Innovative Journal of Medical and Health Sciences

This paper addresses the historical transformation of traditional medical education resulting from application of recommendations of Abraham Flexner?s seminal report of 1910 with the incorporation of a predominantly reductionist science into the medical curriculum, and assesses the resulting systematic de-emphasis of Sir William Osler?s vision of medical students being primarily trained at the bedside of the patient. William Osler was possibly the best combination of a dedicated physician, exemplary teacher and author amalgamated into a versatile and exceptional personality. In comparison, Abraham Flexner?s lack of medical training and obsession with the laboratory nurtured by the German proclivity towards research, served to transform traditional medical education by selectively projecting scientific reductionism at the cost of the natural and existing reality of holism of the human as a living and functioning entity both in states of health and disease. This paper reinforces the concept that Oslerian bedside training should once again form the mainstay of medical education rather than the Flexnerian curricular prioritization with reductionist science and that the step would restore the primacy of clinical bedside training to its historical glory, reconfigure medical education and rejuvenate it towards the fundamental ethos of skillful competence, and simultaneously offer the best form of respect that dedicated medical teachers and physicians can pay as homage to the excellence and exceptionalism of Sir William Osler on the hundredth anniversary of his death.
Key words: William Osler–Abraham Flexner–Reductionist medicine–Medical education–Medical curriculum.

This study is to verify the effect of the assumed environmental altitude (FiO =
15.72% at 2500m altitude) continuously to change some physiological,
biochemical and body components of flowing water. male withdrawal in this
study. Twenty males were randomly divided into two groups, the hypoxic
group (H) 2500m (n = 10, age: 20 ± 1.789 years, body height: 173.13 ± 4.75
cm, body weight: 62.7 ± 4.545 kg) and control (C) group (n = 10, age: 21 ±
2.881 years old, body height 179.03 ± 3.69 cm, body weight: 67.70 ± 4.4 kg).
For 8 weeks, all subjects conducted three intense interval training sessions per
week. During the alternative training sessions, the group (H) was trained in a
normal oxygen-reduction chamber at a simulated height of 2500m, while
group (C) conducted alternating training under Normoxia conditions also in
the chamber. Each session consists of four to five times 5 minutes with 90% of
the VO2max velocity determined in hypoxia (VO2max-hyp) for the group
(H) and 90% of the velocity at VO2max determined in Normoxia for the
group. (C). (The speed is increased linearly by 1 km / h every 1 minute until
the exhaustion of will during run time ?5 minutes). After the training
program, the results showed that both groups had significant changes (p
<0.05), but the analysis showed that the group (H) in training on hypoxia
caused significant changes. . (p <0.05), better than the group (C) (HRmin
reduced -9.17bpm, live capacity (VC) to 0.42 liters, increased 3000m running
(0.94%), VO2max (3.98% ), hemoglobin (1.3%), hematocrit (3: 47%), EPO
decrease (-2.07%)
Keywords: Heart rate (HRmin); VO2max; red blood cell (RBC); hemoglobin
(Hb); male sprinters.

INTRODUCTION : Essential hypertension, a major risk factor for
cardiovascular disease (CVD), is prevalent in the adult population.
The present study was conducted to compare any observed differences
which can be explained in the mean BPs, BMI, Hip waist ratio in
young adult of hypertensive and normotensive parents. The study
aimed to measure the anthropometric parameters of young healthy
adults having parental history of Hypertension and to correlate the
anthropometric parameters of these individuals with those of the young
healthy individuals who do not have parental history of Hypertension.
METHODS: Cross Sectional analytical study. After Multi-staged Random
sampling 100 the students were contacted and self reported
parental history regarding hypertension was taken in the study . The list
was finalized, of where the parental history of hypertension was there or
not. Randomly 50 cases each of both the groups having parental history
of hypertension and those whose having no history hypertension was
selected. If the consent was not given, or was excluded because of any
reason, other participant was included randomly from the list. Thus, 100
students were divided into two groups.
RESULTS: 65% were males and the average age was 19.29 years with
a median of 20 years. The difference in mean systolic blood pressure
in subjects with history of hypertensive parents was statistically significant
. The mean diastolic blood pressure was also significantly higher.
Using linear regression analysis with BP as the dependent variable, a
significant correlation was found between SBP and DBP of children
and mothers and SBP of children and fathers. Linear regression analysis
of children’s blood pressure and parents’ BMI showed significant
correlation.
CONCLUSIONS: Present study suggest the need of monitoring the BP
of children of hypertensive parents. Health care providers, therefore
have an important role to play in educating families and children about
approaches that are useful in preventing hypertension.
Keywords: Hypertension, Familial History, BMI, WHR