The Clinician and the Computer

Scadding, J. G.

doi:10.1016/s0140-6736(68)92742-6

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…En líneas generales el naturalismo, propuesto por Scadding (1968) y Boorse (1975), considera que el conocimiento que usa la medicina para tratar pacientes es conocimiento biológico. Para los naturalistas los médicos utilizan criterios científicos objetivos que les permiten distinguir entre un funcionamiento correcto y uno incorrecto de los órganos.…”

Section: Naturalismo Vs Holismounclassified

Una teoría holista para la medicina

Federico

2021

Endoxa (Madr.)

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A partir del derrotero presentado en Saborido (2020), el presente artículo se propone profundizar en dos cuestiones claves que allí se desarrollan. La discusión alrededor de la dicotomía naturalismo/holismo, de manera de delimitar el campo de controversias. En segundo lugar, la distinción entre los aspectos científicos y tecnológicos de la medicina. El ahondar en ambos puntos nos permitirá plantear una alternativa metateórica de medicina holista, acompañando la propuesta del autor. Por último, presentaremos algunas conclusiones de carácter propositivo, que esperamos enriquezcan los aportes efectuados por el libro.

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Section: Naturalismo Vs Holismounclassified

Una teoría holista para la medicina

Federico

2021

Endoxa (Madr.)

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“…Respiratory disease conditions are largely based on measurement of lung physiology. A disease can be described as a set of characteristics by which they differ from the norm in such a way that they are biologically disadvantaged [ 1 ]. Reference values are used to help identify and diagnose individuals with abnormal values.…”

Section: Introductionmentioning

confidence: 99%

Updated reference values for static lung volumes from a healthy population in Austria

Mraz,

Asgari,

Karimi

et al. 2024

Respir Res

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Background Reference values for lung volumes are necessary to identify and diagnose restrictive lung diseases and hyperinflation, but the values have to be validated in the relevant population. Our aim was to investigate the Global Lung Function Initiative (GLI) reference equations in a representative healthy Austrian population and create population-derived reference equations if poor fit was observed. Methods We analysed spirometry and body plethysmography data from 5371 respiratory healthy subjects (6–80 years) from the Austrian LEAD Study. Fit with the GLI equations was examined using z-scores and distributions within the limits of normality. LEAD reference equations were then created using the LMS method and the generalized additive model of location shape and scale package according to GLI models. Results Good fit, defined as mean z-scores between + 0.5 and -0.5,was not observed for the GLI static lung volume equations, with mean z-scores > 0.5 for residual volume (RV), RV/TLC (total lung capacity) and TLC in both sexes, and for expiratory reserve volume (ERV) and inspiratory capacity in females. Distribution within the limits of normality were shifted to the upper limit except for ERV. Population-derived reference equations from the LEAD cohort showed superior fit for lung volumes and provided reproducible results. Conclusion GLI lung volume reference equations demonstrated a poor fit for our cohort, especially in females. Therefore a new set of Austrian reference equations for static lung volumes was developed, that can be applied to both children and adults (6–80 years of age).

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“…JG Scadding has pointed out the different intellectual levels which should underlie a diagnosis or understanding of a disease. [3][4][5][6] He makes it clear that it is essential to add causes or at least morphological findings to the diagnostic terms in daily use, as far as they are known, in order to obtain a clear definition of the condition in question. 4 From the layman's point of view diagnoses are often understood as truths set in stone, but even in the scientific environment, terms for disease are often used indiscriminately with little regard for the value of their content.…”

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confidence: 99%

“…Scadding's ideas 3,4 are not only of theoretical importance, they are essential for research and for the daily work at the bedside, because they indicate the level of certainty in the diagnostic or therapeutic work of the attendant physician. Unfortunately, international classifications of diseases do not take these important theoretical considerations into account.…”

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confidence: 99%

Bronchial Diseases are Insufficiently Defined with the Term COPD

Wichert

2021

COPD

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This paper discusses the basic thoughts behind the so-called diagnosis of COPD in relation to cause and course of the disease and questions the value of this functional defined terminology. Instead, the terminology should be based on morphology in the broadest sense including all methods suitable to describe pathological processes to understand the cause of bronchial diseases. The diagnosis COPD is only helpful in relation to therapeutic measures.

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The Clinician and the Computer

Cited by 5 publications

References 4 publications

Una teoría holista para la medicina

Una teoría holista para la medicina

Updated reference values for static lung volumes from a healthy population in Austria

Bronchial Diseases are Insufficiently Defined with the Term COPD

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