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Query: UMLS:C0155339 (Brown)
 12,436 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A more thorough understanding of sinus tarsi syndrome has been attempted by a postoperative survey of patients who have undergone sinus tarsi decompression. An analysis of 22 cases of sinus tarsi syndrome that were operated on between 1980 and 1984 at Kern Hospital was made. In each case a surgical procedure similar to that described by O'Connor and Brown was utilized. It was concluded that sinus tarsi syndrome is a distinct clinical entity--a sequela of ankle injury that is easily diagnosed. It responds well to surgical intervention and offers little chance of postoperative complication.
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PMID:Sinus tarsi syndrome: a postoperative analysis. 392 92

Legislative decrees 277/91 and 626/94 defined in detail role and duties of the occupational physician. There is no normative regulation about ethical principles for occupational professionals although some international organizations, such as the International Commission on Occupational Health (ICOH), are making proposals in this field. In the last decades, these principles have been assuming an increasing importance because of occupational medicine operators' major responsibility and the need of a multidisciplinary approach in work related risk prevention. The aim of this contribution is to present a case about professional independence and commercial secret that involved an occupational physician (David G. Kern), Brown University (that employees him) Memorial Hospital and a textile firm that consulted dr. Kern to investigate a pulmonary disease that affected some employees. The fact has been described by e-mail of OEM (Occupational Environmental Medicine) list. This event underlines the distance between the professional reality and ethical principles formulated in the ICOH code; these principles must be the base for a correct professional activity aiming only at promoting workers' health.
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PMID:[The Kern paradigm: professional independence and information demands of the scientific community]. 1077 18

A new Occupational and Environmental Health Center has opened in Providence, Rhode Island, the successor to the one operated by Dr. David Kern until 1997 when he published research that identified a new occupational respiratory disease among patients there and thereby drew a storm of controversy involving his program, Memorial Hospital, and Brown Medical School. The new independent clinic is the result of cooperative work among a number of medical and occupational organizations in the state.
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PMID:A clinic succeeds Kern's in Rhode Island. 1720 3

Self-directed learning (SDL) skills are essential for the formation and ongoing competence of today's physicians who work in the context of expanding scientific knowledge and changing health care systems. In 2007-2008, the authors developed a program to promote SDL in the Brown University Family Medicine Residency. Through an iterative process, the project team juggled learning theories (i.e., Knowles' SDL model, Collins' cognitive apprenticeship model, and Quirk's expertise development model) with curricular goals, instructional options, and local constraints to design a practical and theoretically robust intervention.The intervention that emerged from this process features a faculty physician serving as a learning coach who meets individually each month with all second-year residents to assist them in generating learning goals, reflecting on their learning experiences, and practicing evidence-based medicine (EBM) skills. An electronic portfolio serves as a documentation tool that supports reflection; residents record their goals and reflections in the portfolio, which also contains their formative assessments, procedure logs, and special projects. To address the hidden curriculum, the program designers took special care to avoid increasing faculty and resident workload and created a forum for discussion and group reflection. Program evaluation combines qualitative and quantitative methods, such as surveys of and interviews with residents and faculty, to assess changes in residents' SDL and EBM skills and in the program's educational culture. The authors use Kern and colleagues' six-step model for curriculum development to describe both the unfolding of this complex project and the choices that resulted in the current program design.
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PMID:Promoting self-directed learning skills in residency: a case study in program development. 2097 33

Fig limb dieback is a cosmopolitan disease caused by Neoscytalidium dimidiatum (Botryosphaeriaceae), characterized by branch and shoot cankers, discoloration of woody tissues, and dieback. The present study investigated the etiology of the disease in California that seems to have become prevalent among fig orchards in the last several years. During orchard surveys in Fresno, Kern and Madera Counties for three years, we isolated consistently and evaluated the pathogenicity of N. dimidiatum under laboratory and field conditions. The effect of summer and winter pruning on the disease severity, and the effects of different environmental and mechanical stresses, such as sunburn and wounding by mallets used to harvest fruit, were assayed. In addition, the susceptibility of six different cultivars and the effect of eradication of cankered shoots from the fig trees as an effective method to combat the spread of the disease were also studied. Pathogenicity tests demonstrated that N. dimidiatum is able to induce cankers on fig, mainly on wounded shoots. Results from the remaining experiments reveal that summer infection leads to more severe canker lesions than those induced by winter infection, and that stressed shoots are more susceptible to infection than non-stressed shoots. Brown Turkey, Conadria and Calimyrna cultivars (all non-persistent figs, meaning requiring pollination for fruit development) were less susceptible compared to more susceptible Kadota, Sierra, and Black Mission (all persistent figs, i.e., non-requiring pollination for fruit development). Canker removal from the orchard seems to be a good agronomic practice to avoid the spread of pre-existing disease.
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PMID:Further investigation on Limb Dieback of Fig (Ficus carica) caused by Neoscytalidium dimidiatum in California. 3276 30