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Biomedical subjects

G M Gugelchuk

Publications and source records attributed to G M Gugelchuk.

6 recordsLinked to original sources
PubMed1999

Physicians in service to the underserved: an analysis of the practice locations of alumni of Western University of Health Sciences College of Osteopathic Medicine of the Pacific, 1982-1995.

PURPOSE: To determine how many osteopathic medical graduates (DOs) of the Western University of Health Sciences were practicing in underserved communities. METHOD: Practice address information was available for 765 of the 850 practicing DO alumni who had graduated from the University from 1982 through 1995. Alumni were categorized as practicing in underserved areas or not, following federally established guidelines; they were also categorized by gender, ethnicity, and medical specialty. RESULTS: Overall, 20.9% of these 765 alumni were practicing in underserved communities. The percentages of alumni practicing in underserved communities by gender, ethnicity, and specialty were: men, 20.9%; women, 21.0%; Caucasians, 20.5%; Asian Americans, 18.0%; African Americans, 25.0%; Hispanic Americans, 32.1%; Native Americans, 33.3%; primary care physicians, 20.9%; and non-primary care physicians, 20.9%. CONCLUSIONS: Approximately one in five practicing DO alumni of Western University was practicing in an underserved area. Examining these data by sex, ethnicity, and practice specialization suggested only weak associations between subgroup membership and practice in an underserved area.

California↗
PubMed1995

A trek to the top: a review of acute mountain sickness.

Acute mountain sickness (AMS) affects, to varying degrees, all travelers to high altitudes (elevations greater than 5280 feet). In a small percentage of patients, AMS can lead to high-altitude pulmonary edema (HAPE) or high-altitude cerebral edema (HACE). Symptoms of AMS range from a combination of headache, insomnia, anorexia, nausea, and dizziness, to more serious manifestations, such as vomiting, dyspnea, muscle weakness, oliguria, peripheral edema, and retinal hemorrhage. Although the primary cause of these symptoms is related to the reduced oxygen content and humidity of the ambient air at high altitudes, the physiologic pathway relating hypoxemia to AMS and its sequelae remains unclear. Tips on self-diagnosis and symptom recognition are critical elements to be included in educating patients who are contemplating a trip to high altitudes. Preventive strategies include allowing 2 days of acclimatization before engaging in strenuous exercise at high altitudes, avoiding alcohol, and increasing fluid intake. Conditioning exercise for patients older than 35 years is also recommended before departure. A high-carbohydrate, low-fat, low-salt diet can also aid in preventing the onset of AMS. Acetazolamide (125 mg two or three times daily, or once at bedtime) has also been shown to reduce susceptibility to AMS and the incidence of HAPE and HACE. Although effective in treating cerebral symptoms of AMS, dexamethasone is not routinely recommended as a prophylactic agent for AMS.

Acute Disease↗
PubMed1992

Guidelines for designing resident rating forms.

A well-designed rating form provides one means to evaluate a resident's clinical performance. A clear perception of the program's goals is the foundation on which an original--or revised--design should rest. Suggestions for three different types of rating forms are presented here.

Educational Measurement↗