Poem: the prophet in his own country

Although generalist physicians appear to be more likely than specialists to provide care for poor adult patients, they may still perceive financial and nonfinancial barriers to caring for these patients. We studied generalist physicians'' attitudes toward caring for poor patients using focus groups and used the results to design a survey that tested the generalizability of the focus group findings. The focus groups included a total of 24 physicians in 4 California communities; the survey was administered to a random sample of 177 California general internists, family physicians, and general practitioners. The response rate was 70%. Of respondents, 77% accepted new patients with private insurance; 31% accepted new Medicaid patients, and 43% accepted new uninsured patients. Nonwhite physicians were more likely to care for uninsured and Medicaid patients than were white physicians. In addition to reimbursement, nonfinancial factors played an important role in physicians'' decisions not to care for Medicaid or uninsured patients. The perception of an increased risk of being sued was cited by 57% of physicians as important in the decision not to care for Medicaid patients and by 49% for uninsured patients. Patient characteristics such as psychosocial problems, being ungrateful for care, and noncompliance were also important. Poor reimbursement was cited by 88% of physicians as an important reason not to care for Medicaid patients and by 77% for uninsured patients. Policy changes such as universal health insurance coverage and increasing the supply of generalist physicians may not adequately improve access to care unless accompanied by changes that address generalist physicians'' financial and nonfinancial concerns about providing care for poor patients.     

Pavlov and the Nobel Prize Award

When Pavlov was first nominated for the Nobel Prize, he was well recognized by physiologists, especially those concerned with digestion. It appears unlikely that psychological interpretations of his conditional reflex findings had begun to penetrate deeply into the discipline of psychology. The selection in 1904 of Pavlov for the award in physiology or medicine attracted the attention of a broader range of scientists. American psychologists, in particular, probably became more aware of the advantages of incorporating his "objective" conditional reflex method into their investigations. General biographical aspects relating to the award and the effect of the award upon the acceptance of the conditional reflex method by American psychologists are developed in this presentation.     

开创手性催化反应研究的新领域——2001年诺贝尔化学奖评介

1 .三位美日科学家摘桂瑞典皇家科学院在 2 0 0 1年 1 0月 1 0日宣布 ,将 2 0 0 1年度诺贝尔化学奖授予不对称催化合成的 3位先驱化学家 :美国孟山都生物技术公司 (Ｍｏｎｓａｎｔｏ)的威廉·Ｓ·诺尔斯(ＷｉｌｌｉａｍＳ .Ｋｎｏｗｌｅｓ)博士 ,美国ＴｈｅＳｃｒｉｐｐｓ研究所 (ＴＳＲＩ)的Ｋ·巴里·夏普莱斯 (Ｋ .ＢａｒｒｙＳｈａｒｐｌｅｓｓ)教授 ,日本名古屋大学的野伊良治(ＲｙｏｊｉＮｏｙｏｒｉ)教授 ,以表彰他们在手性催化氢化反应和手性催化氧化反应研究领域所作出的重大贡献。新世纪的第一个诺贝尔化学奖获奖成果虽然是非常基…     

Nobel Prize: Heroes for a Heroic Age

Portrait of Sir Paul Nurse     

The Nobel Prize laureate - father of anaphylaxis Charles-Robert Richet (1850-1935) and his anticancerous serum

Professor of physiology Charles-Robert Richet, winner of the Nobel Prize in 1913, is best known for his work on anaphylaxis. However, with his collaborator Jules Héricourt studied the effects of antibody treatment and made the very first attempts to fight cancer with serotherapy. Being versatile, Richet contributed in neurology, psychology and was also a poet, playwrighter, pacifist and pioneer in aviation.