the effect of medical history and compressor on barotrauma.
DESIGN AND METHOD
The case-control design and total sampling methods were used to obtained data from 174 respondents.
RESULTS
The bivariate result showed that the value of medical history was at p=0.006, OR=2.47, with a compressor value of p=0.000, OR=16.29. Furthermore, the multivariate analysis indicated that the compressor has a dominant factor at OR= 7.175.
CONCLUSIONS
Both medical history and compressor affected barotrauma incidence, with compressor as the most dominant factor.
PubMed: 33855396
DOI: 10.4081/jphr.2021.2163 -
Medicine Jun 2023This project sought to explore the potential association between medical history and the development of multiple sclerosis (MS) by conducting a retrospective study. This...
This project sought to explore the potential association between medical history and the development of multiple sclerosis (MS) by conducting a retrospective study. This population-based case-control study included 200 MS cases and 2 control groups of 200 patients and healthy individuals each. Data was collected through face-to-face interviews, medical file reviews, and an electronic checklist. Multivariable analysis was used to calculate odds ratios and 95% confidence intervals to estimate the risk of each medical history on MS occurrences. Of 600 participants, 381 (63.5%) individuals were female. The mean age of the participants was 36.5 ± 11.9 years. The adjusted risks of MS were 4.40; 95% CI: 1.73 to 11.1 for measles and 4.75; 95% CI: 2.05 to 11 for amoxicillin consumption. The adjusted MS odds for autoimmune disease including 4.63; 95% CI: 0.35 to 60.6 for psoriasis and 7.15; 95% CI: 1.87 to 27.2 for myasthenia gravis. On the other hand, the calculated adjusted odds of MS occurrence were 0.14; 95% CI: 0.03 to 0.69 for seizure and 0.17; 95% CI: 0.02 to 1.49 for epilepsy. This study suggested that individuals with autoimmune diseases should be monitored more closely, as they may be at an increased risk of developing other autoimmune conditions, particularly MS.
Topics: Humans; Female; Young Adult; Adult; Middle Aged; Male; Multiple Sclerosis; Case-Control Studies; Retrospective Studies; Myasthenia Gravis
PubMed: 37335649
DOI: 10.1097/MD.0000000000033906 -
Ui Sahak Apr 2023Medical history was an important part of medicine in the West from antiquity, through the Middle Ages, and until the Renaissance. Hippocrates, Galen, and Avicenna were...
Medical history was an important part of medicine in the West from antiquity, through the Middle Ages, and until the Renaissance. Hippocrates, Galen, and Avicenna were historical figures, but they dominated the medicine of the Western world at least until Renaissance. The medicine of the past, which did not become history, still remained an important part of present medicine. In the 19th century, medicine in the past is now relativized as an object of history. At the same time, the 'practicality' of medical science was emphasized. The practicality referred to here means that, unlike previous times, medicine in the past has been historicalized, but it can provide practical help to current medicine. In particular, in the era of positivism that dominated the late 19th century, this practicality was a core value of medical history. In the 20th century, the era of scientific medicine, the new role is given to medical history. It was to give a integrated view on contemporary medicine which was subdivided into many specialized fields. Along with this, medical history, once a main part of medicine, moves to the field of history. At the same time, the rise of medical humanities in medical education becomes an opportunity to redefine the role of medical history. Seeking productive cooperation with other humanities and social sciences that deal with medical issues, such as medical anthropology, medical sociology, and literature, will be a new task given to medical history today.
Topics: History, 20th Century; History, 19th Century; History, 18th Century; Schools, Medical; Europe; Humanities; Education, Medical; Medicine
PubMed: 37257928
DOI: 10.13081/kjmh.2023.32.175 -
CMAJ : Canadian Medical Association... Jan 2021
Topics: Education, Medical; Faculty, Medical; History, 19th Century; History, 20th Century; Humans; Physicians; Racism
PubMed: 33462149
DOI: 10.1503/cmaj.77457 -
Praxis Feb 2022
Topics: History, 20th Century; Humans; Psychiatry
PubMed: 35105216
DOI: 10.1024/1661-8157/a003829