Understanding the current quality of care for posttraumatic stress disorder (PTSD) and depression delivered to service members is an important step toward improving care across the Military Health System (MHS). T.his report describes the characteristics of active-component service members who received care for PTSD or depression through the MHS and assesses the quality of care received using quality measures derived from administrative data
The Quest for Cortisone
Thom Rooke Michigan State University Press, 2012 Library of Congress RM292.4.C67R66 2012 | Dewey Decimal 610.724
In 1948, when “Mrs. G.,” hospitalized with debilitating rheumatoid arthritis, became the first person to receive a mysterious new compound—cortisone—her physicians were awestruck by her transformation from enervated to energized. After eighteen years of biochemical research, the most intensively hunted biological agent of all time had finally been isolated, identified, synthesized, and put to the test. And it worked. But the discovery of a long-sought “magic bullet” came at an unanticipated cost in the form of strange side effects. This fascinating history recounts the discovery of cortisone and pulls the curtain back on the peculiar cast of characters responsible for its advent, including two enigmatic scientists, Edward Kendall and Philip Hench, who went on to receive the Nobel Prize. The book also explores the key role the Mayo Clinic played in fostering cortisone’s development, and looks at drugs that owe their heritage to the so-called “King of Steroids.”
Presenting a fascinating overview of medicine in Missouri from the early days of epidemics to present-day technological advances, Quinine and Quarantine approaches the history of medicine as an integral part of the state's development.
Examining the changing environmental risks and diseases that threatened Missouri over the years and the role of the Missouri and Mississippi Rivers as prime routes for the spread of diseases and innovations, Loren Humphrey discusses the efforts of citizens, legislators, and health officials confronting various medical challenges. He offers intriguing medical details of the past two centuries interspersed with the stories of significant historical figures and Missourians' personal accounts. He tells of the pioneers' struggles to use natural remedies acquired from Native Americans, the gory and unsanitary attempts to treat early gunshot wounds, and the common afflictions and diseases such as "swamp fever," measles, mumps, consumption, dysentery, smallpox, and typhoid that seemed beyond medicine's effects. Humphrey also discusses the significance of the discovery and reluctant acceptance of the "antifever" breakthrough now famous as quinine, as well as the lessons learned as a result of Civil War medical techniques.
Quinine and Quarantine takes readers on a remarkable journey that concludes in the present, arguably the most exciting and controversial era for medical advances. Humphrey explores new imaging techniques, laparoscopic surgery, and research on ways to overcome bacterial resistance to antibiotics. He challenges the reader to consider such compelling issues as the escalating cost of health care and the threats posed by environmental hazards. He also identifies topics over which Missourians will likely struggle well into the next century, such as transplants, managed care, abortion, and assisted suicide.
Organized chronologically in fifty-year segments and written in language free of jargon, Quinine and Quarantine offers readers a broad historical view of the medical problems and solutions faced by the people of Missouri, preparing them to cope with medical issues of the new millennium.