Suchergebnisse

Psychotropic drug prescribing in 1280 medical inpatients between 1973-75 was compared with that in 1200 similar patients during 1982-83. Three benzodiazepines accounted for 64% of prescriptions in 1973-75 and nine benzodiazepines for 82% of prescriptions in 1982-83. Over the decade, use of psychotropic drugs fell from 56% to 38% (P less than 0.001), primarily due to a reduction in patients treated only in hospital (34% vs 16%, P less than 0.001). Before admission, the proportions of patients receiving these drugs were similar (17% vs 18%). During admission, concomitant administration of similar drugs declined from 22% of patients in 1973-75 to 11% in 1982-83 (P less than 0.001), while concurrent prescribing before admission increased from 13 to 19%. The marked fall in psychotropic drug use and in inappropriate concomitant therapy indicates an encouraging trend towards more rational drug use at least in hospital. This was achieved without fiscal control and further rationalization of prescribing habits may be achieved by self-audit within the profession without legislative action.

Part 1: East Asian Medical Industries1. Discovering New Drugs in Traditional Chinese Medicine: Inside Guangzhou Huahai Pharmaceuticals Liz P. Y. Chee2. Cultivation and Paternalism in the Service of the Market: Medical Industry and Ethnicity in Southwest China Manuel Campinas3. The Development of the Kampo Medicines Industry: 'Good Practices' and Health Policy-Making in Japan Ichiro Arai, Julia Yongue, and Kiichiro Tsutani4. The Pharmaceutical Industry of Toyama Prefecture, Japan: Haichi Household Medicines, Intersectoral Collaboration and Industrial ClusteringTomoko Futaya & Calum BlaikiePart 2: South Asian Medical Industries 5. Globalizing Ayurveda, Branding India: Implications for the Ayurvedic Pharmaceutical Industry Chithprabha Kudlu6. Industry Dynamics and Clustering in Ayurvedic Pharmaceutical Production in South India: The Case of CARe Keralam Harilal Madhavan & Sajitha Soman7. Untangling the Web of Raw Material Supply for the Ayurvedic Industry: The Complex Geography of Plant Circulations Lucie Dejouhanet & Sreelakshmy M.Part 3: Sowa Rigpa Industries8. "Sourcery": Losing Track of Tibetan Medicinal Plants between Commerce and Conservation in Northern India Jan van der Valk9. Making Tibetan Medicine in Nepal: Industrial Aspirations, Cooperative Relations, and Precarious Production Calum Blaikie & Sienna Craig10. The Emergence of the Traditional Mongolian Medicine Industry: Communism, Continuity and Reassemblage Stephan Kloos

Frontmatter -- Contents -- Acknowledgments -- Abbreviations -- Introduction: Medical Boards and the Public Interest -- Chapter 1. Public Member, Researcher, and Public Sociologist: The Genesis of a Project -- Chapter 2. How Licensure Became a Medical Institution -- Chapter 3. Public Participation: The Federal Bureaucracy Starts a Public Dialogue -- Chapter 4. The State, the Media, and the Shaping of Public Opinion -- Chapter 5. Rhetorics of Law, Medicine, and Public Interest Shape Board Work -- Chapter 6. Medical and Legal Discourses in Investigatory Committees -- Chapter 7. Hearing and Sanction Deliberations: Transparency and Fact Construction Issues -- Chapter 8. Democratic Deliberation and the Public Interest -- Conclusion: An Exercise in Democratic Governance -- Notes -- References -- Index

The ever more frequent use of medical helicopters and aircraft by military and civilian organizations of modern nations to give first-aid to the wounded and have them transported has also led the central bodies of various National Red Cross Societies to add the most up-to-date and fastest methods of air transport to the traditional forms of transportation.