Invasive diagnostic methods for nosocomial pneumonia. Revisiting the folklore.
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BACKGROUND: The media repeatedly portrays dentists and other health professionals as being at risk of committing suicide. While this message often is accepted without question, there are little reliable data available that verifies this alleged risk. The relationship between professional stress and suicide, if any, has not been substantiated or quantified. TYPES OF STUDIES REVIEWED: The author evaluated the contemporary literature on stress and suicide in health professionals in an effort to verify or refute the widely held belief that dentists and other health care professionals are at higher risk of committing stress-related suicide. The author also surveyed dental schools to determine what efforts were being made to provide students with stress-management skills. RESULTS: The author found that there is little valid evidence that dentists are more prone to suicide than the general population, although some related data suggest that female dentists may be more vulnerable. Large-scale studies are needed before firmer conclusions can be reached. The author's survey shows that dental students generally receive some education on stress management, but many dental hygiene and graduate students do not. The author makes several recommendations for future research. CLINICAL IMPLICATIONS: Although some dentists leave the profession by way of suicide or career change at a time when their careers should be the most rewarding, available data on stress and its impact on suicide incidence are inconclusive and flawed. The profession needs to identify the causes of stress-related suicides and provide assistance to those people who are affected by stress.
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After four years of wading through data on prevention, an HHS-funded task force has finished a pragmatic ranking of primary care preventive services. Even before the report's release, prevention activists had begun saying the authors too often copped out with 'neutral' recommendations.
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These are the major "good" alternative medications and supplements. They represent but a fraction of the known (or suspected) benefits of alternative therapies. Next issue, Part II of this series will deal with the dark "bad" side of this issue--when herbs become outlaws and toxic tumbleweeds.
The dark 'bad' side of herbal and supplement use is not only in their direct adverse effects or toxicity, but in their potential for interactions with a variety of agents commonly used by mainstream practitioners. In the next issue, Part III--The Ugly--will focus on the distorted image of these hazardous herbal drifters.
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Cholera is an exceptionally frightening epidemic disease because it kills its victims so very rapidly. The development of cholera therapy is traced from the early 19th century purges and bloodletting to the current use of oral rehydration solutions.
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