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The structure of the Organon.

The Organon of Medicine is the seminal text of Homeopathy. However, its grammar and structure make it obtuse and remote to both new students and veterans. We propose a demarcation of the Organon into sections, exposing the didactic structure of the Organon, and display this demarcation in concise graphic form. It is hoped that this representation will improve accessibility and understanding of the Organon for readers at all levels.

Formularies, Homeopathic as Topic↗

Reading skills of dietetic interns and readability of dietetics literature.

OBJECTIVE: To assess and compare reading skills of dietetic interns with reading levels of internship references. DESIGN: A standardized reading test, the Nelson-Denny Reading Test, measured reading skills of entering dietetic interns over 7 years. A computerized readability program assessed the readability of references. SETTING: Dietetic internships in university and Veterans Affairs hospitals. SUBJECTS: Of 194 entering interns, 178 (92%) were included and 16 (89%) were omitted. MAIN OUTCOME MEASURES: Nelson-Denny percentile and grade equivalent scores for vocabulary, comprehension, and total. The Fog Index identified reference reading-grade levels. STATISTICAL ANALYSES PERFORMED: Descriptive statistics and analysis of variance. RESULTS: Interns from the two programs did not differ significantly on Nelson-Denny Reading Test scores or in application grade point average. Percentile means and standard deviations were 54.7 +/- 23.8 for vocabulary, 51.2 +/- 25.0 for comprehension, 52.9 +/- 23.9 for total, and 41.6 +/- 24.7 for reading rate. Nearly 20% (33 of 178) of interns read significantly below expected grade level. The fog Index assigned reference grade levels from 6.98 to 21.63 years. CONCLUSIONS: The majority of dietetic interns have strong reading skills and read within the references' reading levels. A minority may experience difficulties reading assignments. Preinternship reading skills assessment could lead to greater success in reading professional literature.

Adult↗

Teaching nursing history: the Redwood experience.

This paper traces the development of nursing history from the great names approach of the early 20th century to the new analytical directions represented by the work of Davies and Maggs. It discusses the relevance of the study of nursing history in the present climate. The author shares the experiences of incorporating nursing history into a pre-registration diploma programme and suggests ways of evaluating this course of study.

Curriculum↗

The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion.

Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the field and relevant journal articles by authorities on healthcare marketing. The data were analysed and four main categories identified. To ensure the trustworthiness of the research, Lincoln and Guba's (1981: 215-216) criteria, as explained by Krefting (1991: 217), were applied. Because the population consisted of only literature, ethical considerations concerning human subjects were irrelevant. Results indicated that the basic commercial marketing principles (the so-called 4Ps--product, price, place, and promotion) could be adapted for the health sector. The conclusion was that registered nurses could contribute to the marketing of primary healthcare services by communicating with the community (promotion) and by ensuring effective service (product) delivery at the right price and place. Registered nurses could influence the community's perceptions of health care and facilitate behaviour changes, thereby promote health. The implementation of the findings and recommendations of this research could create a new awareness among registered nurses of their role in the marketing of primary healthcare services in South Africa and improve their skills in this regard.

Attitude of Health Personnel↗

Clinically relevant dermatology resources and the Internet: An introductory guide for practicing physicians.

The number of dermatology sites on the Internet is growing rapidly and the resources they offer are of great benefit to dermatologists and physicians. The mainstay of dermatologic diagnosis is that of visual inspection and gross morphology, therefore, the use of improved imaging techniques, which allow for the rapid collection, electronic transmission, and indexing of images aids in the accurate recognition and interpretation of skin lesions. The graphic nature of the field of dermatology kindly lends itself to the use of the Internet. The enhanced ability to access information,and share expert opinion worldwide will help lessen inappropriate treatment or delayed referral to an appropriate specialist and facilitate the accurate diagnosis of various dermatologic diseases. Concerns about the quality of data are examined and an evaluation scheme proposed. An overview of available resources is presented along with links to additional resources to aid the reader in the identification of additional sites to explore. Sites were selected with the goal of identifying those that provide a broad range of information worthwhile to the dermatologist and general practitioner. Resources including, but not limited to, image atlases, electronic texts, drug databases, case study archives, laboratory testing, and clinical procedures are examined.

Dermatology↗

The prospect of data-based medicine in the light of ECPC.

A new effort in medical information has gathered and organized data from randomized clinical trials and other sources in obstetrics and made them available in several forms. This accomplishment implies the possibility of data-based medical practice that depends on systematic organization of medical findings. Possible limitations in data-based medical practice are treated and the benefits of such an approach are discussed. Will it be possible and useful to generalize this obstetric effort to all of medicine, and, if so, how? With the establishment of the Cochrane Centre, the United Kingdom has launched a program directed toward this end. New ideas for disseminating the gathered information are needed. Funding for core support will be needed both to create the medicine-wide information and to maintain it.

Databases, Factual↗

Toxicological information series, II. A survey of toxicology information.

The structure of toxicology information is outlined. Key resources, both print and electronic, are described and the role of organizations is discussed on national and world levels. The section on computerized information covers systems such as TOXNET, CIS, and the ANSWER workstation.

Dictionaries, Chemical as Topic↗