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Biomedical subjects

M A Weingarten

Publications and source records attributed to M A Weingarten.

46 records · Page 3Linked to original sources

Undergraduate curricula in family medicine at Tel Aviv and Jerusalem Medical Schools.

The concepts and methods of the teaching programs in family medicine for undergraduate medical students at the Sackler School of Medicine in Tel Aviv and the Hebrew University-Hadassah Medical School in Jerusalem are presented. Undergraduate teaching of family medicine at Tel Aviv is concentrated in a three-week clerkship in the final clinical year. Field observation of a family doctor's work demonstrates the spectrum of disease in the community, and the special concepts of family medicine are introduced at small group seminars.

Clinical Clerkship↗

Telephone consultations with patients: a brief study and review of the literature.

The use of the telephone is described in a small, single-handed practice in Israel over a period of six months. Eighty per cent of the 350 calls were received during office hours and none after midnight. There were twice as many female as male callers. Half of the calls were made on behalf of the patient by a third party and 10 per cent were answered by the doctor's wife in his absence. Eighty per cent of the calls were concerned with medical symptoms and in half of the cases the problem was a new one. The commonest diagnoses were upper respiratory tract infection, gastro-intestinal disorders and fever. In more than half the cases, discussion and advice as to home management was sufficient to solve the problem presented. The average annual telephone consultation rate was 2.2 and the call:office visit ratio 1:2.2.The telephone was used to the doctor's satisfaction for two main purposes-the early reporting of new symptoms, and the feedback of follow-up information. It is thought that this behaviour both reduced the surgery consultation rate and extended the range of medical surveillance.

Adolescent↗

Otitis externa due to Pseudomonas in swimming pool bathers.

An outbreak of otitis externa was observed to affect one third of 230 swimmers using a new swimming pool within three weeks of its opening. Pseudomonas aeruginosa was grown from the water and from all of the nine swabs taken from the infected ears of the swimmers. During the same period only six other cases of otitis externa were seen in the local general practice serving 4,000 patients. The disinfection procedures were found to be defective and after they were corrected the outbreak subsided.

Adolescent↗

The family context of general practice problems. An aid for the new doctor.

The usual way of presenting the content of general practice relates only to the main or presenting diagnoses. Although this is a valuable tool for epidemiological purposes, it seems inadequate as a description of the content of the actual contacts made between the doctor and his patient. The range of topics which are discussed, or thought of, at the consultation is far wider than the summary diagnosis would indicate.

Child↗

Acute cardiac effects of 'SCUD' missile attacks on a civilian population.

The 'SCUD' raids on Israel during the Gulf War afforded a rare opportunity to examine the effect of mass acute fear on the cardiac health of the general population. Press reports suggested an alarming rise in cardiac deaths during the first missile raids. In order to ascertain this statement, we examined the Emergency Room records of a community hospital in the affected area and all the death certificates in the local region. The periods studied were from 1 January to 28 February 1991, and the equivalent weeks in 1990. The Emergency Room records showed that there was an increased rate of cardiac complaints throughout the war, most marked during the first week. However, this was not accompanied by an increased cardiac mortality, either in the hospital or in the region as a whole, except during the first week. A similar increase in cardiac mortality occurred during the same week the previous year. The increased incidence of acute cardiac events during the first week of the war was probably a coincidence, and not a direct consequence of mass fear. Panic, occasioned by press reports, may have led to a lower threshold of referral which persisted throughout the war.

Acute Disease↗

The influence of SCUD missile attacks on the utilization of ambulatory services in a family practice.

The consulting load in a family practice exposed to SCUD missile attacks during the 1991 Gulf War was compared with the equivalent period in 1990. The rate of visits was cut by half, with a relative and absolute increase in psychological consultations, and a decrease in consultations for infectious and respiratory conditions. There were more urgent consultations and fewer planned appointments. It is suggested that the stress of the SCUD missile attacks led to a reduction in consultations for trivial disorders, but an increase in the anxiety level of the population.

Ambulatory Care↗