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  • Book
    Jochanan Benbassat.
    Contents:
    1. Introduction
    2. Paradigmatic shifts in the theory, practice and teaching of medicine in recent decades
    3. Teaching behavioral and social sciences to medical students
    4. Difficulties in learning and teaching patient interviewing
    5. Overcoming difficulties in teaching patient interviewing
    6. Doctor-patient relations
    7. Barriers to doctor-patient communication
    8. Diagnostic utility of the physical examination and ancillary tests
    9. Physical-examination skills: learning difficulties
    10. Learning and teaching physical-examination skills by clinical context
    11. Recording the clinical data base
    12. Recording personal and social data and examination of asymptomatic persons
    13. Recording the patient's history
    14. Intuitive vs analytic clinical reasoning
    15. Should clinical training rely on role modeling?.
    Digital Access Springer 2015
  • Book
    edited by Joseph R. Matthews, Kevin Hegarty.
    Print 1984
  • Article
    Smith PR, Heurich AE, Leffler CT, Henis MM, Lyons HA.
    Chest. 1977 Feb;71(2):129-34.
    Terbutaline, a new bronchodilator drug reported to have selective affinity for beta 2-adrenergic receptors, was compared with epinephrine in the treatment of 49 adult subjects with acute bronchial asthma. Under double-blind conditions, 24 subjects received 1.0 mg of terbutaline sulfate, and 25 subjects received 0.5 mg of epinephrine hydrochloride subcutaneously. Spirometric measurements, heart rate, and blood pressure, as well as subjective responses, were recorded prior to, and then at 5, 15, 30, 60, and 120 minutes after administration of the drug. The results indicate that terbutaline is an effective bronchodilator drug in subjects with acute asthma; however, the heart rate rose significantly after administration of terbutaline, with a maximal increase of 25 percent above control. Review of the literature reveals that tachycardia is a consistent finding when subcutaneous doses of terbutaline in excess of 0.25 mg are administered. Stimulation of beta 1-adrenergic receptors in the heart appears to be the most important factor involved in this response. A lesser cardioaccelerator effect was observed after administering epinephrine in a dose producing an equivalent degree of bronchodilatation.
    Digital Access Access Options