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Biomedical subjects

A Ackerman

Publications and source records attributed to A Ackerman.

8 recordsLinked to original sources

Current trends in pediatric residency training.

A spreading gap has developed between available pediatric level 1 positions and those filled through the National Resident Matching Program. To define which variables enhance a program's ability to match, we surveyed program directors of all categorical pediatric training programs. An 82% response rate showed that ability to match was positively associated with larger program size and offering of shared residency positions. A negative association was found between many benefits and ability to match. The call schedule and number of call-free elective months had no measurable effect. Factors that we were unable to investigate, such as geographic location and academic reputation, may also play a role. Our results emphasize the irrelevance of enhancing benefits as a way of making programs competitive. Our energies need to be directed at attracting junior medical students to a career in pediatrics rather than competing for fourth-year students applying to pediatric programs.

Career Choice

Lead based remedies for empacho: patterns and consequences.

This paper discusses research designed to investigate the patterns and consequences of the use of lead based folk remedies in the treatment of some gastrointestinal problems in Mexico. Use of lead is seen in 35% of the population sampled in Guadalajara who treated the folk illness empacho, and 5% of a similar population in Oaxaca. Lead use seems to be associated with mestizo ethnic background, and with lower levels of parental education and income.

Adult

Toxic Mexican folk remedies for the treatment of empacho: the case of azarcon, greta, and albayalde.

This article discusses the availability of three lead-based salts which are being used as folk remedies in Mexico. Distribution systems and geographic availability were determined, and purchased samples were found to be very high in lead content. The findings suggest the need for further research to understand the reasons why such remedies are chosen, and the development of an educational program to discourage their use.

Drug Utilization

The death of Frank.

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Attitude to Death

Life adjustment postmyocardial infarction: determining predictive variables.

Sixty-eight patients with diagnosed myocardial infarctions were followed up for one year postinfarct onset to determine psychosocial adjustment. A previous pilot had differentiated between two groups of patients--depressive and deniers-who had poor vs good rehabilitation results, respectively. Results from this study substantiated previous findings in that 70% of those who were depressed postinfarct remained so throughout follow-up. These patients failed to remain at work and/or to function sexually and had a higher hospital readmission rate. The denial group, although still functioning with minimal psychosocial distress, was not distinguished from the remainder of the study population who generally also functioned well. Women postinfarct seemed to have the most difficult time, accounting for 80% of the deaths and 50% of the depressed group. Their noticeable type A behavior may account for this finding.

Adaptation, Psychological