Before his legal career, Tom attended Rice University (where he met the love of his life, Christianne Mays) and Yale Law School. Tom excelled in all matters from academics to theatre to volleyball to just hanging with friends, a passion that continued his entire life. From 1985 to 1991, Tom served as an Assistant United States Attorney in Los Angeles and handled cases ranging from air piracy to narcotics prosecutions. As Chief of the Financial Investigations unit, Tom prosecuted a massive police corruption case that reformed the LA Sheriff‟s Department.
{"title":"In Memoriam","authors":"F. Vézina, In Memoriam, Thomas Guérin","doi":"10.3233/JCM-140500","DOIUrl":"https://doi.org/10.3233/JCM-140500","url":null,"abstract":"Before his legal career, Tom attended Rice University (where he met the love of his life, Christianne Mays) and Yale Law School. Tom excelled in all matters from academics to theatre to volleyball to just hanging with friends, a passion that continued his entire life. From 1985 to 1991, Tom served as an Assistant United States Attorney in Los Angeles and handled cases ranging from air piracy to narcotics prosecutions. As Chief of the Financial Investigations unit, Tom prosecuted a massive police corruption case that reformed the LA Sheriff‟s Department.","PeriodicalId":72489,"journal":{"name":"California medicine","volume":"78 5 1","pages":"483"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/JCM-140500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70033669","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}
Pub Date : 2012-08-07DOI: 10.29309/tpmj/2012.19.04.2272
Shahbaz Baig
Introduction: Obtaining and consuming drugs without the advice of physician either for diagnosis, prescription or surveillanceis called Self medication. Self medication has been a natural tendency of mankind at all times to relief their discomfort. Objectives: To assessthe self medication practices and the factors influencing self medication practices among the people living in Ghulam Mohammad Abad,Faisalabad. Study design: A Descriptive Cross -Sectional Study. Setting: Population of Ghulam Mohammad Abad, largest colony ofFaisalabad. Material & methods: By simple random technique a sample of 369 people living in Ghulam Mohammad Abad were selected. A pre-tested questionnaire was filled by interviewing each individual. Results: Prevalence of self medication found in study group was 61.20%. Anincrease pattern of self medication practices were found in the younger age group (15-35 years) which were 64.8 %. Self medication practicewas found more in male (64.5%) as compared to female (58.5%). The unmarried persons as compared to married were involved 8% more in selfmedication. Similarly 11% increase pattern of self medication was observed amongst the respondents belonging to nuclear family (66.9%) ascompared to extended type of family status (55.9%). There were 13.60% more practices of self medication in urban population (64.2%) ascompared to rural (50.6%) and self medication was observed in illiterate (50.4%) and in matric level education (62.3%) and persons havingeducation above matric (74.4%). The prevalence of self medication was more among skilled labor (75.9%) as compared to (54.9%) in unskilledlabor. Conclusions: An increase pattern of self medication practices were found in the younger age group. As for as the gender is concerned itis more in the male as compared to female. Unmarried persons as compared to married persons were involved more in self medication. It ismore in persons belonging to nuclear family status and also more in urban population as compared to rural population. Furthermore uneducatedand respondents having education up to matric are more involve in self-medication practice. Advice of person selling medicine at medical storewere having more affect on self medication. No reason for the use of drugs and un–affordability are also the determinants of increased selfmedication.
在没有医生的建议下获取和使用药物，无论是诊断、处方还是监督，都被称为自我用药。自我用药一直是人类缓解不适的一种自然倾向。目的:了解费萨拉巴德Ghulam Mohammad Abad地区居民自我药疗行为及其影响因素。研究设计:描述性横断面研究。背景:人口Ghulam Mohammad Abad，最大的菲萨拉巴德殖民地。材料与方法:通过简单的随机技术，选取了居住在Ghulam Mohammad Abad的369人作为样本。通过对每个人进行访谈，填写了一份预先测试的问卷。结果:研究组自我药疗率为61.20%。年龄较小的人群(15-35岁)自我药疗行为呈增加趋势，占64.8%。自我用药的男性(64.5%)多于女性(58.5%)。与已婚人士相比，未婚人士自我用药的比例高出8%。同样，在属于核心家庭的受访者中，自我药疗的模式增加了11%(66.9%)，而属于扩展型家庭的受访者(55.9%)。城市人口自我药疗行为(64.2%)比农村(50.6%)多13.60%，文盲(50.4%)、学历(62.3%)和学历以上人群(74.4%)自我药疗行为。自我药疗的流行率在熟练劳动者中(75.9%)高于非熟练劳动者(54.9%)。结论:自我用药行为在低龄人群中呈增加趋势。至于性别方面，男性比女性多。与已婚人士相比，未婚人士更倾向于自我药物治疗。与农村人口相比，属于核心家庭地位的人更多，城市人口也更多。此外，未受教育的受访者和受教育程度不高的受访者更多地参与自我药疗实践。药店销售人员的建议对自我用药的影响更大。没有理由使用药物和负担不起也是增加自我药物治疗的决定因素。
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Pub Date : 2010-05-13DOI: 10.1542/9781581108521-part13-ch51
F. Baker
J/fETATARSUS varus, a common finding in in1'J fants, may be of very slight degree or it may be so marked as to make one consider pes equinovarus in the differential diagnosis. The condition is usually neglected unless the deformity is very striking, as there is a tendency for the foot to straighten, thus giving a more normal external appearance. Apparently the foot can appear quite normal even to careful examination until the child starts weight-bearing. Then a definite varus of the forefoot presents itself, usually with over-activity of the abductor hallucis muscle, so that the first toe in particular swings into medial position, with the inturn of the entire forefoot notably increased in comparison with the resting position. Perhaps the lack of attention to this condition lies in the fact that the literature contains reports stating that normal alignment is reached by the end of the first-year.5 In attempting to explain the cause of foot strain in adults and to understand why one individual might suffer from painful feet with or without such extrinsic evidences as corns, calluses, bunions, clawing, inversions or eversions, muscular spasm, and increasing loss of flexibility, while others can wear any type of shoe without discomfort, we became more interested in deviations from normal in children's feet. By careful roentgen examination of adult feet, we can rule out such congenital abnormalities as accessory scaphoids, coalitions, or specific disease which may be found in a small percentage of patients. However, in most instances, when dealing with the chronically painful foot, we can find variations in the forefoot consistent with failure of full evolutionary development.
{"title":"METATARSUS VARUS.","authors":"F. Baker","doi":"10.1542/9781581108521-part13-ch51","DOIUrl":"https://doi.org/10.1542/9781581108521-part13-ch51","url":null,"abstract":"J/fETATARSUS varus, a common finding in in1'J fants, may be of very slight degree or it may be so marked as to make one consider pes equinovarus in the differential diagnosis. The condition is usually neglected unless the deformity is very striking, as there is a tendency for the foot to straighten, thus giving a more normal external appearance. Apparently the foot can appear quite normal even to careful examination until the child starts weight-bearing. Then a definite varus of the forefoot presents itself, usually with over-activity of the abductor hallucis muscle, so that the first toe in particular swings into medial position, with the inturn of the entire forefoot notably increased in comparison with the resting position. Perhaps the lack of attention to this condition lies in the fact that the literature contains reports stating that normal alignment is reached by the end of the first-year.5 In attempting to explain the cause of foot strain in adults and to understand why one individual might suffer from painful feet with or without such extrinsic evidences as corns, calluses, bunions, clawing, inversions or eversions, muscular spasm, and increasing loss of flexibility, while others can wear any type of shoe without discomfort, we became more interested in deviations from normal in children's feet. By careful roentgen examination of adult feet, we can rule out such congenital abnormalities as accessory scaphoids, coalitions, or specific disease which may be found in a small percentage of patients. However, in most instances, when dealing with the chronically painful foot, we can find variations in the forefoot consistent with failure of full evolutionary development.","PeriodicalId":72489,"journal":{"name":"California medicine","volume":"69 5 1","pages":"346-8"},"PeriodicalIF":0.0,"publicationDate":"2010-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67446108","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}
Sua carreira aparentemente se dividiu em du s partes, em virtude desta longa "'ermanência num país tão diferente da França c tesiana que o vira nascer; num aís em que se propunha para êle, desde o primei o momento, um problema impormte que via se revelar nos mais variados aspectos e nos menores fatos: o da unidae dentro da diversidade, o da constância nos con astes. No entanto, a preocupação om a interpenetração de civilizações, que entre n s se torna o verdadeiro fulcro de uas reflexões, já existia em trabalhos anteriorm nte publicados, "Éléments de ociologie Religieuse" et "Les problemes de la vie ystique", persistirá cada vez com 1aior acentuação no que se poderia chamar de " ase francêsa" de sua carreira uniersitária, ao regressar do Brasil. A fase brasileira serviu, assim, como um fator para centuar mais rapidamente tendências já existente , e que provavelmente derivavam o próprio meio em que decorreram sua infância juventude, de sua própria história amiliar.
他的职业生涯显然分成了两部分，因为他在一个与法国截然不同的国家生活了很长一段时间，他出生在提萨纳;在这个国家，从一开始就向他提出了一个重要的问题，他看到这个问题在最不同的方面和最微小的事实中显现出来:在多样性中统一，在契约中保持一致。然而,om关心n之间的文明的渗透,成为真正的“无人飞行系统”的核心思想,已经存在于作品anteriorm物质,”元素的ociologie Religieuse "外星人"雷斯problemes de la vie ystique“1 aior余地越来越强调在法国"海"能称呼的uniersitária事业回到巴西。因此，巴西阶段是一个因素，以更快的速度传播已经存在的趋势，这些趋势可能来自他们童年和青年时期的环境，来自他们自己的家庭历史。
{"title":"In Memoriam","authors":"R. Wheate","doi":"10.3138/carto.45.3.211","DOIUrl":"https://doi.org/10.3138/carto.45.3.211","url":null,"abstract":"Sua carreira aparentemente se dividiu em du s partes, em virtude desta longa \"'ermanência num país tão diferente da França c tesiana que o vira nascer; num aís em que se propunha para êle, desde o primei o momento, um problema impormte que via se revelar nos mais variados aspectos e nos menores fatos: o da unidae dentro da diversidade, o da constância nos con astes. No entanto, a preocupação om a interpenetração de civilizações, que entre n s se torna o verdadeiro fulcro de uas reflexões, já existia em trabalhos anteriorm nte publicados, \"Éléments de ociologie Religieuse\" et \"Les problemes de la vie ystique\", persistirá cada vez com 1aior acentuação no que se poderia chamar de \" ase francêsa\" de sua carreira uniersitária, ao regressar do Brasil. A fase brasileira serviu, assim, como um fator para centuar mais rapidamente tendências já existente , e que provavelmente derivavam o próprio meio em que decorreram sua infância juventude, de sua própria história amiliar.","PeriodicalId":72489,"journal":{"name":"California medicine","volume":"75 6 1","pages":"436"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3138/carto.45.3.211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69603716","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}
Pub Date : 2006-01-01DOI: 10.1001/archinte.1966.03870080036007
R. E. Tranquada
LACTIC ACID, long recognized as an important product of normal metabolism,42 was first associated with a metabolic acidosis by Barr, Himwich and Green in 1924.9,10 These investigators recognized metabolic acidosis following strenuous physical exercise and linked it with the observed accumulation of blood lactic acid. They called the condition "lactic acid acidosis." Following that report, sporadic references have been made to lactic acid as a demonstrated or suspected cause of metabolic acidosis in a variety of conditions. These have included the demonstrations of increased lactate accompanying the acidosis of diarrheal dehydration in infants,23 anoxia,* muscular exercise,t hemorrhagic and endotoxin shock,: glycogen storage disease,70'103 inadequate blood flow during cardio-pulmonary bypass procedure,7 100 hyperthermia,43 hyperventilation,33'76'80 guanidine intoxication,99 methyl alcohol poisoning,13 salicylate intoxication,36 nonketotic diabetic acidosis,4,24,9O,113 paraldehyde intoxication,62 and feeding of lactic acid milk to infants.52 It was not until the introduction of the clinical concept of lactic acidosis by Huckabee, in 1961,77'78 that it was recognized that severe metabolic acidosis related to the accumulation of large amounts of 'lactic acid in body water was of real clinical significance. Since Huckabee's initial report of nine patients with lactic acidosis, at least 62 additional cases have been reported.§ This presentation will concern itself with the entity of lactic acidosis, and will deal with current concepts of the mechanisms
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