Training the 'complete physician' for rural America: lessons from the Oklahoma City Federal Building bombing

The article explores the experiences of Robert Bomengen, a family physician from rural Lake County, Oregon, in responding to a car bombing incident that destroyed the Alfred P. Murrah Federal Building in Oklahoma. After the incident, Bomengen spoke to medical students and discussed its implications for physicians in rural U.S. According to him, the bombing incident reminds that physicians should focus on providing the best care for everyone. A description of how physicians responded to the incident is presented.

The psychological effects of disaster at sea

Abstract

BACKGROUND:

In March 1987, the P&O car ferry Herald of Free Enterprise capsized killing 193 passengers. Seventy-five survivors and relatives were referred by their solicitors to the authors for assessment of psychological injury.

METHOD:

Information was gathered retrospectively and systematically from clinical notes and legal reports.

RESULTS:

Psychological effects of Hurricane Andrew on an elementary school population

Abstract

OBJECTIVE:

To explore the prevalence and progression of posttraumatic symptomatology (PTS), using emotional and behavioral indices of psychopathology in school-age children in the pathway of Hurricane Andrew (HI-IMPACT) and in a comparison group north of Miami (LO-IMPACT).

METHOD:

Psychiatric comorbidity in children after the 1988 earthquake in Armenia

Abstract

OBJECTIVE:

To determine current rates of posttraumatic stress disorder (PTSD), depressive disorder, and separation anxiety disorder (SAD) among children 1 1/2 years after the 1988 earthquake in Armenia; to determine current rates of comorbid PTSD and depressive disorder; and to assess the contribution of exposure, gender, loss of family members, and loss of residence.

METHOD:

Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial

Abstract

OBJECTIVE:

To examine the additional effect of cognitive behavioural therapy for patients with medically unexplained physical symptoms in comparison with optimised medical care.

DESIGN:

Randomised controlled trial with follow up assessments six and 12 months after the baseline evaluation.

SETTING:

General medical outpatient clinic in a university hospital.

SUBJECTS:

An intervention group of 39 patients and a control group of 40 patients.

INTERVENTIONS:

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