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Changes in Japanese Doctors’ Perspective after Battling Serious Illnesses and the Consequent Impact on their Medical Practice —The Wounded Healer
This study explored changes in the thinking and behavior of Japanese doctors who had personally battled serious illness.
Doctors are often assumed to be physically and mentally healthy. When falling sick, they are prone to self-stigmatization. However, the positive out- comes of doctors battling illnesses have attracted scholarly attention. Psychiatrist Carl Jung advo- cated the concept of the “wounded healer,” a per- son who has endured an illness, gains wisdom from the experience, and uses it to heal others more effectively.
We analyzed the aforementioned changes by nar- rowing down the “wounded healer” effect data group.
We qualitatively analyzed verbatim transcripts of semi-structured interviews conducted with 14 doc- tors who had personally battled cancer, cerebro- vascular disease, or heart disease using multilevel text condensation.
After serious illness, doctors were more likely to believe that they had gained a lot from their experi- ence. Changes in thinking related to medical prac- tice included the acquisition of diverse knowledge. Such changes translated into behavioral changes; for example, understanding the patient’s perspec- tive manifested in their improved communication with the patients. Most doctors diversified their activities outside of medical practice. Many also experienced significant changes in their views on life.
The “wounded healer” effect was confirmed, bear- ing valuable implications for medical education
GENERAL RESEARCHES FOR THE IMPRESSION MATERIALS IN THE MARKET (PART X) REPRODUCIBILITY OBSERVED BY FINE LINES
PREFERENTIAL SITES OF THE UREA-HYDROLYZING ORGANISMS IN THE MOUTH
It has generally been accepted that dental tartar may be found deposited upon every tooth, but friable, light-colored deposits collect primarily upon the buccal surfaces of the upper molars and the lingual surfaces of the lower incisors, i.e., opposite the exits of the ducts of the salivary glands. On the other respect, increased pH of saliva reduces so much solubility of calcium salts that calcium salt precipitates in saliva. Besides of escape of carbon dioxide from saliva、and proteolysis by some oral bacteria, as a factor of local alkalization, Frank mentioned that higher content of free ammonia in saliva was in some relationship with those individuals having a greater tendency to form calculus and claimed that the slight decrease of ammonia content after restless removal of calculus showed that the existence was partially dependent on the ammonia content. The source of ammonia nitrogen in human saliva has been shown to be amino acids and urea. Dealing with the ammonia releasing systems in the mouth, Stephan reported on the substancial ureolytic action of plaque material and Bliss found that tartar
scraped from the teeth of normal and nephritic dogs contains urease which acts upon the urea in saliva to produce ammonia. Hine and O’Donnel made tests on salivary samples whose 92.8% showed some degree of ammonia production from urea and they suggested a possibility that presence of urease in the mouth would result in an alkaline reaction which might be favor for den” tal calculus deposition. Ureolytic bacteria were suspected to have some pre ferential habitation at the particular sites of the mouth where calculus often appear. Topographic difference, therefore, in respect of urease activity of bacterial plaque materials were traced in the present paper