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Biomedical subjects

S Glick

Publications and source records attributed to S Glick.

At least 37 records · Page 2Linked to original sources
PubMed1995

Use of ECFMG certifying examinations for national comparisons: performance of graduates of Israeli medical schools in basic and clinical science examinations.

Examinations were used for comparison of Israeli medical school graduates. The two schools with traditional curricula had higher pass rates for first takers of Day 1 (68% and 61%, mean scores 76.6 and 76.4) than the community-based school (44%, mean score 74.5) and the technologically oriented school (40%, mean score 72.5). There were similar pass rates for traditional school first takers of Day 2 (97% and 91%, mean scores 82.4 and 80.4) as for community-based school first takers (94%, mean score 80.1). The traditional schools and the community-based school demonstrated higher pass rates and mean scores for first takers of Day 2 than the technologically oriented school. Analysis of the time lapse between the basic science curriculum and taking the basic science examination reveals no trend in scores or pass rates. While the likelihood of better performance on Day 1 seems enhanced by traditional curricula, there is an equivalent performance on Day 2 by graduates of schools with traditional curricula.

Certification↗
PubMed1993

[Misinformation among physicians about dangers of fetal x-ray exposure].

A survey among 20 gynecologists and 86 family physicians and general practitioners revealed that only 46% (70% of the gynecologists and 41% of the others) knew that exposure of a pregnant woman to common diagnostic x-ray is not an indication for therapeutic abortion (the opinion of a consensus of experts). This lack of basic information by those who advise pregnant women points to a serious public health problem. Pregnant women are frightened, and in a sense abortions are "coerced" by increasing the unwarranted anxiety. It is incumbent upon individuals and institutions to ensure that physicians, nurses and others in the health professions be well-informed and not supply misinformation.

Abnormalities, Radiation-Induced↗
PubMed1992

Euthanasia.

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Euthanasia↗
PubMed1990

The use of patients as student evaluators.

Current evaluation of medical students in their clinical clerkships is usually performed by their clinical tutors, and emphasizes knowledge, skills and behavior. However, it is not at all certain that the clinical tutors adequately appreciate the behavioral aspects of the student-patient interrelationship. Since these interactions are not directly observed by the tutors, their evaluation is based largely on second hand information. In the present study, patient opinion regarding student behavior was collected and compared to tutors' evaluation of the student. One hundred and eighty one patients and 31 clinical tutors evaluated 41 medical students during a 6 week internal medicine clerkship, using a specially designed patient questionnaire and tutors' rating form. An analysis of the correlation between tutors' individual rating parameters and the global score revealed high correlation for those parameters associated with clinical knowledge and skills, but lower correlations for parameters associated with students' relationship to patients. The study reveals difficulties associated with the evaluation of students by patients. The process is time-consuming, and introduces tension between students and patients. In addition the patients appeared to be poor discriminators in evaluating medical students. Finally, the study points out that tutors do not assign sufficient importance to the student-patient relationship in the global clerkship score.

Clinical Clerkship↗
PubMed1987

Differential effects of proglumide on mesolimbic and nigrostriatal dopamine function.

Cholecystokinin octapeptide (CCK-8) is prevalent as a co-transmitter in the mesolimbic dopamine pathway. The effect of proglumide, a CCK-8 antagonist, on two acute and one chronic behavioral models of dopamine function was tested. First, haloperidol was used to inhibit stereotypies induced by apomorphine in rats. Pre-administration of proglumide significantly shifted the haloperidol dose response curve to the left. Second, rats were injected in the left caudate nucleus with kainic acid. Three weeks later, haloperidol was used to inhibit apomorphine-induced circling. Pre-administration of proglumide had no effect on this haloperidol dose response curve. Third, either proglumide, haloperidol, or combined treatment was administered to rats for 2 weeks. In proglumide-treated animals, a significant increase in 3H-spiperone binding sites in the nucleus accumbens was observed.

Animals↗
PubMed1984

Effect of amiodarone on thyroid hormone economy.

Serum thyroxine (T4), triiodothyronine (T3), resin uptake of T3 (RT3U), thyroid stimulating hormone (TSH) and TSH response to thyrotropin releasing hormone (TRH) were measured in 92 patients treated with amiodarone for up to 4 years. Two patients developed thyrotoxicosis, while euthyroid hyperthyroxinemia occurred in 29 (32%). Hypothyroidism was diagnosed in 11 patients (12%), and a further 11 had tests consistent with a "failing thyroid." Of 39 patients with normal values of T4, 15 had abnormal responses to TRH. Of the 92 patients, 24 were tested before administration of amiodarone and then sequentially; alterations in thyroid function were frequent within the first 3 months. A scheme is proposed for early recognition of disturbed thyroid function due to amiodarone.

Adult↗
PubMed1984

Meckel's diverticulum: axial volvulus mimicking emphysematous cholecystitis.

A 48-year-old man presented with symptoms of acute cholecystitis. Abdominal roentgenograms suggested emphysematous cholecystitis. Axial volvulus of a Meckel's diverticulum was discovered at surgery. We discuss this unusual complication of Meckel's diverticula as well as the roentgenographic differential diagnosis of air in the gallbladder.

Cholecystitis↗
PubMed1983

Uncomplicated pneumonia: an evaluation of determinants of length of hospitalization.

A study was carried out on the length of hospitalization of patients with uncomplicated pneumonia. Three medical wards with comparable admissions criteria and characteristics of patients had different lengths of hospitalization (5.4, 8.1 and 9.1 days). Quality of care, defined by a score based on agreed-upon criteria of patient management and scored by independent observers, was similar for the three wards. There were also no differences in the rates of rehospitalization or complications. In the ward with the shortest hospital stay, predischarge chest X-rays were not performed; in the other two wards, 19.8% of the patients had a repeat chest X-ray before discharge. The difference in the proportion of predischarge X-rays did not explain the differences in length of stay. The data suggest that hospitalization practices should be periodically reviewed to ascertain their contribution to the length of hospitalization. The shortest hospitalization period for uncomplicated pneumonia observed on one of the medical wards seems reasonable and was not associated with obvious major complications in this small group of patients. Since only a small percentage of chest X-rays return to normal by the end of the 1st wk, and in view of their questionable contribution to therapeutic decisions, the usefulness of the predischarge chest X-ray is doubtful.

Adolescent↗
PubMed1979

Antibiotic usage in Kupat Holim (Sick Fund) clinics. A pilot survey and evaluation.

A survey of antibiotic prescribing patterns of six physicians in two Sick Fund clinics was carried out during a one-month period. Over 1,200 antibiotic prescriptions and their therapeutic indications were reviewed. Ampicillin was the most commonly prescribed drug. Most of the prescriptions were for treatment of infections of the upper respiratory tract. Over one half of all antibiotic prescriptions were for presumably viral upper respiratory infections (URI), and half of all patients diagnosed as having viral URI received an antibiotic prescription. A method for measuring the quality of antibiotic usage by physicians in infections of the upper respiratory tract was developed and tested. The method is readily applicable to Sick Fund clinics and, in a trial run, proved capable of demonstrating large differences among physicians in their antibiotic prescribing habits for viral URI, tonsillitis, and otitis media.

Ambulatory Care Facilities↗