Abstract:
:Corporate medical practice, a market economy, and a consumer culture are transforming health care. The service relationships of doctors with patients are now commodities. The doctor, directed by disease management protocols (to improve outcomes, reduce costs, and standardize care), is, in effect, providing programmed service commodities. In addition, medical-surgical specialties, now "packaged" for the care of body parts and conditions (as Breast, Stroke, Obesity, Aneurysm Centers), are also made service commodities, marketed by newspaper advertisements, TV, radio, and Internet to patient-customers in search of a healthy body. In sum, the promise of corporate practice in a competitive market economy is greater efficiency and productivity to reduce the costs of care that are a burden on industries and the state. Viewed from office encounters with patients, such transformation of services to commodities changes the doctor-patient relationship and the moral mission of care.
journal_name
Croat Med Jjournal_title
Croatian medical journalauthors
Stoeckle JDkeywords:
subject
Has Abstractpub_date
2000-06-01 00:00:00pages
141-3issue
2eissn
0353-9504issn
1332-8166journal_volume
41pub_type
杂志文章abstract:AIM:To compare the growth patterns of Qatari preschool children aged 0-5 years with the growth reference charts developed by the American National Center for Health Statistics and Centers for Disease Control and Prevention (NCHS/CDC). METHODS:The demographic data of weight, height, and age were collected in a cross-se...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-08-01 00:00:00
abstract:AIM:To examine how 5-factor personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness) and 3 higher-order health-related personality constructs (negative experience, optimistic control, and passivity) are related to self-reports of subjective health outcomes (positive and negative mo...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2009.50.394
更新日期:2009-08-01 00:00:00
abstract:AIM:To determine sociodemographic features that describe mothers who are likely to wean their babies earlier then is recommended and whether the rates of breast-fed children in Croatia had improved since 1996. METHODS:A sample of 500 mothers was selected from the population of women who had delivered 2 to 12 months be...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract:AIM:To examine the usefulness of molecular analysis of IgH gene rearrangement in assessment of clonality in bone marrow biopsies with lymphoid aggregates (LA) and/or nodular lymphoid hyperplasia (NLH) in patients with different subtypes of malignant lymphomas. METHOD:Five hundred and twenty nine samples of bone marrow...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract::Botulinum neurotoxins (BoNTs) are the most lethal of known human toxins, exerting their actions by cleaving the soluble N-ethyl maleimide-sensitive fusion protein attachment protein receptors (SNAREs) required for neurotransmitter release. Early detection of these toxins is important for appropriate medical treatment....
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-08-01 00:00:00
abstract:AIM:To determine whether the students enrolled in the computer-based teaching program would take the final examination in pathology earlier than those who studied according to the previous traditional program. METHODS:The study included all medical students enrolled in the pathology course at the Zagreb University Sch...
journal_title:Croatian medical journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2005-06-01 00:00:00
abstract::We investigated the circumstances of building of the Civic Hospital in Split in the light of new archival evidence. The study necessitated a thorough review of the older historiography and previously unpublished archival sources kept in the State Archives in Venice and Zadar. The findings showed that construction of t...
journal_title:Croatian medical journal
pub_type: 历史文章,杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract:AIM:To develop an automated, high throughput extraction protocol in order to produce database eligible profiles from fingerprints and other low copy number (LCN) DNA sources. METHODS:Extraction of either purified control DNA or buccal cells, for example, with commercial kits was compared to extraction with a simple di...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-08-01 00:00:00
abstract:AIM:To select appropriate preprocessing methods for different substrates by comparing the effects of four different preprocessing methods on touch DNA samples and to determine the effect of various storage times on the results of touch DNA sample analysis. METHOD:Hand touch DNA samples were used to investigate the det...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2017.58.4
更新日期:2017-02-28 00:00:00
abstract::The generally accepted structure of a scientific paper is four sections, an introduction, a methods section, the results, and a discussion. This so-called IMRaD format is, with a few small variations, found in most research articles in biomedical journals. However, as a guide for someone writing up research data for t...
journal_title:Croatian medical journal
pub_type: 社论
doi:
更新日期:2002-06-01 00:00:00
abstract:AIM:To retrospectively analyze the rate of multi-type abuse in childhood and the effects of childhood abuse and type of coping strategies on the psychological adaptation of young adults in a sample form the student population of the University of Mostar. METHODS:The study was conducted on a convenience sample of 233 s...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2010.51.406
更新日期:2010-10-01 00:00:00
abstract:AIM:To elucidate whether Raman spectroscopy aided by extensive spectral database and neural network analysis can be a fast and confident biomarking tool for the diagnosis of various types of cancer. METHODS:Study included 27 patients with 11 different malignant tumors. Using Raman microscopy (RM) a total of 540 Raman ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2012.53.551
更新日期:2012-12-01 00:00:00
abstract:AIM:To define predictive factors for frequent attenders among preschool children in primary health care and investigate the association between socioeconomic factors and medical factors, as well as the reasons for child's appointment in the physician's office. METHODS:This retrospective study was conducted in 7 primar...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2007.6.852
更新日期:2007-12-01 00:00:00
abstract:AIM:To determine the clinical profile, burden of risk factors, and quality of care among patients hospitalized for an acute myocardial infarction (AMI) with special focus on gender differences. METHODS:The study included 256 AMI patients admitted to the Coronary Care Unit of "Mother Teresa" hospital in Tirana during 2...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2015.56.542
更新日期:2015-12-01 00:00:00
abstract:AIM:To asses prevalence of essential arterial hypertension in family members of soldiers killed in 1992-1995 war in Bosnia and Herzegovina. METHODS:The study enrolled 1144 subjects who lost a family member in the war and 582 of their close neighbors who experienced no such loss. Data on their medical history and habit...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract:AIM:To gain an initial perspective of mental health issues facing the Human Immunodeficiency Virus (HIV)-positive population at the University Hospital Center of Tirana (UHCT) HIV/AIDS Ambulatory Clinic. METHODS:From June-August 2009, we conducted semi-structured interviews with 79 patients (93% response rate) at the ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2011.52.622
更新日期:2011-10-15 00:00:00
abstract:: ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2019-02-28 00:00:00
abstract:AIM:To determine changes in sexual behaviors and other relevant characteristics related to human immunodeficiency virus (HIV) and sexually transmitted infection (STI) risks among young Croatian adults. METHOD:We surveyed adults aged 18-24 in 2005 (n=1092) and 18-25 in 2010 (n=1005). Both samples were probabilistic and...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2011.52.458
更新日期:2011-08-15 00:00:00
abstract:AIM:To investigate the correlation between the length of the title of a scientific article and the number of citations it receives, in view of the common editorial call for shorter titles. METHODS:Title and the number of citations to all articles published in 2005 in 22 arbitrarily chosen English-language journals (n=...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2010.51.165
更新日期:2010-04-01 00:00:00
abstract:AIM:To evaluate the changes in the expression level of gonadal steroid, insulin, and leptin receptors in the brain of adult Sprague-Dawley female rats due to ovariectomy and/or chronic stress. METHODS:Sixteen-week-old ovariectomized and non-ovariectomized female Sprague-Dawley rats were divided in two groups and expos...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2016.57.194
更新日期:2016-04-23 00:00:00
abstract:AIM:To evaluate long-term cognitive consequences of subarachnoid hemorrhage with good outcome and the opinion of patients and their relatives about these consequences. METHODS:The study included 10 patients surgically treated for subarachnoid hemorrhage due to the rupture of aneurysm of the anterior communicating arte...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:AIM:To evaluate the administration of antipyretics to children with upper respiratory tract infections (URTI) by their parents or guardians without consultation with physicians, and compare epidemiological and clinical characteristics of patients who received antipyretics and of untreated patients. METHODS:A prospecti...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2011.52.48
更新日期:2011-02-01 00:00:00
abstract:AIM:To determine types and frequency of CAPN3 mutations in 29 unrelated Croatian families, analyzed during 6-year prospective and ongoing genetic and epidemiological study of muscular dystrophies in Croatia. METHODS:Mutation analysis included allele-specific polymerase chain reaction (PCR) or combination of PCR and re...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-08-01 00:00:00
abstract::Academic medicine integrates three of the most honorable human activities: treating the ill, teaching, and research. The quality that all three share is persistent quest for truth. However, there is reluctance of academic medicine today to openly defend scientific truth by challenging the arguments and the very existe...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract:AIM:To establish the incidence of tumors of the central nervous system (CNS) in the population of Labin area in Istria, Croatia, characterized by very little population migration. METHOD:We retrospectively analyzed data on 175 patients (102 men and 73 women) diagnosed with CNS tumor according to the World Health Organ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract:AIM:To assess the seroprevalence of human metapneumovirus (hMPV) in Croatia. METHODS:During 2005, a total of 137 serum specimens from Croatian patients aged from 6 days to 51 years, without respiratory symptoms, were collected at the Croatian National Institute of Public Health. The sera were examined using the indire...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::The calculation of the heart axis in the frontal plane can be performed with the combination of any two leads. The use of combination of bipolar (I, II, III) and unipolar leads (aVR, aVL and aVF) can produce wrong results. Calculation of the electrical axis from leads I and aVF without correction (sometimes used in EC...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract::Increasing evidence suggests that B cells contribute both to the regulation of normal autoimmunity and to the pathogenesis of immune mediated diseases, including multiple sclerosis (MS). B cells in MS are skewed toward a pro-inflammatory profile, and contribute to MS pathogenesis by antibody production, antigen presen...
journal_title:Croatian medical journal
pub_type: 杂志文章,评审
doi:
更新日期:2019-04-30 00:00:00
abstract::Hereditary factor XI (FXI) deficiency is a mild bleeding disorder, rare in the general population but relatively common among Ashkenazi Jews. The human F11 gene comprises 15 exons, spanning over 23 kb of the long arm of chromosome 4 (4q35). Homozygotes or compound heterozygotes typically show severe FXI deficiency, wh...
journal_title:Croatian medical journal
pub_type:
doi:
更新日期:2020-02-29 00:00:00
abstract:AIM:To assess the diagnostic value of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in lung cancer (LC). We compared the ratios between healthy participants and all LC patients, as well patients with different pathohistological LC subtypes. METHODS:We retrieved the data on neutrophil, lym...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2016.57.287
更新日期:2016-06-30 00:00:00