By Nellie Bly
In 1887, Nellie Bly authorized an task from writer Joseph Pulitzer of the recent York international and went undercover on the lunatic asylum on Blackwell Island, America's first municipal psychological clinic. Calling herself "Nellie Brown," she used to be capable of persuade policemen, a pass judgement on, and a sequence of medical professionals of her insanity with a number of well-practiced facial expressions of derangement.
At the establishment, Bly found the stuff of nightmares. Mentally unwell sufferers have been fed rotten, inedible meals; violently abused through a brutal, uncaring employees; and misdiagnosed, mistreated, or usually missed via the medical professionals and so-called psychological healthiness specialists entrusted with their care. To her horror, Bly encountered sane sufferers who were devoted at the barest of pretenses and got here to the stunning consciousness that, whereas the Blackwell Island asylum was once remarkably effortless to get into, it used to be approximately most unlikely to leave.
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Extra resources for Ten Days in a Mad-House
Fortschr Röntgenstr 174:1022–1027 Flohr T, Stierstorfer K, Bruder H, Simon S, Polacin A, Schaller S (2003) Image reconstruction and image quality evaluation for a 16-slice CT-scanner. Med Phys 30(5):832–845 Frush DP, Soden B, Frush KS, Lowry C (2002) Improved pediatric multidetector body CT using a size-based color-coded format. AJR 178:721–726 Fuchs T, Krause S, Schaller S, Flohr T, Kalender WA (2000) Spiral interpolation algorithm for multi-slice spiral CT. Part 2: Measurement and evaluation of slice sensitivity proﬁles and noise at a clinical multi-slice system.
While the stochastic risk depends upon such factors as age at exposure and nationality, ICRP have recommended the use of a conservative risk of 50 additional fatal cancers induced per million people of the general population exposed to 1 mSv of medical radiation (ICRP-60 1991). A more detailed discussion of the assessment of stochastic risk is given in ICRP60 (ICRP-60 1991). Effective dose can be calculated for thoracic CT examinations using dose distributions pre-calculated for speciﬁc CT scanner geometry and beamﬁltration quality (Atherton and Huda 1996; Jones and Shrimpton 1993; McCollough and Schueler 2000; Shrimpton and Edyvean 1998; Zankl et al.
A complete set of dose coefﬁcients for a wide range of ages has only recently been published (Khursheed et al. 2002). The mathematical phantoms used for these calculations were different from those used to calculate the dose distributions for adults, so it may not be possible to incorporate them directly into the dose calculation programs mentioned previously; however, it may be possible to use a simple effective dosemodifying factor to account for age. Further research into this approach is required.