Assuntos
Currículo , Ética , Universidades , Teoria Ética , Ética Profissional/educação , Humanos , Desenvolvimento MoralRESUMO
Despite criticisms of the medical profession from certain quarters, organized medicine has in many ways been a positive force for advancing physicians' ethics and professionalism. Review of articles published in The Journal of the South Carolina Medical Association through the past century suggests sustained concern and increasing sophistication in how we deal with these topics.
Assuntos
Ética Médica/história , Publicações Periódicas como Assunto/história , Administração da Prática Médica/história , Sociedades Médicas/história , História do Século XX , História do Século XXI , Princípios Morais , South CarolinaRESUMO
This study examined medical and psychosocial characteristics of 440 patients (mean age 58 years, 21% women) with coronary artery disease at baseline and at 3-month and 12-month follow-ups. All patients were participants in the Multicenter Lifestyle Demonstration Project, aimed at improving diet (low fat, whole foods, plant-based), exercise, stress management, and social support. Spousal participation was encouraged. Both genders evidenced significant improvements in their diet, exercise, and stress management practices, which they maintained over the course of the study. Both women and men also showed significant medical (e.g., plasma lipids, blood pressure, body weight, exercise capacity) and psychosocial (e.g., quality of life) improvement. Despite their worse medical, psychosocial, and sociodemographic status at baseline, women's improvement was similar to that of men's. These results demonstrate that a multi-component lifestyle change program focusing on diet, exercise, stress management, and social support can be successfully implemented at hospitals in diverse regions of the United States. Furthermore, this program may be particularly beneficial for women with coronary artery disease who generally have higher mortality and morbidity than men after a heart attack, angioplasty, or bypass surgery.
Assuntos
Doença da Artéria Coronariana/psicologia , Doença da Artéria Coronariana/terapia , Nível de Saúde , Estilo de Vida , Qualidade de Vida , Índice de Massa Corporal , Colesterol/sangue , Doença da Artéria Coronariana/epidemiologia , Dieta com Restrição de Gorduras , Exercício Físico , Feminino , Seguimentos , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente/estatística & dados numéricos , Fatores de Risco , Autoeficácia , Distribuição por Sexo , Fatores Sexuais , Fatores Socioeconômicos , Estados Unidos/epidemiologiaRESUMO
We report a case of prosthetic valve endocarditis and persistent bacteremia due to vancomycin-resistant Enterococcus faecium. The combination of parenteral chloramphenicol plus minocycline therapy was administered for 8 weeks and resulted in cure after treatment with quinupristin-dalfopristin had failed.
