[Press and patients inviolability].
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This country needs toxicologists in a variety of institutions, and needs toxicologists with different backgrounds. All programs in toxicology can't satisfy every specific need. Certification and accreditation will continue as solvable issues among the various organizations in toxicology.
With attention turning to the nation's domestic problems and the 1992 presidential election coming up, the last quarter of 1991 saw a marked increase in the number of editorials and opinion pieces devoted to health care topics. Many newspapers and magazines targeted the broader--and thornier--issue of national health care reform, but narrower and no less critical issues also received play, including Medicaid underpayment, emergency department overcrowding and HIV testing for health care workers.
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BACKGROUND: Efficient, undistorted communication of the results of medical research is important to physicians, the scientific community, and the public. Information that first appears in the scientific literature is frequently retransmitted in the popular press. Does popular coverage of medical research in turn amplify the effects of that research on the scientific community? METHODS: To test the hypothesis that researchers are more likely to cite papers that have been publicized in the popular press, we compared the number of references in the Science Citation Index to articles in the New England Journal of Medicine that were covered by The New York Times with the number of references to similar articles that were not covered by the Times. We also performed the comparison during a three-month period when the Times was on strike but continued to prepare an "edition of record" that was not distributed; doing so enabled us to address the possibility that coverage in the Times was simply a marker of the most important articles, which would therefore be cited more frequently, even without coverage in the popular press. RESULTS: Articles in the Journal that were covered by the Times received a disproportionate number of scientific citations in each of the 10 years after the Journal articles appeared. The effect was strongest in the first year after publication, when Journal articles publicized by the Times received 72.8 percent more scientific citations than control articles. This effect was not present for articles published during the strike; articles covered by the Times during this period were no more likely to be cited than those not covered. CONCLUSIONS: Coverage of medical research in the popular press amplifies the transmission of medical information from the scientific literature to the research community.
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A multiple baseline across 8 nationally syndicated cartoonists evaluated the effects of personal advocacy letters encouraging presentations of a specific prevention message--the depiction of safety belt use in comic strips showing motor vehicle occupants. During baseline these cartoonists depicted safety belt use in only 15% (6 of 41) of their strips with occupied vehicles, but following receipt of a personal letter requesting safety belt use 41% (42 of 102) of their strips depicted safety belt use. Four cartoonists showed clear and immediate increases in depiction of safety belt use, 2 demonstrated delayed and somewhat less consistent belt use, and 2 cartoonists showed no change. The approach and results are discussed with regard to advocacy efforts intended to influence presentation of prevention messages in the media.
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The purpose of this study was to evaluate oral health information delivered by the Spanish mass media. The study was composed of two parts. In a quantitative study three media were selected: press, radio, and television. The study was carried out between December 1987 and March 1988, and the media with largest numbers and audience were selected. Information variables were: politics/economy-labor/culture-education/interviews-events-reports/sport s/ leisure/publicity/health/oral health/miscellaneous. The mass media studied dedicated a very small percentage of their space/time to health information, with a clear predominance of other themes such as publicity, politics, and sports (17/1). In relation to oral health, results were even more significant because the space/time dedicated to health in relation to oral health was 180/1 (P less than 0.01). Most of the oral health time was given via promotional or politico-professional issues (P less than 0.05). In a qualitative study all available information relating in any way with oral health was selected from a survey of all written news by the non-specialized Spanish press that appeared during 1 yr (Jan 1987-Jan 1988). Reports dedicated to education were only 170 (31.48%) of the total (540) oral health reports. From 170 reports dedicated to oral health, 33 (19.41%) presented some sort of error and 137 (80.59) had an adequate educative content. Caries was the topic more frequently covered, 77.06% of the data, in contrast to periodontal disease, dealt with by only 33.53%. The qualitative level of data using a Score Level Index (SLI) was 42.73% of the highest possible level. Implications for public health dentistry are discussed.
Advertising undoubtedly influences our daily habits. In this sense, the promotion of cigarettes and alcoholic beverages is no exception, being a potential stimulus for their use. For the purpose of studying different aspects of the cigarette and alcoholic beverage advertising which appeared in a sample os Spanish weeklies was taken, these being six of the weeklies having one of the largest circulations, three of which were aimed mainly at women readers, while the other three were general information magazines. The advertising of these two products represents a significant percentage of the total advertising printed in the magazines studied (11%). The promotion of alcoholic beverages widely surpasses that of cigarettes (by 7 to 1). With regard to the groups of alcoholic beverages, whisky in the leading beverage advertised. The topics to which reference is made in the advertising slogans are widely varied, are lacking in informative elements and are limited to means of persuading one to identify with said product. Marked differences are observed between the magazines of providing general information magazines and those preferably aimed at women with regard to the amount and content of the advertising of cigarettes and alcoholic beverages. The methodological differences arising on studying the advertising-use relationship are discussed. Lastly, a number of activities for contradicting the effect of the massive advertising of cigarettes ald alcoholic beverages appearing in our weeklies are proposed.
Almost all (93 per cent of 150) of the physicians surveyed reported frequent exposure to mass media, and almost two-thirds (60 per cent) state that this exposure included health items. Over half replied that at least one mass media source was useful to them as a source of health information. And, one physician in five (21 per cent) indicated that mass media could influence his attitude about health. The success of the dietitian in the health care setting depends to a large extent on the physician's support. In view of the influence of the mass media on physicians, as reported in this survey, the recommendation is made that dietitians give more attention to this avenue of improving their image with the medical profession.
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We examined the process of accruing healthy control subjects for biomedical research on brain function. Of 1670 responders to newspaper advertising, 23.1% were uninterested when learning more about the studies, and 50.9% of those remaining were found by structured telephone screening to meet exclusionary criteria for having a history of psychiatric, neurologic, or medical disease that might affect brain function. Of 312 volunteers passing the telephone screening who came to an in-person evaluation by a physician and agreed to participate, 49.7% were found to meet exclusionary criteria, and only 157 were admitted to the study. This underscores the importance of attending to the issue of screening and assessment of "normal volunteers." Alternative strategies should be considered for enriching the pool.
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