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Articles de revues sur le sujet "Physicians – anecdotes"

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Furrow, Barry R. « Broadcasting Clinical Guidelines on the Internet : Will Physicians Tune In ? » American Journal of Law & ; Medicine 25, no 2-3 (1999) : 403–21. http://dx.doi.org/10.1017/s0098858800010960.

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Modern American medicine is far from ideal. Physicians practice by rules learned in medical school, rules often based on anecdotes or untested hypotheses. Medical opinion leaders shape practice by their own experience even though anecdotes are no substitute for clinical studies. Pressures to diagnose and treat come from pharmaceutical companies, equipment manufacturers, hospitals and managed care organizations (MCOs). The end result is often too much medicine or too little, but rarely the appropriate amount. Patients can end up suffering iatrogenic effects of infections picked up during hospital stays, complications from surgery or drug side effects or “cascade effects” that occur when several interventions fail in succession.
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Sharma, Om P. « Medicine in Dr Samuel Johnson's Dictionary of the English Language ». Journal of Medical Biography 19, no 4 (novembre 2011) : 171–76. http://dx.doi.org/10.1258/jmb.2011.011014.

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When compiling the Dictionary of the English Language, Johnson read and annotated over two hundred thousand passages from innumerable English authors of various disciplines across four centuries. Most of the literary anecdotes came from Shakespeare, Milton, Dryden and Pope. The medical and scientific anecdotes came from 31 scientists, physicians, pharmacologists and surgeons. This reflects Johnson's admiration for science and its benefit to the public. He told Boswell, ‘Why Sir, if you have but one book with you upon a journey let it be a book of science. When you read through a book of entertainment, you know it, and it can do no more for you, but a book of science is inexhaustible’.
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Brantley, Meredith, et Cheryl Niekamp. « Workshops that Work : Physician Involvement in Service Training ». Journal of Patient Experience 1, no 2 (novembre 2014) : 28–31. http://dx.doi.org/10.1177/237437431400100206.

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Physician involvement in service training initiatives can have a significant impact on the patient experience. This paper highlights some of the key components of what makes physician involvement in training engagements successful and includes anecdotes and data to support the findings. Our service training program emerged from a desire to help clinic sections improve the patient experience. Our workshops contained customized materials that addressed service priority areas, as identified by patient satisfaction survey results, for individual clinic sections and included opportunities to practice the concepts introduced in each session. However, we were missing one key ingredient in the recipe for a successful training program — physician involvement. This paper focuses on a best practice in which two physicians took an active role in creating, customizing and delivering service training for their clinic section and made a tremendous impact on their overall patient satisfaction scores and section morale.
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Rasouli, Melody A., Alyssa D. Brown, Alexander Zoroufy, Morgan S. Levy, Vineet Arora, Arghavan Salles, Tiffany J. Sinclair et Torie C. Plowden. « PUTTING NUMBERS BEHIND THE ANECDOTES : INFERTILITY AND PREGNANCY COMPLICATIONS AMONG PHYSICIANS AND MEDICAL STUDENTS ». Fertility and Sterility 120, no 4 (octobre 2023) : e127. http://dx.doi.org/10.1016/j.fertnstert.2023.08.397.

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Ching, Leslie M., Ashley Watson, Tyler Watson et Philip Ridgway. « The Osteopathic Approach During the 1918 Influenza Pandemic, Featuring Newly Analyzed Case Reports ». AAO Journal 31, no 2 (1 juin 2021) : 9–16. http://dx.doi.org/10.53702/2375-5717-31.2.9.

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Abstract Osteopathic physicians played a pivotal role in treating patients suffering from the H1N1 influenza A virus of the 1918 Influenza Pandemic. This article focuses on case reports and questionnaire answers from the Journal of the American Osteopathic Association (JAOA), now the Journal of Osteopathic Medicine (JOM), and Osteopathic Physician concerning the modalities, techniques, and efficacy of osteopathic treatments of the 1918 pandemic. There are 19,565 patients who are represented in this analysis. The results are compared to the often-cited 110,120 patient cases reported by the JOM in 1920. Several different approaches, including lymphatic and visceral techniques, were widely used at the time, and their historic incorporation into patient treatment is explored. There is a discussion of the geographic location and characteristics of the practices. Statistical breakdown of mortality rate, the most commonly used approaches, somatic dysfunctions commonly treated, physician anecdotes, and other common remedies used by osteopathic physicians, are noted additionally. A comparison is done of the literature regarding the osteopathic approach for COVID-19. The newly analyzed case reports in this article demonstrate a similar mortality rate as in the 1920 JAOA article and illustrate the geographical distribution, treatment approaches, and personal stories of osteopaths during the pandemic.
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Murthy, Vivek K., et Scott M. Wright. « Osler Centenary Papers : Would Sir William Osler be a role model for medical trainees and physicians today ? » Postgraduate Medical Journal 95, no 1130 (21 novembre 2019) : 664–68. http://dx.doi.org/10.1136/postgradmedj-2019-136646.

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If Sir William Osler were alive and practising as one of our contemporary colleagues, would he be viewed as a role model by medical trainees and other physicians? Recently published literature has sought to define clinical excellence; this characterisation of physician performance establishes a context in which role models in medicine can be appraised. Building on this framework, we present rich anecdotes and quotes from Sir William Osler himself, his colleagues, and his students to consider whether Osler would have been regarded as a role model for clinical excellence today. This paper illustrates convincingly that William Osler indeed personified clinical excellence and would have been appreciated as a consummate role model if he were alive and on a medical school’s faculty today. However, a century has passed since his death, and he is not sufficiently visible today to serve as a role model to modern medical trainees and physicians. Moreover, we speculate that Osler himself would not have wanted to be a role model for today’s trainees, as he emphasised that medicine is best learned from teachers at the bedside—a place where he cannot be. Reanimating Osler through rich stories and inspiring quotes, and translating his example of clinical excellence into modern clinical practice, can remind us all to carry Oslerian virtues with us in our professional work.
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Wright, Scott. « 10 Osler as a role model for today ». Postgraduate Medical Journal 95, no 1130 (21 novembre 2019) : 688.1–688. http://dx.doi.org/10.1136/postgradmedj-2019-fpm.10.

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If Sir William Osler were alive and practicing as one of our contemporary colleagues, would he be viewed as a role model by medical trainees and other physicians? Recently published literature has sought to define clinical excellence; this characterization of physician performance establishes a context upon which role models in medicine can be appraised. Building on this framework, we present rich anecdotes and quotes from Sir William Osler himself, his colleagues, and his students to consider whether Osler would have been regarded as a role model for clinical excellence today.This manuscript illustrates convincingly that William Osler indeed personified clinical excellence and would have been appreciated as a consummate role model if he were alive and on a medical school’s faculty today. However, a century has passed since his death, and he is not sufficiently visible today to serve as a role model to modern medical trainees and physicians. Moreover, we speculate that Osler himself would not want to be a role model for today’s trainees, as he emphasized that medicine is best learned from teachers at the bedside – a place where he cannot be. Reanimating Osler through rich stories and inspiring quotes, and translating his example of clinical excellence into modern clinical practice, can remind us all to carry Oslerian virtues with us in our professional work.
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VIGLIANI, MARGUERITE B., et ANNA I. BAKARDJIEV. « INTRACELLULAR ORGANISMS AS PLACENTAL INVADERS ». Fetal and Maternal Medicine Review 25, no 3-4 (novembre 2014) : 332–38. http://dx.doi.org/10.1017/s0965539515000066.

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In an era of evidence-based medicine, physicians sometimes forget the value of anecdotes in stimulating thought about clinical problems. Our recent report on typhoid fever in a pregnant woman at 12 weeks of gestation is a good example. In spite of culture-proven diagnosis and appropriate treatment of the mother with antibiotics, fetal loss occurred at 16 weeks of gestation. Salmonella typhi was found in the fetal lung on autopsy, consistent with vertical transmission of the organism. None of the clinicians caring for the patient had imagined that gram-negative bacteria could cross the placenta and kill the fetus in spite of early diagnosis and treatment with appropriate antibiotics.
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Chow, Candace, Carrie L. Byington, Lenora M. Olson, Karl Ramirez, Shiya Zeng et Ana Maria Lopez. « 2175 ». Journal of Clinical and Translational Science 1, S1 (septembre 2017) : 45. http://dx.doi.org/10.1017/cts.2017.164.

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OBJECTIVES/SPECIFIC AIMS: Knowing how to deliver culturally responsive care is of increasing importance as the nation’s patient population diversifies. However, unless cultural competence is taught with an emphasis on self-awareness (Wear, 2007) and critical consciousness (Kumagai and Lypson, 2009) learners find this education ineffective (Beagan, 2003). This study examines how physicians perceive their own social identities (eg, race, socio-economic status, gender, sexual orientation, religion, years of experience) and how these self-perceptions influence physician’s understandings of how to practice culturally responsive care. METHODS/STUDY POPULATION: This exploratory study took place at a university in the Intermountain West. We employed a qualitative case study method to investigate how academic physicians think about their identities and approaches to clinical care and research through interviews and observations. In total, 25 participants were enrolled in our study, with efforts to recruit a diverse sample with respect to gender and race as well as years of experience and specialty. Transcriptions of interviews and observations were coded using grounded theory. One major code that emerged was defining experiences: instances where physicians reflected on both personal and professional life encounters that have influenced how they think about themselves, how they understand an aspect of their identity, or why this identity matters. RESULTS/ANTICIPATED RESULTS: Two main themes emerged from an analysis of the codes that show how physicians think about their identities and their approaches to practice. (1) Physicians with nondominant identities (women, non-White) could more easily explain what these identities mean to them than those with dominant identities (men, White). For example, women in medicine had much to say about being a woman in medicine, but men had barely anything to say about being a man in medicine. (2) There was a positive trend between the number of defining experiences a physician encountered in life and the number of connections they made between their identities and the manner in which they practiced, both clinically and academically. It appeared that physicians who have few defining experiences made few connections between identity and practice, those with a moderate number of experiences made a moderate number of connections, and those with many experiences made many connections. Physicians who mentioned having many defining experiences were more likely to be able to articulate how those experiences were incorporated into their approaches to patient care. DISCUSSION/SIGNIFICANCE OF IMPACT: (1) According to literature in multicultural education, those with dominant identities do not think about their identities because they do not have to (Johnson, 2001). One privilege of being part of the majority is not having to think about life from a minority perspective. This helps to explain why women and non-White physicians in this study had more anecdotes to share about these identities—because they have had defining experiences that prompt reflection on these identities. (2) We propose that struggles and conflict are what compel physicians to reflect on their practice (Eva et al., 2012). Our findings suggest that physicians are more prepared to apply what they have learned from their own identity struggles in delivering culturally responsive care when they have had more opportunities to reflect on these identities and situations. Findings from this study have implications for transforming approaches to medical education. We suggest that medical education should provide learners with the opportunity to reflect on their life experience, and that providers may need explicit instruction on how to make connections between their experiences and their practice.
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Gussner, Anna, Matthew Rohde, Danika Baskar, Theodore Ganley et Kevin Shea. « Evaluating Pediatric ACL Injury-Related Content Across Various Social Media Platforms ». Journal of the Pediatric Orthopaedic Society of North America 4, no 1 (28 janvier 2022) : 1–6. http://dx.doi.org/10.55275/jposna-2022-0008.

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Background: Anterior Cruciate Ligament (ACL) tears are common in young athletes who rely on social media as a primary source of information. Evaluation of the information being shared across social media sites about pediatric ACL injuries has yet to be investigated. The purpose of this study was to investigate the content related to pediatric ACL tears across various social media platforms including Facebook, Instagram, YouTube, and TikTok. Methods: The search terms “pediatric ACL,” “pediatric ACL tear,” and “ACL recovery” were used to identify relevant groups and postings. Each of these search terms was entered into each platform to find content with the highest number of followers, views, and/or posts. This content was then analyzed and categorized based on common themes of focus. Results: Across four identified Facebook groups, there were over 13,000 members collectively with 950 posts shared from May 12, 2021, to June 12, 2021. Posts were shared by caregivers of adolescents searching for a community of support from those who have undergone similar injuries and treatments. Related Instagram hashtags revealed 1.5 million posts centered mainly on athletes returning to play after sustaining ACL injuries. The top two Instagram pages together had more than 42,600 followers focused on successful recovery anecdotes. The top five YouTube videos total 523,000 views and share educational content, surgical techniques, and patient stories. The top four TikTok hashtags have over 64 million total views with videos about personal experiences before and after ACL surgery. Conclusion: Our findings revealed widespread sharing of anecdotal experiences after ACL injury. The advice shared may be valuable from a community support perspective. The relatively limited physician presence and monitoring of these social media sites may compromise the quality of medical information. Providers caring for pediatric athletes may benefit from increased knowledge about social media resources widely used by young athletes. Physicians may consider novel approaches to monitoring these sites and offering higher-quality information to patients and families to support better decision-making.
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Thèses sur le sujet "Physicians – anecdotes"

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Philippon, Valentin. « Médecine et médecins dans l’historiographie chinoise. Biographies de médecins et anecdotes médicales dans les vingt-six histoires (Ershiliu shi 二十六史) ». Thesis, Paris Sciences et Lettres (ComUE), 2019. http://www.theses.fr/2019PSLEP023.

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L’écriture de l’histoire a toujours été une discipline reine dans la Chine impériale, et elle a notamment donné lieu à la production d’un corpus encyclopédique constitué de vingt-six histoires dynastiques officielles. Notre thèse a pour but de fournir une étude de la place occupée par la médecine et les médecins dans ce corpus. Rédigés selon un modus operandi très particulier, les documents examinés consistent essentiellement en des biographies, complètes ou partielles, d’experts en médecine (yi 醫). Nous savons aujourd’hui que ces textes étaient plus prescriptifs que descriptifs, et qu’ils ne sauraient être utilisés comme seule source pour une étude historique sérieuse. La question est alors de déterminer comment tirer le meilleur parti de la mine d’informations qu’ils mettent à disposition du chercheur. Pour répondre à cette question, nous proposons d’abord une étude synthétique de l’écriture de l’histoire en Chine, de ses genres, et plus particulièrement du genre biographique, pour ensuite étudier de manière statistique et analytique la place de la médecine dans les histoires dynastiques. La deuxième partie de notre travail se plonge plus spécifiquement dans l’étude des cent quarante-deux biographies de médecins contenues dans le corpus : après avoir décrit, classé et analysé l’ensemble de leur contenu, nous exposons l’usage qu’il est possible de faire de ces informations dans les trois domaines que sont l’histoire des textes, l’histoire sociale et l’histoire de la médecine
Historiography has always been a major discipline in Imperial China, producing among other works the encyclopedic corpus known as the Twenty-Six Standard Histories. This dissertation aims at examining the place dedicated to medicine and physicians in this corpus. Written following a very specific modus operandi, the Standard Histories provide the readers numerous biographies of experts in medicine (yi 醫). As we know today, these texts were more prescriptive than descriptive, and one should not base any serious historical study of medicine on these sources alone. The question then is how to make the most out of the large amount of information they bring to scholarly attention. To answer this question, I first propose a synthetic overview of historical writings in China, of the textual genres to which they belong, with a special focus on the biographical genre, and then undertake a statistic and analytic study of the place dedicated to medicine in Chinese historical records. The second part of the dissertation deals more specifically with the one hundred and forty-two biographies of physicians contained in the Standard Histories: after having identified, classified and analyzed all of their contents, I set out the uses that can be made of this huge piece of information in the fields of textual criticism, social history, and the history of medicine
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Livres sur le sujet "Physicians – anecdotes"

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Wiley, James J. My learning tree : Some medical anecdotes. New York : Legas, 2006.

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Green, William E. V. Medical anecdotes, experiences, and observations in a medical practice. [Dominica : s.n., 2000.

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Klein, Richard S. From anecdote to antidote : Medical musings and practical prescriptions from a humanitarian healer. New York : SelectBooks, 2008.

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Tang, Xianghua. Bianque yü Hua Tuo di gu shi. 8e éd. Taibei Shi : Ke zhu shu fang, 1993.

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Foxton, Michael. Bedside stories : Confessions of a junior doctor. Bath : Chivers, 2012.

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Zhenwan, Zhao, dir. Zhongguo gu dai ming yi. Xianggang : Ming tian chu ban she, Yi ju chu ban she, 1992.

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Susumu, Tokunaga. Katachi no nai kazoku. Tōkyō : Shisō no Kagakusha, 1990.

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Hinohara, Shigeaki. Watashi ga jinsei no tabi de mananda koto. Tōkyō : Shūeisha, 2005.

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Razauskas, Romualdas. Juoko piliulės : Anekdotai apie ligas, ligonius ir gydytojus. Vilnius : UAB Mileta, 2002.

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Doležal, Antonín. Lékařský dekameron. Praha : Maxdorf, 2009.

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Chapitres de livres sur le sujet "Physicians – anecdotes"

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Mould, Richard F. « Voltaire on Physicians ». Dans Mould's Medical Anecdotes, 151. New York : Routledge, 2018. http://dx.doi.org/10.1201/9780203746448-89.

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Mould, Richard F. « Physician’s Tombstone ». Dans Mould's Medical Anecdotes, 232. New York : Routledge, 2018. http://dx.doi.org/10.1201/9780203746448-147.

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Mould, Richard F. « Physician’s Fees in St Louis, 1829 ». Dans Mould's Medical Anecdotes, 189. New York : Routledge, 2018. http://dx.doi.org/10.1201/9780203746448-114.

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Mould, Richard F. « Consultation with a Thirteenth-century Arab Physician ». Dans Mould's Medical Anecdotes, 233. New York : Routledge, 2018. http://dx.doi.org/10.1201/9780203746448-149.

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Mould, Richard F. « Eyewitness Account of the First Physician at the Scene of the Chernobyl Accident, 1986 ». Dans Mould's Medical Anecdotes, 329–30. New York : Routledge, 2018. http://dx.doi.org/10.1201/9780203746448-218.

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Weiner, Saul J., et Alan Schwartz. « Measuring the Problem ». Dans Listening for What Matters, sous la direction de Saul J. Weiner et Alan Schwartz, 29—C2N15. 2e éd. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197588109.003.0003.

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Abstract Chapter 2, “Measuring the Problem,” transitions from anecdotes and hypotheses to systematic inquiry. Contextual error is characterized as a subtype of medical error that has been overlooked because it is not detectable utilizing conventional methods for detecting error. The authors describe observing physician decision-making directly by sending unannounced standardized patients (USPs) into doctors’ practices to portray cases that challenge physicians to think contextually. Doing so is methodologically challenging as it entails training actors to adopt the personae of real patients while adhering to a script, creating fake medical records, and gaining the trust of physicians who consent not to know when a USP is recording them. The work demonstrates that when patients drop hints that there are life factors interfering with their care, doctors often miss them, instead sending them out with plans that look appropriate on paper but, in fact, are not if one takes into account the context.
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Luke, Jenny M. « Working with Physicians ». Dans Delivered by Midwives, 59–62. University Press of Mississippi, 2018. http://dx.doi.org/10.14325/mississippi/9781496818911.003.0007.

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Drilling down to the individual level, this chapter deals with the relationship between African American lay midwives and the physicians, who were usually white, upon whom they relied for medical support. Self-belief, a commitment to the women they served, and their adherence to the standardization of midwifery resulted in the lay midwives demanding medical assistance when required. Using what little anecdotal evidence available, the chapter provides examples of the mutual respect that existed between lay midwives and physicians, but also demonstrates the weakness of a care model heavily weighted in micro-level components but with little access to macro-level facilities and knowledge.
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Bausell, R. Barker. « A Brief History Of Placebos ». Dans Snake oil Science : The Truth About Complementary And Alternative Medicine, 23–35. Oxford University PressNew York, NY, 2007. http://dx.doi.org/10.1093/oso/9780195313680.003.0002.

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Abstract As far as we know, the first official use of the term ‘‘placebo’’ in a medical context occurred in a medical dictionary published in 1785, which defined a placebo therapy as something ‘‘calculated to amuse for a time.’’ Similarly, an 1811 definition characterized a placebo as something ‘‘given more to please than to benefit the patient.’’ Indeed, the Latin word placebo is commonly translated as ‘‘to please.’’ On the other hand, Patrick Wall, a well-known pain expert, argues that the medical use of this term may derive from the Latin version of Psalm 116:9, ‘‘Placebo Domino in regione vivorum,’’ which in translation means ‘‘I will walk before the Lord in the land of the living.’’ Wall hypothesizes that ‘‘placebo’’ later became a derogatory term to describe the work of priests and friars who were constantly badgering the populace for money to sing vespers for the dead—a speculation buttressed in the seventeenth century by Francis Bacon, a giant in the history of science, who used the term ironically: ‘‘instead of giving Free Counsel sing him song of placebo.’’ While there is anecdotal evidence that some ancient physicians recognized the uniquely beneficial effects of a positive, authoritative presentation of a treatment regimen, we know for sure that nineteenthand twentieth-century physicians increasingly became aware of a surprising phenomenon.
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Effros, Edward G. « Mathematics as language ». Dans Truth in Mathematics, 131–46. Oxford University PressOxford, 1998. http://dx.doi.org/10.1093/oso/9780198514763.003.0007.

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Abstract According to an anecdote popular among physicists, it is easy to tell when you are speaking to a mathematician: if you should ask him ‘do you or do you not own an umbrella’, it is likely that after some thought he will answer ‘yes’. Ever since mathematics was codified in terms of symbolic logic in the early part of this century, it has been understood that all of mathematical discourse consists of tautologies of the above variety. Owing to the seemingly absolute precision of axiomatic deduction, few mathematicians are concerned with the grammatical truth of their subject. Thus despite the fact that they recognize that the axioms of logic are necessarily incomplete, and even possibly inconsistent, most mathematicians are confident that any future difficulties will yield to technical adjustments. This complacency has been reinforced by the remarkable progress that logicians have made in delineating the limits of the axiomatic method.
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K.C.Cooper, David, et Robert P. Lanza. « The Ultimate Piggy Bank ». Dans Xeno, 230–47. Oxford University PressNew York, NY, 2000. http://dx.doi.org/10.1093/oso/9780195128338.003.0016.

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Abstract When the first tentative reports on the use of pig brain cells in the treatment of patients with Parkinson’s disease reached the public in 1995, Dr. Philip Noguchi, the FDA physician overseeing the regulation of xenotransplantation, received telephone calls from pig farmers inquiring how they could get involved in what they perceived as a potentially profitable commercial venture. This anecdote exemplifies the universal wish to “make a buck,” no matter what the venture. However, given the very strict requirements for the breeding and housing of the pigs to be used in xenotransplantation, the average hog farmer is unlikely to reap any financial reward from xenotransplantation. Many others undoubtedly will. Successful xenotransplantation will clearly have a major financial impact on health care; the effects will be felt both by the community and by the individual patient. Its impact is difficult to predict in detail, as there will be both savings and increased expenditure. Money will be saved on such items as long-term dialysis, which will no longer be necessary in the majority of kidney patients, but dollars will be expended on the much larger number of organ transplants that will be performed. Nonetheless, xenotransplantation’s overall impact on national health care economics will almost certainly be to engender considerably increased expenditure.
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