OBJECTIVE To explore primary care practitioners approach to and management of menstrual disorders using a sociological perspective. METHODS Semi-structured interviews of primary care practitioners with an iterative approach to recruitment and analysis informed by grounded theory. RESULTS Two broad approaches to patient care were described-a biomedical approach, which concentrated on medical...

Foreign body aspiration (FBA) is a dangerous and potentially life-threatening event. We report the case of a 24-month old boy, who was initially presented with an episode of obstructive bronchitis to the family pediatrician. Then, while being treated with empiric antibiotics, he aspirated a peanut. Although resulting in a coughing episode, the mother did initially not ascribe any relevancy to i...

Knowledge in history-taking has increased rapidly over the last twenty years. Currently the principles to be taught include "conduct," "content," and "diagnostic reasoning." However, inattentiveness of medical schools, reluctance of busy faculty to be involved, and increasing enrollments have resulted in difficulties in teaching these skills. Studies have shown a beneficial short-term effect of...

We examined the effects of life-history variables on risk-taking propensity, measured by subjective likelihoods of engaging in risky behaviors in five evolutionarily valid domains of risk, including between-group competition, within-group competition, environmental challenge, mating and resource allocation, and fertility and reproduction. The effects of life-history variables on risk-taking pro...

The proverb that probably best exemplifies my career in research is attributable to Yogi Berra (http://www.yogiberra.com/), ie, “when you come to a fork in the road ... take it.” My career is a consequence of chance interactions with great mentors and talented students and the opportunities provided by a succession of ground-breaking improvements in technology. (Arterioscler Thromb Vasc Biol. 2...

OBJECTIVES To study the value of taking an ethics history as a means of assessing patients' preferences for decision making and for their relatives' involvement. DESIGN Questionnaire administered by six junior doctors to 56 mentally competent patients, admitted into general and geriatric medical beds. SETTING A large district general hospital in the United Kingdom. MAIN MEASURES To establ...

Physicians all through the world visit patients under time limitations. The most important troubled clinical skill under "time constraint" is the diagnostic approach. In this situation, clinicians need some diagnostic approaches to reduce both diagnostic time and errors. It seems that highly experienced physicians utilize some special tactics in this regard. Evidence-based medicine (EBM) as a r...