Seven Sins Of Medicine
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Seven Sins Of Medicine
The Seven Sins of Medicine, by Richard Asher, are a perspective on medical ethics first published in ''The Lancet'' in 1949.''Lancet'' 1949 Aug 27;2(6574):358–60 Considered as poor personal conduct by physicians (or more typically, medical students) The Seven Sins describes behavior that in itself might not be grounds for professional complaint or discipline but would be considered discourteous, especially in any situation outside of the pompous physician – sick patient scenario. Still very relevant in medical study and practice, they are: #Obscurity: Asher endorses the use of clear communication and plain language whether writing or speaking. Obscurity may be used to cloak one's own ignorance, or due to an inability to communicate with those outside of the medical profession. "If you don't know, don't admit it. Instead, try to confuse your listeners." is not uncommon.Regardless of the intention, whether to misdirect from incompetence or to foster a feeling of superiority, ...
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Richard Asher
Richard Alan John Asher, FRCP (3 April 1912 – 25 April 1969) was an eminent British endocrinologist and haematologist. As the senior physician responsible for the mental observation ward at the Central Middlesex Hospital he described and named Munchausen syndrome in a 1951 article in ''The Lancet''. Personal life Richard Asher was born to the Reverend Felix Asher and his wife Louise (née Stern). He married Margaret Augusta Eliot at St Pancras' Church, London on 27 July 1943, whereupon his father-in-law gave him a complete set of the ''Oxford English Dictionary'', which doctor and medical ethicist Maurice Pappworth alleged was the source of Asher's "accidental" reputation as a medical etymologist. They had three children: Peter Asher (born 1944), a member of the pop duo Peter & Gordon and later record producer, Jane Asher (born 1946), a film and TV actress and novelist, and Clare Asher (born 1948), a radio actress. Richard Asher's brother Thomas married Margaret's sister ...
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Medical Ethics
Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. It is important to note that these four values are not ranked in order of importance or relevance and that they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment. There are several codes of conduct. ...
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The Lancet
''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, review articles ("seminars" and "reviews"), editorials, book reviews, correspondence, as well as news features and case reports. ''The Lancet'' has been owned by Elsevier since 1991, and its editor-in-chief since 1995 has been Richard Horton. The journal has editorial offices in London, New York City, and Beijing. History ''The Lancet'' was founded in 1823 by Thomas Wakley, an English surgeon who named it after the surgical instrument called a lancet (scalpel). Members of the Wakley family retained editorship of the journal until 1908. In 1921, ''The Lancet'' was acquired by Hodder & Stoughton. Elsevier acquired ''The Lancet'' from Hodder & Stoughton in 1991. Impact According to the ''Journal Citation Reports'', the journal has a 202 ...
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Plain Language
Plain language is writing designed to ensure the reader understands as quickly, easily, and completely as possible. Plain language strives to be easy to read, understand, and use. It avoids verbose, convoluted language and jargon. In many countries, laws mandate that public agencies use plain language to increase access to programs and services. The United Nations Convention on the Rights of Persons with Disabilities includes plain language in its definition of ''communication''. Definition Most literacy and communications scholars agree that plain language means: * "Clear and effective communication" (Joseph Kimble) * "The idiomatic and grammatical use of language that most effectively presents ideas to the reader" (Bryan Garner) * "Clear, straightforward expression, using only as many words as are necessary. It is language that avoids obscurity, inflated vocabulary and convoluted construction. It is not baby talk, nor is it a simplified version of ... language." (Dr Robert Eagl ...
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Over-specialisation
Overspecialization is when a person works in an excessively narrow occupation or scientific field. Effects In work In the workplace, specialization of labor is used to divide up the workload in a manner that improves efficiency. However, holders of overspecialized positions tend to perform repetitive jobs, leading to boredom, dissatisfaction, and lower-quality output. In medicine The breadth of medical knowledge has expanded vastly since the 1980s. It has been argued that specialization is necessary in medicine to divide up the vast knowledge needed to tackle certain classes of diseases, such as cancer. However, specializing too narrowly leads to poor training; unnecessary health care; low-quality care, especially in regions with poor medical infrastructure; and knowledge that can rapidly become outdated. Overspecialization detracts from physicians' ability to identify and treat problems in patients. One proposed solution is to use databases that streamline the obtaining of necess ...
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Diagnose
Diagnosis is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines, with variations in the use of logic, analytics, and experience, to determine " cause and effect". In systems engineering and computer science, it is typically used to determine the causes of symptoms, mitigations, and solutions. Computer science and networking * Bayesian networks * Complex event processing * Diagnosis (artificial intelligence) * Event correlation * Fault management * Fault tree analysis * Grey problem * RPR Problem Diagnosis * Remote diagnostics * Root cause analysis * Troubleshooting * Unified Diagnostic Services Mathematics and logic * Bayesian probability * Block Hackam's dictum * Occam's razor * Regression diagnostics * Sutton's law copy right remover block Medicine * Medical diagnosis * Molecular diagnostics Methods * CDR Computerized Assessment System * Computer-assisted diagnosis * Differential diagnosis * Medical diagnos ...
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Rare Disease
A rare disease is any disease that affects a small percentage of the population. In some parts of the world, an orphan disease is a rare disease whose rarity means there is a lack of a market large enough to gain support and resources for discovering treatments for it, except by the government granting economically advantageous conditions to creating and selling such treatments. Orphan drugs are ones so created or sold. Most rare diseases are genetic and thus are present throughout the person's entire life, even if symptoms do not immediately appear. Many rare diseases appear early in life, and about 30% of children with rare diseases will die before reaching their fifth birthdays. With only four diagnosed patients in 27 years, ribose-5-phosphate isomerase deficiency is considered the rarest known genetic disease. No single cut-off number has been agreed upon for which a disease is considered rare. A disease may be considered rare in one part of the world, or in a particular gro ...
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Medical Ethics
Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. It is important to note that these four values are not ranked in order of importance or relevance and that they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment. There are several codes of conduct. ...
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