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Biomedical subjects

M Altman

Publications and source records attributed to M Altman.

At least 19 recordsLinked to original sources

Independent study: 10-year programme review.

The Ohio State University College of Medicine has offered an independent study curricular option since 1970. This study reports our experience covering 10 entering classes and compares the independent study programme (ISP) students to the students who entered the traditional lecture-discussion programme (LDP). It looks at (a) entering demographic and personality characteristics, (b) academic, clinical and research performance during school and at graduation and (c) practice and career outcomes. The major findings are that, as groups, students from the two curricular programmes are far more alike than different but that the flexibility of an independent study programme provides special options without loss of academic achievement. Individual talents and interests were enhanced and research opportunities have aided recruitment and development of particular students. Independent study students pursued more research during medical school and hold more full-time academic positions in practice. A comparative cost study showed that, once the two programmes are operational, per student operational costs are equivalent. Results of this study indicate, that at Ohio State, the benefits of a two-track system outweigh the additional costs.

Career Choice

A comparison of medical students' performances in independent study and traditional programs.

Medical students at Ohio State University may study the basic medical sciences in an independent study program or in a conventional lecture-discussion program. In a study involving more than 2,000 students over a 10-year period, students pursuing the independent study program and students in the more traditional program performed similarly on Part I of the National Board of Medical Examiners (NBME) examinations and in their required clerkships. However, differences were identified in some content areas and resulted in curricular changes.

Achievement

Idiopathic dilatation of peripheral pulmonary arteries.

We describe a patient with idiopathic dilatation of the peripheral pulmonary arteries radiologicaly mimicking pulmonary arteriovenous fistulae. Isolate involvement of the peripheral arteries in this patient supports a developmental defect in the arterial walls as the etiology.

Adult

Acute acoustic trauma - a clinical investigation and prognosis in 433 symptomatic soldiers.

An audiological and clinical study was carried out on 433 soldiers suffering from symptomatic acute acoustic trauma (AAT). The severity of AAT was similar following exposure to different types of firearms. The typical subjective complaints were tinnitus and hearing loss and the more severe the objective hearing loss, the more frequent were the typical subjective symptoms. It seems that there are critical sound pressure levels and critical frequencies below which the remnants of infectious processes in the middle ear may have a protective effect on the cochlea in cases of exposure to noise, whereas above these critical levels and frequencies the injurious influence of noise appears to be enhanced. The best known treatment for AAT seems to be removal from further exposure to noise. Further exposure to noise had a significant worsening influence on the average hearing status, while removal from noise significantly improved the audiometric status.

Acute Disease