PubMed · 7787891
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M T McLean. 1995. Wisdom from generations past.. https://pubmed.ncbi.nlm.nih.gov/7787891/
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Refugees and other immigrants often present with clinical problems that are as varied as their previous experiences. Clinical presentations may range from unusual infectious diseases to problems with transition. This article describes medical conditions associated with immigrants, as well as specific screening recommendations, including history, physical examination and laboratory tests, and some of the challenges encountered by family physicians caring for refugees.
Social constructionism is the view that homosexuality is not an atemporal and acultural phenomenon. Rather, homosexuality exists only within certain cultures and within certain time periods, most obviously Europe and North America after the nineteenth century. Essentialism is the view that homosexuality is an essential feature of human beings and that it could be found, in principle at least, in any culture and in any time. In this paper, I argue that the historical evidence available to us does not show that social constructionism is the correct view, and that essentialism is fully compatible with such evidence. Furthermore, I argue that the historical evidence does not even render social constructionism more probable than essentialism, i.e., both views are equally probable in the face of this evidence.
The use of the term "quality of life" to encompass the values and perceptions of patients has created doubt, confusion, and misunderstanding among practitioners, researchers, policymakers, and patients. The principal reason for this state of affairs is that a clear conceptual basis for quality-of-life measures is lacking. In this article, the current rationale for quality-of-life measurement in the health field is examined, and the drawbacks of the various models being used are outlined. Our suggestion is that quality of life as an outcome could be explored more clearly (ie, defined) if quality of life were replaced with a more easily handled notion such as that of "subjective health status." However, the idea that the patient's perspective is as valid as that of the clinician when it comes to evaluating outcomes has a great deal of legitimacy and should certainly not be abandoned.