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1.  Medical students’ attitudes toward gay men 
BMC Medical Education  2012;12:71.
Healthcare providers’ attitudes toward sexual minorities influence patient comfort and outcomes. This study characterized medical student attitudes toward gay men, focusing on behavior, personhood, gay civil rights, and male toughness.
A cross-sectional web-based anonymous survey was sent to medical students enrolled at the University of California, Davis (N = 371) with a response rate of 68%.
Few respondents expressed negative attitudes toward gay men or would deny them civil rights. More negative responses were seen with respect to aspects of intimate behavior and homosexuality as a natural form of sexual expression. Men and students younger than 25 years old were more likely to endorse negative attitudes toward behavior as well as more traditional views on male toughness.
We show that an important minority of students express discomfort with the behavior of gay men and hold to a narrow construction of male identity. These findings suggest that competency training must move beyond conceptual discussions and address attitudes toward behaviors through new pedagogical approaches.
PMCID: PMC3460746  PMID: 22873668
Homosexuality; Medical students; Bias
2.  Forgetting 
PMCID: PMC3138991  PMID: 21225473
4.  Introduction 
Western Journal of Medicine  1995;163(2):165.
PMCID: PMC1303021  PMID: 18751008
6.  Letter to My Future Doctor 
Western Journal of Medicine  1992;156(3):313.
Everyone is talking. Physicians, politicians, newspaper columnists, patients, families, authors, talk show hosts, all are debating our right to decide how and when we will die. It is necessary and wise to obtain a medical directive. One question we must ask ourselves as physicians is, Can we do what we ask our patients to do? Here is one physician's medical directive.
PMCID: PMC1003255  PMID: 18750867
7.  A Survey on the Prevalence of Alcoholism Among the Faculty and House Staff of an Academic Teaching Hospital 
Western Journal of Medicine  1988;148(5):593-595.
We studied the extent of alcoholism among faculty and house staff of an urban, university-based teaching hospital. Of 569 questionnaires sent, 282 (50%) were returned and 271 of these were complete enough to be interpretable. Of those responding, 12 (4%) were classified as alcoholic and 26 (10%) as possibly alcoholic. There was no statistically significant difference in the prevalence of alcoholism in physicians from the different medical specialties or in regard to gender. Nevertheless, with 14% of the respondents to our questionnaire being classified as either alcoholics or possible alcoholics, it appears that this is a pervasive problem in our profession that deserves further study.
PMCID: PMC1026196  PMID: 3262952
8.  Preserving Renal Function in Surgical Patients 
Western Journal of Medicine  1987;146(3):316-321.
Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.
PMCID: PMC1307277  PMID: 3577122
9.  The Therapeutic Value of Pets 
Western Journal of Medicine  1986;144(1):103-105.
While domestic pets are capable of transmitting disease and inflicting injury, they may also be of benefit to human health. Studies suggest that companion animals, in addition to their well-known role as helpers to the handicapped, may alleviate depression, solace the lonely, facilitate psycho-therapy, socialize criminals, lower blood pressure, increase survivorship from myocardial infarction and ease the social pain of aging in our society.
PMCID: PMC1306544  PMID: 3953064
10.  The Bedside Sherlock Holmes 
Western Journal of Medicine  1982;137(2):169-175.
There are a multitude of diagnostic clues contained in clothing, jewelry, possessions and other extracorporeal attachments that each patient brings with him or her to a physician. Because of the emphasis of classic physical diagnosis on the body of a patient solely, and because of modern practices that may have patients stripped of these articles before the first encounter with their physician, these interesting and enlightening findings are often ignored or unavailable. Incorporation of these observations into the panoply of data obtained from the history and physical examination will enhance both the accuracy and adventure of differential diagnosis. Such exercises in observation, moreover, may increase general physical diagnostic skills as well as enliven bedside rounds.
PMCID: PMC1274053  PMID: 7135953
11.  Malaria: A Modern Dilemma 
Western Journal of Medicine  1982;136(3):220-226.
Malaria remains endemic in large areas of the world, from many of which the United States is receiving more and more immigrants. Because of this, and rapid intercontinental travel, American physicians are likely to again encounter this relatively unfamiliar and potentially rapidly fatal disease. Accurate diagnosis and quick intervention depend upon physician awareness of the pleomorphic clinical manifestations of malaria, its laboratory identification and therapeutic approaches.
PMCID: PMC1273649  PMID: 7090371
12.  The Author Replies 
Western Journal of Medicine  1981;135(4):340-341.
PMCID: PMC1273200
15.  Hypoglycemia and Accidental Hypothermia in an Alcoholic Population 
Western Journal of Medicine  1980;133(2):105-107.
Hypoglycemia is but one of a number of causes of hypothermia, but is important to keep in mind as a possible precipitating or concurrent event even in those cases in which there are other obvious explanations for decreased body temperature (exposure, alcoholism, starvation, sepsis or hypothyroidism). Hypoglycemia may occur in as many as 40 percent of very cold patients, and be clinically unrecognized because symptoms are masked by the hypothermia itself. Although serum glucose levels are depressed, a cold-induced renal tubular glycosuria may occur. Glucose in the urine, therefore, cannot be used as assurance of hyperglycemia in a hypothermic patient. And, although cold protects against serious end organ damage from hypoglycemia by decreasing tissue metabolic need for glucose, a serum specimen should be drawn for glucose determination in all hypothermic patients and a 50 percent glucose solution immediately given intravenously. If this is not done, serum glucose levels may plummet as the patient is rewarmed and begins to shiver.
PMCID: PMC1272220  PMID: 7233890

Results 1-15 (15)