Modern Health Care (modern + health_care)

Distribution by Scientific Domains

Selected Abstracts

The Declaration of Hawaii andClarence Blomquist

J. O. Ottosson
The international code of ethics of psychiatry, the Declaration of Hawaii was in the main the achievement of Clarence Blomquist. There were several prerequisites for the success of this work. 1. The unique profile of the education of Clarence Blomquist, combining training to be a specialist in psychiatry with a doctor's degree in practical philosophy. 2. An outstanding competence in analyzing complicated issues and in putting thoughts into words. 3. The courage to challenge the Hippocratic ethics and adapt the principles of ethics to modern health care. 4. A scholarship at the Institute of Society, Ethics and the Life Sciences, Hastings-on-Hudson, New York, where he could test his ideas in an intellectual interdisciplinary atmosphere. 5. Support from the late Professor Leo Eitinger, Norway and Professor Gerdt Wretmark, Sweden, who together with Clarence Blomquist constituted a task force on ethics of the World Psychiatric Association. 6. A continuous backing-up by Dr Denis Leigh, the then secretary general of the World Psychiatric Association. Denis Leigh was convinced that a code of ethics was the only means to reconcile the various member countries on issues of misuse of psychiatry and, in addition, would raise the quality of psychiatric care throughout the world. [source]

Night watchman, extractive, or developmental states?

Some evidence from late colonial south-east Asia
The article examines aspects of government policy in different parts of colonial south-east Asia, and in nominally independent Siam (Thailand) in the first four decades of the twentieth century. The emphasis is on taxation and expenditure policies, and their implications for the development of infrastructure and also for the welfare of indigenous populations. Attention is also given to the impact of government regulation of both factor and product markets. On the basis of the empirical evidence, the article argues that the traditional view of the colonial state as a ,night watchman' was not applicable to most parts of south-east Asia after 1900. Governments were increasingly involved in implementing policies that today would be considered developmental, including building infrastructure and improving access to secular education and modern health care for the indigenous populations. But given the resources that they had, or had the potential to mobilize, more could have been achieved. [source]

Biosurgery in wound healing , the renaissance of maggot therapy

Uwe Wollina
Abstract Chronic wounds are a challenge for modern health care. A basic principle of treatment is the removal of sloughy, necrotic, devitalized tissue to prevent wound infection and delayed healing. Biosurgery (syn. maggot or larval therapy) is a promising adjunct to the whole spectrum of topical treatment methods, in particular for debridement. The term ,biosurgery' describes the use of living maggots on wounds to remove devitalized tissue, decrease the risk of infection and improve wound healing. The present paper gives a brief review of history, entomology, biochemistry and medical indications of biosurgery and the practical handling of maggots. We also provide some clinical data from the literature and our own experience in a wound care unit. Biosurgery is an effective and safe treatment option for debridement and disinfection. [source]

Norwegian neurology: present status and future trends

A. Storstein
Diseases of the nervous system constitute a major cause of morbidity and mortality. The chronic nature of many neurological diseases demands long-term follow-up and good communicative skills. Financial conditions and compensation is closely linked to modern health care and may limit the availability of new therapeutic options. An ageing population and modern lifestyle represent challenges for neurology in the future. The participation in public debate and strategic planning of health services are crucial to improve neurological services on a national and global level. Our focus should be the promotion of special needs of patients with neurological disease. [source]