OBJECTIVE The incidence of medically treated attempted suicides was investigated in a defined area in the western part of The Netherlands, and demographic groups at risk were identified. DATA AND METHODS Suicide attempts treated at general hospitals, psychiatric hospitals, and in general practice were monitored between 1 January 1989 and 1 January 1993. Information on demographic characterist...

BACKGROUND AND OBJECTIVES In this article, the authors discuss how various systems in medicine are limiting representation of blacks, Latinos, and Native Americans. Flat and decreasing percentages of Underrepresented Minorities in Medicine (URMM), especially in the black and Native American populations, is concerning for family medicine since members from URMM groups care for minority and under...

Although in Britain hospital laboratory facilities are freely available to most general practitioners, some group practices have chosen to perform their own basic laboratory investigations.1-4 Such laboratory procedures, however, remain limited to only a few practices-probably for two main reasons: firstly, microbiologists' anxiety about the maintenance of quality control, and, secondly, genera...

All-Party Parliamentary Group on Dementia (2008). Always a Last Resort. Inquiry into the Prescription of Antipsychotic Drugs to People with Dementia Living in Care Homes. London: Alzheimer’s Society. Alldred, D. P. et al. (2007). Antipsychotic prescribing patterns in care homes and relationship with dementia. Psychiatric Bulletin, 31, 329–332. American Psychiatric Association (1994). Diagnostic...

This text gives an introduction to the Langlands correspondence for function fields and in particular to some recent works in this subject. We begin with a short historical account (all notions used below are recalled in the text). The Langlands correspondence [Lan70] is a conjecture of utmost importance, concerning global fields, i.e. number fields and function fields. Many excellent surveys a...

BACKGROUND AND OBJECTIVES Training physicians capable of practicing within the Patient-centered Medical Home (PCMH) is an emerging area of scholarly inquiry within residency education. This study describes an effort to integrate PCMH principles into teaching practices within a university-based residency setting and evaluates the effect on clinical performance. METHODS Using participant feedba...

BACKGROUND Patients diagnosed with cancer by the emergency route often have more advanced diseases and poorer outcomes. Rates of cancer diagnosed through unplanned admissions vary within and between countries, suggesting potential inconsistencies in the quality of care. To reduce diagnoses by this route and improve patient outcomes, high risk patient groups must be identified. This cross-sectio...

As physicians, we are constantly searching for ways to reduce variability, simplify work processes and improve the quality of our services. This is especially true for family physicians because the scope of our specialty is so vast. During a typical day, it is normal for us to encounter a wide variety of patient problems, and nowhere is it as difficult – or important – for us to strive for cons...

The Medical Journal of Australia ISSN: 0025-729X 1 February 2010 192 3 150153 ©The Medical Journal of Australia 2010 www.mja.com.au Medical education from factors such as shorter admissions and sicker patients. General practice provides a ready source of ambulatory patients with a wide range of medical and health needs. Building cap city for teaching in general practice is integral to providing...

Ageism, defined as "discrimination against the old on the grounds of their being old,"' emerged as a concept in the United States in the 1960s and promptly joined racism and sexism in the rogues' gallery of social attitudes unacceptable to pressure groups. The Grey Panthers, having found their demon, fought it with commendable zeal and effect. People, it seemed, could be made to feel uncomforta...