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"Roderick Stewart"
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Bethune in Spain
Norman Bethune (1890-1939) was a man who had everything, and yet had nothing. Although he had achieved international prominence as a surgeon, he was unhappy in his personal life and deeply frustrated by a failed attempt to introduce medicare to Canada. An uncompromising humanitarian in search of a cause, Bethune became immersed in the Spanish Civil War. In Bethune in Spain, Roderick Stewart and Jesús Majada recount Bethune's achievements in Spain and the events that led to his decision to assist the Loyalist forces. The narrative contains Bethune's letters and reports, some of them reproduced here for the first time, as well as newspaper articles, and interviews with him. It covers his creation and operation of a mobile blood transfusion unit, his rescue of fleeing Loyalist civilians during the Malaga-Almeria road tragedy, and his efforts to aid children orphaned by the War. It also deals with the gruelling public-speaking tour Bethune undertook on his return to Canada in 1937 to plead for intervention in support of democracy in Spain and to raise awareness of atrocities committed against civilians by the fascist-backed Spanish Nationalists. Illustrated with photographs from Bethune's seven months in Spain, Bethune in Spain is a poignant portrait of an early advocate for universal health care, an unwavering communist, and a crusader for the Spanish Republican cause.
eBook
A Delphi consensus to identify the key screening tests/questions for a digital neurological examination for epidemiological research
Background
Most neurological diseases have no curative treatment; therefore, focusing on prevention is key. Continuous research to uncover the protective and risk factors associated with different neurological diseases is crucial to successfully inform prevention strategies. eHealth has been showing promising advantages in healthcare and public health and may therefore be relevant to facilitate epidemiological studies.
Objective
In this study, we performed a Delphi consensus exercise to identify the key screening tests to inform the development of a digital neurological examination tool for epidemiological research.
Methods
Twelve panellists (six experts in neurological examination, five experts in data collection—two were also experts in the neurological examination, and three experts in participant experience) of different nationalities joined the Delphi exercise. Experts in the neurological examination provided a selection of items that allow ruling out neurological impairment and can be performed by trained health workers. The items were then rated by them and other experts in terms of their feasibility and acceptability.
Results
Ten tests and seven anamnestic questions were included in the final set of screening items for the digital neurological examination. Three tests and five anamnestic questions were excluded from the final selection due to their low ratings on feasibility.
Conclusion
This work identifies the key feasible and acceptable screening tests and anamnestic questions to build an electronic tool for performing the neurological examination, in the absence of a neurologist.
Journal Article
Batman, the Dark Knight detective
\"In these stories that immediately followed BATMAN: YEAR ONE, the Caped Crusader learns what kind of compromises he must make to be the hero that Gotham City truly needs. As he battles against the deadly Reaper, the city's first vigilante hero, Batman must work with the man who murdered his parents and a cadre of mob bosses to protect Gotham City.\"-- Provided by publisher.
Book
Effect of Passive Smoke Exposure on General Anesthesia for Pediatric Dental Patients
The purpose of this study was to test the null hypothesis that children with environmental tobacco smoke (ETS) exposure (also known as passive smoke exposure) do not demonstrate an increased likelihood of adverse respiratory events during or while recovering from general anesthesia administered for treatment of early childhood caries. Parents of children (ages 19 months-12 years) preparing to receive general anesthesia for the purpose of dental restorative procedures were interviewed regarding the child's risk for ETS. Children were observed during and after the procedure by a standardized dentist anesthesiologist and postanesthesia care unit nurse who independently recorded severity of 6 types of adverse respiratory events-coughing, laryngospasm, bronchospasm, breath holding, hypersecretion, and airway obstruction. Data from 99 children were analyzed. The children for whom ETS was reported were significantly older than their ETS-free counterparts (P=.03). If the primary caregiver smoked, there was a significantly higher incidence of smoking by other members of the family (P < .0001) as well as smoking in the house (P < .0005). There were no significant differences between the adverse respiratory outcomes of the ETS (+) and ETS (-) groups. The ETS (+) children did have significantly longer recovery times (P < .0001) despite not having significantly more dental caries (P = .38) or longer procedure times. ETS is a poor indicator of post-general anesthesia respiratory morbidity in children being treated for early childhood caries.
Journal Article
THE VOICE OF PROTEST
Inspired by what he regarded as the “good proletarian spirit” of the alpine battalion, and by the calibre of personnel and efficiency of performance he had noted in the hospitals he had inspected, Bethune truly believed that he was witnessing the dawn of a new world in Spain. His enthusiasm was reflected in his second radio broadcast, made two days after his return from the Guadarramas on December 29.
It gives me great pleasure to describe my personal observations regarding the care of the sick and wounded in Madrid. I believe I am competent to do so on account of
Book Chapter
THE CANADIAN SERVICE
Deeply disappointed by the rejection of his services, Bethune turned to another idea. Learning that the International Brigades needed ambulances, he wired the casd to send him $4,000 and left Madrid with Sorensen for Valencia, where he planned to buy an ambulance. During the early part of the train ride on the leg of their journey from Albacete, Bethune was absorbed in thought. Then suddenly he said, “Henning, I’ve got it!” He explained that he had been working out an idea that had been planted in his mind during their visits to hospitals. The wounded militiamen brought in on stretchers
Book Chapter
OTHER HORIZONS
Bethune’s fears concerning the operation of the Instituto by the Sanidad Militar were soon realized. Although Canadian donations collected by the casd and sent to Madrid continued until the end of the war, the Instituto hispano-canadiense de transfusión de sangre became more and more Spanish and less Canadian. By the late autumn of 1937, only months after Bethune’s departure, Henning Sorensen and Hazen Sise had returned to Canada.
Despite his humiliation and anger at the rejection of his plan to return to Spain, Bethune soon turned his attention to a possible new path. He was keeping informed of rapidly escalating
Book Chapter