{"title":"Medical Education","authors":"J. Wiseman","doi":"10.3138/guthrie.71.3.089","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.089","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90404484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“The Diagnosis” By Alan Lightman","authors":"W. Friedenberg","doi":"10.3138/guthrie.71.3.118","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.118","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78483012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“Barrier” Surgical Drapes vis-à-vis “Protective Clothing”","authors":"N. Belkin","doi":"10.3138/guthrie.71.3.108","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.108","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79062111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Epidemiology of Sharp Injuries and Blood Exposure in the Operating Room","authors":"J. Freije","doi":"10.3138/guthrie.71.3.103","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.103","url":null,"abstract":"Over the past decade, concern over occupational exposure and injury involving bloodborne pathogens has significantly changed most, if not all, technical aspects of health care practices and procedures on a daily basis. Because of increased exposure levels, the operating room is a high-risk setting that deserves special attention. As there is no current vaccine or curative treatment for pathogens such as HIV and Hepatitis C, the focus of bloodborne exposure and injury management mainly revolves around prevention. The fundamentals of injury prevention: education, engineering, and enforcement, that can and should be applied to the safe practice of surgery are presented. The majority of sharp injuries are self-inflicted (75%), involve the index finger of the non-dominant hand (50%), and occur during suturing. Specific risk factors are duration of procedure and amount of blood loss; double gloving and passing sharps in trays reduce risk.","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76636941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Tour of Duty in Kosovo","authors":"N. Deshmukh","doi":"10.3138/guthrie.71.3.114","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.114","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84937047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic Pharmacological Options for Outpatient Management of Congestive Heart Failure","authors":"O. Ali, D. Stapleton","doi":"10.3138/guthrie.71.3.090","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.090","url":null,"abstract":"Heart failure affects 4.8 million Americans. The prognosis for heart failure patients remains grim and morbidity high, with a six-year mortality rate of 82% in men and 67% in women. Goals in management of heart failure are: primary prevention; education regarding risk factors; early, appropriate, and aggressive medical management; and continued research into the pathophysiology of heart failure. This paper reviews the evidence from clinical trials for the use of angiotension converting enzyme inhibitors (ACE I), angiotensin receptor II blockers, beta blockers, aldosterone antagonists, digoxin, direct-acting vasodilators, diuretics, calcium channel blockers, and inotropes, to improve survival and lessen morbidity.","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87219646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hold the Train!","authors":"B. Cleary","doi":"10.3138/guthrie.71.3.117","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.117","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79903333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical Humanitarianism","authors":"Nche Zama","doi":"10.3138/guthrie.71.3.112","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.112","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"54 40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85772854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Entero-osseous Fistula: A Complication of Pelvic Exenteration","authors":"Suresh Vemula, D. Ryan","doi":"10.3138/guthrie.71.3.100","DOIUrl":"https://doi.org/10.3138/guthrie.71.3.100","url":null,"abstract":"Long-term complications are frequent in patients with cervical cancer treated by exenteration and radiotherapy. We present a patient who developed an untreatable entero-osseous fistula 18 years after therapy and review the delayed complications of pelvic exenteration.","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79073665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Tennis Partner By Abraham Verghese","authors":"W. Friedenberg","doi":"10.3138/guthrie.71.2.083","DOIUrl":"https://doi.org/10.3138/guthrie.71.2.083","url":null,"abstract":"","PeriodicalId":83043,"journal":{"name":"The Guthrie journal of the Donald Guthrie Foundation for Medical Research","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88021881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}