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

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.

The guest in this episode of The Health Leader Forge is Major General Jimmie O. Keenan, the Deputy Commanding General-Operations for the U.S. Army Medical Command, and the Chief of the Army Nurse Corps. To put Major General Keenan's accomplishments into perspective for listeners who are not familiar with the the military, the Army has approximately 492,000 active duty personnel, and only 309 general officers. Furthermore, Major General Keenan is one of only eight female major generals, and there are only four women in the Army who outrank her. In this podcast they discuss her fascinating career which ranges from time as a floor nurse to writing legislation as a congressional fellow to being second in command of one of the largest and most unusual health care systems in the United States.